With new tower completion in 2021, our pediatric beds increase to 250 with a new radiology department, dedicated IR suite, NICU and OR MRIs, and PET CT/MRI. The pediatric radiology fellowship was the first fellowship at our institution in 2004 with two faculty and has grown to 8 faculty in 2018. Our institution has grown to 9 fellowship programs, 228 pediatric subspecialty physicians, and 204 primary care physicians. We use Rapid MR rather than CT for many applications including appendicitis.