A case of multiple meningioma in an adult female ,who had M.R. imaging done , is being reported. The unique feature of my case areall the tumours were in supratentorialcompartments, all localized to right side. There were nine tumours, the largest was 39 mm and smallest 9 mm. The patient had no evidence of neurofibromatosis.
{"title":"A Case Of Multiple Meningioma","authors":"G.Balachandran","doi":"10.5580/15be","DOIUrl":"https://doi.org/10.5580/15be","url":null,"abstract":"A case of multiple meningioma in an adult female ,who had M.R. imaging done , is being reported. The unique feature of my case areall the tumours were in supratentorialcompartments, all localized to right side. There were nine tumours, the largest was 39 mm and smallest 9 mm. The patient had no evidence of neurofibromatosis.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"8 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72569516","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}
Akinola Ra, M. Akinkunmi, K. Wright, Olubunmi O Orogbemi
The role of the radiologist in a medical team is to help in making a diagnosis that will aid in an effective and concise management of the patient. This can only be achieved if the clinicians give a detailed clinical history through a properly filled request form. This study was conducted to assess the adequacy of filled request forms in a tertiary health institution.One hundred and forty four request forms with 145 requests for computed tomography scan (CT scan) and Magnetic Resonance Imaging (MRI) received at the diagnostic centre in a teaching hospital were studied for completeness. There were 138 (95.2%) CT scan and 7 (4.8%) MRI requests. Only the surname and examination requested were filled in all cases. About 95.8% of the
{"title":"Radiology request forms: are they adequately filled by clinicians?","authors":"Akinola Ra, M. Akinkunmi, K. Wright, Olubunmi O Orogbemi","doi":"10.5580/e4a","DOIUrl":"https://doi.org/10.5580/e4a","url":null,"abstract":"The role of the radiologist in a medical team is to help in making a diagnosis that will aid in an effective and concise management of the patient. This can only be achieved if the clinicians give a detailed clinical history through a properly filled request form. This study was conducted to assess the adequacy of filled request forms in a tertiary health institution.One hundred and forty four request forms with 145 requests for computed tomography scan (CT scan) and Magnetic Resonance Imaging (MRI) received at the diagnostic centre in a teaching hospital were studied for completeness. There were 138 (95.2%) CT scan and 7 (4.8%) MRI requests. Only the surname and examination requested were filled in all cases. About 95.8% of the","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"113 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72815028","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}
INTRODUCTIONSeizure disorder may be caused by a variety of medical conditions. CASE PRESENTATIONWe report a case of Rasmussen encephalitis (RE) in a 7yearold boy of the Yoruba ethnic group in Nigeria. This to the best of our knowledge is the first reported case of this condition in a Nigerian. He had computed tomography (CT) and magnetic resonance imaging (MRI) scan of the brain and electroencephalography (EEG). CONCLUSIONWe want to emphasize the importance of imaging in the diagnosis of seizure disorder, especially when it is intractable. To diagnose RE, the index of clinical suspicion has to be high. It is probable that some cases of this condition will be missed in our environment as a result of inadequate imaging, stemming from availability and cost considerations. RE is extremely rare and many radiologists practicing in sub-Saharan Africa may not see a single case of RE in their practice life as a result of the paucity of MRI facilities (which is required for diagnosis) in this sub-region.
{"title":"Rasmussen Encephalitis In A Nigerian Child: A Case Report","authors":"M. Akinkunmi, M. Salisu, G. O. Awosanya","doi":"10.5580/1ec8","DOIUrl":"https://doi.org/10.5580/1ec8","url":null,"abstract":"INTRODUCTIONSeizure disorder may be caused by a variety of medical conditions. CASE PRESENTATIONWe report a case of Rasmussen encephalitis (RE) in a 7yearold boy of the Yoruba ethnic group in Nigeria. This to the best of our knowledge is the first reported case of this condition in a Nigerian. He had computed tomography (CT) and magnetic resonance imaging (MRI) scan of the brain and electroencephalography (EEG). CONCLUSIONWe want to emphasize the importance of imaging in the diagnosis of seizure disorder, especially when it is intractable. To diagnose RE, the index of clinical suspicion has to be high. It is probable that some cases of this condition will be missed in our environment as a result of inadequate imaging, stemming from availability and cost considerations. RE is extremely rare and many radiologists practicing in sub-Saharan Africa may not see a single case of RE in their practice life as a result of the paucity of MRI facilities (which is required for diagnosis) in this sub-region.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75188740","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 purpose of this series is to describe a few unusual ultrasound appearances that bare a striking resemblance to some common familiar objects .We report three separate cases of intestinal ascariasis, a large urinary bladder diverticulum and a drain site hernia, where the ultrasound findings were rather unusual and amusing bearing striking resemblance to some common objects that prompted us to describe three amusing but uncommon ultrasound “signs” that occurred as a matter of coincidence. The significance of the three signs described is that the resemblance occurred as a matter of chance. The diagnosis in the three cases was otherwise straightforward, but the appearance amusing.
