Tuberculosis of CNS accounts for approximately 5-10% of extra-pulmonary TB cases. Intracranial manifestations of CNS TB include tubercular meningitis,complications of tuberculous meningitis,pachymeningitis,parenchymal tuberculosis. The first choice of imaging in CNS TB is MRI because of its inherent sensitivity and specificity in the detection of early subtle lesions. Our Aim includes Detection & characterization of various MRI findings in Intracranial tuberculosis. MRI brain was done in 60 patients with signs and symptoms of CNS involvement. Out of which, 2 patients (3%) were found without any neuro-radiological abnormality and were excluded. In rest of patients (n=58; 97%) one or more than one finding was present in a single patient; Leptomeningeal enhancement (n= 37; 61%), Tuberculomas (n=32; 53%), Hydrocephalus (n=17;28%),Infarcts (n=14;23%),Basal exudates (n= 11;18%) were more often present.
Background: With rapid urbanization and motorization of the society there is an exponential increase in road traffic accidents (RTA). Facial trauma and mandibular fractures are some of the common injuries seen in these cases. Imaging of these fractures is essential part of management. Panoramic and oblique X-rays can be used to diagnose these fractures however computerized tomography gives a unique advantage as it enables 3 D reconstructions of images. We conducted this study to assess the patterns of mandibular fractures and associated injuries presenting to a tertiary care center. Aims and Objectives: The study was conducted to assess the patterns of mandibular fractures and associated injuries presenting to a tertiary care center in Aurangabad. Materials and Methods: This was a prospective study in which 30 cases with complaints of facial trauma and with mandible fractures were included on the basis of a predefined inclusion and exclusion criteria. A detailed history was taken and mode of injury, duration since injury and history of any other trauma was noted down in proforma. Demographic details such as age and gender was also noted down. The CT scan of the face was done. Beam collimation of 2 mm, pitch of 1.2 mm and 120 Kv voltage was used. Patterns of mandibular fracture were analyzed. Results: Out of 30 patients there were 27 (90%) males and 3 (10%) were females with a M:F ratio of 9:1.The mean age of male and female patients was found to be 34.96 +/- 10.49 years and 26.66 +/-5.90 years respectively. Road traffic accidents (RTA) were the predominant causative mechanism and was seen in 27 (90%) of cases. Unilateral multifocal fractures involving body of the mandible were the most common type of fractures. Body of the mandible was seen to have been fractured in 17 (56.66%) cases. Conclusion: Mandibular fractures are commonly seen following road traffic accidents. Though X-Rays can be used for diagnosis of these fractures Computerized tomography gives a distinct advantage of ability to do 3-D reformatting of images.
BACKGROUND Acute pancreatitis is a common condition with variable clinical course. Imaging studies play an important role in diagnosis a nd management of acute pancreatitis. Computed Tomography (CT) is undertaken to determine the role of CT in acute pancreatitis, to differentiate between oedematous and necrotising pancreatitis and to evaluate the complications and severity using Modified Computed Tomography Severity Index (MCTSI). MATERIALS AND METHODS This is a prospective observational study. Sixty patients with clinical suspicion of acute pancreatitis underwent contrast enhanced CT during two years period. MCTSI score for acute pancreatitis was calculated which includes assessment of pancreatic inflammation, necrosis and extrapancreatic complications. RESULTS Peripancreatic fat stranding was the common feature seen in 90% patients. Extrapancreatic complications were noted in 32 (53%) patients and pancreatic necrosis in 20 (33%) patients. CONCLUSION CECT of abdomen in acute pancreatitis helps in differentiating between oedematous and necrotising pancreatitis. The MCTSI helps in evaluating the percentage of pancreatic necrosis and to predict the possibility of developing local and systemic complications. Depending upon the MCTSI grading, the treatment plan can be implemented more effectively and accurately.
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