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   2006| October-December  | Volume 16 | Issue 4  
 
 
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GENITOURINARY
Role of penile color doppler in the evaluation of erectile dysfunction
A Clifford, JN Toppo
October-December 2006, 16(4):891-896
DOI:10.4103/0971-3026.32377  
Objective : The aim of this study is to find out hoe effective high frequency ultrasonographic Color Doppler can be to detect the cause of erectile dysfunction. Material and Methods : The hemodynamic function of the penis can be evaluated non-invasively by performing or power Doppler US with spectral analysis following injection of a vasoactive pharmacological agent Papavarine, to induce an erection. Results : The sensitivity of PBI in the diagnosis of erectile dysfunction was 61% and the specificity was 74%. After the addition of Duplex Doppler, sonography the sensitivity increased to 89% with a specificity of 95%. On further evaluation with post- papavarine, injection the sensitivity increased to 97% and the specificity increased to 99%. The increase was significant (p<0.001). Conclusion : Papavarine induced Color Duplex Doppler Sonography is an excellent and highly accurate means of assessing patients with erectile dysfunction.
  31,815 2,053 -
NEURORADIOLOGY
Clinical applications of diffusion weighted MR imaging: A review
R Rajeshkannan, S Moorthy, KP Sreekumar, R Rupa, NK Prabhu
October-December 2006, 16(4):705-710
DOI:10.4103/0971-3026.32328  
Diffusion MR imaging is now a routine component of the brain MR imaging examination and is critical in the evaluation of stroke patients. However, high signal intensity on diffusion MR and hypo intensity on apparent diffusion co-efficient (ADC) images, which are features of acute cerebral infarction, have been reported in such diverse conditions as hemorrhage, abscess, tumor and even in Wernicke encephalopathy. Differentiating between there conditions is critical for determination of appropriate treatment. We present a systematic review of hyperintense lesions on diffusion MR images and their potential clinical applications.
  20,368 2,508 6
MUSCULOSKELETAL
Biceps tendon tenosynovitis - a sonologic marker of shoulder joint derangement
A Kharat, K Kharat, A Singh
October-December 2006, 16(4):633-636
DOI:10.4103/0971-3026.32286  
Objectives: To study biceps tendon sheath fluid collection using musculoskeletal ultrasound and evaluate its cause. Materials and Methods: A total of 15 patients with biceps tendon sheath fluid collection were studied. All these patients presented with history of shoulder pain with inability of overhead abduction of arm and painful circumduction. Discussion: Ten had history of trauma, four had acute trauma and six had an old history of trauma. Five had degenerative shoulder joint disease, out of these two had osteoarthritis and three had rheumatoid arthritis with subacromiodeltoid bursitis. All cases were evaluated on B mode high frequency ultrasound. The gray scale findings were correlated with clinical and arthroscopic findings. These patients were treated conservatively and followed up sequentially. Results: Diagnosis of tendonitis prompted us for a detailed joint examination which revealed rotator cuff tear in eight patients, these tears varied from acute to chronic and partial to complete thickness tears. Five patients had arthritis, two had osteoarthritis with erosion and pitting of the bony groove and three had bursitis secondary to rheumatoid arthritis with tendonitis. Conclusion: The utility of high frequency ultrasound as an imaging technique for biceps tendon is a useful adjunct to clinical examination. The procedure is non invasive, safe without risk of exposure to harmful radiation, cost effective, dynamic and a useful aid in diagnosis. The diagnosis of biceps tendon sheath fluid must prompt a musculoskeletal sonologist for a detailed evaluation of the shoulder.
  21,126 618 -
HEAD AND NECK
CT evaluation of proptosis
KK Sabharwal, AL Chouhan, S Jain
October-December 2006, 16(4):683-688
DOI:10.4103/0971-3026.32299  
Objectives: To analyse the diagnostic role of CT scan in evaluation of proptosis Material and Methods: 50 patients presenting with proptosis were evaluated by CT scan. Role of CT was evaluated in defining the cause of proptosis and the nature and extent of the lesions causing proptosis. Results: .The most common lesion causing proptosis were tumours (46%) and infections (28%) followed by inflammation (18%), trauma (6%) and vascular (2%). CT scan findings in relation with the age of the patient, the clinical picture and laboratory investigations were able to give a correct diagnosis in 82% patients. Conclusion: CT scan can be considered as a cost effective, non invasive, reliable diagnostic tool for evaluation of proptosis.
  18,507 1,792 1
GASTROINTESTINAL
Imaging in acute appendicitis: A review
RK Jain, M Jain, CL Rajak, S Mukherjee, PP Bhattacharyya, MR Shah
October-December 2006, 16(4):523-532
DOI:10.4103/0971-3026.32261  
  17,179 1,898 1
MUSCULOSKELETAL
Sacroiliitis in routine Mri for low back ache
CM Sreedhar, MN Sree Ram, A Alam, IK Indrajit, K Shanmuganandan
October-December 2006, 16(4):643-649
DOI:10.4103/0971-3026.32288  
Low backache is a common clinical presentation in medical practice and a common referral at most MRI centres. The presentation of lesions in low backache involving various lumbar spinal structures as well as sacroiliac joint often overlap and are clinically indistinguishable, necessitating evaluation by MRI. The detection and characterisation of sacroiliac lesions on MR imaging has been well established, but its presence during evaluation of low back cases has not been analysed and well documented. During routine MR imaging of patients with low back pain, the assessment of sacroiliac joint lesions is often neglected. The aim of this study was to determine the presence of sacroiliitis in MRI of cases with low back pain and analyse its prevalence and morphological patterns.
  17,787 1,199 1
GASTROINTESTINAL
Ultrasonography in obstructive jaundice - a pictorial essay
YM Gohil, SB Patel, KG Goswami, S Shah, H Soni
October-December 2006, 16(4):477-481
DOI:10.4103/0971-3026.32250  
  15,447 1,010 3
NEURORADIOLOGY
Van der knaap disease, a megalencephalic leukoencephalopathy
KV Rajagopal, RH Ramakrishnaiah, KR Avinash, BN Lakhkar
October-December 2006, 16(4):733-734
DOI:10.4103/0971-3026.32334  
  14,312 1,069 3
GASTROINTESTINAL
Transient hepatic attenuation difference (thad) - a case report
H Ravikumar, J Singh, A Kalyanpur
October-December 2006, 16(4):441-444
DOI:10.4103/0971-3026.32240  
  14,292 875 -
Internal hernia : A case report
A Kohli, HS Choudhury, D Rajput
October-December 2006, 16(4):563-566
DOI:10.4103/0971-3026.32269  
  13,421 1,062 7
MUSCULOSKELETAL
CT and MR images of the flat bone Osteochondromata from head to foot: A pictorial essay
S Kumar, AK Shah, AM Patel, UA Shah
October-December 2006, 16(4):589-596
DOI:10.4103/0971-3026.32277  
  13,435 796 4
Evaluation of bone tumors with magnetic resonance imaging and correlation with surgical and gross pathological findings
S Baweja, R Arora, S Singh, A Sharma, P Narang, S Ghuman, SK Kapoor, S Puri
October-December 2006, 16(4):611-618
DOI:10.4103/0971-3026.32282  
Objectives: The purpose of this study is to evaluate the role of MRI in cases of bone tumors.To determine the MRI characteristics of different primary bone tumors.Correlate and compare imaging findings with surgical and gross pathological findings whereever possible. Materials and methods: Twenty five patients (either suspected or proven cases of bone tumors) were included in this study.All patients were first evaluated with plain film examination. MRI was performed on a 1.5 Tesla Philips system (Gyroscan). Sequences and planes used were T1W and STIR sequence in coronal plane using body coil followed by T1W and T2W sequences in axial plane supplemented by sagittal and coronal planes using surface coil , second plane of imaging included STIR sequence and post contrast fat sat T1W images . Results : Sensitivity and specificity of MRI in detecting marrow involvement was 100%.MRI detected neurovascular bundle involvement with sensitivity, specificity, positive predictive value and negative predictive value of 100%, 92.8%, 75% and 100% respectively.MRI detected joint involvement with sensitivity, specificity, positive predictive value and negative predictive value of 100%, 86%, 50% and 100% respectively.MRI detected cortical break with sensitivity, specificity, positive predictive value and negative predictive value of 100%, 50%, 80% and 100% respectively. Although MRI could demonstrate different components of tumor, there was no difference in signal intensity patterns of different histological types of tumors. Conclusions : MRI is the preferred modality to image musculoskeletal tumors and should be obtained after radiographic evaluation. Its multiplanar imaging capability helps delineation of tumor and its extent in bone and soft tissues with high contrast resolution.It is an excellent modality to determine neurovascular bundle involvement ,joint involvement,local extent and staging.
