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   2011| January-March  | Volume 21 | Issue 1  
    Online since January 22, 2011

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Pictorial essay: The many faces of craniosynostosis
Paritosh C Khanna, Mahesh M Thapa, Ramesh S Iyer, Shashank S Prasad
January-March 2011, 21(1):49-56
DOI:10.4103/0971-3026.76055  PMID:21431034
Craniosynostosis is a common condition in the pediatric age group, which may either be isolated or may present as part of a craniofacial syndrome. This pictorial review illustrates the underlying mechanisms and pathophysiology of craniosynostosis, the various types of craniosynostoses, common craniofacial syndromes and the role of imaging in their diagnosis and management.
  36,810 2,151 8
Pictorial essay: Congenital anomalies of male urethra in children
Manisha Jana, Arun K Gupta, Kundum R Prasad, Sandeep Goel, Vishal D Tambade, Upasna Sinha
January-March 2011, 21(1):38-45
DOI:10.4103/0971-3026.76053  PMID:21431032
Congenital anomalies of the male urogenital tract are common. Some lesions like posterior urethral valve or anterior urethral diverticulum tend to present early in infancy and are often easily diagnosed on conventional contrast voiding cystourethrograms. Other conditions like posterior urethral diverticulum or utricle can be relatively asymptomatic and therefore present late in childhood. We present the spectrum of imaging findings of common and uncommon anomalies involving the male urethra. Since the pediatric radiologist is often the first to make the diagnosis, he or she should be well aware of these conditions.
  34,713 2,459 1
Soft tissue cysticercosis - Ultrasonographic spectrum of the disease
Deepti Naik, MG Srinath, Ashok Kumar
January-March 2011, 21(1):60-62
DOI:10.4103/0971-3026.76059  PMID:21431036
This case series emphasizes the role of USG in the diagnosis of isolated soft tissue cysticercosis. We assessed its value for identifying features such as the location of the cyst, the presence or absence of abscess, and the presence or absence of a scolex within the cyst. Three USG patterns were seen and are described.
  14,796 1,250 6
Pictorial essay: Complications of a swallowed fish bone
Girish Bathla, Lynette LS Teo, Sunita Dhanda
January-March 2011, 21(1):63-68
DOI:10.4103/0971-3026.76061  PMID:21431037
Unintentional ingestion of a fishbone (FB) is common, especially in populations with a high consumption of seafood. In most instances, the ingested FB passes uneventfully through the gastrointestinal (GI) tract, usually within a week. However, in certain cases, the FB may become impacted and lead to complications. Awareness of these complications is important as patients usually present with nonspecific symptoms and could be unaware of having ingested an FB.
  12,684 446 3
Chest wall tuberculosis - A clinical and imaging experience
Shabnam Bhandari Grover, Meghna Jain, Shifali Dumeer, Nanda Sirari, Manish Bansal, Deepak Badgujar
January-March 2011, 21(1):28-33
DOI:10.4103/0971-3026.76051  PMID:21431030
Aims: Tuberculous infection of the thoracic cage is rare and is difficult to discern clinically or on radiographs. This study aims to describe the common sites and the imaging appearances of chest wall tuberculosis. Materials and Methods: A retrospective review of the clinical and imaging records of 12 confirmed cases of thoracic cage tuberculosis (excluding that of the spine), seen over the last 7 years, was performed. Imaging studies available included radiographs, ultrasonographies (USGs), and computed tomography (CT) scans. Pathological confirmation was obtained in all cases. Results: All patients had clinical signs and symptoms localized to the site of involvement, whether it was the sternum, sternoclavicular joints, or ribs. CT scan revealed sternal destruction in three patients and osteolytic lesions with sclerosis of the articular surfaces of the sternoclavicular joints in two patients. In five patients with rib lesions, USG elegantly demonstrated the bone destruction underlying the cold abscess. All cases were confirmed to be of tuberculous origin by pathology studies of the aspirated/curetted material, obtained by CT / USG guidance. Conclusions: Tuberculous etiology should be considered for patients presenting with atypical sites of skeletal inflammation. CT scan plays an important role in the evaluation of these patients. However, the use of USG for demonstrating rib destruction in a chest wall cold abscess has so far been under-emphasized, as has been the role of CT and USG guided aspiration in confirming the aetiology.
