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Showing posts from July, 2025

FINAL DIAGNOSE CASE-63

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RADIOLOGY CASE- 63 (FB & INSTA POST ANALYSIS... This chest X-ray shows findings consistent with pneumothorax , specifically on the Right  side. Key radiological features: Absence of lung markings on the right side peripheral area. Visible pleural line : a sharp line with no lung markings beyond it. Increased radiolucency (more black) in the right hemithorax. The lung appears collapsed medially. Correct answer: a) Pneumothorax.

FINAL DIAGNOSE CASE-35

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Radiology case-35 (FB and INSTA) Post ANALYSIS Radiology Report –CXR PA View Clinical History: Patient presents with prolonged low-grade fever, cough with sputum.. Examination : Chest X-ray – Posteroanterior (PA) view Findings: Bilateral lung fields show numerous tiny, uniformly distributed nodular opacities throughout both lungs. The nodules are 1–3 mm in size, giving a diffuse “millet seed” appearance , typical of miliary tuberculosis . No evidence of cavitation, consolidation, or pleural effusion. Hilar and mediastinal contours appear normal. Cardiothoracic ratio is within normal limits. Bony thorax appears intact. Impression : ✅ Findings are suggestive of Miliary Tuberculosis involving both lungs. Recommend HRCT chest for further evaluation and extent of disease. Clinical correlation and microbiological confirmation (e.g., sputum AFB, GeneXpert, or biopsy) advised..                           **...

FINAL DIAGNOSE CASE-31

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Radiology case- 31 ( FB and INSTA) POST ANALYSIS Patient Clinical History: Patient presents with pain in right hypochondriac region and loss of appetite . Examination: CECT Whole Abdomen (Coronal sections) Findings: Gallbladder: Presence of multiple hyperdense calculi within the gallbladder lumen. Findings are consistent with cholelithiasis . No obvious signs of gallbladder wall thickening or pericholecystic fluid to suggest acute cholecystitis. Common Bile Duct (CBD): The CBD is dilated (as marked in image). No definite intraluminal hyperdense calculus seen on this section; however, possible distal obstruction or choledocholithiasis cannot be ruled out. Liver and Intrahepatic Biliary Tree: Mild intrahepatic biliary radicle dilatation may be present secondary to distal biliary obstruction. Kidneys: A well-defined, non-enhancing, fluid-attenuation lesion is seen in the right kidney cortex – suggestive of a simple renal cyst . No hydronephrosis, renal...

FINAL DIAGNOSE CASE-30

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Radiology case-30 Analysis (FB and INSTA) Post Modality: Non-Contrast CT (NCCT) Head Clinical History: Patient with complaints of anxiety and abnormal behavior. Final diagnose - Hypodence lesion likely-LIPOMA Findings: A well-defined, lobulated hypodense lesion is noted in the   left frontal lobe , adjacent to the lateral ventricle. The lesion shows fat density , measuring approximately -90 Hounsfield Units (HU) — consistent with fat attenuation . No surrounding edema, calcification, hemorrhage, or post-traumatic changes are seen. No midline shift or significant mass effect. Ventricular system and cisternal spaces are normal in size and configuration. No evidence of acute infarct or intracranial hemorrhage. Impression: 🔹    Fat density lesion in the left  frontal region — likely intracranial lipoma. Adv- MRI                               ***********

FINAL DIAGNOSE CASE-29

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Radiology case-29 (FB and INSTA) post Analysis CT KNEE JOINT - Radiology Report Patient: 45-year-old male Clinical History: History of old trauma; presents with pain and swelling in the knee joint. Findings: CT scan of the knee joint reveals prominent osteophyte formation at the margins of the femoral and tibial condyles, suggestive of chronic degenerative changes. Joint space narrowing is noted, indicating osteoarthritis . Evidence of subchondral sclerosis and irregular joint surfaces. Multiple loose bodies/calcific densities are seen adjacent to the joint space. On the 3D reconstruction, there is extensive irregular bony overgrowth and deformity , likely due to chronic post-traumatic osteoarthritic changes . No acute fracture or dislocation seen. Mild  joint effusion noted. Impression: Chronic post-traumatic osteoarthritis of the knee joint with: Extensive osteophyte formation Degenerative joint changes Subchondral sclerosis and irregular articular surf...

