ABSTRACT
Objective: To demonstrate the sonographic features of gut masses detected either incidentally or purposely through the gastrointestinal tract sonography with histological correlation to compare the detected abnormalities for their benign and malignant nature
Material and Methods: The study was conducted between September 2009 and February 2013. Ultrasound scanning was performed on 72 patients [20-75 years, mean age 46 years] presenting with clinical suspicion of underlying primary gastrointestinal pathology due to abdominal symptoms. The histological confirmation was done either through surgically resected specimen, trucut biopsy, flexible endoscopic biopsy or fine needle aspiration
Results: Out of 72 patients, upper GI tract masses included 2 distal esophageal and 7gastric cancers. Mid gut included 9 cases of primary small bowel lymphoma. Intussusception was found in 6 patients. Ileoceacal masses were found in 13 patients with one case of jejunal mass. 18 patients were diagnosed as acute appendicitis, 3 patients demonstrated appendicular mass. Large intestine revealed a single case of diverticulitis besides 15 cases of colorectal cancer. The masses were either lobulated or revealed a segmental wall thickening simulating appearance of kidney [Pseudokidney sign], or diffused wall thickening [Target sign]
Conclusion: In our experience, ultrasonography of the gastrointestinal tract is an extremely useful modality for evaluating gut masses from distal esophagus up to rectum. Sonographic appearance ofgut related masses helps to evaluate the clinical differential diagnosis. However, additional work-up may be needed in the form of contrast study, cross-sectional imaging or endoscopy for specifying the diagnosis with histological confirmation
ABSTRACT
Empyema necessitans is a spontaneous discharge of an empyema that has burrowed through the parietal pleural, usually in the chest wall, to form a subcutaneous abscess. We present a case of 17 year old adult male presented to us for cross-sectional imaging and was diagnosed to be a case of Empyema necessitans besides bilateral empyema associated with right hydro/ hemopneumothorax and multiple thick walled cavitations of variable sizes with multiple air fluid levels in non-segmental distribution involving all lobes bilaterally placed peripherally
ABSTRACT
Objects: to evaluate the accuracy of liver fibrosis stage by utilizing the techniques of advanced ultrasound performance in patients with chronic liver disease with Hepatitis C
Material and Method: this cross-sectional study was prospectively designed by including 101 consecutive patients with a diagnosis of chronic liver disease including liver cirrhosis between January and December 2010. The ultrasound score was determined from both hepatic lobes and the average scoring was calculated for liver edge, liver surface and liver parenchymal texture. A score of O was given when no abnormality was observed; score 1 for mild abnormality; score of 2 for moderate abnormality; and a score of 3 for severe abnormality. Scoring was given for a blunted edge and severe irregular surface or a highly coarse texture only when these characteristics were clearly confirmed by the low frequency probe
Results: out of 101 subjects, 63.4 % were male and 36.6 % were female with age range of.23-70 years [mean age 50.73 years SD+/- 10]. 17.8 % subjects were between age group 20-40 years, 67 .3 % between age group 41- 60 years and 14.9 % between 61 years and above. Mean duration of illness was 2.86 years [minimum 1 year and maximum 15 years]. Mean liver size was 12.261 with SD+ 2.7145. Mean portal vein size was 1.662 SD+ 2.3247. Mean spleen size was 71.71 SD+ 32.226. 62.4 % had splenomegaly, 66.3 % had ascites, 56.4 % had bruising and bleeding, 62.4% had varices. 20.8 % had sharp edge 48.5 % had mildly blunted edge and 30.7 % had blunt edge, '11.9% had smooth edge. 33.7% had mildly irregular edge, 39.6 % had irregular edge and 14.9 % had highly irregular edge. Regarding liver parenchymal structure 13.9 % had fine, 22.8 % had mildly coarse, 48.5 had coarse and 14.9 % had highly coarse liver parenchymal. structure.15.8 % of subjects had mild fibrosis [score 0-2], 55.4 % had moderate fibrosis [score 3-5], 28.7 % had severe fibrosis [score 6-8]
Conclusion: US scoring system is clinically useful for differentiating patients with minimal or no fibrosis from those with mild to severe fibrosis. This is also useful for prognostic information and determining the optimal therapeutic options during the follow-up of chronic liver disease
ABSTRACT
Liposarcoma is the most common primary neoplasm of mesodermal origin derived from adipose tissue. It is a slow-growing tumor with a propensity to displace rather than invade adjacent structures. This article reports the CT findings of retroperitoneal liposarcoma in one patient. CT scan revealed a huge hypodense expansile mass lesion with multiple hyperdense septation inside it, giving a whorly appearance to the mass. The mass was having mainly fat [attenuation. The mass appeared to be extending from the under surface of right hemidiaphragm to the right iliac fossa. The mass displaced all the abdominal viscerae and major vessels to the left side of the abdominal cavity, origin being retroperitoneum with most probable epicenter in right renal fossa
ABSTRACT
Sixty single rooted teeth were taken to investigate antimicrobial potential of honey. The honey was placed in the canal as intracanal dressing. Microbiological examination revealed that 26 teeth gave positive culture at third day and only 12 teeth gave positive culture at seventh day. These results indicate that honey has an antibacterial property when used as an intracanal medicament. The result of clinical evaluation of post operative pain on 3[rd] and 7[th] post operative day showed that honey played a satisfactory role in relieving postoperative pain. The honey also gives good results to eliminate the apical exudation