Africa Afya Healthcare Limited

17/02/2026

22/01/2026

Radiologists will relate🤣🤣

08/01/2026

Affordable software made for radiologists. Making the repetitive work in radiology, easier for radiologists 👨🏾‍⚕️👩🏾‍⚕️🧑🏾‍⚕️

09/11/2025

A patient presents with chronic wrist pain and numbness. What does the MRI show?

28/10/2025

Post-trauma, we found an 8x5mm osteochondral fracture, full ATFL tear, and 13x10mm avulsion fracture at the medial malleolus in a left ankle MRI. 📷 Diagnosed by our teleradiology team.

23/10/2025

𝗠𝗥𝗜 𝗟𝗲𝗳𝘁 𝗨𝗽𝗽𝗲𝗿 𝗧𝗵𝗶𝗴𝗵 study.
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𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲:
✅ Axial and coronal T1 and T2 & STIR sequences
✅ Sagittal T1& STIR Sequences
𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻:
Recent trauma. Groin pain.
𝗙𝗜𝗡𝗗𝗜𝗡𝗚𝗦:
🔴 Full thickness tear involving the left common adductor origin, with avulsion injury of adductor longus from the p***c attachment with retracted tendon and gapping about 4.5cm.
🔴 Complete adductor longus fibrocartilage avulsion is noted. Pyramidalis is separated from adductor longus. Partial tear of pectineus muscle, reflecting pyramidalis–anterior p***c ligament–adductor longus complex (PLAC) type 2 injury.
🔴 Related turbid collection with hematoma formation averaging 9.5x3cm and showing intermediate T1 signal.
🔴 Normal marrow signal of examined bones.
🔴 No focal osseous lesions identified.
🔴 Normal appearance of the other examined muscle groups.
🔴 Normal appearance of the examined neuro-vascular structures.
✨ 𝑰𝑴𝑷𝑹𝑬𝑺𝑺𝑰𝑶𝑵
🔵 Proximal left adductor longus full thickness tear with PLAC type 2 injury as described.

10/10/2025

𝗠𝘂𝗹𝘁𝗶𝘀𝗹𝗶𝗰𝗲 𝗖𝗧 𝗲𝗻𝘁𝗲𝗿𝗼𝗰𝗼𝗹𝗼𝗻𝗼𝗴𝗿𝗮𝗽𝗵𝘆 study
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21 years old female patient complaining of anorexia and abdominal pain.
𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲:
Multi-slice CT of the abdomen & pelvis following bolus IV contrast administration, oral Mannitol ingestion, and water e***a.
𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻:
abdominal pain, anorexia.
𝗙𝗜𝗡𝗗𝗜𝗡𝗚𝗦:
🔴 Intra-luminal cystic lesion is seen within the 2nd part duodenal lumen averaging 3.4 x 2.2x4.7cm in dimensions showing clear fluid contents and thick enhancing walls.
🔴 This is associated with average-sized CBD (5mm) and pancreatic duct while stretching and compressing the duodenal papilla.
🔴 Suspected CBD opening at medial wall of the cyst.
🔴 Mild central intra-hepatic biliary dilation noted.
𝗢𝘁𝗵𝗲𝗿𝘄𝗶𝘀𝗲
🔵 Stomach: Normal appearance. No mural abnormality.
🔵 Small Bowel: Normal appearance of other bowel loops. No bowel wall thickening. Normal vascularity. Normal mucosal enhancement.
🔵 Colon: Normal appearance. No mural or obstructing lesions. Normal mucosal enhancement
🔵 Gallbladder: partially collapsed with no calcified gallstones.
🔵 Lymph nodes: No pathologically enlarged retroperitoneal, mesenteric or pelvic lymph nodes.
🔵 Vessels: Normal abdominal aorta and its major branches. Normal mesenteric vessels.
🔵 Peritoneum: No ascites or free air.
🔵 Liver: Normal size. Normal attenuation features. No focal lesions seen.
🔵 Portal Vein: Normal diameter. Normal enhancement pattern.
🔵 Pancreas: No calcifications. No focal lesions. No pancreatic duct dilatation.
🔵 Spleen: Normal size. No focal lesions.
🔵 Adrenals: Normal. No focal lesions.
🔵 Kidneys and ureters: Normal size, shape and position. No focal lesions. No renal or ureteric stones. Normal collecting systems.
🔵 Urinary Bladder: Normal.
🔵 Reproductive organs: No definite pathological changes.
🔵 Abdominal wall: Normal.
🔵 Bones: Normal.
🔵 Basal lung scans: Normal.
✨ 𝑰𝑴𝑷𝑹𝑬𝑺𝑺𝑰𝑶𝑵
🔵 CT features are impressive of Choledochocele (type III choledochal cyst) VS duodenal duplication cyst as prime differential diagnosis …for endoscopic assessment.

