Child Abuse:
The Role of Radiology
LtCol Gael J. Lonergan, MD

Chief of Pediatric Radiology
Uniformed Services University of the Health Sciences
Bethesda, MD
and,
Armed Forces Institute of Pathology
Washington, D.C.


Scope of the problem SIDS Radiology’s role in physical abuse Findings in abuse Common radiographic findings in abuse Skeletal injury Long bone shaft fracture Developmental milestones Metaphyseal fracture Radiology of metaphyseal fracture What about bone scans? Consider bone scan if: Rib fracture Healing of fractures Brain injury Injury patterns to the brain Interhemispheric subdural hematoma The bright cerebellum sign
(aka the reversal sign) Skull fracture Retinal hemorrhage Abdominal injury Small bowel Pancreas Other abdominal injuries Radiographic evaluation of possibly abused children < 2 years of age Radiographic evaluation of possibly abused children > 2 years of age Post-mortem evaluation Child abuse Your job . . . Child physical abuse web site