DR - Faiza N

ORIENTATION PROGRAM:
Serial Topic Faculty Date

no
1 Rules and Regulations Dr. Anand 9th June 2017
Kumar
2 Documentation Dr Rajesh Pai 9th June 2017
3 Pharmaco-vigilance and Dr. Sangeetha 9th June 2017

medical error
4 Hospital Glycemic Policy Dr. Nisha 9th June 2017
Bhavani
5 Library usage Smt. Indira Nair 9th June 2017
6 HIS orientation Smt. Indira Nair 9th June 2017
7 Overview on research Dr Manu Raj 10thMay 2017

methodology and thesis
8 Biostatistics support for Prof K R 10th July 2017
research and analysis for Sundaram
thesis work
9 Biostatistics and research Prof K R 10th July2017
methodologies Research Sundaram
10 ACLS Training at Amrita Simulation Centre
1
ACADEMICS
THEORY CLASSES
JUNE
07.06.2017 Radionuclide bone scan Dr. Nirmal
14.06.2017 Avascular necrosis Dr. Shibu
21.06.2017 Imaging in cervical spine trauma Dr. Sandya
28.06.2017 Basilar invagination Dr. Nazar
JULY
05.07.2017 Scintigraphy in MSK infections Dr. Nirmal
12.07.2017 Development dysplasia of hip Dr. Sreekumar
19.07.2017 Skeletal dysplasia Dr. Shibu
26.07.2017 Cystic lesion in mandible Dr. Sandya
AUGUST
02.08.2017 Phakomatosis Dr. Sunil
09.08.2017 IUGR Dr. Rajesh
Kannan
16.08.2017 USG markers of congenital
anomalies Dr. Manish
23.08.2017 Downs syndrome evaluation in Fetus
Dr. Nirmal
30.08.2017 Biophysical profile study Dr. Sreekumar
SEPTEMBER
06.09.2017 First trimester fetal evaluation Dr. Devi
13.09.2017 Fetal echo cardiography Dr. Deepak
20.09.2017 Fetal interventional procedures Dr. Sandya
27.09.2017 Ectopic pregnancy Dr. Vinayak
OCTOBER
18.10.2017 Physics Dr. Srikanth
25.10.2017 CT Reconstruction Dr. Sreekumar
NOVEMBER
01.11.2017 Emergency in CT Dr. Rajesh
Kannan
08.11.2017 Image quality in CT Dr. Chinmay
15.11.2017 Artefact in CT Dr. Manish
22.11.2017 Temporal bone Imaging Dr. Sunil
29.11.2017 CT PNS Dr. Rajesh
Kannan
DECEMBER
06.12.2017 CV Junction Anatomy Embryo Dr. Manish
13.12.2017 Neurosonogram Dr. Nirmal
13.12.2017 MSK Ultrasound Dr. Sreekumar
20.12.2017 Basic interaction between x-ray & matter Dr. Sunil
27.12.2017 X-ray generation Dr. Srikanth

January
03.01.2018 X-ray beam restrictors Dr. Nirmal
10.01.2017 Grids Filters Dr. Shibu
17.01.2018 Fluoroscopic imaging Dr. Sandya
24.01.2018 Ultrasound physics Dr. Nazar
31.01.2018 Artifacts in ultrasound Dr.Nirmal
February
07.02.2018 Doppler physics Dr. Sreekumar
14.02.2018 Radiation protection Dr. Shibu
21.02.2018 Contrast reaction Dr. Sandya
28.02.2018 Bronchopulmonary
segmental anatomy Dr. Sunil
March
07.03.2018 Chest x ray: lines and
stripes Dr. Rajesh
Kannan
14/3/2018 Approach to bone lesions Dr. Sreekumar
21/3/2018 Cardiac MRI:Introduction Dr. Rajesh
APRIL
4/4/2018 Base of skull Dr. Sandya
11/4/2018 Mesenteric Ischemia Dr. Srikanth
18/4/2018 GI Bleeding Dr. Chinmay
25/4/2018 Stroke imaging Dr. Rajesh
MAY
2/5/2018 MR Physics (Part – I) Dr. Rajesh
9/5/2018 MR Physics (Part – II) Dr. Rajesh

16/5/2018 Genitourinary Tuberculosis Dr. Nirmal
23/5/2018 Multiple Myeloma Dr. Srikanth
30/5/201 Arnold Chiari Malformation Dr. Sunil
JUNE
06/06/2018 Stroke Imaging Dr. Devi
13/06/2018 Diffusion weighted MRI Dr.
Ramachandran
20/06/2018 Perfusion Imaging in Stroke Dr. Sreekumar
27/06/2018 Spontaneous parenchyma Dr. Shibu
JULY
04.07.2018 Management of Subarachnoid Dr. Rajesh
hemorrhage.
11.07.2018 Vascular malformations Dr. Sandya C.J.
18.07.2018 Carotico Cavernous fistula Dr. Nirmal
kumar
25.07.2018 Venous anatomy and infarcts Dr. Nazar
AUGUST
01.08.2018 Approach to bone tumors Dr. Tixon
08.08.2018 MRI findings of bone tumors - I Dr. Chinmay
22.08.2018 MRI findings of bone tumors - II Dr. Rajesh
29.08.2018 Skeletal trauma Dr. Shibu
SEPTEMBER
05.09.2018 Approach to bone tumors Dr. Tixon
13.09.2018 MRI findings of bone tumors - I Dr. Chinmay
19.09.2018 MRI findings of bone tumors - II Dr. Rajesh
26.09.2018 Skeletal trauma Dr. Shibu
OCTOBER
03.10.2018 Pneumonia Dr. Chinmay
10.10.2018 Left lower lobe collapse Dr. Sandya
17.10.2018 Hydatid cyst Dr. Nazar
24.10.2018 Mesothelioma Dr. Rajesh
NOVEMBER
7/11/2018 Intradural lesions imaging Dr. Tixon
14/11/2018 Male infertility Dr. Anil
21/11/2018 Craniovertebral junction Dr. Nirmal
28/11/2018 X ray beam restrictors Dr. Srikanth
DECEMBER
Dysplastic cerebellar
5/12/2018 Dr. Shibu
gangliocytoma
12/12/2018 Vanishing white matter disease Dr. Srikanth
19/12/2018 Contrast reactions Dr. Rajesh
26/12/2018 CVJ anatomy of embryology Dr. Shibu
01.01.20 Osteomalacia Dr. MANISH

19
08.01.20 Craniopharyngioma Dr. CHINMAY
19
15.01.20 Paget’s disease Dr. SREEKUMAR
19
22.01.20 Multiple sclerosis Dr. RAJESH
19
SEMINARS AND JOURNAL CLUB
ACADEMIC YEAR 2017-18:
Sl .No DATE TOPICS OF SEMINARS AND JOURNAL CLUBS
1. 13/05/2017 Haematological disorders of bone

2. 20/05/2017 Congenital dislocation of hip
3. 27/05/2017 Metabolic bone disorders
4. 03/06/2017 Aortic aneurysm- imaging and management
5. 10/06/2017 Acute pancreatitis – imaging and management
6. 14/06/2017 Aortic dissection- imaging and management
7. 17/06/2017 Mesenteric ischemia-imaging and management
8. 24/06/2017 Acute intestinal obstruction- X ray and CT
9. 01/07/2017 Stroke- imaging and management
10. 08/07/2017 Acute gi bleed – imaging and management
11. 15/07/2017 SAH- causes and imaging findings
12. 22/07/2017 Acute peripheral arterial and venous occlusions
13. 29/07/2017 Anatomy of skull base
14. 02/08/2017 Testicular tumours - imaging
15. 05/08/2017 Nuclear medicine in Hepato biliary system
16. 12/082017 Ovarian tumours - imaging
17. 19/08/2017 Approach to incidentally detected aDr.enal nodule
18. 26/08/2017 Imaging in infertility
19. 02/09/2017 Imaging of uterine anomalies
20. 09/09/2017 The 2017 who classification of CNS tumours
21. 16/09/2017 Paediatric posterior fossa tumours
22. 23/09/2017 CNS demyelinating disorders
23. 30/09/2017 Toxic and metabolic disorders with CNS manifestations
24. 02/09/2017 Imaging of uterine anomalies
25. 04/10/2017 CVJ – cranoimetry and congenital anomalies
26. 07/10/2017 Diffusion tensor imaging
27. 14/10/2017 Imaging of temporal bone
28. 21/10/2017 Larynx – anatomy and laryngeal tumours
29. 28/10/2017 Orbit- anatomy and tumours
30. 04/11/2017 Physics
31. 07/11/2017 Ct reconstruction
32. 14/11/2017 Emergency in CT
33. 21/11/2017 Imaging quality in CT
34. 28/11/2017 Artefact in CT
35. 04/12/2017 Temporal bone imaging
36. 07/12/2017 CT PNS
37. 14/12/2017 CVJ anatomy& embryology
38. 21/12/2017 Neuro-sonogram
39. 28/12/2016 MSK ultrasonogram
40. 04/1/2017 Basic interaction between X-ray & matter
41. 07/1/2017 X-ray generation
42. 14/1/2017 X-ray beam restrictors
43. 21/1/2017 Grid filters
44. 28/1/2017 Fluoroscopic imaging
45. 04/2/2017 Ultrasound physics
46. 07/2/2017 Ultrasound artefacts
47. 14/2/2017 Doppler physics
48. 21/2/2017 Radiation protection
49. 28/2/2017 Contrast reactions
50. 04/3/2017 Intracranial haemorrhage
51. 07/3/2017 SAH intervention
52. 14/3/2017 Imaging of acute stroke
53. 21/3/2017 Variants of Circle of Willis
54. 28/3/2017 Contrast reactions
55. 01/4/2017 Imaging in Brain metastasis
56. 4/4/2017 Renal masses
57. 11/4/2017 Intervention in CLD patients
58. 22/4/2017 Solitary pulmonary nodule
59. 25/4/2017 Juvenile angiofibroma
60. 29/4/2017 Nasopharyngeal carcinoma
ACADEMIC YEAR 2017-18:
SL.NO DATE TOPICS OF SEMINARS AND JOURNAL CLUBS
1. 20/5/2017 Fat containing lesions in Retroperitoneum

2. 23/5/2017 Peritoneal Reflections and anatomy
3. 27/5/2017 Cystic tumour of Pancreas
4. 02.05.2017 Evaluation of renal cyst
5. 06.05.2017 Craniovertebral junction
6. 09.05.2017 Paediatric cystic lesions.
7. 13.05.2017 Wilms and Nephroblastoma
8. 16.05.2017 ADr.enal Imaging
9. 17/06/2017 Lethal skeletal dysplasia
10. 20/06/2017 Aortic aneurysm – imaging and management
11. 24/06/2017 Stroke imaging and management
12. 27/06/2017 SAH – causes and imaging findings
13. 03.06.2017 Dysplastic Cerebellar Gangliocytoma
14. 06.06.2017 AAPM / RSNA Physics
15. 10.06.2017 MR Cholangiopancreatography of Bile
16. 13.06.2017 Neonatal neurosonography
17. 01.07.2017 Imaging in Renal Tuberculosis
18. 08.07.2017 Intra dural lesion imaging
19. 11.07.2017 Extra dural lesions Imaging
20. 15.07.2017 Imaging of congenital anomalies of the pancreas
21. 22.07.02017 Non contrast MRI
22. 29.07.2017 Male infertility
23. 04.07.2017 Stroke Imaging
24. 18.07.2017 Demyelinating Lesions
10
25. 25.07.2017 Vascular Phacomatosis
26. 01.08.2017 Pediatric renal masses and Neuroblastoma
27. 08.08.2017 Sodium MRI
28. 12.08.2017 Mastoiditis
29. 14.08.2017 Torsion Ovary
30. 22.08.02017 MR Physics part I
31. 29.08.2017 MR Physics Part II
32. 05.08.2017 Quantification of aortic annulus in CT
33. 19.08.2017 Solid renal masses in adults
34. 26.08.2017 Imaging of acute pancreatitis
35. 02.09.2017 Role of intra arterial thrombolysis
36. 09.09.2017 Imaging in Epilepsy
37. 16.09.2017 Ring Enhancing lesions in lymphnodes
38. 23.09.2017 Diffuse axonal Injury
39. 30.09.02017 Embryology of the biliary tract and pancreas
40. 05.09.2017 Myelopathy in adult aortic coarctation
41. Percuatneous transluminal angioplasty and stentin in the
19.09.2017
management of chronic mesenteric angina
42. 26.09.2017 CT head in child
43. 07.10.2017 Tetrology of Fallot
44. 14.10.2017 Cardiomegaly
45. 21.10.2017 Foreign body in nostril
46. 28.10.2017 Sarcoidosis
47. Role of CT in the evaluation of congenital Cardiovascular
03.10.2017
disease in chilDr.en
48. Findings of pelvic Endometriosis at Transvaginal US, MR
17.10.2017
imaging and Laproscopy
49. 31.10.2017 Radiology Osteoporosis
50. 4/11/2017 Ultrasound physics
51. 11/11/2017 Temporal bone imaging
11
52. 18/11/2017 Diffusion tensor imaging
53. 25/11/2017 Fat containing lesions in the retroperitoneum
54. 7/11/2017 Tuberculisos : A radiological review
55. Role of transabdominal ultrasound of lung bases and followup
14/11/2017
in premature neonates with respiratory distress soon after birth
56. Advanced MRI Methods for Assessment of Chronic Liver
21/11/2017
Disease
57. 28/11/2017 Bone within a bone appearence
58. 16/12/2017 Acute disseminated encephalomyelitis
59. 19/12/2017 Risk stratification in adnexal cystic mass on US.
60. 23/12/2017 2017 version of LI-RADS for CT & MRI imaging
61. 26/12/2017 Sequence specific MR imaging findings
62. 02/12/2017 A PET/MRI Imaging approach for the integrated assessment
63. 05/12/2017 Non gynaecological findings in pelvic USG
64. 09/12/2017 Strength and weakness of synthetic mammography in screening
65. 12/12/2017 Incisional hernia repair
CASE PRESENTATIONS AND GROUP DISCUSSIONS: 2016-2017
JUNE 2017
TOPICS FACULTY
SI NO DATE
1. Pineal tumours 01/06/17 Dr. Sreekumar

2. Imaging of Proptosis 03/06/17 Dr. Chinmay
3. Orbital pseudotumour 05/06/17 Dr. Sandya
4. Orbital calcification 07/06/17 Dr. Manish
5. Brain herniation 09/06/17 Dr. Nazar
6. Mastoiditis 12/06/17 Dr. Rajesh
7. HyDr.ocephalus 14/06/17 Dr. Tixon
8. Paranasal sinus anatomy with variations 16/06/17 Dr. Shibu
9. Carotid doppler 19/06/17 Dr. Nirmal
10. Skull tumours 21/06/17 Dr.Srikanth
11. Struge weber 23/06/17 Dr. Rajesh Kannan
12. Focal cortical dysplasia 26/06/17 Dr. Nazar
13. CO2 Angiography 28/06/17 Dr. Rajesh
14. Basilar invagination 30/06/17 Dr. Sreekumar K.P.
JULY 2017
Sl
TOPICS DATE FACULTY
NO
1. Myelination 03.07.17 Dr. Sreekumar
2. TM Joint arthroscopy 05.07.17 Dr. Chinmay
3. Subclavian steal 07.07.17 Dr. Nazar
4. Role of fetal MRI in detection of CNS 10.07.17 Dr. Manish
malformations.
5. BOLD imaging 12.07.17 Dr. Nirmalkumar
6. Demyelinating diseases 14.07.17 Dr. Rajesh
7. Graves ophthalmopathy 17.07.17 Dr. Srikanth
8. Ovarian tumors classification and staging 19.07.17 Dr. Shibu
9. Budd-chiari syndrome – imaging 21.07.17 Dr. Tixon
10. CSF flow study 24.07.17 Dr. Sreekumar
11. Contrast media in urinary tract 26.07.17 Dr. Deepak
12. Crohn’s disease 28.07.17 Dr. Chinmay
13. Female infertility 31.07.17 Dr. Sandya
AUGUST 2017
Sl NO. TOPICS DATE FACULTY

1. Retroperitoneal fibrosis 02.08.17 Dr. Sreekumar
2. Generations of CT 04.08.17 Dr. Chinmay
3. Avascular necrosis of hip 07.08.17 Dr. Nazar
4. Barium Swallow – Dysphagia lusoria 09.08.17 Dr. Manish
5. Meningocele 11.08.17 Dr. Nirmal
6. Lymphnode station in mediatinum 14.08.17 Dr. Rajesh
7. Pulmonary Thromboembolism 16.08.17 Dr. Srikanth
8. Uternine Anomalies 18.08.17 Dr. Shibu
9. PIRADS 21.08.17 Dr. Tixon
10. Carolis disease 22.08.17 Dr. Sreekumar
11. Large Bowel Obstruction 24.08.17 Dr. Nazar
12. Intravascular USG 28.08.17 Dr. Chinmay
13. Acute Scrotal Pain 30.08.17 Dr. Sandya
SEPTEMBER 2017

1. Spinal Anomalies 02.09.17 Dr. Manish
2. Imaging in Lymphoma 05.09.17 Dr. Sandya
3. Juvenile Angiofibroma 07.09.17 Dr. Nirmal
4. Aortic dissection imaging 09.09.17 Dr. Shibu
5. Lethal skeletal dysplasia 13.09.17 Dr. Tixon
6. Imaging of proptosis 15.09.17 Dr. Sreekumar
7. Hydrocephalus 18.09.17 Dr. Chinmay
8. Genitourinary tuberculosis 20.09.17 Dr. Nazar
9. Pseudotumor 22.09.17 Dr. Manish
10. Carotid plaque imaging 26.09.17 Dr. Nirmal
11. Imaging in Leukodystophy 30.09.17 Dr. Shibu
OCTOBER 2017

1. Aspiration pneumonia 03.10.17 Dr. Manish
2. Cold abscess 05.10.17 Dr. Shibu
3. Lymphangiomatosis 07.10.17 Dr. Nirmal
4. Neurofibroma 10.10.17 Dr. Rajesh
5. Tracheomegaly 13.10.17 Dr. Sandya
6. Retrocardiac Lesions 16.10.17 Dr. Resmi
7. Loose bodies right knee 19.10.17 Dr. Tixon
8. Giant cell tumour 21.10.17 Dr. Sreekumar
9. Perthes disease 23.10.17 Dr. Chinmay
10. Pagets disease 25.10.17 Dr. Nirmal
11. Protusio acetabuli 27.10.17 Dr. Nazar
12. Cold abscess 30.10.17 Dr. Shibu
NOVEMBER 2017
Sl NO TOPICS DATE FACULTY
1. Schwanomma 1/11/17 Dr. Manish

2. Tuberculoma 3/11/17 Dr. Sandya
3. Malunion 6/11/17 Dr. Nirmal
4. Rheumatoid arthritis 8/11/17 Dr. Shibu
5. Alkaptonuria 10/11/17 Dr. Tixon
6. Klippel fiel synDr.ome 13/11/17 Dr. Sreekumar
7. Scar fibrosis 15/11/17 Dr. Chinmay
8. Twiddler synDr.ome 17/11/17 Dr. Nazar
9. Destroyed lung 20/11/17 Dr. Manish
10. Pulmonary proteinosis 22/11/17 Dr. Nirmal
11. Pancoast tumor 24/11/17 Dr. Shibu
12. TB with cavitory lesions 27/11/17 Dr. Sreekumar
13. ARDS 29/11/17 Dr.Chinmay
DECEMBER 2017
Sl NO TOPICS DATE FACULTY

1. CNS lymphoma 1/12/17 Dr. Rajesh
2. Glioblastoma multiforme 4/12/17 Dr. Nirmal
3. Focal nodula – hyperplasia 6/12/17 Dr. Sandya
Mucopoly sacchridosis Dr.
4. 8/12/17
Sreekumar
5. Primary retroperitoneal tumour 11/12/17 Dr. Chinmay
6. Thyroid ophthalmopathy 13/12/17 Dr. Sandya
7. MEN syndrome type II 15/12/17 Dr. Nazar
8. Telengiectatic osteosarcoma 18/12/17 Dr. Shibu
9. MRI of central lymphatic system 20/12/17 Dr. Anil
10. Diffusion and perfusion MR imaging in acute stroke 23/12/17 Dr. Srikanth
Advanced MRI measures of central perfusion and Dr. Rajesh
11. clinical application
26/12/17
12. Resting state BOLD MRI for perfusion and ischemic 27/12/17 Dr. Nirmal
Ischemic stroke treatment trial neuro imaging Dr.Chinmay
13. advance
28/12/17
14. Wake upstroke – current understanding 30/12/17 Dr. Resmi
JANUARY 2018
Sl TOPICS DATE FACULTY

