Pediatric Radiology in Action 2014

―Discussion in the Reading Room―Radiologists vs. Surgeons

Japanese and American radiologists and pediatric surgeons will give a demonstration of imaging conference usually held at their reading rooms.
Please learn the essence of diagnostic imaging from discussions of first-class doctors.

Moderator:
Yutaka Sato (Dept. of Radiology, University of Iowa Hospitals and Clinics)

Radiologists;
Yutaka Sato (University of Iowa Hospitals and Clinics)
Shunsuke Nosaka (National Center for Child Health and Development)
Pediatric Surgeons;
Graeme John Pitcher (University of Iowa Hospitals and Clinics)
Hiroaki Kitagawa (St Marianna University)

Case 1
A 6 week old female was found to have decreased breath sounds on the right chest at the one month well-baby check visit. Occasional difficulty breathing during feeding was also noted.
(Fig.1-1, 1-2)

Case 2
A 2 year old boy was found to have a palpable mass in his left flank in 2004.
Follow-up studies in 2005 and 2013 are shown.
(Fig.2-1, 2-2, 2-3, 2-4)

Case 3
A 2 year old boy with 3 day history of poor feeding, vomiting and abdominal pain. For the past 24 hours his pain became more severe and he started “dry heaving”.
(Fig.3-1,3-2)

Case 4
A 14 year old boy with pleuritic chest pain for a few days.
(Fig. 4-1, 4-2)

Case 5
A 3 month old girl, ex preemie, twin infant presented with abdominal distention and 1 month history of constipation.
She was on thyroxine replacement therapy for hypothyroidism. AFP was 12,000.
(Fig. 5-1, 5-2, 5-3)

Case 6
A 3 year old boy with painless rectal bleeding. Dynamic images of Tc-99m pertechnetate scan are presented.
(Fig. 6)

 

Case 7
A 2 year old girl with history of ALL - status post 4/6 matched cord blood allogeneic bone marrow transplant 6 month previously. Progressive acute abdominal distention and feeding intolerance.
CT, barium enema, upper GI studies over April to September are presented
(Fig. 7-1, 7-2)