Clinical and MRI profile of patients with knee injuries and correlation of MRI with arthroscopic findings

Background: MRI is radiation free modality and has ability to understand the soft tissue, anatomy and musculoskeletal system pathologies. MRI has the advantage of demonstrating the cartilages, bones, soft tissue in detail. Objectives of current study were evaluation of ligaments and meniscal injuries using magnetic resonance imaging, to study the pattern and spectrum of knee injuries in relation to mechanism of injury and to correlate MRI findings with that of arthroscopic findings. Methods: All the MRI studies were done using a 1.5T MRI scanner (Siemens Magnetom) in our department, department of radiodiagnosis, ACS medical college, Chennai. Patient taken up for arthroscopy and the arthroscopic findings were collected. The data of MRI collected was compared with arthroscopy findings. Results: On correlation of the overall findings the sensitivity of MRI versus arthroscopy was 90.62% Specificity was 84.55% positive predictive value was 92.06%, negative predictive value was 80.00% Between them with a kappa 0.059 Conclusions: MRI of knee is considered efficacious especially in the setting of indeterminate clinical finding and can stratify patients, thereby increasing the diagnostic confidence of the clinicians leading to appropriate surgical planning and management

Duodenal lymphangitis carcinomatosa: A rare case

AbstractDuodenal lymphangitis carcinomatosa has been sporadically described, and little attention has been paid so far. To our knowledge, no data on radiological findings for this rare entity has been published. We report a case of duodenal lymphangitis carcinomatosa secondary to gallbladder mass in a 44-year-old Indian man to focus on the radiological diagnosis, which was further confirmed by endoscopic-guided biopsy and immunohistochemical analysis

Pituitary gland volume and stalk measurements in normal Indian paediatric population on MRI

Background: The present study was conducted for assessing pituitary gland volume and stalk measurements in normal Indian paediatric population on MRI. Materials & methods: A total of 100 subjects within the age range upto 17 years were enrolled. Complete demographic details of all the subjects were obtained. Only those subjects were enrolled in the present study who underwent MRI. Pituitary gland assessment was done based on MRI analysis. Results: While assessing MRI findings, it was seen that mean Pituitary gland volume was 157.2 mm3 while mean stalk height was 5.7 mm. while evaluating the pituitary gland volume and stalk measurements in normal Indian paediatric population on MRI, it was seen that mean stalk height and mean volume increased significantly with age. Conclusion: The authors conclude that Pituitary size can be accurately determined by using MRI and should be correlated with the subject’s age for further correlation

Duodenal lymphangitis carcinomatosa: A rare case

Duodenal lymphangitis carcinomatosa has been sporadically described, and little attention has been paid so far. To our knowledge, no data on radiological findings for this rare entity has been published. We report a case of duodenal lymphangitis carcinomatosa secondary to gallbladder mass in a 44-year-old Indian man to focus on the radiological diagnosis, which was further confirmed by endoscopic-guided biopsy and immunohistochemical analysis

CNS toxoplasmosis in an immunocompetent individual

Toxoplasmosis is a serious and life-threatening disease in humans with a high prevalence in immunocompromised persons. The disease has a wide spectrum, depending on the immune status of the person. A CNS manifestation of toxoplasmosis in an immunocompetent person is very rare and often undetected. Our case of CNS toxoplasmosis in an immunocompetent person emphasizes the radiological diagnosis, which was further confirmed by advanced microbiology technique