06/10/2025

𝗟𝗲𝗳𝘁 𝗞𝗻𝗲𝗲 𝗠𝗥𝗜 study
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𝗟𝗲𝗳𝘁 𝗞𝗻𝗲𝗲 𝗠𝗥𝗜 study after osteochondral graft repair and demonstrating reporting scheme with MOCART 2.0 scoring.
𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲:
✅ Sagittal T1, T2, PDFS & gradient sequences.
✅ Axial PDFS & T2 sequences.
✅ Coronal PDFS sequence.
𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻: Knee pain.
𝗙𝗜𝗡𝗗𝗜𝗡𝗚𝗦:
🔴 𝗔𝗿𝘁𝗶𝗰𝘂𝗹𝗮𝗿 𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗲𝘀:
⚠️ The posterior weight bearing aspect of medial femoral condyle shows 2x2cm osteochondral defect managed by previous grafting and currently showing the following features:
1- Volume: Mild hypertrophy (15)
2- Integration: few tiny marginal split like defects (10)
3- Surface: irregularities >50% (0)
4- Structure: heterogeneous (0)
5- Signal: moderate to severe signal abnormalities (0)
6- Bony defects / overgrowth: >50% thickness of native cartilage (0)
7- Subchondral changes: edema like >50% (10)
⚠️ Another small managed osteochondral lesion at anterior margin of lateral femoral condyle.
✅ Patellofemoral compartment: No hyaline cartilage disease.
🔴 𝗠𝗲𝗻𝗶𝘀𝗰𝗶:
✅ Medial meniscus: Intact.
✅ Lateral meniscus: Intact.
🔴 𝗟𝗶𝗴𝗮𝗺𝗲𝗻𝘁𝘀:
✅ Anterior cruciate ligament: Intact.
✅ Posterior cruciate ligament: Intact.
✅ Medial collateral ligament: Intact.
✅ Lateral collateral ligament: Intact.
✅ Posterolateral corner structures: Intact.
🔴 𝗘𝘅𝘁𝗲𝗻𝘀𝗼𝗿 𝗺𝗲𝗰𝗵𝗮𝗻𝗶𝘀𝗺, 𝗠𝘂𝘀𝗰𝗹𝗲𝘀 & 𝗧𝗲𝗻𝗱𝗼𝗻𝘀:
✅ The distal quadriceps and patellar tendons are intact.
✅ The patella is normally positioned within the femoral groove.
✅ There is no retinacular disruption.
✅ Normal appearance of examined muscles and tendons.
🔴 𝗝𝗼𝗶𝗻𝘁 𝗙𝗹𝘂𝗶𝗱:
⚠️ Trace of joint effusion. No Baker's cyst.
🔴 𝗕𝗼𝗻𝗲𝘀:
✅ No fracture, stress reaction, or osseous focal lesion is seen.
✨ 𝑰𝑴𝑷𝑹𝑬𝑺𝑺𝑰𝑶𝑵
🔵 Medial femoral condyle managed OCD with MOCART 2.0 score of 35/100