{"title":"Few amusing ultrasound signs discovered as a matter of coincidence.","authors":"N. Mahmood, H. Suresh","doi":"10.5580/1c38","DOIUrl":"https://doi.org/10.5580/1c38","url":null,"abstract":"The purpose of this series is to describe a few unusual ultrasound appearances that bare a striking resemblance to some common familiar objects .We report three separate cases of intestinal ascariasis, a large urinary bladder diverticulum and a drain site hernia, where the ultrasound findings were rather unusual and amusing bearing striking resemblance to some common objects that prompted us to describe three amusing but uncommon ultrasound “signs” that occurred as a matter of coincidence. The significance of the three signs described is that the resemblance occurred as a matter of chance. The diagnosis in the three cases was otherwise straightforward, but the appearance amusing.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"111 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83636458","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}
J. Chaturvedi, N. Sinha, K. Pawan, M. BalasubramanyaA.
In a case of Cerebrospinal Fluid (CSF) leak from the ear, radiological investigations are mainly performed to examine and evaluate the mastoid bones. Occipital condyles are often overlooked. The usual causes for CSF to leak into the ear are related to factors that cause an increase in intracerebral pressure. Similar factors may also be responsible for the formation of a pneumatocele and subsequent pneumatisation of the mastoid and occipital bones. Pneumatization in the skull is normally confined to the mastoid process. Pneumatization in bones other than the temporal bone such as the occipital bone is exceptionally rare and has very few cases reported so far. It has been postulated that occipital pneumatization is a consequence of communication between the temporal and occipital bones. Persistently increased intraluminal pressure has been proposed as a mechanism of pneumocele formation which later progresses to pneumatisation of occipital bones. Fluid in the occipital bones following increased intracerebral pressure has not yet been reported. Isolated cases of pneumatocysts within the occipital condyle however have been documented. If the cause for such pneumatisation or fluid accumulation is left untreated then complications such as spontaneous intracranial epidural accumulation of air, fracture of C1 and the occipital bone, spontaneous subcutaneous emphysema and pneumatocele formation can occur leading to severe morbidity and mortality. We present a case of CSF Rhinorrhea and Otorrhea in a 41 year old male secondary to a space occupying lesion in the right lateral ventricle of the brain with fluid in the right occipital condyle with a review of relevant literature.
{"title":"A Case Of Fluid In The Right Occipital Condyle Secondary To Persistent Increase In Intracerebral Pressure","authors":"J. Chaturvedi, N. Sinha, K. Pawan, M. BalasubramanyaA.","doi":"10.5580/26eb","DOIUrl":"https://doi.org/10.5580/26eb","url":null,"abstract":"In a case of Cerebrospinal Fluid (CSF) leak from the ear, radiological investigations are mainly performed to examine and evaluate the mastoid bones. Occipital condyles are often overlooked. The usual causes for CSF to leak into the ear are related to factors that cause an increase in intracerebral pressure. Similar factors may also be responsible for the formation of a pneumatocele and subsequent pneumatisation of the mastoid and occipital bones. Pneumatization in the skull is normally confined to the mastoid process. Pneumatization in bones other than the temporal bone such as the occipital bone is exceptionally rare and has very few cases reported so far. It has been postulated that occipital pneumatization is a consequence of communication between the temporal and occipital bones. Persistently increased intraluminal pressure has been proposed as a mechanism of pneumocele formation which later progresses to pneumatisation of occipital bones. Fluid in the occipital bones following increased intracerebral pressure has not yet been reported. Isolated cases of pneumatocysts within the occipital condyle however have been documented. If the cause for such pneumatisation or fluid accumulation is left untreated then complications such as spontaneous intracranial epidural accumulation of air, fracture of C1 and the occipital bone, spontaneous subcutaneous emphysema and pneumatocele formation can occur leading to severe morbidity and mortality. We present a case of CSF Rhinorrhea and Otorrhea in a 41 year old male secondary to a space occupying lesion in the right lateral ventricle of the brain with fluid in the right occipital condyle with a review of relevant literature.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79257457","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}
A. Hakeem, F. Shaheen, H. Shafi, T. Gojwari, S. Rasool
Abstract Spontaneous coronary artery dissection is being increasingly detected with more liberal use of diagnostic modalities like coronary catheterization. The unique demographic features of this cohort of patients like younger age and lack of traditional risk factorsmake prompt diagnosis vital part of the management. Use of latest a non-invasive imaging modality like 64 slice CT in the diagnosis of these patients together withincreasingly successful treatment with drugs shall go in along way in ensuringconservative management of most these patients.
