Year: 2020

Stomach GIST

Clinical: A 50 years old lady No previous medical illness Presented with early satiety and progressive abdominal distension. No obstructive or constitutional symptoms. CT scan findings: scanogram shows displacement of…

 Posted in Gastrointestinal Tract, Tumour

Pituitary stalk Langerhans cell histiocytosis

Clinical: A 9-year-old girl who was previously diagnosed with Langerhans cell histiocytosis. Previous assessment showed bony and pulmonary involvement. Recently she also developed diabetes insipidus. MRI findings: The MRI in…

 Posted in Central Nervous System, Tumour

Oligodendroglioma

Case contribution: Dr Raja Rizal Azman Clinical: A 40-year oldĀ  man No known medical illness before Presents with three episodes of tonic clonic seizures over a period of two weeks…

 Posted in Central Nervous System, Tumour

Craniopharyngioma

Clinical: A 23-year old lady No known medical problem Presented with chronic headache. Imaging findings: Axial MRI images in (a) T1-weighted, (b) T2-weighted and (c) T1-post contrast show a lobulated…

 Posted in Central Nervous System, Tumour

Small bowel obstruction

Clinical: A 67 years old man Underlying history of colon carcinoma Right hemicolectomy done 2 years ago for adenocarcinoma of ascending colon, T4aN2aM1 Presented with acute abdominal pain and distension…

 Posted in Gastrointestinal Tract, Tumour

Lytic lesions in the skull

Clinical: A 64 years old lady History of breast carcinoma (T2N0M0) with left mastectomy done 10 years ago, completed treatment Presented with feeling unwell, dizzy and fell at home Radiographic…

 Posted in Central Nervous System, Tumour

Unfolded aorta

Clinical: An 84 years old man. Admitted for acute urinary retention Subsequently diagnosed Benign prostatic hypertrophy Noted abnormal chest radiograph (incidental finding). Radiographic findings: There is widening of mediastinum. The…

 Posted in Chest, Vascular

Post operative pneumoperitoneum

Clinical: A 41 years old lady Post laparotomy day 2 Radiographic findings: Free gas is seen under the dome of right hemidiaphragm (red arrows) Left hemidiaphragm is elevated, no free…

 Posted in Gastrointestinal Tract

Central sulcus

Case scenario: A 40 years old lady, no known medical illness Recently involved in MVA, preceded with right upper limb rigidity Had antegrade amnesia post trauma MRI done shows space…

 Posted in Central Nervous System, Notes

Primary urinary bladder calculus

Clinical: A 58 years old man No previous medical illness Presented with recurrent hematuria for few months No associated constitutional symptoms Radiographic findings: There is an oval-shaped opacity at the…

 Posted in Genitourinary system