The Radiology blog

   [6] RAD-TIMES -- VOLUME 1-- ISSUE 6 6) Intracystic papillary neoplasm – A rare breast tumor! - By Dr. Suchita Durge ( Senior Resident ) & Dr. Sneha Deshpande (Assistant Professor) Clinical profile – A 45 year old lady presented with a painless palpable lump in her right breast since 2 years. There was no abnormal nipple discharge or nipple retraction. No significant past medical/ surgical history or family history of breast cancer. Physical examination revealed a firm, well-circumscribed mass in the upper inner quadrant of right breast measuring approximately 1x 1 cm. The mass was mobile and it was not associated with nipple retraction or overlying skin changes. The left breast and both axillae were normal. She was referred for a diagnostic mammography. Imaging:  Mammography (a-d) with Tomosynthesis (e):  revealed a well circumscribed round high density mass in the lower inner quadrant of right breast which measured approximately 1 x 1 x1 cm, approximatel...

   [5] RAD-TIMES -- VOLUME 1-- ISSUE 5 5) TIME IS BRAIN- SAVE THE PENUMBRA -Role of CT Perfusion & Interventional Radiology!!!” - By Dr. Salman Mapara  (Senior Resident) , Dr. Saurabh Joshi (Assistant Professor) and Dr. Vivek Ukirde (Associate Professor) Stroke- Acute loss of brain function(s) due to disturbance in blood supply to Brain. Ischemic stroke – embolic or thrombotic occlusion of arterial supply to Brain (80%)- major 3 types are a) Large artery stroke (40-50%), b) Cardioembolic disease (20-25%) and c) Lacunar infarction (20-30%). Hemorrhagic stroke -Rupture/bleeding from brain blood vessels. Other -non-traumatic SAH (5%), Vasculitis and Venous infarctions (<1%). Stroke is the most common cause of morbidity worldwide after myocardial infarction is identified by imaging. Generally intravenous thrombolysis is undertaken for stroke patients presenting  upto 4.5 hrs.  and endovascular therapy (ET) is offered  upto 6 hrs. ,  in cases in...

   [4] RAD-TIMES -- VOLUME 1-- ISSUE 4 4)HETEROTOPIC PREGNANCY: A RARE FORM OF ECTOPIC PREGNANCY!! - By Dr. Yugal Goyal  (Senior Resident) ,  Dr. Salman Mapara (Senior Resident)  and Dr. Nitesh Jadhav (Asst Prof) and Dr. Ajita Nawale (Prof.) Heterotopic pregnancy is rare form of ectopic pregnancy in which there is a concomitant intrauterine and extra uterine pregnancy. The incidence in the general population is estimated to be around 1:30,000. This entity is increasing in incidence as more women are now going for assisted reproductive techniques, using intrauterine contraceptive device or due to pelvic inflammatory diseases. It could be diagnosed as early as 5 to 8 weeks of gestation with the help of quantitative assays for βHCG combined with a vigilantly done transvaginal ultrasound. Figure 1:   Above is a schematic representation of various sites of heterotopic pregnancy Case:  A 32 Years female patient (G2 P1 L1) presented w...

   [3] RAD-TIMES -- VOLUME 1-- ISSUE 3 3)  Parotid Gland – Different faces behind the mask – MRI based Two case review By Dr Kushal Bidichandani  (Senior Resident)  ,  Dr. Salman Mapara (Senior Resident) and  Dr Prashant Mudaliar (Fellow). Lokmanya Tilak Municipal Medical College and General Hospital, Sion Mumbai 400 022 Introduction :-     Case 1: –  A 50 year old Female patient presented with bilateral peri-auricular region painless swelling.  No H/o dryness of mouth. On serology the patient was tested ELISA positive for HIV antibodies, all other investigations were within normal limits.   MRI P arotid reveals – Figure 1{A}, 1{B} reveals – Multiple lobulated well defined T2 /  STIR hyperintense and T1 hypointense cystic lesions in the mildly bulky bilateral parotid glands with maintained architecture of the gland. Figure 2 reveals – T1 FS PC isointense cystic lesions with peripherally enhancing walls. REPO...