Pediatric Imaging Flashcards
MC abdominal mass in neonates?
HYDRONEPHROSIS
MC Congenital lung abnormality
CPAM
MC cause of Congenital Hydrothorax
CHYLOTHORAX
MC cause of Croup (LTB)
PARAINFLUENZA and INFLUENZA
MC age group of patients with Croup (LTB)
6 months to 2 years
MC cause of Neonatal Cholestasis
BILIARY ATRESIA
Primary indication for pediatric liver transplantation
BILIARY ATRESIA
2 key ultrasound findings of BILIARY ATRESIA
- Small or absent GB (< 15 mm)
2. Triangular Cord Sign
Most frequent congenital hepatobiliary anomaly
CHOLEDOCHAL CYST
MC Type of Choledochal Cyst
Type 1
MC Complication of Choledochal cyst
ASCENDING CHOLANGITIS
Cranial suture affected in TRIGONOCEPHALY
METOPIC SUTURE
Cloverleaf Skull
KLEEBATSCHADEL
Harlequin craniosynostosis
UNICORONAL
CPAM type associated with possible role of malignancy
TYPE 1
Scimitar vein
PULMONARY HYPOPLASIA
Typical location of Bronchopulmonary Sequestration
LEFT POSTEROINFERIOR THORAX
STEEPLE SIGN
CROUP (LTB)
THUMB SIGN
EPIGLOTTITIS
Normal Variant which mimics epiglottic thickening
OMEGA EPIGLOTTIS
SHAGGY HEART
PERTUSSIS BRONCHOPNEUMONIA
GHON COMPLEX
Peripheral consolidation + enlarged lymph node
Water lily sign
- cavitary lesion with irregular air-fluid level
HYDATID DISEASE
Central dot sign (Todani Type)
TODANI TYPE V
MC in otherwise healthy children
VIRAL HEPATITIS
US Finding of STARRY-SKY PATTERN
VIRAL HEPATITIS
MC Chronic liver disease
HEPATIC STEATOSIS
MC surgical entity affecting infants during the 1st 6
months of life
HYPERTROPHIC PYLORIC STENOSIS
Gold standard or Modality of choice for
Hypertrophic Pyloric stenosis diagnosis
ULTRASOUND
2 US diagnostic criteria for
HYPERTROPHIC PYLORIC STENOSIS
“HPS PIE (3.15)”
- Muscle thickness of 3 mm or greater
2. Length >15mm (>1.5cm)
Nipple sign
HYPERTROPHIC PYLORIC STENOSIS
MC abnormality mimicking HYPERTROPHIC PYLORIC STENOSIS
PYLOROSPASM
DOUBLE BUBBLE SIGN
DUODENAL ATRESIA/STENOSIS
- failure of recanalization of the lumen
MC cause of small bowel obstruction in children
INTUSSUSCEPTION
MC and 2nd MC cause of GI obstruction (in pediatric patients)
“HP at INTel”
MC and 2nd MC cause of GI obstruction (in pediatric patients)
MC: HYPERTOPHIC PYLORIC STENOSIS
2nd MC: INTUSSUSCEPTION
Classic type of INTUSSUSCEPTION
ILEOCOLIC
MC etiology of INTUSSUSCEPTION
IDIOPATHIC
DONUT OR TARGET SIGN
INTUSSUSCEPTION
MC Intussusception lead point in INFANTS
MECKEL DIVERTICULUM
MC Intussusception lead point in CHILDREN
BURKITT LYMPHOMA
TRUE OR FALSE.
Air reduction is more preferred in INTUSSUSCEPTION rather than hydrostatic reduction.
TRUE
Rectosigmoid ratio for HIRSCHSPRUNG’s DISEASE
< 0.9
DANCE’s SIGN
MALROTATION
- DANCE’s sign
- stool filled bowels on the left side
- absence of stool at the RLQ
Imaging of Choice for MALROTATION
UGIS
WHIRLPOOL SIGN
MALROTATION
BIRD BEAK SIGN
VOLVULUS
WHIRL SIGN
VOLVULUS
MC Abdominal malignancy of Childhood
WILMS TUMOR
WILMS TUMOR mostly arise from ____.
