Enchondroma is a common benign cartilaginous tumor, thirty-five percent of which arise in the hand. Radiologically, they appear as well-defined, geographic osteolytic lesion, usually centrally located within the metadiaphysis, with the cortex remaining intact. However, enchondromas can expand through the cortex, becoming enchondroma protuberans, a rare subtype, forming an exophytic mass in the surrounding soft tissue. Radiologically, enchondroma protuberans typically appear as well-defined geographic, osteolytic intramedullary lesion that may have poorly defined matrix calcification combined with a cortical defect and well-defined round soft tissue expansion. MR imaging clearly delineates the connection between the intramedullary lesion and the exophytic protrusion through the cortical defect, resulting in a diagnosis of enchondroma protuberans. We present the case of a 12 year old male who successfully underwent excision of a right index finger bony lesion pathologically proven to be enchondroma protuberans. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu

Keywords: Enchondroma Protuberans

A “pancake” kidney is a rare subtype of cross fused renal ectopia, in which there is both fusion of the upper and lower poles of the kidneys in the pelvis, resulting in a disc or cake shaped appearance of the fused kidneys. The cross fused renal ectopia is a rare congenital anomaly caused by abnormal growth of the ureteric bud and separation failure of metanephric tissues with an estimated incidence of 1 in 2000, with a male predominance. Patients are often asymptomatic, but urinary tract infections, ureteropelvic junction obstruction, vesicoureteric reflux, and renal stones can be associated with renal ectopia. We present a case of a 7 year old boy who initially presented to the ED with back pain and clinical concerns of hydronephrosis, with an incidental finding of a “pancake” kidney. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu

Keywords: Renal Ectopia, Pancake kidney

The urachus is a connection between the early fetal bladder and the allantois that functions to remove nitrogenous waste through the umbilical cord and placenta during gestation. During fetal development or early in the neonatal course, the urachus typically obliterates. Failure to obliterate can result in an abnormal persistence of an embryonic urachal remnant of multiple subtypes, including a patent urachus which has a completely patent lumen between the bladder and umbilicus. Recent studies support initial conservative management over prophylactic surgical excision of pediatric urachal anomalies, even in symptomatic cases, with the conservative approach becoming increasingly favored, especially in children 6 months to 1 year of age, where spontaneous resolution and involution are likely. We present the case of a 60 days old infant who initially presented with bloody umbilical discharge and ultrasound findings of a patent urachus. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu

Keywords: Patent Urachus

The number of pediatric radiology fellows has been in decline since 2013-2014. About forty-four percent of programs are currently without fellows. With an additional forty percent of pediatric radiologists expected to retire within 10 years, the current shortage is expected to worsen as only 20 percent of pediatric radiologists are under the age of forty-five. We review literature to determine trends amongst current pediatric radiologists, the factors which impact fellowship choice, additional areas of outreach by the ACR, and common misconceptions about the specialty. The purpose of this educational exhibit is to give an overview of issues hindering growth of the specialty and explore options for improving fellowship recruitment. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu, Sico Rita

Keywords: Shortage Pediatric Radiologists