Radiology-Pathology case Correlation

Dawn Light, MD, MPHAssociate Professor of Radiology and Pediatrics, WSUSOMAssociate Professor of Radiology, USUHS

Case 1 Newborn infant with suspected thoracic

abnormality on pre-natal US

Which study do you want?1. Chest US2. Ventilation/Perfusion

Scan3. Contrast enhanced

Controlled Ventilation CT4. Non-contrast Chest CT5. Just show me the

prenatal US

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Your Diagnosis?1. Congenital

Adenomatoid Malformation

2. Sequestration3. Scimitar

Syndrome4. Diaphragmatic

Hernia1 2 3 4

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Case 2 2 month old girl, born at 34 weeks

gestation, present s to the ER with a lump in her right groin. Parents state this is new and she is in no distress.

What do you recommend?1. Course of antibiotics2. Pelvis CT with contrast3. Surgical exploration4. Needle biopsy5. Limited US

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Diagnosis1. Teratoma2. Ovarian Hernia3. Inguinal Lymph

node4. Developmental

Hip Dysplasia

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Case 3 5 year old male with acute on chronic

abdominal pain presents to acute care clinic

Next step?

1. Lab work for pancreatitis2. MRCP3. UGI4. CT5. Labs for Lymphoma

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Management?1. Course of antibiotics2. Surgical exploration3. Needle biopsy4. H2 Blockers5. Combo Therapy – 1 & 2

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Case 4 4 month old female with stridor and

difficulty feeding?

What do you order?1. Airway fluoroscopy2. Modified barium swallow3. Upper GI4. Endoscopy

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Diagnosis1. Tracheal Cleft2. Laryngeal

Papillomatosis3. Cystic Hygroma4. Thyroglossal

Duct Cyst

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Management1. Surgical Resection2. Lasar Ablation3. Long-term Antibiotics/antivirals4. Interval Chest CT5. Combo Therapy 2 and 4

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Case 5 5 year old female comes to ER with

weight loss and abdominal pain

You recommend1. Enema2. Abdomen US3. Abdomen and Pelvis CT4. Endoscopy 5. pH probe

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Diagnosis1. Trichobezoar2. Lactobezoar3. Shih Tzu4. Thanks for

ruining my lunch

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Case 6 2 year old with crampy abdominal pain.

What do you order next?

1. US2. Abdomen/ Pelvis CT3. Contrast Enema4. Air Enema

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What is not required for the air enema?

1. IV access2. Analgesics3. RN in attendance4. Pulse Oximetry5. Surgical consult

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Case 7 Newborn with abdominal distension

and failure to stool.

Your recommendation1. Glycerin suppositories2. NG decompression3. Decubitus view for free air4. UGI5. Contrast enema

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Diagnosis1. Hirschprungs2. Colonic atresia3. Cystic Fibrosis4. Diabetes in

Mom

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