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

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

Infant after nasogastric tube placement

CXR shows tip of nasogastric tube projects over second portion of duodenum

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #PedSurg #SoMe4PedSurg #radiologia #radiologie #paediatrics #pediatria #pediatrie #pädiatrie #medstudent #medicalstudent #medschool

Teen with worsening right arm+right shoulder pain when doing things overhand or overhead

CXR shows a large right cervical rib at C7

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #PedSurg #SoMe4PedSurg #radiologia #paediatrics #pediatria #medstudent #medicalstudent #medschool #medicalschool

Newborn with a cystic right adnexal mass on prenatal US

Transverse(above)+sagittal(below) US of abdomen shows cystic lesion with septations that has a hyperechoic inner rim (echogenic rim sign)

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #Ultrasound #radiología #paediatrics #pediatría

Teenager with left lower quadrant pain

Axial (above left)+sagittal (above right) CT shows anchoring balloon+tip of gastrostomy tube are in subcutaneous tissues of anterior abdominal wall rather than in stomach.

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

Preschooler after alkaline (lye) ingestion

Lateral image from UpperGI obtained 2 weeks after ingestion (left) shows mild esophageal ulceration+atony of esophagus.

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #PedSurgery #PedSurg #SoMe4PedSurg #radiología #radiologie #paediatrics #pediatría

Premature newborn after replacement of nasogastric tube

Baseline CXR AP (left) shows tip of nasogastric tube to project appropriately over body of the stomach.

#FOAMed #MedEd #radiology #pediatrics #NICU #Neonatology #PedSurgery #PedSurg #radiología #radiologie #paediatrics #pediatría #pédiatrie

Teen with Factor 8 deficiency who took a knee to left groin+now has back pain

CT shows asymmetrical enlargement of left psoas muscle+left iliacus muscle

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #PedSurgery #EmergencyMedicine #radiología #radiologie #paediatrics #pediatría #pédiatrie

Toddler after feeding tube placement

CXR shows feeding tube which courses into stomach+then loops back upon itself+reenters esophagus+whose tip lies at level of C6

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #PedSurgery #radiología #radiologie #paediatrics #pediatría #pédiatrie

Toddler after a gastrostomy tube change

Radiograph after injection of water soluble contrast through gastrostomy tube shows contrast outlining spleen+several loops of small bowel. There is no contrast in stomach

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

Teen with fever+abdominal pain

CT without contrast shows large of amount of air in right posterior pararenal space with associated fat stranding

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #PedSurg #SoMe4PedSurg #radiología #radiologie #paediatrics #pediatría #pédiatrie #pädiatrie

School ager with gastroesophageal reflux

AP image from UGI exam shows duodenal-jejunal junction is just to right of spine at level of L2 vertebral body+is low in position, being beneath the level of duodenal bulb

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

Female teen with right lower quadrant pain

Sequential coronal T2 MRI of pelvis show uterus to consist of a single fluid filled dilated right horn(above) which empties into vagina(below)

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #PedSurgery #PedSurg #radiología #paediatrics #pediatría

Infant with bilious vomiting

AP image from upper GI exam shows contrast filled stomach in the upper right of the image emptying into duodenal bulb which is just to right of spine.

#FOAMed #MedEd #radiology #pediatrics #PedSurgery #PedSurg #radiología #radiologie #paediatrics #pediatría #pédiatrie

Teen with palpable right upper chest wall mass

CXR at 1 day of life(above) shows right third rib to bifurcate starting posteriorly into two separate ribs

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

School ager with shortness of breath

CXR AP (above) shows a large mass filling the thorax.

#FOAMed #MedEd #FOAMPed #FOAMRad #PedsRad #radiology #PedSurgery #PedSurg #SoMe4PedSurg #radiología #radiologie #pediatrics #paediatrics #pediatría #pédiatrie #pädiatrie

This is the largest reported single-center series of pediatric major hepatectomies. Post hepatectomy liver failure is exceedingly rare in children. The liver volume-to-body weight ratio is higher in children compared with adults, and the Future liver remnant is sufficient even in extreme resections with <20% of the liver remnant. These findings strongly question the use of asociating liver partition and portal vein ligation for staged hepatectomy, portal vein embolization, or transplantation based on suspected insufficient liver remnants in children.

by @chirpedbicetre.medsky.social

#medsky #pedsurgery
This is the largest reported single-center series of pediatric major hepatectomies. Post hepatectomy liver failure is exceedingly rare in children.The Future liver remnant is sufficient even in extreme resections with <20% of the liver remnant.

