Learning Objectives: This educational exhibit will review glycogen storage diseases and the imaging findings of these disease processes using a multimodality approach. We will also review complications and discuss the treatment and role of imaging as a measure of treatment response. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Sharma Priya, Rajderkar Dhanashree

Keywords: Glycogen Storage Diseases, Hepatic Adenoma, Hepatocellular Carcinoma, Cardiomyopathy, GSD

In this exhibit we will review the multimodality imaging findings in patients with HLHS using chest radiography (CXR), computed tomography (CT) and magnetic resonance imaging (MRI). We will discuss the physiologic basis for the radiologic findings of HLHS, describe the palliative surgical procedures to correct HLHS and their complications. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Sharma Priya, Rajderkar Dhanashree

Keywords: Hypoplastic Left Heart, Cardiovascular, Surgical Correction, HLHS

The aim of this exhibit is to review imaging findings of neonatal biliary disease, with emphasis on biliary atresia and conditions of surgical interest. We will present a series of cases on cholestatic diseases encountered in the neonatal period and multi-modality approach to imaging these patients. Read More

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

Authors: Ho Simon, Sharma Priya

Keywords: Cholestasis, Biliary Atresia

In this educational exhibit we will present a series of gastrointestinal (GI) emergencies encountered in the neonatal period. We will focus on typical presentations but will also include atypical cases and discuss multi-modality approach to imaging these patients. Read More

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

Authors: Uricchio Joseph, Sharma Priya, Rajderkar Dhanashree

Keywords: NICU, Emergency, Gastrointestinal

GI Emergencies and congenital malformation in the neonate are variable in their presentation and can be seen from the hypo-pharynx to the anus. The pediatric radiologist often plays a key role in diagnosis and planning of early surgical management. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Rajderkar Dhanashree, Sharma Priya, Verma Nupur

Keywords: Congenital, GI malformations, Newborn bowel obstruction, New born GI emergencies, GI congenital emergencies

In this educational exhibit we will present a series of neonatal head ultrasound cases from our institution and present the correlative magnetic resonance imaging (MRI) which followed. We will describe a wide variety of pathologies that are often encountered but under-reported. We will also review imaging pitfalls encountered when interpreting neonatal head ultrasound and provide suggestions on how to improve the quality of these challenging examinations. Read More

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

Authors: Dayton Orrin, Sharma Priya, Rajderkar Dhanashree

Keywords: Neurosonography, Germinal Matrix Hemorrhage, MRI

The use of computed tomography (CT) in radiology has risen dramatically over the past 2 decades. Over 7 million pediatric CT studies per year are performed in the United States. Children are particularly at risk for the cumulative adverse lifetime effects of ionizing radiation. It is associated with a small but significant increase in lifetime risk of fatal cancer. For this reason, the campaign of “Imaging Gently” was created, whose purpose is to raise awareness of the opportunities to lower radiation dose in the imaging of children. Minimizing the dose in children is a high priority in pediatric radiology, and as a result the use of modalities utilizing non-ionizing radiation is encouraged. For the reasons discussed above, ultrasound is often the first line tool in the diagnosis of pediatric emergencies. The purpose of this educational article is to further discuss “imaging gently” and the importance of utilizing non-ionizing radiation such as ultrasound to diagnose various pediatric emergencies. These emergencies include but are not limited to acute appendicitis, hypertrophic pyloric stenosis, intussusception, testicular torsion, and ovarian torsion. The imaging technique, pertinent findings, differential diagnosis, imaging pitfalls and treatment will be discussed. Image-rich examples of each diagnosis will be provided. Read More

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

Authors: Schaiberger Gregory, Sharma Priya, Rajderkar Dhanashree

Keywords: Ultrasound, Image, Gently

In this educational exhibit, we will present a series of childhood interstitial lung diseases (chILD) cases from our institution and present the x-ray and computed tomography (CT) images. We will describe a wide variety of pathologies that are encountered but are rare. We will discuss key imaging features and include teaching points of these chILDs. Read More

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

Authors: Sharma Priya, Schaiberger Gregory, Rajderkar Dhanashree

Keywords: chILD, Interstitial Lung Disease, Infectious

In this educational exhibit we will use a series of cases from our institution to review the approach to non-mediastinal solid and solid-like lesions found in the pediatric chest. We will use a multimodality approach and discuss differentials, key imaging features and the pathologic basis of these lesions. Read More

