Pediatric Teleradiology

Normal Pediatric Upper GI

History: 1 day old infant with bilious emesis.  This is a normal upper GI study in a neonate. The patient is usually imaged first in the right lateral position and multiple images are obtained as contrast passes through to the duodenum and ligament of Treitz. The most common indication in the emergent setting is bilious […]

Xanthogranulomatous Pyelonephritis

History: 20 year old female with back pain and urinary tract infection.  This is a case of xanthogranulomatous pyelonephritis, which is defined as a chronic infection of the kidney and surrounding structures, destruction of renal parenchyma, and infiltration with lipid-laden macrophages. It is the lipid-laden macrophages which characteristically give this entity its name “xanthogranulomatous.” Xanthos […]

Skull Metastases

History: Middle aged man with headache.  This is a case of lung cancer metastases to the skull. Lung cancer, like breast cancer, can produce both lytic and sclerotic bone metastases. Read about other cancers and the bone metastases they produce. Thank you to Dra. Pilar Rodríguez Pérez from Spain for submitting this case. See this patient’s […]

Right Upper Lobe Lung Cancer with Rib Metastasis

History: Middle aged man with a history of smoking, cough, and chest pain.  This is a case of Lung Cancer with a metastasis to the contralateral ribs. Any spiculated lung mass in a patient with a history of smoking should be considered lung cancer until proven otherwise. Read this article here regarding the differential diagnosis […]

Introducing RadiologyPatient.com

I’ve always wanted to be able to add value to patient care as much as possible. That has sort of been my overall goal as a physician. So I’m introducing a new project of mine called RadiologyPatient. I want to create a community where patients can come and get their questions answered about radiology. Go […]

Solution to Unknown Case #39 – Pneumatosis Intestinalis with Pneumoperitoneum

This is a case of pneumatosis intestinalis with pneumoperitoneum. Pneumatosis intestinalis can be caused by many different entities. The most worrisome scenario is bowel ischemia. Small bowel ischemia is usually due to occlusion of either the superior mesenteric artery or superior mesenteric vein. Colonic ischemia is usually due to hypoperfusion. This patient underwent subtotal colectomy. […]

Tracking Cumulative Radiation Exposure to Patients

Today the Wall Street Journal published an article here regarding the tracking of cumulative radiation exposure to patients. This issue has come to the forefront in radiology over the last 5 years given the rapidly increasing volume of CT scans performed over the last 10-15 years. The data show that clinicians have increasingly ordered more […]