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Fellowship Certificate™ Programs
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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.
1 topic, 1 min.
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.6 topics, 38 min.
3 topics, 26 min.
6 topics, 17 min.
7 topics, 32 min.
5 topics, 29 min.
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.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.0:00
So this is another brand new infant on Day of Life zero
0:03
who presented with respiratory distress after birth.
0:06
They have placed an enteric tube,
0:08
which we see extending into the gastric body.
0:11
Um, the important finding here is
0:13
that the thymus is uplifted.
0:15
So you see this soft tissue density here
0:18
with this increased lucency inferiorly,
0:21
and this is that angel wing appearance
0:23
of pneumo mediastinum.
0:24
So gas in the mediastinum when you have a big thymus, which,
0:28
uh, infants will have, will cause uplifting of that thymus.
0:32
So Pneumo mediastinum will give you this sort
0:34
of angel wing appearance of the thymus being lifted up
0:37
by this mediastinum.
0:39
Um, the rest of the lungs don't look too bad in this infant.
0:42
Maybe just a little bit of granularity with a little bit
0:45
of superimposed atelectasis.
0:46
But the pertinent finding is this Pneumo mediastinum, um,
0:50
uh, it's asymmetrically more pronounced on the right in this
0:52
infant compared to the left.
Interactive Transcript
0:00
So this is another brand new infant on Day of Life zero
0:03
who presented with respiratory distress after birth.
0:06
They have placed an enteric tube,
0:08
which we see extending into the gastric body.
0:11
Um, the important finding here is
0:13
that the thymus is uplifted.
0:15
So you see this soft tissue density here
0:18
with this increased lucency inferiorly,
0:21
and this is that angel wing appearance
0:23
of pneumo mediastinum.
0:24
So gas in the mediastinum when you have a big thymus, which,
0:28
uh, infants will have, will cause uplifting of that thymus.
0:32
So Pneumo mediastinum will give you this sort
0:34
of angel wing appearance of the thymus being lifted up
0:37
by this mediastinum.
0:39
Um, the rest of the lungs don't look too bad in this infant.
0:42
Maybe just a little bit of granularity with a little bit
0:45
of superimposed atelectasis.
0:46
But the pertinent finding is this Pneumo mediastinum, um,
0:50
uh, it's asymmetrically more pronounced on the right in this
0:52
infant compared to the left.
Report
Text
Faculty
Judy H. Squires, MD
Associate Professor of Radiology
UPMC Children's Hospital of Pittsburgh
Tags
X-Ray (Plain Films)
Pediatrics
Neonatal
Mediastinum
Chest
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