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

Mediastinal mass

Case contribution: Dr Radhiana Hassan Clinical: A 22 years old lady Presented with non-productive cough for one month Also has shortness of breath on exertion for 2 weeks Associated loss…

 Posted in Chest, Tumour

Oral squamous cell carcinoma

Clinical: A 70 years Indian man Chronic smoker and tobacco-chewing for many years Presented with whitish-red lesion at left buccal mucosa Clinically a shallow ulcer seen in the middle of…

 Posted in ENT, Tumour

Tuberculous encephalopathy

Clinical: An 18 years old boy, no previous medical problem Presented with altered behaviour Mainly being lethargy, sleep almost all day Previously described as hard working Came from poor family,…

 Posted in Central Nervous System, Infection

Quiz 29 Head and Neck

Image: Questions: Name the examination. Name the labelled cisterns and its content. Answers: CT brain non-contrast, axial plane soft tissue window The labelled cisterns: Cisterna magna: Vertebral artery and its…

 Posted in Quiz

Quiz 28 Abdomen

Image:   Questions: Name the examination. What structure marked by red arrows? Give the normal measurement. Name the labelled structures. Answers: Barium meal Gasttric rugae, 3-5 mm in thickness. The…

 Posted in Quiz