Pediatric ovarian masses, though uncommon, represent an important subset of gynaecologic pathology in children and adolescents. This review aims to provide a comprehensive overview of the imaging features of pediatric ovarian masses. There are a myriad of pediatric ovarian lesions comprising benign and malignant masses as well as non-neoplastic lesions. While non-neoplastic lesions such as functional or hemorrhagic cysts, torsion, and tubo-ovarian abscesses predominate in incidence, germ cell and sex cord–stromal tumours account for the majority of ovarian malignancies in this age group. Early detection and characterization of these lesions using multimodal imaging techniques help in optimising management, avoiding unnecessary interventions and preserving future fertility in affected children. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Chaudhri Sukriti, Webb Kevin, Mcgraw Marty, Silva Gleidson, Kucera Jennifer

Keywords: Pediatric, Ovarian, Masses

Neonatal and perinatal infections pose diagnostic challenges due to nonspecific clinical presentations, necessitating prompt neuroimaging to guide management and predict outcomes. We aim to review the spectrum of imaging findings in congenital, perinatal, and postnatal infections affecting the central nervous system (CNS) in neonates. By illustrating characteristic patterns, we seek to establish a systematic approach for radiologists to narrow differentials, recognize complications, and facilitate multidisciplinary care. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Gupta Kanika, Chandra Tushar, Bajaj Manish, Silva Gleidson, Kucera Jennifer

Keywords: Congenital Infection, Neonatal, Magnetic Resonance Imaging MRI

Scrotal and paratesticular abnormalities in the pediatric population encompass a wide spectrum of conditions, ranging from benign congenital anomalies to rare but potentially aggressive neoplastic processes. Timely and accurate identification of these entities is critical for guiding appropriate clinical management, minimizing unnecessary surgical procedures, and ensuring prompt diagnosis of serious or life-threatening conditions. This pictorial review offers a thorough and visually rich overview of both frequently encountered and uncommon testicular and paratesticular lesions in children. Common findings such as hydrocele, varicocele, inguinal hernia, and epididymal cysts are presented alongside rare and unusual entities including supernumerary testis, scrotal plexiform neurofibroma, testicular adrenal rest tumors, epididymal cystadenoma, and rhabdomyosarcoma. The various types of spermatic cord hydroceles will also be shown. For each condition, characteristic imaging features are illustrated using multiple modalities—ultrasound, MRI, and CT—highlighting key diagnostic clues that aid in differentiating these lesions from mimics with similar clinical or radiologic presentations. By emphasizing the salient imaging findings and providing practical tips for interpretation, this educational exhibit aims to enhance radiologists’ awareness of rare pediatric scrotal pathologies, improve diagnostic confidence, and ultimately contribute to better-informed treatment decisions and optimized patient outcomes. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Silva Gleidson, Gupta Kanika, Mcgraw Marty, Koberlein George, Verhage Thomas, Kucera Jennifer

Keywords: Testicles, Testicular Tumor, Scrotum

Chronic recurrent multifocal osteomyelitis (CRMO) is an autoinflammatory disorder primarily affecting children and adolescents. While CRMO typically involves the metaphyses of long bones, facial involvement, particularly of the mandible, represents an important but less recognized manifestation. This pictorial review aims to illustrate the imaging findings of facial involvement in CRMO across various modalities, including conventional radiography, computed tomography (CT), magnetic resonance imaging (MRI), and nuclear medicine studies. We present characteristic imaging patterns, discuss the evolution of imaging findings throughout the disease course, and provide guidance on differentiating CRMO from mimicking conditions. Radiographically, mandibular CRMO typically presents with expansion, mixed lytic and sclerotic changes, and periosteal reaction. CT demonstrates the characteristic “bone-on-bone” appearance with cortical perforation, while MRI shows bone marrow edema with T2/STIR hyperintensity and adjacent soft tissue inflammation. Nuclear medicine studies reveal increased uptake in affected areas with relatively subtle blood pool phase activity. Recognition of these imaging patterns is crucial for early diagnosis, appropriate management, and monitoring of treatment response in patients with facial CRMO. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Silva Gleidson, Chaudhri Sukriti, Kucera Jennifer, Chandra Tushar, Bajaj Shalini, Bajaj Manish

Keywords: CRMO, Osteomyelitis, Bone