Pediatric Imaging
pedsimaging.bsky.social
Pediatric Imaging
@pedsimaging.bsky.social
A pediatric radiology textbook, one case every day. Opinions are my own.

#FOAMRad #FOAMPed #FOAMed #PedsRad #pediatricradiology #radiology #pediatrics #radiologia #pediatria

www.pediatricimaging.org
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We are publishing a pediatric imaging textbook, 1 case/day+have 2,000 cases covering 1,000 diseases, 125 DDxs, 50 procedure descriptions+4 review courses

#FOAMed #FOAMRad #MedEd #PedsRad #RadEd #RadRes #radiology #radiología #radiologie #pediatrics #paediatrics #pediatría #pédiatrie #pädiatrie
Toddler with cough

CXR shows bilateral diffuse bronchial wall thickening+subsequent interstitial infiltrates.

The diagnosis was mycoplasma pneumonia.

Learn more: pediatricimaging.org/diseases/myc...

#FOAMed #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #paediatrics #pediatria
November 19, 2025 at 5:44 PM
Teen with left scrotal pain

Transverse(above)+sagittal (below) US of left scrotum show an oval hyperechoic lesion that is in scrotum but that is extratesticular in location+which has posterior acoustical shadowing

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #Ultrasound #radiologia #radiologie
November 19, 2025 at 11:32 AM
Teen with a limp

AP(left)+lateral(right) radiographs show in tibial diaphysis multiple+too numerous to count eccentric expansile lucent lesions with bubbly+sclerotic borders which are without periosteal reaction

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics
November 19, 2025 at 2:10 AM
Immune suppressed patient with odynophagia

AP images from UpperGI show multiple longitudinally oriented lesions in under-distended esophagus which are separated by normal mucosa+small round ulcers

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #paediatrics #pediatria #pediatrie
November 19, 2025 at 12:06 AM
Newborn whose mother was exposed to CMV during pregnancy

Coronal US of brain(above) shows large septated cysts in germinal matrix (germinolysis) bilaterally+multiple periventricular echogenic foci just lateral to anterior horns of lateral ventricles bilaterally...

#radiology #pediatrics #NICU
November 7, 2025 at 11:56 AM
School ager with chronic cough+right shoulder pain

Radiograph of shoulder shows well circumscribed lucent lesion in right humeral epiphysis. There is no periosteal reaction

The diagnosis was tuberculous osteomyelitis.

#FOAMed #MedEd #radiology #radiologia #Ortho #Orthopedics #Orthopaedics
November 7, 2025 at 12:24 AM
School ager with foot pain

Radiograph of foot shows sclerosis+fragmentation of tarsal navicular bone.

The diagnosis was Kohler disease.

Learn more: pediatricimaging.org/diseases/koh...

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #EmergencyMedicine
November 6, 2025 at 12:21 PM
Preschooler with right neck swelling

CT of neck shows round low density fluid collection with thin enhancing rim in right parapharyngeal space. Right carotid artery+internal jugular vein are narrowed in caliber+there is mass effect on right side of airway

#radiology #pediatrics #EmergencyMedicine
November 6, 2025 at 2:44 AM
Infant with duplicated right kidney

Lateral image from voiding cystourethrogram shows round lucency / filling defect near trigone of the bladder.

There is also contrast filling a blind ending tubular tract at dome of bladder.

#FOAMed #MedEd #radiology #pediatrics #radiologia #paediatrics
November 5, 2025 at 12:16 PM
Teenager with pica

AXR shows multiple punctate and linear radiopaque objects in the ascending colon.

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #medstudent #medicalstudent #medschool #medicalschool #radiologie #paediatrics #pediatria #pediatrie #pädiatrie
November 5, 2025 at 2:33 AM
Infant with failure to thrive

Left lateral decubitus AXR (above left) shows an air filled duodenal bulb and an air filled stomach (double bubble sign) with some distal bowel gas

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ultrasound #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria
November 4, 2025 at 11:50 AM
Preschooler with anemia+palpable epigastric mass

Coronal(above)+axial (below) CT show stomach distended by large mass that has swirled appearance+that fills entire stomach+duodenal bulb

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #medstudent #medicalstudent
November 4, 2025 at 1:31 AM
7 week old infant with respiratory distress without fever

CXR show bilateral diffuse infiltrates with hyperexpanded lungs.

