Indian Society of Paediatric Radiology


The Indian Society of Paediatric Radiology (ISPR) was constituted to encourage and advance the knowledge and study of Paediatric Radiology in India since the vast knowledge of medical science needs to look at children and their medical problems in a different perspective. Diseases of children are completely different from adults including the anatomical make up of children differs from that of adults. India being the second most populous country in the world has a considerable paediatric age group population.

The society was formed so that dedicated paediatric radiologists can help, teach and promulgate the knowledge of this discipline to young and upcoming radiologists and help bridge the gap of such radiologists in our institutions which have a lack of specialized radioliogists. It is a non-profitable organization for the promotion of paediatric radiology in India and abroad to assist Government and Non-governmental agencies in all matters pertaining to paediatric radiology & medical diagnostic imaging, to encourage scientific work as well as to promote interaction among members of ISPR and allied specialists.

We hold one Mid-term National CME and one National Conference a year.
We publish an E-Newsletter twice a year for all our members.
We interact with other societies in India & in the world such as WFPI (World Federation of Paediatric Imaging) and AOSPR (Asian & Oceanic Society for Paediatric Radiology).
We have a dedicated team of office bearers with ISPR who help to carry the flag of ISPR forward.


Quiz Answer March 2024

Generalised lymphangiomatosis

qaMar2401A.jpg ISPR Quiz Mar 2024

Post-contrast CT Chest mediastinal window: Non enhancing confluent sheet like hypodensity in the in the entire mediastinum, encasing the mediastinal great vessels without mass effect (blue arrows). Associated pericardial (orange arrow) and right pleural effusion (asterisk). Pleural fluid showed raised triglycerides.

qaMar2402A.jpg ISPR Quiz Mar 2024

Smooth interlobular septal thickening (yellow arrows) as well as peribronchovascular thickened soft tissue (blue arrows). Associated thickening/ effusion along the fissures (red arrows).

qaMar2403A.jpg ISPR Quiz Mar 2024

MRI chest and abdomen - Diffuse confluent sheet like lesions in the anterior and middle mediastinum (blue arrows), superiorly extending up to the neck. Associated similar lesions in the retroperitoneum surrounding the aorta and IVC (yellow arrow).

qaMar2404A.jpg ISPR Quiz Mar 2024

Multiple tiny hyperintense lesions in the spleen (blue arrows). Hyperintense multiple vertebral body lesions (yellow arrows) without destruction of the overlying cortex or adjacent soft tissue.

Generalised lymphangiomatosis is an extremely rare congenital anomaly leading to abnormal proliferation, thickening and dilatation of lymphatic channels. It may involve multiple system except CNS.

Imaging features of generalised lymphangiomatosis are classical and hence should be kept in mind when there is multisystem/ multiorgan involvement of the disease as in our case which helps in reaching early diagnosis and precludes unnecessary exhaustive invasive to non invasive investigations.

Recent data suggests to preclude biopsy in view of bleeding tendency of the these lesions as imaging findings when classical are sufficient and many times the biopsy results are inconclusive as in our case.

Chylothorax with bone involvement: poor prognosis.

Whole body MRI is recommended for generalised lymphangiomatosis based on its

  • High sensitivity to diagnose
  • Ability to eliminate differential diagnoses and make exhaustive lesions assessment
  • Its non-radiating character for long-term follow-up
    1. Herruela-Suffee C, Warin M, Castier-Amouyel M, Dallery F, Bonnaire B, Constans JM. Whole-body MRI in generalized cystic lymphangiomatosis in the pediatric population: diagnosis, differential diagnoses, and follow-up. Skeletal Radiol. 2016 Feb;45(2):177-85. doi: 10.1007/s00256-015-2280-8. Epub 2015 Nov 7. PMID: 26545884.
    2. Wunderbaldinger P, Paya K, Partik B, Turetschek K, Hormann M, Horcher E, et al. CT and MR imaging of generalized cystic lymphangiomatosis in pediatric patients. AJR Am J Roentgenol 2000;174(March):2-9
    3. Yang DH, Goo HW. Generalized lymphangiomatosis: radiologic findings in three pediatric patients.Korean J Radiol. 2006;7(4):287-291. doi:10.3348/kjr.2006.7.4.287
    4. Putta T, Irodi A, Thangakunam B, Oliver A, Gunasingam R. Young patient with generalized lymphangiomatosis: Differentiating the differential.Indian J Radiol Imaging. 2016;26(3):411-415. doi:10.4103/0971-3026.190416