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Radiology

Pediatric Chest

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Pediatric Chest
The first 25 slides, exactly as they appear. The full deck has 149 content slides.

What’s inside

10 sections · 149 slides

  1. 01

    Overview

    • What this deck covers

    2 slides

  2. 02

    The Pediatric Chest Radiograph

    Separating normal from abnormal in a child's chest

    • Reading the pediatric chest
    • Expiration mimics disease
    • Expiratory versus repeat normal chest radiograph
    • Single view versus two views
    • Repeating a chest radiograph
    • Heart size on the chest radiograph
    • Cardiac configuration pitfalls
    • The aorta on the pediatric CXR
    • The thymus in infants
    • Thymus on chest radiograph and MRI
    • Thymic wave sign and notch
    • Normal right thymic lobe and the wave sign
    • Thymic involution and rebound
    • Rebound thymic enlargement after surgery
    • Rebound thymic enlargement — asymmetric
    • Lung volume and rib counting
    • Asymmetric lung attenuation
    • Air trapping on decubitus views
    • Hyperlucent and hyperdense lung
    • Swyer–James syndrome (bronchiolitis obliterans)
    • The normal pediatric trachea
    • Tracheal buckling
    • Normal tracheal buckling
    • Tracheal impressions and vascular rings
    • Right-sided tracheal impression from a right aortic arch

    25 slides

  3. 03

    The Neonatal Chest

    Four lung-disease patterns, air leaks, and lines and tubes

    • Neonatal lung disease framework
    • Four neonatal lung disease patterns
    • Surfactant deficiency disease
    • Surfactant deficiency disease
    • Meconium aspiration
    • Meconium aspiration
    • Retained lung fluid
    • Retained lung fluid
    • Neonatal pneumonia and hemorrhage
    • Neonatal pneumonia
    • Group B streptococcal pneumonia
    • Group B streptococcal pneumonia
    • Bronchopulmonary dysplasia — old and new
    • Old bronchopulmonary dysplasia
    • New bronchopulmonary dysplasia
    • Pneumothorax in the neonate
    • Bilateral pneumothoraces in a supine neonate
    • Tension pneumothorax without lung collapse
    • Skin fold versus pneumothorax
    • Skin fold simulating pneumothorax
    • Pneumomediastinum and pneumopericardium
    • Pneumomediastinum with elevated thymus
    • Pulmonary interstitial emphysema
    • How pulmonary interstitial emphysema develops
    • Pulmonary interstitial emphysema
    • Endotracheal tube position
    • Umbilical catheters
    • Umbilical venous and arterial catheters
    • Umbilical arterial catheter placement
    • Umbilical venous catheter course
    • Umbilical venous catheter course
    • Useful measurements for catheter tip position
    • ECMO catheters
    • ECMO catheters in a newborn

    34 slides

  4. 04

    Congenital Lung Malformations

    Cysts, sequestrations, and airway anomalies present at birth

    • Congenital lung malformations overview
    • Fetal MRI of congenital pulmonary airway malformation
    • The feeding vessel is the key feature
    • Congenital lung lesion — the key decision
    • Congenital pulmonary airway malformation
    • CPAM types
    • Type 1 congenital pulmonary airway malformation
    • Sequestration
    • Intralobar sequestration with feeding vessel
    • Foregut duplication cysts
    • Mediastinal bronchogenic cyst
    • Congenital lobar overinflation
    • Congenital lobar overinflation
    • Other parenchymal abnormalities
    • Scimitar syndrome
    • Scimitar (hypogenetic lung) syndrome
    • Bronchial atresia
    • Bronchial atresia with mucocele
    • Tracheal and bronchial anomalies
    • Tracheal stenosis and complete rings
    • Complete tracheal rings

    21 slides

  5. 05

    Pulmonary Infection

    Pneumonia patterns, the organisms, and childhood tuberculosis

    • Pneumonia in children — role of the CXR
    • Viral versus bacterial patterns
    • Viral versus bacterial CXR pattern
    • The viral pattern
    • Airways disease pattern on chest radiograph
    • The bacterial pattern
    • Bacterial pneumonia with consolidation
    • How well do the patterns predict?
    • Age predicts the organism
    • Common organisms causing community-acquired pneumonia
    • Chlamydia pneumonia
    • Chlamydia pneumonia
    • RSV and bronchiolitis
    • Mycoplasma pneumonia
    • Pneumococcal pneumonia and round pneumonia
    • Round pneumonia
    • Separating round pneumonia from a mass
    • Primary tuberculosis in children
    • Primary tuberculosis
    • Imaging tuberculosis in children

    20 slides

  6. 06

    Masses, Mediastinum, and Chest Wall

    Tumors, nodules, and where they sit in the chest

    • Lung masses in children
    • Benign and malignant lung tumors
    • Lung nodules and cysts
    • Mediastinal divisions
    • Mediastinal divisions
    • The thymus in the mediastinum
    • Anterior and middle mediastinal lesions
    • Posterior mediastinum — neurogenic tumors
    • Mediastinal lesions in children
    • Neuroblastoma with left paraspinal widening
    • Chest wall lesions
    • Chest wall lesions in children

    12 slides

  7. 07

    Diffuse Lung Disease and Systemic Conditions

    Childhood interstitial lung disease, CF, sickle cell, and collagen disease

    • Childhood interstitial lung disease
    • Causes of diffuse (interstitial) lung disease
    • Neuroendocrine cell hyperplasia of infancy
    • Neuroendocrine cell hyperplasia of infancy (NEHI)
    • Surfactant protein mutations
    • Surfactant protein mutation with crazy paving
    • Alveolar growth abnormality
    • Alveolar growth abnormality
    • Immunodeficiencies
    • Cystic fibrosis
    • Sickle cell and collagen vascular disease
    • Polymyositis with reticular ground glass

    12 slides

  8. 08

    Lung Trauma

    Spontaneous pneumothorax, pneumomediastinum, and blunt chest injury

    • Spontaneous pneumothorax
    • Pneumomediastinum in children
    • Blunt chest trauma
    • Aortic injury and CT strategy

    4 slides

  9. 09

    The Upper Airway

    Croup, epiglottitis, and other airway infections and anomalies

    • Evaluating the upper airway
    • Croup
    • Croup
    • Bacterial tracheitis
    • Bacterial tracheitis
    • Epiglottitis (supraglottitis)
    • Epiglottitis
    • Retropharyngeal abscess
    • Laryngomalacia
    • Obstructive sleep apnea

    10 slides

  10. 10

    Key Takeaways

    A short revision summary of the pediatric chest

    • Pediatric chest — key takeaways
    • References
    • References
    • References
    • References
    • References
    • References
    • References
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    9 slides