ABSTRACT

The approach to paediatric imaging is essentially a composite of the suggested approaches in the other chapters. The approach with paediatric films is as for adult films but the differential diagnosis list will be completely different in many cases. Some additional points when approaching paediatric films are: • It is very useful to know whether the child has had a

premature birth as conditions such as hyaline membrane disease and necrotizing enterocolitis are essentially diseases of the premature neonate. In addition, patterns of disease can vary between infants born prematurely and those born at term. For example, hypoxic/ischaemic brain injury in the premature infant leads to periventricular leukomalacia, a pattern of injury rather different to that otherwise seen.