Year: 2020

Inflammatory pseudotumour of skull base

Clinical: A 39 years old lady Presented with left eye symptoms Imaging showed lesion at left cavernous sinus area Biopsy done showed inflammatory cells On regular follow up since then…

 Posted in Central Nervous System

Ovarian serous cystadenocarcinoma

Clinical: A 44 years old lady Progressively increase in abdominal distension Associated with occasional pain No bowel symptoms Normal menses Ultrasound by gynaecologist showed soft tissue mass in pelvic region…

 Posted in Women

Medullary nephrocalcinosis

Clinical: A 46 years old lady Underlying hyperparathyroidism Complaint of left loin pain Radiographic findings: clustered opacities/calcification overlying both renal region bilateral with slight asymmetry some are fine, mottled while…

 Posted in Genitourinary system

Ovarian endometriotic cyst

Clinical: A 49 years old Malay lady Presented with abdominal discomfort for few years Sometimes pain related to menses Ultrasound examination by O&G team showed bilateral ovarian cyst CT scan…

 Posted in Women

Intracranial mycotic aneurysm

Clinical: A 21 years old man Strep. viridans endocarditis with aortic regurgitation. Presented with acute left MCA infarction MRI done for further assessment MRI findings: MRI done 3 weeks after…

 Posted in Central Nervous System

Abdominal liposarcoma

Clinical: A 47 years old lady Para 3, last child birth 14 years ago Underlying DM, HPT and hypercholesterolaemia on treatment Complaint of abdominal distension for 2 months No LOA,…

 Posted in Gastrointestinal Tract

Rathke cleft cyst

Clinical: A 55 years old lady Para 1, last child birth 13 years ago (2007) Conceived spontaneously, breast feeding for 12 months Initial presentation in 2008 at 43 years old…

 Posted in Central Nervous System

Complicated diverticulitis

Clinical: A 63 years old man History of stab injury at left flank in 1991, managed with simple T&S Presented with altered bowel habit for one month Constipation with mucoid…

 Posted in Gastrointestinal Tract

Sacroiliatis

Clinical: A 59 years old lady Presented with left lumbar pain No history of trauma Clinically: no neurological deficit Per abdomen: no mass palpable Radiographic findings: KUB radiograph performed to…

 Posted in Musculoskeletal System

Superior cerebellar artery infarction

Clinical: A 64 years old man Underlying HPT, DM and old CVA Complaint sudden onset giddiness, vomiting and nausea, tinnitus, unsteady gait with tendency to fall to left side. Clinically:…

 Posted in Central Nervous System