INTRODUCTION: Leukocoria or the white eye reflex is an abnormal pupillary light reflection on ocular examination and is usually indicative of serious intraocular pathology. It is most often seen in children. Immediate diagnosis and management are mandatory as most conditions are vision threatening, and some like retinoblastoma life threatening. It is important to identify underlying pathologies early, especially conditions such as retinoblastoma with immediate referral to a pediatric ophthalmologist. An interdisciplinary liaison with a pediatric radiologist, retina specialist, and ocular oncologist will help in the management of eyes with leukocoria in an appropriate manner. Imaging also plays a critical role in assessing treatment response. In this educational exhibit, we will highlight key cross-sectional imaging findings of ocular abnormalities associated with leukocoria that provide valuable clues in diagnosing the important pathologies in the pediatric population. These findings may include calcific masses, microphthalmia, vascular abnormalities, hemorrhage and enhancement patterns, all which aid in narrowing down the differential diagnosis of leukocoria. Conclusion: The diagnosis of intra-ocular pathologies commonly resulting in pediatric leukocoria is a complex task that often necessitates a multidisciplinary approach, complemented by multimodality imaging and often genetic analysis. Cross-sectional imaging proves to be a valuable tool for refining the list of potential diagnoses based on structural abnormalities and guiding clinicians towards specific confirmatory tests. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Rao Jhanavi, Thakor Dipakkumar, Schroeder Jason

Keywords: Orbit, CT, Magnetic Resonance Imaging MRI

Pediatric patients are frequently referred for imaging of palpable breast lesions, but pathologic breast conditions are rare in childhood and adolescence. While evaluation of the pediatric breast can be daunting to non-breast imaging facilities, commonly encountered conditions have recognizable imaging features on ultrasound, the modality of choice for work up. In rare cases, indeterminate or suspicious conditions can be encountered. The purpose of this poster is to present cases of commonly encountered pediatric breast conditions, with histopathologic correlation when available, as well as to present imaging findings of more concerning entities. The goal of this poster is to provide the reader familiarity with pediatric breast conditions to increase confidence in interpreting these studies. Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Thakor Dipakkumar, Barreto David, Cielma Tara, Rossi Christopher, Shet Narendra

Keywords: Breast