1. The overall incidence of Mullerian Duct anomalies (MDAs) has been estimated as approximately 5 percent in the general population and higher in those with pregnancy loss. The categories of MDAs are seven-fold. 2. OHVIRA – obstructed hemivagina and ipsilateral renal agenesis is a class 3 MDA. We will describe imaging appearance of OHVIRA. This rare condition includes uterine didelphys, haematocolpos and ipsilateral renal agenesis. 3. This poster will explain the embryogenesis and interdependence of the urinary and reproductive systems. 4. We will highlight that early detection and diagnosis is key to prevent worsening of symptoms by the time of puberty. 5. We will demonstrate the importance of scan technique which, at our institution, includes a 3D turbo spin echo (SPACE™) acquired in the coronal plane with the ability to reformat in all three planes to produce a superior high-resolution sequence to analyse small structures. 6. We provide high quality imaging from several cases of this particular MDA at our institution for this poster. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Harris Debra, Maniyar Jenny, Dixon Rachel, Kapadia Tejas

Keywords: Mullerian Duct Anomalies, Improvement

Endometriosis remains an important cause of pelvic pain in menstruating individuals. At our tertiary Paediatric hospital, we have seen a year-on-year rise in requests to exclude endometriosis using MRI scan. This rise is reflective of the increased awareness around endometriosis widely published recently which includes the importance of the MDT to reach diagnosis and shape treatment i.e. medical and/or surgical. As a result of this, our institution has optimised the paediatric gynaecology MR protocols to better align with that of our adult colleagues to support the benign teenage gynaecology clinic recently merged within our services since 2022 to achieve smooth transition from paediatric to adult services. The limitations of diagnosing endometriosis are widely published, and scans are performed to detect those signal changes which directly but also indirectly indicate endometriosis. For instance, direct signs may be adenomyosis, focal plaques or endometriotic deposits whilst indirect signs would be those related to adhesions, ovarian position, haematosalpinx etc. Out of this cohort we present salient findings in adolescent endometriosis using our enhanced imaging protocol which includes narrow field of view, axial, coronal and sagittal fast spin echo T2, axial T1 with and without fat saturation, an axial T2 fat saturated sequence and diffusion weighted imaging. The latter added to characterise any suspicious adnexal lesions. In comparison to the adult service, we do not use intravaginal gels in children. We do not include contrast or buscopan to facilitate scan time, reduce potential side effects and eliminate needle usage in younger patients. As reporters, we regularly attend the Endometriosis MDTs held at our institution to develop our skills. Using our inbuilt secure chat and messaging system we are now in better contact with our gynaecology colleagues. To build on this soon we aim to set up our own adolescent benign gynaecology meeting. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Harris Debra, Maniyar Jenny, Dixon Rachel, Kapadia Tejas

Keywords: Magnetic Resonance Imaging MRI, GU, Improvement

TB remains one of the most significant causes of morbidity and mortality in children worldwide. In the Northwest of England, UK we report an incidence of approximately 1.4 per 100,000 under 15 years of age. Diagnosis and management are subtle and complex. We explain the insensitivity of the screening tests currently available and widely relied upon in the adult sector. We highlight the importance of multidisciplinary team working exemplified by our Network model in the Northwest region of England. This virtual forum meets weekly and includes radiologists, pulmonologists, specialist nurses, infectious disease specialists and local clinicians. We discuss all new TB cases across the region, present imaging findings and document all decisions. We review these cases until discharge encompassing imaging findings in the acute disease phase, treatment phase and post infectious stage. These may go on to affect quality and length of life and include but are not limited to fibrotic scarring, bronchiectasis and intrapulmonary/pleural calcifications. We have extensive data from our virtual network (the largest in the United Kingdom) and will use this poster to show multiple high quality cases to highlight the importance of multidisciplinary team working. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Harris Debra, Maniyar Jenny, Dixon Rachel, Turnbull Louise, Dominiak Kate, Kapadia Tejas

Keywords: Tuberculosis, Multidisciplinary Education, Thoracic

As the regional referral centre for paediatric tuberculosis (TB) in Northwest England, we conducted a retrospective review of referrals to assess indications for CT imaging based on clinical presentation and chest X-ray (CXR) findings. A literature review was performed addressing latent TB detection, radiographic features in infants, the WHO End TB strategy, and NICE guidelines. CXR sensitivity for latent TB detection is as low as 15%, whereas CT imaging, despite higher radiation exposure, offers superior diagnostic accuracy. Guidelines recommend contrast-enhanced CT when CXR findings are inconclusive or diagnostic uncertainty exists. Our multicentre review identified CT indications including equivocal or abnormal CXRs, extrapulmonary lymphadenopathy, and suspected airway compression. Integral to our protocol is a region-wide multidisciplinary team (MDT) comprising paediatricians, radiologists, infectious disease, and respiratory specialists. The MDT convenes weekly to integrate clinical and radiological data, guiding imaging decisions and management. This collaborative approach ensures tailored, low-dose CT protocols with expedited reporting, enhancing diagnostic confidence and patient outcomes. The MDT also facilitates consideration of differential diagnoses, including malignancy and steroid effects. Our findings highlight the critical role of coordinated MDT discussion and protocol adherence in optimizing imaging strategies and improving paediatric TB care. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Maniyar Jenny, Harris Debra, Dixon Rachel, Turnbull Louise, Dominiak Kate, Kapadia Tejas

Keywords: Tuberculosis, Multidisciplinary Education, Thoracic