Host and Executive Producer Holly Wayment and UT Health San Antonio's Department of Pediatrics bring us this Grand Rounds episode with Desi Schiess, MD, pediatric radiologist. This episode reviews evidence-based imaging choices, radiation considerations, and practical tips for ordering X‑ray, ultrasound, CT, MRI, fluoroscopy, and nuclear medicine in children. It includes case examples, a quiz, and guidance on when to consult a radiologist to ensure safe, effective pediatric imaging.