The diagnosis was chlamydia pneumonia.

Learn more: pediatricimaging.org/diseases/chl...

#FOAMed #MedEd #radiology #pediatrics #radiologia #paediatrics #pediatria
November 3, 2025 at 12:13 PM
Female preschooler with urinary tract infection

AP image from a voiding cystourethrogram shows a non-obstructive ellipsoid-shaped dilation of the posterior urethra just distal to the internal urethral sphincter

#FOAMed #MedEd #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria
November 2, 2025 at 11:56 PM
School ager with headaches

Lateral radiograph of skull obtained 3 years ago(above) shows ventriculoperitoneal (VP) shunt tubing that courses inferiorly is connected appropriately to radiolucent VP shunt reservoir

#FOAMed #MedEd #radiology #pediatrics #Neurosurgery #EmergencyMedicine #Neurorad
November 2, 2025 at 12:38 PM
Toddler with a whooping-sounding cough

CXR shows bilateral lung hyperexpansion with bilateral perihilar infiltrates that blur the border of the heart, resulting in heart border having a shaggy appearance.

#FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #paediatrics #pediatria
November 2, 2025 at 4:35 AM
Teen who hurt their ankle playing football

Lateral radiograph(above right) shows bony discontinuity through posterior aspect of tibial plafond extending to physis without articular step-off...

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #EmergencyMedicine
November 1, 2025 at 12:27 PM
Newborn with episode of cardiac decompensation

CXR after left subclavian line placement(above) shows tip of line in right atrium. CXR obtained 3 days later during episode of cardiac decompensation(below) shows interval enlargement of cardiac silhouette

#radiology #pediatrics #NICU #Neonatology
November 1, 2025 at 3:00 AM
We are publishing a pediatric radiology textbook, 1 case/day+have 2,000 cases covering 1,000 diseases+125 differential diagnoses, 50 procedure descriptions+4 review courses
#radiology #radiologia #pediatrics #pediatria #EmergencyMedicine #NICU #Neonatology #Ortho #Orthopedics #SoMe4PedSurg #PedSurg
October 31, 2025 at 6:56 PM
Newborn with blueberry muffin skin lesions

AP(above)+lateral(below) radiographs of skull show bilateral thick, chunky, periventricular calcifications outlining lateral ventricles.

#FOAMed #MedEd #radiology #pediatrics #radiologia #NICU #Neonatology #NeuroRad #Neurology #paediatrics #pediatria
October 31, 2025 at 11:16 AM
Teen with no history of esophageal surgery who is having repeated food bolus impactions in the esophagus

Axial CT of chest(above) shows posterior to trachea a dilated proximal esophagus due to food being impacted within it.

#FOAMed #MedEd #radiology #pediatrics #radiologia #pediatria
October 31, 2025 at 4:12 AM
Teen with wrist pain

Radiographs of hands shows bilateral periarticular osteoporosis throughout hands. There is bilateral loss of joint spaces in carpal bones due to cartilage destruction+erosions at proximal interphalangeal joints

#FOAMed #MedEd #radiology #pediatrics #radiologia #Orthopedics
October 30, 2025 at 11:26 AM
Infant with non-palpable testicles bilaterally

Sagittal US of left lower abdomen(above) shows left testicle lying on left psoas muscle just inferior to kidney

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ultrasound #radiologie #paediatrics #pediatria #pediatrie #pädiatrie
October 29, 2025 at 11:25 AM
School ager with nausea, vomiting+jaundice who is Hepatitis A positive

Transverse(above)+sagittal(below) US of liver show starry sky appearance to liver with hypoechoic liver parenchyma+echogenic portal tracts.

#FOAMed #MedEd #radiology #pediatrics #radiologia #Ultrasound #paediatrics #pediatria
October 28, 2025 at 11:13 AM
Teen with shortness of breath for 1 month

CXR(above left) shows bilateral peripheral airspace disease that is more prevalent in lower lobes than upper lobes.

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #pediatria
October 27, 2025 at 11:29 AM