Betula populifolia multiple trunks branching off of an old stump. The leaves are 5-7.5 cm long by 4–6 cm wide, alternately arranged, ovate, and tapering to an elongated tip. They are dark green and glabrous above and paler below, with a coarsely serrated margin. The bark is chalky to grayish white with black triangular patches where branch meets trunk. It is most easily confused for the paper birch ("Betula papyrifera") by means of its bark; it is smooth and thin but does not readily exfoliate like paper birch does. The flowers are wind-pollinated catkins 5–8 cm long, the male catkins pendulous and
Beech bark disease to spread to the south and west. The first case of beech bark disease in the United States was reported in 1929 in Massachusetts. By 2004, the disease had spread as far west as Michigan and as far south as western North Carolina. For beech bark disease to occur, two components are required, an insect and a fungus. The beech scale insect, "Cryptococcus fagisuga", is invasive to North America and is host-specific, feeding exclusively on beech trees. It can be observed on the trunk and limbs of the tree as woolly, white tufts that will later develop into broad strips.