Multiple system atrophy (MSA) is an adult onset, sporadic, progressive neurodegenerative disorder. It is an alpha synucleinopathy and the presentations include parkinsonism, cerebellar ataxia and autonomic symptoms in varying combinations. The two clinical phenotypes recognized are parkinsonian variant (MSA-P) and the cerebellar variant (MSA-C). Since many of the clinical features overlap with Parkninson’s disease, it is often misdiagnosed as Parkinson’s disease in the early stages. Since MSA is a progressive disorder with poor prognosis, it is important for the treating physician to recognize this entity and provide prognostication. MRI brain may help in differentiating between these two and an important radiological sign in MSA-c is the ‘Hot cross bun’ sign. It refers to the cruciform T2 hyperintense signal on axial magnetic resonance imaging (MRI) of the pons. We hereby report two patients who presented with progressive slowness in waking, ataxia, pyramidal signs and orthostatic hypotension, whose MRI brain showed the characteristic hot cross bun sign.
{"title":"Hot Cross Bun Sign- A Case Series","authors":"Sasikumar Sheetal, Reji Thomas","doi":"10.3126/njr.v11i1.37172","DOIUrl":"https://doi.org/10.3126/njr.v11i1.37172","url":null,"abstract":"Multiple system atrophy (MSA) is an adult onset, sporadic, progressive neurodegenerative disorder. It is an alpha synucleinopathy and the presentations include parkinsonism, cerebellar ataxia and autonomic symptoms in varying combinations. The two clinical phenotypes recognized are parkinsonian variant (MSA-P) and the cerebellar variant (MSA-C). Since many of the clinical features overlap with Parkninson’s disease, it is often misdiagnosed as Parkinson’s disease in the early stages. Since MSA is a progressive disorder with poor prognosis, it is important for the treating physician to recognize this entity and provide prognostication. MRI brain may help in differentiating between these two and an important radiological sign in MSA-c is the ‘Hot cross bun’ sign. It refers to the cruciform T2 hyperintense signal on axial magnetic resonance imaging (MRI) of the pons. We hereby report two patients who presented with progressive slowness in waking, ataxia, pyramidal signs and orthostatic hypotension, whose MRI brain showed the characteristic hot cross bun sign. \u0000 ","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122023036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond Radiology Training","authors":"B. R. Joshi","doi":"10.3126/njr.v11i1.40468","DOIUrl":"https://doi.org/10.3126/njr.v11i1.40468","url":null,"abstract":"<jats:p>N/A</jats:p>","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"318 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122869522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The pitfalls associated with breast sonography are important to recognize because these may prompt biopsy of a benign lesion or result in failure to recognize a breast cancer.. The important categories of pitfalls are anatomical, technical and professional. The true cause of pseudo lesions is more evident at real time imaging. Appropriate machine setting, knowledge of breast anatomy and scanning in two planes is essential.
{"title":"Pitfalls in breast ultrasound","authors":"B. R. Joshi","doi":"10.3126/njr.v11i1.36510","DOIUrl":"https://doi.org/10.3126/njr.v11i1.36510","url":null,"abstract":"The pitfalls associated with breast sonography are important to recognize because these may prompt biopsy of a benign lesion or result in failure to recognize a breast cancer.. The important categories of pitfalls are anatomical, technical and professional. The true cause of pseudo lesions is more evident at real time imaging. Appropriate machine setting, knowledge of breast anatomy and scanning in two planes is essential.\u0000 ","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132267437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The main aim of this study was to determine the prevalence of main and right portal vein variation in study population and evaluate their branching patterns on abdominal CT. Methods: A hospital based cross sectional study was carried out in Department of Radiology, BPKIHS over a period of 6 months after taking ethical approval from institutional review committee. 375 cases referred for abdominal CT for various indications were included in the study. Results: Classic main portal vein branching pattern (Type 1) was identified in 305 (81.3%) cases. Main portal vein branching variations were identified in 70 (18.7 %) cases of which most common variation was trifurcation pattern (Type 2) seen in 48 (12.8%) cases followed by right posterior portal vein as first branch of main portal vein (Type 3) seen in 21 (5.6%) cases. Out of 305 cases with Type 1 branching pattern, classic branching pattern of right portal vein was noted in 285 (93.4%) cases. Right portal vein variations were identified in 20 (6.5%) cases. Common variations of right portal vein noted in our study were early origin of segment VlI branch from right portal vein seen in 5 cases (1.6%), early origin of segment VI branch from right portal vein seen in 4 (1.3%) cases and quadrifurcation pattern seen in 3 cases (0.98%). Conclusion: Prevalence of portal vein variations is high on routine abdominal CT scans. Knowledge about branching patterns of these variations can be useful to reduce liver injury and complications during hepatic surgeries and interventions.