NO
1. Encephalocele 01.01.18 Dr. Manish
2. Mucocele 03.01.18 Dr. Chinmay
3. Malignant tumours of sinonasal tract 05.01.18 Dr. Sandya
4. Meningioma 08.01.18 Dr. Shibu
5. Musculoskeletal ultrasonogram 10.01.18 Dr. Rajesh
6. Acute GI bleed 11.01.18 Dr. Nazar
7. Scintigraphy in bone lesions 13.01.18 Dr. Nirmal
8. Metabolic bone disorder 15.01.18 Dr. Sreekumar
9. Jouberts syndrome 17.01.18 Dr. Srikanth
10. Maple syrup urine disease imaging 19.01.18 Dr. Rajsekar
11. Oligodendroglioma 21.01.18 Dr. Resmi
12. Neuropathic joint 23.01.18 Dr. Shibu
13. Bronchiectasis 25.01.18 Dr. Chinmay
14. Myositis ossificans 27.01.18 Dr. Chinmay
15. DISH 30.01.18 Dr. Sandya
FEBRUARY 2018
Sl
TOPICS DATE FACULTY
NO
1. Pulmonary blastoma 01.02.18 Dr. Srikanth
2. Non Hodgkin’s lymphoma 03.02.18 Dr. Srikanth
3. Bronchogenic carcinoma 05.02.18 Dr. Sreekumar
4. Pancoast Tumor 07.02.18 Dr. Shibu
5. Bronchoalveolar Carcinoma 09.02.18 Dr. Srikanth
6. Soft tissue sarcoma with pleural deposits 12.02.18 Dr. Resmi
7. Lung cancer 14.02.18 Dr. Sandya
8. Miliary metastasis 16.02.18 Dr. Nazar
9. Cavitory lesions in right lobe of lung 17.02.18 Dr. Nirmal
10. Solitary pulmonary nodules 19.02.18 Dr. Chinmay
11. Squamous cell carcinoma. 22.02.2018 Dr. Nazar
12. Adrenal secondaries 24.02.2018 Dr. Manish
13. Solitary nodule. 26.02.2018 Dr. Resmi
14. Lung abscess 27.02.2018 Dr. Chinmay
15. Anterior mediastinal mass 28.02.2018 Dr. Rajesh
MARCH 2018
DATE TOPICS FACULTY
01.03.2018 Corpus callosum agenesis. Dr. Vishnu V. Nair

Arnold Chiari malformation. Dr. RAJSEKAR
03.03.2018 Aneurysm of vein of Galen. Dr. Krisshnpriya
Dr. RAJESH
05.03.2018 Arnold Chiari type I malformation. Dr. Supriya
Dr. NAZAR
07.03.2018 Neuroenteric cyst in the prepontine Dr. Divya C.
cistern DR. SANDYA
08.03.2018 Rabies encephalomyelitis. Dr. Machaiah
DR. NIRMAL
10.03.2018 Bulky right hilum Dr. Aarathy
Dr. RESMI
12.03.2018 Sarcoidosis. Dr. Priyanka
Dr. CHINMAY
14.03.2018 Right aortic arch. Dr. Krisshnapriya
Dr. RAJSEKAR
16.03.2018 Ectopic pituitary in sphenoid sinus. Dr. Aabind
Dr. SREEKUMAR
19.03.2018 Extra ventricular supratentorial Dr. Pareekshith
ependymoma Dr. SRIKANTH
21.03.2018 Lymphoma Dr. Aarathi
Dr. RESMI
23.03.2018 Lung cyst. Dr. Divya C
Dr. SANDYA
24.03.2018 Tumefactive demyelination. Dr. Aabind
Dr. CHINMAY
26.03.2018 Mucormycosis. Dr. Aarathi
DR. SREEKUMAR
27.03.2018 Pneumo pericardium. Dr. Vishnu V. Nair
Dr. NAZAR
29.03.2018 Aortic aneurysm. Dr. Priyanka
Dr. SRIKANTH
31.03.2018 Rupture aortic aneurysm Dr. Krisshnapriya
DR. SREEKUMAR
APRIL 2018
DATE TOPICS FACULTY
02.04.2018 Choledochal cyst Dr. Nithin

Dr. RAJESH
04.04.2018 Mesenteric carcinoid Dr. Pareekshith
Dr. SANDYA
07.04.2018 Sigmoid Colon Dr. Cibi
Dr. NIRMAL
09.04.2018 Meningioma Dr. Supriya/
Dr. RAJESH
09.04.2018 Diffuse alveolar hemorrhage Dr. Roshma /
Dr. RAJESH
11.04.2018 Pancreatic mass Dr. Mythreyi /
Dr. SHIBU
13.04.2018 Cystic tumour of pancreas Dr. Anand /
Dr. SREEKUMAR
13.04.2018 Pineal gland tumour Dr. Priyanka /
Dr. SREEKUMAR
16.04.2018 Osteomyelitis Dr. Pareekshith / Dr.
NIRMAL
16.04.2018 Aneurysmal bone cyst Dr. Nithin /
Dr. NIRMAL
20.04.2018 Spinal hemangioma Dr. Machaiah /
Dr. SRIKANTH
20.04.2018 Pheochromocytoma Dr. Bharath /
Dr. SRIKANTH
23.04.2018 Gaints cell tumour Dr. Vishnu V. Nair
Solitary pulmonary nodules Dr. Mythreyi
Dr. CHINMAY
25.04.2018 Hand bone tumour Dr. Anand
Dr. CHINMAY
25.04.2018 Mesenteric ischemia Dr. Machaiah
Dr. CHINMAY
27.04.2018 Biogenic cystitis Dr. Priyanka
Dr. NAZAR
27.04.2018 Hirschberg disease Dr. Nithin
Dr. NAZAR
MAY 2018
DATE TOPICS FACULTY
07.05.2018 Cystic lung disease Dr. Ameena

Dr. RAJESH
07.05.2018 Pituitary cellar mass Dr. Divya Chandran
Dr. RAJESH
11.05.2018 Giant Cell tumour Dr. Krisshnapriya
Dr. SANDYA
11.05.2018 Hepatoblastoma Dr. Roshma
Dr. SANDYA
14.05.2018 Crohn’s disease Dr. Bharath
Dr. MANISH
16.05.2018 Pulmonary AVM Dr. Pareekshith
Dr. MANISH
18.05.2018 Neuroblastoma Dr. Divya Alapatt
Dr. NIRMAL
18.05.2018 Plastocytoma Dr. Arathi
Dr. NIRMAL
21.05.2018 Tumour Wilms Dr. Febina
Dr. RAJSEKAR
21.05.2018 Spinal metastasis Dr. Aarathi
Dr. RAJSEKAR
25.05.2018 Neuroblastoma Dr. Divya Alapatt
Dr. JANAKI
25.05.2018 Vestibular Schwanoma Dr. Supriya
Dr. JANAKI
28.05.2018 Sarcoidosis Dr. Ameena
Dr. SREEKUMAR
28.05.2018 Genitourinary TB Dr. Pareekshith
Dr. SREEKUMAR
30.05.2018 Bronchogenic cyst Dr. Supriya
DR. NIRMAL
30.05.2018 Dextro cardia Dr. Priyanka
Dr. NIRMAL
WORKED UP CASES, PROCEDURES
AND
ASSESSMENT REPORTS
JUNE 2017
CASE 1:
Name: ABRAHAM CHERIAN Age: 52 Y/Male MRD: 1330577
HISTORY
Exsmoker (Quit 3months back, till then 5-8/day x 8yrs) working in Bahrain with
asymptomatic respiratory status and incidental detection of left lung upper zone nodule
in 2013 on follow up.
CHEST RADIOGRAPH:
Homogenous density involving the entire left hemithorax with mediastinal shift
to left.
CT CHEST :
A large homogeneous mass noted involving the left upper lobe extending from
the hilum.The lesion is measuring 11 x 8.5 cm and is causing upper lobe bronchus cut
off. Multiple enlarged lymphnodes noted in right upper paratracheal, subcarinal level
largest measuring 3.4 x 2.4cm in subcarinal station.A lytic lesion noted in T4 vertebral
body causing distruction of the vertebral body- ? metastasis/ osteoporotic.
Impression: A large left upper lobe mass lesion causing bronchus cut off - suggestive of
probable malignant hilar lesion.
A lytic lesion in D4 vertebral body - suggested bone scan to rule out metastasis
FOLLOW UP:
BRONCHIAL BIOPSY:
Poorly differentiated carcinoma

The patient was further managed with chemotherapy.Follow up whole body PET scan
was done in November.
WHOLE BODY PET CT IMAGING
Minimal reduction in size with increase in enhancement of persistent ill defined soft
tissue density mass lesion in left lung upper lobe with abrupt cut off of left lung lower
lobe bronchus. Metabolically active residual primary left lung malignancy. Newly
detected nodule in left lung lower lobe and right lung lower lobe - metabolically active
pulmonary metastases. Heterogeneously FDG avid mild left pleural effusion. FDG avid
persistent right upper paratracheal, subcarinal and newly detected.FDG avid left level
IV, supraclavicular, prevascular lymph nodes - metabolically active lymph nodal
metastases. Fdg avid and non avid CT detected hypodense lesions in precentral gyrus
and bilateral occipital and parietal cortex - residual brain metastases. Diffusely FDG
avid lytic lesion in D4 vertebral body - ? post radiotherapy changes. PET CT findings
are suggestive of disease progression.
FINAL DIAGNOSIS:
POORLY DIFFERENTIATED CARCINOMA – LUNG
CASE 2:
Name: SURESH KUMAR Age: 45Y / Male MRD No.:1705802
HISTORY:
Patient came with complaints of swelling over the right upper arm for 2 years.
Swelling was first noticed 2 years ago over the posterior aspect of right upper arm. It
was initially small in size but gradually increased to its current size over 2 years. Not
associated with any pain or restriction of shoulder movements. No history of any fever,
chronic cough or weight loss. No history of any similar swellings elsewhere in the body.
O/E An oval non mobile non pulsating swelling of size 10x 6 cm, bony hard in
consistency is seen over the posterior aspect of upper arm. Skin over the swelling is
normal
X RAY SHOULDER
A well-defined lytic lesion noted in the metaphysis of proximal end of humerus

with a narrow zone of transition, matrix calcification, periosteal reaction and soft tissue
component.
FOLLOW UP:
An incision biopsy of the lesion was performed.
HISTOPATHOLOGY
Soft tissue upper arm right side: Chondroid Lesion with mild increase in
cellularity suggestive of Chondrosarcoma.
MDCT PERIPHERAL ANGIOGRAM
Metadiaphyseal lesion of the right proximal humerous seen with thick

interrupted periosteal reaction. Associated hypodense soft tissue mass component seen
with multiple punctate calcifications within. This is seen to displace the deltoid and
triceps muscle with infiltration into the deltoid. The lesion show minimal post contrast
enhancement. The adjacent brachial artery is medially displaced. No vascular
encasement.
Impression
Metadiaphyseal lesion right humerus as described-Chondrosarcoma. The lesion
infiltrates the deltoid muscle and displaces the brachial artery with blood supply from
branches of brachial artery.
An excision biopsy of the humeral mass was performed.
HISTOPATHOLOGY
Excision biopsy from right proximal humerus - Chondrosarcoma, Grade 2.
FINAL DIAGNOSIS:
CHONDROSARCOMA RIGHT PROXIMAL HUMERUS
PROCEDURES PERFORMED UNDER SUPERVISION
Date MRD no. Procedure Indication Complication Follow up

CLD with
USG guided PHTN ,
04/06/2017 853375 NIL No SBP
ascitic tap diagnostic and
therapeutic
REPORTING RECORDS
Plain Radiograph reported 250
SPECIAL INVESTIGATIONS
MODALITY NO. OF CASES

Barium studies 22
Urographic studies 18
General Ultrasound 145
Obstetric Ultrasound 1
Neurosonogram 5
DATE: SIGNATURE OF HEAD OF DEPARTMENT

JULY 2017
CASE 1:
Name: KARTHIK Age: 4Y /Male MRD No.: 1693389
HISTORY:
Patient came with complaints of intake of Drainex Drain Cleaner and dysphagia
following the incident.
UPPER GASTROINTESTINAL ENDOSCOPY
Grade III upper esophageal injury. Cine esophogogram showed long segment
narrowing involving hypopharynx and proximal esophagus.
GASTROGRAFFIN SWALLOW :
The proximal esophagus appears normal till the level of sternal angle beyond
which a focal area of long segment luminal narrowing is noted for a distance of 6.8 cm
with a short segment post stenotic dilatation followed by another long segment luminal
narrowing for a distance of 3.4cm with mildly prominent distal esophagus. However GE
junction is normal.
FOLLOW UP:
Exploratory thoracotomy and cervical esophagostomy was performed.
HISTOPATHOLOGY
Esophageal stricture: Extensive ulceration with fibrosis of the wall, consistent with
caustic injury.
FINAL DIAGNOSIS:
CAUSTIC STRICTURE ESOPHAGUS
CASE 2:
Name: HARIKUMAR Age: 49 Y / Male MRD No.: 1710385

HISTORY:
49 years male with background of diabetes mellitus, systemic hypertension and

chronic alcohol intake, has presented with history of upper abdominal pain with
radiation to the back for about 5 days .He has elevated amylase levels.
ULTRASOUND ABDOMEN:
Bulky head of pancreas with a rim of peripancreatic free fluid in the visualized
region- ? Pancreatitis.Hepatomegaly with mildly altered echotexture and minimal
surface irregularity. Bilateral medical renal disease.Cholelithiasis.Minimal ascites.
MRI ABDOMEN:
Pancreas appears bulky with peripancreatic fat stranding with fluid collection
noted along greater curvature of stomach. No non enhancing area within pancreatic
parenchyma. T2 hyperintense collection noted adjacent to body of pancreas and in
anterior pararenal space tracking posteriorly and inferiorly along left posterior
pararenal space. Some of the areas in the collection shows non liquified components.
Bilateral perinephric fat stranding with bilateral renal cortical cyst noted. A well defined
fat density lesion noted in left adrenal measuring 2.9 x 3.3 cm - likely to represent
myelolipoma. Portal vein appears patent.No vascular thrombosis / aneurysm. Bilateral
pleural effusion with underlying collapse consolidation of basal lung field. Minimal
ascites.The Liver appears normal in size and signal intensity.
Impression: Pancreas shows features suggestive of pancreatitis with acute pancreatic
necrotic collection.Bilateral simple cortical cyst.
FOLLOW UP:
The patient was managed with medications and pigtail drainage for the
peripancreatic collection.
FINAL DIAGNOSIS:
ACUTE PANCREATITIS

Apiration of Bile leak Pig tail
intraabdominal and Intra drainage
06/07/2017 1412996 Nil
collection Abdominal done at a
under USG collection later date
guidance
REPORTING RECORD

Barium studies 15
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 0
Doppler studies 25
Small parts 2

AUGUST 2017
CASE 1:
Name: AMANI Age: 18 Y/Female MRD No.:1727698
HISTORY:
17 year old girl from oman with history of multiple long bone fractures presenting
with pain, discharging sinus in the region of the mandible. o/e- chin and cheek oedema
+ multiple sinus with granulation in the submental region intra orally bone exposed.
RADIOGRAPHS
Generalised increased density in visualised skeleton. Sandwich vertebrae.Bone

within bone appearance in long bones.Multiple healed fractures noted in extremity long
bones.Skull radiograph showed increased density of bones, defective dentition.
CT PERIPHERAL ANGIOGRAM
The spine and all the long bones show increased sclerosis. Both the external iliacs
are normal. The common femoral, superior femoral, prefunds femoris, popliteal artery,
anterior tibial artery, posterior tibial artery, peritoneal artery and dorsalis pedis artery
are normal on both sides. No evidence of stenosis or occlusion. The abdominal aorta,
celiac axis, superior mesenteric artery, both renal arteries and inferior mesenteric artery
are normal.
FOLLOW UP
The patient was advised mandibulectomy .
FINAL DIAGNOSIS:
OSTEOPETROSIS.
OSTEOMYELITIS MANDIBLE
CASE 2:
NAME: ANANDAN AGE: 65 Y/Male MRD No: 1727169
HISTORY:
65 year old male presented with reduced appetite, tiredness and some difficulty in
voiding and was evaluated for obstructive lower urinary tract syndrome.
ULTRASOUND
Well defined heteroehoic mass arising from the interpolar region of the right
kidney as described in text - Possibility of RCC. Advised further evaluation with CECT.
Ultrasound also showed mild fatty liver ,cholelithiasis and prostatomegaly .
MULTIPHASE CT ABDOMEN :
Heterogeneous enhancing lesion with central non enhancing area (necrosis) noted
in the interpolar region extending to upper pole of right kidney. Lesion abutting the
segment VI of the liver. Lesion measuring 5.5 x 4.3 x 5.9cm. No calcification noted in
the leison. Minimal right perinephric fat stranding noted. Bilateral renal vein and IVC
are patent. No thrombosis. A 2.6x2.2cm exophytic cyst noted in the upper pole of right
kidney. Ureters are normal. Left kidney measures 9.3x4.7cm appears normal. No focal
lesion.Adrenals are normal. Liver shows fatty infiltration. No focal lesion. A 3mm
calculus noted in the gall bladder. Gall bladder wall appears normal. Subcentimetric
paraaortic and mesenteric lymphnodes noted. Urinary bladder is normal.
Prostatomegaly noted. No free fluid.
Impression: Heterogeneous enhancing lesion in right kidney as described - most likely
renal carcinoma. Renal vein and IVC are patent
FOLLOW UP:
The patient was managed with Right Laparoscopic Nephrectomy
HISTOPATHOLOGY:
Right Radical Nephrectomy:Features are that of Clear Cell Conventional Renal Cell
Carcinoma,Furhmann's Nuclear Grade 3. -Tumour is limited to the kidney.
FINAL DIAGNOSIS:
RIGHT RENAL CELL CARCINOMA
Date MRD No. Procedure Indication Complication Follow up

Pap Ca
Ultrasound
thyroid Reactive
guided FNAC
13/08/17 1350698 with Nil hyperplasia
from right level
enlarged
III node
nodes
REPORTING RECORD

Barium studies 12
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 0
Doppler studies 28
Small parts 6

SEPTEMEBER 2017
CASE 1:
Name: SOORAJ C R AGE:13Y/ Male MRD No.:1736739
HISTORY:
This 12 yr old boy was brought with complaints of swelling over left side of neck
of 1 month duration. It gradually increased in size. No history of pain/fever/trauma. No
history of sudden increase/decrease in size.
ULTRASOUND NECK
A cystic lesion noted in left neck near medial aspect and deep to the
sternocledomastoid muscle measuring 3.5 x1.7cm. The cranial extend of the lesions is
just above the bifurcation of carotids and caudally lesion is seen insinuating between
common carotid artery and internal jugular vein and extending medial to the common
carotid artery and lateral to left lobe of thyroid with suspicious extension into the
prevascular space. The lesion shows thick freely mobile contents. The prevascular
component shows septations. No peripheral vascularity
Impression:
Left cystic neck lesion with suspicious extension into the prevascular space. Differential
diagnosis include:Cystic hygroma,Cervical thymic cyst,Brachial cleft cyst (however no
posterior triangle extension).
MRI NECK:
A well defined T2 W bright signal intensity lesion seen at the left

parapharyngeal space measuring 5.3x1.8x1.95cm in size with medial extension to
paravertebral space.The left common carotid artery is seen medial to the cystic lesions
and internal jugular vein seen lateral to it.No cervical lymphadenopathy.
Impression
MRI head and neck show T2W intensity bright multiseptated cystic lesion in the left
parapharyngeal space - represents cystic lymphagioma .
FOLLOW UP:
Intralesional injection of Bleomycin under G.A

A follow up ultrasound was performed after two months showed the lesion status quo
to the previos study and a second dose of bleomycin injection was planned.
DIAGNOSIS:
CYSTIC HYGROMA LEFT SIDE OF NECK
CASE 2:
Name: ABHIRAM Age: 11 Y/Male MRD No.: 1740956
HISTORY:
10 year old boy with three episodes of fever and loose stools in the past 2
months requiring 2 hospitalisations.Now brought with complaints of low grade fever ,
passes semisolid stool after each meal for 4 days duration and 2 episodes of vomiting.
ULTRASOUND ABDOMEN
Bulky appendix noted measuring 7.5 mm with surrounding elongated hypoechoic

collection with echoes measuring about 5.2x2.4 cm. Distal body and tip of the appendix
is seen dilated. There is phlegmonous material around the appendix (both tip and body)
? likely to be due to rupture at the tip. There is associated illeus of the distal segment of
ileum and multiple prominent lymphnodes along the ileocolic vessel.
FOLLOW UP
A provisional diagnosis of appendicular mass was made and started on

conservative management with antibiotics. Later interval appendicectomy was
performed.
HISTOPATHOLOGY
Chronic appendicitis
FINAL DIAGNOSIS
CHRONIC APPENDICITIS WITH APPENDICULAR MASS.
CLD with
USG guided portal HTN No SBP
10/09/2017 1376751 ascitic fluid , diagnostic NIL
tapping and
theraputic
REPORTING RECORD

Barium studies 9
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 0
Doppler studies 35
Small parts 0
CT scans reported 0
MRI reported 0

OCTOBER 2017
CASE 1:
Name: SINDHU AGE:35 Y / Female MRD No.: 1748344
HISTORY:
35yrs old female with background history of bronchial asthma and intermittent
allergic rhinitis now presented with complaints of right side chest pain, cough with
purulent expectoration and shortness of breath progressed since last 2 weeks.
CHEST X RAY
Right lower lobe cavity with air fluid level – suggestive of Lung abscess.
ULTRASOUND CHEST
A large well defined thin walled abscess measuring 5.8 x 4.7 x 7.2cms, volume-
104 cc with hyperechoic internal echoes noted within the lung parenchyma in the right
lower lobe.No evidence of consolidation/collapse noted.No pleural effusions noted
bilaterally.
CT CHEST – CONTRAST AND HRCT CHEST
Right lower lobe shows collapsed consolidatory changes with cavitatory break
down and air fluid level within measuring 6.6 x 7.0 cms. The cavitating lesion has
smooth borders without any calcification. Right hilar node measuring 15 x 8 mm. No
other significant mediastinal nodes. Tracheobronchial tree appears normal. Bilateral
mild pleural effusion (Right > Left).
Impression
Right lower lobe cavitatory lesion with air fluid level - likely to represent lung abscess.
FOLLOW UP:
She was managed with iv antibiotics [Piperacillin+Tazobactam and

Clindamycin] and other supportive medications.As there was no resolution and in view
of elevated inflammatory markers and total counts, CT guided Pigtail inserted into the
right lower lobe lung abscess and drained 60ml of thick pus. Culture pus showed
growth of Pseudomonas aeruginosa which was sensitive to [Piperacillin +Tazobactam].
Repeated radiographs showed resolution of lesion.
FINAL DIAGNOSIS:
RIGHT LOWER LOBE LUNG ABCESS.