{"title":"Spontaneous coronary artery dissection: Imaging with 64 Slice CT Scan","authors":"A. Hakeem, F. Shaheen, H. Shafi, T. Gojwari, S. Rasool","doi":"10.5580/def","DOIUrl":"https://doi.org/10.5580/def","url":null,"abstract":"Abstract Spontaneous coronary artery dissection is being increasingly detected with more liberal use of diagnostic modalities like coronary catheterization. The unique demographic features of this cohort of patients like younger age and lack of traditional risk factorsmake prompt diagnosis vital part of the management. Use of latest a non-invasive imaging modality like 64 slice CT in the diagnosis of these patients together withincreasingly successful treatment with drugs shall go in along way in ensuringconservative management of most these patients.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78787987","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}
Vinay N.V.P., Umesh Krishnamurthy, Deepak Y.S, C. Jaiger
We report a case of Carotid Body Tumor in a case of Carcinoma Gingivo Buccal Sulcus. Carotid Body Tumors have a variety of imaging characteristics obviating the need for a pathological diagnosis.
{"title":"Carotid Body Tumor in a case of Carcinoma Gingivo Buccal Sulcus","authors":"Vinay N.V.P., Umesh Krishnamurthy, Deepak Y.S, C. Jaiger","doi":"10.5580/1a1b","DOIUrl":"https://doi.org/10.5580/1a1b","url":null,"abstract":"We report a case of Carotid Body Tumor in a case of Carcinoma Gingivo Buccal Sulcus. Carotid Body Tumors have a variety of imaging characteristics obviating the need for a pathological diagnosis.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77248404","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}
K. Vaishnav, H. Soni, S. Pandhi, Kirti G. Goswami, K. Suthar, Vijay Kumar
Isolated traumatic rupture of pancreas is rare presentation. It occurs in less than 5% of cases. The case reported is a 24 yrs old male patient with a history of blunt abdominal injury. An urgent USG and CT Scan were performed showing rupture of body of pancreas near tail with a large collection in lesser sac. Splenic vessels were normal. After detailed evaluation radiological diagnosis of a Pancreatic Rupture stage III was established. Patient was operated upon and imaging findings were confirmed. Blunt abdominal injury should be diagnosed as early as possible to assess severity of injury, to prevent serious complication and plan proper treatment.
{"title":"Traumatic Rupture of Pancreas","authors":"K. Vaishnav, H. Soni, S. Pandhi, Kirti G. Goswami, K. Suthar, Vijay Kumar","doi":"10.5580/a17","DOIUrl":"https://doi.org/10.5580/a17","url":null,"abstract":"Isolated traumatic rupture of pancreas is rare presentation. It occurs in less than 5% of cases. The case reported is a 24 yrs old male patient with a history of blunt abdominal injury. An urgent USG and CT Scan were performed showing rupture of body of pancreas near tail with a large collection in lesser sac. Splenic vessels were normal. After detailed evaluation radiological diagnosis of a Pancreatic Rupture stage III was established. Patient was operated upon and imaging findings were confirmed. Blunt abdominal injury should be diagnosed as early as possible to assess severity of injury, to prevent serious complication and plan proper treatment.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85990777","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}
Ganglion cysts of the infrapatellar fat pad (IPFP) in the knee are extremely uncommon and are not associated with meniscal tears. We report the case of an extensive large multiloculated IPFP ganglion cyst invading the meniscus that was associated with a meniscal tear, which to our knowledge is the first of its kind reported. In the case of a 52-year-old gentleman, clinical and radiological evidence led to the impression of a meniscal tear and a parameniscal cyst. Histopathological examination after open surgical excision refuted the suspected diagnosis and confirmed presence of an IPFP cyst. Although magnetic resonance (MR) imaging is the modality of choice, caution is advised to radiologists in differentiating these cystic lesions. We recommend consideration for the use of fat suppressed contrast-enhanced MR imaging for a more accurate diagnosis of cystic lesions of the knee.
