Radiology_technique

    Radiology case-15 (FB and Insta Post) Final diagnose- 1.Moderate Ascitis.  2. Lt ovarian mass -- neoplastic etiology.. Patient Information: Age/Sex: 70-year-old Female Clinical History: Loss of appetite, lower abdominal pain, and abdominal distension. Examination:  (CECT) Scan of Whole Abdomen Findings: Ascites: Moderate amount of free fluid is noted in the peritoneal cavity, predominantly in the perihepatic, perisplenic, paracolic gutters, and pelvic region— suggestive of ascites . Ovarian Mass: A heterogeneously enhancing complex solid-cystic mass lesion is seen arising from the pelvis, likely from the left ovary.-- suggestive of neoplastic etiology.. Liver, Spleen, Pancreas, Adrenals, and Kidneys: Normal in size and enhancement pattern. No focal lesions noted. Bowel Loops: Mildly displaced by the mass effect. No obstruction noted. Impression : Heterogeneously enhancing complex left ovarian mass lesion – suspicious for ovarian ...

RADIOLOGY CASE -14 FINAL DIAGNOSE (FB AND INSTA POST) CECT WHOLE ABDOMEN REPORT Patient Name:   Age/Sex:  45 /F] Study Date:  Radiology case - 14 Clinical Indication : Pain in umbilical region with Burning machuration with blood in urin.. Technique: Contrast-enhanced CT scan of the abdomen and pelvis was performed in axial sections with coronal and sagittal reconstructions after administration of intravenous contrast. Findings: Impression / Conclusion: Cholelithiasis  – Multiple gallstones without signs of acute cholecystitis. Right renal multiple calculi  with  moderate hydronephrosis  – Suggestive of obstructive uropathy. Liver, Spleen, Pancreas, and Adrenals: Normal in size, shape, and attenuation. No focal lesion seen. No evidence of intrahepatic biliary dilatation. Gall Bladder: Gall bladder is distended. Multiple hyperdense calculi noted within the gall bladder lumen, largest measuring approx 12 mm. No pericholecystic fat stran...

            BARIUM MEAL PROCEDURE Barium Meal (Upper GI Series) is a radiologic procedure used to visualize the upper gastrointestinal tract, including the esophagus, stomach, and duodenum , using barium sulfate as a contrast medium. 1. Indications Dysphagia (difficulty swallowing) Persistent upper abdominal pain Gastroesophageal reflux disease (GERD) Suspected peptic ulcers Suspected gastric outlet obstruction Evaluation of anatomical anomalies (e.g., hiatal hernia) Suspected tumors of the stomach or duodenum Follow-up of gastric surgery 2. Contraindications Suspected gastrointestinal perforation (use water-soluble contrast instead) Complete bowel obstruction Severe dysphagia with risk of aspiration Known or suspected barium allergy (rare) Pregnancy (due to radiation exposure) 3. Preparation Fasting : No food or drink for 6–8 hours before the procedure Medication : May need to stop medications that affect GI motility Smokin...

    Final diagnose Case-13 (FB and Insta Post) 📄 Radiology Report Format Patient Details: Name:...... Age / Sex: 60Y/M Date of Study: Post-13 Modality: CT Chest / X-ray Chest PA Clinical History:- A 60 year male patient present with cough chest pain and hemoptysis Findings on Chest X-ray PA Patchy bilateral opacities, more prominent on the upper zones. Increased bronchovascular markings. Possibly cavitary lesion in right upper zone. Suggestive of chronic infective pathology , likely post-primary pulmonary tuberculosis . Findings on HRCT Chest: Ground-glass opacities Seen in both lungs, more on the right side. Indicates active inflammation , infection, or early fibrosis. Emphysematous changes Dilated lucent areas without vascular markings, particularly in the upper lobes. Suggests paraseptal or centrilobular emphysema . Cavitatory lesion Thick-walled cavit y in the right upper lobe with adjacent consolidation. Classic sign of post-primary T...