{"title":"Evaluation of variation of portal vein branching pattern on Multidetector Computed Tomography in adult population","authors":"K. Adhikari, K. Devkota, Sapana Koirala","doi":"10.3126/njr.v11i1.35533","DOIUrl":"https://doi.org/10.3126/njr.v11i1.35533","url":null,"abstract":"Introduction: The main aim of this study was to determine the prevalence of main and right portal vein variation in study population and evaluate their branching patterns on abdominal CT.\u0000Methods: A hospital based cross sectional study was carried out in Department of Radiology, BPKIHS over a period of 6 months after taking ethical approval from institutional review committee. 375 cases referred for abdominal CT for various indications were included in the study.\u0000Results: Classic main portal vein branching pattern (Type 1) was identified in 305 (81.3%) cases. Main portal vein branching variations were identified in 70 (18.7 %) cases of which most common variation was trifurcation pattern (Type 2) seen in 48 (12.8%) cases followed by right posterior portal vein as first branch of main portal vein (Type 3) seen in 21 (5.6%) cases. Out of 305 cases with Type 1 branching pattern, classic branching pattern of right portal vein was noted in 285 (93.4%) cases. Right portal vein variations were identified in 20 (6.5%) cases. Common variations of right portal vein noted in our study were early origin of segment VlI branch from right portal vein seen in 5 cases (1.6%), early origin of segment VI branch from right portal vein seen in 4 (1.3%) cases and quadrifurcation pattern seen in 3 cases (0.98%).\u0000Conclusion: Prevalence of portal vein variations is high on routine abdominal CT scans. Knowledge about branching patterns of these variations can be useful to reduce liver injury and complications during hepatic surgeries and interventions.\u0000 ","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127050577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Castleman disease (CD) is a group of lymphoproliferative disorders with common lymph node histological features. It may be either unicentric or multicentric. Unicentric Castleman disease (UCD) is localized and carries an excellent prognosis, whereas multicentric Castleman disease (MCD) is a systemic disease occurring most commonly in the setting of HIV infection and is associated with human herpesvirus 8.1Castleman disease in the abdomen and pelvis is rare and liable to misdiagnosis, but its characteristic imaging features can help in the diagnosis and differential diagnosis.2Unicentric Castleman disease (UCD) is rare, and there are no reliable estimates of its incidence in the population. While UCD can occur at any age, it is generally a disease of younger adults. The median age at presentation is approximately 35 years.3, 4
{"title":"Castleman Disease: A case report","authors":"S. Jha, A. Jha, D. Regmi, U. Bhatta, Goody Jha","doi":"10.3126/njr.v11i1.37067","DOIUrl":"https://doi.org/10.3126/njr.v11i1.37067","url":null,"abstract":"Castleman disease (CD) is a group of lymphoproliferative disorders with common lymph node histological features. It may be either unicentric or multicentric. Unicentric Castleman disease (UCD) is localized and carries an excellent prognosis, whereas multicentric Castleman disease (MCD) is a systemic disease occurring most commonly in the setting of HIV infection and is associated with human herpesvirus 8.1Castleman disease in the abdomen and pelvis is rare and liable to misdiagnosis, but its characteristic imaging features can help in the diagnosis and differential diagnosis.2Unicentric Castleman disease (UCD) is rare, and there are no reliable estimates of its incidence in the population. While UCD can occur at any age, it is generally a disease of younger adults. The median age at presentation is approximately 35 years.3, 4","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114624753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mamata Bhattarai, B. Thapa, S. Khadka, Govardhan Thapa
Introduction: Chance fracture is a horizontal fracture of the vertebra extending from the posterior element to the vertebral body due to flexion-distraction injury and is potentially unstable. The aim of this study was to evaluate the demography and Computed Tomography scan findings in Chance fracture of the spine. Method: A retrospective study was conducted at the National Trauma Center, National Academy of Medical Sciences over a period of one year (December 2019 to December 2020). Demographic data, mechanism of injury, and computed tomographic findings of Chance fracture were recorded. Result: Computed tomography scans of 41 patients with Chance fracture were identified. Fall injury (76%) was the most common cause of Chance fracture followed by road traffic accidents. This fracture was most commonly seen in thoracolumbar junction TLJ (D10-L2); with L1 being the most affected vertebra (36.5%). Among posterior elements, facet distraction (84%) was the most common finding followed by lamina fracture (83%), and pedicle fracture (68%). Regarding vertebral body fracture, involvement of both superior and inferior endplates were common than isolated involvement of either one of them. CT revealed that a burst component was a common finding (68%) in Chance fracture. Conclusion: Chance fracture was commonly caused by fall injury in our context which is higher in incidence than previously reported. More than half of patients with Chance fracture also had Burst-type components that could influence surgical management. Computed tomography scans is a useful imaging modality for the assessment of Chance fracture and burst component.