FINAL DIAGNOSE CASE -28

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RADIOLOGY REPORT CASE-28 (FB AND INSTA) POST ANALYSIS Diagnose- Asperglioma Radiology case-28 Examination : Chest X-ray (PA View) Clinical History : Patient with history of chronic chest pain mild fever and Shortness of breath.. Findings : A well-defined round opacity is noted in the Right upper lung zone, surrounded by a crescent of air (air crescent sign), suggestive of a mobile intracavitary mass. The lesion is located within a pre-existing cavity, likely secondary to prior tuberculosis. No evidence of air bronchogram within the mass. No mediastinal shift or gross pleural effusion. Cardiac silhouette and costophrenic angles are within normal limits. Impression : Findings are suggestive of an Aspergilloma (Fungal ball) , likely within a post-tubercular cavity. Correlation with clinical history , serological tests (IgG for Aspergillus) , and HRCT Chest is recommended for further evaluation.                       ...

FINAL DIAGNOSE CASE-27

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Radiology case -27 FB and INSTA post Analysis FINAL DIAGNOSE -  Pelvic Neoplastic, serious cystadenoma Lesion with Ascites Patient : 65-year-old female Clinical Presentation: Lower abdominal pain with progressive swelling.. CT Findings (CECT Abdomen & Pelvis): 🔹 Ascites: Moderate free fluid is seen throughout the peritoneal cavity, particularly accumulating in the pelvic region. Suggestive of malignant or inflammatory etiology . 🔹 Pelvic Mass: A large, heterogeneously multiple ring  enhancing pelvic mass lesion  seen most possibility -? Neoplasm, serous cystadenoma   The lesion is lobulated, shows areas of necrosis , and is causing displacement of bowel loops. No clear fat plane with adjacent organs, raising suspicion of local invasion . Surrounding fat stranding noted. 🔹 Upper Abdomen: Liver is normal in size with no focal lesion . Gallbladder, pancreas, spleen, and kidneys appear unremarkable. No biliary dilatation or hepatos...

FINAL DIAGNOSE CASE-26

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Radiology case -26 FB and INSTA Post Analysis        CT LUMBOSACRAL SPINE REPORT Patient Name:...... Age/Gender:  65Y/F Clinical History:  - Chronic lower back pain,  Examination: CT Scan - Lumbosacral Spine Findings : There is diffuse sclerosis involving the vertebral bodies of the lumbosacral spine. No evidence of vertebral collapse, fracture  is noted. No significant disc bulge or herniation seen. Spinal canal and neural foramina are within normal limits . Sacroiliac joints appear unremarkable. Paraspinal soft tissues are within normal limits. Impression : Diffuse sclerosis of vertebral bodies , likely related to a metabolic bone disorder . Degenerative chenges.. NOTE- Recommend clinical correlation and further investigation - MRI 

FINAL DIAGNOSE CASE 24&25

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   Radiology Report case 24&25 FB and INSTA post Analysis Clinical History: 30-year-old male patient with history of chronic heavy smoking presents with chest and abdominal pain, vomiting, and generalized weakness. Examination : CECT Whole Abdomen and HRCT Chest HRCT Chest Findings: Nodular masses are seen in bilateral lungs, more prominently in the upper lobes (image 1), suspicious for lung metastasis or primary neoplasm (e.g., bronchogenic carcinoma). Confluent mediastinal lymphadenopathy noted (image 2), suggesting metastatic lymph node involvement or granulomatous disease   CECT Abdomen Findings: Confluent retroperitoneal lymph nodal mass is seen (image 3), consistent with nodal  or lymphoma . Mild ascites is present. Cholelithiasis (image 4) – multiple calculi noted in the gallbladder, no obvious signs of cholecystitis. Impression : Bilateral pulmonary nodular masses , likely malignant (primary or metastatic). Confluent mediastin...

FINAL DIAGNOSE CASE-23

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FINAL DIAGNOSE CASE - 23 (FB and INSTA POST ) ANALYSIS 🩻 Radiological Findings: Spine: There is a marked right-sided thoracolumbar scoliosis . The spine is curved in an "S" shape, which is abnormal. Vertebral alignment is disrupted with rotation. Ribs: Rib alignment appears altered secondary to spinal curvature . No obvious fractures or rib anomalies seen. Lungs: Lung fields are visible but mildly compressed due to scoliosis, especially on the left side. No obvious lung consolidation, mass, or pleural effusion. Heart and Mediastinum: Heart shadow appears shifted, likely due to the spinal curvature. No gross cardiomegaly noted. Diaphragm: Right hemidiaphragm is slightly higher than the left, possibly due to scoliosis or rotation. Costophrenic angles are visible. 📝 Radiology Impression: Thoracolumbar scoliosis , likely structural. No acute pulmonary pathology visualized. Cardiac and diaphragmatic contours appear altered due to spina...

