1. Pediatric Cases
Radiology Review

2. CHEST PA
Metallic density
Right paracardiac region

3. CHEST LAT
Posterobasal segment of the right lower lobe

4. Foreign body aspiration

5. CHEST PA (expiratory)
Increased lucency of the left lung with decreased vascular markings
“hyperaerated” left lung

6. Foreign body aspiration
Radiolucent foreign body aspiration with air trapping

7. CHEST PA Inhomogeneous opacification of the right lower lung field
Air bronchograms
No evidence of volume loss

8. CHEST PA/LAT Inhomogeneous opacification of the right upper lung field
Air bronchograms
No evidence of volume loss

9. Consolidation

10. CHEST PA Inhomogeneous opacification of the left hemithorax
With or without air bronchograms
Evidence of volume loss (ipsilateral mediastinal shift)

11. CHEST PA Inhomogeneous opacification of the right upper lung field
With or without air bronchograms
Evidence of volume loss (upward displacement of the fissure, ipsilateral tracheal shift)

12. Atelectasis

13. CHEST PA Wedge shaped inhomogeneous opacification
With or without air bronchograms
Evidence of volume loss (shift of the minor fissure)

14. Middle lobe atelectasis

15. CHEST PA
Meniscus-forming inhomogeneous opacification of the left middle to lower hemithorax
Without air bronchograms
Contralateral mediastinal shift

16. CHEST PA “Veil of haziness” Lateral band density
Total opacification of the hemithorax
Without air bronchograms
Contralateral mediastinal shift

17. CHEST LAT Decubitus
Layering density in the dependent portion of the hemithorax

18. Pleural Effusion

19. CHEST PA Diminished vascular markings
Rounding and upliftment of the cardiac apex
Concave MPA
Right-sided aortic knob
“Boot-shaped”

20. Tetralogy of Fallot

21. CHEST PA Increased vascularity Prominent right cardiac border
Rounded cardiac apex
Narrow vascular pedicle
“egg on a string”

22. Transposition of the Great Arteries

23. CHEST PA Increased vascularity Prominent right cardiac border
Rounded cardiac apex
Widened vascular pedicle

24. Double Outlet Right Ventricle

25. CYSTOGRAM opacification of the right ureters and pelvocalyceal systems
dilated collecting system

26. URETHROGRAM/CYSTOGRAM
opacification of the markedly dilated ureters and pelvocaslyceal systems
tortuous ureters

27. Vesicoureteral Reflux

28. CHEST PA
termination of the feeding tube at the upper thoracic level

29. Esophageal Atresia

30. ESOPHAGOGRAM
opacification of a segment of esophagus with passage of contrast into the tracheobronchial tree

31. Tracheoesophageal Fistula

32. dilated gastric bubble and duodenal bulb
PLAIN ABDOMINAL XRAY
“double bubble sign”
dilated gastric bubble and duodenal bulb
no or minimal small bowel gas

33. Duodenal Atresia

34. UGIS with SIS
duodenojejunal junction to the right of the vertebral column
jejununal segments found in the right hemiabdomen

35. Malrotation

36. UGIS with SIS distorted C-loop (duodenum)
spiraling or “cork screw appearance” of bowel loops

37. Malrotation with Volvulus

38. Plain Abdominal Xray suggestion of a soft tissue mass
dilated bowel loops
may show “target” or “doughnut” sign

39. Plain Abdominal Xray (Supine and Decubitus)
dilated bowel loops
differential air fluid levels

40. Air Enema
abrupt termination of air with the “meniscus sign”

41. Barium Enema
abrupt termination of contrast with “meniscus” or “crescent” sign

42. Intussusception

43. Barium Enema rectum narrower than sigmoid column
rectosigmoid ratio of <1

44. Barium Enema

45. Hirschsprung’s Disease

46. coarse calcifications seen scattered in the abdomen
PLAIN ABDOMINAL XRAY
coarse calcifications seen scattered in the abdomen

47. Meconium Peritonitis

48. air along the walls of the abdomen
PLAIN ABDOMINAL XRAY
air along the walls of the abdomen

49. branching gas pattern overlying the hepatic shadow
PLAIN ABDOMINAL XRAY
branching gas pattern overlying the hepatic shadow

50. Necrotizing Enterocolitis

51. PLAIN XRAY bowing deformity
fragmented medial tibial metaphysis and epiphysis
irregular medial physeal line
beaking of proximal medial tibial epiphysis

52. Blount’s Disease

53. PLAIN XRAY generalized decrease in bone density widened growth plate
cupping and fraying of metaphysis
Bowing deformities

54. PLAIN XRAY generalized decrease in bone density widened growth plate
cupping and fraying of metaphysis

55. Rickets

56. PLAIN XRAY shortened limbs (particularly proximal segments)
“pingpong paddle” appearance of iliac wings
Short interpedicular distance (spine)

57. Achondroplasia

58. PLAIN XRAY decreased bone density thin cortex
severe bowing deformities
multiple fractures

59. PLAIN XRAY decreased bone density thin cortex
severe bowing deformities
multiple fractures

60. Osteogenesis Imperfecta

61. Neck STL widened prevertebral soft tissues
anteriorly displaced tracheal air column

62. Neck STL
presence of lucencies (air)
air fluid level

63. Retropharyngeal Abscess