Pediatric Imaging
pedsimaging.bsky.social
Pediatric Imaging
@pedsimaging.bsky.social
A pediatric radiology textbook, one case every day. Opinions are my own.

#FOAMRad #FOAMPed #FOAMed #PedsRad #pediatricradiology #radiology #pediatrics #radiologia #pediatria

www.pediatricimaging.org
School ager with abnormal appearing forearms

AP radiograph of left forearm (left) shows shortening+bowing of radius+positive ulnar variance.

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #radiologie #paediatrics #pediatria #pediatrie #pädiatrie
November 27, 2025 at 12:37 PM
Preschooler with abdominal pain

Axial(above left)+coronal(above right) CT with contrast show round low density lesion in upper pole of right kidney.

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #Ultrasound #radiologia #radiologie
November 26, 2025 at 12:19 PM
School ager with respiratory distress which has not responded to medical therapy

CXR shows a dense consolidation in right middle lobe.

#FOAMed #MedEd #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria #pediatrie
November 25, 2025 at 12:02 PM
Teen with chest pain

CT at presentation(above) shows a large amount of air in right pleural space which was subsequently treated with a chest tube

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #medstudent #medicalstudent #medschool #medicalschool
November 24, 2025 at 12:16 PM
School ager who had a Nissen fundoplication 4 years ago who now has gagging while eating

AP(left)+lateral(right) images fromUpperGI show Nissen fundoplication wrap is intact.

#FOAMed #MedEd #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg
November 23, 2025 at 7:45 PM
Teen with left facial pain

Axial(left)+coronal(right) CT shows expansile cystic lesion of left maxilla that contains a molar tooth within it

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #NeuroRad #PediNeuroRad #NeuroRadiology #radiologie #paediatrics #pediatria #pediatrie #pädiatrie
November 22, 2025 at 2:35 AM
Teen who is pregnant with new onset focal neurological deficits+ataxia

FLAIR MRI show multiple lesions in centrum semiovale, periventricular white matter, splenium of corpus callosum+white matter of parietal+occipital lobes

#FOAMRad #radiology #pediatrics #radiologia #NeuroRadiology #Neurology
November 21, 2025 at 12:20 PM
Starting a pediatric radiology rotation or fellowship or in need of a pediatric radiology procedure review?

Clicking on Pediatric Radiology Procedures will take you to descriptions of how to perform 50 pediatric radiology fluoro+ultrasound procedures

#FOAMRad #PedsRad #RadEd #RadRes #radiology
November 20, 2025 at 12:45 PM
Teen who is a baseball pitcher with right shoulder pain

Radiograph of right shoulder(left) shows proximal humeral epiphysiolysis+physeal widening+juxtaphyseal osteopenia+mild metaphyseal sclerosis in lateral aspect of right proximal humeral physis

#FOAMRad #PedsRad #radiology #Ortho #Orthopedics
November 20, 2025 at 11:42 AM
Toddler with cough

CXR shows bilateral diffuse bronchial wall thickening+subsequent interstitial infiltrates.

The diagnosis was mycoplasma pneumonia.

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

#FOAMed #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #paediatrics #pediatria
November 19, 2025 at 5:44 PM
Teen with left scrotal pain

Transverse(above)+sagittal (below) US of left scrotum show an oval hyperechoic lesion that is in scrotum but that is extratesticular in location+which has posterior acoustical shadowing

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #Ultrasound #radiologia #radiologie
November 19, 2025 at 11:32 AM
Teen with a limp

AP(left)+lateral(right) radiographs show in tibial diaphysis multiple+too numerous to count eccentric expansile lucent lesions with bubbly+sclerotic borders which are without periosteal reaction

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics
November 19, 2025 at 2:10 AM
Immune suppressed patient with odynophagia

AP images from UpperGI show multiple longitudinally oriented lesions in under-distended esophagus which are separated by normal mucosa+small round ulcers

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #paediatrics #pediatria #pediatrie
November 19, 2025 at 12:06 AM
Newborn whose mother was exposed to CMV during pregnancy

Coronal US of brain(above) shows large septated cysts in germinal matrix (germinolysis) bilaterally+multiple periventricular echogenic foci just lateral to anterior horns of lateral ventricles bilaterally...

#radiology #pediatrics #NICU
November 7, 2025 at 11:56 AM
School ager with chronic cough+right shoulder pain

Radiograph of shoulder shows well circumscribed lucent lesion in right humeral epiphysis. There is no periosteal reaction

The diagnosis was tuberculous osteomyelitis.

#FOAMed #MedEd #radiology #radiologia #Ortho #Orthopedics #Orthopaedics
November 7, 2025 at 12:24 AM
School ager with foot pain

Radiograph of foot shows sclerosis+fragmentation of tarsal navicular bone.

The diagnosis was Kohler disease.

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

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #EmergencyMedicine
November 6, 2025 at 12:21 PM
Preschooler with right neck swelling

CT of neck shows round low density fluid collection with thin enhancing rim in right parapharyngeal space. Right carotid artery+internal jugular vein are narrowed in caliber+there is mass effect on right side of airway

#radiology #pediatrics #EmergencyMedicine
November 6, 2025 at 2:44 AM
Infant with duplicated right kidney

Lateral image from voiding cystourethrogram shows round lucency / filling defect near trigone of the bladder.

There is also contrast filling a blind ending tubular tract at dome of bladder.

#FOAMed #MedEd #radiology #pediatrics #radiologia #paediatrics
November 5, 2025 at 12:16 PM
Teenager with pica

AXR shows multiple punctate and linear radiopaque objects in the ascending colon.

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #medstudent #medicalstudent #medschool #medicalschool #radiologie #paediatrics #pediatria #pediatrie #pädiatrie
November 5, 2025 at 2:33 AM
Infant with failure to thrive

Left lateral decubitus AXR (above left) shows an air filled duodenal bulb and an air filled stomach (double bubble sign) with some distal bowel gas

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ultrasound #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria
November 4, 2025 at 11:50 AM
Preschooler with anemia+palpable epigastric mass

Coronal(above)+axial (below) CT show stomach distended by large mass that has swirled appearance+that fills entire stomach+duodenal bulb

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #medstudent #medicalstudent
November 4, 2025 at 1:31 AM
7 week old infant with respiratory distress without fever

CXR show bilateral diffuse infiltrates with hyperexpanded lungs.

The diagnosis was chlamydia pneumonia.

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

#FOAMed #MedEd #radiology #pediatrics #radiologia #paediatrics #pediatria
November 3, 2025 at 12:13 PM
Female preschooler with urinary tract infection

AP image from a voiding cystourethrogram shows a non-obstructive ellipsoid-shaped dilation of the posterior urethra just distal to the internal urethral sphincter

#FOAMed #MedEd #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria
November 2, 2025 at 11:56 PM
School ager with headaches

Lateral radiograph of skull obtained 3 years ago(above) shows ventriculoperitoneal (VP) shunt tubing that courses inferiorly is connected appropriately to radiolucent VP shunt reservoir

#FOAMed #MedEd #radiology #pediatrics #Neurosurgery #EmergencyMedicine #Neurorad
November 2, 2025 at 12:38 PM
Toddler with a whooping-sounding cough

CXR shows bilateral lung hyperexpansion with bilateral perihilar infiltrates that blur the border of the heart, resulting in heart border having a shaggy appearance.

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #paediatrics #pediatria
November 2, 2025 at 4:35 AM