The aim of this study was to examine trends in physicians in diagnostic and pediatric radiology with subset analysis of female representation within these specialties in the United States between 2017 and 2024. We sought to assess changes in the proportion of radiologists, identify growth or decline patterns, and analyze potential factors contributing to the observed trends. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Mousa Abeer, Simmons Curtis

Keywords: Gender, Radiology Education, Educational Intervention

We present a case of an 11-year-old male with history of pars planitis (intermediate uveitis) on monthly infliximab and weekly methotrexate. The patient developed diffuse lymphadenopathy, predominantly in the head and neck region, raising suspicion for malignancy. CT of the neck and chest demonstrated enlarged cervical, upper mediastinal , and bilateral axillary lymph nodes. PET/CT confirmed prominent FDG uptake in these lymph nodes. A lymph node biopsy of a parotid lymph node confirmed Epstein Barr virus-positive polymorphic lymphoproliferative disorder in the setting of immune deficiency/dysregulation. Follow up PET/CT 2 months later after discontinuation of immunosuppressive therapy demonstrated significant improvement in size and radiotracer uptake of the enlarged lymph nodes. However within this time frame, the patient’s uveitis worsened. The patient is being followed by ophthalmology to explore other localized treatment options including steroid eye drops and steroid implants. The majority of described findings in the radiology literature encompasses lymphoproliferative disorders in the setting of transplant (post-transplant lymphoproliferative disorder (PTLD)) or primary immunodeficiency. However, there is little in the way of lymphoproliferative disorders associated with immunosuppressive therapy. Most cases reported in the literature involve methotrexate use in adults with rheumatoid arthritis. Prior to 2022, this entity held a WHO classification entitled “other iatrogenic immunodeficiency-associated lymphoproliferative disorders (OII-LPD)”. Following a 2022 WHO reclassification, both PTLD and OII-LPD are encompassed under the classification of “lymphoid proliferations and lymphomas associated with immune deficiency and dysregulation". Further research on imaging of OII-LPD would add to the existing literature and increase awareness of such an entity in the setting of immunosuppressive therapy. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Mousa Abeer, Fox Lauren, Simmons Curtis

Keywords: Lymphoproliferative, PTLD, Lymphadenopathy

Twin molar pregnancy featuring a complete hydatidiform mole and a coexisting live fetus is a rare but important condition with unique imaging findings. A 24-year-old pregnant female presented for concern for molar pregnancy on ultrasound at an outside facility. The gestational age of the pregnancy at presentation was 22 weeks and 6 days. MRI was obtained which revealed a single living fetus in cephalic presentation. Along the anterior and left lateral uterine body/fundus was a large lesion with multiple small discrete T2 hyperintense cysts intermixed with more solid T2 isointense components, as well as T2 hypointense, T1 hyperintense foci consistent with hemorrhagic products. The lesion was distinct and did not arise from the placenta. Same day ultrasound revealed a “snowstorm” appearance, consistent with twin molar pregnancy with a complete hydatidiform form and coexistent live fetus. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Elcic Lana, Nashawaty Motassem, Mousa Abeer, Wermers Joshua

Keywords: Ultrasound and MRI, Fetal Imaging, Pregnancy

Differentiation of sutural variants from fractures can be a challenging topic for radiology trainees. Genetic disorders and vascular channels can create the appearance of traumatic injury and potentially suggest the diagnosis of abusive head trauma to the untrained radiologist. Likewise, expert witnesses may use alternate diagnoses to explain findings in which the current evidence basis favors a traumatic mechanism. This exhibit describes the pediatric skull with attention to the differentiation between fractures and mimics as an aid to the trainee. Read More

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

Authors: Mousa Abeer, Ray Alyxandra, Halderman Kelly, Pfeifer Cory

Keywords: Child Abuse, Cranial Sutures, Wormian Bones