CASE 2:
Name: ANN JOSHLY Age:18 Y/Female MRD No.:1745594
HISTORY:
17 year old girl with background history of recurrent chest infection since
childhood presented with cough with yellowish, profuse expectoration while lying on
left side, shortness of breath, low grade fever and loss of weight. No associated history
of hemoptysis, chest pain.
CHEST X RAY
Large cystic shadows in left hemithorax with mediastinal shift to left and elevated
diaphraghm on left side.
CT CHEST
Bronchiectasis left lung with complete destruction of left lung
FOLLOWUP:
Left pneumonectomy was performed.
HISTOPATHOLOGY
Biopsy left pneumonectomy:- Consistent with bronchiectasis
FINAL DIAGNOSIS:
CYSTIC BRONCHIECTASIS LEFT LUNG
MRD
Date Procedure Indication Complication Follow up
no.
07/10/2017 809613 FNAC right Right level 2 Nil Metastatic
level II enlarged squamous cell
lymph node lymph node carcinoma
REPORTING RECORD

Barium studies 5
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 6
Doppler studies 13
Small parts 6
CT scans reported 0
MRI reported 0

NOVEMBER 2017
CASE 1:
Name: RENJITHA Age:21 Y/Female MRD No.: 610001
HISTORY:
21 year old unmarried girl presented to casuality with left iliac fossa pain and
vomiting 3 episodes since 2 days. Pain is radiating to the groin and to the back. No h/o
fever , dysuria , hematuria.
X-RAY ABDOMEN ERECT:
Irregular tooth like radioopacity noted in the pelvis.Rectal gas shadow noted.No
other soft tissue opacities.Visualized bones appear normal
ULTRASOUND ABDOMEN
Left renal calculi 2mm. Multi septated cyst measuring 8 x8 cm with pelvic
adhesion noted posterosuperior to the bladder.. Bilateral ovaries not visualized
seperately.Minimal free fluid in pouch of douglas.Bladder empty.
CT ABDOMEN
Uterus appears normal. A large 8.3 (AP) x 11.2 (TR) x 8.6 (CC) cm cystic lesion
noted posterosuperior to the bladder. The cystic lesion shows linear foci of calcification
and a fat density area within. Likely to represent Dermoid cyst. Right ovary is
visualized and cystic lesion is noted closely abutting it. Left ovary is not visualized
separately.
Impression:
A heterogeneously dense lesion with fluid, fat and calcific densities within seen arising
from left adnexa extending posterosuperior to the bladder - suggestive of Dermoid cyst.
FOLLOWUP:
Left ovariotomy was performed
HISTOPATHLOGY:
Mature cystic teratoma - No immature elements seen - Adjacent ovarian tissue shows
corpus luteum and cystic follicles in edematous ovarian stroma
FINAL DIAGNOSIS:
MATURE TERATOMA – LEFT OVARY.
CASE 2:
Name: SHARIFA ISMAIL Age:35Y/ Female MRD No:1760039
HISTORY:
36 years old P3 L3 lady, LCB 3 years , noticed swelling in the right breast
associated with pain and discharge from left nipple -on and off 3 years swelling
persisting since two weeks.O/E - right breast shows ulcerated excoriated nipple with
vague mass under the nipple areola complex measuring 3x4 cm, margins not well
defined. 2x2 cm mobile lump palpable in the right breast at 3 o clock position , non
tender. Right axilla 2x1cm node present. Left breast and axilla normal
MAMMOGRAPHY
Heterogeneously dense breast parenchyma is seen bilaterally may obscure masses

on mammography.There are no suspicious masses, architectural distortion or
calcifications in left breast Right breast shows extensive pleomorphic calcifications in
the pattern predominantly in the upper and inner quadrant extending over 10 x 11 cm .
These calcifications are seen to extend into the enlarged and distorted nipple.There are
also two round high density masses with irregular margins in the medial quadrant. One
of the mass measuring 1.1 x 1.3 cm is located at a distance of 9 cm from nipple. The
second subtle mass with angular margins measuring 1.4 x 1.3 cm is seen at a distance of
about 2 cm from nipple.
ULTRASOUND BREAST
Left breast is normal with no suspicious solid masses or complex cystic lesions.
Normal appearing left axillary lymph nodes. Right breast shows at 3:00 position about 9
cm from nipple, an oval hypoechoic solid mass with microlobulated margins measuring
0.8 x 1.2 x 1.4 cm. This poorly vascular mass has no specific posterior features. Right
breast also shows at 3:00 position about 3 cm from nipple, a hypoechoic mass with
angular margins measuring 1.1 x 0.9 x 1.4 cm. This mass containing calcifications is
vascular and has no specific posterior features.These masses are about 7 cm apart
Heterogeneous parenchyma is noted in the entire medial quadrant. Right axilla at level I
shows at least 5 lymph nodes with suspicious features. The largest lymph node has a
cortical thickness of 0.7 cm.
FOLLOW UP
A trucut biopsy from the breast lesion and fine needle aspiration from axillary
lymphnode was performed
HISTOPATHOLOGY
Trucut biopsy, right breast mass: Invasive carcinoma NST, MBR grade 3
Right axillary lymphnode : Suggestive Metastasis to lymphnode.
FINAL DIAGNOSIS
INVASIVE CARCINOMA RIGHT BREAST
FNAC Right
Right thyroid Benign
11/11/2017 1474168 thyroid lobe Nil
lobe nodule follicular nodule
nodule
REPORTING RECORD

Barium studies 6
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 5
Doppler studies 8
Small parts 6
CT scans reported 0
MRI reported 0

QUARTERLY EVALUATION
Date: October 2016
Sl. No. Points to be considered Score
1 Punctuality
2 Regularity of Attendance
3 Quality of ward work
4 Presentation of cases
5 Bedside manners
6 Rapport with patients
7 Rapport with colleagues
8 Undergraduate teaching (if applicable)
9 Others
Total Score
Guidance for scoring:
0– Poor, 1- Below average, 2 – Average,3- above average, 4- Very good
Date: HEAD OF THE DEPARTMENT
DEPARTMENT OF
RADIOLOGY
AMRITA INSTITUTE OF MEDICALSCIENCES

SIX MONTHLY EVALUATION
FOR THE PERIOD May 2016 to October 2016
Date : October 2016
Sl.
Points to be considered Scoring
No.
1 Presentations
2 Whether all relevant points elicited
3 Cogency of presentation
4 Logical order
5 Mentioned importance all positive and negative points of importance
6 Whether any major signs missed or misintepreted
7 Diagnostic whether it follows logically from history and findings
Investigations required
8 Complete list Relevant order
Interpretation of investigations
Overall
1 Ability to react to questioning – whether answers relevant and
complete
2 Ability to defend diagnosis
3 Ability to justify differential diagnosis
4 Confidence
5 Others
Total Score
DEPARTMENT OF
RADIOLOGY

DECEMBER 2017
CASE 1:
Name: L. VIJAYALAKSHMI Age: 38Y / Female MRD No.: 1753052
HISTORY:
Presented with complaints of abdominal discomfort. Initially she was evaluated in

an outside hospital with a USG abdomen which showed space occupying lesion in liver
and a CT was also done which showed ? Fibrolamellar HCC segment 7 & 8. Currently
admitted for further evaluation.
CT ABDOMEN:
Fibrolamellar HCC segment 7 & 8 / ? Adrenal Mass Non-cirrhotic liver.
FOLLOW UP:
Retroperitoneal tumour excision with non anatomical liver resection (segment

VII) with diaphragm excision Intra op findings: Hypervascular retroperitoneal tumour
(approx 10 x 10 cm), probably adrenal origin with local invasion into diaphragm
(posterior part) and segment VII of liver
HISTOLOGY
Excision retroperitoneal tumour abutting segment VII of liver shows a Poorly

differentiated neoplasm with synaptophysin positivity. Possibly adrenal tumour –
Adrenocortical.
ULTRASOUND OF THORAX:
Right side moderate pleural effusion (approximately 1500ml) with collapse &
consolidation of basal lung segments. No evidence of septations /internal echoes
/loculations. On M mode sonography, bar code sign noted on right side - suggestive of
pneumothorax. Left side no evidence of pleural effusion. Impression: Known case of
HCC, status post retroperitoneal tumour excision . Right hydropneumothorax.
Hydropneumothorax was managed conservatively and suggested follow up.
FINAL DIAGNOSIS:
Retroperitoneal tumour (Adrenal tumour) with infiltration into liver and

diaphragm.
CASE 2:
Name: KARTHIKAKUTTY Age:59Y/ Female MRD No.:1201687
HISTORY:
59 year old,post menopausal 7yrs, 2 FTND, LCB: 28 years, sterilised came with
c/o intermittent lower abdominal pain since 1 year.
ULTRASOUND ABDOMEN
Liver shows coarse echotexture with surface irregularity and volume
redistribution changes.No focal lesion seen.Spleen,pancreas and kidneys and urinary
bladder are normal.Uterus is anteverted.Right adnexa shows a 6.8 x 5 cm lesion with
prominent peripheral vascularity and no obvious internal vascularity. Right ovary not
separately visualised. Left ovary not visualised.
MRI PELVIS
A large predominantly T2 dark lesion showing delayed enhancement noted in
right adnexa . Likely to be 1)Broad ligament fibroid 2) Ovarian fibroma.
FOLLOW UP
Total abdominal hysterectomy with bilateral salpingooopherectomy was performed.
HISTOPATHOLOGY
SPINDLE CELL NEOPLASM RIGHT OVARY
FINAL DIAGNOSIS
SPINDLE CELL NEOPLASM RIGHT OVARY

Right level
FNAC
II enlarged Nil
Right level Reactive
15/11/2017 1493497 with history
II lymphadenitis
of ca
lymphnode
thyroid
REPORTING RECORD

Barium studies 9
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 0
Doppler studies 6
Small parts 1
CT scans reported 10
MRI reported 0

JANUARY 2018
CASE 1:
Name: CHANDRASENAN Age:57 Y /Male MRD No:595327
HISTORY:
57 year old male with chronic liver disease came for regular follow up.
USG ABDOMEN
Coarse echotexture with surface irregularity and volume redistribution changes.

Shows a well defined hyperechoic lesion measuring 4.6 x 4.2 cm in segment III of liver.
The lesion shows predominant peripheral vascularity and mild internal vascularity and
seem to abutt the neck of pancreas posteriorly. Another anechoic lesion with thin
internal septation (1.4 mm thickness) measuring 1.2 x 1.4 cm noted in segment VIII of
liver - could represent a hepatic cyst. However no IHBRD. common bile duct not
dilated. Portal vein patent, measures 12 mm, shows hepatopetal flow. Gall bladder
shows multiple calculi collectively measuring 1.9 x 1.2 cm. No wall thickening /
pericholecystic collection.
CT ABDOMEN
Liver shows morphological features of cirrhosis with surface irregularity and

volume redistribution changes. A 4.6x4cm (AP x TR) partially exophytic nodule seen in
segment III that shows areas of enhancement in the arterial phase and washout in the
delayed phase. This is seen to closely abut the body of pancreas inferiority.A 1.4x1.1cm
non enchaining focus is seen in segment VIII likely a hepatic cyst.A peripheral wedge
shaped non enhancing focus with capsular retraction seen in segment VI- likely an area
of confluent fibrosis.Portal vein and hepatic veins are patent. No IHBRD. GB is
distended with a cluster of calculi whole measuring 12x13m at the neck region.No
pericholecystic collection. Common bile duct is not dilated. Spleen is enlarged with few
portos systemic collaterals along the lower end of esophagus, lesser curvature of
stomach and splenic hilum. The pancreas shows normal size, shape and attenuation
values. No duct dilatation or focal lesion.Bilateral adrenal glands are normal. The
kidneys show normal size, shape and contrast enhancement with no pelvicalyceal
dilatation or calculi. No hydroureter.Retroperironeal aorta and IVC are normal. No
significant retroperitoneal lymphadenopathy.Pelvic organs are normal. No pelvic/mass
lesion.Bowel loops are grossly normal.No ascitesBasal lung fields are normal.Vertebral
bodies show degenerative changes. No focal lytic/sclerotic lesions.Impression:
Known case of CLD with portal hypertension.Features suggestive of the same Partially
exophytic nodule in segment III and shows enhancement in arterial phase and washout
in delayed phase as described- suggestive of HCC. Hepatic cyst in segment VIII and
focus of confluent fibrosis in segment VI as described. Cholelithiasis.No ascites.
FOLLOW UP:
As the patient was unwilling for surgery,radiofrequency ablation of the liver

lesion was performed .
FINAL DIAGNOSIS:
HEPATOCELLULAR CARCINOMA
CASE 2:
Name: MYDEEN KUTTY Age:75 Y/Male MRD No.: 1775623
HISTORY:
75 year old male,reformed chain smoker stopped smoking 3mnths back h/o
increased dyspnoea on exertion since 6 months grade 4 since few weeks not eating well
for 1month .
CHEST X RAY
Well defined opacity noted in the left parahilar region with irregular lateral
margin.However other borders not seen.Another well defined 15 x 18 mm opacity noted
in the left midzone which is surrounded normal lung.Humogenous opacity noted in the
left nlower zone obscuring the left costophrenic angle and cardiophrenic angle -likely to
represent pleural effusion.
CT CHEST
Soft tissue density lesion seen within the posterior mediastinum in close proximity
to the wall of the esophagus and abutting and encasing the descending thorasic aorta
with angle of contact more than 270 degree . The esophagus is displaced laterally to the
right. Correlation barium swallow was done which showed a smooth extrinsic
impression on the thoracic esophagus at the corresponding level with gradually tapering
margins . This is suggestive of an extrinsic impression. The lesion is seen to displace the
carina and left main bronchus with encasement and displacement the lower lobe
bronchus anteriorly . No evident bronchial cut off. The left pulmonary artery and
descending pulmonary artery is also anteriorly displaced. The left upper lobe pulmonary
vein is displaced anteriorly . The lower lobe pulmonary vein is narrowed , probably
encased.The posterior basal segments of the left lower lobe are collapsed. This is
associated with moderate left pleural effusion. A 13 x 10 mm soft tissue density nodule
with gently spiculated margin is seen in the anterior segment of left upper lobe abutting
the major fissure. Few bilateral lower paratracheal and aorto pulmonary nodes seen
largest 7 mm short axis.No focal lung nodules on right. Diffuse centrilobular and
paraseptal emphysematous changes seen affecting the upper and mid zone bilaterally.
The upper abdominal organs are unremarkable. No focal cystic / sclerotic lesion in the
vertebral bodies.
Impression:
Posterior mediastinal lesions abutting and encasing the descending thoracic aorta
causing extrinsic impression on the thoracic esophagus and displacing the carina and
left main bronchus and lower lobe bronchus anteriorly. Soft tissue density nodule
within the anterior segment of left upper lobe - ? metastasis. Moderate left pleural
effusion.To consider the possibility of Bronchogenic carcinoma (arising from the minor
bronchi). The less likely possibility of esophageal leiomyosarcoma or neurogenic
tumour can also be considered.
FOLLOW UP
Bad prognosis of the condition was explained and patient shifted to local hospital
for pain and palliative management.
FINAL DIAGNOSIS
BRONCHOGENIC CARCINOMA
MRD
Date Procedure Indication Complication Follow up
no.
FNAC Left left axillary
Reactive
19/1/2018 737225 axillary lymphadenopath Nil
lymphadenitis
lymphnode. y
REPORTING RECORD

Barium studies 5
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 3
Doppler studies 12
Small parts 2
MRI reported 0

FEBRUARY 2018
CASE NO:1
Name: ALFIYA Age: 1Y/Female MRD No:1782136
HISTORY
1 year old girl with normal antenatal history referred from outside with ultrasound
detected right hydronephrosis for further evaluation.
MICTURATING CYSTOURETHROGRAM
Normal study. No evidence of vesicoureteric reflux.
INTRAVENOUS UROGRAM
Right pelvicalyceal system appear bifid with lower moiety showing delayed
appearance of contrast and pelvicalyceal dilatation.However only single ureter was
visualised which showed normal calibre ,course and opacification. A targeted
ultrasound of right kidney was performed which showed two pelvicalyceal system on
right side with lower moeity hydronephrosis.However ureters could not be traced..No
evidence of ureterocele on right side.
DTPA
Double moiety right kidney. Perfusion phase images show adequate perfusion to
kidney. Initial dynamic images show a good rim of functioning cortex. Cold defect seen
in lower pole of kidney ? double moiety/? lower calyectasis. Slow progressive tracer
accumulation seen in ? lower moiety / calyx during late dynamic study. Good tracer
clearance from ? upper moiety in dynamic & delayed images. Moderate tracer retention
in ? lower moiety / calyx in delayed images. Whole kidney Renogram shows non
obstructed pattern.
FOLLOW UP
Lap pyeloplasty was advised.
FINAL DIAGNOSIS
RIGHT DUPLEX KIDNEY WITH LOWER MOEITY HYDRONEPHROSIS

CASE NO:2
Name: KRISHNAPRIYA Age:35 Y/Female MRD No.: 1090886
HISTORY:
K/C/O left granulomatous mastitis in 2012, now complains of a lump in the left
breast which was associated with pain and redness from past 1 month .She was admitted
here for further evaluation and management.
LEFT BREAST ULTRASOUND:

FINDINGS:
Heterogeneous fibroglandular tissue is seen. From 1 o'clock position to 7 o'clock

position in anticlockwise direction, extending for almost 7 cm from nipple, there are
multiple tracking abscess along the subcutaneous tissue. Particle movement is seen in
some areas suggestive of liquefaction. Skin and subcutaneous tissue edema is
significant. Precise measurement is not possible due to extensive nature of the
collection. Left axilla shows a hyperemic lymph node with cortical thickness of 0.6 cm
Conclusion: Ultrasound features are impressive of extensive disease recurrence in left
breast as described.
BI-RADS 4
FOLLOW UP:
USG Guided Core biopsy was done from the left breast.
HISTOPATHOLOGY:
Consistent with granulomatous mastitis.
FINAL DIAGNOSIS:
GRANULOMATOUS MASTITIS

Non
FNAC
Lymphnodes Necrotising
lymphnodes
08/02/2018 1515657 in right Nil granulomatous
in right
cheek. lymphadenitis.
cheek
REPORTING RECORD

Barium studies 15
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 16
Small parts 10
MRI reported 0

Date: January 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

MARCH 2018
CASE NO: 1
Name: JENEFER MARY P.B Age:10 Y/ Female MRD No:1802625
HISTORY
10 year old girl referred from local hospital, with pain in lower abdomen of 24 hrs
duration, which had increased over the last 12 hrs. Pain is colicky, non radiating,
associated with vomiting. Vomitus was non bilious initially and later turned bilious. No
history of fever. History of dysuria present.
ULTRASOUND ABDOMEN
Right adnexa shows a heteroechoic structure with linear echogenic walls

measuring 1.6x1.4x1.9cm with few subcentimetric cystic structures surrounding it.
Right ovary cannot be visualized separately . Minimal free fluid noted around the lesion
and in the pouch of douglas.
CT ABDOMEN AND PELVIS
A 2.5 x 3.6cm ill defined heterogeneously enhancing mass with areas of fat
attenuation within, measuring 1.3 x1.7cm noted in the right adnexa. The right ovary not
visualized separately. Minimal free fluid noted surrounding the lesion and also in the
pouch of douglas.
Impression: A heterogeneously enhancing well defined fat containing lesion in the right
adnexa , with ovary not visualized separately as described. The possibility of right
ovarian dermoid cyst with torsion to be considered.
FOLLOW UP
Laparoscopic oopheropexy was done.
FINAL DIAGNOSIS
TORSION RIGHT OVARY.
CASE NO: 2
Name: Musa Shihab Age: 2Y/ Male MRD:1804985
HISTORY
2 year old boy with history of fever for 4 days which subsided following which he
developed pain abdomen over right lower quadrant,colicky in nature, associated with
nausea and decreased food intake. No H/O vomiting. On examination tenderness noted
in right iliac fossa with a palpable mass in the same site.
ULTRASOUND ABDOMEN
Bowel within the bowel noted in right subhepatic region with target
appearance.The proximal prolapsing part of the bowel measures 2.5 cm. Vascularity
preservedin the affected bowel loops.Multiple lymph nodes with preserved fatty hilum
around the right iliac fossa and subhepatic region, largest measuring 8 x 4 mm.
Impression: Iliocolic intussusception with preserved vascularity of bowel loops.
FOLLOW UP
Pneumatic reduction of the intususseption was performed under C-arm guidance .
FINAL DIAGNOSIS
ILIOCOLIC INTUSUSSEPTION.

