Incidental findings discovered during coronary CTA at king Hussein medical center

To evaluate the incidence and significance of extra cardiac findings discovered during Computed Tomography Coronary Angiography. A retrospective review over the period of two years [between March 2010 and September 2011], of 400 patients who underwent coronary computed tomography scan for non-acute coronary symptoms or a follow up of coronary stents. Non-cardiac incidental findings were documented. A total of 400 patients were included in our study, 308 were males and 92 were females. Age ranged between 31-74 years, 25[6.25%] patients had incidental extra cardiac findings. Of these patients six had pulmonary nodules, one had lung mass, three had pulmonary embolism, four had focal liver lesion and one had inferior vena cava thrombus. Coronary computed tomography scan can reveal significant extra cardiac findings affecting patient outcome, thus these findings should be included in each report

Visualization of normal appendix during non-contrast renal CT scan at King Hussein medical centre

To evaluate the rate of visualization of normal appendix, its caliber and position among patients without history of prior surgery presenting to the Radiology Department for non-contrast renal CT scan in stone protocol. A total of 125 patients with no history of appendectomy who underwent non-contrast computed tomography scan in stone protocol for evaluation of their renal colic between March and August 2011 were included in this study and their images were reviewed. Identification of normal appendix, its contents and location along with the adequacy of intraperitoneal fat were evaluated in both axial, coronal and sagittal planes. Normal appendices were visualized in 91.2% of cases. The most common location of appendiceal tip was paracolic, and the maximum outer diameter of the normal appendix ranged between 3 and 9mm [mean 5 +/- 1.2 mm]. Intraperitoneal fat was adequate in 71% of the cases. Most of normal appendices are seen on non-enhanced Multi Detector Computed Tomography scan in stone protocol as identification of normal appendix is critical to exclude the diagnosis of acute appendicitis among patients with right sided abdominal pain

Craniocervical pneumatization presenting with headache following barotrauma: a case report

A forty nine-year-old male patient with headache following airplane travel, referred for brain CT scan which demonstrates pneumatized base of skull and surgical emphysema, CT scan of cervical spine demonstrated pneumatization of upper three cervical vertebrae with epidural air in the upper cervical region

Incidental thyroid nodules found during carotid doppler ultrasonography at King Hussein Medical Centre

To determine the incidence of thyroid nodules found during extra-cranial carotid Doppler examination. Between March 2005 and December 2007, a total number of 791 patients [354 females and 437 males] underwent carotid Doppler examination for different causes. The study included thyroid gland examination with gray scale and color Doppler. Patients with incidental thyroid nodules were referred to endocrinology out-patient clinic for further evaluation. Patients were divided according to age group and prevalence per decade. Incidental thyroid nodules were found in 98 [12.3%] patient. Bilateral nodules were found in 61 and unilateral in 37 patients. Nodules equal or larger than one cm were found in 89 patients. Fifty eight nodules were solid, 24 were cystic and 16 showed mixed echogenesity. Fine needle aspiration biopsy was performed in 87 patients, and results showed 79 [91%] benign and 8 [9%] malignant nodules. Most malignant nodules were papillary carcinomas. Younger age groups [<55 yrs] were reported to have a higher rate of thyroid nodules [18.3% vs.7.3%, RR: 2.51] [95% CI: 1.68-3.75; P=0.0000028]. Incidental thyroid nodules are a common finding during carotid Doppler ultrasound examination and some of these nodules may represent clinically significant pathology. Younger age constitutes a group of people with higher risk for thyroid nodules

Doppler findings in testicular microlithiasis

Testicular microlithiasis [TM] is a rare and asymptomatic condition, associated with various conditions and diseases. There were no specific Doppler findings found in the literature. In this case presentation we discuss the Doppler findings in TM. Three patients with TM were evaluated with Doppler ultrasound for specific findings. There are no specific Doppler ultrasound findings in patients with TM

Local anesthesia during transrectal prostate biopsy

To determine the effectiveness of the longer acting agent bupivacaine for periprostatic anesthesia during transrectal ultrasound [TRUS] - guided prostate biopsy. Seventy-five patients were r and omized to receive an injection with bupivacaine, a lidocaine / bupivacaine combination, or no local anesthesia. 5 ml of anesthetic was injected immediately before biopsy. After performing the biopsy, a visual analogue scale [VAS; 0-10] were given to patients to assess the severity of pain during the biopsy procedure. In the bupivacaine group, the mean VAS scores were 2.04, and 4.46 in the control group with no local anethsesia [p<0.001]. bupivicaine provides immediate and significant periprostatic anesthesia for TRUS prostate biopsy

