Pediatric Teleradiology

Solution to Unknown Case # 6 – Subclavian Steal Syndrome

History: 60 year old female with arm pain.  This is a case of subclavian steal syndrome. Subclavian steal syndrome occurs when there is an occluded subclavian artery and collateral blood flow to the distal subclavian artery and arm is provided by reversed flow in the ipsilateral vertebral artery. As seen in the MR angiogram image […]

Pediatric Foreign Body Ingestion

History: Male child with a parent worried he swallowed a coin. This is a case of pediatric foreign body ingestion. The most common pediatric foreign body ingestion is a coin, and in this case the coin was a penny. Pennies commonly lodge within the lower cervical esophagus, at the level of the thoracic inlet, as […]

Solution to Unknown Case #5 – Calyceal Diverticulum

History: 16 year old female with recurrent flank pain.  This is the appearance of a calyceal diverticulum, which is a small outpouching or eventration of a calyx into the renal parenchyma. They are usually connected by a narrow channel to the renal pelvis, as seen in the IVP image above. A calyceal diverticulum can be […]

Solution to Unknown Case # 4 – Pancreatic Psuedocyst

History: Adolescent male with abdominal swelling. This is a pancreatic pseudocyst. A pancreatic pseudocyst is a fluid collection which is surrounded by a fibrous capsule. Pancreatic pseudocysts usually contain pancreatic enzymes, tissue, debris, and sometimes blood. The differential diagnosis for this MRI appearance includes a pancreatic pseudocyst, mucinous cystic pancreatic tumor, pancreatic serous cystadenoma, and […]

Solution to Unknown Case # 3 – Osteosarcoma of the Left Humerus

History: 17 year old male with left shoulder pain.  This is a case of osteosarcoma of the left humerus. Osteosarcoma is the most common malignant primary bone tumor in children and young adults, and is usually seen in patients 10-30 years of age and patients older than 60 years of age, but more commonly in […]

Unknown Case # 4 – Pediatric Abdominal MRI

History: Adolescent male with abdominal swelling. What is your diagnosis for this pediatric patient with abdominal swelling? What is your differential diagnosis for this MRI of the abdomen? For the solution, click here.

Unknown case # 3 – Pediatric Shoulder MRI

History: 17 year old male with shoulder pain. What is your diagnosis in this pediatric patient with left shoulder pain? What is your differential diagnosis? Comment below! For the solution, click here.

Pyloric Stenosis – Ultrasound

History: 3 week old baby boy with vomiting.  This is a classic case of pyloric stenosis, which is defined as idiopathic hypertrophy of the muscle that makes up the sphincter between the stomach and the first part of the duodenum, called the pylorus. Diagnostic features of pyloric stenosis on ultrasound includes a single wall thickness […]