      Radiology Case -11(FB and INSTA )Post RADIOLOGY REPORT Final diagnose - Ganglion Cyst Patient Name:........ Age/Gender:   50 Y/F Study: CT Wrist with F. A. (Plain) CLINICAL HISTORY: Patient presents with a painless, gradually enlarging swelling over the right wrist. Clinical suspicion of cystic lesion. TECHNIQUE : Non-contrast CT scan of the right wrist was performed in axial, sagittal, and coronal planes. FINDINGS:- A well-defined, hypodense lesion   is seen along the dorsal aspect of the right wrist , superficial to the extensor tendons. The lesion is homogenous , non-enhancing , and shows fluid attenuation ( ~20-30 HU). No calcification or internal septations noted. No bony erosions, periosteal reaction, or adjacent soft tissue infiltration. Surrounding fat planes are preserved. The underlying carpal bones and distal radius/ulna appear normal. No evidence of joint effusion or intra-articular extension. IMPRESSION: Findings ar...

       Radiology Case -12 (FB and Insta) Post CT Abdomen and Pelvis – Report Clinical History: 70 year-old female presenting with lower abdominal pain, swelling, and loss of appetite. Findings: 1. Pelvis : Uterus is bulky in size and show 9x8 cm posterior wall transmural focal lesion  with calcific foci within.. Focal uterine lesion -? Fibroid.. 🢂 Impression : Fibroid uterus with degenerative changes (likely hyaline or calcific degeneration ). 2. Liver : A hypodense lesion is noted in the right lobe of the liver. The liver increase in size 21 cm shape and show normal attenuation pattern and contrast enhancement 10x6x6 cm Right lob e -- Complex Cyst. 3. Other findings: Bowel loops and solid abdominal organs are otherwise unremarkable. No free fluid or lymphadenopathy noted. Impression: Large calcified uterine fibroid – likely cause of the lower abdominal mass and pain. Complex cystic lesion in right hepatic lobe – needs further e...

                  TRIPLE PHASE CT SCAN A Triple Phase CT Scan is a specialized imaging technique primarily used to evaluate vascular structures and organ perfusion , especially in the liver, pancreas, kidneys , and certain tumors. It involves acquiring CT images in three different phases of contrast enhancement after intravenous contrast injection. 🔹 Definition : A Triple Phase CT scan is a contrast-enhanced CT examination that captures images in three time-based phases following contrast injection: Arterial Phase (~20–30 sec) Portal Venous Phase (~60–70 sec) Delayed Phase (~5–15 mins) It provides detailed vascular and parenchymal evaluation, particularly useful for detecting hypervascular and hypovascular lesions. 🔹 Indications: Triple phase CT is commonly indicated in: Liver lesion characterization (e.g., HCC, metastases, hemangiomas ) Preoperative liver surgery planning Hepatic arterial mapping Pancreatic masses Renal t...

🩻 Final Diagnose Case - 10 (FB and Insta post) Clinical Presentation: Age/Sex : 45-year-old female Symptoms : Chronic cough with sputum production Breathlessness Chest pain Mild intermittent fever Imaging Modality: High-Resolution CT (HRCT) Chest   Radiological Findings:(Analysis) 🫁 Image 1: Multiple bronchial wall thickening and dilated bronchi predominantly in the lower lobes → Bronchiectasis (suggestive of chronic bronchitis) Associated interstitial fibrotic changes → Pulmonary fibrosis 🫁 Image 2: Multiple bullae and air-filled spaces with wall destruction → Emphysematous changes These are more consistent with centrilobular emphysema , often linked with smoking 🫁 Image 3: Well-defined air-filled rounded lucencies with thin walls in both lungs → Pulmonary cysts Co-existing with background fibrosis and bronchiectasis Probable Final Diagnosis: 🩺 Post-infectious Chronic Obstructive Pulmonary Disease (COPD) with Bronchiectasis and Pulmo...

  FINAL DIAGNOSE- CASE NO. (FB AND INSTA )                          (Myelitis Ossificans ) This lateral elbow X-ray shows a well-defined, rounded, calcified mass in the soft tissue anterior to the distal humerus and not attached to the bone. The characteristic zonal pattern of ossification —with a more radiolucent center and denser peripheral ossification—supports the diagnosis of:    Myositis Ossificans ✅ Key Radiological Features: Location : Soft tissue ( commonly post-traumatic ), not arising from bone. Zonal ossification : Peripheral mature bone with central lucency. Well-circumscribed lesion . No cortical destruction or periosteal reaction , helping to differentiate it from aggressive neoplasms like osteosarcoma. 🧠 Important Differentials: Osteosarcoma : Irregular margins, bone destruction, and central ossification (opposite of MO). Soft tissue sarcoma with calcification : Less organized...

