Solution to Unknown Case #14 – Iliac Horn Syndrome or Nail Patella Syndrome or Hereditary Osteo-Onychodysplasia
History: 10 year old female with this Aunt Minnie finding on scout KUB for a retrograde voiding cystourethrogram. This is a case of Iliac Horn Syndrome, also called Nail Patella Syndrome or Hereditary Osteo-Onychodysplasia. The finding in the image above of iliac horns is pathognomonic (an aunt minnie for Iliac Horn syndrome). The reason why […]
Unknown Case # 15 – Pediatric Lower Extremity Radiograph
History: 17 year old female. History withheld. What is your differential diagnosis in this 17 year old female?
Unknown Case # 14 – Pediatric Pelvis Radiograph
History: 10 year old female with this Aunt Minnie finding on scout KUB for a retrograde voiding cystourethrogram. What is your diagnosis? What is this aunt minnie finding called? Share below!
Unknown Case # 13 – Pediatric Head CT
History: 10 year old female with headaches and facial deformity. What is your differential diagnosis for this 10 year old girl with headaches?
Solution to Unknown Case # 12 – Avulsion Fracture of the Anterior Superior Iliac Spine
History: Adolescent with hip pain. This is an avulsion fracture of the left anterior superior iliac spine, which is due to the sartorius muscle pulling off a fragment of bone at the apophysis, which is a growth center at the tendon attachment to bone. Other common areas of seeing avulsion fractures in pediatric patients include […]
Solution to Unknown Case # 11 – Differential Diagnosis of a Cystic Pediatric Neck Mass
History: 5 year old male with a midline neck mass. This is the appearance of a lymphatic malformation, which use to be termed “cystic hygroma.” A lymphatic malformation is a congenital malformation of lymph channels which collect into embryonic lymphatic sacs. They can virtually be found in any head and neck location, and are characteristically […]
Cervical Ribs and Thoracic Outlet Syndrome
History: 10 year old female with neck pain. This is an example of cervical ribs, which are seen in less than 1% of the population. Cervical ribs are on the differential diagnosis for neck pain, and can be a cause of thoracic outlet syndrome. The thoracic outlet contains multiple spaces including the subcoracoid tunnel, costoclavicular […]
Unknown Case #12 – Pediatric Pelvis Radiograph
History: Adolescent with hip pain. What is your diagnosis? Comment and share below!
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 […]