FINAL DIAGNOSE CASE-22

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Radiology case-22 (FB and Insta Post) Analysis 🩻 Radiology Report: CECT Whole Abdomen Patient Details: Name:...... Age/Sex: 60-year-old Female Clinical History: Complaints of lower abdominal pain and frequent ruination. Examination: CECT Whole Abdomen (Coronal view provided) Final diagnose - Fibroid Uterus  Findings: Uterus: Uterus is enlarged. A well-defined, heterogeneous mass is noted arising from the uterus, showing coarse peripheral and central calcifications — suggestive of calcified fibroid (leiomyoma) . No evidence of necrosis or invasion into adjacent pelvic structures. Urinary Bladder (U.B.): Normal in shape and contour. Mildly displaced inferiorly due to the mass effect from the enlarged uterus . No wall thickening or intraluminal lesion. Impression: Fibroid Uterus with Calcification – likely degenerative changes in a postmenopausal woman. No evidence of associated pelvic organ  abnormality or acute abdominal pathology   ...

FINAL DIAGNOSE CASE-21

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Radiology case-21 FB and INSTA post Analysis Patient Information: Age/Sex: 65-year-old female Clinical History: High-grade jaundice, loss of appetite, epigastric pain, vomiting Examination: CECT Whole Abdomen Findings: Liver & Biliary System: Enlarge liver with Intrahepatic biliary radicles (IHBR) are dilated . Common bile duct (CBD) is significantly dilated , measuring approximately ___ mm. A hyperdense calculus is noted within the distal CBD — suggestive of choledocholithiasis . Gallbladder (GB) is overdistended , no obvious wall thickening or pericholecystic fluid noted. Pancreas: Normal in size and enhancement. No focal lesion or peripancreatic fat stranding. Spleen, Adrenals, and Bowel Loops: Appear unremarkable. Kidneys & Urinary System: A small, simple cortical cyst is noted in the left kidney. No hydronephrosis or renal calculi. Other Findings: No ascites or lymphadenopathy detected. No abnormal bowel wall thickening or o...

FINAL DIAGNOSE CASE-17

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 Radiology case-17 (FB and Insta Post solution) Patient Name : ...... Age/Gender : 22-year-old Female Study : CECT- W. ABDOMEN Study case- : Radiology case-17 FINAL DIAGNOSE - 1.Chronic Pancreatitis                                      2.Both ovarian symple cyst. Clinical History : Patient presented with sudden onset of severe hypogastric pain, followed by vomiting and loss of appetite. C T Findings: Pancreas : Multiple coarse and punctate calcifications seen scattered throughout the pancreas. No significant pancreatic ductal dilatation. No peripancreatic fluid collection or necrosis noted. Impression : Imaging findings suggest chronic pancreatitis . Ovaries : Bilateral ovaries are mildly enlarged. A simple cyst is noted in both ovaries, thin-walled and anechoic, with no septations or solid components. No adnexal mass or free fluid in pelvis. Other abdominal organs : ...

FINAL DIAGNOSE CASE-20

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         Radiology case-20 (FB and Insta Post) Final diagnose - Glioblastoma multiform (GBM) grade-IV) 🧠 Radiology Report: MRI Brain Patient Information: Name:....... Age/Sex: 40-year-old Male Study: MRI Brain with contrast 📌 Clinical Indication: Altered sensorium /Chronic Headache / Seizure one time.. ✅ Technique: MRI brain performed in axial,  planes using T1, T2, and post-contrast sequences. 🔍 Findings: A large heterogeneous ill-defined mass lesion is seen in the right occipito-parietal region (also involving splenium of corpus callosum). The lesion shows heterogeneous T2/FLAIR hyperintensity , central necrosis , and irregular peripheral enhancement on post-contrast images. Surrounding vasogenic edema extends into adjacent white matter with resultant mass effect : Effacement of adjacent sulci Compression of right lateral ventricle Midline shift of ~X mm to the left Involvement of corpus callosum ("butterfly glioma" pattern...