Low
FNAC Suspicious
cellularity
06/03/2018 1523932 Right breast right breast Nil
lump and show
lump.
only blood
REPORTING RECORD

Barium studies 15
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 3
Doppler studies 10
Small parts 2
MRI reported 0

APRIL 2018
CASE NO: 1
Name: MUTHU VENKAT RAM Age: 20Y/Male MRD No: 1778676
HISTORY
20 year old male who is morbidly obese with echo showing dilated right arium
and right ventricle was referred here for further evaluation
CT PULMONARY ANGIOGRAM
Hypodense filling defect noted involving bifurcation of left main pulmonary

artery, left anterior segmental branch, left apicoposterior branch extending into left
posterior segmental branch and the left lateral basal segmental branch. Laminar
thrombus noted involving right main pulmonary artery. Hypodense filling defect also
noted involving right upper lobe branches extending till the bifurcation into right apical
and posterior branch. Mild dilatation of right ventricle and right atrium noted. No
evidence of infarcts in the lung parenchyma. No evidence of pleural effusion.
Impression:Hypodense filling defect noted involving right and left pulmonary artery
and segmental branches as described - Features to represent extensive pulmonary
thromboembolism.
FOLLOW UP
VENOUS DOPPLER_BOTH LOWERLIMBS
The left popliteal vein for a short segment from the mid calf region to the
popliteal fossa is dilated measuring about 14mm in maximum dimension and is non
compressive with an echogenic thrombus within. The deep calf vein in the left popliteal
vein left lower limb are also non compressible. Bilateral superficial femoral, Anterior
tibial vein and posterior tibial veins and right popliteal vein are compressible and shows
augmentation on valsalva maneuvre. No subcutaneous edema.
Impression: Acute deep vein thrombosis involving left popiliteal vein.
MANAGEMENT
He was thrombolysed with alteplase and subsequently treated with heparin infusion.
FINAL DIAGNOSIS
ACUTE PULMONARY THROMBOEMBOLISM

ACUTE DEEP VEIN THROMBOSIS OF LEFT POPILITEAL VEIN
CASE NO :2
Name: JOY Age: 56 Y/Male MRD No: 682014
HISTORY
53-year-old male a known case of Chronic calcific pancreatitis and pancreatic

diabetes, evaluated last year with doubtful mass in the pancreas; underwent endoscopic
ultrasound and fine needle aspiration which was negative. Now has on and off pain
abdomen and elevated CA 19-9(1200)
MDCT ABDOMEN CONTRAST
The body and tail of pancreas appears bulky . An ill-defined area showing subtle
hypoenhancement is noted in the proximal body of pancreas which is seen extending
superiorly in to the gastro-hepatic ligament and measures 2.5 x 2.2cm. Upstream
dilatation of the pancreatic duct noted in the distal body and tail of pancreas with
maximum diameter of 2.5 cm. Multiple intraductal calculi noted .The head and uncinate
process is atrophic. The splenic vein is thrombosed with multiple collaterals along
greater curvature of stomach.There is pinching noted in the splenoportal confluence.
Superior mesenteric vein and portal vein is patent.Haziness noted in the peripancreatic
fat ,the anterior left pararenal fascia and in the root of mesentery.The left adrenal gland
is bulky.Right adrenal is normal.
Impression: K/c/o Chronic calcific pancreatitis. Features suggestive of the same. Body
and tail of of pancreas appears bulky with an illdefined area in the proximal body of
pancreas showing subtle hypo-enhancement and causing upstream dilatation of the
pancreatic duct. Thrombosis of splenic vein noted with pinching at splenoportal
confluence- in view of these findings and elevated CA-19-9 a possibility of underlying
malignancy needs exclusion. Haziness noted around pancreas ,left anterior pararenal
fascia and root of mesentry - likely to represent an acute on chronic pancreatitis.No
peripancreatic collection.
FOLLOW UP
An endoscopic ultrasound and transgastric endoscopic ultrasound guided fine

needle aspiration performed.
ENDOSCOPIC ULTRASOUND
Upper gastrointestinal endoscopy normal upto D2. Linear endoscopic ultrasound

shows a 4 x 3.5 cm hypoechoic lesion in the region of the pancreatic neck - body. The
lesion was compressing on the portal vein at the confluence. Splenic vein not visualised.
The main pancreatic duct appears grossly dilated (2.4 cm) with multiple intraductal
hyperechoic foci with post acoustic shadowing suggestive of stones. Linear endoscopic
ultrasound guided transgastric fine needle aspiration of the pancreatic lesion done using
a 22 Guage needle. 2 passes made. Rapid onsite evaluation showed adequate cellularity
with cells of abnormal morphology suggestive of Adenocarcinoma.
Impression/Recommendation :Chronic calcific Pancreatitis Pancreatic mass with ?Portal
vein and splenic vein infiltration
CYTOLOGY REPORT
Moderately differentiated Adenocarcinoma Pancreas
FINAL DIAGNOSIS
MODERATELY DIFFERENTIATED ADENOCARCINOMA PANCREAS
Squamous
CT guided cell
21/3/18 1542556 ? Ca lung Nil carcinoma
lung biopsy
REPORTING RECORD

Barium studies 10
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 8
Small parts 2
MRI reported 0

MAY 2018
CASE NO :1
Name: NIYA AGE:10M / Female MRD NO:1816046
HISTORY
45 day old girl with H/O abdominal distension for 1 week, more since 2 days
associated with multiple episodes of non-bilious vomiting. No H/O fever. She was
passing stools normally. X Ray erect abdomen (27/03/2017) showed dilated bowel
loops.
CT ABDOMEN
A large multilocular cystic lesion involving the upper pole of the left kidney
which is causing displacement of the kidney inferiorly. It is causing displacement of the
tail of pancreas and spleen anteriorly. It is seen to extend anteriorly and crossing over to
the right side inferior to the tail of the pancreas. The locules are showing thick smooth
enhancing walls. Some of the locules in the upper pole of the left kidney are showing
communication with each other. No neural foraminal extension or intra thoracic
extension. No calcification seen within. The left adrenal is not separately visualized.
Rest of the left kidney shows normal enhancement pattern with no evidence of
hydronephrosis Right kidneys appears normal in size, shape, morphology and
enhancement pattern. Right adrenal appears normal. Few enlarged left gastric,
paraaortic and aortocaval lymph nodes noted, largest measuring 1.1x1cm in the para
aortic station. Liver shows normal enhancement pattern and size.No focal lesions.No
IHBRD.GB is normal. Spleen and pancreas appears normal. Urinary bladder is
minimally distended.Bowel loops are normal.Moderate ascites with smooth thickening
of the parietal peritoneumNo lytic/sclerotic lesions in the visualized bones.Atelectatic
bands in the basal segments of bilateral lower lobes.
Impression: Multiloculated cystic lesion with thick enhancing walls in the upper pole of
the left kidney with enlarged retroperitoneal lymphnodes? Cystic variant of wilms
tumour. Moderate ascites with adjacent smooth thickening of peritoneum. In view of
ongoing sepsis,possibility of underlying Xanthogranulomatous pyelonephritis needs
exclusion.
FOLLOW UP
Exploratory laparotomy was performed. Pus was drained and the wall was sent for
histology examination.
HISTOPATHOLOGY
Chronic inflammatory lesion with suppuration.
FINAL DIAGNOSIS
XANTHOGRANULOMATOUS PYELONEPHRITIS
CASE NO:2
Name: KK CHANDRAPPAN Age:58Y/Male MRD NO:1819992
HISTORY
57 year old male with history of TB Lymphadenitis and ATT for 6 months 30 yrs
back now with pain in the epigastrium, early satiety weight loss and loss of appetite.
CECT ABDOMEN AND PELVIS
Caecum appears pulled up with circumferential wall thickening noted involving

the terminal ileum, ileocaecal junction and proximal caecum with maximum thickness
of 18 mm.Surrounding fat surrounding noted. Multiple enlarged perilesional mesenteric
lymphnodes noted largest measuring 15 x 20 mm. Multiple enlarged lymphnodes noted
in para aortic, aorto caval, porto caval, portal and retrocaval lymphnodes noted, largest
in each as described. Para aortic 11 x 13 mm. Aortocaval 15 x 17 mm. Portocaval 9 x
20 mm. Retrocaval 14 x 24 mm. Porto caval 13 x 18 mm. Rest of the bowel appear
normal. Appendix is visualized and is normal in calibre. Bilateral kidneys shows simple
cysts largest measuring 4.4 x 4.1 cm in right lower pole and 1.9 x 1.8 cm in left mid
pole.The liver shows normal parenchymal attenuation, normal enhancement pattern,
normal shape and size. No focal lesions are seen. No IHBR dilatation. Portal vein is
normal.The GB is normal.The common bile duct is normal. The pancreas shows normal
size, shape and attenuation values.No duct dilatation or focal lesion. Spleen is normal.
No free fluid in abdomen. Visualized basal lung fields show multiple tiny miliary
nodules noted scattered throughout. Bones appear normal.
Impression:Circumferential wall thickening involving caecum, terminal ileum and
ileocaecal junction with multiple mesenteric lymphnodes as described - likely to
represent Ileocaecal junction tuberculosis. Multiple tiny miliary nodules noted involving
visualized basal lung fields.
FOLLOW UP
Endoscopy guided biopsy was taken.
HISTOPATHOLOGY
Terminal Ileum:- Granulomatous ileitis Caecum:- -Granulomatous typhilitis.
Blood showed Mycobacterium tuberculosis complex grown in culture. The patient was
started on ATT and discharged.He presented again to the OPD with one episode of loss
of consciousness after one month.
MRI BRAIN WITH CONTRAST
An 8 x 9 mm lesion in the right parietal region and in right crus of midbrain,

which is T2 hypointense with a hyperintense rim, with perilesional edema. This lesion is
not showing diffusion restriction. No hemorrhage. Thick ring enhancement is noted in
post contrast sequences. Rest of the neuroparenchyma appears normal. No abnormal
meningeal enhancement. Ventricles are normal sized. Brain stem and cerebellum are
normal.No extra axial collection.
Impression:Ring enhancing lesion in the right parietal lobe and right crus of midbrain as
described.In view of history of tuberculosis - possibility of tuberculoma can be
considered.
MANAGEMENT
ATT was continued with increase in dose of ethambutol.
FINAL DIAGNOSIS
DISSEMINATED TUBERCULOSIS
(MILIARY TUBERCULOSIS,ILEOCECAL TUBERCULOSIS,TUBERCULOMA
BRAIN)
Bone biopsy No
?HCC
23/05/2018 1165329 Nil malignancy
metastases
seen.
REPORTING RECORD

Barium studies 15
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 2
Doppler studies 18
Small parts 30
MRI reported 0

Date: April 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

FOR THE PERIOD November 2016 to April 2017
Date : April 2017
Sl.
No.
1 Presentations
4 Logical order
Overall
complete
4 Confidence
5 Others
Total Score
DEPARTMENT OF
RADIOLOGY

JUNE 2018
CASE NO :1
Name: GEETHA AGE:49 Y/Female MRD NO:1493677
HISTORY
46 year old female patient known diabetic,came with complaints of difficulty in

walking for the past 3 years.It has worsened since 1 year,the symptoms started with
numbness of plantar aspect of the toes of the left feet and proceeded to involve the left
leg below the knee level and later also involved the left leg above the knee.After few
months patient also had the same presentation of her right lower limb.The patient also
complaints of tripping and falling,slipping of chappals was also present since 2
years,also had difficulty in getting up from squatting position.She also had difficulty in
holding objects with her left hand. At present the patient can perform with minimal
difficulty.No cranial nerve involvement, no root pain,no lhermitte sign, no girdle like
sensation.
MRI BRAIN WITH WHOLE SPINE SCREENING
Subtle T2 FLAIR hyperintensities showing no diffusion restriction are noted in
left thalamus and bilateral periventricular regions. Rest of the supratentorial brain
parenchyma is normal.Similar T2 Flair hyperintensities are noted involving bilateral
superior cerebellar peduncle.Brain stem and cerebellum are normal.Ventricles are
normal.No extraaxial lesions. Screening of whole spine showed diffuse hyperintensity
in cervical cord from C2-C4 level.
Impression:Imaging features suggestive of demyelination involving neuroparenchyma
and thalamus.
FOLLOW UP
Further evaluation showed CSF Oligoclonal band positive VEP:Normal NCV:SM
axonal neuropathy LL ANA Sx-Negative. She was treated with steroids for 5 days and
discharged. The patient after a period presented with the complaints of giddiness,
blurring of vision and diplopia since 3 days . She is able to appreciate colours and has
horizontal diplopia for far off objects and is not present when it brought close to her
eyes. She has tremors of both hands more on the left while reaching out for objects.
Normal speech.No new onset weakness in upper limb or lower limb. No history of
facial deviation,slurring of speech.No history of fever , abdominal pain, cough or
burning in urine.No history of painful eye movements.
MRI BRAIN WITH WHOLE SPINE SCREENING
Multiple T2 FLAIR hyperintensities are noted in subcortical white matter of
bilateral frontal lobes, bilateral parietal lobes, bilateral occipital lobes, bilateral
periventricular region, left pericalossal region. Left thalamus and left cerebellar
hemisphere. Diffusion restriction noted in the lesions in left thalamus and the left
cerebellar hemisphere. Focus of blooming on gradient echo sequences noted in the
lesion in left cerebellar hemisphere. Patchy enhancement noted in the lesion in left
cerebellar hemisphere. The other lesions don't show any post contrast enhancement.No
midline shift / mass effect. Brainstem is normal. Ventricles are normal sized.No extra
axial lesions.
Screening of whole spine: -T2 hyperintensities are also noted in the cervical cord
extending from C2 to C4 and the dorsal cord at D6-D7 level.
Impression:Multiple demyelination plaques in brain and spinal cord suggestive of
multiple sclerosis with progression in size and number. Acute demyelinating lesion with
patchy enhancement in the left cerebellar hemisphere.Demyelinating plaques involving
cervical and dorsal cord as described. She was given IV methyl prednisolone 1g for 5
days followed by oral steroids with strict control of sugar and pressure levels. She was
started on active physiotherapy.
FINAL DIAGNOSIS
MULTIPLE SCLEROSIS
CASE NO :2
Name: BABY OF JIFI AGE:7M/Female MRD NO:1832862
HISTORY
Baby was born in Amala hospital at 38weeks gestation to a G2P1NND1 mother

by elective LSCS). Birth weight was 2.16 kg showed low APGAR needing bag and
mask ventilation.Baby was kept NPO and started on IV fluids. ECHO on Day 1-showed
a PDA and was baby was treated with oral paracetamol. Baby's activity detoriated
further in day 3 and 4, became lethargic and developed apnoeas , needing bag and mask
ventilation.History of sibling death at Day 5 of life( Severe PAH with Pulmonary
hypoplasia).
MRI BRAIN WITH SCREENING OF CERVICAL SPINE
Microcephaly noted. Neuroparenchyma show smooth cortical surface with few

shallow sulci with broad and flat gyri & shallow sylvian fissures. Cortex is markedly
thickened measuring pproximately 18 mm. No acute infarct / bleed. Occipital horn of
both lateral ventricles are prominent with cystic dilatation of bilateral temporal horns.
Cavum septum pellucidum and Cavum vergae noted. Corpus callosum is thinned out.
Brain stem & cerebellum are normal. Flow voids corresponding to intracranial vessels
are normal. Screening cervical spine :Cervical cord is normal. No syrinx/ tonsillar
herniation.
Impression:MRI morphology suggestive of lissencephaly (Type 1).No acute infarct /
bleed.No syrinx
FOLLOW UP
Karyotyping:Chromosome analysis (GTG-banding) indicates an apparently normal

female karyotype. Karyotype - 46,XX
Baby's parents were explained in detail about the MRI brain findings and the long term
neurodevelopmental outcome. Bystanders have opted palliative treatment and
discharged to local hospital at the parental request for further care.
FINAL DIAGNOSIS:
LISSENCEPHALY TYPE 1
Complicatio
Date MRD no. Procedure Indication Follow up
n
CT guided
24/06/2019 Right upper Granulomato
1566103 FNAC rt nil
lobe mass us response
lung
REPORTING RECORD

Barium studies 11
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 21
Small parts 18
MRI reported 20

JULY 2018
CASE NO :1
Name: MADHAVAN AGE:55 years/Male MRD NO:1164121
HISTORY:
55 year old gentleman functionally dependent on others for daily activities,

came with c/o fever and productive cough since 9 days. The bystanders report that he
was having pooling of secretions in the mouth and cough since the past 2 months. He
also developed progressively worsening sensorium over the past 9 days.
MRI BRAIN
Age related atrophic changes noted.Non specific T2 and FLAIR hyperintensities seen
involving bilateral centrum semiovale, fronto parietal subcortical and periventricular
white matter which shows no diffusion restriction - suggestive of chronic small vessel
ischemic changes.T2 FLAIR sequences revealed the classical hot cross bun sign in the
pons characterized by cruciate hyperintensity secondary to atrophy of the transverse
pontine fibers.T2 hyperintensities noted in the bilateral middle cerebellar peduncle,
bilateral perirolandic region.Few scattered T2 hyperintensities noted in bilateral
cerebellar hemisphere.No evidence of acute infarct. Basal cisterns appear normal.No
intracranial/extra axial lesion.
Impression: Age related atrophic changes with chronic small vessel ischemic changes
noted. No evidence of any acute infarct/bleed T2 hyperintensities noted in bilateral
middle cerebellar peduncle, bilateral perirolandic region. Pons show hot cross bun sign
– possibility of Multiple system atrophy type C.
FOLLOW UP
The patient presented again with multiple respiratory and urinary infections which were
treated symptomatically.The patient was referred to local hospital for palliative care and
management.
FINAL DIAGNOSIS
MULTISYSTEM ATROPHY CEREBELLAR TYPE

CASE NO :2
Name: ALAN ANTO AGE:6Y/Male MRD NO:1828804
HISTORY:
5 year old boy with recurrent seizures x 1 year. Occurs in clustering of 3-4
episodes per day - during wakefulness and sleep. Semiology by history: staring look,
sudden motor arrest followed by tonic posturing. Scholastic / Social : scholastically was
previously normal, now school stopped due to epilepsy. Current seizure frequency: 3-4
per day.
T1 hypointense and T2 hyperintense solid cystic lesion seen in the left medial
temporal lobe amygdala, head of left hippocampus , entorrhinal cortex , temporopolar
region and adjacent parahippocampal gyrus. No diffusion restriction . No bleed or
calcification in the lesion .Focal enhancing mural nodule measures
8.6(AP)x6.4(TR)x5.8mm(CC) within the lesion .Right hippocampus is normal.Rest of
the supratentorial brain parenchyma is normal. Basal ganglia and thalamus are
normal.Corpus callosum is normal.Ventricles are normal sized. Brain stem and
cerebellum are normal. No obvious sellar / suprasellar lesion. Flow voids corresponding
to normal cerebral vessels seen. No extra axial lesion. No abnormal meningeal
enhancement.
Impression: T2 hyperintense solid cystic lesion in the left medial temporal lobe with
enhancing mural nodule as described – Possibilities includes Ganglioglioma, DNET.
FOLLOW UP
Left temporal craniotomy, anterior temporal lobectomy + amygdalohippocampectomy +

excision of the lesion was performed.
HISTOPATHOLOGY
Features are that of Dysembryoblastic Neuroectodermal Tumour WHO Grade I

.Hippocampus:Shows Focal Neuronal Loss
FINAL DIAGNOSIS:
DYSEMBRYOBLASTIC NEUROECTODERMAL TUMOUR WHO GRADE I

Steatosis and
USG guided
07/07/2018 1697976 liver biopsy Hemochromatosis Nil portal
inflammation
REPORTING RECORD

Barium studies 4
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 6
Doppler studies 12
Small parts 14
MRI reported 90

AUGUST 2018
CASE NO :1
Name: MERCY JOSEPH AGE:55Y/ Female MRD NO:1843825
HISTORY:
55 yr old multiparous, perimenopausal lady c/o swelling over the lt thigh since 2
months Initially 4x4 cm size mass ,rapid increase in size to 20x20 cms .Not associated
with pain. No other swelling in the other regions of the thigh Pain in the lt lower limb
distal to the swelling. Hip and knee joint movements-normal No sensory loss distal to
the swelling.
ULTRASOUND LEFT THIGH
A heterogenous mass seen within the medial compartment of left proximal thigh
with cystic and solid components showing internal vascularity. cystic components
showing echogenic fluid suggestive of haemorrhge. Femoral vessels seems to be
displaced posteriorly. No obvious bony erosion. Overlying skin is intact.
Impression:Features are suggestive of ?soft tissue mass with cystic and solid
components showing haemorrhage, within the medial compartment of left upper thigh -
Recommend further MR evaluation with contrast/HPE.
MRI LEFT THIGH WITH CONTRAST
A 9.5x12x15cm solid cystic lesion noted in the anterior compartment of the thigh deep
to the sartorius muscle medial to the rectus femoris and vastus lateralis and lateral to the
vastus medialis. The lesion appear multiseptated and showing fluid fluid levels. Few of
the locules appear T1 hyperintense and T2 hypointense and may represent hemorrhage
within. The lesion show enhancing solid component to the post contrast study. Relation
with femoral artery - The superficial femortal artery is adherent into the posteromedial
wall along its entire length upto the adductor canal. The profunda femoris is adherent to
the posterior wall of the lesion.Relation to the superficial femoral vein - The vein is
compressed and adherent to the posteromedial wall upto the adductor canal. Great
saphenous vein is away from the lesion. The femur appears normal with no signal
change. Hip joint and knee joint are normal.
Impression:Solid cystic enhancing lesion in the anterior compartment of the thigh. No
bony involvement. The neurovascular bundle in adherent to the lesion as described -
likely to represent soft tissue sarcoma.
CT CHEST WITH CONTRAST:
No lung metastasis.No liver lesions.

