Fundamentals of Pediatric Imaging by Lane F. Donnelly MD

By Lane F. Donnelly MD

Key Features

Nearly 650 top quality, clinically proper electronic pictures essentially show crucial ideas, innovations, and interpretation skills.
Advanced MR imaging themes equivalent to MR enterography, MR urography, and cardiac CT and MRI are completely discussed.
Reader-friendly lists, tables, and photographs make reference speedy and easy.
Edited via Lane F. Donnelly, MD, recipient of the Society of Pediatric Radiology’s 2009 Singleton-Taybi Award for pro lifetime commitment to scientific schooling.

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FIGURE 3-2 Transient tachypnea of the newborn. Newborn chest radiograph shows normal lung volumes, cardiomegaly, indistinct pulmonary vascularity, mild diffuse haziness, and fluid in the minor fissure (arrow). Within 24 hours the patient was asymptomatic. 55 ▪ FIGURE 3-3 Neonatal pneumonia. Newborn chest radiograph shows large lung volumes and coarse, bilateral perihilar markings. Notice the small associated pleural effusion (arrow). Surfactant-Deficient Disease SDD, or respiratory distress syndrome or hyaline membrane disease, is a common disorder, with approximately 40,000 new cases annually in the United States.

Normally the trachea is round at this level. B, CT in sagittal plane shows trachea (arrow) being compressed between innominate artery (arrowhead) and spine. C, 3D reconstruction shows innominate artery (arrow) crossing obliquely in front of and compressing the trachea. The palatine tonsils can be evaluated on physical examination. In these children, imaging is limited to a lateral radiograph of the airway, obtained to evaluate the adenoid tonsils. On radiography, adenoids appear as a soft tissue mass in the posterior nasopharynx.

In such cases, the left arch is ligated by performing a left thoracotomy. When the left arch is dominant, a right thoracotomy is performed and the right arch is ligated. Related to surgical planning, determining the dominant arch is one of the goals of crosssectional imaging. With double aortic arch, the level of compression is the mid to lower intrathoracic 31 trachea. In addition, there is symmetric take-off of four great arteries from the superior aspect of the arches. Anomalous Origin of the Left Pulmonary Artery (Pulmonary Sling) In cases of anomalous origin of the left pulmonary artery (pulmonary sling), the left pulmonary artery arises from the right pulmonary artery rather than from the main pulmonary artery and passes between the trachea and esophagus as it courses toward the left lung.

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