Elcic Lana,  Nashawaty Motassem,  Mousa Abeer,  Wermers Joshua

Final Pr. ID: Poster #: CR-014

Twin molar pregnancy featuring a complete hydatidiform mole and a coexisting live fetus is a rare but important condition with unique imaging findings. A 24-year-old pregnant female presented for concern for molar pregnancy on ultrasound at an outside facility. The gestational age of the pregnancy at presentation was 22 weeks and 6 days. MRI was obtained which revealed a single living fetus in cephalic presentation. Along the anterior and left lateral uterine body/fundus was a large lesion with multiple small discrete T2 hyperintense cysts intermixed with more solid T2 isointense components, as well as T2 hypointense, T1 hyperintense foci consistent with hemorrhagic products. The lesion was distinct and did not arise from the placenta. Same day ultrasound revealed a “snowstorm” appearance, consistent with twin molar pregnancy with a complete hydatidiform form and coexistent live fetus. Read More

Authors:  Elcic Lana , Nashawaty Motassem , Mousa Abeer , Wermers Joshua

Keywords:  Ultrasound and MRI, Fetal Imaging, Pregnancy

Dhami Alysha,  Seekins Jayne

Final Pr. ID: Poster #: EDU-087

Pediatric breast lesions are uncommon and can be a source of alarm to both pediatric patients and their caretakers. Lesions may be incidentally detected on imaging or may be associated with clinical symptoms prompting presentation. Prior to reviewing pathology, it is important for the radiologist to first have a clear understanding of the natural course of breast development in pediatric patients. We provide a multi-modal imaging review of breast bud development from the neonatal period through puberty. Next, we present a breadth of multimodal imaging cases of both benign and malignant lesions within the pediatric breast, including accessory breast tissue, gynecomastia, masses of the breast, masses of the chest wall mimicking breast masses, infection, trauma, and more. Lastly, this exhibit highlights key imaging characteristics that may prompt concern or need for further workup, offers optimization and best practices for imaging, and reviews appropriate management and referral recommendations for common entities. Read More

Authors:  Dhami Alysha , Seekins Jayne

Keywords:  Breast, Ultrasound and MRI, Multimodality