  11,614 1,294 1
NEURORADIOLOGY
CT and MRI features of the typical and atypical intracranial hydatid cysts: Report of five cases
M Ravalji, S Kumar, AK Shah, DU Vaghela, GJ Makwana, K Singh
October-December 2006, 16(4):727-732
DOI:10.4103/0971-3026.32333  
  10,991 1,088 3
The brain arterio-venous malformations (BAVMs): A pictorial essay with emphasis on role of imaging in management
S Kumar, AM Patel, DU Vaghela, K Singh, RN Solanki, HR Shah
October-December 2006, 16(4):757-764
DOI:10.4103/0971-3026.32341  
  10,156 1,469 -
GASTROINTESTINAL
Para duodenal hernias- a pictorial essay
L Dayananda, KP Sreekumar, S Moorthy, NK Prabhu
October-December 2006, 16(4):469-471
DOI:10.4103/0971-3026.32248  
  9,170 1,025 2
MUSCULOSKELETAL
Pictorial essay: Radiographic skeletal changes in Sickle cell anemia
SV Phatak, PK Kolwadkar, MS Phatak
October-December 2006, 16(4):627-632
DOI:10.4103/0971-3026.32285  
  9,044 852 4
GASTROINTESTINAL
Ultrasound evaluation of acute bacterial meningitis and its sequale in infants
D Baruah, N Gogoi, RK Gogoi
October-December 2006, 16(4):553-558
DOI:10.4103/0971-3026.32267  
Objective: Ultrasonographic characterization of intracranial pathologies with respect to acute bacterial meningitis and its sequale. Materials and methods: A prospective study of 70 cases, below 12 months of age within a period of two years, was undertaken to characterize sonographic abnormalities in acute bacterial meningitis and its sequale. Results: Echogenic sulci, ventriculomegaly and ventriculitis were the findings observed on ultrasonography in cases with acute bacterial meningitis and its sequale. Conclusion: Infantile transcranial ultrasonography is an useful diagnostic tool for rapid, safe and fairly accurate evaluation of intracranial pathologies in relation to acute bacterial meningitis and its sequale.
  9,036 705 1
GYNAECOLOGY AND OBSTETRICS
Atypical Mayer-Rokitansky-Kuster-Hauser syndrome with scoliosis, renal & anorectal malformation - case report
S Sharma, N Aggarwal, S Kumar, A Negi, JR Azad, S Sood
October-December 2006, 16(4):809-812
DOI:10.4103/0971-3026.32354  
  9,229 511 -
NEURORADIOLOGY
CT And MR appearance of interhemispheric cyst with agenesis of corpus callosum - a case report
YC Manjunatha, VH Kishor, PH Patil, RV Mali, A Patil, VV Hattiholi
October-December 2006, 16(4):715-717
DOI:10.4103/0971-3026.32330  
  8,706 815 -
CHEST
"Interstitial Lung disease (Ild) in Rheumatoid arthritis (Ra)"- a study of thirty cases
S Raniga, P Sharma, G Kaur, A Arora, Y Khalasi, PV Vohra
October-December 2006, 16(4):835-839
DOI:10.4103/0971-3026.32362  
Objectives- The objective of this study is to evaluate the Interstitial Lung Disease (ILD) in the patients with Rheumatoid Arthritis (RA) and to correlate clinico - spirometric profile and High Resolution Computed Tomography (HRCT) findings with regards to early detection of possible lung involvement in the study group. Materials and Methods The present study was carried out at Shree Sayajirao General Hospital (SSGH), Baroda from January 2002 to December 2002. The patients satisfying the American College of Rheumatology (ACR) criteria [1] for RA were included in this study, without regards to the presence of pulmonary symptoms or chest x-ray changes. None of our patient was on Disease Modifying Anti-Rheumatic Drugs (DMARD) therapy. All thirty patients (seven males and twenty three females) - underwent clinical, spirometric, laboratory, x-ray chest and HRCT evaluation of lung. Diagnosis of ILD was confirmed by HRCT and supported by clinical and physiological findings in all patients. All the gathered information and investigations were subjected to statistical analysis. Results Majority of the patients had duration of illness between one and three years. The mean duration of illness was 2.9 years. RA factor was positive in 25 patients (83.3%). Six of the thirty patients had respiratory complaints (20%). Spirometric evidence of lung involvement was present in eight patients (26.6%). Only four of them had abnormalities detectable on chest radiograph (13.33%). HRCT was abnormal in eleven patients (36%). Conclusion In concluding the results of our study, the interstitial lung changes affects significant proportion (36%) of the patients affected with RA. Overall, HRCT is the most sensitive parameter to detect the early interstitial changes in patients with RA. HRCT can show evidence of interstitial lung changes even when clinical and pulmonary function tests parameters are normal. HRCT is superior to plain chest radiograph in the evaluation of early interstitial lung changes associated with RA. Coexisting subcutaneous rheumatoid nodules is a high-risk factor for development of ILD in patients with RA.
  8,176 703 3
GASTROINTESTINAL
Comparative assessment of imaging modalities in biliary obstruction
V Upadhyaya, DN Upadhyaya, MA Ansari, VK Shukla
October-December 2006, 16(4):577-582
DOI:10.4103/0971-3026.32273  
Background: Many imaging modalities are available today for the evaluation of patients with suspected biliary obstruction including Ultrasonography, Computed Tomography and Invasive cholangiography. Magnetic resonance cholangiopancreatography is a relatively new technique, which has gained popularity because of its excellent diagnostic capabilities in the evaluation of biliary obstruction. Aims: The aim of the present study was to compare the diagnostic accuracy of Ultrasonography, Computed Tomography, Endoscopic retrograde cholangiopancreatography/ Percutaneous transhepatic cholangiography and Magnetic resonance cholangiopancreatography in assessing the level and cause of obstruction in patients with obstructive jaundice. Patients & Methods: One hundred patients with clinical and laboratory features suggestive of biliary obstruction were included in this study. At least two imaging modalities were used in each patient. The level and cause of obstruction was evaluated by each modality. The findings were corroborated with the operative and/or histopathological findings. Results: Magnetic resonance cholangiopancreatography showed the best results in detecting the cause of obstruction and was second only to Endoscopic retrograde cholangiopancreatography in detecting the level of biliary obstruction. Conclusions: With its excellent diagnostic capabilities, Magnetic resonance cholangiopancreatography has certainly carved a niche for itself in the non-invasive evaluation of the patient with obstructive jaundice.
  7,792 871 3
Ultrasonographic evaluation of gall bladder diseases in diabetes mellitus type 2
S Singh, R Chander, A Singh, S Mann
October-December 2006, 16(4):505-508
DOI:10.4103/0971-3026.32257  
Diabetic autonomic neuropathy gives rise to varied manifestations in the gastrointestinal tract i.e. gastropathies, nocturnal diarrhoea, oesophageal dysmotility, constipation and gallbladder dysfunction, being consequence of vagal neuropathy leading to reduced G.I. Motility. Gallbladder involvement in diabetic autonomic neuropathy is in the form of high incidence of gall bladder stones and a significant increase in gall bladder volume with poor concentration and poor visualization, with lack of symptoms of gallbladder disease. The present study concluded that gall bladder disease is more prevalent among type 2 diabetics. Diabetics with autonomic neuropathy tend to have larger gall bladders with poor contraction in response to fatty meals (due to vagal neuropathy), thus predisposing these patients to various forms of gall bladder disease.
