School ager who recently had gastrostomy tube replaced+now have abdominal pain with tube feeds
AXR obtained after injection of water soluble contrast through gastrostomy tube shows contrast throughout peritoneum which is outling liver+spleen and pooling in pelvis
#FOAMed #MedEd #radiology #PedSurg
School ager with an abdominal mass
Coronal (above left) T2 MRI of the abdomen shows a right-sided heterogenous and hyperintense oval shaped suprarenal retroperitoneal mass...
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria #PedSurg #SoMe4PedSurg
Thinking of the family and my colleagues who I know tried to save this precious life. Holding everyone involved in the light. #pedsurg
Premature newborn with bloody stools
AXR shows bubbly appearing air in wall of entire colon from cecum to sigmoid colon
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #NICU #Neonatology #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent #radiologie #paediatrics #pediatria #pediatrie
Premature newborn with increasing residuals
AXR shows curvilinear appearing air in wall of ascending colon+proximal transverse colon.
#FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #NICU #Neonatology #radiologia #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria #pediatrie
Teenager after motor vehicle accident
Axial CT with contrast of the abdomen (above left) shows an extensive laceration of the left kidney with an associated low density retroperitoneal hematoma surrounding the left kidney.
#FOAMed #MedEd #radiology #PedSurg #SoMe4PedSurg #EmergencyMedicine
Premature newborn after umbilical venous catheter placement
CXR (above) shows tip of umbilical venous catheter projecting over left portal vein.
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #NICU #Neonatology #PedSurg #SoMe4PedSurg #Ultrasound #radiologia #paediatrics #pediatria #pediatrie
Newborn with bloody stools
AXR shows curvilinear appearing air in wall of descending colon
The diagnosis was pneumatosis intestinalis of descending colon in patient with necrotizing enterocolitis
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #NICU #Neonatology
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.
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #NICU #Neonatology #PedSurg #SoMe4PedSurg #Ultrasound
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...
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg
School ager who had Nissen fundoplication 5 years ago+is now retching
AP(left)+lateral(right) images from UpperGI exam show impression of Nissen fundoplication wrap on superior border of stomach beneath the diaphragm
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg
Infant with a central venous catheter placed 6 months ago that now cannot be infused through
CXR obtained at placement (above left) shows the tip of the central venous catheter in the superior vena cava.
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #PedSurg #SoMe4PedSurg #radiologia #paediatrics
Newborn with an abdominal mass
Axial (above), coronal (below left), and sagittal (below right) CT with contrast of the abdomen shows a large left-sided abdominal mass which arises from the retroperitoneum...
#radiology #pediatrics #PedSurg #SoMe4PedSurg #EmergencyMedicine #radiologia
Teenager seen to ingest three non-food objects
AXR AP shows two radiopaque cylindrical objects in the abdomen.
#radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent #medschool #medicalschool #radiologie #paediatrics #pediatria #pediatrie
Preschooler who has eaten something they should not have eaten
AXR AP(left)+AXR lateral(right) show 4 radiopaque linear objects that are joined together in mid abdomen
#radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #EmergencyMedicine #medstudent #medicalstudent #paediatrics #pediatria
Toddler with newly placed central venous catheter that can be infused through but cannot be drawn back from
CXR AP(above) shows the tip of the central venous catheter to be flush against the wall of the superior vena cava
#radiology #pediatrics #PedSurg #SoMe4PedSurg #radiologia #pediatria
Infant with renal mass on prenatal ultrasound
Coronal CT(below) shows solid mass with variable enhancement with cystic components within right kidney. Axial CT(above) shows cystic component of mass extends to midline
#radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #EmergencyMedicine
Teen who has eaten something they should not have eaten
AXR shows two radiopaque cylindrical objects in abdomen in region of stomach
#radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent #radiologie #paediatrics #pediatria #pediatrie #pädiatrie
Teen with abdominal pain+hematuria
CT shows stenosis of proximal left renal vein with associated dilation of distal left renal vein due to compression of left renal vein between superior mesenteric artery+aorta
#radiology #pediatrics #PedSurg #SoMe4PedSurg #radiologia #radiologie #paediatrics
Female teen with 2 weeks of abdominal pain
Coronal(left)+axial (right)) CT show large multiseptated mass superior to bladder. Left ovary was normal while right ovary was not clearly identified
#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #PedSurg #SoMe4PedSurg #radiologia #pediatria
Teen with abdominal pain
Transverse US(above left) shows round hyperechoic lesion in liver. Coronal T2 MRI without contrast(above right) shows lesion in right lobe of liver to have slightly increased signal intensity...
#FOAMed #MedEd #radiology #radiologia #PedSurg #SoMe4PedSurg
School ager with cystic fibrosis+abdominal pain
Coronal CT(above) shows marked nodular contour to liver+multiple dilated veins around spleen.
#FOAMed #MedEd #FOAMPed #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria
Female preschooler with pelvic pain
Axial(above left), sagittal(above right)+coronal (below) CT without contrast show large thick walled, fluid-filled, unilocular mass just above+to right of bladder...
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #PedSurg #SoMe4PedSurg
Newborn with difficulty feeding
CXR(left) shows dilated air-filled structure just to right of spine. AP(middle)+lateral (right) images from upper GI show two fixed focal areas of narrowing in distal esophagus...
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg
Teen with chronic neurologic impairment who has fever+constipation
Axial CT(above) shows marked diffuse wall thickening+mucosal enhancement of transverse colon
#FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent
Infant with respiratory distress
CXR(above) show cystic expansile lesion arising from posterior aspect of right 8th rib causing distortion of adjacent bony thorax
#FOAMed #MedEd #FOAMRad #SoMe4PedSurg #PedSurg #radiology #pediatrics #radiologia
Preschooler with recurrent episodes of respiratory distress over several years
Initial CXR (above) shows opacity in medial aspect of right lower lobe which took a year to resolve radiographically
#RSNA25 #FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg
Toddler who was seen to swallow something
AXR AP shows 13 small round radiopaque objects that are joined together in a chain.
#FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent #radiologie #paediatrics #pediatria
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
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