   FINAL DIAGNOSE CASE NO - 8 (FB and Insta )         Re port Format (Radiology case - 8) Patient Information Age/Sex : 50-year-old female Clinical History : Chronic chest pain, cough, and shortness of breath and mild fever..       HRCT Chest Report Summary Findings : Image -1  Left upper lobe shows evidence of fibrotic changes with architectural distortion and traction bronchiectasis. Image -2  Multiple air-filled cystic lesions suggestive of post-infectious cystic bronchiectasis .     Image -3 Subpleural thickening is noted in the posterior segments, especially on the left side. No evidence of active cavitary lesion or pleural effusion. Mild volume loss seen with mediastinal shift towords right side. Impression : Imaging features are consistent with post-tuberculous sequelae ( fibrosis, bronchiectasis, and cyst formation ). No evidence of active pulmonary tuberculosis at present. Recommend corre...

  FINAL DIAGNOSE CASE-9 (FB & INSTA) The X-ray image you provided shows a classic "coffee bean sign" in the left side of the abdomen, indicated by the red arrows. This radiological sign is highly suggestive of: Diagnosis: Sigmoid Volvulus Explanation: The coffee bean sign represents a massively dilated loop of sigmoid colon that has twisted on its mesentery, creating the shape of a coffee bean. The central cleft of the "bean" points towards the site of the torsion. The gas-filled, dilated colon displaces surrounding structures. Key Features on the X-ray: The dilated loop of bowel with a central longitudinal cleft. The apex of the loop typically points to the right upper quadrant (but in this case, it appears left-dominant). Absence of gas in the rectum. Possible "kidney-shaped" appearance of the loop. Next Steps: Confirm with CT abdomen (may show “whirl sign”). Endoscopy.         NOTE- THIS IMAGE GENERATED BY META AI.. SO FINDI...

  FINAL DIAGNOSE CASE NO.--7 (FB & INSTA ) 📸 Radiology Case #7 👩‍⚕️ H/O : 23-year-old female 📍 Symptoms : Cough with sputum & shortness of breath, mild fever.. 🧠 Diagnosis? ➡️ Tuberculosis . 🩻 CT Findings : Image-1 ✅ Multiple nodular opacities with“ tree in bug” appearance noted in bilateral lung field. Image-2 ✅ Fibrosis with traction bronchiectasis noted in bilateral lung fields. Image-3 ✅ Small volume mediasternal Lymphnodes seen.. F/s/o- Tuberculosis .. 🧬 Differential Considerations: 🌬️ Post-infectious bronchiectasis 🦠 Tuberculosis sequelae 🧪 Primary ciliary dyskinesia ⚠️ Early Cystic Fibrosis (less likely at this age) 💡 Teaching Point: Bronchiectasis in young adults should raise suspicion for underlying systemic or genetic conditions. Always correlate with clinical history, PFTs, and sputum cultures. 🧠 What else would you consider in the differential? Drop your thoughts below! 👇 🔁 Save & share for revision | ❤️ Like if...

🫀 CT Coronary Angiography (CTCA) ✅ Definition CT Coronary Angiography is a  imaging technique that uses multi-detector computed tomography ( MDCT ) and intravenous iodinated contrast to obtain detailed 3D images of coronary arteries , used primarily to detect c oronary artery disease (CAD) . 📌 Indications CTCA is typically used for: Atypical or non-specific chest pain Low to intermediate risk of CAD Equivocal or inconclusive stress test Evaluation of coronary artery anomalies Assessment of coronary bypass grafts Pre-operative cardiac evaluation (e.g., before major surgery) Follow-up of stents (with limitations) ⚠️ Contraindications Absolute: Severe allergy to iodinated contrast Severe renal impairment (eGFR <30 mL/min/1.73 m²) Pregnancy (unless absolutely necessary) Uncontrolled arrhythmias Inability to cooperate or hold breath Relative: High heart rate (>100 bpm) Severe obesity (may degrade image quality) Claustrophobia Thyrotoxi...

