Pediatric Imaging

The diagnosis was transient tachypnea of the newborn.

Learn more: pediatricimaging.org/diseases/tra...

Newborn with respiratory distress

CXR on first day of life(left) shows normal lung volumes with prominent interstitial infiltrates bilaterally in lungs. CXR on second day of life(right) shows interval resolution of interstitial infiltrates

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The diagnosis was ventriculoperitoneal shunt malfunction in the form of broken shunt tubing causing interval development of hydrocephalus.

Learn more: pediatricimaging.org/diseases/ven...

CT obtained one year ago (below left) shows the tip of the VP shunt in the left lateral ventricle and the ventricular system to be decompressed. Current CT (below right) shows the tip of the VP shunt to be in the left lateral ventricle and interval development of dilation of the ventricular system.

Teen with VP shunt with new headache

AP radiograph(above) shows VP shunt catheter is broken at the level of the mid-neck.

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Learn more: pediatricimaging.org/diseases/umb...

Newborn with mass at umbilicus

Transverse(left)+sagittal (right) US of umbilicus shows round hyperechoic lesion with hypoechoic rim near umbilical stump

The diagnosis was umbilical granuloma.

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The diagnosis was left lower lobe acute pneumonitis due to systemic lupus erythematosus.

Learn more: pediatricimaging.org/diseases/sys...

School ager with systemic lupus erythematosis with new left pleuritic chest pain

CXR AP(left) shows fine interstitial infiltrate in left lower lung that on lateral CXR(right) is seen to be projecting over spine

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There was no spinal extension of the mass. On coronal T1 MRI with contrast (above right) the mass is again seen to be next to the T10-T11 vertebral bodies.

The diagnosis was schwannoma.

Learn more: pediatricimaging.org/diseases/sch...

Axial T1 MRI without contrast of the thoracic spine (below left) shows an isointense round mass just to the left of the vertebral body. On axial T2 MRI (below center) the mass is hyperintense and on axial T1 MRI with contrast (below right) the mass enhances avidly and homogeneously.

Teen with abdominal pain

AXR(above left) shows incidental semi-circular left paraspinal mass next to T10-T11 vertebral bodies.

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Clicking on Random Pediatric Radiology Case will show you 1 of > 2,500 pediatric radiology cases

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...and only a small amount of contrast is in stomach due to very slow emptying of esophagus through Nissen fundoplication into stomach.

The diagnosis was Nissen fundoplication malfunction in the form of the Nissen fundoplication being too tight.

Learn more: pediatricimaging.org/diseases/nis...

Teen who had Nissen fundoplication 3 days ago who cannot swallow water or medications

AP image from UpperGI taken 15 minutes after first swallow of contrast shows most of contrast is still in distal esophagus...

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...while the lateral (right) shows dorsal angulation and impaction of the distal fracture fragment without the involvement of the articular surface.

The diagnosis was Colles fracture.

Learn more: pediatricimaging.org/diseases/col...

School ager who fell from monkey bars+has wrist pain

AP radiograph(left) shows extra-articular fracture of distal radial metaphyseal region...

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CXR AP on the second day of life (right) shows interval resolution of the interstitial infiltrates with a small amount of pleural effusion remaining in the minor fissure of the right lung.

The diagnosis was transient tachypnea of the newborn.

Learn more: pediatricimaging.org/diseases/tra...

Newborn with respiratory distress

CXR on first day of life(left) shows normal lung volumes with prominent interstitial infiltrates bilaterally in lungs+small right pleural effusion with fluid in minor fissure of right lung

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Contrast was never seen to exit the tip of catheter but instead was seen to exit the catheter from a position 2 cm above tip of the catheter.

Diagnosis was central venous catheter malfunction in the form of a fibrin sheath along distal catheter.

Learn more: pediatricimaging.org/diseases/cen...

School ager who is having difficulty using their central venous line

AP image from central line injection shows distal part of catheter is thicker than rest of catheter.

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Sagittal US of the left scrotum 2 weeks later (below) shows the lesion has decreased in size and become uniformly echogenic.

The diagnosis was torsion of the appendix testis.

Learn more: pediatricimaging.org/diseases/app...

School ager with left scrotal pain

Sagittal US of left scrotum at presentation(above) shows round lesion of heterogenous echogenicity superior to left testicle

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The diagnosis was symbrachydactyly.

Learn more: pediatricimaging.org/diseases/sym...

Toddler with unusual appearing hand

AP(left)+lateral(right) radiographs show absence of all bones in hand. There are nubbins of soft tissue where phalanges should be. Radius+ulna are bowed

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Clicking on Pediatric Fractures+Dislocations will take you to descriptions of approaches to+appearances of over 65 pediatric fractures+dislocations

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