F ungal sinusitis is a rare entity that can affect both healthy and immunocompromised individuals. The diagnosis is not made in the early stages because of concealed symptomatology and not able to undergo cross-sectional imaging investigations. Fungal sinusitis can be presented in different ways as allergic fungal sinusitis (AFS), fungal ball, chronic indolent fungal sinusitis, and invasive variety. Approximately 65% of cases of AFS had an association with asthma.[1] The frequency pattern of involvement is ethmoid, maxillary, frontal, and sphenoid sinuses. The management depends on the correct diagnosis as per radiological evaluation against the use of respective modality. The immunological and histopathological evaluation further adds to the confirmation of the pathology.[2,3] CASE REPORT A 16-year-old boy reported with complaints of nasal blockage, running nose, and anosmia for the past 3 months. He gave a history of off and on fever with a headache for 2 weeks. There was no
Vitreous hemorrhage (VH) is most commonly caused by ocular trauma and proliferative diabetic retinopathy. Ultrasound is a very useful and effective modality in the diagnosis of VH. Sonography also helps in diagnosing the pathology of surrounding structures around the posterior chamber. This also helps in delineating the retinal anatomy. The opaque posterior chamber can easily be assessed by this modality. We present the case of a 15-year-old boy who reported with the left eye trauma 3 months back. He had initial redness and discharge followed by gradual loss of vision. He underwent sonographic evaluation of the left eye and was found to be having VH. He was advised surgical intervention by vitrectomy because of the chronicity of the problem. Ultrasonography of the eye is a very useful and effective tool for quick and hassle-free diagnosis of VH. This helps in fast management and can be useful in the salvage of some parts of the eye and subsequently vision. Medical and surgical contemplation can be carried out as per the sonographic findings.
Progressive massive fibrosis (PMF) is the outcome of complicated silicosis and falls in the category of occupational lung diseases. The underlying etiological factors responsible for this are fine particles of silica, inhaled by workers in certain specific occupation. We present a 42-year-old male patient with chief complaint of breathlessness and had occupational background in relation to sandblasting. HRCT chest had shown confluent fibrotic densities in bilateral upper lobes with loco regional bronchietatic changes and adjacent pleural thickening. The patient was diagnosed of having PMF on the history and classical HRCT findings
Non-contrast computerized tomography (NCCT) is in rampant use in daily practice for the diagnosis of various chest diseases. In the era of COVID-19 pandemic, the use of chest NCCT has increased many fold. The reason was because it will resolve many issues and quick diagnosis can be made. The same was also required to see the behavior of the disease as well as in the follow-up. Basically two parameter are in use to described the amount of radiation dose received by the patient in volumetric CT. These are, one is CT Dose Index (CTDIvol) & its unit is mGy, and the second is dose length product (DLP). With normal pitch factor i.e. 1, the CTDIw is use on the description of CTDIvol. Multiplication of scan length and CTDIvol parameter is known as Dose Length Product (DLP). There was much concern about the radiation dose received by the individual. A total of twenty-six individuals were studied. The measurement of direct chest circumference before each CT chest examination and correlation of CT chest protocol parameter in combination use was an effective tool to reduce the amount of radiation dose in patients. Chest circumference values can also be correlated with body mass index (BMI) values for more accuracy in the reduction of radiation dose. Lower chest circumference patients should be irradiated with the least amount of radiation dose and so on.
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