  📝 Radiology Case -5 Final Report (Insta, Facebook post ) Patient Information : Age/Gender: 60-year-old male Clinical Presentation: Breathlessness, chest pain, and dysphagia. Imaging Modality & Views : Chest X-ray (PA view) CT Thorax (Axial lung and mediastinal windows) Findings : Chest X-ray : Multiple thick-walled cavitary lesions in the right upper and mid zones. Associated volume loss and fibrotic changes with B/L Emphysematous chenges seen. Mediastinal deviation to the right. Mild pleural thickning noted. CT Thorax : Multiple varying size broncho  cavitory lesion with adjecent fibroatelectic changes - Chronic infection . B/L Pleural thickening. Right sided mediastinal and tracheal shifted. Multiple varying size paasptal infiltration with emphysematous changes seen in bilateral lung field. Large bulla seen n the right lower lobe. Suggestive of changes of COPD .

          CT SCAN BRAIN (ANGIOGRAPHY) CT Brain Angiography ( CTA Brain ) is a  radiological procedure that uses computed tomography and contrast injection to visualize the blood vessels in the brain , especially arterie s. It helps in diagnosing vascular abnormalities of the cerebral cirAcquisition 🧠 1. Definition CT Brain Angiography (CTA) is an advanced imaging technique to evaluate intracranial arteries and veins , including: Circle of Willis Cerebral arteries (ACA, MCA, PCA) Venous sinuses (if venous CTA is done) It is faster and less invasive than conventional catheter angiography. ✅ 2. Indications Aneurysms Arteriovenous malformations (AVMs) Acute stroke (to detect vessel occlusion) Intracranial stenosis or thrombosis Vascular tumors Head trauma (to assess vascular injury) Follow-up after clipping/coiling of aneurysms Pre-operative planning for neurosurgery ❌ 3. Contraindications Allergy to iodinated contrast Renal ...

            CASE NO. 4 ( FB and INSTA) Based on the provided chest X-ray and CT scan images, along with the clinical history of 60 Year Male patient present with  fever, shortness of breath, and chest pain , the findings are highly suggestive of lobar pneumonia , most likely involving the  lower lobe . Here's a breakdown:       Image Analysis (x-Ray and CT) 1. Chest X-Ray (Image 1) Findings : There is a homogeneous opacity in the right lower lung zone. The opacity is localized , suggesting consolidation. No clear air bronchograms are visible on this view, but they may be subtle. Interpretation : These features are consistent with lobar consolidation , typical of bacterial pneumonia . 2. CT Chest ( image no. 2) Findings : The axial image shows patchy to confluent consolidation in the right lower lobe. Presence of air bronchograms (visible air-filled bronchi within consolidated lung). No significant pleural ef...

                      Final Diagnosis : Achalasia with Megaesophagus (Advanced Stage). 🔍 Radiologic Evidence: 🩻 Chest X-ray (Image 3) : Shows a widened mediastinum with a long, tubular opacity . Evidence of air-fluid level and mottled density , suggestive of retained food/debris in a dilated esophagus. Esophagus appears greatly dilated , deviating slightly to the left — classic for chronic achalasia . 📸 CT Scan (Images 1 & 2 – Coronal and Sagittal) : Demonstrates a massively dilated esophagus filled with fluid, food debris, and gas . No discrete mass or stricture is visible, helping rule out malignancy (pseudoachalasia) . The esophagus extends well below the carina, almost to the gastroesophageal junction, with a characteristic tapered narrowing at the LES ("bird beak" sign may be inferred on barium). 🧠 Clinical Correlation: 10-year history of progressive dysphagia to both solids and liquids. Worsen...

 RADIOLOGY CASE-1 (  INSTRAGRAM/FACEBOOK) SOLUTION This is a chest X-ray image showing the thoracic region of the spine and rib cage. The red arrows are pointing to abnormalities in the upper zones of the Left lung (left side of the image due to standard radiographic orientation). Observations (On x-Ray) The areas indicated by the arrows show increased opacity (whiter areas), suggesting consolidation or infiltrates , which are not normally seen in healthy lung fields. These findings could be consistent with pulmonary tuberculosis , pneumonia , or another form of infection/inflammation . The right upper lobe is a common site for post-primary (reactivation) tuberculosis , and the radiographic appearance here is suggestive of that possibility. Observation (On CT scan)      • The areas indicated by the arrows show Consolidation and air fill cavitory lesion. Possibly the finding on ct scan image showing possibly-  Pulmonary Tuberculosis. Recommendations :...