A Pediatric Radiology Textbook and Pediatric Radiology Digital Library
Post Radiation Scoliosis
Etiology: Radiation therapy to a paraspinal structure such as neuroblastoma or Wilms tumor
Imaging Radiograph: Apex of the scoliosis curve points away from the side of the radiation
DDX:
Complications:
Treatment:
Clinical:
Radiology Cases of Post Radiation Scoliosis
CXR AP (left) taken as an infant shows a round left-sided soft tissue mass that was in the posterior mediastinum and found to be neuroblastoma that was subsequently treated in part with radiation therapy. CXR AP (right) taken 17 years later shows a curvature of the upper thoracic spine convex to the right.CXR AP shows a mild curvature of the thoracolumbar spine convex to the left. Several calcifications are seen projecting over the liver.