  7,996 564 -
LETTER TO EDITOR
Limbus vertebra
Suresh V Phatak, Pramod K Kolwadkar
October-December 2006, 16(4):997-999
DOI:10.4103/0971-3026.32415  
  7,642 444 -
NEURORADIOLOGY
Hypertrophic olivary degeneration following trauma - a case report
V Arora, IS Nijjar, PS Sandhu, J Singh, R Abrol, Roopa
October-December 2006, 16(4):701-704
DOI:10.4103/0971-3026.32327  
Hypertrophic Olivary degeneration (HOD) is a rare type of neuronal degeneration involving the dentatorubro-olivary pathway. It is a secondary change caused by the impairment of Guillain Mollaret triangle. We present a case of a thirty-five years old man who had head injury with MR evidence of haemorrhagic contusion at the ponto-mesencephalic junction extending into the superior cerebellar peduncle on left side. Five months after the injury he developed left upper extremity rhythmic tremor. Repeat MRI permitted visualization of hypertrophic olivary degeneration, which appeared as a characteristic high signal intensity in the right inferior olivary nucleus on T2 W and FLAIR images, with enlargement of the nucleus. The literature and imaging findings of this uncommon condition are reviewed.
  7,250 424 4
HEAD AND NECK
Comparative study of ocular blood flow parameters by color doppler imaging in healthy and glaucomatous eye
NC Sharma, D Bangiya
October-December 2006, 16(4):679-682
DOI:10.4103/0971-3026.32298  
Objective(s): To evaluate the effect of optic nerve circulation, using color Doppler imaging (CDI) on progression of visual field damage in primary open angle glaucoma and chronic angle closure glaucoma. Material and Methods (s): The study included randomly selected 25 patients with established primary open angle glaucoma, 15 patients with chronic angle closure glaucoma, who underwent medical treatment/had undergone laser or surgical procedure for glaucoma and 15 healthy volunteers of same age group were taken as control group. Color Doppler imaging of ophthalmic artery (OA), central retinal artery (CRA) and posterior ciliary artery (PCA) were conducted and various variables recorded to determine ocular blood flow in glaucomatous patients. Result(s): Patients with stable visual field had higher diastolic velocity and lower resistivity index (RI) in all three ocular vessels (P<.001), compared with those with deteriorating visual field. Significant correlation was found between severity of glaucomatous visual field defects and degree of impairment of retrobulbar haemodynamics. Conclusion(s): Color Doppler imaging variables of OA, CRA and PCA correlate with risk of visual field deterioration in glaucomatous patients suggesting major role of vascular factor in pathogenesis of glaucomatous optic neuropathy.
  6,804 678 2
Giant cell reparative granuloma of the jaw: A case report
UA Shah, AK Shah, S Kumar
October-December 2006, 16(4):677-678
DOI:10.4103/0971-3026.32297  
  6,949 499 2
GASTROINTESTINAL
Spontaneous aortocaval fistula due to abdominal aortic aneurysm rupture - a case report
R Ravi, SB Peter, TS Swaminathan, V Chandrasekar
October-December 2006, 16(4):453-456
DOI:10.4103/0971-3026.32245  
  6,979 334 7
CT diagnosis of cecal diverticulitis
N Sreenivasan, A Kalyanpur, A Bhat, PG Sridhar, J Singh
October-December 2006, 16(4):451-452
DOI:10.4103/0971-3026.32244  
  6,766 494 1
NEURORADIOLOGY
Post traumatic intracerebral pneumatocele presenting as CSF rhinorrhoea - A case report
S Gupta, SK Venkatesh, N Gupta, K Patel
October-December 2006, 16(4):735-738
DOI:10.4103/0971-3026.32335  
  6,829 394 1
MRI findings in marchiafava - bignami disease with central pontine myelinolysis : A case report
P Goswami, N Medhi, PK Sarma, BJ Sarmah
October-December 2006, 16(4):779-781
DOI:10.4103/0971-3026.32346  
  6,533 642 3
Glutaric aciduria type I : A case report
S Singh, V Chowdhury, R Dixit, A Prakash, A Agarwal
October-December 2006, 16(4):723-726
DOI:10.4103/0971-3026.32332  
  6,397 690 1
MUSCULOSKELETAL
Role of vertebroplasty in non infective vertebral collapse - a review article
Bhawna , R Santosham, S Joseph
October-December 2006, 16(4):637-642
DOI:10.4103/0971-3026.32287  
  6,627 373 -
GASTROINTESTINAL
Aggressive adenocarcinoma of gallbladder with distant metastases and venous thrombosis at initial presentation
NS Rawat, A Negi, S Sangwan, U Sharma, BB Thukral, NC Saxena
October-December 2006, 16(4):499-501
DOI:10.4103/0971-3026.32255  
  6,597 394 4
CHEST
Small cell carcinoma of lung presented with only abnormal behaviour due to siadh - a case report
PP Roy, SK Das, A Sadhu
October-December 2006, 16(4):861-863
DOI:10.4103/0971-3026.32369  
  6,676 260 -
GYNAECOLOGY AND OBSTETRICS
Placental site trophoblastic tumor a rare type of gestational trophoblastic neoplasia
R Malik, VK Pandya, G Agrawal, M Jain
October-December 2006, 16(4):819-821
DOI:10.4103/0971-3026.32357  
  6,472 445 -
Role of ultrasound in detection of antenatal foetal malformations
S Singh, GS Shergill, A Singh, R Chander
October-December 2006, 16(4):831-834
DOI:10.4103/0971-3026.32361  
Aims and Objectives:The aims and objectives of this study was to detect foetal malformations ultrasonographically ,to evaluate associated anomalies and to evaluate outcome of pregnancy. Material and Methods:The prospective and retrospective study was conducted on 10890 pregnant women. All pregnant women were subjected to US examination by Siemens, Sonoline SL-2 ultrasound machine. using real time system.3.5 MHz transducer. Results: Total 124 foetuses were found to have major congenital malformations.Pregnant women were referred in routine US for foetal well being or risk factor related to foetal malformations.The average incidence of malformations was 1.14% with maximum no. of malformations 96 (77.41%) during 3rd trimester of pregnancy.Majority of cases were in age group 21-25 years (51.6 %) with youngest women of 18 years and oldest 38 years. Most of the foetal malformations were seen in primigravida (45.96 %). During study 52.42% of pregnant women were at risk ofmalformed foetus in form of discrepancy of height of uterus and period of gestation, 47.58% were clinically routine cases.Majority of malformations were detected during 3rd trimester 98(79.04%) with the range of 13-41 weeks and mean gestational age of 31.16 weeks. Most common anomaly was ventriculomegaly 41 cases (27.33%) followed by anencephaly 39cases(26.00%).Neural tube defects accounted for more than 50%of the anomalies with common association withspinal deformities. Polyhydramnios 28 (71.79%) cases was common association with neural tube defects. Oligohydramnios was associated with 4 (66.66%) cases of renal anomalies.Foetal malformations had predilection female fetuses with male to female ratio of 1:1.3 . Spinal abnormalities were common in male fetuses.Overall mortality of malformed.fetuses was 90(72.58%) cases,however in anencephaly, diaphragmatic hernia and hydrops foetalis it was 100%.In skeletal dysplasias it was 80%. Most common site of encephalocele was occipital in 18(94.73%)cases.Most common renal malformation was found to be bilateral hydronephrosis in 4 patients. Skeletal dysplasia was seen in 5 cases with 3 cases had associated pulmonary hypoplasia. Achondroplasia was seen in 3 cases and achondrogenesis in 2 cases. Conclusion:We concluded in our study that ultrasound should be done between 16-20 weeks in routine and earlier in high risk pregnancy. This leaves adequate time for determining the outcome and fate of pregnancy.Hence it would be worth to aware the practitioner about advantage of early scanning in pregnancy.
