The purpose of the pictorial review is to aid in understanding and identifying the spectrum of possible congenital oral lesions and make the radiologist familiar, as early detection of these is required to avoid potential perinatal and postnatal complications. We performed a retrospective review of radiology reports from our pediatric hospital system, inclusive of our fetal imaging center, focusing on congenital oral lesions with prenatal or postnatal diagnoses. Utilizing multiple keywords through our radiology report data mining software, we reviewed cases over the last 15 years and grouped lesions based on the most likely diagnosis. Available prenatal and postnatal imaging, clinical management, and pathology was reviewed. Our review of cases yielded both common congenital oral lesions, such as hemangiomas, as well as more extensive malformations and tumors of the face extending to the oral cavity. Lesions such as epulis, oral duplication cysts, and lingual ectopic thyroid were rarer in our review, but have imaging characteristics important to recognize by the radiologist. We selected representative images from the spectrum of congenital oral and outlined radiology and clinical teaching points. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Yepuri Aparna Devi, Loomis Judyta, Gilbert Vezina

Keywords: oral lesions

Dermoid cysts are a sequestration of ectoderm containing secondary skin structures, usually at characteristic locations of embryologic fusion lines. The midventral suprasternal fusion line is one such location in the developing embryo with both simple and complicated dermoids of this region reported in the literature. We reviewed our academic pediatric institutional experience with dermoid cysts of the suprasternal notch, focusing on the initial presentation as a palpable nodule referred for sonographic evaluation. The purpose of this educational exhibit is to depict the ultrasound imaging features of suprasternal notch dermoid cysts in the pediatric population. Secondary purposes are to describe the anatomy of the suprasternal notch, demonstrate CT and MR correlates of the these dermoids, and depict regional inflammatory complications. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Molto Jose, Loomis Judyta, Cielma Tara, Whitehead Matthew

Keywords: Dermoid, neck, Suprasternal

Background: Disorders of sexual development (DSD) resulting in ambiguous genitalia are a rare spectrum of anomalies that have the potential to be diagnosed prenatally using a combination of genetic testing and imaging. The incidence of prenatal detection is rising with the increased use of noninvasive prenatal testing, which can reveal discordance between genotype and phenotype. Sonographic and MR imaging contribute to prenatal assessment of disorders of DSD and may narrow the differential diagnosis and facilitate prenatal testing and postnatal evaluation. The goals of this exhibit are: 1. Review imaging features of normal prenatal male and female genitalia. 2. Review imaging patterns of ambiguous genitalia. 3. Discuss changes in appearance with various pathologies, providing imaging examples. 4. Review different categories of disorders of sexual differentiation and see how imaging may narrow the differential diagnosis. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Cielma Tara, Blask Anna, Rubio Eva, Loomis Judyta, Menzel Meg, Bulas Dorothy

Keywords: ambiguous genitalia, dsd, prenatal

This electronic poster discusses the various clinical and imaging features of pediatric hyperthyroidism, including Graves’ disease and toxic nodule. Imaging modalities reviewed include ultrasound and molecular imaging. We will provide an overview of I-131 hyperthyroid therapy with focus on guideline-based practices of patient preparation, I-131 dosing and post-therapy radiation precautions. A pressing concern for patients and families following I-131 therapy is how long radiation precautions must be followed and when the patient may return to school or work. We have developed and implemented a table listing the appropriate duration of post-therapy radiation precautions based on the administered I-131 dose. We propose the use of such tables for ease of consultation and standardization of discharge procedures. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Mirza Sobia, Shalaby-rana Eglal, Kovats Catalina, Loomis Judyta, Vyas Pranav, Shet Narendra, Fricke Stanley, Cielma Tara, Bush Ebony, Grecco Krystal

Keywords: hyperthyroid, I-131, iodine