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

Authors: Ruoss Justin, Sharma Priya, Rajderkar Dhanashree

Keywords: Chest Masses, Pulmonary Tumors, Persistent Wheezing

In this education exhibit we will review a variety of presentations of posttransplant lymphoproliferative disorder (PTLD) and review the approach to imaging these patients. We will include cases that are atypical and discuss the pitfalls in imaging this population. We will provide imaging guidelines after a review of the current literature. Read More

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

Authors: Wu Markus, Sharma Priya, Rajderkar Dhanashree

Keywords: PTLD, Transplantation, Pitfalls

Learning objectives: This educational exhibit will review atypical ovarian neoplasms in the pediatric population. We will discuss the epidemiology, clinical presentation, multimodality imaging findings as seen on ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography/computed tomography (PET/CT) of these rare adnexal entities. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Sharma Priya, Loubriel Daphne, Estrin Yvonne, Rajderkar Dhanashree

Keywords: Atypical ovarian masses, Adnexa, Ovarian, tumors

In this educational exhibit we plan: 1. To identify and illustrate the spectrum of blastomas on various imaging modalities 2. To review the pathogenesis of these tumors 3. To describe and illustrate the typical and atypical imaging appearances and organ-wise differential diagnosis Read More

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

Authors: Hanna Carolyn, Rajderkar Dhanashree, Baxi Ameya, Sharma Priya

Keywords: Blastomas, Rare neoplasms, Primitive tissues

Congenital and childhood findings of pulmonary artery anomalies are uncommon but not infrequently encountered by referral centers. We present by case examples anomalies of pulmonary arterial vasculature, and discuss their clinical presentation, associated cardiothoracic anomalies, and overall prognosis. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Hirsig Leslie, Verma Nupur, Sharma Priya, Rajderkar Dhanashree

Keywords: Pulmonary anamolies, Congenital malformations, Pulmonary Origin, Pulmonary Hypertension, Pulmonary complications

<b>Learning Objective:</b> This educational exhibit will review a variety of pediatric splenic lesions and their appearance on various specific multimodality imaging finding as seen on ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI). This exhibit will also review an algorithm to approaching non-cystic splenic lesions in pediatrics. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Sharma Priya, Estrin Yvonne, Loubriel Daphne, Rajderkar Dhanashree

Keywords: Splenic Lesions, Spleen, Algorithm

There are many recognized causes of benign bony lesions in pediatric age group. Some of the lesions are commonly encountered, and some of them are very rare. The purpose of our exhibit is to illustrate a complete spectrum of the benign bony pathologies including 'Donot touch lesions'. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Bates Nicholas, Nurkic Tarik, Sharma Priya, Rajderkar Dhanashree

Keywords: Benign, Multifocal, Do No touch lesions, Multifocal benign lesions in Pediatric Population, Benign bony lesions

1. To establish the role of imaging in diagnosing the atypical/unexpected cases of post transplant lymphoproliferative disorder in Pediatric population. 2. To review the role of Radiology Imaging in staging, treatment monitoring and predicting the prognosis in Pediatric PTLD. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Samreen Naziya, Sharma Priya, Tuna Ibrahim, Rajderkar Dhanashree

