Fundamentals of Pediatric Imaging by Lane F. Donnelly MD

By Lane F. Donnelly MD

Key Features

Nearly 650 fine quality, clinically correct electronic photos essentially display crucial ideas, strategies, and interpretation skills.
Advanced MR imaging subject matters corresponding to MR enterography, MR urography, and cardiac CT and MRI are completely discussed.
Reader-friendly lists, tables, and pictures make reference speedy and easy.
Edited via Lane F. Donnelly, MD, recipient of the Society of Pediatric Radiology’s 2009 Singleton-Taybi Award for pro lifetime commitment to scientific schooling.

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Lung volumes are low. There are bilateral granular opacities that represent collapsed alveoli interspersed with open alveoli. Because the larger bronchi do not collapse, there are prominent air bronchograms. When the process is severe enough and the majority of alveoli are collapsed, there may be coalescence of the granular opacities, resulting in diffuse lung opacity. A normal film at 6 hours of age excludes the presence of SDD. 56 ▪ FIGURE 3-4 Neonatal pneumonia. Newborn chest radiograph shows large lung volumes and coarse, perihilar markings on the right.

Persistent Pulmonary Hypertension of the Newborn Persistent pulmonary hypertension of the newborn (PPHN), or persistent fetal circulation, is a term often used in the NICU and is addressed here because it can be a source of confusion. The high pulmonary vascular resistance that is normally present in the fetus typically decreases during the newborn period. In normal conditions, after clamping the cord and with the first breaths, there is a drastic drop in pulmonary vascular resistance permitting the circulation that in utero bypasses the lungs, to perfuse the lungs.

The ideal position of an umbilical venous catheter is with its tip at the junction of the right atrium and the inferior vena cava at the level of the hemidiaphragm (see Figs. 3-4 and 3-5). The umbilical venous catheter may occasionally deflect into the portal venous system rather than passing into the ductus venosus. Complications of such positioning can include hepatic hematoma or abscess. 63 ▪ FIGURE 3-8 Anatomy of the course of the umbilical vein (UV) catheter as demonstrated by contrast injection of umbilical catheter performed because of inability to advance UV catheter.

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