FOLLOW UP:
Wide Local Excision+Superficial femoral artery reconstruction was performed.
HISTOPATHOLOGY
Cellular Round to Spindle cell neoplasm morphologically favoring Synovial Sarcoma,

FNCLCC, Grade 2, Score 4.
FINAL DIAGNOSIS:
SYNOVIAL SARCOMA LEFT THIGH
CASE NO :2
Name:VALSA AGE:49 Y/Female MRD NO:1032701
HISTORY
59 year old lady, with known case of hypothyroidism , presented with

complaints of yellowish discoloration of skin and eyes and abdominal pain for past
couple of days, associated with Fever with chills and rigor.
CECT ABDOMEN
A well defined enhancing intraductal polypoidal lesion is noted in the distal

common bile duct measuring 2.2 x 1.8 cms. This is causing upstream dilatation of the
proximal common bile duct and the intrahepatic biliary radicles. Maximum diameter of
common bile duct is 22 mm. Proximal pancreatic duct appear mildly prominent and
measures 3.5 mm.The D2 segment is compressed by the lesion however is allowing free
flow of contrast in to the distal bowel loops. Gall bladder is grossly distended. No
evidence of any calculi. The liver is mildly enlarged and measures 16.2 cms.No focal
lesions in liver.Gross IHBRD noted in both lobes as described. Portal Vein is patent.The
pancreas shows normal size, shape and attenuation values. No focal lesion. Multiple
enlarged lymph nodes are noted in paraaortic, aortocaval and periportal and
peripancreatic region largest in the aortocaval region measuring 1.6 x 1.1 cms. Spleen is
normal. Bilateral adrenals are normal. The kidneys show normal size, shape and
contrast enhancement with no pelvicalyceal dilatation or calculi. No hydroureter.
Urinary bladder is normal Uterus is normal.No adnexal mass lesions. No free fluid.
Impression: Intraductal polypoidal lesion in distal common bile duct causing upstream
dilatation of proximal common bile duct and intrahepatic biliary radicles as described-
features likely to represent periampullary carcinoma. Multiple enlarged paraaortic and
aortocaval lymph nodes .
FOLLOW UP
ERCP
Side viewing endoscope passed upto D2. Ulceroproliferative lesion noted in D2.
Papilla is obscured. Selective wire guided cannulation of the common bile duct done
using a sphincterotome. Cholangiogram obtained shows: (1). Dilated common bile duct
with IHBRD. (2). Stricture involving the distal most common bile duct. Over the wire
sphincterotomy done. A 10 Fr 5 cm double pigtail plastic stent deployed into the RHD.
Copious amounts of concentrated bile drained.
Impression:Periampullary Carcinoma with Biliary obstruction. Biliary sphincterotomy
and stenting done.
WHOLE BODY PET CT
Abnormal increased FDG uptake in ill defined hypodense lesion in and around
the distal common bile duct at the head and uncinate process of pancreas (SUV Max
15.8). Abnormal increased FDG uptake in aortocaval (SUV Max 10.2) and few
peripancreatic (SUV Max 3.2) lymph nodes. Other peripancreatic lymph nodes are FDG
non-avid. No metabolically active distant metastasis.
TREATMENT
Whipples pancreatoduodenectomy was performed.
HISTOPATHOLOGY
Pancreaticoduedenectomy specimen: Ampullary adenocarcinoma; intestinal type with

invasion into peripancreatico-duodenal tissue; background mild chronic pancreatitis
FINAL DIAGNOSIS:
PERIAMPULLARY CARCINOMA

Poorly
CT guided differentiated
19/8/18 1646681 lung biopsy Lung mass Nil neoplasm with
small cell
morphology
REPORTING RECORD

Barium studies 8
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 5
Doppler studies 15
Small parts 10
MRI reported 86

Date: July 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

SEPTEMBER 2018
CASE NO :1
Name: NAINIKA K. RAJEEV AGE:6 M/Female MRD NO:1804496
HISTORY
LSCS/Term /AGA Baby known case of antenatally detected congenital cystic

adenomatoid malformation on followup
CT CHEST WITH CONTRAST
Multicystic lesion measuring 3 x 2.9 cm noted in the posterobasal segment of

left lower lobe.No air fluid levels within this lesion. This is receiving systemic arterial
supply from celiac artery. No pulmonary arterial supply. Venous return into inferior
pulmonary veins. No obvious communication with bronchi. Rest of the ipsilateral and
contralateral lung parenchyma are normal. Anterior ediastinal soft tissue mass noted -
likely to represent thymus.Mediastinal vessels are normal. No mediastinal
lymphadenopathy. Tracheobronchial tree is normal. Situs solitus, levocardia, left sided
aortic arch with normal branching pattern. Right sided SVC. No L-SVC. IVC draining
into the right atrium. Bones are normal.
Impression:Multicystic lesion in the posterobasal segment of left lower lobe with
systemic arterial supply from celiac trunk and venous return into inferior pulmonary
vein as described - likely to represent intralobar sequestration.
FOLLOW UP
Child underwent Throcoscopic lobectomy (left lower lobe)
HISTOPATHOLOGY
Left lower lobe and aberrent blood vessel specimen- Sequestered lung parenchyma with
surrounding lung showing features suggestive of congenital cystic adenomatoid
malformation type II.
FINAL DIAGNOSIS
INTRALOBAR SEQUESTRATION WITH SURROUNDING LUNG SHOWING

CONGENITAL CYSTIC ADENOMATOID MALFORMATION TYPE II.
CASE NO :2
Name: JACOB GEORGE AGE:74 Y /Male MRD NO:1223751
HISTORY
Patient was apparently well 6 months back when he had bleeding per rectum. He
was investigated for the same and advised medication. 2 weeks back the bleeding
increased after which he underwent colonoscopy on which he was diagnosed to have a
rectal growth.
MRI/CT RECTUM PROTOCOL
Location of tumour: Middle third

Distance of tumour from anal verge :11 cm
Length of tumour : 3.7cm
O' clock position : from 2 to 6?o clock
Tumour extent into mesorectal fat:
Nil. Perirectal tumour nodules:Nil
Distance from mesorectal fascia: NA.
CRM: Not involved
Extramural venous involvement: -Nil
Sphincter involvement: -Nil
T stage: Submucosal invading the muscularis propria ( T2 )
N stage: N1(2 Nodes) Mx
Impression:Proliferative lesion in the middle third of rectum invading muscularis
propria with no extraserosal extension.Few small lymph nodes (2 in No)within
perirectal fat.-T2N1Mx
FOLLOW UP
COLONOSCOPY
PR could not be done. Anal canal strictured. Scopy done with a gastroscope
(Diameter 9.2 mm). Scope could be advanced only till mid transverse colon. At 8 cm
from the anal verge, a proliferative lesion was noted. Biopsy taken. Multiple
diverticulae were noted throughout the colon.
HISTOPATHOLOGY
Rectal growth biopsy: Well to moderately differentiated adenocarcinoma with surface

ulceration.
MANAGEMENT
Laparoscopic Anterior Resection under GA

HISTOPATHOLOGY
Anterior resection specimen: - Moderately differentiated adenocarcinoma of rectum.

UICC TNM stage - pT3N0; R0; MSI testing(IHC): Microsatellite stable (MSS).
FINAL DIAGNOSIS
MODERATELY DIFFERENTIATED ADENOCARCINOMA RECTUM-T3N0

FNAC – rt No atypical/
renal complex Rt complex malignant
15/09/2018 501278 renal cyst Nil
cyst cells
REPORTING RECORD

Barium studies 2
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 5
Doppler studies 15
Small parts 10
MRI reported 84

OCTOBER 2018
CASE NO :1
Name: NIRANJANA AGE:5Y / Female MRD NO:1885256
HISTORY
4 yr old girl with normal perinatal and no significant past history was admitted
with a history of fever with rashes of the face , upper limb abd trunk. The fever was
intermittent in nature and was associated with pruritic rashes which was painless and
non ulcerating. The kid subsequently developed oral ulcers. She was under follow up
from local hospital for the same till she developed pain and swelling in the anterior
aspect of the both knee above the patella.She was also complaining of difficulty in
getting up or sitting down from standing posture .O/E- hyperpigmented mildly scaly
macules and tender nodules over face, upperlimb and lowerlimb. Proximal myopathy
both lower limbs. No muscle tenderness.
MRI BOTH THIGH
Nodular and linear patchy areas of STIR hyperintense signals and hypointense
on gradient sequences are seen involving the skin and subcutaneous tissues of the
gluteal region , lateral aspects of both thigh and anterior aspects of both knee joints
suggestive of edema and extensive calcifications. STIR hyperintensities are also noted
involving bilateral gluteus medius and minimus,bilateral pyriformis muscles, bilateral
paraspinal muscles,insertion sites of bilateral gluteus maximus,bilateral biceps
femoris,right rectus femoris and right adductor magnus muscles.These areas show
patchy enhancement on post contrast sequences.Underlying bones are normal.Bilateral
sacroiliac joints and hip joints appear normal.No joint effusion.
Impression:
Edema with dystrophic calcifications involving the skin and subcutaneous tissues of
bilateral gluteal region,lateral aspects of thigh and anterior aspects of both knees with
areas of edema in bilateral gluteal and thigh muscles as described -Likely to represent
dermatomyositis.
FOLLOW UP
SKIN BIOPSY
Fibrinoid necrosis with features of panniculitis
MANAGEMENT:She was started on parentral Prednisolone followed by tapering dose
of oral prednisolone. She was also initiated on methotrexate as the steroid sparing agent.
There was significant improvement to the treatment and she was subjected to physical
rehabilitatory measures.
FINAL DIAGNOSIS
JUVENILE DERMATOMYOSITIS WITH PANNICULITIS
CASE NO :2
Name:VINOD BHARATAN AGE:46 Y/Male MRD NO:1883889
HISTORY
46 year old patient k/c/o, T2DM, DLP, CAD s/p CABG in 2009 and PTCA in
2009 and 2017, was brought with complaints of vomiting since 4 days.OGDscopy
showed severe reflux esophagitis with D1-D2 junction obstruction with gastric stasis
suggestive of outlet obstruction at D1-D2 junction.
CECT ABDOMEN:
Diffuse concentric wall thickening with significant luminal narrowing and

periduodenal soft tissue stranding noted involving D1 and D2 junction extending into
the D2 segment for a length of 3.2 cm causing gastric outlet obstruction.There is
enhancing illdefined soft tissue stranding in the pancreatico duodenal groove with few
tiny cystic foci related to the medial wall of D2 segment and the adjoining minimally
enlarged pancreatic head. Minimal fluid in the pancreaticoduodenal groove.Loss of fat
plane noted between the D2 duodenum and the pancreas.Suspicious incomplete
wrapping of head of pancreas noted around the D2 segment.Rest of the pancreas appear
normal. No duct dilatation.A few small subcentimetric lymph nodes seen adjacent to the
head of pancreas Rest of the small bowel and large bowel loops are normal. Splenic and
superior mesenteric vessels are normal. The liver shows normal parenchymal
attenuation, normal enhancement pattern, normal shape and size. No focal lesions are
seen. No IHBR dilatation. Portal vein is normal.The GB is normal. The CBD is
normal.Spleen is normal.The kidneys show normal size, shape and contrast
enhancement with no pelvicalyceal dilatation or calculi.No hydroureter. Adrenals
appears normal. No ascites. Para septal emphysema noted the lung bases. No focal
lesion. No lytic / sclerotic lesions in bone.
Impression: Diffuse concentric wall thickening with significant luminal narrowing and
involving D1 and D2 junction, D2 segment causing gastric outlet obstruction.Enhancing
illdefined soft tissue stranding in the pancreatico duodenal groove with few tiny cystic
foci related to the medial wall of D2 segment and the adjoining minimally enlarged
pancreatic head. Minimal fluid in the pancreaticoduodenal groove. Features are likely to
represent groove pancreatitis.Suggest clinical correlation with serum markers (Amylase
and Lipase) and follow up
FOLLOW UP
Blood investigations were sent and Amylase and lipase were elevated to 347 and 1156.9
respectively, suggestive of acute pancreatitis. He was managed conservatively for his
symptoms.
REVIEW CT ABDOMEN:
Inflammatory changes at paraduodenal region involving D1 and D2 segment
which persisting in present scan. Submucosal cystic foci with thin septation/ noted
arising from antero- medial wall of D2 segment measuring 15x19mm which is partially
compromising the lumen. However free flow of contrast noted. Head of the pancreas
show few hypodense area with speck of calcification Rest of pancreas is normal in
enhancement. No pancreatic duct dilatation/pancreatic free fluid.Rest of the findings
remain status quo.
FINAL DIAGNOSIS
GROOVE PANCREATITIS CAUSING GASTRIC OUTLET OBSTRUCTION.

Poorly
USG guided Multiple liver differentiated
10/10/2018 748997 liver biopsy nodules Nil adenocarcinoma
REPORTING RECORD

Barium studies 0
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 3
Doppler studies 20
Small parts 8
MRI reported 56

NOVEMBER 2018
CASE NO :1
Name: SHAHUSHAN AGE:19 Y/Female MRD NO:1892057
HISTORY:
19 year old female with no known comorbidities, presented with: post prandial
severe epigastric pain ,malena: 6-10 days before onset of pain and once during
admission .No fresh bleed .No vomiting OGD Scopy : Gastric fundal diverticula, blood
in stomach - ? source, small antral ulcer.
CECT ABDOMEN
Pancreas is completely replaced by multiple cysts of varying sizes, some of

which are communicating with each other. Pancreatic duct not visualised separately.
Some of the cysts show peripheral wall calcifications. Largest cyst measuring
9x5x11.5cm (APxTRxCC) at the tail region, displacing the adjacent bowel loops and
closely abutting the psoas muscle. The liver shows normal parenchymal attenuation,
normal enhancement pattern, normal shape and size. No focal lesions are seen. No
IHBR dilatation. Portal vein is normal. The GB is normal. The CBD is normal.Spleen is
normal. The kidneys show normal size, shape and contrast enhancement with no
pelvicalyceal dilatation or calculi. No hydroureter. No pelvic mass lesion. Contrast
filled bowel loops are normal. No free fluid. Visualized basal lung fields are normal.
Impression:Multiple cysts of varying sizes, replacing the pancreas completely as
described . Pancreatic duct not seen seperately.
FOLLOW UP
The entire pancreatic parenchyma has been replaced by cysts of multiple sizes
ranging from a few millimeters to 7 x 10 cm in the pancreatic tail. A single mural
nodule noted in one of the cysts. The cyst fluid contained no debris. Very minimal
pancreatic parenchyma could be visualised and the main pancreatic duct could not be
seen at all. The CBD and surrounding vasculature were not clearly visualised
MRI BRAIN
A 2.4 x 1.6 x 32. cm ( AP x TRX CC) cystic lesion with a prominent mural
nodule which is isointense to grey matter is noted arising from the inferior vermis of
cerebellum. Prominent flow voids noted in the periphery of the cystic lesion. The mural
nodule is showing homogenous intense post contrast enhancement. The cyst is
compressing the inferior 4th ventricle and causing mild obstruction with mild
prominence of bilateral lateral ventricles. Brain stem appear normal. Flow voids
corresponding to normal cerebral vessels seen. No extra axial lesion.No other abnormal
post contrast enhancement noted.
Impression: Cystic lesion with enhancing mural nodule involving inferior cerebellar
vermis compressing inferior 4th ventricle causing early obstructive hydrocephalus. -
Hemangioblastoma.
CECT ABDOMEN:
Multiple simple cysts replacing pancreatic parenchyma with largest cyst showing mild
increase in size. Small area of airspace opacity with adjacent ground glassing in left
lung basal segment probably infective. Rest of the findings remain status quo.
MANAGEMENT
Midline subocciptial craniotomy Telovelar approach and gross total excision

under MEP monitoring under GA on 16/11/2017. She was shifted to ICU on ventilator.
Post op MRI brain with contrast showed post changes with gross total excision.
HISTOPATHOLOGY
Cerebellar lesion biopsy: Vascular neoplasm- hemangioblastoma
FINAL DIAGNOSIS
VON HIPPEL LINDAU SYNDROME
CASE NO: 2
Name:JANARDHANAN EMBANATH AGE:68 Y/Male MRD NO:1891348
HISTORY
62 years old male, known case of CAD, HTN and DM presented to an outside
hospital with complains of malena, palpitations and sweating. He was found to have
severe anemia and was transfused PRBCs. Endoscopy was done which showed GE
junction mass. Hence, he was referred here for further management.
CECT ABDOMEN
Gastroesophageal junction shows a well defined enhancing lesion with smooth

margins extending into the posterior wall of the cardia of the stomach, measuring
5x3.8cm. Proximal esophagus appear normal in calibre. Another heterogeneously
enhancing oval lesion is noted abutting medial left crura of diaphragm and the medial
limb of adrenals likely to be a lymph nodal mass and measures 4.1 x 2.8 cm. There is
loss of fat plane with the posterior border of body and tail of pancreas where it is closely
abutting it. The splenic artery and vein are traversing the anterior border of the lesion
however no narrowing noted. Few other discrete lymph nodes also noted adjacent to the
larger mass. The liver shows normal parenchymal attenuation, normal enhancement
pattern, normal shape and size.No focal lesions are seen. No IHBR dilatation. Portal
vein is normal. Gallbladder shows a tiny calculus measuring 5 mm. No features
suggestive of cholecystitis. The pancreas shows normal size, shape and attenuation
values.No duct dilatation or focal lesion. Spleen is normal. The kidneys show normal
size, shape and contrast enhancement with no pelvicalyceal dilatation or calculi.No
hydroureter. Mild perinephric fat stranding noted bilaterally. Urinary bladder is
distended and appears normal. Prostate appears normal. No ascites. Basal lung fields are
normal. Subcentimetric lymph nodes are noted in right lower paraaortic and
paraaorticregion, largest paraaortic node measuring 10 x 7 mm.
No cystic or sclerotic lesions in bone.
Impression: Gastroesophageal junction mass extending into the posterior wall of the
cardia of stomach - suggest endoscopic biopsy. Nodal mass abutting the left crura of
diaphragm and left adrenal as described - ? metastasis. No enhancing lesions in liver.
FOLLOW UP
UPPER GI ENDOSCOPY
Scope passed down to D2. D1 & D2 : Normal. Stomach: Antrum and body: Normal.
Fundus: Friable nodular lesion encircling the GE junction. Pylorus: Normal. Esophagus:
Lesion from fundus extent to GE junction. Scope passed with mild resistance. Rest
normal.
HISTOPATHOLOGY
Well differentiated Neuroendocrine tumour with high Ki67, in keeping with Grade 3
Neuroendocrine carcinoma. The cells strongly express Synaptophysin, chromogranin,
and CK; Negative for CEA. Proliferation Index Ki67 : 65-70%
WHOLE BODY PET CT
Abnormal increased DOTA NOC uptake seen in a large well defined homogeneous
mass lesion with smooth margins along the posterior wall of cardia of stomach with GE
junction involvement (SUV Max 10.7). Abnormal increased DOTA NOC uptake noted
in following lymph nodes: a) Discrete left gastric (SUV Max 3.5) b) Conglomerate
nodal mass in left suprarenal location and abutting left crura of diaphragm (SUV Max
8.9). c) Multiple paraaortic (SUV Max 5.5). Abnormal focal increased DOTA NOC
uptake in segment VIII of liver (SUV Max initial 4.9, delayed 4.0) without
corresponding CT lesion. No abnormal focal/ diffuse DOTA NOC uptake seen in rest of
lymph nodes, bilateral lungs and skeleton imaged upto mid thigh. Normal physiological
68 Ga DOTA NOC uptake seen pituitary gland, thyroid gland, spleen, bilateral adrenal
gland, uncinate process of pancreas, proximal intestinal loops, kidneys and urinary
bladder.
MANAGEMENT
The patient was started on chemotherapy with cisplatin and etoposide
FINAL DIAGNOSIS
WELL DIFFERENTIATED NEUROENDOCRINE TUMOUR

GASTROESOPHAGEAL JUNCTION WITH DISTAL METASTASIS.