RENAL PARENCHYMA
MC extracranial solid neoplasm of childhood
NEUROBLASTOMA
MC adrenal neoplasm in the fetus (frequently right sided)
NEUROBLASTOMA
Characteristic imaging feature of NEUROBLASTOMA
DISPLACEMENT OF ADJACENT ORGANS and VESSELS
3rd MC malignant tumor _______
MC: WILMS TUMOR
2nd MC: NEUROBLASTOMA
3rd MC: HEPATIC NEOPLASM
MC: WILMS TUMOR
2nd MC: NEUROBLASTOMA
MC primary malignant LIVER tumor in infants and children
HEPATIC NEOPLASM
MC hepatic lobe location of HEPATOBLASTOMA
RIGHT Hepatic Lobe
MC solid renal tumor of INFANCY
CONGENITAL MESOBLASTIC NEPHROMA
MC scrotal mass in a child
HYDROCELE
MC form of inferior abdominal wall herniation
HERNIA
* may be direct or indirect to the INFERIOR EPIGASTRIC VESSELS
Remember LI, MD
hernia INCARCERATION most frequently occur in what age?
1st 6 months of life
MC laterality of VARICOCELE
LEFT-sided (90%)
MC Malignant germ cell tumor in CHILDREN
YOLK SAC TUMOR
CLAPPER IN A BELL PHENOMENON
TESTICULAR TORSION
MC cause of an acute painful scrotum in the
POSTPUBESCENT MALE
EPIDIDYMITIS
Fracture occurs on TENSION side
“GREEN TEEN”
GREENSTICK FRACTURE
Fracture occurs on LOADING side
now LOADING… TORonto vs. milwauke BUCKs
TORUS or BUCKLE FRACTURE
Fracture occurs on ______
BOWING DEFORMITY
MC Type of BOWING DEFORMITY
TYPE II
*good prognosis
Type 1 and 2 : close manipulation
Type 3 and 4: ORIF
MC complication in orbital cellulitis
SUBPERIOSTEAL ABSCESS
MC cause of periorbital cellulitis in children
SINUSITIS
MC soft tissue tumor in children
RHABDOMYOSARCOMA
MC visceral tumor in INFANCY
HEMANGIOMA
*common in girls
MC location of abscess
PERITONSILLAR SPACE
Germinal Matrix Hemorrhage grading with Ventriculomegaly
“VenTHREEcle”
GRADE III
MC location of TB meningitis in CHILDREN
INTERPEDUNCULAR CISTERN
MC PEDIATRIC CNS infection
BACTERIAL MENINGITIS
MC ______ syndrome in children
GUILLAIN BARRE SYNDROME
FINGER IN GLOVE SIGN
ASPERGILLOSIS and CYSTIC FIBROSIS
MC genetic disorder in children
CYSTIC FIBROSIS
In posterior urethral valves, what is the other imaging finding aside from the valves itself?
PRESENCE OF RENAL CYSTS
RING AROUND THE ARTERY SIGN
PNEUMOMEDIASTINUM (Lateral view)
MC location of foreign body (coin)
THORACIC INLET
Presence of air fluid levels in the stomach
ORGANOAXIAL GASTRIC VOLVULUS
- organoaxial - long axis (chronic fulminant)
- mesenteroaxial - short axis (acute fulminant)
Has similar finding with ILEAL ATRESIA
MECONIUM ILEUS
Earliest change in ACUTE OSTEOMYELITIS
SOFT TISSUE SWELLING
MC INHERITED renal cystic disease
Autosomal DOMINANT Polycystic Kidney Disease
Sagittal suture closure
Scaphocephaly
Dolichocephaly
Bicoronal suture closure
Brachycephaly
Bradycephaly
Metopic suture closure
Trigonocephaly
Bilambdoid suture closure
TURRICEPHALY
Unilateral coronal or unilateral lambdoid sutures closure
“UniCorn and UniLamb PLAG (flag)”
PLAGIOCEPHALY
“UniCorn and UniLamb PLAG (flag)”
All sutures closure
Microcephaly
Coronal, sagittal and lambdoid sutures closure
“CoLaSa ka OXY”
Oxycephaly
Bicoronal and bilambdoid sutures closure
Kleeblattschadel
Cloverleaf
Sequence of cranial suture closure from earliest to latest.
“M-C-L-S”
“M-C-L-S”
1st: METOPIC suture
2nd: CORONAL suture
3rd: LAMBDOID suture
4th: SAGITTAL suture
Esophageal Atresia with or without TEF
Counterpart on Caffey’s
Type I = C Type II = A Type III = E Type IV = B Type V = D