Showing 5 Abstracts.
Esophageal radiolucent foreign bodies can be overlooked in infants since the symptoms are usually nonspecific. Chest X-Rays are often the initial diagnostic tool. The lateral view is key since it may reveal anterior bowing and/or focal narrowing of the intra-thoracic trachea which should alert the radiologist to the possibility of radiolucent esophageal foreign body and the need for an Esophagram. We present two cases that illustrate the importance of this radiographic finding. Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Youssfi Mostafa
Keywords: Esophageal, Radiolucent, Foreign Body
To share these uncommon but important cases of Midgut Volvulus (MGV) without malrotation. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Youssfi Mostafa, Biyyam Deepa, Bailey Smita
Keywords: VOLVULUS, MALROTATION, SMA CUT-OFF
Calcifying nested stromal epithelial tumor (CNSET) is a very rare primary liver tumor in children. To our knowledge, about 30 cases have been reported in literature. We describe the imaging appearance and histopathologic features of this tumor detected in a 2 year old girl who presented with an incidentally detected calcified liver lesion on a chest x-ray which was obtained for cough. Computed tomography (CT) demonstrated a 5.5 centimeter sized heterogeneous mass with large coarse calcifications. MRI better demonstrated the margins of the lesion, which was predominantly hyper-intense on T2-weighted images. Large areas of signal void were seen in the superior aspect of the lesion, corresponding to the calcifications seen on CT. The lesion demonstrated restricted diffusion. Post-contrast, the lesion demonstrated enhancement in the portal venous phase with washout on the delayed phase. Initial diagnosis based on imaging findings and patient’s age was hepatoblastoma. However, serum alpha- fetoprotein (AFP) was normal, which is unusual with hepatoblastoma. Patient underwent subsequent wedge biopsy, which was proven to represent calcifying nested stromal epithelial tumor of the liver. PET/CT, obtained to evaluate for metastatic disease, demonstrated increased FDG activity within the primary hepatic lesion, with SUV Max of 3.5, with no evidence of FDG avid metastatic disease. She then underwent right hepatectomy and cholecystectomy. No sign of tumor recurrence has been noted to date on the follow up abdominal ultrasound examination in the past 2.5 years. Calcifying nested stromal epithelial tumor should be considered in the differential when a large heterogeneous liver tumor with coarse/ chunky calcifications is identified at imaging in the absence of elevated serum AFP in a child. Currently the standard treatment in complete surgical excision and liver transplantation if excision is not possible. Read More
Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018
Authors: Biyyam Deepa, Youssfi Mostafa, Mandell Gerald, Taylor Steve, Patel Mittun
Keywords: nested stromal epithelial, tumor, liver
After reviewing the exhibit, participants will be able to recognize suspicious and non-suspicious ultrasound (US) features of pediatric thyroid nodules which will help to triage nodules that need a biopsy. Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Biyyam Deepa, Patel Mittun, Dance Logan, Dao Tuan, Youssfi Mostafa, Towbin Richard
Growth in our hospital has resulted in multiple new locations opening which has resulted in staffing by ultrasound technologists lesser experienced in appendicitis imaging. Likewise, our ordering providers have increased their push to reduce CT utilization. Our aim was to improve the appendix visualization frequency by 10% over 6 months to reduce exposure to ionizing radiation, reduce cost for families, lower risk to patients, reduce length of stay in the emergency department, and shorten the time to diagnosis. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Sousae Sean, Simmons Curtis, Bailey Smita, Cutler Kayci, Youssfi Mostafa, Reynolds Kristine, Oliver Clay, Pfeifer Cory
Keywords: Appendicitis, Quality Improvement, Ultrasound