Post
USG guided transplant for Acute cellular
04/11/2018 1693641 liver biopsy Wilsons Nil rejection
disease
REPORTING RECORD

Barium studies 2
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 20
Small parts 7
MRI reported 70

Date: October 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

Date : October 2017
Sl.
No.
1 Presentations
4 Logical order
Overall
complete
4 Confidence
5 Others
Total Score
DEPARTMENT OF
RADIOLOGY

DECEMBER 2018
CASE NO :1
Name: NAZEEHA FATHIMA AGE:6 M/Female MRD NO:1893089
HISTORY:
5 month old female born at term presented with complaints of depression of skin
over lower back region with sinus opening surrounded by tuft of hair. The depression
was present since birth and gradually increased in size over months. No complaints of
any swelling or discharge. No complaints of bladder or bowel disturbances. She is able
to move all four limbs well.
MRI LUMBAR SPINE
A dorsal dermal sinus track at S1 level with spinabifida of S1.The sinus track is seen
extending upto the dura.No definite extension into the subarachnoid space is
appreciated.A 4 mm x 11 mm cystic lesion is seen within the conus in relation to the
central canal.This is consistent with persistent terminal ventricle.A well defined
rounded lesion measuring 7mm x 6mm dark in T1 and T2 is seen within the cauda
equina roots attached to the tip of the conus likely to be an epidermoid.Conus is ending
at L3-L4 level.Filum terminale is normal.Vertebral bodies and discs are normal in
signal intensities.
Impression: Closed Spinal Dysraphism. Dorsal Dermal sinus likely to be terminating at
Dura with spinabifida of S1.No definite extension into the subarachnoid space.
Persistent terminal ventricle A well defined rounded lesion measuring 7 mm x 6mm
within the cauda equina roots attached to the conus ? epidermoid.
FOLLOW UP
Dermal tract excision, excision of the L3-L4 dermoid cyst and detethering of the cord
was performed.
HISTOPATHOLOGY
Biopsy Dermal Patch +Capsule of the Swelling :Features are Suggestive of Dermoid
Cyst. No evidence of any Malignancy seen.
FINAL DIAGNOSIS
CLOSED SPINAL DYSRAPHISM

Dermal sinus tract with Tethered spinal cord and L3-L4 dermoid cyst.
CASE NO :2
Name: BABY OF LINI JESLY AGE:7M/Male MRD NO:1834257
HISTORY
6 month old male baby with with complaints of excessive crying since last 2
days and complaints of extensor spasm, 1 episode yesterday, 3 episodes today , with
clusters of 3-4 at a time. Antenatal check up:Growth scan done on 6/4/17 showed
hyperechoic lesion in the right ventricle (1.5X1.5cm)?Rhabdomyoma. Fetal echo was
done on 11/4/17 showed multiple intra cardiac rhabdomyoma(largest in the right
ventricle). Post natal ECHO:Multiple rhabdomyomas in right ventricle and left ventricle
largest rhabodomayoma in RV cavity close to Interventricular septum measuring
10x9mm. Good biventricular function. On examination:Neurocutaneous markers:Ash
lag macule on back.
MRI BRAIN
Multiple subcortically placed T2 hyperintense and T1 hypointense lesions are

noted in bilateral frontal lobes,right parietal lobe and right occipital lobe causing loss of
grey white differentiation with mild expansion of the cortex in these regions suggestive
of subcortical tubers.No areas of diffusion resrtriction or blooming. Myelination is
normal for age. Corpus callosum is normal. No acute infarct/ hemorrhage/
calcifications. Ventricles are normal sized. Multiple T1 and T2 iso intense nodules (>6
in number ) are noted in the subependymal region in both lateral ventricles of sizes
varying from 2mm to 4mm.Brain stem and cerebellum are normal.No chiari
malformation. Flow voids corresponding to normal cerebral vessels seen.No extra axial
lesion.
Impression: Multiple subcortical tubers and subependymal nodules in the
neuroparenchyma as described-Features suggestive of neurological manifestations of
tuberous sclerosis. No acute infarct/hemorrhage/calcifications.
FOLLOW UP
EEG: Bilateral parieto temporo occipital and generalized epileptiform abnormalities.
FINAL DIAGNOSIS
TUBEROUS SCLEROSIS WITH SYMPTOMATIC WEST SYNDROME
CT guided No
Rt upper
02/12/2018 1762330 FNA right Nil malignant
lobe mass
upper lobe cells
REPORTING RECORD

Barium studies 4
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 2
Doppler studies 12
Small parts 2
MRI reported 56

JANUARY 2019
Name: Shreya Age: 12 Y/ Female MRD No: 1914534

HISTORY
12 year old girl presented with frontal Headache since 4 months and visual
disturbances.
A suprasellar cystic lesion of size 2.9 x 3.3 x 4.7 cms intermediate signal on
T1WI showing wall enhancement with mural nodules is noted elevating and seperating
the optic chiasma and compressing the anterior third ventricle.The mural nodules are
dark on GRE sequences and can represent calcifications. The cyst is seen to displace
internal carotid arteries laterally on both sides.Pituitary gland is thinned out. Posterior
bright spot of pituitary not visualised.Infundibular stalk not visualised. The
supratentorial brain parenchyma is normal.Normal Grey and White matter signal.No
acute infarct/hemorrhage.No other enahncing lesions in neuroparenchyma.Ventricles
are normal sized.No hydrocephalusBrain stem and cerebellum are normal. Flow voids
corresponding to normal cerebral vessels seen. No extra axial lesion.Sphenoid sinus is
not pneumatised. Impression:Suprasellar cystic lesion with wall calcifications and mass
effect as described-imaging features are suggestive of craniopharyngioma.No
hydrocephalus.Sphenoid sinus is not pneumatised.
FOLLOW UP
Supra-orbital subfrontal approach and marsuplisation of suprasellar cystic SOL was

performed.
HISTOPATHOLOGY
Biopsy suprasellar cystic SOL - Possibility of craniopharyngioma to be considered.
FINAL DIAGNOSIS
CRANIOPHARYNGIOMA
CASE NO :2
Name: BABY OF GIFTY AGE:1 M / Female MRD NO:1901461
HISTORY:
Term, AGA,b.wt -2.7 kg ,cried immediately after birth , with cyanotic spell like
episodes with desaturation and cyanosis noted after crying. Transthoracic ECHO-VSD
,Pulmonary atresia, ASD ,Left to right shunt, Normal ventricular function. Hypoplastic
branch pulmonary arteries. Left arch,no coarctation. ?PDA /MAPCAs
CT PULMONARY ANGIOGRAM
Levocardia with left sided aortic arch noted. Tetralogy of Fallot with a subaortic
ventricular septal defect, overriding of aorta and pulmonary atresia noted. Right
ventricle and left ventricle appear normal in size. The main pulmonary artery is atretic.
Confluent branch pulmonary arteries noted. Right and left pulmonary arteries are very
small in caliber and measures 1.6 mm and 1.8 mm respectively. Aortic root measures 15
x 16 mm. Ascending aorta measures 16 x 16 mm. Arch of aorta measures 14 mm.
Descending aorta measures 9 x 9 mm. No coarctation. Multiple major aorto pulmonary
collateral arteries are noted arising from the aorta at following levels and supplying both
side of lung. First major aorto pulmonary collateral artery is seen arising from distal
arch in the posterior medial aspect, measures 2.2 mm and is supplying the right upper
lobe. Second major aorto pulmonary collateral artery is seen arising from descending
aorta in the right lateral aspect measures 2.8 mm and is seen to reinforce the right
pulmonary artery near hilum and is seen also supplying right lower lobe. Just below 2nd
major aorto pulmonary collateral artery, 3rd major aorto pulmonary collateral artery is
arising on the anterior aspect with a tight stenosis in the distal part ;measures 2.6 mm
near the origin and is seen to supply the left lung. No pulmonary venous anomalies
noted.Left innominate vein is seen to joint right superior vena cava. No left superior
vena cava. Lung parenchyma shows consolidatory changes in the posterior segment of
right upper lobe and superior segment of right lower lobe. Liver and spleen are normal
in position. Umbilical hernia noted with a defect measuring 11 mm.
Impression
Known case of Tetralogy of Fallot with pulmonary atresia. CT shows confluent small
sized branch pulmonary arteries with multiple major aorto pulmonary collateral artery
as described.
FOLLOW UP
Case was discussed in detail in the combined surgical meeting and concluded
that case was not suitable for surgical correction/ management. Parent were explained in
detail about the long term prognosis , have understood the same and opted for comfort
care.
FINAL DIAGNOSIS
TETRALOGY OF FALLOT
HYPOPLASTIC BRANCH PULMONARY ARTERIES
MULTIPLE MAJOR AORTO PULMONARY COLLATERAL ARTERY

No
CT guided
inflammator
biopsy Paraspinal
12/01/2019 1744583 Nil y infiltrate
paraspinal mass
or atypical
soft tissue
cells seen.
REPORTING RECORD

Barium studies 5
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 14
Small parts 2
MRI reported 57

FEBRUARY 2019
CASE NO :1
Name: JAYALEKSHMI AGE:61 Y / Female MRD NO:502709
HISTORY:
61 years old female with presented with complaints of backache, bodyache and
generalized weakness since 2-3 weeks. Now pain has increased since 2 days. She also
complaints of chest pain and difficulty in breathing. She has decreased hearing from left
ear. No complaints of bowel or bladder disturbances. No history of trauma or fall. No
complaints of limb pain or numbness. She has difficulty in walking due to back pain.
MRI SPINE WITH CONTRAST

Cervical intradural extramedullary neurofibroma predominently cystic mass
seen displacing the cord anteriorly compressing cervical cord and at C5 to C7
level.Large dumbbell shaped mass seen at D4 level , predominently extradural with
large paraspinal component seen extending through Right D4-D5 neural foramen into
the spinal canal and compressing cord at D4 level.Small well defined enhancing
intradural lesions noted at D12(7mm) and L1-L2( 13mm) and at S3 (11mm)
levels,Diffuse disc bulge noted at L3-L4,L4-L5 and L5-S1 level causing mild narrowing
of bilateral lateral recess and neural formina. Anterolisthesis of L5 over S1 vertebrae.D7
vertebral hemangioma. Screening MRI of chest region showing similar multiple
enhancing lesions in chest wall
Impression: Neurofibromatosis I with intradural extramedullary lesion compressing
cord at C5 to C7 level. Large dumbbell neurofibroma at D4- D5 level.
MRI BRAIN
T2 hyperintense right cerebellopontine angle lesion with multiple thin

septations measuring 3x2.1cms compressing the right side of pons and right middle
cerebellar peduncle partially effacing the fourth ventricle . T2 hyperintense lesions also
noted in bilateral meckel's cave measuring 2.2x1.9cms on the right side and 1.5x0.5cms
on the left side. Bilateral lateral ventricles are dilated with periventricular CSF seepage.
Impression: Altered signal intensity lesion in the right cerebellopontine angle with mass
effect on the brainstem, fourth ventricle and causing mild proximal hydrocephalus with
similar lesions in bilateral meckel's cave as described- ? Schwannomas
FOLLOW UP
She was advised for surgical excision but bystanders were not willing for the same.
FINAL DIAGNOSIS
NEUROFIBROMATOSIS TYPE 2
CASE NO :2
NAME: INDIRA BALAKRISHNAN AGE: 49Y / Female MRD NO:1922814
HISTORY
49 years old lady, known case of hypothyroidism, presented with the complaints
of abdominal pain for the past one week duration. The pain more over the right upper
abdomen which was non radiating to the back. No history of fever, vomiting, jaundice
or altered bowel or bladder habits. Initially she was admitted elsewhere and was found
altered liver parameters. Her ultrasound abdomen was done which showed acute
acalculous cholecystitis with mild intrahepatic biliary radical dilatation . Magnetic
resonance cholangeopancreatography was done which showed well defined soft tissue
mass lesion at hilar confluence with diffuse bilateral intrahepatic biliary radical
dilatation and collapsed common hepatic duct and common bileduct.. She came here for
further evaluation and management.
CT ABDOMEN WITH CONTRAST
Heterogenously enhancing mass is seen in contiguity to the body of the gall

bladder in the lateral aspect measuring 4.7x2.2x2.9cm (TRXAPxCC) extending in to
segment V and IV of the liver . The mass is seen infiltrating into the porta hepatis,
encasing the main portal vein and proper hepatic artery, causing mild pinching of the
portal vein and biliary obstruction at common hepatic duct and common bileduct level
with associated intrahepatic biliary radical dilatation. The infiltrating mass at the porta
mass is also seen indenting on the retrohepatic inferior vena cava with loss of fat plane.
There is minimal sub hepatic extension of the mass with probable infiltration into the
wall of hepatic flexure of the colon. A lymph node is seen anterior to the head of the
pancreas , measuring 8x14mm. Gall bladder shows multiple calculi with wall thickening
(4.5 mm). The pancreas shows normal size, shape and attenuation values. No duct
dilatation or focal lesion.Spleen is normal. The kidneys show normal size, shape and
contrast enhancement with no pelvicalyceal dilatation or calculi. No hydroureter. No
ascites. Bones are normal. Few air space opacities are seen in the right basal lung
segments.
Impression: Heterogenously enhancing mass in contiguity to the body of the gall
bladder in the lateral aspect, extending into the segment V and IV ,infiltrating into the
porta hepatis, encasing the main portal vein and proper hepatic artery, and causing
biliary obstruction at CHD/CBD level with associted IHBR dilatation. -likely to
represent Carcinoma gall bladder with infiltration into the porta as described.
FOLLOW UP
Diagnostic laparoscopy followed by extended left hepaectomy was performed.
HISTOPATHOLOGY
Poorly differentiated adenocarcinoma arising from gall bladder extending into the
adventitia of common hepatic artery, wall of main portal vein, right portal vein,
perimuscular tissue, liver and muscularis propria of small intestine.
TUMOUR BOARD:
Following histopathology report,the patient is planned to be managed with adjuvant

chemotherapy.
FINAL DIAGNOSIS
POORLY DIFFERENTIATED ADENOCARCINOMA GALL BLADDER

Post
Acute
USG guided transplant
09/02/2018 1762269 Nil cellular
liver biopsy for ALD
rejection
cirrhosis
REPORTING RECORD

Barium studies 4
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 20
Small parts 1
MRI reported 45

Date: January 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

MARCH 2019
CASE NO :1
NAME:INDIRA KUMAR AGE: 58Y / Female MRD NO:1794165
HISTORY
58 years old female came with complaints of fever, breathlessness and fatique for the
past 2 days.
CHEST RADIOGRAPH
Lobulated mass noted in the mediastinum on both sides obscuring the right heart border
suggestive of bilateral hilar adenopathy.
Thyroid gland is normal. Multiple discrete enlarged mediastinal nodes noted in

the paraaortic(1.2 x 1.3 cms), right upper paratracheal(1x 1 cms),right hilar(1.3 x 1.2
cms) and left hilar region(1.6 x 1.6 cms).Few subcentimetric nodes are also noted in
subcarinal and bilateral interlobar regions. Multiple scattered tiny centrilobular nodules
noted in right upper lobe, posterior segment, right middle lobe, lateral segment, left
lower lobe, anterobasal segment, left lower lobe posterobasal segment. Few fissural
basal nodules noted along the left lower lobe.No evidence of centrilobular fissural
thickening / peribronchovascular thickening. No evidence of pleural effusion /
thickening.Mediastinal structures are normal.Liver is enlarged.Spleen is normal.Rest of
visualized Upper abdomen is normal. Vertebrae shows degenerative changes.
Impression: Multiple enlarged mediastinal nodes with scattered centrilobular nodules
and few fissural based nodules as described - consistent with sarcoidosis.
FOLLOW UP
Mantoux test was done and was negative.The patient was started on DMARD’s
and corticosteroids.
FINAL DIAGNOSIS
SARCOIDOSIS
CASE NO: 2
NAME: HAMEED MOHAMMED AGE: 58Y/Male MRD NO:1928993
HISTORY
58 yr old male presented with complaints of right shoulder pain for past 1 1/2 years.He
had h/o fall from bike ,after that his symptoms started.The pain was dull and
progressive in nature radiating to his right arm.He had restriction of movement and
difficulty in doing day to day activities .No h/o swelling /fever or any other systemic
illness .
MRI SHOULDER
Degenerative intrasubstance tear of supraspinatus withperitendinous fluid.Infraspinatus

tendon and muscle are normal.Subscapular tendon shows intrasubstance tear with
peritendinous fluid.Teres minor is normal. Peritendinous fluid around biceps tendon ,
suggestive of tendinosis.Osteoarthritic changes seen in acromioclavicular joint
impinging on the supraspinatus tendon / muscle.Superior and inferior glenoid labrum
are normal.Glenohumeral joint spaces are normal.
Impression: Degenerative intrasubstance tear of supraspinatus with peritendinous
fluid.Infraspinatus tendon and muscle is normal.Peritendinous fluid around biceps
tendon , suggestive of tendinosis. Osteoarthritic changes seen in acromioclavicular joint
impinging on the supraspinatus tendon / muscle.
FOLLOW UP
Arthroscopic rotator cuff repair right shoulder was performed.
FINAL DIAGNOSIS
Rotator cuff tear involving supraspinatus. Subacromial bursitis Adhesive capsulitis
USG guided Suspected

02/03/2019 1716380 Post LDLT Nil
liver biopsy rejection
REPORTING RECORD

Barium studies 2
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 0
Doppler studies 10
Small parts 1
MRI reported 30

Date:April 2018
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

Date : April 2018
Sl.
No.
1 Presentations
4 Logical order
Overall
complete
4 Confidence
5 Others
Total Score
DEPARTMENT OF
RADIOLOGY

APRIL 2019
Case 1
Name: Suresh Kotwani
MRD number: 1535788
Age: 43 years
Sex: Male
History: 43 year old patient known case of diabetes presented with complaints of headache
since 2 days associated with slurring of speech and 3 episodes of GTCS.No history of
vomiting , no history of swaying to any sides,no limb weakness.
Investigations
MRI- T2 heterointense lesion noted in the left frontal lobe which shows diffusion restriction
in the periphery and central blooming on gradient sequences. Gyriform enhancement noted
in the post contrast study.
T2 hyperintensity noted involving the right high frontal subcortical white matter and
superior frontal gyrus which shows diffusion restriction. No blooming on gradient
sequences.
Effacement of the frontal horn of left ventricle and a midline shift of 9 mm to the right is
noted secondary to the edema.
Bilateral basal ganglia and thalami are normal.
Optic nerve and optic chiasma are normal.
Pituitary gland is normal.
Basal cisterns are normal.
Mid brain, pons and medulla are normal.
Cerebellum appears normal.
Absence of normal flow voids noted in the superior sagittal sinus.
MRA shows attenuated bilateral anterior cerebral artery -?due to vasospasm.
Bilateral middle cerebral artery and posterior cerebral artery appears normal.
MRV shows filling defect in the superior sagittal sinus.
Impression: Features suggestive of hemorrhagic venous infarct secondary to superior sagittal
sinus thrombosis.
Case 2
Name: Asokan
MRD number: 1543609
Age: 49 years
Sex: Male
History: Patient was apparently asymptomatic until 3 months back when he developed
fever, which was high grade, intermittent, more towards the evening, not associated with
chills and rigor.He also started experiencing a burning sensation in the epigastric region and
diffuse abdominal pain.The pain was not associated with vomiting, and had no change with
food intake or posture.For these complaints he consulted a local hospital where he was given
medications
Investigations
USG abdomen- Liver is mildly enlarged measuring about 16cm with mild fatty infiltration
and few ill defined hypoechoic areas predominantly in the right lobe largest 1.34x1cm in
segment VIII and 1.4x2cm in segment VI.
A short segment of distal ileal loop appears uniformly thickened and hypoechoic.
There is no evidence of bowel obstruction.
Multiple discrete round to oval enlarged hypo to isoehoic nodes are noted adjacent to this
bowel loop and in the mesentery , predominantly in right iliac region
CECT-Thickened and enhancing jejunal loops and proximal ileal loops with maximum
thickness of 18mm involving the distal jejunal loops. Extending for an approximate length of
10 to 15cm.
Multiple enlarged retroperitoneal and mesenteric lymphnodes as described.
1. Paraaortic- largest left 1.5 x 1.1cm.
2. Aortocaval- largest 2.4 x 1.1cm.
3. Periportal-2.3 x 1.6cm.
4. Splenic hilar-2.1 x 2.8cm.
5. Portocaval hilar-1.7 x 1cm.
Gross splenomegaly and mild hypertrophy.
Moderate ascites seen.
Liver showed a subtle tiny subcentimetric lesion in segment VII.
The pancreas shows normal size, shape and attenuation values. No duct dilatation or focal
lesion.
The kidneys show normal size, shape and contrast enhancement with no pelvicalyceal
dilatation or calculi. No hydroureter.
Visualized lung fields show mild bilateral pleural effusion. Consolidatory air space opacities
noted involving the medial segment of right middle lobe.
Vertebral bodies did not reveal any lytic lesions.
Impression: Thickened and mildly enhancing jejunal loops with multiple enlarged
mesenteric and retroperitoneal lymphnodes as described- ? small bowel lymphoma. Gross
splenomegaly. Moderate ascites. Tiny subtle enhancing lesion in segment VII of liver- ?
deposit
Follow up: Endoscopic jejunal biopsy histopathology report-

Chronic active inflammation. Possibility of Immunoproliferative small intestinal disease
considered. Immunohistochemical studies: The lymphoid cells shows CD20 and CD3
positivity, CD138 - focal positive. The immunoprofile is suggestive of reactive lymphoid
population. Proliferation index (Ki67) -2-3% .
20/3/15 1542556 CT guided ? Ca lung Nil Squamous cell
lung biopsy carcinoma
REPORTING RECORD
MODALITY No. of Cases
Barium studies 10
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 1
Doppler studies 8
Small parts 2
MRI reported 112

MAY 2019
Case 1
Name: SUNIL KUMAR K B
MRD number: 1527764
Age: 47 years
Sex: Male
History: 47 Year old K/C/O Type 2 DM, Systemic HTN was conscious and ambulatory 1
hour back while he was driving his car. He had a sudden onset breathlessness followed by
sweating and the patient became unresponsive. Patient was brought to the ER in cardiac
arrest.
Investigations
MRI stroke protocol-Diffusion restriction noted bilateral basal ganglia.CT scan Brain does
not show any focus of haemorrhage or mass effect.
Impression- Features may represent hypoxic ischemic injury
MRI brain follow up-T2 FLAIR hyperintensities noted in bilateral frontal, parietal temporal
cortex, bilateral basal ganglia, bilateral thalami, bilateral hippocampi and cerebellum with
diffusion restriction in the para falcine frontal cortex. T1 hyperintensities noted in the
bilateral parafalcine frontal cortex, bilateral insular cortex, bilateral temporal lobe, bilateral
parietal lobe with no blooming on gradient sequences - ? laminar necrosis. Bilateral caudate
nucleus also show T1 hypointensities. Optic nerves and chiasma appear normal. Midbrain,
pons and medulla appear normal. Bilateral ventricles appear normal. Basal cisterns appear
normal.Normal flow voids in the intracerebral vessels noted. No extra axial collection.
Impression -Features are suggestive of sequelae to HIE
Follow up: Poor prognosis was explained to the bystanders
Case 2
Name: Arul Raj
MRD number: 1501530
Age: 24 years
Sex: Male
History: Known case of congenital heart disease, was admitted for treatment of infective
endocarditis. During his stay he developed abdominal pain / palpitation and acute pulmonary
edema. MDCT was advised to rule out mesenteric ischemia
Investigations
CT abdomen-Descending thoracic aorta, abdominal aorta appears normal. However the
abdominal aortic branches, celiac trunk and its branches, superior mesenteric artery and its
branches, renal arteries, Inferior mesenteric artery appear patent but hypoattenuated and
narrow in caliber. Iliac vessels also appear hypo attenuated and narrow in caliber. Right
Kidney upper pole shows a hypodense area - suggestive of renal infarct. Left Kidney appears
normal. Superior mesenteric vein appear patent. Bowel loop appear collapsed. No mural
stratification. No evidence of pneumatosis. Liver shows no focal lesion / IHBRD. Spleen
shows no lesion. Gall bladder and pancreas appears normal. Bilateral adrenal appears
hyperdense.No significant intra abdominal lymphnodes. Mild ascites noted.IVC appears
prominent along and hepatic veins show early filling- probably due to cardiac
disease.Cardiomegaly noted with mild pericardial effusion. Right pleural effusion with
collapse consolidation of right posterobasal lung fields noted. Few air space opacities also
noted in the right middle lobe. Consolidation of left posterobasal lung fields noted.
Impression:Hypoattenuated mesenteric, renal vessels with right renal infarct and hyperdense
adrenals -features are suggestive of hypo volume shock. No evidence of bowel gangrene in
the present study. Right pleural effusion.
Follow up: He was started on fluids following which his condition improved.