value of Tc99m- pertechnitate testicular scintigraphy in diagnosis of acute testicular torsion in pediatric and adult patients

of this study to evaluate the accuracy of Tc99m-Pertechnitate Testicular Scintigraphy [T.S] in evaluating patients with acute scrotal swelling and suspected testicular torsion in pediatric and adult patients by statistical analysis of the results and considering the effect of patients age factor in this regard. Seventy five patients [age range 5 to 38 years] with possible acute testicular torsion from July 2000 to July 2003 were enrolled in this study. T.S was performed for all patients. All of the patients with clinically suspected acute testicular torsion underwent surgery. The surgical findings were reviewed and definite diagnoses were established. None of the other patients had surgery and were followed clinically for at least 3 month after and radionuclide imaging. Seventy Five patients were included in the study, divided into [17 with testicular torsion 58 with non torsion] according to T.S results, with one false positive and no false negative. Overall, T.S has sensitivity of 100% and a specificity of 97% in identifying a testicular torsion. 7 out of 17 patients with testicular torsion had a salvageable testicle at the time of surgery. Tc99m Scintigraphy is a reliable method for diagnosis of testicular torsion sensitivity and specificity are 100% and 98%. There was no significant statistical difference in the sensitivity between pediatric[< 15 years] and adult age groups [> 15 years]

value of Tc99m-pertechnitate testicular scintigraphy in diagnosis of acute testicular torsion in pediatric and adult patients

This study to evaluate the accuracy of Tc99-Pertechnitate Testicular Scintigraphy [T.S] in evaluating patients with acute scrotal swelling and suspected testicular torsion in pediatric and adult patients by statistical analysis of the results was performed for all patients. All of the patients with clinically suspected acute testicular torsion underwent surgery. The surgical finding were reviewed and definite diagnoses were established. None of the other and considering the effect of patients age factor in this regard. Seventy five patients [age range 5 to 38 years] with possible acute testicular torsion from July 2000 to July 2003 were enrolled in this study. T.S patients had surgery and were followed clinically for at least 3 month after and radionuclide imaging. Seventy five patients were included in the study, divided into [17 with testicular torsion 58 with non torsion] according to T.S results with one false positive and no false negative. Overall, T.S has sensitivity of 100% and a specificity of 97% in identifying a testicular torsion 7 out of 17 patients with testicular torsion has a salvageable testicle at the time of surgery. Tc99m scintigraphy is a reliable method for diagnosis of testicular torsion sensitivity and specificity are 100% and 98%. There was no significant statistical difference in the sensitivity between pediatric [<15 years] and adult age groups [>15 years]

Local anesthesia during transrectal prostate biopsy

To determine the effectiveness of the longer acting agent bupivacaine for periprostatic anesthesia during transrectal ultrasound [TRUS] - guided prostate biopsy. Seventy-five patients were randomized to receive an injection with bupivacaine, a lidocaine/ bupivacaine combination, or no local anesthesia. 5 ml of anesthetic was injected immediately before biopsy. After performing the biopsy, a visual analogue scale [VAS; 0-10] were given to patients to assess the severity of pain during the biopsy procedure. In the bupivacaine group, the mean VAS scores were 2.04, and 4.46 in the control group with no local anesthesia [p<0.001]. Bupivicaine provides immediate and significant periprostatic anesthesia for TRUS prostate biopsy

value of Tc99m-pertechnitate testicular scintigraphy in diagnosis of acute testicular torsion in pediatric and adult patients

of this study to evaluate the accuracy of Tc99m-Pertechnitate Testicular Scintigraphy [T.S] in evaluating patients with acute scrotal swelling and suspected testicular torsion in pediatric and adult patients,by statistical analysis of the results and considering the effect of patients age factor in this regard. Seventy five patients [age range 5 to 38 years] with possible acute testicular torsion from July 2000 to July 2003 were enrolled in this study. T.S was performed for all patients. All of the patients with clinically suspected acute testicular torsion underwent surgery. The surgical findings were reviewed and definite diagnoses were established. None of the other patients had surgery and were followed clinically for at least 3 month after and radionuclide imaging. Seventy Five patients were included in the study, divided into [17 with testicular torsion 58 with non torsion] according to T.S results. with one false positive and no false negative. Overall, T.S has sensitivity of 100% and a specificity of 97% in identifying a testicular torsion. 7 out of 17 patients with testicular torsion had a salvageable testicle at the time of surgery. Tc99m scintigraphy is a reliable method for diagnosis of testicular torsion sensitivity and specificity are 100% and 98%. There was no significant statistical difference in the sensitivity between pediatric[< 15 years] and adult age groups[> 15 years]