Month: May 2020
Widened mediastinum
Clinical: A 63 years old lady Underlying DM and HPT Feeling unwell with cough for one month Recently associated with shortness of breath Loss of weight 7 kg in two…
Primary CNS lymphoma
Clinical: A 56 years old man Previously on regular follow up for benign prostatic hyperplasia (BPH) Presented with recent onset of behaviour changes. CT scan findings: There are multiple relatively…
Primary CNS lymphoma with recurrence
Clinical: A 45 years old male Presented with right upper limb weakness and headache. CT brain showed left fronto-parietal lesion with midline shift. MRI findings: There is a lesion at…
Abdominal aorta aneurysm
Clinical: A 70 years old man No known medical problem A smoker Presented with abdominal mass for one year Dizziness for 3 days Went to GP and noted to have…
Azygos fissure
Clinical: An 8 years old boy Presented with fever and cough for one week Clinical examination shows crepitations at right lower zone Radiographic findings: There are air space opacities at…
Radial head fracture
Clinical: A 27 years old man Alleged MVA, motorbike skidded Complaints of painful swelling of right elbow Radiographic findings: A minimally displaced fracture is seen involving the radial head (red…
Thallassemia major: hand radiograph
Clinical: An 18 years old girl Thallassemia major with regular blood transfusion Currently also had iron overload Radiographic findings: There are coarse trabeculations involving the metacarpals, phalanges and carpal bones…
TB ventriculitis
Clinical: An 18 years old girl Underlying beta thalassemia major on frequent blood transfusion Presented with headache, fever and meningism. CT brain shows ventriculitis EVD inserted-pus drained. MRI findings: There…
Opaque hemithorax with contralateral mediastinal shift
Clinical: A 53 years old man Underlying hypertension Presented with chronic cough and worsening shortness of breath Associated with constitutional symptoms. Radiographic findings: There is total opacification of the left…
MCA infarction or HSV encephalitis?
Clinical: A 55 years old man with DM, HPT and CVA 4 years ago Presented with acute onset of aggressive behaviour. Also noted serum HSV IgG +ve, CSF protein 716….