REPORTING RECORD
Barium studies 15
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 3
Doppler studies 10
Small parts 2
MRI reported 123

Date: April 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

Date : April 2017
Sl.
No.
1 Presentations
4 Logical order
Overall
complete
4 Confidence
5 Others
Total Score
DEPARTMENT OF
RADIOLOGY

JUNE 2019
Case 1
Name: Denny Thomas
MRD number: 1368440
Age: 42 years
Sex: Male
History: 41 years old male, with no known co-morbidities, presented with history of
numbness since 4 months which he initially noted along the right side of his face mostly
along the jaw which gradually increased. It was not associated with pain, facial weakness or
asymmetry. He also noticed an occasional loss of balance while walking. no
visual/auditory/speech disturbances. No history of fever/loss of consciousness/ vomiting/
headache. No other complaints.
Investigations
MRI brain- A 2.5 x 2.1cm extra axial T1 hypointense, T2 hyperintense enhancing CP angle
lesion with mass effect on IV ventricle and pons noted with obliteration of right
perimesencephalic cistern.
Lesion is extending along right internal acoustic meatus in a coned pattern causing widening
of the same.
No evidence of bleed, calcification or diffusion restriction within the lesion.
VII and VIII cranial nerves are abutted on right side by the lesion.
Bilateral semicircular canals are normal.
Bilateral Vth cranial nerve appears normal.
Tiny areas of lacunar infarcts noted in bilateral internal capsule.
No evidence of hydrocephalus.
Rest of the neuroparenchyma appears normal.
Cerebellum is normal
Impression- Enhancing CP angle lesion with extension along right internal acoustic
meatus-Features are suggestive of vestibular schwannoma.
Follow up: Patient underwent excision of right vestibular schwannoma.
Histopathology- features consistent with vestibular schwannoma.
Case 2
Name: Biju Anthony
MRD number: 1514638
Age: 37 years
Sex: Male
History: 37 year male was brought to the casualty with alleged history of road traffic
accident near Varapuzha junction (lorry vs bike) around 12. 20. He was a bike rider. There
was history of loss of consciousness for few minutes. There was history of nasal bleeding.
There was no oral or ear bleed. There was no history of seizures, vomiting. He sustained
multiple multiple soft tissue injuries.
Investigations
CT abdomen- A rent in the left hemi diaphragm of about 9.5cm with herniation of stomach,
few small bowel loop and spleen into the thoracic cavity causing mediastinal shift and
passive segmental atelectasis of left mid and lower lobe. There is minimal free fluid in the
left hemithorax.
The GE junction and pylorus appear normal in position.
lesion.
Right adrenal shows a well defined predominantly hypodense lesion measuring 3.4x2.3cm.
Free fluid noted in the posterior pararenal left sided fluid space bilaterally (more on left)
with tracking down upto the pelvis along the large bowel mesentry.
Fractures of the superior and inferior ischiopubic ramus and left sacral ala extending to s2
and S3 segments noted on the left side.
Impression: Rupture of hemi left diaphragm with herniation of stomach, small bowel and
spleen with free fluid and multiple fractures as described. Incidentally detected right adrenal
lesion - ?adenoma.
CT Head and Spine-Sulci and gyri appear normal. No effacement.

Lateral ventricles are normal, no midline shift. Basal cisterns, brainstem and infra temporal
fossa appears normal.
An undisplaced linear fracture noted along the right temporal bone adjacent to the mastoid
process. No orbital blow out or chip fractures noted. No evidence of any bulbar or
retrobulbar haemorrhage.
Soft tissue Hypodensity noted in the subcutaneous tissue over the lateral aspect of left orbit -
probably a hemorrhagic contusion.
Atlas, axis and dense show normal alignment and structure. No rotational or transtentorial
injuries in upper cervical spine. Rest of cervical and thoracicspine appear normal. A wedge
compression fracture with posterior tilt involving superior endplate noted on L2 vertebrae
with ? some compression of neural foramen (10mm) and associated fracture of lamina and
spinous process of the same.
Small compression fractures noted at the superior endplate of L3 and L4 vertebrae.
Narrowing of disc place of L5-S1 with mild anterolisthesis. Fractures of posterior 8th , 9th
and 10th posterior ribs on right side and 9th posterior rib on left side.
Fractures of the left superior and inferior ischiopubic ramus , left sacral ala extending to S2
and S3 segments on left side.
Impression: Multiple fractures involving ribs, vertebrae, sacrum as described in text.
Calvarial fracture as described
Follow up: Patient underwent exploratory lapratomy which showed a large defect of the
diaphragm on the left side[ about 10 cm defect] with Herniation of stomach , colon and
spleen into the left side of chest. Haematoma noted along the lateral wall of the descending
colon and colonic mesentry.
07/01/15 1514105 CT guided Cavitatory Nil Ca lung
lung biopsy lesion
? Ca lung
REPORTING RECORD
Barium studies 15
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 6
Doppler studies 16
Small parts 10
MRI reported 125

JULY 2019
Case 1
Name: Dhakrishnan
MRD number: 1501278
Age: 44 years
Sex: Male
History: Patient presented with fever of 8 days duration. Was tested as leptospirosis from
outside but no relief of symptoms.
Investigations
USG showed Few areas of dirty air shadowing/calcification within the liver parenchyma.
CECT abdomen-Large peripherally enhancing abscess noted involving right lobe of liver
segments VII and VI extending to VIII and V. Abscess has two large locules which are
communicating. Multiple air foci noted within the abscess. Abscess measures approximately
11x7.7x12.5 cm (AP x Tr x CC). Liver surrounding the abscess shows ill defined
hypodensity ?spreading inflammation.
Portal vein is patent. CBD is not dilated. Gall bladder is normal.
lesion. Spleen is normal.
dilatation or calculi. No hydroureter. Adrenals appear normal.
Urinary bladder and prostate is normal.
Bilateral mild pleural effusion with basal consolidation noted.
No lytic / sclerotic bony leisons.
Impression: Large biloculated irregular right lobe liver abscess with air foci.
Follow up: The liver abscess was drained.
Case 2
Name: RIFANA
MRD:1499542
Age :5Y
Sex:Female
History:5yr old 2nd child of NCM ,ANP uneventful, born at term no perinatal issues and
attained milestones with delay. History of recurrent seizures.
Investigations
MRI BRAIN – PLAIN- Agyria -pachy gyria complex (thickened cortex with shallow
scanty sulci) seen predominantly involving parietal, temporal and occipital lobes with frontal
lobes being relatively spaced. Paucity of white matter seen in these regions.
Well defined tiny grey matter intensity foci seen in bilateral periventricular white matter
around frontal horns suggestive of band heterotrophies .
Occipital horns of bilateral lateral are prominent.Corpus callosum, basal ganglia, thalami,
brain stem normal.
Impression: Agyria pachygyria with relative sparing of bilateral frontal lobes.
Periventricular band heterotropia.
Follow up: Started on antiepileptic drugs. Advised regarding the genetic evaluation

01/12/14 1500436 Ct guided ? Ca lung Nil Squamous cell
lung biopsy carcinoma
REPORTING RECORD
Barium studies 5
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 3
Doppler studies 12
Small parts 2
MRI reported 50
AUGUST 2019
Case 1
Name: Essaki Kumar
MRD number: 1494533
Age: 26 years
Sex: Male
History:26-year-old male from Tamil Nadu presented with history of exertional

breathlessness of 1 month. He was apparently normal until one month back. Problems
started as dyspnea on exertion. The patient gets breathless when he walks fast or climbs
stairs, which was relieved by rest. No history of associated chest pain or orthopnea. The
patient was evaluated elsewhere by cardiologist. Echocardiogram showed dilated aorta, LV
dysfunction, PAH and was referred here for further management. He was evaluated here,
TEE echocardiogram showed B/L coronary sinus diverticule.
Investigations
CT aortogram-Diverticulum noted on both right and left coronary sinuses.
A bilobed diverticulum from the left sinus with a maximum diameter of 5.4 x 5.7 cm noted.
It is directed inferiorly and to left side.
A 4.6 x 2.7 cm right diverticulum from the right sinus which is bulging into the inter
ventricular septum noted. It is directed anteroinferiorly.
Right coronary artery is seen arising on the side of the right diverticula. Left coronary artery
is seen arising from the roof of left diverticula. Aorta at aortic annulus measures 1.9 cm.
Proximal ascending aorta measures 2.1 cm. Distal ascending aorta measures 2.2 cm.　
Ascending, arch, descending thoracic aorta and abdominal aorta are normal in calibre. No
evidence of aneurysm. Celiac artery and branches, superior mesenteric artery, bilateral renal
arteries, inferior mesenteric arteries are normal. Aortic bifurcation into common iliac arteries
is normal. External, internal iliac arteries are normal.
No abnormality in the intra abdominal organs.
Bowel loops appear normal.
No free fluid.
Visualized bones and lung fields are normal.
Impression: Right and left coronary sinus diverticula
Follow up: He was taken up for Bentall Procedure with St Jude valve with conduit + CABG
Case 2
Name: Leela
Age: 64 yrs
Sex: Female
MRD: 1491485
History: Patient presented with dysphagia since past 4 months which has increased since the
last one month.
Investigations
Barium Swallow: A circumferential; luminal narrowing with mucosal irregularity and
shouldering noted in mid third of oesophagus for length of approximately 3.5cm with
dilatation of proximal oesophagus. Delayed, however complete passage of contrast noted
through stricture segment.
Impression: Short segment circumferential narrowing of mid esophageal segment as
described likely to represent malignancy.
CECT Chest: Luminal narrowing noted involving the mid esophagus for a length of 3.2 cm
with maximum thickness of 2.3 cm. The fat plane between the aorta and the lesion is
maintained. However the fat plane between the lesion and the carina is lost. No evidence of
extension into the lower esophagus / stomach. Few subcentimetric prevascular, right upper
paratracheal and lower paratracheal lymphnodes are noted.
Impression: Luminal narrowing involving the mid esophagus with few subcentimetric
mediastinal lymphnodes as described.
FOLLOW UP: She underwent endoscopic biopsy which revealed moderately differentiated
squamous cell carcinoma. She was treated with neoadjuvant chemo-radiotherapy and later
underwent esophago-gastrectomy.
Histopathology- Squamous cell carcinoma

10/11/14 1462035 Ultrasound ? Ca prostate Nil Prostatic
guided TRUS adenocarcinoma
biopsy of
prostate
REPORTING RECORD
Barium studies 9
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 0
Doppler studies 6
Small parts 1
MRI reported 40

Date: July 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

SEPTEMBER 2019
Case 1
Name: ASWATHI V. MOHAN
MRD number: 1487935
Age: 18 years
Sex: Female
History:History of pain in abdomen
Investigations
CECT abdomen-Well defined multi loculated cystic lesion measuring 7.4x6.7x7cm noted
arising from the body of pancreas. The lesion shows enhancing walls and septa. Speck of
calcification measuring 4mm noted along the septa. The lesion is seen compressing the
splenic vein.
Head and uncinate process of pancreas is normal. Tail is atrophic. Pancreatic duct is not
dilated.
Superior mesenteric artery and superior mesenteric vein is normal.
Liver shows arterially enhancing lesion measuring 1.5x1.2cm in segment 7 which is partially
homogenising in the venous phase likely to be haemangioma. No IHBRD.
Portal vein and hepatic veins are normal. Spleen is normal.
Stomach is normal. Fat plane is maintained with the pancreatic body lesion.
The liver shows normal parenchymal attenuation, normal enhancement pattern, normal
shape and size. No focal lesions are seen. No IHBR dilatation. Portal vein is normal.
The GB is normal. The CBD is normal.
Adrenals are normal. Urinary bladder appears normal.
No pelvic mass lesion.
Bones are normal. Basal ling fields are normal.
Impression: Well defined multi loculated cystic lesion involving the body of pancreas with
internal enhancing septation and septal calcification. Features likely to represent
1. Mucinous cystadenoma.
2. Solid and papillary epithelial neoplasm. Haemangioma in segment 7 of liver.
Follow up: Patient underwent open distal pancreatectomy. Histopathology report-

Suggestive of solid pseudopapillary neoplasm (SPN)
Case 2
Name: Baby of Neethu
MRD number: 1473955
Age: 21 days
Sex: Female
History:
This full term female neonate born by normal delivery, birth weight 3.35kg, was antenatally
detected to have CCAM on right side. Post delivery, the child was stable on room air. She
was admitted for further management.
Investigations
CT chest-Large cystic lesion measuring approximately 4.7 x 3.2cm noted almost involving
the entire right lung lower lobe. Few other small cysts seen in the basal segments of the
lower lobe and in the anterior and posterior segments of the right upper lobe. Compensatory
hypertrophy of the middle lobe of right lung seen. Few surrounding consolidatory air space
opacities noted in the right upper lobe apicoposterior segments.
The lesion is displacing the mediastinum to the opposite side. The tracheobronchial tree is
patent.
Left lung fields are normal.
No evidence of any diaphragmatic discontinuity/ diaphragmatic herniation.
No evidence of any pleural effusion/ pleural thickening.
Vertebral bodies are normal.
Visualized upper abdominal organs are normal
Impression-
Features are in favour of right sided congenital cystic adenoid malformation-Type I.
Follow up: She was transferred to Pediatric Surgery and underwent right upper lobectomy
under GA. Post-operatively, the child developed superficial surgical site infection which was
managed with daily dressing. Recovery was otherwise uneventful.
HISTOPATHOLOGY-Right upper lobe lobectomy:- Suggestive of Congenital cystic
adenomatoid malformation -type 1.

11/10/14 1476470 Ultrasound ? lymphoma Nil Lymphoma
guided
axillary soft
tissue mass
biopsy
REPORTING RECORD
Barium studies 6
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 5
Doppler studies 8
Small parts 6
MRI reported -

OCTOBER 2019
Case 1
Name: EDENA SHIJU MRD number: 1468910 Age: 10 months Sex: Female
History: Presented with noisy breathing and stridor since birth. Was diagnosed as GERD
from outside and was started on omeprazole, domstal. Stopped domstal before 2 weeks
Child persist to be symptomatic.
Investigations
Barium swallow-Plain film was taken.
Serial images were taken under fluoroscopic guidance after administration of barium
Persistent posterior indentation of esophagus noted at the level of carina. Free flow of
contrast was noted across the indentation. No evidence of hold up of contrast.
Aspiration of contrast was noted in to the trachea during swallowing after which study was
abandoned.
Impression: Persistent posterior indentation of the esophagus at the level of carina as
described. Aspiration of contrast noted in to the trachea.
CECT
Situs solitus. Levo cardia.
Right sided aortic arch with aberrant left subclavian artery causing minimal tracheobronchio
malacia at the level of carina and origin of left main bronchus.
Rest of the tracheobronchial tree is normal. Other mediastinal structures appear normal.
Abberent left subclavian shows minimal narrowing at abve1.1cm from origin. No post site
stenotic dilatation.
Sub segmental collapse with consolidatory change in superior segment of right lower lobe.
Rest of the lung fields appear normal.
A 1.1x0.8cm hypodense foci in spleen.
Impression: Right sided aortic arch with mildly stenotic left aberrant subclavian artery.
Minimal tracheobronchiomalacia as described. Sub segmental collapse of right lower lobe.
Follow up: Child was treated symptomatically
Case 2
Name: Sasidharan
MRD number: 1407514
Age: 47years
Sex: Male
History: He is a known diabetic ,was initially evaluated at EMS hospital for chest pain and
he was evaluated with CT which showed SOL liver and mass head of pancreas. No h/o
nausea, vomiting, pruritis or fever. He was referred to here for further evaluation and
management.
Investigations
CT abdomen was done which showed a large brilliantly enhancing lesion measuring 6.8 x
10.3 cm noted in the head and body of pancreas. Tail of pancreas is not visualized, probably
atrophic. Area of necrotic degeneration noted within the lesion. The lesion is showing
washout in delayed phases.
Multiple enhancing lesions noted in liver which are showing washout in delayed phases.
Multiple para aortic enlarged lymph nodes noted.
Spleen is bulky and enlarged and shows multiple gastro splenic collaterals.
No evidence of thrombosis of portal vein. However portal vein appears impinged at the head
region of pancreas.
Cholelithiasis present in the gall bladder.
Impression: A large enhancing lesion in head and body of pancreas with multiple enhancing
liver lesions and enlarged para aortic lymph nodes -to consider the possibility of neuro
endocrine tumor of pancreas.
Follow up: Liver biopsy - Shows a Neoplasm with rossettoid pattern ?Neuro endocrine
tumour.
Immuno histo chemistry - Cells are positive for synaptophysin,CD56,Shows paranuclear
positivity for CK, negative for CD10. Ki 67-5-8% Neuroendocrine tumour
The patient was started on long acting octreotide.

1165436 1165436 USG guided ?intramuscular Nil Started on
aspiration abscess in the antibiotics based
thigh on the
sensitivity
report.
REPORTING RECORD
Barium studies 25
Others -
ULTRASOUND
TYPE No. of Cases
Neurosonogram 6
Doppler studies 13
Small parts 6
MRI reported -

NOVEMBER 2019
CASE NO :1
Name: SHAHUSHAN AGE:19 Y/Female MRD NO:1892057
HISTORY:
19 year old female with no known comorbidities, presented with: post prandial
severe epigastric pain ,malena: 6-10 days before onset of pain and once during
admission .No fresh bleed .No vomiting OGD Scopy : Gastric fundal diverticula, blood
in stomach - ? source, small antral ulcer.
CECT ABDOMEN
Pancreas is completely replaced by multiple cysts of varying sizes, some of

which are communicating with each other. Pancreatic duct not visualised separately.
Some of the cysts show peripheral wall calcifications. Largest cyst measuring
9x5x11.5cm (APxTRxCC) at the tail region, displacing the adjacent bowel loops and
closely abutting the psoas muscle. The liver shows normal parenchymal attenuation,
normal enhancement pattern, normal shape and size. No focal lesions are seen. No
IHBR dilatation. Portal vein is normal. The GB is normal. The CBD is normal.Spleen is
normal. The kidneys show normal size, shape and contrast enhancement with no
pelvicalyceal dilatation or calculi. No hydroureter. No pelvic mass lesion. Contrast
filled bowel loops are normal. No free fluid. Visualized basal lung fields are normal.
Impression:Multiple cysts of varying sizes, replacing the pancreas completely as
described . Pancreatic duct not seen seperately.
FOLLOW UP
The entire pancreatic parenchyma has been replaced by cysts of multiple sizes
ranging from a few millimeters to 7 x 10 cm in the pancreatic tail. A single mural
nodule noted in one of the cysts. The cyst fluid contained no debris. Very minimal
pancreatic parenchyma could be visualised and the main pancreatic duct could not be
seen at all. The CBD and surrounding vasculature were not clearly visualised
MRI BRAIN
A 2.4 x 1.6 x 32. cm ( AP x TRX CC) cystic lesion with a prominent mural
nodule which is isointense to grey matter is noted arising from the inferior vermis of
cerebellum. Prominent flow voids noted in the periphery of the cystic lesion. The mural
nodule is showing homogenous intense post contrast enhancement. The cyst is
compressing the inferior 4th ventricle and causing mild obstruction with mild
prominence of bilateral lateral ventricles. Brain stem appear normal. Flow voids
corresponding to normal cerebral vessels seen. No extra axial lesion.No other abnormal
post contrast enhancement noted.
Impression: Cystic lesion with enhancing mural nodule involving inferior cerebellar
vermis compressing inferior 4th ventricle causing early obstructive hydrocephalus. -
Hemangioblastoma.
CECT ABDOMEN:
Multiple simple cysts replacing pancreatic parenchyma with largest cyst showing mild
increase in size. Small area of airspace opacity with adjacent ground glassing in left
lung basal segment probably infective. Rest of the findings remain status quo.
MANAGEMENT
Midline subocciptial craniotomy Telovelar approach and gross total excision

under MEP monitoring under GA on 16/11/2017. She was shifted to ICU on ventilator.
Post op MRI brain with contrast showed post changes with gross total excision.
HISTOPATHOLOGY
Cerebellar lesion biopsy: Vascular neoplasm- hemangioblastoma
FINAL DIAGNOSIS
VON HIPPEL LINDAU SYNDROME
Case 2
Name: Kalyani MRD number:1546729 Age: 67 years Sex: Female
History: A 67 years old housewife , having 4 children, resident of Thrissur, right handed
presented to AIMS with history of Headache from 4 months with watery discharge from left
ear, Discharge from right ear since 1 month.
Investigations
MRI brain-Diffuse ill defined enhancing lesion noted in the skull base involving the walls
of nasopharyx, prevertebral space with lesions extending in to both carotid space and mildly
into right parapharyngeal space. Lesion erodes the clivus occipital condyles and petrous
apex. Obliteration of jugular foramen and bilateral hypoglossal canal and foramen ovale
with minimal dural enhancement of floor of orbit noted .
Laterally it is seen extending till the condyle of TM joint .
Temporalis and pterygoid muscles are normal.
Enhancing lesion seen involving the right orbit apex .
Minimal enhancement seen involving along the rotundum .
Central non enhancing areas noted likely to represent collection /abscess.
Serous effusion of both mastoid noted - likely to be due to block of eustachian tube. No
evidence of any brain parenchymal involvement noted .
Neuroparenchyma appears normal.
Impression: Diffuse infiltrative enhancing skull base lesion as described with
abscess/collection likely to be represent osteomyelitis (?fungal in view of diabetes).
Follow up: CSF cytology was negative for atypical/ malignant cells. She was started with
Inj. Amphotericin B with regular monitoring of required blood parameters and discontinued
with antibiotic. Nasal discharge aerobic culture isolated candida albicans. She was added
with Fluconazole. Patient improved over the course.

