Electronic collimation and radiation protection in paediatric digital radiography: revival of the silver lining
An 11-month-old baby girl was referred for abdominal X-ray, in addition to abdominal ultrasound, because of continuous crying and a painful abdomen (Fig. ). In the initially presented radiographs no abnormalities were found and the child was admitted to the hospital for observation. The following day a swollen left upper leg was noted by a nurse. An X-ray of the left femur was made, demonstrating a distal femoral fracture (Fig. ). When asked for the original non-collimated X-ray of the abdomen, the distal femoral fracture could be seen retrospectively, thereby confirming that the fracture was already present at first presentation and probably the cause of the initial crying (Fig. ). This was followed by the non-accidental injury protocol.