I ININTERACTIVE SESSION - RADIOLOGY

Dr W A P S R Weerarathna.

What are the three abnormalities that indicate 3 different conditions?

3). Posterolateral osteophytes – Degenerative spondylosis.

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1

2

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1. flowing osteophytes at least over 4 vertebral segments. Diffuse idiopathic skeletal hyperostosis.2. ossification of post. longitudinal ligament.

What is the diagnosis?

DIAGNOSIS;

TUBERCULOUS SPONDYLITIS WITH BILATERAL CALCIFIED PSOAS ABSCESSES AND BILATERAL HYDRONEPHROSIS.

C/O Abdominal pain and diarrhoea.

What salient feature helps in the diagnosis?

NOTE SPOKE WHEEL CONFIGURATION OF THE DESMOPLASTIC MESENTERIC MASS.

DIAGNOSIS- CARCINOID SYNDROME.

A PATIENT WITH A KNOWN DISEASE FROM CHILDHOOD.

NON CONTRAST CT

WHAT ARE THE 3 ABNORALITIES?

THALASSAEMIA

1). DIFFUSE HYPER DENSITY IN THE LIVER. (2ry haemachromatosis/transfusional siderosis).

2).MULTIPLE GALLSTONES.

3). SPLENECTOMY.

DIAGNOSIS; Acute on chronic calcific pancreatitis with a pseudo cyst in the posterior mediastinum

Clinically svc obstruction.

FINDINGS; 1). LEFT MASTECTOMY.

2). RIGHT HILAR AND RIGHT PARATRACHEAL METASTATIC ADENOPATHY.

TWO DIAGNOSTIC CLUES?

1).Widened mediastinum with sharp, straight outline.2). Sternotomy sutures.

POST RADIATION MEDIASTINAL FIBROSIS

WHAT ARE THE POSSIBLE CAUSES OF THIS ABNORMALITY?

Abnormality-bilateral symmetrical hypo dense thalami.

Causes ; 1).ARTERIAL INFARCTS. Occlusion of perforating arteries from the tip of the basilar artery.

2). VENOUS INFARCTS. Thrombotic occlusion of the vein of Galen and/or straight sinus.

3).SEVERE ANOXIA.

FINDINGS;FAT DENSITY LESION IN RIGHT FRONTAL LOBE WITH SIMILAR DENSITIES IN CAVERNOUS SINUSES AND RT INTER HEMISPHERIC FISSURE.

DIAGNOSIS;LEAKING DERMOID TUMOUR.

WHAT IS THE DIAGNOSIS ?

Severe pulmonary hypertension +left pulmonary artery

aneurysm(thrombosed)

28y old male, c/o haemoptysis. What are the possibilities?

DIAGNOSIS

PULMONARY ARTERIAL ANEURYSMS.

C/O SUDDEN SEVERE CHEST PAIN

DISSECTING ANEURYSM OF THE AORTA.

Intimal flap

c/o severe epigastric pain

DIAGNOSISMYCOTIC ANEURYSM

POKETS OF AIR

FINDINGS; Opaque left hemi thorax, Reverse figure of 3, Curvilinear calcifications, Ipsilateral mediastinal shift.

What are the abnormalities and diagnosis?

DIAGNOSIS; Aortic aneurysm causing occlusion of left

main bronchus & left lung collapse.

FINDINGS; 1). scimitar vein draining in to ivc.

2). Right pulmonary hypoplasia.

DIAGNOSIS; SCIMITAR SYNDROME.

What is the diagnosis?

TAKAYASU ARTERITIS (type2).

Occlusion of left subclavian artery, severe narrowing of distal thoracic aorta and left common carotid art.

7.8mm

Which part of bowel is abnormal?

Diffuse mural thickening of rectum and entire colon with pericolonic fat infiltration. ULCERATIVE COLITIS.

Rectum and colon.

What are the abnormalities?

FINDINGS; 1). MASS IN LT LOWER LOBE.

4). TUMOUR INVASION OF LT PULMONARY ARTERY

2). LT HILAR & MEDIASTINAL ADENOPATHY.

3). TUMOUR INVASION OF LT ATRIUM.

ADVANCED BRONCHIAL CA