  5,951 582 2
GENITOURINARY
Case report: Ultrasound demonstration of urachal cyst cancer - a rare case
SI Korishetti, AC Inamadar, SB Patil, GS Patil
October-December 2006, 16(4):883-884
DOI:10.4103/0971-3026.32374  
  6,289 221 -
GASTROINTESTINAL
CT angiography in evaluation of vascular anatomy and prevalence of vascular variants in upper abdomen in cancer patients
KS Rawat
October-December 2006, 16(4):457-461
DOI:10.4103/0971-3026.32246  
Objectives- To evaluate and describe vascular anatomy and the prevalence of vascular variants in upper abdomen in cancer patients with CT angiography to provide roadmap to surgeons to ensure safe surgery. Materials and Methods- A total of 125 cancer patients were evaluated by a Dual-slice spiral CT scanner with maximum intensity projections (MIP) and 3-D postprocessing.We compared CT angiographic findings with intra-operative findings in 62 patients who underwent surgery. Results- CT angiography was found very accurate to evaluate vascular anatomy.In our study of 125 patients 76 ( 61%) of patients showed variations:37 (30%) had single variations and 39 (31%) had more than one variation. The classic hepatic arterial anatomy,with the hepatic artery dividing into right and left hepatic arteries is seen in 53% of patients.Left hepatic artery variations in 26 (21%) patients,right hepatic artery variations in29 (23%) patients, and common hpatic artery variations in 4 (3%) patients were noted. Variations were also seen in hepatic veins, inferior phrenic arteries and, renal arteries and veins.Renal artery variations were seen in 33 (26.4) patients and renal veins variations in 19 (15%) patients. CT angiographic findings were similar to intra-operative findings in 61 (98%) patients who underwent surgery.In one patient we could not visualize an accessory right hepatic artery but it was visualized in retrosperct study arising from gastroduodenal artery. Conclusion- CT angiography is safe and highly sensitve and accurate modality for evaluation of vascular anatomy.
  5,913 543 3
Pancreatic tumors: Prospective evaluation using MR imaging with MR cholangiography and MR angiography
S Chhibber, AK Sharma, N Kumar, S Ghumman, SK Puri
October-December 2006, 16(4):515-521
DOI:10.4103/0971-3026.32260  
Objectives: To assess the efficacy of MR imaging, with MR Cholangiography and MR Angiography in pre operative evaluation of pancreatic tumors. Materials and Methods: 30 patients suspected of having pancreatic tumors underwent MR imaging with a 1.5T unit. Images were prospectively analyzed results correlated with surgery and biopsy. Results: Of the total 30 patients, 24 were histologically proven to be malignant of which 21 underwent surgery. MR characterization - benign from malignant lesions resulted in 27 correct diagnosis (accuracy 90%). 2 patients with histologically confirmed chronic pancreatitis were wrongly considered malignant. Among patients with histologically proven malignancy (n=24), MR imaging yielded correct diagnosis in 23 of 24 patients a sensitivity of 96 %. Overall accuracy for determining vascular involvement in patients who underwent surgery (n=21) was 86% (18 out of 21) a sensitivity of 75% (6 of 8). Sensitivity for detection of lymphadenopathy and liver metastasis was only 50% and 60% respectively. Among patients with final diagnosis of malignancy (n=24) who underwent surgery (n=21), overall accuracy for determining tumor nonresectabilty was 81 % (17 out of 21). Conclusion: A comprehensive combination of MR imaging sequences with MRCP and MR Angiography offers excellent potential to depict, characterize and preoperatively determine the resectability of pancreatic masses.
  6,054 367 1
Imaging appereances of hydatid cyst
DS Shah, H Parikh, B Shah, S Banuprakash, J Shah
October-December 2006, 16(4):533-535
DOI:10.4103/0971-3026.32262  
  5,560 769 2
GYNAECOLOGY AND OBSTETRICS
Antenatal diagnosis of Ebstein's anomaly by ultrasonography- a case report
SA Divekar, RD Kawade, VD Aironi, YP Sachdev, RS Kashyape
October-December 2006, 16(4):827-829
DOI:10.4103/0971-3026.32360  
  5,789 479 -
Antenatal diagnosis of congenital diaphragmatic hernia: A case report
SV Phatak, K Ghodke
October-December 2006, 16(4):793-795
DOI:10.4103/0971-3026.32350  
  5,739 470 -
Twin-Twin transfusion syndrome: - A case report
V Arora, IS Nijjar, R Abrol, R Chopra, Roopa
October-December 2006, 16(4):797-799
DOI:10.4103/0971-3026.32351  
Twin-Twin transfusion syndrome leads to high rates of perinatal morbidity and mortality due to its poorly understood etiology and difficulty in diagnosing and treatment. Early diagnosis during foetal ultrasound is, therefore, important in reducing the morbidity and mortality rates. We report a case of twin-twin transfusion syndrome diagnosed on foetal ultrasound at 26 weeks of gestation.
  5,536 555 -
NEURORADIOLOGY
Case report : 2 cases of lipoma of corpus callosum (LoCC) associated with lipoma of choroid plexus ( LoCP )
AM Rahalkar, MD Rahalkar
October-December 2006, 16(4):719-721
DOI:10.4103/0971-3026.32331  
Agenesis of corpus callosum can be associated with a midline lipoma ( LoCC ) with or without calcification of its periphery. LoCC may extend into either or both lateral ventricles. This developmental abnormality has an embryological basis. We observed this in 2 cases, and, as this is uncommon, are reporting them.
  5,727 330 -
BREAST IMAGING
An interesting case of breast filariasis
V Upadhyaya, DN Upadhyaya, S Sarkar
October-December 2006, 16(4):915-917
DOI:10.4103/0971-3026.32383  
  5,569 371 3
CHEST
Utility of high resolution computed tomography (HRCT) in diagnosis and management of idiopathic pulmonary fibrosis - a study of 10 cases".
S Raniga, S Sharma, A Arora, Y Khalasi, PA Vora
October-December 2006, 16(4):841-846
DOI:10.4103/0971-3026.32363  
Objective / Aim The aim of our article is to present our early experience to evaluate High Resolution CT (HRCT) findings in Idiopathic Pulmonary Fibrosis (IPF) and to stress upon its clinical utility. Materials & Methods A prospective study of ten patients was done at and tertiary care government hospital. Study population comprises seven women and three men. Patients with chronic respiratory symptoms, chest radiograph showing typical reticular pattern or with clinical suspicion of IPF were selected. All patients underwent HRCT examination. Chest radiograph findings were compared with the HRCT findings in all patients. HRCT findings of our study were compared with the other studies. Results From the study it was seen that IPF is most commonly manifested by the combination of HRCT findings, which includes peripheral (100%) and lower lobe predominance (80%) of the distribution of the lesions, evidences of intralobular septal thickening (100%), honeycombing (90%), traction bronchiectasis (90%) and parenchymal distortion (100%). Conclusion In conclusion, HRCT is accurate and superior in the confident diagnosis of IPF. HRCT findings in advance stage of IPF are characteristic. HRCT determines the disease activity and extent of IPF better than chest radiograph. When HRCT findings are characteristic in appropriate clinical settings, HRCT may obviate a need for open lung biopsy.
  5,459 441 -
GASTROINTESTINAL
Carcinoid tumor of the Ileum
V Kalia, K Saggar, P Sandhu, A Ahluwalia, Vibhuti
October-December 2006, 16(4):503-504
DOI:10.4103/0971-3026.32256  
  5,520 373 3
CHEST
Helical CT evaluation of aortopulmonary window
PG Sridhar, A Kalyanpur, PV Suresh, R Sharma, S Maheshwari, N Hrudayalaya
October-December 2006, 16(4):847-849
DOI:10.4103/0971-3026.32364  
Aortopulmonary window is an opening between the aorta and the pulmonary trunk. Two distinct separated semilunar valves must exist to establish the diagnosis of aortopulmonary window, and this defect should be differentiated from truncus arteriosus. Aortopulmonary window is generally diagnosed by echocardiography or Angiocardiography. The authors present two cases of Aortopulmonary window diagnosed by helical CT.
