Acute on chronic infarct

Name: Ramachandran

Age: 73 Yrs

Sex: Male

Complaints: H/o fall. Headache

Introduction:

Case study: Bilateral cerebral hemisphere shows well defined irregular hypodense (16-20HU) encapsulated subdural collection with maximum thickness measuring ~7 mm in the left high parietal region.

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Conclusion: Acute on chronic subdural hematoma (SDH) involving bilateral cerebral hemisphere as described.

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Acute on chronic SDH

Case: 23

Heading: Acute on chronic SDH

Name: Dr. Ahammed Kunju

Age: 79 Yrs

Sex: Male

Complaints: H/o fall.

Introduction:

Case study: Bilateral cerebral hemisphere shows well defined encapsulated hypodense subdural collection with maximum thickness in the right measuring ~12 mm and seen extending along the parieto-occipital convexity showing irregular areas of hyperdensities.

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Conclusion: Well defined encapsulated hypodense subdural collection with randomly distributed areas of hyperdensity in the bilateral cerebral hemisphere. – Features suggestive of acute on chronic subdural hematoma.

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Mastitis with abscess

Age: 27 Yrs

Sex: Female

Complaints:  H/o right breast pain

Introduction:

Case study:  Well circumscribed irregular hypoechoic fluid collection measuring ~3.7 x 1.8 cm with complex mixed echogenicity showing peripheral vascularity and surrounding echogenic fat noted in the right upper midline at 12 o’clock position extending into the subareolar region.

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Conclusion: Well circumscribed irregular hypoechoic complex collection in the right breast extending into the subareolar region with surrounding inflammatory changes (BIRADS category 2). – Features in favour of acute mastitis with abscess formation.

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DISH

Name: Gowrikutty

Age: 80 Yrs

Sex: Female

Complaints:

Introduction:

Case study:  Diffuse degenerative changes in the form of flowing osteophytes in the anterior aspect of thoracic vertebrae with loss of disc space and fusion of multiple vertebral bodies.

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Conclusion: Diffuse degenerative changes in the thoracic vertebrae in the form of flowing osteophytes, disc space reduction and fusion of multiple vertebrae bodies. – Features in favour of diffuse idiopathic skeletal hyperostosis (DISH).

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Thyroglossal duct cyst

Name: Mukesh

Age: 32 Yrs

Sex: Male

Complaints: C/o neck swelling

Introduction:

Case study:  Well defined thick walled complex cystic lesion with minimal low level internal echoes measuring ~4.2 x 1.8 cm noted in the anterior midline of neck superior to thyroid gland. No significant internal vascularity. Peripheral vascularity noted.

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Conclusion: Well defined thick walled complex cystic lesion in the anterior midline of neck superior to normal thyroid gland.  – Features suggestive of thyroglossal duct cyst

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