Objective: To assess physicians' knowledge, attitude and practice of radiology. Materials and Methods: Cross-sectional study utilizing an anonymous questionnaire responded to by physicians, divided into parts as follows: one with questions about the physicians' knowledge of imaging modalities, availability of the modalities at the Jos University Teaching Hospital (JUTH), modalities with ionizing radiation, radiologist reports and way forward in improving services at radiology department. Results: A total of 123 physicians participated in the study. Majority of the physicians (65.0%) were males. Male to female ratio was nearly 2:1. Concerning the impression about radiology, the Salaam et al.; JAMMR, 32(4): 16-23, 2020; Article no.JAMMR.55271 17 study showed that 101(82.1%) like radiology as a specialty. There was however poor knowledge about the risks and hazards associated with radiological imaging modalities. Conclusion: The non-radiologist physicians' knowledge is heterogeneous and, in some aspects, needs to be improved. Multidisciplinary clinical meetings and teaching activities are important ways to disseminate information on the subject. Original Research Article

CD + counts were studied. Two hundred (40%) of the patients had normal abdominal ultrasound, while 60% (300) had various abnormalities. The common abnormalities included increased liver parenchymal echogenicity in 25.0%, hepatomegaly in 23.4%, splenomegaly in 6.6%, increased splenic echogenicity in 6.2% and thickened gallbladder wall in 12.6%, elevated renal parenchymal echogenicity in 6.4%, enlarged kidneys in 2.6%, lymphadenopathy in 6.0%, and ascites in 2.4%. Pelvic abscess was the least pathology in 0.2%.Most of the findings did not correlate with the patients' 4 CD + count except for lymphadenopathy and ascites. Although abdominal ultrasound examination is invaluable in the management of these patients, however, it has not shown to be useful in predicting the patients' immune status.

Hepatobiliary diseases occur commonly in patients with Human immunodeficiency virus (HIV) infection and are now the commonest cause of death in HIV positive patients on antiretroviral therapy (ART) in western countries. The hepatobiliary manifestations of AIDS are related to the levels of CD 4 + count as well as liver enzymes. Abdominal ultrasound examination is easy to perform, non-invasive, inexpensive, readily available and provides valuable information about hepatobiliary findings in AIDS. The study was to evaluate hepatobiliary sonographic findings in HIV/AIDS adult patients and correlate with their CD 4 + count and abnormal liver enzymes (ALP, ALT and AST) in Jos, Plateau State, Nigeria. A cross-sectional study of hepatobiliary ultrasound findings of 410 adult patients with HIV/AIDS was carried out over a period of six months. Two hundred and sixteen (52.7%) of the patients had normal hepatobiliary ultrasound findings while 194 (47.3%) patients had various abnormalities. The common abnormalities seen include enlarged gallbladder in 33.5%, increased liver parenchymal echogenicity in 26.3%, hepatomegaly in 23.7%, and thickened gallbladder wall in 7.8% patients. Other findings included gallbladder sludge and gall stone in 6.6 and 2.1% respectively. These findings correlated significantly with the patients' CD 4 + count and liver enzymes (ALT, AST and ALP) with p value < 0.05 in both. Ultrasonography as a baseline imaging modality in HIV/AIDS patients, together with CD 4 + count and liver enzymes are useful in the assessment of the disease state, monitoring of therapy and management of these patients.

No abstract

Background: Fat liver is one of the most common abnormalities of the liver depicted on ultrasound and whose impact has not been fully evaluated in Nigeria. Ultrasound scan is an imaging modality that is cheap and readily available and comes in handy in evaluating this disease. Aim of the current study was to determine the relationship of Fatty liver with age, gender, alcohol consumption and body habitus.Methods: This is a hospital-based cross-sectional study involving 316 subjects diagnosed with fatty liver on ultrasound scan. A structured questionnaire was administered to each subject to ascertain their age, sex, and alcohol intake. The weight and height of all subjects were also measured and the body mass index (BMI) was calculated.Results: The study comprises 151 (47.8%) males and 165 (52.2%) females respectively. A good number of the participants 232 (73.4%) were between the age of 30-59 years. The majority of the participants had of 30 kg/m2 and above. Majority of the participants 225 (71.2%) do not consume alcohol. The study showed a positive but weak correlation between increasing BMI and fatty liver span. The study revealed that most participants with liver span <15.9 cm (57.1%) or ≥16 cm (75.5%) have BMI ≥30 kg/m2.Conclusions: This study showed fatty liver is common in all ages and gender but commoner in the middle age groups with strong relationship between increasing body weight and fatty liver, but a weak relationship with regards to the span of the liver.

No abstract

Background: Neck pain is a common global health problem causing significant individual disability and socioeconomic burden on health care facilities. Many factors have been associated with neck pain but the most implicated is the cervical intervertebral disc disease. Magnetic resonance imaging (MRI) scan is considered globally as the most sensitive test for detecting degenerative disc abnormalities associated with neck pain. The objective of this study was to evaluate cervical disc changes on MRI in non-traumatic symptomatic subjects and to accumulate baseline data on the pattern of changes.Methods: A four-years retrospective review of 115 patients (age range 13 to 81 years) who had a cervical MRI scan due to non-traumatic neck and radiating shoulder pain from September 2017 to February 2021 at the Radiology Department of Jos University Teaching Hospital North Central Nigeria. All the patients were scanned using a Single Siemens (Magnetom Concerto) MRI scanner with 0.2T magnetic field strength. Sagittal T1-weighted and T2-weighted fast spin-echo images were acquired, and axial images and contrast-enhanced studies were done only when required.Results: The study included 74 (64.3%) males and 41 (35.7%) females with a mean age of 50.7±13.2 and a modal age group of 41-60 years. The normal intervertebral disc was commonest at C2/C3 followed by C6/C7 level while degenerative disc changes were most commonly seen at C4/C5 followed by C5/C6 level. The majority (93%) of patients had multilevel intervertebral disc changes and the most frequent and severe occurrences of intervertebral disc dehydration, bulge, herniation, and disc space narrowing were noted at C4/C5 (79.1%), C4/C5 (12.2%), C5/C6 (59.1%) and C4/C5 (10.4%) respectively.Conclusions: This study found all patients examined had at least one level of intervertebral disc changes with the majority having multilevel involvement (93%). The most commonly and severely affected level was C4/C5 followed by C5/C6 level. The most frequent and severe occurrences of disc desiccation, bulge, herniation (protrusion/extrusion/sequestration) and disc height reduction were noted at C4/C5 (79.1%), C4/C5 (12.2%), C5/C6 (59.1%) and C4/C5 (10.4%) respectively.

Boerhaave’s syndrome is a full-thickness perforation of oesophagus associated with vomiting and/or severe straining. It is a severe condition with high morbidity and mortality; the outcome is dependent on early recognition, prompt and effective intervention. It commonly presents early with mediastinitis or pleural effusion. Though uncommon, it can present late with severe chest complications which are usually managed aggressively. The present study reports a 41-year old Nigerian man with Boerhaave’s syndrome who presented with left pneumohydrothorax who was successfully managed with chest tube thoracostomy drainage and parenteral nutrition.