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Surveillance of Actionable Pulmonary Nodules in Children: The Potential of Thoracic MRI

Chest magnetic resonance imaging (MRI) has emerged as a radiation-free alternative to computed tomography (CT) for the evaluation of thoracic abnormalities, including pulmonary nodules; particularly those measuring one centimeter or greater, the size for which magnetic resonance has demonstrated 100% sensitivity. We describe the case of a 9-year-old girl presenting with necrobiotic pulmonary nodules secondary to Crohn’s disease in which MRI was successfully utilized to monitor treatment response. This case demonstrates that chest MRI may be an effective and practical imaging modality that can be used for the surveillance of actionable pulmonary nodules in children.


Karissa A Brazauskas, Jeanne B Ackman and Benjamin Nelson

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