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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Introduction
1 topic, 1 min.
Lesson
Neonatal Brain
14 topics, 1 hr. 24 min.
Neonatal Head Ultrasound Protocol and Technique
6 m.Neonatal Brain Normal Development
4 m.Neonatal Brain Normal Variants
6 m.Brain Pathologies in Premature and Term Infants
12 m.Case: Normal Variant, Connatal Cyst
5 m.Case: Normal Variant, Septal Veins
5 m.Case: Grade 1 Germinal Matrix Hemorrhage
5 m.Case: Grade 1 Germinal Matrix Hemorrhage and White Matter Injury of Prematurity
8 m.Case: Grade 3 Germinal Matrix Hemorrhage
5 m.Case: Periventricular Hemorrhagic Venous Infarction (Grade 4 Germinal Matrix Hemorrhage) and Posterior Fossa Hemorrhage
6 m.Case: Germinal Matrix Hemorrhage, Posthemorrhagic Hydrocephalus, and White Matter Injury of Prematurity
7 m.Case: Dural Venous Sinus Thrombosis
11 m.Case: Subdural Collections
6 m.Case: Benign Macrocrania
5 m.Lesson
Neonatal Spine
6 topics, 38 min.
Lesson
Neonatal Chest: Support Devices
3 topics, 26 min.
Lesson
Neonatal Chest: Newborn Lung Disease/Complications
6 topics, 17 min.
Lesson
Neonatal Chest: Congenital Lung Lesions and Cardiac Diseases
7 topics, 32 min.
Lesson
Neonatal Gastrointestinal: Necrotizing Enterocolitis
5 topics, 29 min.
Lesson
Neonatal Gastrointestinal: Proximal and Distal Obstructions
9 topics, 50 min.
Malrotation With Midgut Volvulus
11 m.Other Neonatal Bowel Obstructions
5 m.Case: Hypertrophic Pyloric Stenosis
3 m.Case: Malrotation With Midgut volvulus
6 m.Case: Hirschsprung Disease
5 m.Case: Functional Immaturity of the Colon
3 m.Case: Gastrointestinal Duplication Cyst
5 m.Case: Congenital Hemangioma Originating in the Liver
11 m.Case: Infantile Hepatic Hemangioma
7 m.Lesson
Neonatal: Genitourinary Imaging
8 topics, 43 min.
Congenital Hydronephrosis
4 m.UTD Classification System
8 m.Case: Congenital Hydronephrosis Related to Posterior Urethral Valves
6 m.Case: Congenital Hydronephrosis Related to Vesicoureteral Reflux
8 m.Case: Neonatal Testicular Torsion
5 m.Case: Adrenal Hemorrhage
7 m.Case: Adrenal Neuroblastoma
7 m.Summary
2 m.0:01
So this was an 11 day old infant who was transferred
0:03
to our institution from an outside hospital with, um,
0:07
concern for respiratory distress.
0:08
This patient, he, uh, came here to be imaged
0:11
with echocardiography.
0:12
Um, this is the, uh, uh, frontal portable view
0:16
of the chest demonstrating a markedly enlarged
0:20
cardiac silhouette.
0:21
Um, this patient has an inferior approach, uh,
0:24
peripherally inserted central catheter.
0:26
So a pick. This is an enteric tube,
0:28
which is a little on the high side.
0:29
This tip, I would love for it to be extending into the,
0:32
uh, gastric body.
0:34
Here's at the inferior aspect of the GE junction probably,
0:37
and then there's this, uh, little peripheral
0:40
IV in the left anti cubital fossa as well.
0:42
But, uh, we already talked about the primary abnormality in
0:44
this infant, and that is this basically wall to wall heart.
0:47
This heart is so enlarged that it nearly, um,
0:50
nearly occupies the entirety of the transverse diameter
0:53
of this thoracic cavity.
0:55
Um, so the good news is we don't have to make the diagnosis
0:58
of Epstein anomaly, uh, just based on this chest x-ray.
1:01
Our job is to say that it's an abnormal cardiac morphology,
1:05
and then the patient will go on to echocardiography,
1:08
to definitively diagnose the, um, the cardiac structures,
1:11
as well as get an idea of the function of this, um, patient.
1:15
The other thing we should be on the lookout
1:17
for is any complications of congestive heart failure.
1:19
So, um, uh, pulmonary edema, uh, uh, plethora,
1:23
pulmonary vasculature, et cetera.
1:25
But in this patient, um,
1:26
all we have is the marked cardiomegaly.
Case: Ebstein’s Anomaly
HIDEInteractive Transcript
0:01
So this was an 11 day old infant who was transferred
0:03
to our institution from an outside hospital with, um,
0:07
concern for respiratory distress.
0:08
This patient, he, uh, came here to be imaged
0:11
with echocardiography.
0:12
Um, this is the, uh, uh, frontal portable view
0:16
of the chest demonstrating a markedly enlarged
0:20
cardiac silhouette.
0:21
Um, this patient has an inferior approach, uh,
0:24
peripherally inserted central catheter.
0:26
So a pick. This is an enteric tube,
0:28
which is a little on the high side.
0:29
This tip, I would love for it to be extending into the,
0:32
uh, gastric body.
0:34
Here's at the inferior aspect of the GE junction probably,
0:37
and then there's this, uh, little peripheral
0:40
IV in the left anti cubital fossa as well.
0:42
But, uh, we already talked about the primary abnormality in
0:44
this infant, and that is this basically wall to wall heart.
0:47
This heart is so enlarged that it nearly, um,
0:50
nearly occupies the entirety of the transverse diameter
0:53
of this thoracic cavity.
0:55
Um, so the good news is we don't have to make the diagnosis
0:58
of Epstein anomaly, uh, just based on this chest x-ray.
1:01
Our job is to say that it's an abnormal cardiac morphology,
1:05
and then the patient will go on to echocardiography,
1:08
to definitively diagnose the, um, the cardiac structures,
1:11
as well as get an idea of the function of this, um, patient.
1:15
The other thing we should be on the lookout
1:17
for is any complications of congestive heart failure.
1:19
So, um, uh, pulmonary edema, uh, uh, plethora,
1:23
pulmonary vasculature, et cetera.
1:25
But in this patient, um,
1:26
all we have is the marked cardiomegaly.
Report
Text
Faculty
Judy H. Squires, MD
Associate Professor of Radiology
UPMC Children's Hospital of Pittsburgh
Tags
X-Ray (Plain Films)
Pediatrics
Neonatal
Congenital
Chest
Cardiac Chambers
Cardiac
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