Paediatric, Respiratory system, Thorax, Conventional radiography, CT, MR, Diagnostic procedure, Laboratory tests, Education, Inflammation, Neoplasia, Congenital
N. A. Arkoudis, A. Pastroma, G. Velonakis, V. Bizimi, C. Kontopoulou, K. Priftis, N. L. Kelekis, E. Alexopoulou; Athens/GR
The radiologist should be familiar with the imaging manifestations of the SRPL.
Radiographic features that can be used in the assessment of a SRPL include size,
ground glass appearance,
and metabolic activity.
Imaging findings along with the patient’s general health status,
previous medical history,
laboratory results and clinical examination help in elaborating and narrowing down the differential diagnosis aiding in the diagnostic approach.
Helpful clues for diagnosis - take home messages - are offered in the conclusive table below:
Table 2: Conclusive table - take home messages - showcasing the differential diagnosis of a solitary round pulmonary lesion (SRPL) in the pediatric population, as well as helpful clues for diagnosis.
References: 2nd Department of Radiology, University General Hospital of Athens "Attikon"
When diagnosis is uncertain follow up may offer valuable insight on the nature of the lesion.
Finding an incidental pulmonary nodule in a child is clearly different from finding an incidental pulmonary nodule in an adult.
Application of the adult guidelines (Fleischner Society) is not appropriate