ABSTRACT
Introduction: In oncology practice, pathological diagnosis ofthe disease is considered the standard for diagnosis. ComputedTomography is the optimal and most preferred image-guidingmodality for thoracic interventions for biopsy specimenprocurement. A well planned and executed CT guided biopsyprovides an accurate diagnosis and facilitates institution ofdefinitive treatment. Study aimed to find out prevalence ofpneumothorax in Computed Tomography guided biopsyof lung lesions and to find out the factors affecting risk ofpneumothorax in Computed Tomography guided biopsy oflung lesions.Material and methods: This observational study of CTguided lung lesion biopsy was performed from September2017 to September 2019 at a tertiary hospital. Proper preprocedure planning and all precautionary measures were takento reduce development of Pneumothorax.Results: A total of 50 patients were included in the studywhich showed prevalence of pneumothorax was found to bemore common in males, smokers, older age groups and inpatients with underlying emphysema. Risk of pneumothoraxwas also found to increase with multiple pleural puncturesand with increasing procedure time. Smaller sized and deeperseated lesions also had more occurrence of pneumothoraxlikely due to direct relation with increasing intrapulmonarybiopsy tract length. Superficial sub pleural lesions had lesseroccurrence of pneumothorax. Decubitus Positioning had least(0%) association with Pneumothorax as compared to supine(25%) and prone (18.1%).Conclusion: Percutaneous CT guided interventions like corebiopsy are relatively simple minimally invasive procedureswith good patient acceptance, low morbidity and almostnegligible mortality. They provide diagnosis of thoracic lesionsquickly and accurately if they are successful in procuringright tissue for histopathological analysis. Knowledge ofthese factors may augment pre-procedure planning. Referringdoctors be aware of these factors and should explain andcommunicate these risks to the patient and family before theprocedure.
ABSTRACT
Background. The aim of the study is to analyze the pattern of mandibular fracture in eastern Indian population. Methods: A retrospective study of 92 computed tomographic examination imaging data showing mandibular fractures during the period from January 2016 to June 2019 were retrieved from radiology data storage and was evaluated. Data were analyzed statistically. Result-The study revealed 83 (90.2%) male and 9 (9.8%) female cases with mean age 34.3 and male female ratio 11.8/1. The most common cause of injury was road traffic accident. The most common fracture sites were parasymphyseal location (92%) followed by mandibula body fracture. The mandibular fractures were treated by open reduction and internal fixation. Conclusion: The most common cause of mandibular fracture in eastern Indian population was RTA. The parasymphyseal fracture is the most common type of mandibular fracture.
ABSTRACT
Background: Prospective magnetic resonance imaging (MRI) of orbits in healthy paediatric population is difficult as it involves sedation or general anaesthesia in most of the cases. The data of normal value of healthy paediatric optic nerve and optic nerve sheath diameter is also scant in literatures for Indian paediatric population. The normal data will help in defining abnormal optic nerve such as congenital optic nerve hypoplasia, optic nerve atrophy and distended optic nerve sheath in raised intracranial pressure. AIM: The aim of our retrospective study is to define the normal value of optic nerve and optic nerve sheath diameter in MRI of paediatric Indian population. MATERIAL AND METHODS:190 MRI studies of paediatric brain with normal radiology reports and no history of raised intracranial pressure were retrospectively reviewed by two senior radiologists using T2 weighted axial brain images. RESULT: The mean optic sheath diameter and optic nerve diameter of 380 eye balls were 4.746 and 2.59 mm respectively. The age wise distribution of optic sheath diameter and optic nerve diameter were 4.08±0.019, 2.05±0.608 in 0-2-year age group, 4.83±0.575, 2.54±0.456 in 3-6-year age group, 4.789±0.553, 2.704±0.447 in 7-12-year age group, and 4.82±0.567, 2.65±0.412 in 13-18 years age group in mean (mm)±standard deviations respectively. Three hundred seventy-one (97%) optic sheath measurement of the 380 eye balls was below the threshold of 6 mm and about 352 (92%) optic nerve measurements out of 380 globes were having optic nerve thickness above 2 mm. This normative data will help the ophthalmologist, clinician, neuro-ophthalmologist and radiologists for better quantitative evaluation of pediatric patient with vision abnormality.
ABSTRACT
Group C streptococci are a common cause of infection in animals and a rare cause of bacteremia in human beings. The entity is often seen in elderly people with a severe underlying illness. We report here the only case of Group C streptococcal bacteremia reported in our hospital, caused by Streptococcus equisimilis, a beta-hemolytic Group C streptococcus. The patient was a 10-year old male with a known history of aplastic anemia. In spite of specific therapy with penicillin, the outcome was fatal.