Keywords: Transplant, Lymphoproliferative, PTLD, Unexpected, Management of PTLD

Sparganosis is a rare parasitic infection caused by the plerocercoid larvae of Spirometra spp. That is seldom encountered in humans. Clinical presentations are often nonspecific, and imaging findings can mimic other soft tissue lesions and lead to misdiagnosis. We present a case of a 14-year-old female with an abdominal wall lesion initially suspected to be cutaneous endometriosis, which was later diagnosed as sparganosis. Case Presentation: A 14-year-old female presented with a progressively enlarging, tender subcutaneous mass located superior and left of the umbilicus. The lesion was associated with intermittent pain, particularly exacerbated during menstruation, which raised clinical suspicion for cutaneous endometriosis. Abdominal MRI revealed a 2.5 cm subcutaneous mass with heterogeneous signal intensity on both T1- and T2-weighted images. Areas of hyperintensity suggested hemorrhagic components, which can be seen with endometriotic implants. The patient underwent surgical excision of the mass. Intraoperatively, a well-defined subcutaneous lesion was removed without complications. Histopathological examination unexpectedly revealed a cestode consistent with Spirometra spp. (sparganosis), along with mixed inflammation, granulation tissue formation, and focal necrosis. The cystic structure corresponded to the parasite's infection site. Postoperative management included prescribing albendazole therapy following stool sample collection to rule out residual parasitic infection. Discussion: Sparganosis is an uncommon parasitic infection in humans that is typically acquired through ingestion of contaminated water or undercooked meat from intermediate hosts. It often presents as a slowly growing subcutaneous mass, which can be mistaken for other soft tissue lesions such as lipomas, cysts, or, as in this case, endometriosis. Imaging findings are nonspecific; MRI may show cystic or solid masses with variable enhancement patterns. In this patient, MRI findings closely resembled cutaneous endometriosis due to the presence of hemorrhagic components within the lesion. Definitive diagnosis of sparganosis is usually established postoperatively via histopathological identification of the parasite. This case demonstrates the importance of considering parasitic infections in the differential diagnosis of subcutaneous masses. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Mccauley Robert, Pierre Kevin, Yekeler Ensar, Sharma Priya, Rodero Cardoso Mariana

Keywords: MRI, Infection, Pediatric Radiology

The purpose of this study is to identify how well radiology residents are able to diagnose gastrointestinal emergencies on ultrasound using a simulated emergency radiology call shift. Read More

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

Authors: Sharma Priya, Rajderkar Dhanashree, Schaiberger Gregory, Batmunh Bayar, Slater Roberta, Mancuso Anthony

Keywords: simulation, gastrointestinal, emergency

The Wisdom in Diagnostic Imaging SIMulation (WIDI SIM) is a strategically designed computer aided simulation of an emergency imaging experience, which rigorously tests residents’ readiness to diagnose various Radiology emergencies. It has proven to be a reliable means for assessing resident preparedness to competently and independently cover radiology call. The residents are provided with a total of 65 cases of varying difficulty, including <i><u>normal studies</u></i>. The residents respond using free text which is then scored by faculty members utilizing a robust grading rubric. The identification of pertinent GU emergencies by the “on-call” resident is of the utmost importance as it the resident who must then notify the clinicians of this concern and so that emergent treatment can be expedited. Read More

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

Authors: Schaiberger Gregory, Sharma Priya, Batmunh Bayar, Rajderkar Dhanashree, Slater Roberta, Mancuso Anthony

Keywords: WIDI, GU, Emergencies

Fluoroscopic voiding cystourethrograms (VCUG) play a crucial role in pediatric radiology, enabling real-time visualization of the lower genitourinary tract. This educational exhibit summarizes the clinical indications, technique, clinically significant findings, and potential complications associated with VCUG, aiming to provide a strong foundational review for radiologists-in-training. The lower genitourinary tract, comprising the ureters, bladder and urethra, is implicated in various pediatric pathologies that can lead to long-term morbidity if left undiagnosed or untreated. VCUG is a dynamic study, allowing for visualization of the lower genitourinary tract bladder and urethra during filling and voiding, making it an invaluable tool in pediatric radiology for detection of both functional and structural pathologies. In this presentation we will review the most common indications for VCUG in the pediatric population as well as use a case-based approach to the discuss the following pathologies associated with the lower genitourinary tract and related conditions of surgical interest. ●Vesicoureteral reflux and its grading ●Congenital Abnormalities -Posterior Urethral Valves -Diverticula -Anorectal malformations -Prune belly syndrome -Duplicated renal collecting system -Congenital Megaureter ●Trauma -Urethral disruption -Urethral stricture -Bladder injury/disruption ●Post-operative evaluation -Ureteral reimplantation We will also discuss tips and tricks for the performance of the pediatric VCUG. Additionally, in the face of complications, prompt recognition and intervention remain crucial. We will review commonly encountered challenges faced by the performing radiologist. Fluoroscopic VCUG remains an invaluable diagnostic tool in pediatric radiology. For radiologists-in-training, mastering the technique, understanding clinical indications, and being able to interpret findings accurately are essential. With patient-centered care and adherence to best practices, VCUG can provide vital insights into pediatric lower urinary tract pathologies. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Mccauley Robert, Sinha Vikash, Pierre Kevin, Morgan Amber, Yekeler Ensar, Rodero Cardoso Mariana, Sharma Priya

Keywords: VCUG, Vesicoureteral Reflux, Fluoroscopy