  10,436 1,539 5
Case series: Diffusion weighted MRI appearance in prostatic abscess
Paramjeet Singh, Mukesh K Yadav, Shrawan K Singh, Anupam Lal, Niranjan Khandelwal
January-March 2011, 21(1):46-48
DOI:10.4103/0971-3026.76054  PMID:21431033
Diffusion: weighted MRI (DWI) is a novel technique that analyzes the diffusion of water molecules in vivo. DWI has been used extensively in the central nervous system. Its use in body imaging is on the rise. In the prostate, it has been used in the evaluation of prostatic carcinoma. We present DWI findings in two patients of prostatic abscess.
  7,533 419 11
Case report: Varicosity of the communicating vein between the left renal vein and the left ascending lumbar vein mimicking a renal artery aneurysm: Report of an unusual site of varicose veins and a novel hypothesis to explain its association with abdominal pain
Sandeep G Jakhere, Deepak A Yadav, Gorakhnath R Tuplondhe
January-March 2011, 21(1):24-27
DOI:10.4103/0971-3026.76050  PMID:21431029
A communicating vein between the left renal vein and the left ascending lumbar vein has only rarely been reported in the imaging literature. There are very few reports of varicosity of this communicating vein. Nonetheless, awareness about this communicating vein is of utmost importance for surgeons performing aortoiliac surgeries and nephrectomies as it may pose technical difficulties during surgery or cause life-threatening retroperitoneal hemorrhage. Varicosity of this venous channel may be mistaken for paraaortic lymphadenopathy, adrenal pseudo-mass, or renal artery aneurysm. We report a case of a patient with varicosity of this communicating vein, which mimicked a left renal artery aneurysm. A novel hypothesis is also proposed to explain the relationship with abdominal pain.
  7,575 267 -
Technical note: MRI lymphangiography of the lower limb in secondary lymphedema
Ravindra B Kamble, Roshan Shetty, N Diwakar, G Madhusudan
January-March 2011, 21(1):15-17
DOI:10.4103/0971-3026.76047  PMID:21431026
We would like to describe a case of MRI lymphangiography of the left leg, performed by subcutaneous injection of gadopentetate in the foot, followed by serial acquisitions of images, in a 52-year-old female, who presented to us with progressive leg swelling following total hysterectomy and radiation therapy. Successful demonstration of lymphatic channels, along with faint visualization of the venous system, was achieved. This technique allows excellent visualization of lymphatic channels.
  5,957 638 5
Case report: Colonic bezoar due to box myrtle seeds: A very rare occurrence
Narvir Singh Chauhan, Dinesh Sood
January-March 2011, 21(1):21-23
DOI:10.4103/0971-3026.76049  PMID:21431028
Large bowel seed bezoars are rare and are mostly due to seeds of sunflower, prickly pear cactus, sesame and cucumber. We present a rare case of sigmoid colon seed bezoar due to Box Myrtle seeds because of an underlying benign stricture.
  5,797 258 -
Case report: Filariasis presenting as an intra-abdominal cyst
Abhay K Kapoor, Sunil Kumar Puri, Ankur Arora, Lalendra Upreti, Amrender S Puri
January-March 2011, 21(1):18-20
DOI:10.4103/0971-3026.76048  PMID:21431027
Filariasis is an endemic infection seen in the tropical and subtropical regions of the world, presenting with lymphatic dysfunction in the form of lymphocele, hydrocele, chyluria, or groin lymphadenovarix. We report a rare presentation of filariasis as an intra-abdominal cystic mass.
  5,614 407 1
Case report: Pulmonary syphilis mimicking pulmonary hematogenous metastases on chest CT and integrated PET/CT
Hyung Jun Kim, Hyun Ju Seon, Hyo Hyun Shin, Yoo-Duk Choi
January-March 2011, 21(1):34-37
DOI:10.4103/0971-3026.76052  PMID:21431031
We report a case of syphilis with pulmonary involvement. Chest CT scan and 18 F-fluorodeoxyglucose (FDG) PET/CT showed multiple pulmonary nodules mimicking pulmonary hematogenous metastases. This was confirmed on follow-up images that showed therapeutic response to penicillin.
  5,462 277 4
Technical note: Image guided internal fiducial placement for stereotactic radiosurgery (CyberKnife)
Govindarajan Janardan Mallarajapatna, Sridhar Papaiah Susheela, Kumar Gangadharaiah Kallur, Nagaraj Kanakapura Ramanna, Prashant Guthlu Ramachandra, Sudhakar , Shivakumar Swamy Shivalingappa
January-March 2011, 21(1):3-5
DOI:10.4103/0971-3026.76043  PMID:21431022
Internal gold fiducials are necessary for tracking the translational and rotational movements of target lesions during stereotactic radiosurgery. The fiducials are generally placed under image guidance in and around the lesions by interventional radiologists. Specific challenges are encountered during the procedure. This article discusses the basic principles and techniques as well as the specific complications.
