Pediatric Radiology Essence

Welcome! Dive into the essence of Pediatric Radiology with unique #PedsRad cases. By @Dr_Mo3ath

[Pediatric Radiology Essence @PedRadEssence]

After 4 years of sharing cases on Pediatric Radiology Essence, I’ve decided to stop posting. Grateful to each of the 600+ followers who supported, learned, and engaged along the way 🙏.

[Pediatric Radiology Essence @PedRadEssence]

- If the lesion represents an incidental finding on imaging, treatment is not required. In symptomatic cases, surgical resection may be performed.
#PedsRad

[Pediatric Radiology Essence @PedRadEssence]

A 7-year-old girl presents with activity-related pain in her left knee.
#PedsRad

[Pediatric Radiology Essence @PedRadEssence]

- The lesion points away from the knee joint and is in close vicinity with the pes anserine and medial collateral ligament, although these structures do not insert on it
- Unlike an osteochondroma, there is no associated cartilage cap on imaging and histopathological examination

[Pediatric Radiology Essence @PedRadEssence]

A 7-year-old girl presents with activity-related pain in her left knee.
#PedsRad

[Pediatric Radiology Essence @PedRadEssence]

ATS: Rare AR connective tissue disorder caused by SLC2A10 mutation.
Features:
• Generalized arterial tortuosity
• Aneurysms & stenoses
• Scoliosis, joint laxity
• Facial dysmorphism, hernias
💡Think ATS when tortuosity extends beyond cervicals
Dx: Imaging + genetic test

[Pediatric Radiology Essence @PedRadEssence]

11 m/o girl. K/C of seizure disorder S/P Hital hernia repair /? diaphragmatic hernia repair with an elevated right hemidiaphragm. #PedsRad

[Pediatric Radiology Essence @PedRadEssence]

Brain MRA & CT CAP: Marked arterial tortuosity involving the intracranial and extracranial vessels, with extension to thoracic and abdominal arterial branches including the mesenteric vasculature. Associated scoliosis is noted.Presence of multiple mesenteric arterial aneurysms.

[Pediatric Radiology Essence @PedRadEssence]

Which of the following genes is most likely mutated in this patient?

[Pediatric Radiology Essence @PedRadEssence]

11 m/o girl. K/C of seizure disorder S/P Hital hernia repair /? diaphragmatic hernia repair with an elevated right hemidiaphragm. #PedsRad

[Pediatric Radiology Essence @PedRadEssence]

- Advanced stage (III/IV) and incomplete resections (R1/R2) correlated with higher recurrence and mortality.
- Both stage and completeness of resection emerged as key independent predictors of disease-free and overall survival .

[Pediatric Radiology Essence @PedRadEssence]

A 1-year and 8-month-old girl was referred from another hospital with respiratory distress and a large thoracic mass.

#PedsRad

[Pediatric Radiology Essence @PedRadEssence]

- Type B1 is the most frequently reported subtype in children, accounting for about 45% of classified pediatric thymomas.
- Complete surgical resection (R0) is the primary treatment, especially in Stage I.

[Pediatric Radiology Essence @PedRadEssence]

A 1-year and 8-month-old girl was referred from another hospital with respiratory distress and a large thoracic mass.

#PedsRad