Paediatric Radiology Quiz
ANSWERS
1.
Toddler with cough
a. What are the findings? (air trapping R lower and mid lobe)
b. What is the likely diagnosis? (FB inhalation)
c. What would you do next? (bronchoscopy)
3 marks
2.
Newborn with respiratory distress
a. What are the findings? (overinflation LLL with mediastinal shift)
b. What is the differential diagnosis? (CCAM, congenital
emphysema, diaphragmatic hernia)
c. What investigation what give the diagnosis? (CT chest or MR)
5 marks
2 wks old presenting ED unwell
a. What are the findings? (rib fractures and haemothorax)
b. What is the likely diagnosis? (NAI)
c. What other radiology investigations are appropriate? (skeletal
survey and CT head)
5 marks
3.
4.
Newborn with respiratory distress and problems with ventilation
a. What does the chest show? (RDS and NG tube looped in upper
oesophagus)
b. What does the abdo show? (distended bowel and
pneumoperitoneum)
c. How do you account for the findings? (TOF and gastric
perforation)
5 marks
5.
Vomiting baby
a. What is the structure arrowed? (falciform ligament)
b. What do this finding imply? (pneumoperitoneum)
2 marks
6.
15 mth old abdo pain and pallor
a. What is the diagnosis?
b. What other X-ray findings are often seen? (normal, absence of
gas RIF, SB dilatation)
c. What imaging investigation would have been preferable?
(Ultrasound scan)
5 marks
7.
Teenager with abdo pain and diarrhoea
a. What is this examination? (SBFT)
b. What are the findings? ( stricture with deep ulceration and
fistulae terminal ileum)
c. What is the diagnosis? (Crohn’s disease)
4 marks
8.
Cyst on US of kidney for UTI
a. What is the second examination? (MCUG)
b. What are the findings? (reflux to the lower pole moiety of the
right kidney)
c. What is the likely diagnosis? (VU reflux in a duplex collecting
system)
4 marks
9.
Teenager with joint pains
a. What are the findings? (erosion of phalanges, soft tissue
calcification)
b. What is the likely cause? (renal osteodystrophy,
hyperparathyroidism)
4 marks
10.
Trauma
a. What is the diagnosis? (avulsed medial epicondyle)
2 marks