X rays in Pediatrics

Respiratory System
Steeple sign - Croup
Epiglottitis
Pneumonia
Pneumonia
Consolidation in the right lung
Rt. Middle & Lower lobe
pneumonia
Bronchopenumonia
Pneumatocele
Post infectious pneumatocele
Pneumatocele
Non tension Penumothorax
Left tension pneumothorax
Tension Pneumothorax
Pulmonary edema
Tuberculous pericardial effusion
Mediastinal mass - Ant

Thymoma
Teratoma
Thyroid goitre or tumour
Terrible lymph nodes (eg
lymphoma)
Superior Vena caval syndrome
Posterior med mass -
Neuroblastoma
CONGENITAL DIAPHRAGMATIC
HERNIA (CDH)
CONGENITAL DIAPHRAGMATIC
HERNIA (CDH)
CDH
Congenital lobar emphysema
CCAM
Hirschsprung Disease
Bronchiectasis - Bronchogram
Bronchiectasis
Bronchiectasis
Bronchiectasis predominates in the lingula and right middle lobe,
widespread airway dilation is seen throughout all lobes along with

small centrilobular nodules suggesting bronchiolitis.

Bronchiectasis
Bronchiectasis
TB- Hilar Adenopathy
TB Pericardial effusion
TB- Middle lobe pneumonia
TB-Adenopathy
Miliary TB
Pulmonary tuberculosis
Empyema
TB Pleural effusion
Lung abscess
Pyopneumothorax
Eventration of diapraghm
Subcutaneous Emphysema
with pneumothorax
Achlasia cardia

Inhomogeneous cardiac density

Right sided inlet to outlet shadow
Crossing mid line
Achlasia cardia Barium
Swallow

Dilated oesophagus
Aspiration of foreign body (right
mainstem bronchus
Collapse
Collapse
Cardiovascular system
Cardiomegaly
Cardioemagly
Dextrocardia with situs inversus
Dextrocardia with situs solitus
VSD
TGV
TOF
TOF
Total anomalous pulmonary venous connection (Supracardiac). (
Cardiomegaly with increased pulmonary arterial markings. There is dilation
of both the left and right innominate veins and the right superior vena cava
producing the classical "snowman" or "figure of 8" appearance. The
superior mediastinum is enlarged secondary to dilation of the right vena
cava, innominate vein and ascending vertical vein.
Ebstein Anamoly
Mitral stenosis
Pericardial effusion

Cardiomegaly with Water bottle appearance

Pneumopericardium
Hurler
Hunter's syndrome. a. Lateral skull radiograph. Note thickening of the skull vault and

J-shaped sella.
Hurler
Lateral upper cervical spine radiograph. This shows the small flattened vertebral
bodies. There is also narrowing of the subglottic trachea due to deposition of

mucopolysaccharide in the tracheal cartilage

Radiograph of the hands. Note the poorly modelled metacarpal
bones with expansion of the medullary cavities and pointed
bases to the metacarpals. These are the typical features of
Hunter's syndrome.
Hurler
Morquio
Morquio syndrome
Morquio
Hunter syndrome
Achondroplasia

On the AP pelvis view, there is a narrowing of the

interpediculate distance in the lumbar spine. There
are squared iliac wings, bilateral narrowed
sacrosciatic notches, bilaterally flattened acetabulate,
and shortened proximal femoral metaphyses
Perthe's disease

plain x-ray was obtained which showed the right femoral

head to be flattened and fragmented
Rickets
Rickets
Rickets
Congenital hypothyroidism
Absent tibial epiphysis
Osteolytic lesions
Osteolytic lesions
Hair on end app
Craniopharyngioma
 Craniophargingioma

A CT scan obtained without contrast reveals

calcification located within the mass.
Osteopetrosis
Osteopetrosis
Osteopetrosis
Intussusception.

Abdominal radiograph shows

small bowel dilatation and
paucity of gas in the right lower
and upper quadrants
Sacroilitis joint space narrowing and bony
sclerosis around the sacroiliac joints (arrows
Sacroiliitis
Radiograph of the lumbar spine in a patient with ankylosing
spondylitis. Inflammation at the site of insertion of the annulus
fibrosus has resulted in osteitis of the anterior vertebral
margins, also called "shining corners" (arrow).
Radiograph of the lumbar spine in a patient with ankylosing
spondylitis. Ossification of the annulus fibrosus in the lumbar
spine has resulted in the formation of marginal
syndesmophytes in a gradually ascending pattern ("bamboo
spine").
Ewings tumour
Osteogenesis imperfecta

The lower extremity film shows multiple fractures

and bowing, shortening and thickening of the long bones
New born
Hyaline membrane disease
Intestinal perforation
TTN
MAS
TEF
Types of TEF
Duodenal Atresia
Necrotizing enterocolitis
NEC Portal vein gas
NEC
Osteomyelitis

Periosteal new bone formation

Patchy rarefaction of metaphysis
Metaphyseal bone destruction

Diagnosis: Osteomyelitis
Congenital Dislocation of the Hip (CDH)
RING-ENHANCING LESION
WITHIN DEEP WHITE MATTER
Communicating hydrocephalus
Thank You