{"title":"Assessment of Chance fracture on Computed Tomography Scan in Tertiary Trauma Care Center of Nepal.","authors":"Mamata Bhattarai, B. Thapa, S. Khadka, Govardhan Thapa","doi":"10.3126/njr.v11i1.38545","DOIUrl":"https://doi.org/10.3126/njr.v11i1.38545","url":null,"abstract":" Introduction:\u0000Chance fracture is a horizontal fracture of the vertebra extending from the posterior element to the vertebral body due to flexion-distraction injury and is potentially unstable. The aim of this study was to evaluate the demography and Computed Tomography scan findings in Chance fracture of the spine. \u0000Method: \u0000A retrospective study was conducted at the National Trauma Center, National Academy of Medical Sciences over a period of one year (December 2019 to December 2020). Demographic data, mechanism of injury, and computed tomographic findings of Chance fracture were recorded. \u0000 Result: \u0000Computed tomography scans of 41 patients with Chance fracture were identified. Fall injury (76%) was the most common cause of Chance fracture followed by road traffic accidents. This fracture was most commonly seen in thoracolumbar junction TLJ (D10-L2); with L1 being the most affected vertebra (36.5%). Among posterior elements, facet distraction (84%) was the most common finding followed by lamina fracture (83%), and pedicle fracture (68%). Regarding vertebral body fracture, involvement of both superior and inferior endplates were common than isolated involvement of either one of them. CT revealed that a burst component was a common finding (68%) in Chance fracture.\u0000 Conclusion: \u0000Chance fracture was commonly caused by fall injury in our context which is higher in incidence than previously reported. More than half of patients with Chance fracture also had Burst-type components that could influence surgical management. Computed tomography scans is a useful imaging modality for the assessment of Chance fracture and burst component.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133908374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The deformity of the sella turcica is often a major clue that an abnormality exists within the cranium, hence a familiarity with the sella turcica anatomy and radiological appearance is important. The aim of this study was to assess the dimension of sella turcica of normal Nepalese people by using computed tomography scan of head and to correlate the dimension with the patient’s age and gender. Methods: This prospective study was performed in a tertiary hospital in Kathmandu. Data were collected over the period of 4 months from June to September 2018 with the total of 73 patients who underwent CT of head. The age and gender of the patients were noted. The dimensions of sella turcica were measured at the predefined three directions: length, depth and antero-posterior diameter of the sella turcica. Results: The sella turcica had a mean length of 8.375mm, AP diameter of 7.029mm, and depth of 10.13mm.The dimensions of the sella turcica increased with age till the age of 80 years and then decreased. Conclusions: This study concluded that the length, AP diameter and depth of the sella turcica vary with respect to age group. The length and depth of sella turcica were higher in males while AP diameter in females.
