Case based pictorial review of use of CT in identification of foreign bodies in the pediatric aerodigestive tract with plain film/GI comparison/correlation. Review CT technique and radiation dose considerations. Review normal anatomy as it relates to common locations of airway and esophageal foreign bodies with examples. Describe anatomic anomalies that increase risk for retained foreign body with examples. Describe/demonstrate associated imaging findings of complications associated with foreign bodies. Describe how information obtained by CT can direct management of children with foreign body of the aerodigestive tract. Read More

Meeting name: SPR 2022 Annual Meeting & Postgraduate Course , 2022

Authors: Methratta Sosamma, Brian James

Keywords: Foreign body, CT, aerodigestive

Critically ill infants in the neonatal intensive care unit undergo life sustaining treatment and receive frequent chest and abdominal radiographs. The heart, lungs and abdomen are key targets for assessment. While neonates may present with clinical findings prompting investigation of the musculoskeletal system, others quietly develop progressive changes in the bones which may be overlooked on routine daily radiographs. This exhibit describes the differences between the preterm and term skeleton and reviews the imaging findings of MSK disorders in the newborn nursery and NICU. Using a multi-modality case-based format, covered diagnoses include: congenital anomalies, birth related trauma, acquired and congenital infection, and systemic/metabolic disorders (including metabolic bone disease of prematurity, prostaglandin induced cortical hyperostosis etc). Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Sahajwalla Divya, Ata Hareem, Methratta Sosamma

Keywords: Musculoskeletal, Congenital Skeletal Anomaly, Neonatal

Skeletal surveys play a pivotal role in the evaluation of children in whom non-accidental injury (NAI) is being considered. Typically, the principles used to interpret skeletal surveys assume that the underlying bones are normal. Complexity is added when this is not true, making the “rules” less reliable. The goal of interpretation shifts to identifying the underlying abnormality and then making an assessment as to whether inflicted injury is part of the picture. There are also clinical and imaging “distractors” that can cause additional challenges in study interpretation. In this educational poster, utilizing cases from our institution, we review the imaging findings of these “confounders” (including metabolic bone disease, genetic disorders, prematurity, metastatic disease) and “distractors” (unexpected pathologies), discuss potential discriminators and pathways to aid in the interpretation of unexpected findings in skeletal surveys. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Hartman Haley, Methratta Sosamma, Crowell Kathryn

Keywords: Skeletal Survey