01/10/2025

𝗠𝘂𝗹𝘁𝗶𝗽𝗵𝗮𝘀𝗶𝗰 𝗥𝗲𝗻𝗮𝗹 𝗠𝗥𝗜 study.
For free trial, send message 📱: "FREE"
𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲:
✅ Axial & Coronal T1 and T2 for the kidneys.
✅ Axial Diffusion and Chemical shift sequences.
✅ Dynamic Multi-Phasic post contrast T1 FS sequences.
𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻:
right renal mass
𝗙𝗜𝗡𝗗𝗜𝗡𝗚𝗦:
🔴 A right renal mass lesion is noted showing the following features:
➡️ Iso-intense signal in T1 and low-intermediate signal intensity in T2 with restricted diffusion in DWI (low ADC value).
➡️ Lesion size: 3.6x4.3x3.7cm
➡️ Cranio-caudal & Axial location: lower pole, entirely below polar line, inclined anteriorly.
➡️ Capsular location: >50% exophytic.
➡️ Margins: circumscribed.
➡️ Lesion type & Matrix: solid
➡️ Enhancement type: Entire mass moderate early enhancement with delayed washout.
➡️ Microscopic fat: present (intra tumoral drop of signal seen in T1 opposed phase)
➡️ Macroscopic fat: Absent.
➡️ Distance to sinus fat & collecting system: touching lower calyces
➡️ Distance to Gerota’s fascia: >4mm.
➡️ Tumor thrombosis & extent: Absent.
➡️ Bland thrombosis: Absent
➡️ Lymph Nodes: Normal.
➡️ Metastasis in field of view: Absent.
🔴 Right upper renal cortical Bosniak I cyst (1.8cm) and other few bilateral tiny cortical cysts noted.
🔴 Otherwise normal size, shape and signal of both kidneys.
🔴 Normal nephrographic pattern in arterial, venous and delayed phases.
🔴 Normal appearance of the pelvi-calyceal systems bilaterally.
🔴 Normal overview of the liver, spleen, pancreas and visualized bowel loops.
✨ 𝑰𝑴𝑷𝑹𝑬𝑺𝑺𝑰𝑶𝑵
🔵 Overall MRI features are impressive of right renal neoplastic solid mass (RCC is prime consideration) Renal Nephrometry Score 7…for histopathology correlation.

21/09/2025

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20/09/2025

𝗧𝗵𝗼𝗿𝗮𝗰𝗶𝗰 𝗜𝗻𝗹𝗲𝘁 𝗠𝗥𝗜 study.
Case chosen for posting based on its difficulty.
𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲
✅ Axial and coronal T1 and T2 & STIR sequences.
✅ Sagittal T1W Sequence.
✅ Post contrast T1 Sequences.
✅ DWI sequence.
𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻:
☑️ Right side lower neck pain and parasthesia.
☑️ Previous biopsy confirmed neurofibroma.
𝗙𝗜𝗡𝗗𝗜𝗡𝗚𝗦:
𝗔 𝘄𝗲𝗹𝗹 𝗱𝗲𝗳𝗶𝗻𝗲𝗱 𝗿𝗶𝗴𝗵𝘁 𝘁𝗵𝗼𝗿𝗮𝗰𝗶𝗰 𝗶𝗻𝗹𝗲𝘁 𝘀𝗼𝗳𝘁 𝘁𝗶𝘀𝘀𝘂𝗲 𝗺𝗮𝘀𝘀 𝗹𝗲𝘀𝗶𝗼𝗻𝘀 𝗶𝘀 𝗻𝗼𝘁𝗲𝗱 𝘀𝗵𝗼𝘄𝗶𝗻𝗴 𝘁𝗵𝗲 𝗳𝗼𝗹𝗹𝗼𝘄𝗶𝗻𝗴:
🔴 Size: averaging 6x5.5x8 cm.
🔴 Signal: mildly heterogeneous T2 hyper, T1 hypo intensity with moderate heterogeneous post-contrast enchantment.
🔴 Superomedial extension into the right C7-T1 right exit foramen.
🔴 Indenting the right lung apex with mild smooth underlying pleural thickening.
🔴 Moderate surrounding soft tissue edema is noted.
🔴 Abutting the related right subclavian vessels and its branches, notably the right vertebral artery as well as the proximal right common carotid artery with smooth displacement.
🔴 Smoothly indenting the trachea and esophagus.
🔴 No pathologically enlarged loco-regional nodes.
🔴 Excised right 1st rib.
𝐈𝐧𝐟𝐫𝐚-𝐡𝐲𝐨𝐢𝐝 𝐧𝐞𝐜𝐤:
🔴 Normal MRI features of the laryngeal, supra-glottic and hypo-pharyngeal structures.
🔴 Normal appearance of the peri-vertebral space and posterior cervical space.
𝐕𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐬𝐭𝐫𝐮𝐜𝐭𝐮𝐫𝐞𝐬:
🔴 showed a normal enhancing pattern of carotid arteries and jugular veins.
𝐓𝐡𝐲𝐫𝐨𝐢𝐝:
🔴 shows a normal size and homogeneous enhancement pattern.
𝗨𝗽𝗽𝗲𝗿 𝗰𝗵𝗲𝘀𝘁:
🔴 normal appearance of the upper mediastinal structures and apical lung fields as well as the rest of upper chest wall.
✨ 𝑰𝑴𝑷𝑹𝑬𝑺𝑺𝑰𝑶𝑵
🔵 Biopsy proved neurofibroma as described.
⚠️ Please note that no patient information disclosed.