Computerized tomographic scanning of brain for evaluation of children with delayed milestones

To assess the utility of Computerized Tomographic [CT] scanning of brain in the evaluation of children with delayed milestones. Cross-sectional retrospective study. Department of Radiology, Pakistan Air Force Hospital, Islamabad from April 2007 to September 2009. We retrospectively reviewed the referral forms of CT scanning of brain for evaluation of children with delayed milestones. A total of 48 patients had a CT brain for evaluation of delayed milestones. They were divided into two groups. There were 15 patients in group A, who had significant history and clinical findings. Group B had 33 patients, in whom there was no clue to the etiology of developmental delay. The results of their CT scans of brain were compiled and analyzed. Out of a total of 15 patients in group A, fourteen [93.3%] had an abnormality. Mild cerebral atrophy was seen in 11 patients, two had calcification in basal ganglia and one had leukodystrophy. No abnormality was seen in CT scan of brain in group B patients. CT scanning of brain is useful in reaching a diagnosis of delayed developmental milestones where there are significant historical and abnormal physical findings

Computerised tomographic scanning for headache

To assess the utility of Computerized Tomographic [CT] scanning of brain in the evaluation of patients presenting with headache. Cross-sectional retrospective study. Place and Duration of Study: Department of Radiology, Pakistan Air Force Hospital, Islamabad from April 2007 to August 2009. The referral forms of CT scanning of brain for evaluation of headache, available in our radiology department were reviewed. Patients were divided into two groups. Group I included those patients who's only presenting complaint was headache while group II patients had other symptoms associated with headache. The results of their CT scans of brain were compiled and analyzed. Out of a total of 829 CT scans of brain 58 were done for evaluation of headache. Twenty four [41%] patients had a CT scan for headache only [group I] and all of them had a normal CT of brain. Rest of the patients had headache with other associated symptoms [group II]. Out of 34 [59%] of group II patients, four [12%] had an abnormality. CT scanning of brain is not useful in the diagnosis of headache in the absence of other associated symptoms and/or signs

Role of ultrasound in rotator cuff tears

The study was designed to evaluate the efficacy of ultrasound in rotator cuff tears and to compare it with MRI. Descriptive study. The study was conducted in the radiology department of Combined Military Hospital Rawalpindi from July 2005 to January 2006. Total number of patients was thirty. All of these were above thirty years of age and were referred by clinicians, with shoulder pain for diagnostic workup. Post operative patients were excluded. Ultrasound and Magnetic Resonance Imaging [MRI] were performed on each patient. Same operator performed ultrasound in all patients. Ultrasound [US] and Magnetic Resonance Imaging [MRI] detected equal number of full thickness tears while two partial thickness tears were missed on US. Hypoechoic defect was the most important primary sign while cortical irregularity and fluid in subacromial and subdeltroid busra were the most important secondary signs on US. US was equally effective to MRI in detection of rotator cuff tears. It should be the primary investigation because of its availability, cost effective and real time evaluation provided significant expertise is developed, as it is highly operator dependent