Pediatric Imaging

The diagnosis was airway foreign body in the left mainstem bronchus.

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

Preschooler with a new cough

CXR shows hyperaeration+increased lucency of left lung compared to right lung. There is also mediastinal shift to right.

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiología #radiologie #paediatrics #pediatria #medstudent #medicalstudent #medschool

The diagnosis was a healing non-displaced scaphoid fracture.

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

Teen with wrist pain after trauma to wrist weeks ago

AP radiograph shows lucent line with some adjacent sclerosis through waist of scaphoid bone

#FOAMed #MedEd #radiology #pediatrics #Orthopedics #Orthopaedics #OrthoTwitter #EmergencyMedicine #radiologia #medstudent #medicalstudent #medschool

The diagnosis was nasogastric tube malfunction with the nasogastric tube curled in the esophagus.

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

Newborn with abdominal distension after nasogastric tube placement

CXR shows nasogastric tube curling back upon itself within esophagus with tip of nasogastric tube located above thoracic inlet

#FOAMed #MedEd #radiology #pediatrics #NICU #Neonatology #radiología #radiologie #paediatrics #pediatria

The diagnosis was bilateral non-displaced nasal bone fractures.

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

Teen with nose pain after being punched in nose

Bilateral radiographs of nose show lucent lines through middle parts of both nasal bones.

#FOAMed #MedEd #radiology #pediatrics #NeuroRad #PediNeuroRad #NeuroRadiology #EmergencyMedicine #radiología #radiologie #paediatrics #pediatría #pédiatrie

The diagnosis was left orbital blowout fracture.

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

Teen punched in left eye

Coronal CT without contrast in soft tissue(above)+bone (below) windows shows fracture defect in floor of left orbit with fat herniating through it into left maxillary sinus

#FOAMed #MedEd #radiology #pediatrics #NeuroRadiology #EmergencyMedicine #radiología #radiologie

You can also follow us as @pedsimaging on Bluesky (bsky.app/profile/peds...), Facebook (www.facebook.com/pedsimaging/), Instagram (www.instagram.com/pedsimaging/), Threads (www.threads.net/@pedsimaging) and X (www.x.com/pedsimaging/) or in the Fediverse as @pediatricimaging.org@pediatricimaging.org

You can find us on the Web (pediatricimaging.org) and to see every case follow us via RSS (pediatricimaging.org/feed) or via email (enter your address + click "Follow" button at the bottom of the page at pediatricimaging.org).

We are publishing a pediatric imaging textbook, one case every day, and currently have 2,000 cases covering 1,000 diseases and 125 differential diagnoses, 50 procedure descriptions and 4 review courses

#FOAMed #FOAMRad #MedEd #radiology #radiología #radiologist #pediatrics #paediatrics #pediatría

The diagnosis was diffuse leptomeningeal glioneuronal tumor.

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

...+that on sagittal T1 MRI with contrast(above right) enhances minimally. There is also thick leptomeningeal enhancement anterior+posterior to cervical spine. Sagittal T1 MRI with contrast of brain (below) shows thick leptomeningeal enhancement of the brain, particularly around the basal cisterns.

Preschooler with left leg weakness+back pain

Sagittal T1 MRI without contrast of spine(above left) shows focal protruberant intramedullary mass in spinal cord at C7+T1 that is hyperintense on sagittal T2 MRI(above center)...

#FOAMed #MedEd #radiology #pediatrics #Neurology #Neurosurgery

Teen with a painful, red, axillary mass.

Transverse US of axilla centered on the palpable mass shows an oval hypoechoic lesion in subcutaneous tissue.

The diagnosis was subcutaneous abscess.

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

#FOAMed #MedEd #radiology #pediatrics #Ultrasound

Coronal CT (right) shows multiple large cysts scattered throughout the cortex and medulla in both kidneys.

The diagnosis was autosomal dominant polycystic kidney disease in a patient with a liver laceration.

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

School ager who fell+was stepped on by a horse

Axial CT(above left) shows large laceration in middle of right lobe of the liver that is associated with large amount of hemoperitoneum inferior to liver(below left).

#FOAMed #MedEd #radiology #pediatrics #radiología #radiologie #paediatrics

The diagnosis was Meckel diverticulum with a band of tissue coming off of it causing a small bowel volvulus and closed loop bowel obstruction resulting in small bowel ischemia.

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

School ager with abdominal pain and emesis

Transverse US of abdomen (below) shows a non-peristalsing cystic lesion in the center of the image superiorly. Transverse US (above) shows a dilated loop of small bowel with an air-fluid level within it.

#FOAMed #MedEd #radiology #pediatrics #paediatrics

The diagnosis was airway foreign body in the left mainstem bronchus.

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

Right lateral decubitus CXR (below left) shows appropriate collapse of the right lung when placed in a dependent position. Left lateral decubitus CXR (below right) shows inappropriate non-collapse of the left lung when placed in a dependent position.

Preschooler who was seen to swallow a foreign body and then start coughing

CXR AP (above) shows hyperlucency of the left lung when compared to right lung.

#FOAMed #MedEd #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiología #radiologie #paediatrics #pediatría #pédiatrie #pädiatrie

... and contrast is flowing along gastrostomy tube track into stomach.

Diagnosis was gastrostomy tube malfunction due to gastrostomy tube being pulled back along its tract as patient's body mass index increased+ gastrostomy tube was too short.

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

Teen developing a large body mass index due to steroid use who is having problems with their gastrostomy tube feedings

Lateral image of abdomen is obtained during injection of the gastrostomy tube shows that gastrostomy tube balloon is outside of stomach...

#FOAMed #MedEd #radiology #pediatrics

The diagnosis was a Chance fracture of the lumbar spine at the L1 vertebral body and a lumbar spine fracture of the L4 vertebral body.

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

Teen in motor vehicle accident with back pain

Coronal(above left), sagittal(above right+axial(below) CT shows flexion distraction fracture of L1 vertebral body+its posterior elements+compression fracture of L4 vertebral body.

#FOAMed #MedEd #radiology #pediatrics #Orthopedics #EmergencyMedicine

Coronal (above right) and axial (below) T1 MRI with contrast shows bright homogenous enhancement in a superolateral distribution around the left orbit including the left lacrimal gland.

The diagnosis was left dacryoadenitis.

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

School ager with left upper eyelid swelling

Coronal T2 MRI without contrast of orbit(above left) shows hyperintense signal in superolateral distribution around left orbit including left lacrimal gland.

#FOAMed #MedEd #radiology #pediatrics #radiología #radiologie #paediatrics #pediatría