Pediatrics radiology

1. Pediatrics signs
DR. DALIA EL SAID
General organization for teaching hospitals and institutions

2. Basal ganglia affection
Globus pallidus affection
 Canavan
 Krabbe disease
 Glutaric aciduria type1
 CO poisoning

6. Basal ganglia affection
Striatal involvement (caudate and putamen)
 Leigh
 MELAS
 Glutaric aciduria
 Childhood hypoglycemia

9. Thumb sign

10. #DD Nasal mass
• Glioma - following signal of brain GM
…….…. (encephalocele with atretic tract)
• Hemangioma.
• Dermoid (fat).

11. DDH
 Perkin …Perpendicular.
 Hilgenreiner…..Horizontal.

12. Normal US hip
Normal alfa angle > or = 60 .

13. Labrinithitis ossificans
 Ossified cochlea.
 Previous history of
meningitis.

14. #DD Periostitis
Caffey
HPOA.
Prostaglandin TTT
Fluorosis
Hypervitaminosis A

15. #DD Lytic skull lesion
• EG (button hole sequestrum)
• NB metastases.
• Leptomeningeal cyst.
• Dermoid/Epidermoid
• Haemangioma

16. Scurvy

17. MSK

18. Mucopolysaccharidosis
 J shaped sella (large solid arrow),
 Macrocephaly (small solid arrow)
 Dilated perivascular spaces in the corpus
callosum (arrowhead).
 Hypoplastic odontoid process (thin
arrow)
 Thickened ligaments posterior to the
odontoid (curved arrow)
 causing C-V junction stenosis/ narrow
foramen magnum (open arrow)

19. Vertebra plana
Eosinophilic granuloma

20. Heart failure causes
 Haemangioendothelioma
 TAPVD infradiaphragmatic.

21. H shaped vertebra
Sickle cell anemia

22. Neuroblastoma mets loves sutures

23. Button hole sequestrum
Eosinophilic granuloma

24. Skull cold lesion with marginal activity
#DD
E.G.
Tumor
Infection
Haemangioma.

25. Picture frame vertebra
Paget's disease

26. Rugger jersey spine
Hyperparathyroidism

27. Bone within bone appearance
Osteopetrosis

28. Champagne glass sign = Achondroplasia

29. Floating teeth sign
Langerhans cell Histiocytosis

30. Oar shaped ribs
Hurler's syndrome

31. Saw tooth appearance (of the denervated segment)
Hirschsprung disease

32. Tram track appearance ( due to Pneumatosis intestinalis)
Necrotizing enterocolitis

33. Foot ball sign
Pneumoperitoneum.

34. Infant with failure to pass meconium

35. Coarse Robe like linear densities & air
trapping.
Neonate….. Meconium
aspiration.
1 month old…….
Bronchopulmonary dysplasia.

36. HMD
 Bilateral symmetrical diffuse ground glass
/ Fine granular appearance .
 Hypoareation.
Preterm ……. HMD.
Term ….. Pneumonia.

37. Spinnaker sign / Thymic sail sign
 Pneumomediastinum …. Elevated gland from the
heart (by air).

38. Eagle Barrett syndrome / Prune belly $

39. Potter sequence
 Bilateral renal agenesis /
posterior urethral valve ----->
 Prune belly----->
 Oligohydramnios------>
 Pulmonary hypoplasia / Bell
chest ----->
 Fetal compression (flattened
nose / facies & clubbed foot).

40. Small left colon syndrome
 Meconium plug.
 Long segment Hirshsprung

41. Micro-colon
 Meconium ileus
Ileal atresia.
 Diffuse colonic Hirshsprung
(Rare).

42. Soap bubble appearance
= Meconium Plug syndrome

43. Central dot sign (PV) = Caroli disease

44. Cork Screw appearance
Midgut volvulus