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Pediatric Imaging

@pedsimaging.bsky.social

1.6K followers 58 following 1.3K posts

A pediatric radiology textbook, one case every day. Opinions are my own. #FOAMRad #FOAMPed #FOAMed #PedsRad #pediatricradiology #radiology #pediatrics #radiologia #pediatria www.pediatricimaging.org

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Pediatric Imaging @pedsimaging.bsky.social · Feb 25

We are publishing a pediatric imaging textbook, 1 case/day+have 2,000 cases covering 1,000 diseases, 125 DDxs, 50 procedure descriptions+4 review courses

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

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Pediatric Imaging @pedsimaging.bsky.social · 3h

The diagnosis was infantile cortical hyperostosis.

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

Pediatric Imaging @pedsimaging.bsky.social · 3h

Infant with irritability

CXR(above) shows marked cortical thickening of all of the left ribs+lower right ribs+left humerus. CXR one year later (below) shows complete resolution of the cortical thickening

#radiology #pediatrics #Ortho #Orthopedics #Orthopaedics #radiologia #paediatrics #pediatria

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Pediatric Imaging @pedsimaging.bsky.social · 1d

The diagnosis was horseshoe kidney.

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

Pediatric Imaging @pedsimaging.bsky.social · 1d

Infant with urinary tract infection

Axial(above+coronal(below) CT shows lower poles of kidneys to be fused in midline. There is mild hydronephrosis of both kidneys
#FOAMed #MedEd #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria #pediatrie #pädiatrie #medstudent #medicalstudent

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Pediatric Imaging @pedsimaging.bsky.social · 2d

A barium pill would not pass through the distal esophagus into the stomach.

The diagnosis was achalasia.

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

Pediatric Imaging @pedsimaging.bsky.social · 2d

Teen with substernal dysphagia

Three lateral images from an upper GI shows dilation of proximal esophagus which narrows to a beak distally which never opens up.

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #PedSurg #SoMe4PedSurg #radiologia #radiologie #paediatrics #pediatria #pediatrie

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Pediatric Imaging @pedsimaging.bsky.social · 3d

The diagnosis was bacterial tracheitis.

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

Pediatric Imaging @pedsimaging.bsky.social · 3d

School ager with fever, stridor+sore throat

Lateral radiograph of airway shows subglottic asymmetric narrowing of trachea with irregular tracheal border+loss of normal definition of tracheal walls with membranes+plaques noted within subglottic trachea
#radiology #pediatrics #radiologia #paediatrics

Pediatric Imaging @pedsimaging.bsky.social · 4d

The diagnosis was ventriculoperitoneal shunt malfunction due to migration of the tip of the ventriculoperitoneal shunt out of the left lateral ventricle.

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

Pediatric Imaging @pedsimaging.bsky.social · 4d

...in the the posterior horn of the left lateral ventricle.

Axial T2 MRI of the brain from today (right) shows the tip of the ventriculoperitoneal shunt to no longer be within the left lateral ventricle but to be in the brain parenchyma.

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Pediatric Imaging @pedsimaging.bsky.social · 4d

School ager with meningitis with VP shunt that was placed a week ago who has developed a new headache today

Axial T2 MRI immediately after VP shunt placement a week ago (left) shows tip of the VP shunt placed from a left parietal approach to be in appropriate position...

#radiology #Neurosurgery

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Pediatric Imaging @pedsimaging.bsky.social · 5d

The esophagus was normal in appearance

The diagnosis was corrosive gastritis due to acid ingestion causing gastric outlet obstruction.

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

Pediatric Imaging @pedsimaging.bsky.social · 5d

Preschooler after acid ingestion

AP image from upper GI shows very distended stomach with large air fluid level. Gastric emptying was extremely slow due to marked narrowing of gastric antrum caused by gastritis

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #PedSurg #SoMe4PedSurg #radiologia

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Pediatric Imaging @pedsimaging.bsky.social · 6d

The diagnosis was an intratonsillar abscess in the right palatine tonsil.

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

Pediatric Imaging @pedsimaging.bsky.social · 6d

Teen with a sore throat for several days

Axial(above), coronal(below left)+sagittal(below right) CT shows large low density fluid collection centered in right palatine tonsil

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #NeuroRadiology #radiologia #paediatrics #pediatria #medicalstudent

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Pediatric Imaging @pedsimaging.bsky.social · 7d

...which has osseous matrix and ground glass appearance with a narrow zone of transition and no periosteal new bone.

The diagnosis was fibrous dysplasia.

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

Pediatric Imaging @pedsimaging.bsky.social · 7d

Teen with headache

Axial(left)+coronal(right) CT show lesion involving clivus, sphenoid+greater wing of left sphenoid+that is causing narrowing of left orbital apex...

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria #pediatrie #pädiatrie

Pediatric Imaging @pedsimaging.bsky.social · 8d

Transverse US of the pelvis better shows the complex nature of the fluid in the vagina.

The diagnosis was hematocolpos.

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

Pediatric Imaging @pedsimaging.bsky.social · 8d

Female school ager with acute urinary retention

Sagittal US of pelvis(above) shows uterus(upper left) to have a pubertal appearance+to have no fluid within it while vagina(to the right) is massively distended with heterogeneous appearing fluid

#FOAMRad #radiology #pediatrics #radiologia #pediatria

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Pediatric Imaging @pedsimaging.bsky.social · 9d

AXR upright (right) shows multiple air fluid levels within those loops of small bowel.

The diagnosis was abdominal adhesions from the prior surgery causing a distal closed loop small bowel obstruction.

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

Pediatric Imaging @pedsimaging.bsky.social · 9d

Preschooler with nausea+vomiting who had a congenital diaphragmatic hernia repaired 4 years ago

AXR supine (left) shows multiple dilated loops of small bowel that have a stacked appearance.

#FOAMRad #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria #pediatrie #medicalstudent

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Pediatric Imaging @pedsimaging.bsky.social · 10d

The endotracheal tube tip is just beneath the thoracic inlet.

The diagnosis was respiratory distress syndrome.

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

Pediatric Imaging @pedsimaging.bsky.social · 10d

Premature newborn with respiratory distress

CXR shows symmetrical low lung volumes bilaterally with ground glass opacities that are symmetrical from apex to base as well as from medial to lateral in each hemithorax

#radiology #pediatrics #radiologia #paediatrics #pediatria #medicalstudent

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Pediatric Imaging @pedsimaging.bsky.social · 11d

The diagnosis was chest tube malfunction due to fracture of the chest tube during chest tube removal.

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

Pediatric Imaging @pedsimaging.bsky.social · 11d

Infant after chest tube removal

CXR(left) shows chest tube in the hemithorax. CXR after chest tube removal(right) shows long fragment of chest tube remaining in left hemithorax

#radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria #pediatrie #pädiatrie #medstudent #medicalstudent

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