Giant Fibroadenoma on sonography
A 16 year old with a large mass in right breast came for differential diagnosis between Giant Fibroadenoma and Cystosarcoma phyllodes (Phyllodes tumour) on ultra- sonography. Here there are no anechoic focal cystic components. Incidental fibroademoa was found in left breast as shown in image.
The sonographic findings are difficult to differentiate between the two. Histopathology is important here.
Meningocele vs Cystic Hygroma at 15 weeks gestation
At 15 weeks antenatal scan the following findings were observed:
1. A large cystic mass (multilocular) about 4 x 5 cm size.
2. Ill-defined defect at occipital area - perhaps should be clearer later.
3. Fetal ascites, Fetal Pleural effusion.
4. Fetal Spine Hyperextension.
Cystic Hygroma vs Meningocele
Others: Cystic Teratoma, lymphangioma,
Colo-Colic Type of Intussusception
A 4 month old baby was clinically suspected of Intussusception. Ultrasonography showed the following findings as seen in image.
A pneumatic reduction was attempted, but this did-not completely reduce the telescoping. (4.5cm length came down to 4.0 cm approx). The baby was then sent for hydrostatic reduction.
Good signs were that there were no complications - Absence of ascites and short segment of intussusception, presence of blood flow in the intestinal wall on doppler which ruled out gangrene.
Rare Case of Sirenomelia - Caudal Regression Syndrome
Antenatal Diagnosis of Sirenomelia : A case report of “SIRENOMELIA ” dected in our institute i.e. Vani Vilas Women and Children Hospital, Bangalore Medical College, Bangalore, on routine antenatal Sonological Examination.
A definite diagnosis of SIRENOMELIA was made and the same was reported the clinicians were requested not to perform destructive operations instead to remove the fetuses intact, Specimen photograph is enclosed. Caudal Regression Syndrome is a rare disorder characterized by abnormal development of the lower spine end of the developing fetus. A wide range of abnormalities may occur including partial absence of the tailbone end of the spine causing no apparent symptoms, to extensive abnormalities of the lower vertebrae, pelvis, and spine.
Pleural calcifications on CT Scan
Pleural thickening with calcification and adjacent fibrotic changes are seen in the right lung, predominantly involving the middle and lower lobes.
There is a 12mm calcified nodule with upper lobe of right lung.
Subcentimetric calcified nodules in the lower lobe and lingular segment of left lung.
Mild scaring in the right apical lung and in the lingula.
Diffuse emphysematous changes are seen in the lungs, more prominently in the upper lobes.
Thanatophoric Dysplasia Lecture presentation with 3 cases
Thanatophoric Dysplasia Lecture presentation with 3 cases. This was worked up by PG Dr. Anuradha in 2004 at Vanivilas Hospital under Professor Dr. B.R. Nagaraj - Bangalore Medical College.
Thanatophoric dwarfism radiology club