Showing 3 Abstracts.
Pulmonary vein thrombosis is an exceedingly rare occurrence but should be considered in the differentials in evaluation for opacity seen on the chest radiograph, in a coagulopathic pediatric patient. Read More
Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023
Authors: Park Halley, Burgos Daylen Sire
Keywords: Pulmonary vein thrombosis, coagulopathic, pulmonary embolism
An 8-year-old female with Poland syndrome of the left chest initially presents to be considered for reconstructive surgery. On the preoperative MRI, along with the expected hypoplastic left hemithorax including the ribs, pectoralis major, and minor muscles, there is the absence of a left ovary in the pelvis and left kidney. Furthermore, there is an incidental 9 mm multicystic structure at the anterior spleen. No further workup was done at that time. After undergoing reconstructive surgery as well as scoliosis, occasional chest pain is experienced 10 years later. During the clinical workup, incidentally noted on the CT chest with contrast is increased anterior splenic hypodensity. The possibility for ectopic ovary or splenogonadal fusion was raised as well as involuted or atrophic multicystic dysplastic kidney, neoplasm, or vascular malformation. Initial workup included the US which revealed a 3.3 cm nonspecific lesion with posterior acoustic enhancement and without substantial internal vascularity. MRI of the spleen was performed which revealed a multicystic lesion, with imaging characteristics highly suggestive of an ectopic left ovary containing multiple physiologic follicles, from splenogonadal fusion. The uterus is also noted to be a right-sided unicornuate uterus. Furthermore, tiny non-communicative cystic changes in a linear manner left lateral to the psoas muscle, were identified, which may represent involuted/atretic remnant of the left multicystic dysplastic kidney. Read More
Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023
Authors: Burgos Daylen Sire, Park Halley
Keywords: Ectopic, Ovary, splenogonadal
Cystic ovarian lesions frequently occur in the female pediatric population, and they present with a varied clinical picture or can be incidentally found in imaging studies. The clinical approach and treatment considerations differ from their adult counterpart, considering the need for ovarian salvage and preservation of fertility. Also, the histologic distribution of ovarian tumors differs in pediatric and adult populations, which will alter the treatment algorithm. We will present a pictorial review demonstrating comprehensive imaging features of adnexal cystic lesions in fetuses, infants, pre-pubertal, and peripubertal girls. We will discuss the similar and dissimilar findings in the radiologic presentation of adnexal cystic lesions in the pediatric population versus adults for proper management. Read More
Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023
Authors: Burgos Daylen Sire, Epelman Monica, Park Halley, Clough Erin, Karakas S Pinar