  5,382 497 6
MUSCULOSKELETAL
Radial club-hand: A case report
SV Phatak
October-December 2006, 16(4):609-610
DOI:10.4103/0971-3026.32281  
  5,416 434 -
CHEST
Rheumatoid arthritis-related lung disease-- a case report
AK Patil, KK Hegde
October-December 2006, 16(4):853-855
DOI:10.4103/0971-3026.32366  
  5,468 367 -
GYNAECOLOGY AND OBSTETRICS
Case report :Case of metastatic choricarcinoma,unusual metastatis
K Nimje, L Deore, M Deshmukh, B Pai, M Ruparel, M Kulkarni
October-December 2006, 16(4):801-803
DOI:10.4103/0971-3026.32352  
  5,293 427 2
HEAD AND NECK
Esthesioneuroblastoma
S Turakhia, K Patel
October-December 2006, 16(4):669-672
DOI:10.4103/0971-3026.32295  
  5,673 0 3
Pictorial essay: USG of retinoblastoma
HC Soni, SB Patel, KG Goswami, Y Gohil
October-December 2006, 16(4):657-668
DOI:10.4103/0971-3026.32294  
  5,625 0 -
GYNAECOLOGY AND OBSTETRICS
Mayer- Rokitansky- Kuster- Hauser syndrome
KK Sen, A Kapoor
October-December 2006, 16(4):805-807
DOI:10.4103/0971-3026.32353  
  5,053 534 4
GENITOURINARY
Multilocular cystic nephroma of the kidney : A case report
S Singh, V Chowdhury, R Dixit, A Manchanda
October-December 2006, 16(4):901-904
DOI:10.4103/0971-3026.32379  
  5,169 311 -
NEURORADIOLOGY
Lateral ventricular neurocysticercosis: A case report
S Kalra, AK Jaiswal, S Behari, VK Jain
October-December 2006, 16(4):775-778
DOI:10.4103/0971-3026.32345  
  5,084 372 4
HEAD AND NECK
Imaging of congenital cholesteatoma with atretic ear- a rare case report
A Ghosh, S Saha, A Sadhu, PV Saha
October-December 2006, 16(4):673-675
DOI:10.4103/0971-3026.32296  
Congenital cholesteatoma is a rare entity in routine clinical practice. Secondary otitis media makes it difficult to diagnose. Chances of congenital cholesteatoma increase when it is associated with atretic ear. Appropriate imaging technique helps to diagnose and delineate the extent congenital cholesteatoma.
  5,024 396 1
GASTROINTESTINAL
Carcinoid of the stomach -a rare tumour
S Kaur, R Goyal, H Juneja, N Sood, P Bajaj
October-December 2006, 16(4):545-547
DOI:10.4103/0971-3026.32265  
  5,135 282 -
GYNAECOLOGY AND OBSTETRICS
Antenatal ultrasound diagnosis of occipital meningoencephalocele-A case report
SR Chougule, SM Desai, VD Aironi
October-December 2006, 16(4):789-791
DOI:10.4103/0971-3026.32349  
  4,969 417 -
MUSCULOSKELETAL
Synovial sarcoma of thigh
V Kalia, K Saggar, P Sandhu, A Ahluwalia, Vibhuti
October-December 2006, 16(4):607-608
DOI:10.4103/0971-3026.32280  
  5,077 260 -
INTERVENTIONAL RADIOLOGY
Hemosuccus pancreaticus - endovascular treatment by transcatheter embolization of both gastric arteries
V Janik, R Padr, T Adla, J Neuwirth, R Keil, R Lischke, P Pafko
October-December 2006, 16(4):921-924
DOI:10.4103/0971-3026.32385  
  5,052 279 -
NEURORADIOLOGY
Creutzfeldt-Jakob disease, Spongiform encephalopathy, Prion disease, diffusion weighted MRI
AK Gupta, JK Shah
October-December 2006, 16(4):695-700
DOI:10.4103/0971-3026.32302  
  4,922 373 -
CHEST
Congenital cystic adenomatoid malformation: A case report
R Malik, VK Pandya, G Agrawal, M Jain
October-December 2006, 16(4):859-860
DOI:10.4103/0971-3026.32368  
  4,800 439 1
GASTROINTESTINAL
Idiopathic abdominal cocoon
JR Pillai, SN Kumar, Praneena
October-December 2006, 16(4):483-485
DOI:10.4103/0971-3026.32251  
  4,740 488 1
CHEST
Amiodarone induced pulmonary toxicity
MK Dwivedi, B Piparsania, P Issar, L Dewangan
October-December 2006, 16(4):851-852
DOI:10.4103/0971-3026.32365  
  4,876 348 -
GASTROINTESTINAL
Annular pancreas: MR and MR Pancreaticography a useful tool
AK Sharma, PK Mishra, S Chibber
October-December 2006, 16(4):433-437
DOI:10.4103/0971-3026.32238  
  4,591 581 -
CHEST
Radiation dose monitoring in a lung cancer patient with a pacemaker - a case report
D Mitra, K Ghosh, P Gupta, J Jayanti, AR Dev, PK Sur
October-December 2006, 16(4):875-877
DOI:10.4103/0971-3026.32372  
  4,803 306 3
GASTROINTESTINAL
Ct diagnosis of epiploic appendagitis-a case report
PA Bhat, PG Sridhar, N Sreenivasan, A Kalyanpur
October-December 2006, 16(4):447-449
DOI:10.4103/0971-3026.32242  
  4,639 400 -
GYNAECOLOGY AND OBSTETRICS
Secondary abdominal pregnancy in urinary bladder
OP Sharma
October-December 2006, 16(4):815-818
DOI:10.4103/0971-3026.32356  
A rare case of antenatal fetus is seen in urinary bladder on MRI on T1WI & T2WI. In sagittal section of MRI, a communication was noticed between uterus and urinary bladder which had resulted due to previous multiple caesarian section surgery for deliveries. On operation, dead fetus was located in urinary bladder & some tissue of placenta was removed from uterine cavity. The rent was repaired. Post operative event was normal.
  4,704 284 2
CHEST
Evolution from "typical" to "atypical" radiological appearances- report of two patients of Sarcoidosis
SK Chhabra, T Chugh, P Chhabra
October-December 2006, 16(4):869-873
DOI:10.4103/0971-3026.32371  
Two patients of pulmonary sarcoidosis are reported in whom during the course of the disease, the radiological lesions evolved from the more common presentations to unusual ones. In a 70 years old man, the evolution occurred from Stage I (bilateral hilar lymphadenopathy, BHL) to Stage II with reticular pattern and BHL. This was accompanied by multiple large pulmonary nodules and pleural effusion. In the second patient, a 48-year-old woman, the picture evolved from a typical stage II (BHL with bilateral reticulonodular pattern) to a large mass-lesion simulating a malignancy. Both the patients had a variable symptom-free period between the two presentations. The diagnosis was confirmed by the demonstration of noncaseating granulomas by transbronchial biopsy and transthoracic fine needle aspiration cytology, respectively.
