Child Abuse Imaging — Flashcards

Flashcard 1: The X-ray of choice to determine the skeletal age of a 1 to 13 year-old boy is X-ray of the _____ and wrist.

Answer: left hand

Flashcard 2: The X-ray of choice to determine the skeletal age of a 3 to 9 month-old boy is X-ray of the _____

Answer: shoulder

Flashcard 3: CT/MRI in children with obstructive hydrocephalus, may show ballooning of the frontal horns of the lateral ventricles and third ventricle, also called _____ ventricles

Answer: Mickey mouse

Flashcard 4: Radiological features of scurvy: _____: Circular, opaque radiological shadow surrounding epiphyseal centres of ossification, which may result from bleeding.

Answer: Wimberger ring

Flashcard 5: The X-ray of choice to determine the skeletal age of a 12 to 14 year-old boy is X-ray of the _____ and hip.

Answer: elbow

Flashcard 6: What is a pathognomonic skeletal feature of child abuse on X-ray?

Answer: Sub-epiphyseal micro-fracture (Classic Metaphyseal Lesion)

Extra: The Classic Metaphyseal Lesion (CML), also known as a corner or bucket-handle fracture, is highly specific for non-accidental injury (child abuse). It represents a series of micro-fractures across the primary spongiosa of the metaphysis. While MRI can detect bone marrow edema, these lesions are primarily identified on a skeletal survey (X-ray).

Flashcard 7: Contrast enema shows an empty microcolon in case of _____

Answer: Meconium ileus

Flashcard 8: Target sign on USG Abdomen is suggestive of _____.

Answer: intussusception

Flashcard 9: The given barium enema is suggestive of _____ disease

Answer: Hirschsprung

Flashcard 10: The given USG shows _____ sign and _____ sign in congenital hypertrophic pyloric stenosis

Answer: cervix