{"title":"Assessment of the Size of Sella Turcica among Nepalese Population by Computed Tomography","authors":"Gourav Makaju, B. R. Joshi, R. Chand","doi":"10.3126/njr.v9i2.27429","DOIUrl":"https://doi.org/10.3126/njr.v9i2.27429","url":null,"abstract":"Introduction: The deformity of the sella turcica is often a major clue that an abnormality exists within the cranium, hence a familiarity with the sella turcica anatomy and radiological appearance is important. The aim of this study was to assess the dimension of sella turcica of normal Nepalese people by using computed tomography scan of head and to correlate the dimension with the patient’s age and gender. \u0000Methods: This prospective study was performed in a tertiary hospital in Kathmandu. Data were collected over the period of 4 months from June to September 2018 with the total of 73 patients who underwent CT of head. The age and gender of the patients were noted. The dimensions of sella turcica were measured at the predefined three directions: length, depth and antero-posterior diameter of the sella turcica. \u0000Results: The sella turcica had a mean length of 8.375mm, AP diameter of 7.029mm, and depth of 10.13mm.The dimensions of the sella turcica increased with age till the age of 80 years and then decreased. \u0000Conclusions: This study concluded that the length, AP diameter and depth of the sella turcica vary with respect to age group. The length and depth of sella turcica were higher in males while AP diameter in females.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133255176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: To estimate the prevalence and pattern of congenital anomalies through obstetric ultrasound on pregnant women visiting Rapti sub-regional hospital, Ghorahi, Dang, Nepal. Methods: A descriptive cross sectional study was conducted among 10,380 pregnant women visiting Radiology department of Rapti sub-regional hospital from January 2016 to July 2017. The findings of transabdominal ultrasonography (USG) performed by Radiologist and information regarding women’sage and gestational age were recorded. The images of any significant cases were also saved. Data wereanalyzed based on study objectives using descriptive statistics such as frequency, percentage, mean, rangeand standard deviation. The classification of the malformation was done based on the anatomical system. Results: Out of 10,380 ultrasound performed during the study period, 106 (1.02%) pregnant women presented with different congenital anomalies. The antenatal prevalence of congenital anomalies was 10.21 per 1000 pregnant women. The mean maternal age was 25.9 ± 4.80 years. Regarding gestation age, 87 (82.1%) anomalies were detected at second trimester of pregnancy. Most commonly involved body system was central nervous system 51 (48.1%), followed by cardiovascular system 12 (11.3%), musculoskeletal system 10 (9.4%), gastrointestinal system 5 (4.7%), respiratory system 5 (4.7%), genitourinary system 4 (3.8%). Other anomalies were cystic hygroma 9 (8.4%), hydrops fetalis 4 (3.8%), cleft lip 3 (2.8%), pelvic cystic lesion 2 (1.8%) and conjoined twins 1 (0.9%). Conclusion: The prevalence of congenital anomalies is high in mid-western part of Nepal. Central nervous system anomalies were more common than other anomalies.
{"title":"Prevalence and Spectrum of Fetal Congenital Anomalies: A Hospital Based Study from Mid-Western Part of Nepal","authors":"G. Khanal, P. Sharma, P. Kayastha, A. Poudel","doi":"10.3126/njr.v9i2.27413","DOIUrl":"https://doi.org/10.3126/njr.v9i2.27413","url":null,"abstract":"Introduction: To estimate the prevalence and pattern of congenital anomalies through obstetric ultrasound on pregnant women visiting Rapti sub-regional hospital, Ghorahi, Dang, Nepal. \u0000Methods: A descriptive cross sectional study was conducted among 10,380 pregnant women visiting Radiology department of Rapti sub-regional hospital from January 2016 to July 2017. The findings of transabdominal ultrasonography (USG) performed by Radiologist and information regarding women’sage and gestational age were recorded. The images of any significant cases were also saved. Data wereanalyzed based on study objectives using descriptive statistics such as frequency, percentage, mean, rangeand standard deviation. The classification of the malformation was done based on the anatomical system. \u0000Results: Out of 10,380 ultrasound performed during the study period, 106 (1.02%) pregnant women presented with different congenital anomalies. The antenatal prevalence of congenital anomalies was 10.21 per 1000 pregnant women. The mean maternal age was 25.9 ± 4.80 years. Regarding gestation age, 87 (82.1%) anomalies were detected at second trimester of pregnancy. Most commonly involved body system was central nervous system 51 (48.1%), followed by cardiovascular system 12 (11.3%), musculoskeletal system 10 (9.4%), gastrointestinal system 5 (4.7%), respiratory system 5 (4.7%), genitourinary system 4 (3.8%). Other anomalies were cystic hygroma 9 (8.4%), hydrops fetalis 4 (3.8%), cleft lip 3 (2.8%), pelvic cystic lesion 2 (1.8%) and conjoined twins 1 (0.9%). \u0000Conclusion: The prevalence of congenital anomalies is high in mid-western part of Nepal. Central nervous system anomalies were more common than other anomalies.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129953565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elina Shrestha, N. Thapa, Shankar Bahadur Singh Rajbhandari
Introduction: Proptosis is defined as bulging of eye anteriorly out of the orbit. Our main objective was to analyze the pattern of computerised tomographic findings in evaluation of proptosis. Computerised tomography (CT) is noninvasive, easily accessible, affordable and reliable imaging which helps in early diagnosis and prompt treatment. Methods: A descriptive cross sectional study of total 58 patients presenting with proptosis referred to our department of radiology for computerised tomography evaluation during one year period were undertaken into study. The clinical information provided by ophthalmologist also helped our study to derive into conclusion. SPSS version 20 software was used for statistical data analysis. Results: Out of 58 patients, the most common cause of proptosis was neoplasm constituting of 25 cases (43.1%). Retinoblastoma was the commonest orbital tumor. Out of remaining cases, 15 (25.8%) were infective, 14 (24.1%) were inflammatory, two (3.44%) were traumatic and remaining two cases (3.44%) had no definitive cause for proptosis. Bilateral proptosis was commonly associated with thyroid ophthalmopathy. Among the subjects 32 were male, 26 were female. Male: Female ratio was 1:1.23. Age group was ranging from 1 month to 73 years.Mean age was 26.4 ± 22 years. Conclusions: Computerised tomography has an important role in distinguishing the different types of lesions based on their characteristics, location and extension prior to undertaking definitive surgical and medical treatment. Overall accuracy of CT in our study was 81%, sensitivity of 82.6%, specificity of 80.6%, positive predictive value of 76% and negative predictive value of 86.2%.
