Purpose or Case Report: TEACHING POINTS
1. Inform radiologists of new paradigms of care for patients with Trisomy 18, emphasizing significant management changes over the past decade as well as the expanding indications for patient interventions.
2. Describe imaging findings and diagnoses encountered among patients with Trisomy 18, including CNS, cardiothoracic, gastrointestinal, genitourinary, and musculoskeletal abnormalities.
3. Explore the value of patient and family centered care while treating children with Trisomy 18, emphasizing family encounters in the radiology department.

TABLE OF CONTENTS/OUTLINE

I. Management of Trisomy 18
A. Historical background
B. Current emphasis on family-centered care
C. Expanding indications for interventions

II. Common manifestations of Trisomy 18
A. CNS: Dandy-Walker spectrum, corpus callosal abnormalities, choroid plexus cysts
B. Cardiothoracic: Cardiac anomalies, tracheobronchomalacia, diaphragmatic hernia
C. GI: Swallowing abnormalities, tracheoesophageal fistula, malrotation and omphalocele, solid organ tumors
D. GU: Horseshoe kidney, renal and ureteral obstructions, reflux
E. Musculoskeletal: Foot abnormalities, hip dysplasia, spinal segmentation abnormalities

III. Future directions
A. Evolving imaging recommendations
B. Opportunities for positive interventions with patients and families within radiology
Methods & Materials:
Results:
Conclusions: