Pediatric Teleradiology

Solution to Unknown Case #38 – Esophageal Bronchus

History: Adult male with chest pain.  This is a case of an esophageal bronchus, which is a congenital foregut abnormality sometimes also referred to as communicating bronchopulmonary foregut malformation. An esophageal bronchus typically feeds the medial basal segment of the right lower lobe and puts the patient at risk for recurrent pneumonia in that segment. […]

Pediatric Femur Anatomy

The following images are from WikiRadiography (WetPaint) here. See a pediatric femur fracture here.  

Lateral Epicondyle Avulsion Fracture

History: child with elbow pain.  This is an example of a lateral epicondyle avulsion fracture in a child, which is a very rare epicondyle fracture and much less common than medial epicondyle fractures. A lateral epicondyle fracture is due to an avulsion of the lateral epicondyle by excessive force from the common extensor tendon, which […]

Clavicle Fracture

History: child with left shoulder pain after bicycle accident.  This is a typical clavicle fracture in children with mild apex cephalad (pointing upward towards the head) angulation. This clavicle fracture actually exhibits full thickness break through the bone cortex, but children can frequently have incomplete fractures. These are referred to as buckle fractures (or torus […]

Pericardial Cyst

History: Male with chest pain.  This is the classic location and appearance of a pericardial cyst, which is an outpouching of the parietal pericardium that collects simple fluid. Pericardial cysts represent 6% of mediastinal masses. See the differential diagnosis of caridophrenic angle masses here.

Giant Cell Tumor of Tendon Sheath

History: Male with foot mass.  This is a nice example of a giant cell tumor of tendon sheath, which essentially is a benign proliferation of synovium within the tendon sheath. Giant cell tumors of tendon sheath (GCTTS) are the second most common benign tumors in the fingers after ganglion cysts. On MRI as shown above, […]