MRIassessmentoflungvolumeinpatientswithadolescent.pptVIP

Pneumonia in children including SARS Winnie Chu Role of imaging of pulmonary infection in children Role of imaging in pneumonia Confirmation/ exclusion Underlying cause when failure to resolve or recur Acute complications Chronic sequelae Characterization and prediction of infectious agent Follow up CXR Not a routine Post-obstructive pneumonia secondary to CA is not a concern reserved for: persistent symptoms recurrent symptoms immunodeficiency Persistent/ recurrent pneumonia Developmental lung masses sequestration bronchogenic cyst cystic adenomatoid malformation reflux, aspiration, systemic disorders Acute complications Parapneumonic effusion cavitary necrosis empyema lung abscess pneumothorax purulent pericarditis Guiding management Placement of chest tubes loculated collection Chronic sequelae Parenchymal scarring bronchial wall thickening bronchiectasis bronchiolitis obliterans Swyer-James syndrome Typical pneumonia SARSSevere Acute Respiratory Syndrome Risk in children household contact healthcare setting contact Presenting symptoms of SARS children Distribution of air-space opacification on CXR Radiological change Worst CXR appearance Radiological changes Complete resolution of CXR Role of HRCT in SARS Aid diagnosis in children with strong clinical suspicion of SARS but non-contributory CXR Assessment of treatment response in prolonged course of the disease Outcome Discharge: 16 Observation: 1 Mortality : 0 Conclusion Young children develop a milder form of the disease with a less aggressive clinical course and milder radiological changes Conclusion Teenagers may simulate adult pattern, presenting with a more severe clinical disease and bizzare radiological finding THANK YOU The Chinese University of Hong Kong Department of Diagnostic Radiology and Organ Imaging Prince of Wales Hospital 0 20 40 60 80 100 120 fever cough myalgia chills/ rigor runny nose dyspnoea sorethroat headache dizziness malaise febrile convulsion Percentage Zonal distribution