  4,693 277 -
GASTROINTESTINAL
CT colonography - a practical guide
R Sinha
October-December 2006, 16(4):537-541
DOI:10.4103/0971-3026.32263  
  4,356 585 1
NEURORADIOLOGY
Prenatal evaluation of vein of galen malformation with three dimensional doppler angiography - a case report
S Shanmugam, A Bhagavati
October-December 2006, 16(4):753-756
DOI:10.4103/0971-3026.32340  
  4,545 391 1
GENITOURINARY
Renal and ureteral transitional cell carcinoma: A case report
SV Phatak, PK Kolwadkar
October-December 2006, 16(4):907-909
DOI:10.4103/0971-3026.32381  
  4,404 324 1
MUSCULOSKELETAL
Bilateral coalition of capitate & trapezoid a very rare case
JPS Walia, A Singh, AK Walia, D Kumar
October-December 2006, 16(4):585-586
DOI:10.4103/0971-3026.32275  
  4,492 236 -
CHEST
Intrapulmonary air filled bronchogenic cyst, a rare entity
S Kaur, R Goyal, H Juneja, N Sood, S Kaur
October-December 2006, 16(4):865-867
DOI:10.4103/0971-3026.32370  
  4,384 332 3
HEAD AND NECK
Tuberculosis of parotid gland - a case report
L Alex, M Balakrishnan, AK Ittyavirah
October-December 2006, 16(4):689-690
DOI:10.4103/0971-3026.32300  
  4,286 341 5
GASTROINTESTINAL
Pictorial essay: Alkaptonuria
SV Phatak, PK Kolwadkar, TJ Hemnani, MS Phatak, JT Hemnani
October-December 2006, 16(4):573-576
DOI:10.4103/0971-3026.32272  
  4,081 428 -
GYNAECOLOGY AND OBSTETRICS
Lithopaedion evolution of an abdominal siamese twin pregnancy-a rare case report
P Misra, BK Bastia, N Deep, MVK Rao, SK Jena
October-December 2006, 16(4):813-814
DOI:10.4103/0971-3026.32355  
  4,258 251 1
GASTROINTESTINAL
Two cases of immature mesenteric teratoma
C Raychaudhari, H Prajapati, HK Shah
October-December 2006, 16(4):567-570
DOI:10.4103/0971-3026.32270  
  4,154 280 5
Msct in acute small gut obstruction: A pictorial assay
G Mahajan, A Kapoor, A Kapoor, VP Lakhanpal
October-December 2006, 16(4):463-468
DOI:10.4103/0971-3026.32247  
  4,039 392 -
HEAD AND NECK
Disseminated histoplasmosis of adrenal gland
MK Dwivedi, B Piparsania, P Issar, L Dewangan
October-December 2006, 16(4):651-652
DOI:10.4103/0971-3026.32291  
  3,997 339 5
GYNAECOLOGY AND OBSTETRICS
Antenatal ultrasound diagnosis of ureterocele
K Balakumar
October-December 2006, 16(4):823-824
DOI:10.4103/0971-3026.32358  
The ultrasonographic detection of fetal hydronephrosis demands a thorough search for the presence of ureterocele. This case illustrates a classical unilateral ureterocele diagnosed at 30 weeks of gestation. The pregnancy was uneventful ending in normal vaginal delivery. The neonatal cystoscopic findings supported the definitive antenatal diagnosis.
  3,940 351 -
MUSCULOSKELETAL
A rare case of melorrheostosis with articular involvement: MR appearance
AM Patel, DU Vaghela, S Kumar, UA Shah, AK Shah, HR Shah
October-December 2006, 16(4):619-621
DOI:10.4103/0971-3026.32283  
  4,028 261 1
GENITOURINARY
Two unique cases of atypical mullerian duct development
AV Trivedi, KB Vaishya, CK Dodiya, SP Gandhi, AJ Pandya
October-December 2006, 16(4):887-889
DOI:10.4103/0971-3026.32376  
  3,901 289 1
NEURORADIOLOGY
Cerebral amyloid angiopathy
BKD Prasad, GS Kejriwal, SN Sahu
October-December 2006, 16(4):745-747
DOI:10.4103/0971-3026.32338  
Cerebral amyloid angiopathy (CAA) is a very rare entity. This is an age related disease and is not a manifestation of systemic amyloidosis in any of its forms. Sporadic cases are most common, though hereditary cases do exist. Alzheimer's disease predispose to CAA. This condition is to be borne in mind when a spontaneous intracerebral haemorrhage with lobar pattern or one situated very superficial location in the cortical region is presented.
  3,836 302 2
GASTROINTESTINAL
Rigid 12 inches long impacted foreign body in upper gastro-intestinal-tract
VK Pandya, R Malik, M Lakhole
October-December 2006, 16(4):495-497
DOI:10.4103/0971-3026.32254  
We describe a case of 12 inches long rigid, radiolucent foreign body in a 17 year old female accidentally ingested and impacted in upper G.I. Tract. Patient was haemodynamically stable, walking-talking with presenting complaints of dysphgia and nausea. Though Radio-opaque foreign bodies are easily evident on plain radiographs but Radiolucency and midline location (overlapped by thoracic vertebral shadow) made it a difficult task to map this unusual foreign body on plain skiagram. Barium study revealed a straight, 12 inches long foreign body from mid esophagus to greater curvature of stomach with evidence of erosion at the terminal ends. Laparotomy revealed the presence of 12 inches long rigid foreign body DATUN (Neem stick -a ayurvedic remedy used for oral hygiene-cleaning and brushing teeth) impending to rupture the viscera at both ends.
  3,872 240 1
CHEST
Accessory cardiac bronchus: A rare congenital anomaly of the tracheobronchial tree
AL Atre, A Joshi, J Joseph, A Tandon, P Sangle
October-December 2006, 16(4):857-858
DOI:10.4103/0971-3026.32367  
  3,820 286 1
NEURORADIOLOGY
Disseminated hydatid disease a case report with mr spectroscopic correlation
M Sreedhar
October-December 2006, 16(4):771-774
DOI:10.4103/0971-3026.32344  
  3,760 311 2
GASTROINTESTINAL
Carcinosarcoma of the gallbladder with chondroid differentiation: Mri findings
R Oberoi, A Jena, R Tangri, A Saharia
October-December 2006, 16(4):491-493
DOI:10.4103/0971-3026.32253  
Carcinosarcoma is a rare type of gallbladder malignancy, the diagnosis requires the presence of both malignant epithelial and mesenchymal components. The prognosis of this disease is extremely poor. We report a case of carcinosarcoma of the gallbladder with chondroid differentiation in a 68 years old man presented as an intraluminal growth of gallbladder. MR findings, histological findings and differential diagnosis of the case were discussed.
  3,756 282 4
Sonographic diagnosis of a glass foreign body in the rectum
RK Sarai, AP Khandelwal, AC Morani, JL Ashtekar
October-December 2006, 16(4):549-551
DOI:10.4103/0971-3026.32266  
  3,755 264 2
MUSCULOSKELETAL
Assessment of quantitative ultrasound densitometry in 100 persons with fractures due to osteoporosis
JPS Walia, A Singh, AC Gupta, B Singh, AK Walia, D Kumar
October-December 2006, 16(4):597-601
DOI:10.4103/0971-3026.32278  
To assess the role of quantitative ultrasound densitometry on person with osteoporosis fracture. We measure BUA T-score of Os-calis in a sample of 100 persons (Male 54, Female46), aged 45-99 years at Rajindra Hospital, Patiala. We observed that none of the patient in our study had normal BUA T Score measured by quantitative ultrasound densitometry. All patient had BUA T-Score range -5.5 to -1.2, mean with SD -2.60 1.07. Thus quantitative ultrasound densitometry seems to be a good predictor of fracture risks due to osteoporosis. We also observed that in osteoporotic patient with age 45 years or over there was age related decline BUA T. Score. This was higher in women compared with men. We conclude that all patients with fractures due to osteoporosis had poor bone quality. Thus quantitative ultrasound densitometry may be mandatory for a person with osteoporosis facture.
