The howling continued and grew as more wolf voices added dissonant notes and vibrato.

She pounded on the keys again, and again the dissonant notes reverberated around her.

I detected dissonant notes in this woman's voice, flinches in her expression, moisture on her forehead and palms.

She advances into the suburban dining room, playing raw and dissonant notes of silence to confront the horrors within.

Dissonant notes intersperse with the melody.