27/04/2015 161223 CT guided Paraspinal Nil Possibility of
biopsy mass lymphoproliferative
neoplasm
REPORTING RECORD

Barium studies 2
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 20
Small parts 7
MRI reported 70

Date: October 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

Date : October 2017
Sl.
No.
1 Presentations
4 Logical order
Overall
complete
4 Confidence
5 Others
Total Score
DEPARTMENT OF
RADIOLOGY

DECEMBER 2019
Case 1
Name: George Thomas MRD number: 1562498 Age:67 years Sex: Male
History: Patient presented with left sided back pain.
MRI LUMBAR SPINE
A dorsal dermal sinus track at S1 level with spinabifida of S1.The sinus track is seen
extending upto the dura.No definite extension into the subarachnoid space is
appreciated.A 4 mm x 11 mm cystic lesion is seen within the conus in relation to the
central canal.This is consistent with persistent terminal ventricle.A well defined
rounded lesion measuring 7mm x 6mm dark in T1 and T2 is seen within the cauda
equina roots attached to the tip of the conus likely to be an epidermoid.Conus is ending
at L3-L4 level.Filum terminale is normal.Vertebral bodies and discs are normal in
signal intensities.
Impression: Closed Spinal Dysraphism. Dorsal Dermal sinus likely to be terminating at
Dura with spinabifida of S1.No definite extension into the subarachnoid space.
Persistent terminal ventricle A well defined rounded lesion measuring 7 mm x 6mm
within the cauda equina roots attached to the conus ? epidermoid.
FOLLOW UP
Dermal tract excision, excision of the L3-L4 dermoid cyst and detethering of the cord
was performed.
HISTOPATHOLOGY
Biopsy Dermal Patch +Capsule of the Swelling :Features are Suggestive of Dermoid
Cyst. No evidence of any Malignancy seen.
FINAL DIAGNOSIS
CLOSED SPINAL DYSRAPHISM

Dermal sinus tract with Tethered spinal cord and L3-L4 dermoid cyst.
Case 2
Name: Kalyani MRD number:1546729 Age: 67 years Sex: Female
History: A 67 years old housewife , having 4 children, resident of Thrissur, right handed
presented to AIMS with history of Headache from 4 months with watery discharge from left
ear, Discharge from right ear since 1 month.
Investigations
MRI brain-Diffuse ill defined enhancing lesion noted in the skull base involving the walls
of nasopharyx, prevertebral space with lesions extending in to both carotid space and mildly
into right parapharyngeal space. Lesion erodes the clivus occipital condyles and petrous
apex. Obliteration of jugular foramen and bilateral hypoglossal canal and foramen ovale
with minimal dural enhancement of floor of orbit noted .
Laterally it is seen extending till the condyle of TM joint .
Temporalis and pterygoid muscles are normal.
Enhancing lesion seen involving the right orbit apex .
Minimal enhancement seen involving along the rotundum .
Central non enhancing areas noted likely to represent collection /abscess.
Serous effusion of both mastoid noted - likely to be due to block of eustachian tube. No
evidence of any brain parenchymal involvement noted .
Neuroparenchyma appears normal.
Impression: Diffuse infiltrative enhancing skull base lesion as described with
abscess/collection likely to be represent osteomyelitis (?fungal in view of diabetes).
Follow up: CSF cytology was negative for atypical/ malignant cells. She was started with
Inj. Amphotericin B with regular monitoring of required blood parameters and discontinued
with antibiotic. Nasal discharge aerobic culture isolated candida albicans. She was added
with Fluconazole. Patient improved over the course.

27/04/2015 161223 CT guided Paraspinal Nil Possibility of
biopsy mass lymphoproliferative
neoplasm
REPORTING RECORD

Barium studies 4
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 2
Doppler studies 12
Small parts 2
MRI reported 56

JANUARY 2020
Case 1
Name: Renisha N M RD number:1873395 Age: 37 years Sex: Female
History:
Mrs. Renisha N M , 30 year old female with no comorbidities , hypothyroidism during
pregnancy, Last child birth - 6 years ago, FTNVD Had a missed abortion in Feb 2017, D &
C done, no HPR. Has been on contraceptive since then. She had irregular bleeding for the
last 5 months, h/o spotting + Increased over the last 2 weeks. She was evaluated in an out
side hospital. USG abdomen: suggestive of Large echogenic mass in the lower uterine
segment measuring 8.1x7.4x7.5 cm in lower uterine segment and cervix with tortuous
vessels. She was admitted here for further evaluation and treatment.
MRI ABDOMEN & PELVIS CONTRAST
Axial T1 & T2 weighted images show a heterogeneous hyperintense mass in the left lateral
lower uterine myometrium extending into the left lip of cervix with parametrial extension.
The endometrial cavity is preserved. The cervical canal is displaced to the right. The lesion
measures approximately 12.4 x 9.5 x 8.8 cm. The T1 hyperintensity in the lesion indicates
hemorrhage. Multiple large tortuous flow voids noted within and around the lesion.
Anteriorly the lesion is seen infiltrating the posterior wall of the bladder which shows
hyperintense signal. Posterior the rectum is not involved. No free fluid in the pelvis.
The lesion shows non enhancing cystic areas predominantly on post contrast study.
Feeding arteries are seen from bilateral internal iliac artery.
Drainage is into the left gonadal vein and internal iliac vein. Left common iliac vein shows a
T2 hyperintense thrombus within.
Bilateral ovaries are normal.
Abdominal screening showed left hydroureteronephrosis secondary to entrapment of the left
distal ureter.
No significant pelvic nodes.
No significant intraabdominal nodes.
Impression:
Large heterogeneous mass in the lateral lower uterine myometrium extending into the left
cervical lip with parametrial and posterior bladder wall involvement and prominent vessels.
In view of elevated beta-HCG levels, the lesion is most likely to represent gestational
trophablastic disease - invasive mole / choriocarcinoma.
Follow up: She was transferred under Medical Oncology Department for further
management. She was planned for chemotherapy with EMACO regimen.
CASE NO :2
Name: Gopalakrishnan MRD number: 1841870 Age: 60 years Sex:Male
HISTORY:
A 60 year old man known case of Type II DM, admitted for evaluation of Pyrexia of
Unknown origin.
CECT Abdomen
Well defined heterogeneously enhancing lesions with fluid density areas within noted seen
involving both limbs of right adrenal, medial limb and body of left adrenal gland, largest on
right measuring 3x2.6cm and that on left measuring 1.4x2cm. No areas of fat density,
hemorrhage or calcification seen.
Liver is normal in size and enhancement. No focal lesions. No IHBRD.
Gall bladder and CBD are normal.
Pancreas is normal in size and enhancement. No focal lesion. No pancreatic duct dilatation.
Spleen is normal.
Bilateral kidneys are normal in size and enhancement. No focal lesion. No pelvicalyceal
dilatation or hydroureter. Few simple cysts seen, largest measuring 9x8mm in interpolar
region of right kidney and 8x8mm in interpolar region of left kidney.
Urinary bladder is minimally distended. Prostate is normal.
Visualized bowel loops are normal in enhancement and wall thickness.
Few subcentimetric paraaortic lymphnodes seen, largest measuring 7x9mm.
No ascites noted.
Visualized bones are normal.
Bilateral lung parenchyma are normal. No areas of consolidation or ground glassing.
No areas of traction bronchiectasis or honey combing.
No pleural effusion.
Tracheobronchial tree is normal.
Mediastinal vasculature is normal.
Impression-
Well defined heterogeneously enhancing lesions with fluid density areas within
involving bilateral adrenal glands as described - in view of the history, granulomatous
disease like tuberculosis is likely. However in view of age, the possibility of metastasis
to be considered.
PET CT-
FDG AVID ENLARGED HETEROGENEOUSLY ENHANCING BILATERAL

ADRENAL GLANDS WITH LOBULATED SURFACE. - METABOLICALLY ACTIVE
INFECTIVE (TUBERCULOSIS / HISTOPLASMOSIS) OR NEOPLASTIC ETIOLOGY.
SUGGESTED HISTOPATHOLOGICAL CORRELATION.
CT DETECTED TINY MULTIPLE PARA-AORTIC, AORTOCAVAL LYMPH NODES

ARE FDG NON AVID.
NO FDG AVID POSSIBLE SITE OF ANY OTHER NEOPLASM/ INFECTION/

INFLAMMATION COULD BE DETECTED IN CURRENT PET CT SURVEY.
Histopathology -
CT guided biopsy: Shows liver tissue with kupffer cell granulomas and large granuloma
with necrosis containing yeast forms s/o fungal infection .
Final diagnosis- Adrenal fungal infection -? histoplasmosis

No
CT guided
inflammator
biopsy Paraspinal
12/01/2019 1744583 Nil y infiltrate
paraspinal mass
or atypical
soft tissue
cells seen.
REPORTING RECORD

Barium studies 5
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 14
Small parts 2
MRI reported 57

FEBRUARY 2019
CASE NO :1
Name: JAYALEKSHMI AGE:61 Y / Female MRD NO:502709
HISTORY:
61 years old female with presented with complaints of backache, bodyache and
generalized weakness since 2-3 weeks. Now pain has increased since 2 days. She also
complaints of chest pain and difficulty in breathing. She has decreased hearing from left
ear. No complaints of bowel or bladder disturbances. No history of trauma or fall. No
complaints of limb pain or numbness. She has difficulty in walking due to back pain.
MRI SPINE WITH CONTRAST

Cervical intradural extramedullary neurofibroma predominently cystic mass
seen displacing the cord anteriorly compressing cervical cord and at C5 to C7
level.Large dumbbell shaped mass seen at D4 level , predominently extradural with
large paraspinal component seen extending through Right D4-D5 neural foramen into
the spinal canal and compressing cord at D4 level.Small well defined enhancing
intradural lesions noted at D12(7mm) and L1-L2( 13mm) and at S3 (11mm)
levels,Diffuse disc bulge noted at L3-L4,L4-L5 and L5-S1 level causing mild narrowing
of bilateral lateral recess and neural formina. Anterolisthesis of L5 over S1 vertebrae.D7
vertebral hemangioma. Screening MRI of chest region showing similar multiple
enhancing lesions in chest wall
Impression: Neurofibromatosis I with intradural extramedullary lesion compressing
cord at C5 to C7 level. Large dumbbell neurofibroma at D4- D5 level.
MRI BRAIN
T2 hyperintense right cerebellopontine angle lesion with multiple thin

septations measuring 3x2.1cms compressing the right side of pons and right middle
cerebellar peduncle partially effacing the fourth ventricle . T2 hyperintense lesions also
noted in bilateral meckel's cave measuring 2.2x1.9cms on the right side and 1.5x0.5cms
on the left side. Bilateral lateral ventricles are dilated with periventricular CSF seepage.
Impression: Altered signal intensity lesion in the right cerebellopontine angle with mass
effect on the brainstem, fourth ventricle and causing mild proximal hydrocephalus with
similar lesions in bilateral meckel's cave as described- ? Schwannomas
FOLLOW UP
She was advised for surgical excision but bystanders were not willing for the same.
FINAL DIAGNOSIS
NEUROFIBROMATOSIS TYPE 2
CASE NO :2
NAME: INDIRA BALAKRISHNAN AGE: 49Y / Female MRD NO:1922814
HISTORY
49 years old lady, known case of hypothyroidism, presented with the complaints
of abdominal pain for the past one week duration. The pain more over the right upper
abdomen which was non radiating to the back. No history of fever, vomiting, jaundice
or altered bowel or bladder habits. Initially she was admitted elsewhere and was found
altered liver parameters. Her ultrasound abdomen was done which showed acute
acalculous cholecystitis with mild intrahepatic biliary radical dilatation . Magnetic
resonance cholangeopancreatography was done which showed well defined soft tissue
mass lesion at hilar confluence with diffuse bilateral intrahepatic biliary radical
dilatation and collapsed common hepatic duct and common bileduct.. She came here for
further evaluation and management.
CT ABDOMEN WITH CONTRAST
Heterogenously enhancing mass is seen in contiguity to the body of the gall

bladder in the lateral aspect measuring 4.7x2.2x2.9cm (TRXAPxCC) extending in to
segment V and IV of the liver . The mass is seen infiltrating into the porta hepatis,
encasing the main portal vein and proper hepatic artery, causing mild pinching of the
portal vein and biliary obstruction at common hepatic duct and common bileduct level
with associated intrahepatic biliary radical dilatation. The infiltrating mass at the porta
mass is also seen indenting on the retrohepatic inferior vena cava with loss of fat plane.
There is minimal sub hepatic extension of the mass with probable infiltration into the
wall of hepatic flexure of the colon. A lymph node is seen anterior to the head of the
pancreas , measuring 8x14mm. Gall bladder shows multiple calculi with wall thickening
(4.5 mm). The pancreas shows normal size, shape and attenuation values. No duct
dilatation or focal lesion.Spleen is normal. The kidneys show normal size, shape and
contrast enhancement with no pelvicalyceal dilatation or calculi. No hydroureter. No
ascites. Bones are normal. Few air space opacities are seen in the right basal lung
segments.
Impression: Heterogenously enhancing mass in contiguity to the body of the gall
bladder in the lateral aspect, extending into the segment V and IV ,infiltrating into the
porta hepatis, encasing the main portal vein and proper hepatic artery, and causing
biliary obstruction at CHD/CBD level with associted IHBR dilatation. -likely to
represent Carcinoma gall bladder with infiltration into the porta as described.
FOLLOW UP
Diagnostic laparoscopy followed by extended left hepaectomy was performed.
HISTOPATHOLOGY
Poorly differentiated adenocarcinoma arising from gall bladder extending into the
adventitia of common hepatic artery, wall of main portal vein, right portal vein,
perimuscular tissue, liver and muscularis propria of small intestine.
TUMOUR BOARD:
Following histopathology report,the patient is planned to be managed with adjuvant

chemotherapy.
FINAL DIAGNOSIS
POORLY DIFFERENTIATED ADENOCARCINOMA GALL BLADDER

Post
Acute
USG guided transplant
09/02/2018 1762269 Nil cellular
liver biopsy for ALD
rejection
cirrhosis
REPORTING RECORD

Barium studies 4
Others -
ULTRASOUND
TYPE NO. OF CASES

Neurosonogram 1
Doppler studies 20
Small parts 1
MRI reported 45

Date: January 2017
1 Punctuality
5 Bedside manners
9 Others
Total Score
DEPARTMENT OF
RADIOLOGY

MARCH 2019
CASE NO :1
NAME:INDIRA KUMAR AGE: 58Y / Female MRD NO:1794165
HISTORY
58 years old female came with complaints of fever, breathlessness and fatique for the
past 2 days.
CHEST RADIOGRAPH
Lobulated mass noted in the mediastinum on both sides obscuring the right heart border
suggestive of bilateral hilar adenopathy.
Thyroid gland is normal. Multiple discrete enlarged mediastinal nodes noted in

the paraaortic(1.2 x 1.3 cms), right upper paratracheal(1x 1 cms),right hilar(1.3 x 1.2
cms) and left hilar region(1.6 x 1.6 cms).Few subcentimetric nodes are also noted in
subcarinal and bilateral interlobar regions. Multiple scattered tiny centrilobular nodules
noted in right upper lobe, posterior segment, right middle lobe, lateral segment, left
lower lobe, anterobasal segment, left lower lobe posterobasal segment. Few fissural
basal nodules noted along the left lower lobe.No evidence of centrilobular fissural
thickening / peribronchovascular thickening. No evidence of pleural effusion /
thickening.Mediastinal structures are normal.Liver is enlarged.Spleen is normal.Rest of
visualized Upper abdomen is normal. Vertebrae shows degenerative changes.
Impression: Multiple enlarged mediastinal nodes with scattered centrilobular nodules
and few fissural based nodules as described - consistent with sarcoidosis.
FOLLOW UP
Mantoux test was done and was negative.The patient was started on DMARD’s
and corticosteroids.
FINAL DIAGNOSIS
SARCOIDOSIS
CASE NO: 2
NAME: HAMEED MOHAMMED AGE: 58Y/Male MRD NO:1928993
HISTORY
58 yr old male presented with complaints of right shoulder pain for past 1 1/2 years.He
had h/o fall from bike ,after that his symptoms started.The pain was dull and
progressive in nature radiating to his right arm.He had restriction of movement and
difficulty in doing day to day activities .No h/o swelling /fever or any other systemic
illness .
MRI SHOULDER
Degenerative intrasubstance tear of supraspinatus withperitendinous fluid.Infraspinatus

tendon and muscle are normal.Subscapular tendon shows intrasubstance tear with
peritendinous fluid.Teres minor is normal. Peritendinous fluid around biceps tendon ,
suggestive of tendinosis.Osteoarthritic changes seen in acromioclavicular joint
impinging on the supraspinatus tendon / muscle.Superior and inferior glenoid labrum
are normal.Glenohumeral joint spaces are normal.
Impression: Degenerative intrasubstance tear of supraspinatus with peritendinous
fluid.Infraspinatus tendon and muscle is normal.Peritendinous fluid around biceps
tendon , suggestive of tendinosis. Osteoarthritic changes seen in acromioclavicular joint
impinging on the supraspinatus tendon / muscle.
FOLLOW UP
Arthroscopic rotator cuff repair right shoulder was performed.
FINAL DIAGNOSIS
Rotator cuff tear involving supraspinatus. Subacromial bursitis Adhesive capsulitis
USG guided Suspected

02/03/2019 1716380 Post LDLT Nil
liver biopsy rejection
CONTINUED MEDICAL EDUCATION
CONFERENCES ATTENDED FOR THE
ACADEMIC YEAR 2017 – 2020
Monthly Cochin Radiology Club Meets Attended
Sl No: NAME OF THE CONFERENCE

1. KREST BASICS 2017
2. HARP JULY 2019
3. RADIMAGE : IRIA KERALA STATE MID TERM CME; 1Oth
SEPTEMBER 2019
4. STAR PRIMER, JANUARY 2019
5.
RARE CONFERENCE
PAPER PRESENTATION
SL
NO: DATE CONFERENCE TOPIC PRESENTED
19th October IRIA KERALA Role of MRI compared

2019 MID TERM with arthroscopy in
1
CME evaluation of patients with
rotator cuff Tears

DR - Faiza N

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ORIENTATION PROGRAM:

Serial Topic Faculty Date

3 Pharmaco-vigilance and Dr. Sangeetha 9th June 2017

6 HIS orientation Smt. Indira Nair 9th June 2017

7 Overview on research Dr Manu Raj 10thMay 2017

27.12.2017 X-ray generation Dr. Srikanth

9/5/2018 MR Physics (Part – II) Dr. Rajesh

01.01.20 Osteomalacia Dr. MANISH

Sl .No DATE TOPICS OF SEMINARS AND JOURNAL CLUBS

1. 13/05/2017 Haematological disorders of bone

SL.NO DATE TOPICS OF SEMINARS AND JOURNAL CLUBS

1. 20/5/2017 Fat containing lesions in Retroperitoneum

1. Pineal tumours 01/06/17 Dr. Sreekumar

Sl NO. TOPICS DATE FACULTY

Sl NO. TOPICS DATE FACULTY

Sl NO. TOPICS DATE FACULTY

Sl NO TOPICS DATE FACULTY

1. Schwanomma 1/11/17 Dr. Manish

Sl NO TOPICS DATE FACULTY

Sl TOPICS DATE FACULTY

DATE TOPICS FACULTY

01.03.2018 Corpus callosum agenesis. Dr. Vishnu V. Nair

DATE TOPICS FACULTY

02.04.2018 Choledochal cyst Dr. Nithin

DATE TOPICS FACULTY

07.05.2018 Cystic lung disease Dr. Ameena

Name: ABRAHAM CHERIAN Age: 52 Y/Male MRD: 1330577

Poorly differentiated carcinoma

WHOLE BODY PET CT IMAGING

POORLY DIFFERENTIATED CARCINOMA – LUNG

A well-defined lytic lesion noted in the metaphysis of proximal end of humerus

An incision biopsy of the lesion was performed.

MDCT PERIPHERAL ANGIOGRAM

Metadiaphyseal lesion of the right proximal humerous seen with thick

Excision biopsy from right proximal humerus - Chondrosarcoma, Grade 2.

CHONDROSARCOMA RIGHT PROXIMAL HUMERUS

PROCEDURES PERFORMED UNDER SUPERVISION

Date MRD no. Procedure Indication Complication Follow up

Plain Radiograph reported 250

MODALITY NO. OF CASES

DATE: SIGNATURE OF HEAD OF DEPARTMENT

UPPER GASTROINTESTINAL ENDOSCOPY

Exploratory thoracotomy and cervical esophagostomy was performed.

CAUSTIC STRICTURE ESOPHAGUS

Name: HARIKUMAR Age: 49 Y / Male MRD No.: 1710385

49 years male with background of diabetes mellitus, systemic hypertension and

PROCEDURES PERFORMED UNDER SUPERVISION

Date MRD no. Procedure Indication Complication Follow up

Plain Radiograph reported 180

MODALITY NO. OF CASES

TYPE NO. OF CASES

DATE: SIGNATURE OF HEAD OF DEPARTMENT

Name: AMANI Age: 18 Y/Female MRD No.:1727698

Generalised increased density in visualised skeleton. Sandwich vertebrae.Bone

The patient was advised mandibulectomy .

NAME: ANANDAN AGE: 65 Y/Male MRD No: 1727169

The patient was managed with Right Laparoscopic Nephrectomy

RIGHT RENAL CELL CARCINOMA

PROCEDURES PERFORMED UNDER SUPERVISION

Date MRD No. Procedure Indication Complication Follow up

Plain Radiograph reported 160

MODALITY NO. OF CASES

TYPE NO. OF CASES