Aquarium granuloma: a diagnosis based on history

Mycobacterium marinum infections are rare but well described in literature. It causes an infection known as aquarium granuloma or swimming pool granuloma since its transmitted through contaminated water. We describe a case of aquarium granuloma in a male patient with skin nodules over his dominant hand whose occupational history helped clinch the diagnosis.

A swelling on the fore head- the tip of the iceberg.

An epidermoid cyst is a benign cyst usually found on the skin, developing out of ectodermal tissue. These are relatively uncommon benign cysts or tumors to arise over the surface of the brain. They are mostly intra dural and few percentages are located in the diploic space. We are reporting a case of 51 years old lady presenting with a swelling over forehead which was diagnosed to be an intradiploic epidermoid cyst of the frontal bone with an intracranial extension which is an unusual presentation causing clinical dilemma. Radiological findings led to a correct diagnosis and with complete removal patient is doing well.

Sneaky pancreatic head mass

A 60 yrs old male presented to the Father Muller Medical College and Hospital, India, with dyspeptic symptoms. On physical examination, epigastric tenderness was present and ultrasound revealed an ill defined in homogeneous hyper echoic lesion in the head of pancreas. Hemogram, serum amylase, serum lipase and liver function tests were all normal. Contrast-enhanced CT showed a homogeneous focal mass measuring about 5x6 cm in the pancreatic head, [Figs, la and b]. The mass was isodense with fat tissue, with interlobular septa, and without central or peripheral contrast. Upper GI endoscopy revealed mild antral gastritis. The patient improved with antacids