Winking owl sign is a radiological feature. It arises due to inability to visual pedicle on anteroposterior plane. It is also known as 'absent pedicle' sign. This radiological feature may be attriubuted to: - spinal metastasis - spinal malignancy - tuberculosis - lymphoma - neurofibromatosis -radiation-therapy Reference: https://radiopaedia.org/articles/winking-owl-sign-spine Image via: https://assets.cureus.com/uploads/review_article/pdf/11285/1612427765-1612427755-20210204-18268-rldxe1.pdf