Dr Hirani's Cases Of Radiology

14/09/2021

CASE:
A 12 year girl presented with
• Colicky pain
• Nausea
• Occasional vomiting
• Mild distension of abdomen -> 1-2 days
Findings :
In Scanogram & CT Scan - Proximal small bowel obstruction with Dilated Jejunal loop, collapsed Ileal loop and centrally twisted small bowel loop observed.
Intervention and Outcome :
Patient underwent operation . A small bowel adhesion in post peritoneum was evident and twisting of bowel around it. Bowels were healthy and no resection was done.

08/02/2019

An Intresting Case - Solitary Bone Plasmacytoma on MRI - Verified Histopathology

------------------------------------------------------------------------
--->Solitary bone plasmacytomas is an uncommon plasma cell tumor which is localised to bone. They may involve any bone, but they have a predisposition for the red marrow-containing axial skeleton:

*spinal disease is observed in ~50% (range 34-72%) of cases.

*the thoracic vertebrae are most commonly involved, followed by lumbar, sacral, and cervical vertebrae.

*the rib, sternum, clavicle, or scapula is involved in 20% of cases.

--->Solitary bone plasmacytoma is one of the two subgroups of plasmacytoma, the other being the extramedullary plasmacytoma.

----------------------Diagnostic criteria-------------------------
Diagnostic criteria for solitary bone plasmacytoma has been considered as follows :

*single area of destruction due to clonal plasma cells
*bone marrow plasma cell infiltration

08/02/2019

Good evening friends.

08/08/2016

Case of the Week:

CHOROIDAL DETACHMENT

History:
Patient presented with Occular Trauma as a result of Animal Horn Injury. Patient was referred by Ophthalmologist for a B- Scan.

USG Finding :
Dome shaped elevation of choroidal membrane with SUBCHOROIDAL Haemorrhage with characteristic "KISSING Sign"
noted on B- Scan.

Defination:
Hemorrhagic choroidal detachment is a hemorrhage in the suprachoroidal space or within the choroid caused by the rupture of choroidal vessels.

Etiology:
--Ocular trauma

--During eye surgery, or after eye surgery

--Spontaneous (Rare)

D/D:

--Exudative Retinal Detachment

--Malignant Glaucoma

--Postoperative Retinal Detachment

--Pseudophakic Pupillary Block

--Tractional Retinal Detachment

13/05/2016

13/05/2016

Case of the Week:

FEMORAL HERNIA

-Femoral hernias occur below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness called the femoral canal.

-They are relatively uncommon type, accounting for only 3% of all hernias.

-Common in Adult Female.

04/04/2016

Case of Week :
MILIARY TB IN HRCT :

- Miliary tuberculosis (TB) is the widespread dissemination of
Mycobacterium tuberculosis via hematogenous spread.

- Classic miliary TB is defined as :
"Milletlike" (mean, 2 mm; range, 1-5 mm) seeding of TB bacilli in the lung, as evidenced on chest radiography.

30/11/2015

CASE OF THE WEEK :
Encysted Hydrocoele of the Spermatic cord

A 3 Year old Child with pain and swelling at right groin since 3 to 4 days.

Features in this case:
- Chance of Haemorrhage after Trauma in view of Bright Echo
- Both sided Blind ends
- Cord Traction Test Positive

20/11/2015

CASE OF THE WEEK :

PAROTID Swelling - COLD ABSCESS

- Cold abscess refers to an abscess that lacks the intense inflammation usually associated with infection majorly tuberculosis.

- NOT Accompanied by Typical features of Inflammation.

- Common SItes: Neck and Axilla are mos common. Other sites
include groin , back , sides of chest wall.

Pathological Investigation - FNAC

USG features: Hypoechoic lesion with internal echoes representing the debris within the abscess

Further referance :
http://www.slideshare.net/sudheer699/cold-abscess

07/11/2015

CASE OF THE WEEK :

VITREOUS HAEMORRHAGE
B-Scan (Right Eye)

Vitreous hemorrhage is the extravasation, or leakage, of blood into the areas in and around the vitreous humor of the eye. The vitreous humor is the clear gel that fills the space between the lens and the retina of the eye.

Case:
The patient is hypertensive with visual dimness.

Preferred Diagnostic Modality:
USG B - Scan with high frequency probe

Findings to be noted:
Vitreous Haemorrhage with posterier vitreous detachment seen.

29/10/2015

CASE OF THE WEEK
ADENOMYOSIS

Adenomyosis, also referred to as “uterine endometriosis,” is a benign disease confined to the uterine muscle. Endometrial cells from the lining of the endometrial cavity, migrate from that lining, most commonly into the posterior side or back wall of the uterus.

Preferred Diagnostic Modality:

MRI is the most preffered modality. It especially helps in differentiating Endometrial Pathology from Myometrial Pathology and also helps to differentiate Myometrial invasion by Endometrial tissue.

Ultrasonography is the next most preferred.

Differential diagnosis:

The differential depends on the macroscopic distribution of endometrial tissue.

For diffuse disease consider:

-normal uterus
-diffuse uterine leiomyomatosis
-myometrial contraction: transient finding
-malignancy
-endometrial carcinoma
-endometrial stromal sarcoma (ESS)


For focal disease (adenomyoma) consider:

-uterine fibroma (leiomyoma)
-better defined than adenomyoma
-may have pseudocapsule of compressed adjacent myometrial tissue
-malignancy
-endometrial carcinoma
-endometrial stromal sarcoma (ESS)
-uterine tumour (e.g. uterine leiomyosarcoma)