  3,728 266 -
Macrodactyly: Report of three cases
S Sharma, S Vyas, A Negi, RG Sood, Anupam , NK Kaushik
October-December 2006, 16(4):583-584
DOI:10.4103/0971-3026.32274  
  3,683 297 -
Extraskeletal mesenchymal chondrosarcoma[Emc]
CR Chaudhari, H Prajapati, HK Shah
October-December 2006, 16(4):603-606
DOI:10.4103/0971-3026.32279  
  3,684 288 1
GASTROINTESTINAL
Splenic artery aneurysm
VS Gandhi, GN Thakkar, DK Rajput, NP Rajvaidya
October-December 2006, 16(4):487-489
DOI:10.4103/0971-3026.32252  
  3,643 315 -
Case report: Primary appendiceal malignancy- an unusual case report and review of literature
HC Soni, SB Patel, KG Goswami, Y Gohil
October-December 2006, 16(4):473-475
DOI:10.4103/0971-3026.32249  
  3,611 322 1
NEURORADIOLOGY
Acute disseminated encephalomyelitis - a case report
RK Yadav, S Agarwal, Richa
October-December 2006, 16(4):739-741
DOI:10.4103/0971-3026.32336  
  3,536 343 1
GASTROINTESTINAL
A rare case of pancreatic injury: A case report
A Mahale, A Gupta, K Paudel
October-December 2006, 16(4):437-439
DOI:10.4103/0971-3026.32239  
  3,477 394 1
LETTER TO EDITOR
All that avid calvarial uptake need not be pathological
VVSP Rao, P Sudhakar, ML Naryan, N Venugopal
October-December 2006, 16(4):999-100
DOI:10.4103/0971-3026.32416  
  3,589 219 -
CHEST
Pulmonary alveolar microlithiasis
SS Patro, CR Kar
October-December 2006, 16(4):879-881
DOI:10.4103/0971-3026.32373  
  3,508 268 1
HEAD AND NECK
Melanotic nasal malignant melanoma - a rare case report
S Vinod, KK Hegde
October-December 2006, 16(4):691-693
DOI:10.4103/0971-3026.32301  
  3,495 269 2
QUIZ
Radiological quiz - ultrasound
S Smriti
October-December 2006, 16(4):935-936
DOI:10.4103/0971-3026.32390  
  3,519 245 -
GASTROINTESTINAL
Case report: Pseudoaneurysm of splenic artery
HC Soni, SB Patel, KG Goswami
October-December 2006, 16(4):509-511
DOI:10.4103/0971-3026.32258  
Pseudoaneurysm can arise due to various etiologies and patient may presents with symptoms not related with primary location of lesion. This article describes an unusual case of pseudoaneurysm diagnosed on USG. Old aged female patient presented with episodes of altered consciousness. USG study of abdomen revealed huge multilayered lesion in left hypochondrial region with peripheral anechoic region, which showed continuous and regular pulsation on real time study. We put diagnosis of pseudoaneurysm of splenic artery. The patient was advised for CT scan and findings were confirmed. Awareness of typical sonographic appearance of pseudoaneurysm may aid in early and proper diagnosis.
  3,451 303 -
GENITOURINARY
Imaging features of carcinoma of male urethra
S Sharma, N Agarwal, A Negi, S Makhaik
October-December 2006, 16(4):905-906
DOI:10.4103/0971-3026.32380  
  3,468 265 -
GYNAECOLOGY AND OBSTETRICS
Color duplex evaluation of flow pulsatility in portal vein in healthy adults
NC Sharma
October-December 2006, 16(4):785-787
DOI:10.4103/0971-3026.32348  
Material & Methods - 30 healthy volunteers (19 men; 11 women) with no cardiac; lung or liver disease were studied by Color Duplex Imaging (CDI) and portal vein (PV) was evaluated for flow pulsatility. Results - Inverse correlation was found between venous pulsatility index (VPI) and body mass index (BMI) of subjects. (R = -0.76; p<0.001). No correlation was found between VPI and age of the patients. Inverse correlation was also found between VPI and subjects position associated with increase in intra-abdominal pressure. Conclusion - PV flow pulsatility is probably due to several and often simultaneous factors; and therefore PV pulsatility should be interpreted in clinical context.
  3,342 313 -
Giant vaginoliths
R Malik, VK Pandya, G Agrawal
October-December 2006, 16(4):825-826
DOI:10.4103/0971-3026.32359  
  3,356 261 2
HEAD AND NECK
Alveolar rhabdomyosarcoma of mediastinum - a case report
NLN Moorthy, BT Prasad, P Sakunthala, K Bhramaramba
October-December 2006, 16(4):655-656
DOI:10.4103/0971-3026.32293  
  3,271 247 2
NEURORADIOLOGY
CNS aspergillosis
S Singh, V Chowdhury, R Dixit
October-December 2006, 16(4):749-752
DOI:10.4103/0971-3026.32339  
  3,204 293 -
GENITOURINARY
Bilateral massive bleeding in renal angiomyolipomas with pulmonary lymphangioleiomyomatosis in tuberous sclerosis: A rare presentation
A Pancholi, V Vaidya, TN Gopinath, A Prajapati, K Kothari, V Patel
October-December 2006, 16(4):897-900
DOI:10.4103/0971-3026.32378  
Angiomyolipomas (AMLs) are rare renal tumors, occur in majority of cases of tuberous sclerosis which are usually multiple, larger, bilateral, affecting younger age group and have tendency to bleed. Pulmonary lymphangioleiomyomatosis (LAM) is a rare, idiopathic disease, exclusively affects women of childbearing age. This entity is rarely associated with tuberous sclerosis (TS). We present a case of young female with bilateral massive renal AMLs with bleeding on the right side, pulmonary LAM with typical features of TS. Associations between renal AMLs, pulmonary LAM and TS have been discussed.
  3,249 239 -
GASTROINTESTINAL
Multiple jejunal lipomatosis - a rare cause of midgut volvulus
R Bavaharan, N Karunakaran, T Mukuntharajan, NS Mani
October-December 2006, 16(4):513-514
DOI:10.4103/0971-3026.32259  
  3,203 269 2
QUIZ
Radiological quiz - neuroradiology
R Malik, VK Pandya, M Jain
October-December 2006, 16(4):953-955
DOI:10.4103/0971-3026.32398  
  3,218 252 -
Radiological quiz - obstetrics
P Jagmohan, S Sangwan, RS Solanki, S Toppo
October-December 2006, 16(4):927-929
DOI:10.4103/0971-3026.32387  
  3,089 232 -
Radiological quiz - neuroradiology
S Sharma, M Surya, SGG Kumar, A Negi, N Agarwal
October-December 2006, 16(4):971-973
DOI:10.4103/0971-3026.32405  
  3,071 231 -
MUSCULOSKELETAL
Primary ewings sarcoma of the temporal bone- a case report
SS Bawa, KK Hegde
October-December 2006, 16(4):623-625
DOI:10.4103/0971-3026.32284  
Ewing's sarcoma represents 10% of all primary malignant bone tumors [1]. These are primarily seen in long bones. Primary Ewing's sarcoma involving the cranial bones are rare and only 13 cases involving the temporal bone have been reported in literature to the best of our knowledge. Considering its rarity, we report a case of Ewing's sarcoma of the temporal bone. Salient clinical, radiological and histologic features are described.
