Farkas Amy,  Roda Manohar

Final Pr. ID: Poster #: EDU-013

Genitourinary abnormalities are frequently detected on prenatal ultrasound, with findings detected on 1 in 500 routine prenatal sonograms. Early detection of abnormalities of the genitourinary system is essential as it allows planning for further work-up and intervention and appropriate counseling of parents. Findings on prenatal ultrasound often trigger further evaluation with fetal MRI, as MRI can provide superior anatomic detail and better assess for associated findings. An understanding of the appearance of genitourinary abnormalities on fetal MRI is important to enable accurate diagnoses and effectively guide clinicians in patient management.
This educational poster highlights fetal MRI cases that demonstrate genitourinary abnormalities including bilateral renal agenesis with Potter sequence, crossed fused renal ectopia, multicystic dysplastic kidney, duplex collecting system, posterior urethral valves, patent urachus, allantoic cyst, prune belly syndrome, congenital megaureter, cloaca, bladder exstrophy, ureteropelvic junction obstruction, horseshoe kidney, and sirenomelia.
The goal of this exhibit is to provide familiarity with these findings and their clinical implications, which is particularly important for those with less fetal MRI experience. In addition, the exhibit will provide an overview of the embryology of the genitourinary system as it relates to the abnormalities to provide further context of the pathophysiology of these complex congenital conditions. Read More

Authors:  Farkas Amy , Roda Manohar

Keywords:  Genitourinary, Fetal MRI

Taylor Erin,  Graeber Brendon,  Ehrlich Lauren

Final Pr. ID: Poster #: EDU-041

Sickle cell disease (SCD) is characterized by repeated episodes of vaso-occlusion and hemolysis beginning in the pediatric period that result in serious multi-organ system complications. In particular, renal complications are often the cause of morbidity and reduced life expectancy of patients with SCD. Therefore, it is essential that radiologists be able to identify the imaging features early to help guide prompt and appropriate treatment.

Sequelae in pediatric patients include sickle cell nephropathy, infarction and papillary necrosis, and assorted glomerulopathies. These in turn can lead to altered hemodynamics, impaired urinary concentrating ability, hematuria, proteinuria, and acute and chronic kidney injury. Children with SCD are also at increased risk of asymptomatic bacteriuria and urinary tract infection. Even those children and young adults who only have sickle cell trait (SCT) rather than SCD may develop chronic kidney disease later in life and carry markedly increased risk for renal medullary carcinoma. Segmental testicular infarction can compromise fertility in patients with both SCD and SCT.

The genitourinary manifestations of SCD and SCT in the pediatric patient will be reviewed in this educational exhibit, with an emphasis on radiologic appearances. For each entity, the clinical presentation, pathophysiology, and differential diagnosis of the imaging findings will also be briefly reviewed.

The renal complications covered will include renal infarction, papillary necrosis, renal vein thrombosis (as a complication of nephrotic syndrome), urinary tract infection, hematuria, renal medullary carcinoma, and acute and chronic kidney disease. Testicular and penile sequelae of SCD including segmental testicular infarction and priapism will also be discussed. A variety of imaging modalities will be used to illustrate the various complications, including ultrasonography, computed tomography, and magnetic resonance imaging. Read More

Authors:  Taylor Erin , Graeber Brendon , Ehrlich Lauren

Keywords:  Sickle, Renal, Genitourinary

Basavalingu Deepashri,  Bhutta Sadaf

Final Pr. ID: Poster #: EDU-039

- To discuss the etiopathogenesis of MRKH syndrome including new advances.

- To illustrate the varying imaging appearances of MRKH syndrome, including isolated MRKH (Type I) and MRKH with other associated congenital anomalies (Type II)

- To present a multimodality imaging approach for the diagnosis of MRKH syndrome and to distinguish it from other uterine anomalies.

- To briefly discuss similar phenotypic associations (ARCS/AUCS) in males and their identification on imaging. Read More

Authors:  Basavalingu Deepashri , Bhutta Sadaf

Keywords:  Anomaly, MRKH, Genitourinary

Chauhan Ankita,  Dillard Roger

Final Pr. ID: Poster #: EDU-040

We will discuss how to perform voiding cystourethrography (VCUG). We will illustrate typical imaging features of genitourinary pathologies in a neonate. Read More

Authors:  Chauhan Ankita , Dillard Roger

Keywords:  Vesicoureteral Reflux, Genitourinary, Neonate