Intentional abuse of an infant is usually apparent. External injuries such as burns, bites, and bruises, as well as the skeletal changes of fractures, frequently multiple and in various stages of healing, are obviously intentionally inflicted, and are impossible accidental injuries for the nonambulatory young infant. Similar injuries in young children may be more difficult to evaluate because of their fear of and intimidation by the person who inflicted the injury. Fortunately, the high degree of suspicion regarding the nature of the injury permits the physician to make his accusations with legal protection in our judicial system. Every radiologist should be concerned with the responsibility of reporting to the referring physician the possibility of intentional trauma to infants and children. In Harris County, where Houston is located, there are 1,500 reports per month of child abuse; in other words, this approximates 18,000 cases a year in our community, and the radiologist is frequently the first physician to see evidence of the abused child. Not only is it a moral responsibility for the radiologist to report his suspicions, but in the state of Texas, as in other states, "any person having cause to believe that a child's physical and mental health, or welfare has been or may be adversely affected by abuse or neglect shall report" to the appropriate agency. A more recent amendment to this law is a penalty for failure to report. A person commits an offense if the person has cause to believe that a child's physical and mental health or welfare has been or may be adversely affected further by abuse or neglect and knowingly fails to report it. It is hoped that any radiologist recognizing either pathognomonic or suspicious signs of child abuse will have the conscience and courage to take a strong stand for the protection of the abused infant or child. Accidental injuries in older children may offer problems in diagnosis if there is no history available or if there is a denial of an injury. Some of these injuries may produce radiographic findings suggesting some form of metaphyseal or diaphyseal dysplasia. Iatrogenic injuries are frequently the result of physiologic or anatomical response to proper and lifesaving treatment. The most serious of these are found in the premature infant, who may suffer chronic lung disease or, more seriously, brain damage.(ABSTRACT TRUNCATED AT 400 WORDS)

HomeRadiologyVol. 154, No. 1 PreviousNext ArticlesSPECIAL REPORTFilm Interpretation Session Radiological Society of North America Seventieth Scientific Assembly and Annual Meeting, November 1984 Summary of Discussion and DiagnosesThomas C. Beneventano, David G. Bragg, Fred J. Hodges, III, Jack P. Lawson, Edward B. Singleton, Theodore E. KeatsThomas C. Beneventano, David G. Bragg, Fred J. Hodges, III, Jack P. Lawson, Edward B. Singleton, Theodore E. KeatsAuthor AffiliationsDepartment of Radiology, University of Virginia School of Medicine, Charlottesville, VA 22908Thomas C. BeneventanoDavid G. BraggFred J. Hodges, IIIJack P. LawsonEdward B. SingletonTheodore E. KeatsPublished Online:Jan 1 1985https://doi.org/10.1148/radiology.154.1.255MoreSectionsPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In Article HistoryPublished in print: Jan 1985 FiguresReferencesRelatedDetailsCited ByIntramural hemorrhage simulating gastric neoplasmScott E.Sheward, MichaelDavis, Eugenio G.Amparo, Howard K.Gogel1988 | Gastrointestinal Radiology, Vol. 13, No. 1Recommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 154, No. 1 Metrics Altmetric Score PDF download

HomeRadiologyVol. 153, No. 1 Next ArticlesFilm Interpretation SessionSunday, November 25, 1984 5:00-6:30 P.M.Thomas C. Beneventano, David G. Bragg, Fred J. Hodges, III, Jack P. Lawson, Edward B. Singleton, Theodore E. KeatsThomas C. Beneventano, David G. Bragg, Fred J. Hodges, III, Jack P. Lawson, Edward B. Singleton, Theodore E. KeatsAuthor AffiliationsBronx, NYSalt Lake City, UTSt. Louis, MONew Haven, CTHouston, TXDepartment of Radiology, University of Virginia Hospital, Charlottesville, VA 22908Thomas C. BeneventanoDavid G. BraggFred J. Hodges, IIIJack P. LawsonEdward B. SingletonTheodore E. KeatsPublished Online:Oct 1 1984https://doi.org/10.1148/radiology.153.1.1MoreSectionsPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In Article HistoryPublished in print: Oct 1984 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 153, No. 1 Metrics Altmetric Score PDF download

The role of computed tomography (CT) in the management of chest masses in the pediatric patient is emphasized and illustrated. Thirty-seven patients with various chest lesions who had both CT and conventional radiologic evaluations are reviewed. CT was the most consistently accurate examination, especially in the evaluation of disease extent and relationship with other organs. CT was the only modality to provide clinically useful information in 27% of the cases, and it provided significant additional information in another 24% of the group.

HomeRadiologyVol. 140, No. 2 Next ArticlesAnnual Oration, 1980A Tribute to William Henry Neil, M.D.Edward B. Singleton, Robert D. MoretonEdward B. Singleton, Robert D. MoretonEdward B. SingletonRobert D. MoretonPublished Online:Aug 1 1981https://doi.org/10.1148/radiology.140.2.289MoreSectionsPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In Article HistoryPublished in print: Aug 1981 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 140, No. 2 Metrics Altmetric Score PDF download

HomeRadiologyVol. 137, No. 3 PreviousNext Film interpretation session: Radiological Society of North America. Sixty-sixth scientific assembly and annual meeting, November 1980. Summary of discussion and diagnoses.E B Singleton, J S Dunbar, R G Fraser, H M Goldstein, T E Keats, T F MeaneyE B Singleton, J S Dunbar, R G Fraser, H M Goldstein, T E Keats, T F MeaneyE B SingletonJ S DunbarR G FraserH M GoldsteinT E KeatsT F MeaneyPublished Online:Dec 1 1980https://doi.org/10.1148/radiology.137.3.7444072MoreSectionsPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In Article HistoryPublished in print: 1980 FiguresReferencesRelatedDetailsCited ByExtraskeletal Ewing sarcoma with computed tomography correlationJudith S.Rose, GeorgeHermann, David S.Mendelson, Edward P.Ambinder1983May1 | Skeletal Radiology, Vol. 9, No. 4Calcific tendinitis of the gluteus maximus tendon (Gluteus maximus tendinitis)J. F.Wepfer, J. G.Reed, G. M.Cullen, W. P.McDevitt1983Feb1 | Skeletal Radiology, Vol. 9, No. 3Recommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 137, No. 3 Metrics Altmetric Score PDF download

HomeRadiologyVol. 133, No. 1 PreviousNext Book ReviewsThe Newborn. Vol. 12 of Advanced Exercises in Diagnostic RadiologyEdward B. SingletonEdward B. SingletonEdward B. SingletonPublished Online:Oct 1 1979https://doi.org/10.1148/133.1.104bMoreSectionsPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In Article HistoryPublished in print: Oct 1979 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 133, No. 1 Metrics Altmetric Score PDF download

Computerized tomography of the abdomen and chest has a major advantage in accurately locating normal viscera and demonstrating neoplastic lesions. Nevertheless, a fast scan is mandatory in the pediatric age group. The major advantages of computerized scanning in these areas seem at this time to lie in its capacity to outline the anatomy more clearly and to provide a means of following patient progress during the course of treatment. In all probability, future development of computerized tomography will result in more significant attenuation coefficients leading to more accurate tissue diagnosis.