The practice of performing dedicated breast ultrasounds in the pediatric emergency department varies according to institution. In the adult population, breast ultrasounds are commonly interpreted by dedicated breast imagers and/or radiologists appropriately qualified to interpret mammograms. Children's hospitals with dedicated pediatric radiology faculty are less likely to have such individuals on staff. This paper examines the practice of breast ultrasounds ordered in the emergency department throughout a large children's health system. Read More

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

Authors: Gleason Miranda, Moredock Elisabeth, Parish David, Pfeifer Cory

Keywords: Breast Abscess, Breast Ultrasound, Emergency Radiology

The goals of this educational exhibit are to: 1. Explain the basis for the cause of diffusion restriction on brain MRI in children. 2. Discuss the broad differential diagnosis for diffusion restriction in pediatric emergency neuroradiology. 3. Emphasize causes of diffusion restriction unrelated to vascular occlusive disease in the brain. 4. Describe patterns of diffusion restriction commonly encountered in post-ictal states and posterior reversible encephalopathy syndrome. Read More

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

Authors: Oros Joseph, Moredock Elisabeth, Parish David, Pfeifer Cory

Keywords: Diffusion Restriction, Posterior Reversible Encephalopathy Syndrome, Seizure

Ultrasound is often the initial imaging modality in evaluation for pediatric appendicitis, but there is concern that the increasing prevalence of pediatric obesity may affect both the sensitivity of ultrasound and the interpretation of an equivocal result. We hypothesized that higher BMI percentile would correlate with lower ultrasound sensitivity, higher equivocal rate, and higher rate of CT acquisition. Read More

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

Authors: Moredock Elisabeth, Coleman Jay, Chang Alice, Pfeifer Cory, Kwon Jeannie

Keywords: Appendicitis, Obesity, Ultrasound