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Congress: ECR25
Poster Number: C-10496
Type: Poster: EPOS Radiologist (educational)
Authorblock: S. Samaan, A. F. Huneity; Doha/QA
Disclosures:
Sandra Samaan: Nothing to disclose
Ahmad Faisal Huneity: Nothing to disclose
Keywords: Lung, Paediatric, Conventional radiography, Education, Atelectasis, Congenital, Infection
Learning objectives To recognize the four main abnormal densities in a Pediatric chest X-ray. To gain an in-depth understanding of the fundamental presentations of abnormal lung opacities and thoracic hyperlucencies. To identify the differential diagnosis of each presentation and the subsequent radiological investigation to narrow down the potential diagnoses.  
Read more Background Both Radiology and Pediatric residents must develop the expertise needed to analyze abnormal Pediatric chest x-rays using a streamlined approach (roadmap), since the Pediatric chest x-ray is a commonly performed diagnostic examination. This poster serves as a basic guide on how to tackle Pediatric CXR abnormalities. 
Read more Findings and procedure details The radiological pathologies that may emerge on a pediatric CXR are categorized into four main densities: air, soft tissue, bone and metallic densities. [fig 1] This poster addresses the entire spectrum of abnormalities manifesting as air densities, including Pneumothorax, pneumomediastinum, pneumopericardium and hyperlucencies. In addition to tackling the various causes of solely lung opacification among the abnormalities appearing as soft tissue densities.While discussing the rest of the entities is beyond the scope of this poster.The degree of increased lung lucency or opacification...
Read more Conclusion Adhering to a simplified scrutinized approach for analyzing an abnormal Pediatric chest x-ray is a pivotal footstep that leads to the correct diagnosis and directs towards the right management plan.
Read more References JR Dillman, et al, Expanding upon the Unilateral Hyperlucent Hemithorax in Children, Radiographics 2011. Bramson, Interpretation of chest radiographs in infants with cough and fever, Radiology 2005 T Berrocal et al, Congenital Anomalies of the Tracheobronchial Tree, Lung, and Mediastinum: Embryology, Radiology, and Pathology, RSNA 2004
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