Case 1. Children s hospital of Fudan University

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1 Case 1 Children s hospital of Fudan University

2 Medical History General data:female,2y Chief complaint: Claudication of the left limb for 2 week. History of present illness:a 2-year-old girl who didn t want to walk for 2 weeks, with claudication of the left limb, intermittent dry cough with fever for 10 days.

3 Initial radiograph of the pelvis

4 Unenhanced MR images of the pelvis T1WI T2WI

5 Unenhanced MR images of the pelvis T2 FS T2 FS

6 Radiograph of the chest

7 Cervical CT scans Non-enhanced CT CE CT Bone window

8 CT scans of the chest Non-enhanced CT CE CT Lung window

9

10 Case 2 Children s hospital of Fudan University

11 Medical history General data:male,3y Chief complaint:presented with jaudice of 1 week.

12 CT of the abdomen Pancreatic duct Common bile duct

13 Pre-gad T1W MRI of the pancreas T2WI FS DWI b800 T1W gad ADC value:1.439

14

15 Case 1 Shanghai Children s Medical Center

16 Medical History General data:male,9y Chief complaint:abnormal gait for a week. History of present illness:developed abnormal gait a week ago. The boy also had a poor appetite, weight loss for a year. He had been recommended to perform abdominal CT. There was no vomiting, abdominal pain and diarrhea in the history. Physical examination:right lower-abdominal mass, tenderness(+).

17 CT without contrast Soft tissue window

18 CT without contrast Bone window

19 CT with contrast Arterial phase

20 CT with contrast Venous phase

21

22 Case 2 Shanghai Children s Medical Center

23 Medical history General data:female,10y Chief complaint:abdominal mass for one year History of present illness:occasionally found abdominal mass without tenderness one year ago. The mass had progressively enlarged for six months. There were no vomiting, abdominal pain and diarrhea in the history. Physical examination:left-abdominal mass, tenderness (-).

24 CT without contrast

25 CT with contrast(arterial phase)

26 CT with contrast (delay phase)

27

28 Case Children's Hospital of Shanghai

29 Medical History General data: Male,1y & 1m Chief complaint:mass was found in left lower limb for more than 1 year. History of present illness:when the baby was born, his parents noted that the baby s left lower limb was obvious thicker than the right lower limb. And pale yellow and soft leg hair can be visible in the middle area of the left leg. The mass can be touched from upper leg to lower leg. The mass begins from inguinal region and end in ankle joint. The mass is stiff and inactive. Surface skin temperature is obviously up, no redness and swelling, no tenderness, no local wave motion. Left hip joint moves well, but left lower limb is dysfunctional.

30 DR L

31 Routine scan CT enhancement Routine scan enhancement

32 CT

33 MRI T1WI T1WI C + T2WI T2-FS

34 MRI

35

36 Case Wuhan Children s Hospital, Tongji Medical College, Huazhong University of Science & Technology

37 Medical History General data:male,6-month-old. Chief complaint: intermittent fever with high CRP 20 days. History of present illness:the patient sufferd from intermittent fever over 20 days. The temperature fluctuations between 37.8 and 38.8, accompanied by cough, vomit and diarrhea. After treatment these symptoms were relieved except fever and high CRP. Since the disease,no changes in consciousness,appetite,body weigt and stool and urine are normal.

38 Clinical History Laboratory findings:blood routine:rbc 3.35*10^12/L, WBC 14.36*10^9/L,PLT 605*10^9/L,HGB 72g/L CRP mg/l;Tumor markers(-);cerebrospinal fluid (-) ; bone marrow(-) Special condition:no focal neurological deficits, no evidence of lymphadenopathy or skin lesions. Abdominal ultrasound, chest CT and physical examination showed no abnormalities.

39 T1WI T2WI

40 FLAIR

41 DWI

42 Axi +C

43 Sag +C

44 ASL 1.5S 2.5S

45 MRS

46

47 Case 1 Shanghai Xinhua Hospital

48 Medical History General data:male,19m Chief complaint:19 months old boy presented with unstable gaits 1 week ago, developed with tilt head to the right side 5 days ago. History of present illness:1 week ago, parents discovered the boy walk with unsteady steps and tendency to fall to the right. 5 days ago, the boy developed with tilt head to the right side; vomited once with stomach content.

49 Head CT

50 MRI T1WI DWI (b=0) T2 Flair

51 MRI T1WI DWI (b=0) T2 Flair

52 MRI T1WI DWI (b=0) T2 Flair

53 T1WI C+

54 DWI (b=1000 mm 2 /s) MRS ADC= s/mm 2

55

56 Case 2 Shanghai Xinhua Hospital

57 Medical history General data:male,5y Chief complaint:repeated headache with vomiting for 1 week. History of present illness:the boy complained of paroxysmal headache 1 week ago, with no obvious trigger, accompanied by vomiting with stomach content. Symptoms lasted for a short time period with spontaneous remission but attacked repeatedly. Laboratory test results:afp:0.62ng/ml;hcg:11.3miu/ml

58 Head CT

59 MRI T1WI DWI (b=0) T2 Flair

60 MRI T1WI DWI (b=0) T2 Flair

61 MRI T1WI DWI (b=0) T2 Flair

62 Axial T1WI C+

63 Sagittal and Coronal T1WI C+

64

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