  4,675 370 2
Case report: Combined transarterial and direct approaches for embolization of a large mandibular arteriovenous malformation
Chiramel George Koshy, Shyamkumar N Keshava, Vinu Moses, Sudipta Sen
January-March 2011, 21(1):6-9
DOI:10.4103/0971-3026.76044  PMID:21431023
Arteriovenous malformations (AVMs) that involve the mandible are difficult lesions to treat, with traditional options being surgery and embolization. This article describes a large mandibular AVM that was treated with embolization using transarterial as well as direct puncture approaches. Follow-up imaging showed thrombosis of the vascular spaces of the malformation. There were no complications. The patient is doing well and is on follow-up.
  4,391 389 -
Case report: Complex internal mammary to pulmonary artery fistula as a cause of hemoptysis in tuberculosis: Diagnosis and endovascular management using ethylene vinyl alcohol copolymer (Onyx)
Gregory Pierce, Chaitanya Ahuja, Meghna Chadha
January-March 2011, 21(1):10-12
DOI:10.4103/0971-3026.76045  PMID:21431024
A complex right internal mammary to right pulmonary artery fistula resulting in hemoptysis was successfully treated by embolization with a liquid, nonadhesive, embolic agent - ethylene vinyl alcohol copolymer (Onyx). There were no procedural complications and no recurrence of symptoms has been seen after 2 years of follow-up.
  4,293 269 4
A brave new, but frightening world
Bhavin Jankharia
January-March 2011, 21(1):1-2
DOI:10.4103/0971-3026.76042  PMID:21431021
  3,919 480 1
Case report: Intra-atrial course of right coronary artery: Evaluation by dual-source CT
Johann Christopher, Chary Duraikannu
January-March 2011, 21(1):57-59
DOI:10.4103/0971-3026.76057  PMID:21431035
We report a case of an anomalous course of the right coronary artery (RCA) through the right atrium, which was evaluated using dual-source CT angiography. There have been a few cases described previously in literature, but most of them were found either during surgery or at autopsy. Although this variant is clinically benign, it has significant consequences during interventional procedures or bypass surgery.
  3,209 256 4
Technical note: Reduction of radiation dose using ultrasound guidance during transjugular intrahepatic portosystemic shunt procedure
Roshan S Livingstone, Shyamkumar N Keshava
January-March 2011, 21(1):13-14
DOI:10.4103/0971-3026.76046  PMID:21431025
The transjugular intrahepatic portosystemic shunt (TIPS) procedure for decompression of the portal venous system generally performed under fluoroscopic guidance has undergone continuous technical modifications recently. Due to the length of the procedure, the fluoroscopy times are reasonably high, thus increasing the risk from ionizing radiation. Radiation doses were measured for 19 patients using dose area product (DAP) meter. The average DAP value for the TIPS procedure was 63.86 Gy cm 2 (21.12-117.07). Radiation doses to patients can be reduced with the use of USG guidance and intermittent fluoroscopy screening.
  2,939 253 -
Testicular volume in adolescent varicocele
Ramen Kumar Baishya, Divya Ratna Dhawan, Ravindra Sabnis, Mahesh R Desai
January-March 2011, 21(1):69-69
DOI:10.4103/0971-3026.76064  PMID:21431038
  2,465 309 1
Millionaire radiology
Indraneel Bandopadhyaya
January-March 2011, 21(1):70-71
DOI:10.4103/0971-3026.76068  PMID:21431041
  2,449 307 2
Business of radiology/radiologist in business
Smiti Sripathi
January-March 2011, 21(1):71-72
DOI:10.4103/0971-3026.76069  PMID:21431042
  2,169 296 2
MRI criterion for prediction of involvement of circumferential resection margin in rectal cancer
Mudit Gupta, Rashmi Gupta
January-March 2011, 21(1):69-70
DOI:10.4103/0971-3026.76065  PMID:21431039
  2,104 219 1
Author's reply: MRI in T staging of rectal cancer: How effective is it?
Mubashir Mulla
January-March 2011, 21(1):70-70
  1,795 162 -
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