E2083. Imaging Sequelae of Eating Disorders
  1. Nadia Solomon; Yale School of Medicine
  2. Anne Sailer; Yale School of Medicine
  3. Priyanka Jha; University of California San Francisco
  4. Douglas Katz; New York University Long Island School of Medicine
  5. Maria Zulfiqar; Washington University School of Medicine St. Louis
  6. Mark Sugi; University of California San Francisco
  7. Margarita Revzin; Yale School of Medicine
Eating disorders are common disorders associated with high morbidity and mortality, yet they tend to be underdiagnosed and undertreated due to societal stigma and associated poor patent compliance. Imaging findings may suggest the diagnosis and is important for identifying complications. We aim to provide a review of imaging findings seen in patients with eating disorders as well as findings associated with their complications.

Educational Goals / Teaching Points
Familiarize the radiologist with the spectrum of eating disorders. Discuss the clinical presentation of eating disorders and their medical complications/sequelae. Describe the imaging features associated with common and uncommon sequelae. Provide an overview of management and treatment of eating disorders. Review conditions that can mimic eating disorders, including substance abuse, medically-induced eating disorders, and malnourishment in oncology patients.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Neurologic (e.g., volume loss, osmotic myelinolysis). Head and neck (e.g., dental caries, patulous eustachian tube). Pulmonary (e.g., aspiration/infection/abscess, lipoid pneumonia). Cardiac (e.g., right ventricular dilatation, pericardial effusion). Gastrointestinal (e.g., gastric dilatation, bezoar). Urogenital (e.g., female genital tract immaturity). Musculoskeletal: (e.g., osteopenia, delayed skeletal growth).

Recognition of any of the variety of potential imaging manifestations of eating disorders and related complications by the radiologist can play a vital role in the appropriate diagnosis and prompt management of these patients in whom the correct diagnosis might otherwise be missed.