We are publishing a pediatric imaging textbook, one case every day+currently have over 2,000 cases.

#FOAMed #FOAMRad #MedEd #PedsRad #radiology #radiología #radiologie #radiologist #pediatrics #paediatrics #pediatría #pédiatrie #pädiatrie #Neonatology #EmergencyMedicine #PedSurgery #Orthopedics

School ager with periumbilical pain

Axial(above+sagittal(below) CT shows small oval solid soft tissue mass in midline of anterior wall / dome of bladder

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

School ager with chronic cough

CT without contrast (above) shows ill-defined solid soft tissue mass in posterior+medial aspect of left lower lobe.

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #PedSurgery #PedSurg #radiología #radiologie #pediatrics #paediatrics #pediatría #pédiatrie #pädiatrie

School ager with abdominal pain who just had a cardiac arrest

AXR AP (above left) shows multiple dilated loops of small bowel and a decomopressed colon.

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #PedSurgery #SoMe4PedSurg #radiología #radiologie #pediatrics #paediatrics #pediatría #pédiatrie

Newborn with a loopy abdomen

AXR (left) shows the tip of the nasogastric tube in a decompressed stomach. There are several loops of dilated bowel present in the midline of the abdomen

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #PedSurgery #PedSurg #SoMe4PedSurg #radiología #pediatrics #pediatría

Newborn who suffered a profound hypoxic event after being discharged home

AXR AP(above) shows large oval lucency in midline of upper abdomen

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #PedSurgery #PedSurg #SoMe4PedSurg #NICU #Neonatology #FOAMneo #radiología #pediatrics #paediatrics #pediatría

Infant with an echogenic left lung mass on prenatal US

CXR AP (above) shows a faint triangular opacity in the medial aspect of the left lower lobe

#FOAMed #MedEd #FOAMPed #FOAMRad #PedsRad #RadEd #RadRes #radiology #PedSurgery #PedSurg #SoMe4PedSurg #radiología #pediatrics #paediatrics #pediatría

Infant with abdominal mass

CT without IV contrast but with oral contrast (above) shows a large right sided abdominal mass that is calcified.

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #PedUro #PedSurgery #PedSurg #SoMe4PedSurg #radiología #radiologie #pediatrics #paediatrics #pediatría #pédiatrie

#FOAMed #FOAMPed #FOAMRad #MedEd #PedsRad #RadEd #RadRes #radiology #radiología #radiologie #radiologist #pediatrics #paediatrics #pediatría #pédiatrie #pädiatrie #NICU #Neonatology #EmergencyMedicine #EMRad #PedSurgery #PedSurg #Ortho #Orthopedics #NeuroRad #PediNeuroRad #NeuroRadiology

Young adult with fever and respiratory distress

CXR AP and lateral (above) shows a well circumscribed, non-calcified, solid, round lesion in the right mid lung.

#FOAMed #MedEd #FOAMPed #FOAMRad #PedsRad #RadEd #RadRes #radiology #PedSurgery #PedSurg #radiología #pediatrics #paediatrics #pediatría

Newborn with respiratory distress

CXR at 1 hour of life (above) shows endotracheal tube+mediastinum to be shifted to right by a large mass in left hemithorax

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #NICU #Neonatology #PedSurgery #PedSurg #radiología #pediatrics #paediatrics #pediatría

School ager with right lower quadrant pain

Coronal CT with contrast of the abdomen (left) shows an air-filled appendix of normal diameter in the middle of the image just beneath the bifurcation of the iliac vessels.

#FOAMed #MedEd #FOAMRad #PedsRad #radiology #PedSurgery #PedSurg #SoMe4PedSurg