Imaging in Pediatrics

Retinoblastoma

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Orbital Cellulitis

KEY FACTS Terminology Preseptal cellulitis: Infection anterior to orbital septum Postseptal cellulitis: Infection posterior to orbital septum Orbital septum: Periosteal reflection from bony orbit to tarsal plates Imaging Thickening & edema of orbital/periorbital soft tissues Preseptal cellulitis: Limited to anterior…

Acute Rhinosinusitis

KEY FACTS Terminology Acute inflammatory sinonasal process lasting ≤ 4 weeks Related terms: Acute bacterial sinusitis (ABS), viral upper respiratory infection (URI) Imaging Clinical diagnosis; imaging rarely necessary & does not distinguish bacterial from viral NECT: Confirms diagnosis, evaluates when…

Approach to Pediatric Head and Neck

Imaging Modalities Note that the airway, spine, & skull are largely discussed in other sections. Radiography Plain films of the face have limited indications in children. They are often used as a quick screening tool for sinus disease or facial…

Spondylolysis and Spondylolisthesis

KEY FACTS Terminology Spondylolysis: Defect/break in pars interarticularis Spondylolisthesis: Spondylolysis + anterior slippage of vertebra in relation to vertebra below Imaging Radiographs (insensitive): Break in neck of “Scotty dog” (pars interarticularis defect on oblique standing views of lumbar spine) Bone…

Chance Fracture

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Transverse Myelitis

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Guillain-Barré Syndrome

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Discitis/Osteomyelitis

KEY FACTS Terminology Bacterial suppurative infection of intervertebral disc & adjacent vertebrae Imaging Disc-centered process: Disc space narrowing & adjacent endplate irregularity in young children Lumbosacral (75%) > thoracic > cervical spine Early: MR imaging most sensitive, specific modality Abnormal…