Objectives: Aim of this study is to evaluate the types and incidence of injuries in internal derangement of the knee joint by MRI and to compare with arthroscopy findings in selected cases and to assess whether MRI can be used as a primary diagnostic tool for internal derangement of the knee joint. Material and Method: This prospective study was done in the Department of Radiodiagnosis Chirayu Medical College and Hospital Bhopal, Madhya Pradesh, India. A total of 100 patients who were referred to the department with strong clinical suspicion of internal derangements of knee joint, underwent magnetic resonance imaging evaluation of knee followed by arthroscopy in selected cases, wherever indicated from August 2014 to July 2019. Results: Majority of patients in the current study group belonged to the age group 20-29 years (31%) with a mean age of 24.3 years. In this study, the majority of patients were males constituting 76 % of cases. The most common clinical presentation was that of pain in knee joint seen in 79% of cases. The second most common presentation was swelling seen in 54%. The most common positive clinical test was McMurray's test for meniscal tear seen positive in 48% of cases. In the current study left knee involvement was more common than right knee, constituting 54%. Medial meniscal tears were more common than lateral meniscal tears 49 (73.2%). Conclusion: MRI is a useful non-invasive modality having high sensitivity, specificity and accuracy in the diagnosis of meniscal and cruciate ligament injuries. MRI should be done in every patient of suspected internal derangement of the knee joint, to save a patient from unnecessary arthroscopy This study is aimed to evaluate the types and incidence of injuries in internal derangement of the knee joint by MRI and to compare with arthroscopy findings in selected cases and to assess whether MRI can be used as a primary diagnostic tool for internal derangement of the knee joint.
Introduction: Focal liver lesions are defined as solid or liquid-containing masses foreign to the normal anatomy of the liver that may be told apart from the latter organ using imaging techniques. Material and Methods: This prospective study was done in the Department of Radiodiagnosis and imaging at Bhopal Medical Centre, Bhopal, Madhya Pradesh, India. A total of 100 patients who were referred to our department with strong clinical suspicion of focal liver lesion and those diagnosed by ultrasonography underwent multiphasic contrast enhanced CT evaluation of abdomen using Single slice Spiral CT scanner from March 2010 to May 2012. Results: The majority of lesions appeared as solid lesions on CT comprising 63% of lesions. The remaining were cystic lesions comprising 37% of cases.Among the cystic lesions, the most common CT diagnosis was Simple Cyst Seen in 49% of cases. The other diagnosis was liver abscess in 30% and hydatid cyst in 21%. Among the solid lesions, the most common CT diagnosis was that of metastases seen in 49% of cases. The next common lesions seen were HCC seen in 22.5% of cases and hemangioma seen in 19.5% of cases. Discussion: Simple cysts are diagnosed by the presence of a well defined intra hepatic mass of fluid attenuation, no perceptible wall or internal septations and no enhancement. Among solid lesions, haemangiomas were diagnosed by the presence of a hypodense lesion with peripheral nodular enhancement of arterial attenuation with centripetal fill in. Conclusion: Most of the lesions evaluated were solid compared to cystic. Among cystic lesions, simple cyst was the most common abnormality seen in around half the cases followed by liver abscess and hydatid cyst. Among the solid lesions, the most common abnormality detected was metastases seen in around half the cases followed by HCC and hemangioma.
Idiopathic pulmonary fibrosis is characterized by acute or chronic diffuse involvement of pulmonary parenchyma leading to a variable degree of lung fibrosis. Study was planned to asses clinical profile of patients with idiopathic pulmonary fibrosis (IPF) and methods used for diagnosis. Material and methods: It was a retrospective analysis of symptoms, signs, radiological findings and lung biopsy of patients diagnosed to have IPF over a 16-month period. Results: During the study period, 185 patients (85 men) with a mean age of 44.63 ± 10.4 years were diagnosed to have IPF. Breathlessness (100%) and dry cough (53.4%) were the most common presenting symptoms. Patients were diagnosed based on clinical features and high resolution chest tomography (HRCT) findings. HRCT was performed in all patients; 90% had features suggestive of diffuse interstitial fibrosis. Transbronchial lung biopsy (TBLB) was performed in 20 (10%) patients. Conclusion: IPF is diagnosed more commonly now than in the past. Indian patients may be developing the disease a decade earlier than their counterparts in the West. TBLB and HRCT are useful in establishing diagnosis. IPF should be considered a distinct clinical entity rather than a diagnosis of exclusion.
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