Pneumocephalus is a rare condition that usually arises from severe head and facial trauma, tumours of the skull base and surgical procedures involving the base of the skull. Tension Pneumocephalus (TP) is a clinical condition and a neurological emergency characterised by continuous accumulation of air inside the cranial cavity leading to irregular pressure being exerted on the brain which leads to neurologic deterioration. This is a case of a young motorcyclist who was involved in a Road Traffic Accident (RTA) and presented with deteriorating level of consciousness and plain skull radiograph and Computed Tomography (CT) of the brain showed skull fractures, presence of air in both lateral ventricles and brain parenchyma confirmed the diagnosis of post-traumatic TP, but unfortunately patient was succumbed to death.
Tuberculous pericarditis is frequently reported as the primary cause of pericardial calcification and occurs in about 1-2% of individuals with pulmonary tuberculosis, this however is a rare finding in the Western world. This is a 12-year-old male child that was referred from a peripheral health care center for plain radiograph of the chest on account of cough, easy fatiguability, night sweats, loss of weight, loss of appetite and dyspnea most times on excersion for more than a month duration. The plain chest radiograph demonstrated normal cardiac size with a cardiothoracic ratio of about 55/120, there is circumferential radio-opacity of calcic density around the peripheral walls of the heart; the pericardial calcification. The vascular pedicle appears slightly widened. The lung fields show extensive streaky opacities with cystic lung changes bilaterally more marked on the left lung field where consolidation, loss of lung volume and pleural effusion are also demonstrated. A two-dimensional echocardiography showed mild-moderate pericardial effusion, thickening of both visceral and parietal pericardium, and echogenic fond-like structures protruding in to the pericardial cavity. A diagnosis of pulmonary tuberculosis with features of tuberculous pericarditis in a 12-year-old male child was established. The patient has been placed on anti-tuberculous drugs, hematinic, and parents advised on good and adequate diet with adequate rehydration and strict drug compliance. Screening of the siblings and members of the family with close contact have also been emphasized. We report the radiographic features of pulmonary tuberculosis and pericardial calcification in a 12-year-old male child due to its peculiar presentation.
Neonatal small left colon syndrome is a well-defined functional disease of the lower colon and it results in signs and symptoms of intestinal obstruction. It is an uncommon cause of neonatal intestinal obstruction characterised by an abrupt transition of intestinal caliber at or near the splenic flexure. More than 50% of affected patients are born to mothers with diabetes. We report a five-day-old neonate who presented with abdominal distension and vomiting diagnosed to have small left colon syndrome by contrast enema. He had surgical resection of the narrowed segment and anastomosis with subsequent resolution of symptoms.
Burkitt’s lymphoma is a tumor that most often affects the jaws, most commonly seen in endemic areas of Africa, although the jaws are affected in about 15-18% in non-endemic regions, with prevalence in boys aged between 4-7 years. This is a 12-year-old male child that presented with right jaw painful swelling for more than six-months duration of onset. He was referred for plain radiographs of the jaw from a peripheral healthcare center. The jaw radiograph was done in anterior-posterior and oblique views of both sides respectively. The radiographs demonstrated a soft tissue density mass on the right, with associated destructive lytic lesion involving the right maxilla severelyand the right mandibleto a lesser extent. There is associated loss of lamina dura with severe dental anarchy involving the maxilla. The mandible showed lytic and expansile areas in its body with marked periosteal reaction; the sunray appearance. The contralateral maxilla and mandible have normal appearances. Complementary abdominal ultrasonography revealed normal appearances excluding abdominal involvement. Histology revealed the classic diffuse starry-sky appearance with benign histiocytes containing abundant, clear cytoplasm dispersed among a background of homogeneous, basophilic tumor cells, in keeping with Burkitt’s lymphoma. We report this case to describe the radiographic appearance of Burkitt’s lymphoma of the jaw bones.
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