Bilateral renal masses in children are uncommon but can have stakes. Entities such as nephrogenic rests and nephroblastomatosis, bilateral Wilms tumor (Stage V), hereditary renal cell carcinoma associated with von Hippel Lindau and tuberous sclerosis, DICER1 related cystic neoplasms, and lymphoma often overlap in appearance on imaging. Management pathways can differ widely and can range from surveillance to more aggressive surgical managements. Therefore, radiologists need to integrate imaging findings with clinical and genetic clues to protect renal function and optimize outcomes This exhibit is designed to help participants recognize multimodality imaging features of uncommon bilateral renal masses beyond simple cysts, angiomyolipomas, infection, and metastases. It also highlights key syndromic associations and epidemiology, including WAGR, Denys Drash, Beckwith Wiedemann, von Hippel Lindau, tuberous sclerosis, and DICER1. Finally, it presents a structured, stepwise framework for refining the differential. It guides recommendations for next steps, such as surveillance, biopsy, or chemotherapy first. The approach emphasizes nephron preservation and close collaboration across the care team. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Tabor Biniyam Beyene, Belachew Bethelhem, Noor Abass

Keywords: Renal Lesions, Pediatric

Implantable Venous Access Devices (IVAD) play an important role in medical treatment and comfort to pediatric patients requiring long term intravenous therapy. Traditionally, 2 small surgical skin incisions are utilized in the procedure, one in the neck for jugular venous access and the other in the chest wall to create a subcutaneous pocket for the IVAD reservoir. The authors describe an innovative technique, where a long-curved needle and curved guidewire are utilized to obtain internal jugular vein access through a single chest wall incision for both vascular access and the IVAD reservoir. The subcutaneous tract and the venous access sites are serially dilated and the IVAD is placed over the wire. This technique avoids the incision placed at the neck. This modification has multiple potential advantages, as it avoids a second incision in at risk patients (tracheostomy, anasarca, cervical instability), potential better cosmetic outcome and potentially lower risk of infection,. The purpose of this educational abstract is to demonstrate this innovative minimally invasive technique of placing IVAD in pediatric population. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Tabor Biniyam Beyene, Kinariwala Dhara, Schoeman Sean, Cajigas-loyola Stephanie, Escobar Fernando, Cahill Anne Marie, Vatsky Seth, Srinivasan Abhay, Krishnamurthy Ganesh

Keywords: Vascular Access