Pediatric chest wall deformities, such as pectus excavatum, carinatum, and arcuatum, are often congenital and can lead to cardiorespiratory deficiencies and varying psychosocial impact on affected individuals. Patients frequently request or need surgical correction, which has unique risks and often positive outcomes. Pediatric radiologists play a key role in the early recognition of congenital chest wall deformities. Cross-sectional imaging is essential for clinical management in the perioperative interval. The Haller index and Correction index are calculated on cross-sectional imaging and are used to help guide patient management and determine surgical necessity in both excavatum and carinatum. This educational exhibit will review diagnostic imaging characteristics of pediatric chest wall malformations, highlight the salient clinical and imaging features for surgical planning, and provide a pictorial review of surgical correction and patient outcomes from an academic tertiary care center. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Brown Timothy, Fordham Lynn, Mclean Sean, Guimaraes Carolina, Pryor William

Keywords: Chest Wall, 3D Images

Gastric bezoars are mobile masses of indigestible material within the stomach that result from the ingestion of various substances, including hair (trichobezoar), indigestible plants/vegetables (phytobezoar), indigestible drugs (pharmacobezoar), or milk curd (lactobezoar). The most commonly encountered bezoars are trichobezoars, classically seen in adolescent females with trichotillomania. Patients with bezoars may present with nonspecific abdominal symptoms, including small bowel obstruction. The history of the ingested substance may not be readily apparent - due to development delay, physiological disorders, or young age. Trichobezoars may be encountered on multiple imaging modalities, because of the nonspecific abdominal symptoms and lack of specific history. While a high index of suspicion is necessary to diagnose bezoar on imaging, several classic signs may help pediatric radiologists make the correct diagnosis. In this educational exhibit, we present several examples of bezoars across the imaging spectrum – including radiography, upper GI, CT, ultrasound, & nuclear medicine gastric emptying studies. Associated complications and current treatment algorithms are also reviewed. Read More

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

Authors: Pryor William, Fordham Lynn, Smith Ben, Tulchinsky Mark, Donnelly Lane, Guimaraes Carolina

Keywords: Bezoar, trichobezoar, trichotillomania