Sharad B. Gadgil ¹, Shopnil Prasla ², Sumit Baviskar ³, Parag Garse ²

Affiliations
1 Associate Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra, IN
2 P.G. Resident, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College and Hospital, Adgaon, Nashik − 422003, Maharashtra, IN
3 Assistant Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik − 422207, Maharashtra, IN

Abstract

Introduction: Focal Hepatic Lesions (FHL) has been a common reason for consultation faced by medical consultants. With the widespread use of imaging studies led to an increase in detection of incidental focal liver lesions. It is important to consider both malignant liver lesions as well as benign solid and cystic liver lesions such as hemangioma, focal nodular hyperplasia, hepatocellular adenoma, and hepatic cysts, in the differential diagnosis. Objectives: Our aim was to study the computerized tomographic finding in the various focal hepatic lesions and also to study the various enhancement pattern of the focal hepatic lesion. Materials and Methods: CT scan study of abdomen and pelvis was done on 100 patients from August 2015 to December 2017 over a period of the 2 years. Patients, irrespective of age and sex referred to radiology department of our institute on IPD or OPD basis were included in the study. All patients will be subjected to computerized tomography of the abdomen with CT (Siemens Somatom Emotion 6) machine and Somatom Essenza. Results: Total 100 patients were studied for various focal hepatic lesions out of which 64(64%) were male patients and 36(36%) were female patients. The most common affected age group encountered in our study was 51-60 years. Various focal hepatic lesions were reported in which 64(64%) patient had malignant nature of lesion with most common pathology detected was hepatic metastasis seen in 37(37%) patient. On other hand benign lesion were evident in the 36(36%) patient with hemangioma as most common pathology in this category. Conclusion: Multi-detector Computed Tomography (MDCT) with a correlation of triple phase study is an excellent tool for diagnosis of the focal liver lesion by learning the degree and pattern of enhancement in all three phase thus helping in better characterization of the lesion. MDCT allows the reconstruction and reformation of images supported in detecting multiple lesions and early diagnosis of a focal lesion in the presence diffuse liver condition.

Keywords

Benign, Computerized Tomography, Hepatic, Lesion, Malignant, Tumour.

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Mahesh H. Yadav ¹, Nilesh Chaudhari ², Sumit Baviskar ³, Parag D. Garse ¹

Affiliations
1 Former PG Resident, Department of Radio-diagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Associate Professor, Department of Radio-diagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Assistant Professor, Department of Radio-diagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Abstract

Background: Temporal bone imaging has always been a challenge. Though infections and trauma are the most common pathologies encountered; a wide range of neoplasms affect this region which can become a serious threat if overlooked. Computed Tomography (CT) plays a crucial role in diagnosis and characterization of these neoplasms. It is very helpful to evaluate the extent of the lesion and involvement of adjacent structures, helping to decide appropriate management. Aims and Objectives: The purpose of our study was primarily to evaluate various neoplasms in the temporal region based on CT findings in patients presenting to the radiology department in a tertiary care centre. Materials and Methods: The prospective study done over a period of 2 years in the Department of Radio-diagnosis at Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik included 26 patients with neoplasms involving the temporal region. CT scan of all these patients was performed on Siemens Somatom Perspective (128 slice). The imaging findings were correlated with histopathological and surgical findings wherever available. Results: The study comprised of 26 patients in which bulk of the patient’s i.e. 42% had features of vestibular schwannoma on imaging. Glomus tumour and cerebellopontine angle epidermoid cyst found in 15% and 11% of patients, respectively were the other common lesions. Neoplasms were most common in the age group of 41 to 50 years. There was female preponderance (62%) amongst patients. Headache and hearing loss were the most common complaint. Conclusion: We can ascertain from this study that neoplasms in the temporal region show characteristic findings on CT imaging. These imaging characteristics coupled with other imaging and clinical findings help us to achieve an accurate diagnosis. Imaging techniques enables a reliable non-invasive assessment of these neoplasms.

Keywords

Computed Tomography, Glomus Tumour, Temporal Bone, Vestibular Schwannoma

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Abhay Kakade ¹, Sumit Baviskar ², Sharad B. Gadgil ³, Akshit Dinesh Gangwal ⁴, Priti Komatwar ⁴, Sujay Saxena ⁴

Affiliations
1 Associate Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Assistant Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
4 Former PG Resident, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Abstract

Introduction: Laryngeal cancer is one of the most common head and neck malignancies, accounting for about 20% of all cases. The association of laryngeal cancer and tobacco smoking is well-established. Aims and Objectives: To study the findings of laryngeal cancer on computed tomography. Materials and Methods: The study was conducted on 35 patients who came for CT in the Department of Radio Diagnosis at a Tertiary Health Care Centre in a period of 2 years. Results and Conclusion: Carcinoma of larynx is less common below the age of 50 years. Maximum numbers of diagnosed patients are in the age group of 60-69 years. Carcinoma of larynx is more common in males. Tobacco smoking has significant risk. Smoking and alcohol act synergistically in predisposing to cancer of larynx. Hoarseness of voice is the most common presenting complaint. Glottic cancers are more common.

Keywords

Cancer, Computed Tomography, Larynx

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Sumit Baviskar ¹, Nilesh Chaudhari ², Ajit Patil ³, Priti Komatwar ⁴, Akshit Gangwal ⁴, Ashu Dixit ⁴, Sujay Saxena ⁴

Affiliations
1 Associate Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
2 Professor and Head, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
3 Assistant Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
4 Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN

Abstract

Background and Objective: Knee joint is the complex joint. It is much frequently injured joint due to trauma. The principle intra articular structures in the knee are the 2 cruciate ligaments, 2 menisci and the 2 collateral ligaments. The main objective is to study the MRI findings in ligament injuries of knee joint. Materials and Methods: MRI knee of 110 patients with suspected ligament injuries of knee joint was performed on 1.5-T MR system using flexible surface knee coil. Results: A total of 110 patients in a period of 2 years were collected and analysed comprising of either single ligament or combination of ligament tears. Anterior Cruciate Ligament (ACL) tear was most common and seen in 61 patients followed by Medial Collateral Ligament (MCL) in 31, Lateral Collateral Ligament (LCL) in 22 and Posterior Cruciate Ligament (PCL) in 16 patients. Majority of the patients belonged to age group 18-30 years with right knee involvement. Males dominated in this study constituting 63.64% of total population. Conclusion: MRI is non-invasive prime imaging modality with nonionizing radiation and multi planar capabilities. It accurately detects, localizes and characterizes various ligament injuries of the knee joint and help in arriving at accurate final diagnosis thereby guiding further management of the patient.

Keywords

ACL - Anterior Cruciate Ligament, LCL - Lateral Collateral Ligament, MCL- Medial Collateral Ligament, MRI - Magnetic Resonance Imaging, PCL- Posterior Cruciate Ligament, T – Tesla

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