Unknown Case # 11 – Pediatric Neck Ultrasound
History: 5 year old male with a midline neck mass. What is your differential diagnosis for this pediatric patient with a midline neck mass? Comment and share below! Note, doppler color images revealed no vascular flow within the mass.
Solution to Unknown Case # 10 – Boxer’s Fracture
History: Adolescent boy with hand pain. This is called a boxer fracture, which is a transverse fracture through the fifth metacarpal neck. Only the collateral ligaments remain attached, and therefore the typical finding is volar angulation (or dorsal apex angulation) of the metacarpal head. Boxer’s Fracture Causes Boxer’s fractures received their name from one of […]
Big Toe Crush Injury
History: Adolescent girl dropped a weight on her foot with bone visible on physical exam. This is the appearance of a crush injury to the first toe. This patient dropped a 25 lb dumbbell weight onto her first toe!
Unknown Case # 10 – Pediatric Hand Radiograph
History: Adolescent boy with hand pain. What is your diagnosis? What is the mechanism of injury? Comment and share below!
Solution to Unknown Case # 9 – Radial Head Dislocation and Ulnar Acute Plastic Bowing – Monteggia?
History: child with limited range of motion of the right forearm. This is a radial head dislocation with acute plastic bowing of the ulna. Acute plastic bowing is a plastic response to a longitudinal stress that is frequently seen in young children ages 2-5 years old. In the image above, normally the ulnar cortical surface […]
Unknown Case # 9 – Pediatric Forearm Radiograph
History: child with limited range of motion in his right forearm. What is your diagnosis? Comment and share below!
Solution to Unknown Case # 8 – Luckenschadel Skull versus Copper Beaten Skull
History: Infant with a congenital anomaly. This is the appearance of a Luckenschadel (or lacunar) skull. Luckenschadel skull is a congenital defect in the skull that results from abnormal membranous ossification. It is associated with Chiari II malformations, which includes the following features: 1. Cerebellar tonsil herniation through foramen magnum due to a small posterior […]
Unknown Case # 8 – Pediatric Skull Radiograph
History: Infant with congenital abnormality. What is your diagnosis? What is the term for this finding? What are its associations? Comment, like, pin, and share below!
Solution to Unknown Case # 7 – Focal Orchitis with Pyocele
History: Adolescent male with scrotal pain. This is a case of focal orchitis with pyocele, which characteristically appears as an ill-defined hypoechoic heterogenous lesion in the testicle on grayscale ultrasound, with increased flow on color Doppler ultrasound. This is distinguished from an intratesticular abscess by having internal flow on Doppler ultrasound. Intratesticular abscess would be […]
Unknown Case # 7 – Adolescent Testicular Ultrasound
History: Adolescent male with scrotal pain. What is your diagnosis? What is your differential diagnosis? Comment, like, pin, share below!