Infant with stridor and a scalp hemangioma

Radiograph of subglottic hemangioma — Lateral radiograph of the airway shows a subglottic soft tissue mass.

The diagnosis was a subglottic hemangioma.

School ager with stridor

Radiograph and nuclear medicine scan of ectopic thyroid — Lateral radiograph of the airway (left) shows a mass at the base of the tongue that when overlaid / registered with a thyroid nuclear medicine scan (right) shows radiotracer uptake in the mass.

The diagnosis was ectopic thyroid.

Preschooler with stridor

US of thyroglossal duct cyst — Transverse (above) and sagittal (below) US of the neck shows a cyst in the midline of the neck that moved in relationship with tongue protrusion.

The diagnosis was thyroglossal duct cyst.

Toddler with stridor

Radiograph of epidermal inclusion cyst of tongue — Lateral radiograph of the airway shows a mass at the base of the tongue.

The diagnosis was epidermal inclusion cyst of tongue.

Toddler with stridor

Radiograph of Pierre Robin syndrome — AP + lateral radiographs of the airway shows a micronathia and posterior displacement of the tongue.

The diagnosis was Pierre Robin syndrome.

Teenager with epistaxis

CT and angiogram of juvenile nasopharyngeal angiofibroma — Axial CT without contrast of the face (above) shows a large left sided sinonasal soft tissue mass. Early (below left) and later (below right) lateral images from a carotid angiogram show the mass to be hypervascular.

The diagnosis was juvenile nasopharyngeal angiofibroma.

Newborn with hypoxia with feeding

Radiograph of choanal atresia — AP + lateral radiographs of the airway after the injection of contrast into the nares bilaterally shows no passage of contrast into the oropharynx with the obstruction at the level of the vomer.

The diagnosis was bilateral choanal atresia.

School ager with stridor

Radiograph of palatine tonsil hypertrophy — Lateral radiograph of the airway shows enlargement of the palatine tonsils.

The diagnosis was palatine tonsil hypertrophy.

Preschooler with stridor

Radiograph of lingual tonsil hypertrophy — AP + lateral radiographs of the airway shows enlargement of the lingual tonsils.

The diagnosis was lingual tonsil hypertrophy.

Preschooler with stridor

Radiograph of adenoid tonsil hypertrophy and palatine tonsil hypertrophy — Lateral radiographs of the airway shows enlargement of the adenoid tonsils and the palatine tonsils.

The diagnosis was adenoid tonsil hypertrophy.

Preschooler with stridor

Radiograph of retropharyngeal abscess — Lateral radiograph of the airway taken in inspiration and extension shows massive thickening of the prevertebral soft tissues.

The diagnosis was retropharyngeal abscess.

Infant with congenital scoliosis

CXR and CT of neurenteric cyst — CXR shows congenital scoliosis due to vertebral segmentation anomalies in the upper thoracic spine. Axial CT with contrast of the chest shows a cystic lesion to the right of the spine in the posterior mediastinum.

The diagnosis was neurenteric cyst.

School ager with skin stigmata

CXR and MRI of neurofibromatosis type I — CXR shows a posterior mediastinal mass. Coronal and sagittal T1 MRI without contrast of the thoracic spine shows dural ectasia.

The diagnosis was neurofibromatosis type I.