{"title":"MRI Misinterpretation of a Large Infrapatellar Fat Pad Ganglion of the knee: A Case Report and Literature Review","authors":"L. Ghazal, S. Chandrashekar, O. Fersia, P. Hirst","doi":"10.5580/877","DOIUrl":"https://doi.org/10.5580/877","url":null,"abstract":"Ganglion cysts of the infrapatellar fat pad (IPFP) in the knee are extremely uncommon and are not associated with meniscal tears. We report the case of an extensive large multiloculated IPFP ganglion cyst invading the meniscus that was associated with a meniscal tear, which to our knowledge is the first of its kind reported. In the case of a 52-year-old gentleman, clinical and radiological evidence led to the impression of a meniscal tear and a parameniscal cyst. Histopathological examination after open surgical excision refuted the suspected diagnosis and confirmed presence of an IPFP cyst. Although magnetic resonance (MR) imaging is the modality of choice, caution is advised to radiologists in differentiating these cystic lesions. We recommend consideration for the use of fat suppressed contrast-enhanced MR imaging for a more accurate diagnosis of cystic lesions of the knee.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85341967","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}
Purpose: 4D-CT can provide both static and dynamic 3D images. The purpose of this study was to evaluate clinical usefulness of 4D-CT for brain tumors. Methods: The subjects included 24 consecutive patients with brain tumors comprising glioblastomas (n=5), fibrillary astrocytoma (n=1), oligodendroglioma (n=1), anaplastic oligodendrogliomas (n=3), anaplastic oligoastrocytoma (n=1), medulloblastoma (n=1), meningiomas (n=5), anaplastic meningioma (n=1), craniopharyngioma (n=1), hemangioblastoma (n=1), and malignant lymphomas (n=4). Continuous 1.0-sec scanning was performed using a 64-row MD-CT. Serial volume rendered (VR) images were displayed in cine mode. 4D-CT was evaluated in depiction of feeding arteries, tumor staining, and early appearance of draining veins, and compared with IADSA in 14 patients. Pertinent facts: 4D-CT was able to depict tumor staining in all of 13 patients who showed tumor staining by IADSA. Feeding arteries were visualized in 9 patients by IADSA and in 7 patients by 4DCT. Early appearance of draining veins was visualized in 8 patients by IADSA, but in 7 patients by 4D-CT. Early appearance of draining veins was seen in patients with pathologically malignant tumors except for a patient with hemangioblastoma. In 11 patients who did not undergo IADSA, 4D-CT was able to depict tumor staining in 10 patients, feeding arteries in 3 patients, and early appearance of a draining vein in 3 patients. Conclusions: 4D-CT provides hemodynamic information about tumors, such as presence of feeding arteries, tumor staining, and early appearance of draining veins. 4D-CT is a feasible alternative to IADSA in hemodynamic depiction of brain tumors.
{"title":"4D-CT Of Brain Tumors: Feasibility In Hemodynamic Depiction","authors":"N. Tomura, M. Koga, T. Otani","doi":"10.5580/67d","DOIUrl":"https://doi.org/10.5580/67d","url":null,"abstract":"Purpose: 4D-CT can provide both static and dynamic 3D images. The purpose of this study was to evaluate clinical usefulness of 4D-CT for brain tumors. Methods: The subjects included 24 consecutive patients with brain tumors comprising glioblastomas (n=5), fibrillary astrocytoma (n=1), oligodendroglioma (n=1), anaplastic oligodendrogliomas (n=3), anaplastic oligoastrocytoma (n=1), medulloblastoma (n=1), meningiomas (n=5), anaplastic meningioma (n=1), craniopharyngioma (n=1), hemangioblastoma (n=1), and malignant lymphomas (n=4). Continuous 1.0-sec scanning was performed using a 64-row MD-CT. Serial volume rendered (VR) images were displayed in cine mode. 4D-CT was evaluated in depiction of feeding arteries, tumor staining, and early appearance of draining veins, and compared with IADSA in 14 patients. Pertinent facts: 4D-CT was able to depict tumor staining in all of 13 patients who showed tumor staining by IADSA. Feeding arteries were visualized in 9 patients by IADSA and in 7 patients by 4DCT. Early appearance of draining veins was visualized in 8 patients by IADSA, but in 7 patients by 4D-CT. Early appearance of draining veins was seen in patients with pathologically malignant tumors except for a patient with hemangioblastoma. In 11 patients who did not undergo IADSA, 4D-CT was able to depict tumor staining in 10 patients, feeding arteries in 3 patients, and early appearance of a draining vein in 3 patients. Conclusions: 4D-CT provides hemodynamic information about tumors, such as presence of feeding arteries, tumor staining, and early appearance of draining veins. 4D-CT is a feasible alternative to IADSA in hemodynamic depiction of brain tumors.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85558004","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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