Adult Onset Leuko-encephalopathy, Cerebral Calcifications and Cysts.

Leuko-encephalopathy, brain calcifications and cysts (LCC) known as Labrune syndrome, is a rare syndrome. It is primarily described in childhood and adolescence as presenting with neurological impairment of relatively rapid progression and intra-cerebral hemorrhage that frequently leads to death. The etiology is unknown & there is no specific clinical feature suggestive of this disorder. Here in, we report a 34-year old man with LCC who had chronic Headache & neurological symptoms beginning in adulthood and discuss recently described entities in view of the relevant literature.

Inferior Pancreatico-Duodenal Artery Pseudoneurysm - MDCT features.

Visceral artery aneurysms is a rare entity and should be managed timely due to their propensity to rupture and associated high mortality. We report a 49-year-old man, presented with a six-month history of persistent epigastric pain associated with indigestion, steatorrhea and weight loss. Ultrasonography (US) and Doppler US showed a cystic mass in the region of pancreatic head with turbulent flow, suggesting a Pseudoaneurysm supplied by the Superior mesenteric artery. Contrast-enhanced Multi Detector Computed Tomography (MDCT) revealed a large Pseudoaneurysm adjacent to the head of pancreas exerting a direct pressure over the head of the pancreas and duodenum. Non-selective abdominal MDCT angiography confirmed the aneurysm stemming from the inferior pancreatico-duodenal artery.

Non-invasive MDCT Pulmonary Angiography in Unselected Patients with suspected Pulmonary Thrombo- Embolism.

Background: Pulmonary Thrombo-Embolism (PE) is a common and potentially lethal complication of deep venous Thrombosis (DVT). High sensitivity and specificity of Multi Detector Computed Tomography Pulmonary Angiography (MDCT-PA) in direct visualization of embolic material within the pulmonary arteries is due to its improved spatial and temporal resolution. Methods: We conducted a Prospective study to evaluate Non-invasive 256 Slice MDCT-PA in one hundred unselected patients with clinically suspected Pulmonary Embolism. Results: The total number of patients with thrombo-embolic disease in our study was 35 (35%), out of which acute PE & acute DVT were observed in 32% and 8% respectively. The percentage of Sub-segmental emboli among patients with acute PE was 34.37%, segmental thrombi was 87.5% and central thrombi was 96.87%.Conclusion: MDCT-PA possess the advantage of direct visualization and quantification of thrombo-embolic material and hence we advocate it to be the first-line imaging study for patients with clinically suspected PE.

Congenital Renal Aneurysmal Arterio-Venous Malformation, mimicking Hydronephrosis; Doppler USG and MDCT Features.

Renal Arteriovenous malformations are very rare and accurate diagnosis ensures proper treatment of the patients. We report a 24 year young female patient of large AVM, presenting with pain in right lumbar region, detected on ultrasound and Multidetector computed tomography.