{"title":"Role of Multidetector Computerised Tomography in Evaluation of Proptosis","authors":"Elina Shrestha, N. Thapa, Shankar Bahadur Singh Rajbhandari","doi":"10.3126/njr.v9i2.27421","DOIUrl":"https://doi.org/10.3126/njr.v9i2.27421","url":null,"abstract":"Introduction: Proptosis is defined as bulging of eye anteriorly out of the orbit. Our main objective was to analyze the pattern of computerised tomographic findings in evaluation of proptosis. Computerised tomography (CT) is noninvasive, easily accessible, affordable and reliable imaging which helps in early diagnosis and prompt treatment. \u0000Methods: A descriptive cross sectional study of total 58 patients presenting with proptosis referred to our department of radiology for computerised tomography evaluation during one year period were undertaken into study. The clinical information provided by ophthalmologist also helped our study to derive into conclusion. SPSS version 20 software was used for statistical data analysis. \u0000Results: Out of 58 patients, the most common cause of proptosis was neoplasm constituting of 25 cases (43.1%). Retinoblastoma was the commonest orbital tumor. Out of remaining cases, 15 (25.8%) were infective, 14 (24.1%) were inflammatory, two (3.44%) were traumatic and remaining two cases (3.44%) had no definitive cause for proptosis. Bilateral proptosis was commonly associated with thyroid ophthalmopathy. Among the subjects 32 were male, 26 were female. Male: Female ratio was 1:1.23. Age group was ranging from 1 month to 73 years.Mean age was 26.4 ± 22 years. \u0000Conclusions: Computerised tomography has an important role in distinguishing the different types of lesions based on their characteristics, location and extension prior to undertaking definitive surgical and medical treatment. Overall accuracy of CT in our study was 81%, sensitivity of 82.6%, specificity of 80.6%, positive predictive value of 76% and negative predictive value of 86.2%.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125342239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fat-containing thyroid swellings are rare with limited differentials including lipomatous goiter, heterotopic thyroid rests, amyloid goiter, lymphocytic thyroiditis, Grave’s disease, adenolipoma, intrathyroid thymic or parathyroid lipoma, encapsulated papillary carcinoma, and liposarcoma etc. We present a case of a 60-year-old euthyroid female with a long standing thyroid swelling radiologically and pathologically diagnosed as thyrolipoma (adenolipoma). Thyrolipomas are occasionally diagnosed. However, these lesions are considered to be benign and are treated surgically.
{"title":"Thyrolipoma: A Rare Thyroid Gland Entity","authors":"Pragya Singh, M. Mittal, Sonam Sharma","doi":"10.3126/NJR.V9I1.24813","DOIUrl":"https://doi.org/10.3126/NJR.V9I1.24813","url":null,"abstract":"Fat-containing thyroid swellings are rare with limited differentials including lipomatous goiter, heterotopic thyroid rests, amyloid goiter, lymphocytic thyroiditis, Grave’s disease, adenolipoma, intrathyroid thymic or parathyroid lipoma, encapsulated papillary carcinoma, and liposarcoma etc. We present a case of a 60-year-old euthyroid female with a long standing thyroid swelling radiologically and pathologically diagnosed as thyrolipoma (adenolipoma). Thyrolipomas are occasionally diagnosed. However, these lesions are considered to be benign and are treated surgically.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130103795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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