In pediatric patients with inflammatory arthritis, steroid injections of the joints are an important therapeutic tool to help augment or avoid systemic steroid treatment. In adult patients, fluoroscopy is often used for diagnostic and therapeutic joint injections. In pediatric patients, ultrasound is an excellent modality for joint injections as resolution is very good for superficial structures, there is no radiation, real time imaging can be performed with non-cooperative patients, and steroid dosage can be maximized in small joints without wasting space in the joint with confirmatory contrast, as with fluoroscopy. Pediatric ultrasound guided joint injections are not commonplace at every radiology practice, but with some training, it can be performed safely and effectively to provide patient care. The purpose of this exhibit is to familiarize the reader with proper technique for ultrasound-guided joint injections. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Faruqui Sami, Lucin Michael, Sato T Shawn

Keywords: Ultrasound, joint, injection

Hydrosalpinx can be difficult to differentiate from other cystic lesions in the pelvis - especially when large. However, there are imaging characteristics that may help narrow the differential diagnosis and initiate appropriate management earlier in the clinical course. Read More

Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018

Authors: Lucin Michael, Becker Robert, Sato T Shawn

Keywords: hydrosalpinx

Because of the consequences of missed non-accidental trauma, it is essential for pediatric radiologists to have a high index of suspicion for injuries related to non-accidental trauma. Certain patterns of fracture raise suspicion for non-accidental trauma and are often considered pathognomonic. We present several cases of fractures that are typically considered pathognomonic for non-accidental trauma that had other non-abuse etiologies. These cases include classic metaphyseal lesions, subdural hematomas and long bone fracture in non-ambulatory patients among others. While there may be non-abuse etiologies of fractures that are classically considered pathognomonic for child abuse, the illustrative cases demonstrate the severe magnitude of injury necessary to produce these findings. This is why it is essential to evaluate the patient history and identify if the resulting injuries are consistent with the history. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Lucin Michael, Faruqui Sami, Sato Yutaka, Sato T Shawn

Keywords: Non-accidental trauma, Fracture

In the pediatric population, lymphadenopathy may be caused by a variety of diseases including lymphoma. Accurate differentiation of a non-lymphomatous lymphoproliferative disorder from lymphoma and other lymphoproliferative disorders is important in determining appropriate management. Radiologic imaging including assessment of cervical, mediastinal, and hilar lymphadenopathy can often provide the critical clue needed for accurate diagnosis. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Lucin Michael, Faruqui Sami, Watal Pankaj, Sato Yutaka, Price Nathan, Sato T Shawn

Keywords: Lymphadenopathy, Lymphoproliferative