Case of the Week: 17 year old with chronic wrist pain

Chronic changes of juvenile idiopathic arthritis

Case of the week: Presacral mass in a 3 year old

Double click to view cine

Ganglioneuroblastoma

Case of the Week: 20 month old male with a specific bone finding

 Leukemic lines in a patient with Juvenile Myelomonocytic Leukemia (JMML)

Case of the week: 22 year old male with known neurological abnormality

Alexander disease

Case of the Week: Hard left supraclavicular mass

Bilateral C7 cervical ribs. The left C7 cervical rib abnormally articulates with the left first thoracic rib, explaining the palpable mass of concern.

Case of the week: 21 month old with stridor

Swallowed disk battery.

The ingestion of disk batteries is particularly important because saliva acts as an electrolyte bath, causing batteries to corrode and leak a solution of sodium or potassium hydroxide.  This caustic solution causes rapid destruction of the esophageal wall, extensive edema, and narrowing of the adjacent airway.

Case of the week: 29 month old with elbow pain

Lateral condylar fracture.  The fracture line almost always extends into the unossified epiphyseal cartilage, and therefore these are Salter-Harris type 4 fractures, generally considered to be orthopedic urgencies.

Case of the week: Toddler with knee pain

Discoid meniscus, probably macerated, but not flipped

Case of the week: Toddler refusing to bear weight

Pathologic fracture through osteofibrous dysplasia

Case of the week: 3 week infant with vomiting and weight loss

Hypertrophic pyloric stenosis

Case of the week: Newborn respiratory distress

Thymic spinnaker sail sign (thymus elevated and outlined by pneumomediastinal air) and pneumothorax on the left

Case of the week: Infant with CHF

Vein of galen malformation