  3,034 251 -
GENITOURINARY
Large renal angiomyolipoma with extension in perinephric space: A case report
SV Phatak, PK Kolwadkar, D Rajderkar
October-December 2006, 16(4):911-913
DOI:10.4103/0971-3026.32382  
  3,035 235 -
NEURORADIOLOGY
Jouberts syndrome - a case presentation
NC Sharma
October-December 2006, 16(4):743-744
DOI:10.4103/0971-3026.32337  
  2,953 304 -
QUIZ
Radiological quiz - musculoskeletal
D Buddhi, BP Baruah, A Prasad, N Sachdev, H Singh
October-December 2006, 16(4):979-981
DOI:10.4103/0971-3026.32407  
  3,038 217 -
GENITOURINARY
Testicular microlithiasis - a case report
S Pande, R Agrawal, V Mehta, A Sharma
October-December 2006, 16(4):885-886
DOI:10.4103/0971-3026.32375  
  2,994 250 -
NEURORADIOLOGY
Neonatal candida infection of the CNS : A case report
S Singh, V Chowdhury, R Dixit, A Prakash
October-December 2006, 16(4):711-713
DOI:10.4103/0971-3026.32329  
  2,966 275 1
GASTROINTESTINAL
CT appearance of pancreatoblastoma: A case report
KV Rajagopal, NM Kulakarni, BN Lakhkar
October-December 2006, 16(4):445-446
DOI:10.4103/0971-3026.32241  
  2,883 342 -
MUSCULOSKELETAL
Case presentation:Langer's type mesomelic dysplasia
M Ravalji, GJ Makwana, HR Shah
October-December 2006, 16(4):587-588
DOI:10.4103/0971-3026.32276  
  2,926 234 1
QUIZ
Radiological quiz - musculoskeletal
R Balaji, K Ramachandran, AS Krishnakumar, M Venugopal
October-December 2006, 16(4):931-932
DOI:10.4103/0971-3026.32388  
  2,945 212 3
BREAST IMAGING
Malignant melanoma of male breast: A case report
SV Phatak
October-December 2006, 16(4):919-920
DOI:10.4103/0971-3026.32384  
  2,885 226 1
GASTROINTESTINAL
Ruptured splenic artery aneurysm
HB Raval, GR Agarwal, RP Sagar, AN Dave, VB Patel
October-December 2006, 16(4):543-544
DOI:10.4103/0971-3026.32264  
  2,820 269 1
GYNAECOLOGY AND OBSTETRICS
Craniopagus : A preoperative assessment
A Mahale, A Venugopal, MS Kishore, A Ghiraiya
October-December 2006, 16(4):783-784
DOI:10.4103/0971-3026.32347  
  2,674 256 2
QUIZ
Radiological quiz - abdomen
SZ Abbas, M Rashid, SN Abbas, IA Khan
October-December 2006, 16(4):951-952
DOI:10.4103/0971-3026.32397  
  2,720 210 -
EDITORIAL
MDCT enteroclysis new kid on the bloc
Anirudh Kohli
October-December 2006, 16(4):431-432
DOI:10.4103/0971-3026.32417  
  2,525 403 -
QUIZ
Radiological quiz - obstetrics
R Anand, MK Narula, R Madan, G Kapoor
October-December 2006, 16(4):933-934
DOI:10.4103/0971-3026.32389  
  2,681 234 -
HEAD AND NECK
Congenital orbital cyst with micro-ophthalmos
R Malik, VK Pandya, Pawasthi
October-December 2006, 16(4):653-654
DOI:10.4103/0971-3026.32292  
  2,657 257 1
NEURORADIOLOGY
Joubert`S syndrome
RR Shah, H Agarwal, S Banuprakash, B Shah, J Shah
October-December 2006, 16(4):765-766
DOI:10.4103/0971-3026.32342  
  2,617 279 -
GASTROINTESTINAL
Spontaneous resolving of the aneurysm of ileocolic artery, branch of superior mesenteric artery ----Imaging findings
AK Sharma, PK Mishra, S Chibber, Aditya
October-December 2006, 16(4):559-562
DOI:10.4103/0971-3026.32268  
A rare case of ileo-colic aneurysm- branch of superior mesenteric artery is presented. Injuries to branches of superior mesenteric artery are unusual and often difficult to diagnose, yet require prompt recognition and treatment to prevent exsanguinating hemorrhage or bowel ischemia(1).The present patient was a known case of RHD with severe AS and moderate AR and was operated in 2001.Patient has a history of trauma in right iliac fossa and was diagnosed as aneurysm on color Doppler, confirmed on CT angio, MR angiography and conventional; angiography. Since Patient was asymptomatic when came to radiology deptt, intervention was deferred for a week. After a week when color Doppler was performed it showed on resolved hematoma and no aneurysm. This is a unique case of ileocolic aneurysm resolving on its own .only few cases of ileocolic artery aneurysm have been reported in literature; either they are treated with laprotomy or by interventional procedure.
  2,637 224 -
QUIZ
Radiological quiz - neuroradiology
DA Shah, RP Sagar
October-December 2006, 16(4):987-988
DOI:10.4103/0971-3026.32410  
  2,637 209 -
GASTROINTESTINAL
Isolated pancreatic duct ascariasis in a child
S Sardessai, M Sharma, G Barreto
October-December 2006, 16(4):571-572
DOI:10.4103/0971-3026.32271  
  2,560 231 1
LETTER TO EDITOR
Bilateral renal cell carcinoma
AY Lakshmi
October-December 2006, 16(4):997-997
DOI:10.4103/0971-3026.32414  
  2,529 239 -
QUIZ
Radiological quiz - chest
R Ravi, A Mazharunissa, JD Meenal, K Sridharan
October-December 2006, 16(4):983-984
DOI:10.4103/0971-3026.32408  
  2,523 219 -
Radiological quiz - musculoskeletal
GN Thakkar, VS Gandhi, DK Rajput, A Pramanik
October-December 2006, 16(4):985-986
DOI:10.4103/0971-3026.32409  
  2,493 237 -
Radiological quiz - chest
J Kumar, A Kumar
October-December 2006, 16(4):989-91
DOI:10.4103/0971-3026.32411  
  2,498 220 -
Radiological quiz - neuroradiology
MK Narula, G Kapoor, K Deria, AK Patwari, R Anand
October-December 2006, 16(4):939-942
DOI:10.4103/0971-3026.32392  
  2,466 246 -
Radiological quiz - musculoskeletal
NU Bahri, HP Parekh, SL Chudashama, MH Patel, S Agarwal, SA Jayesh
October-December 2006, 16(4):947-948
DOI:10.4103/0971-3026.32395  
  2,489 216 -
Radiological quiz - neuroradiology
I Ahmad, F Haque, S Wahab, U Ahmad
October-December 2006, 16(4):943-944
DOI:10.4103/0971-3026.32393  
  2,429 228 -
Radiological quiz - abdomen
A Singhal, R Gothi, S Singhal
October-December 2006, 16(4):965-967
DOI:10.4103/0971-3026.32403  
  2,376 217 1
Radiological quiz - abdomen
L Dayananda, KP Sreekumar, NK Prabhu, K Venkatesh
October-December 2006, 16(4):961-962
DOI:10.4103/0971-3026.32401  
  2,359 192 -
Radiological quiz - musculoskeletal
NU Bahri, HP Parekh, SL Chudasama, HH Zalawadia, PV Padhara, N Mittal
October-December 2006, 16(4):925-926
DOI:10.4103/0971-3026.32386  
  2,302 212 -
Radiological quiz - musculoskeletal
V Gandhi, GN Thakkar, S Banuprakash, B Shah, D Rajput
October-December 2006, 16(4):975-977
DOI:10.4103/0971-3026.32406  
  2,226 204 -
Radiological quiz - abdomen
C Raychaudhari, HJ Prajapati, HK Shah, R Sheth
October-December 2006, 16(4):959-960
DOI:10.4103/0971-3026.32400  
  2,206 215 -
NEURORADIOLOGY
Spontaneous vertebral artery dissection
A Atre, M Jagtap, A Nanivadekar, S Vaid, S Rawat
October-December 2006, 16(4):767-770
DOI:10.4103/0971-3026.32343  
  2,152 228 -
QUIZ
Radiological quiz - musculoskeletal
P Sharma, U Hemal
October-December 2006, 16(4):957-958
DOI:10.4103/0971-3026.32399  
  2,179 181 -
Radiological quiz - musculoskeletal
RR Kumar, MV Ramanappa, P Satish
October-December 2006, 16(4):937-938
DOI:10.4103/0971-3026.32391  
  2,139 205 -
Radiological quiz - brain
S Pande, HA Mumtaz, V Mehta, A Sharma
October-December 2006, 16(4):993-94
DOI:10.4103/0971-3026.32412  
  2,080 216 -
Radiological quiz - abdomen
B Pai, T Jakhi
October-December 2006, 16(4):963-964
DOI:10.4103/0971-3026.32402  
  2,080 205 -
Radiological quiz - musculoskeletal
NU Bahri, HP Parekh, DK Singh, DL Chavada, YG Nayee, VA Karmur
October-December 2006, 16(4):969-970
DOI:10.4103/0971-3026.32404  
  2,004 209 -
Radiological quiz - abdomen
R Thapa
October-December 2006, 16(4):945-946
DOI:10.4103/0971-3026.32394  
  2,021 190 -
Radiological quiz - abdomen
A Singh
October-December 2006, 16(4):995-996
DOI:10.4103/0971-3026.32413  
  1,928 198 -
Radiological quiz - neuroradiology
S Gowda, KK Hegde
October-December 2006, 16(4):949-950
DOI:10.4103/0971-3026.32396  
  1,887 201 -
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