Background: We aimed to report different patterns of chest computed tomographic (CT) findings in coronavirus disease-19 (COVID-19) infected patients in Bangladesh. Methods: This was a cross-sectional descriptive study of 200 consecutive reverse transcriptase polymerase chain reaction (RT-PCR) positive patients who underwent CT chest. Distribution, type of abnormal lung findings and Prevalence were recorded. Result: Among the total study cohort of 200 patients, 148(74 %) were males and 52 (26 %) were females with mean age of 53.9 ± 16.7 years (range 20–92 years). We observed lung parenchymal abnormalities in 125 (62.0 %) cases whereas 75 (37.5 %) RT-PCR positive cases had a normal chest CT. Common symptom was cough in 108 (54%), Only 18.0% of the patients were dyspneic. Among the patients with abnormal CT findings bilateral involvement was commonest 98/125 (78.4 %), multilobar (54.0 %) lung involvement with a predominant peripheral and posterior distribution was more commonly observed. With regards to the type of opacity, ground glass opacity (GGO) was the predominant abnormality found in 122/125 cases. Pure GGO was observed in 29 (23.2 %), most common pattern was GGO mixed with consolidation was noted in 52(41.6 %). GGO with crazy paving pattern was seen in 33 (26.4 %) and sub pleural linear and curvilinear lines were seen in 23(18.4%). Peri-lesional or intralesional segmental or subsegmental pulmonary vessel enlargement was observed in 36 (70.6 %) cases. Conclusion: In this study population, we found a high proportion of symptomatic laboratory-confirmed SARS-CoV-2 patients had positive chest CT findings. Patients with a positive CT showed typical findings of predominant GGOs in a bilateral and multilobar distribution with peripheral predilection. AKMMC J 2021; 12(1) : 38-44
Background & objective: Pathology of ear is the third most common reason of visiting an Otorhinolaryngologist. Imaging plays an important role, especially in complicated and recurrent conditions and influence the treatment.Because of complicated anatomy radiographic assessment of temporal bone is difficult. An HRCT scan is useful for detail anatomical evaluation, assessment of different pathology, determining the extension and site of cholesteatoma and its sac, assessing the ossicles, evaluating the facial nerve, tegmen and sinus plate, and determining dural, sigmoid sinus, and jugular bulb positions. It is excellent in accurate assessment of pathology prior to surgical exploration regarding location, extent and complication of the disease. Method: A cross sectional study was carried out in the Department of Radiology and Imaging, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka in collaboration with the Department of Pathology and Department of ENT of BSMMU and ENT and Head Neck Cancer Hospital, Dhaka, during December 2016 to November 2017, to evaluate the extent of middle ear infections, benign and neoplastic conditions involving temporal bone according to compartment involved.For this purpose, a total of 65 patients having symptoms related to temporal bone pathology was included in this study. HRCT was done for every patient. HRCT findings and diagnoses of the pathologies were then correlated with the histopathological reports. Consecutive type of purposive sampling method was used in this study. Result: There was mild male preponderance.Majority (96.9%) patients had soft tissue lesion evaluated .by high-resolution computed tomography (HRCT) findings. Predominant findings are inflammatory, 52(80.0%) of the patients , followed by 11(16.9%) benign and 2(3.1%) malignant lesions. In histopathological evaluation 53(81.5%) of the patients had Inflammatory condition, followed by 11 (16.9%) benign and 1(1.5%) malignant lesions. The validity test of CT scan in the evaluation for benign lesion had sensitivity 81.8%, specificity 96.3%, accuracy 93.8% and positive predictive values 81.8% and negative predictive value 96.3%. CT in the evaluation for malignant lesion had sensitivity 100.0%, specificity 96.9%, accuracy 96.9%, positive predictive values 33.3% and negative predictive values 100.0%. CT in the evaluation for inflammatory lesion had sensitivity 94.3%, specificity 83.3%, accuracy 92.3%, positive predictive values 96.2% and negative predictive values 76.9%. Conclusion: In this study we found significant correlation between the histopathological diagnosis and HTCT of temporal bone pathology, where the validity tests are higher in evaluation of malignant lesion followed by inflammatory and benign. So it can be concluded that the high-resolution computed tomography is a useful diagnostic modality which enables characterization of a wide range of temporal bone pathology and can be used as a reliable tool. AKMMC J 2021; 12(2): 91-97
Background: Transvaginal sonography is superior to transabdominal sonography in most cases of pelvic pathology. Objective: This study was undertaken to see the clinicalpathological characteristics of endometrial hyperplasia. Methodology: This cross sectional study was carried out from January 2007 to December 2008 for a period of two years. All suspected cases of endometrial hyperplasia were included for this study. Transvaginal sonography (TVS) performed and confirmation was done by histopathological examination.Result: A total number of 40 cases were enrolled for this study. The most common diagnosed endometrial pathology was endometrial hyperplasia which was 42.5% cases. Endometrial polyp was diagnosed in 32.5% cases. Endometrial carcinoma was in 7.5% patients and submucosal fibroid was in 10.0%. to November 2008 for a period of two years. All the information were collected in a pre-designed structured data collection sheet. Sampling method was purposive type of non-probability sampling. Inclusion criteria of selection of patients were pre, peri and post menopausal women with abnormal uterine bleeding for more than 6 months who were clinically suspected to have endometrial pathology and patients with abnormally thickened endometrium (>15 mm in premenopausal women and >5 mm in postmenopausal women) detected on transabdominal ultrasonography or transvaginal sonography. Exclusion criterias were patients having AUB due to causes other than endometrial pathology and patients who were unfit or unwilling to do TVS. Prior to IntroductionAbnormal uterine bleeding (AUB) is a common clinical manifestation of endometrial pathology for gynecologic visits 1 . Up to 33 o % of women referred to gynecological out patient clinics have AUB and this proportion rises to 69
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