ABSTRACT
BACKGROUND: We routinely observed "isolated" laryngeal penetration (ILP) on upper GI studies in infants with no risk for aspiration. OBJECTIVE: To determine whether "isolated" LP (LP during the pharyngeal phase of swallowing) is a benign process in infants and therefore not a predictor of aspiration as it is known to be in adults. PATIENTS AND METHODS: Two radiologists retrospectively reviewed videotaped upper GI studies done over a 2-year period on patients less than 2 years of age. A total of 110 studies was reviewed, which produced a study group of 34 patients who had no history or clinical suspicion for swallowing dysfunction. RESULTS: Of the 34 patients in the group, 33 demonstrated ILP without radiographic or clinical evidence of aspiration. CONCLUSION: ILP is a benign, normal process in infants likely due to immaturity of the swallowing mechanism. It is not a reliable predictor of aspiration as it is in adults.
Subject(s)
Deglutition/physiology , Inhalation/physiology , Larynx/diagnostic imaging , Female , Humans , Infant , Larynx/physiology , Male , RadiographyABSTRACT
The authors discuss some of the diseases that cause increased echogenicity of the renal parenchyma on sonograms in children. The illustrated cases include patients with more common diseases, such as nephrotic syndrome and glomerulonephritis, and those with rarer diseases, such as oculocerebrorenal syndrome. Hyperechogenicity is a nonspecific finding but a significant one in that it suggests the presence of renal abnormalities. When it is demonstrated, further investigation is usually warranted.
Subject(s)
Kidney Diseases/diagnostic imaging , Kidney/diagnostic imaging , Adolescent , Anemia, Sickle Cell/diagnostic imaging , Child , Child, Preschool , Female , Glycogen Storage Disease/diagnostic imaging , Hemolytic-Uremic Syndrome/diagnostic imaging , Humans , Infant , Kidney Neoplasms/diagnostic imaging , Lymphoma/diagnostic imaging , Male , Nephritis/diagnostic imaging , Nephrotic Syndrome/diagnostic imaging , Oculocerebrorenal Syndrome/diagnostic imaging , Polycystic Kidney Diseases/diagnostic imaging , Radiography , UltrasonographyABSTRACT
We report a patient who presented with a congenital Bochdalek hernia at 10 years of age. Immediate surgical intervention was required. The potential morbidity makes prompt diagnosis necessary.
Subject(s)
Hernias, Diaphragmatic, Congenital , Child , Diagnosis, Differential , Hernia, Diaphragmatic/diagnostic imaging , Humans , Male , RadiographyABSTRACT
A 15-year-old female presented with chronic right lower leg swelling and pain. Her symptomatology proved to be as a result of popliteal vein compression by a fibular osteochondroma. Clinical improvement followed surgical resection of the osteocartilaginous exostosis.