Date syrup can be used as a negative oral contrast agent for gastrointestinal tract signal suppression during MRCP and for improving visualization of various pancreaticobiliary structures.

SUMMARYSplenogonadal fusion is a rare congenital anomaly. We present the case of a 6-year-old boy who presented with a left inguinoscrotal swelling. With a clinical diagnosis of left congenital inguinal hernia the patient was taken up for explorative laparotomy where a transperitoneal band was noted adherent to the left testis. Biopsy revealed normal splenic tissue. Postoperatively the boy was imaged and a diagnosis of splenogonadal fusion was made. This article illustrates the imaging features of this rare anomaly. BACKGROUND

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Case 1A 30-year-old male presented with weakness of both the upper limbs. On examination, there was wasting and reduced power of both forearms and small muscles of hand with more severe involvement of the left upper limb. There was no sensory system involvement. Routine MRI of the cervical spine was unremarkable except for subtle cord atrophy at C6 to C7 vertebral levels and posterior dural detachment of more than 33% from the lamina [Table /Fig-1a,b]. Considering the clinical features and imaging findings, possibility of Hirayama disease was suspected. Flexion MRI was performed which showed extensive detachment of posterior dura from lamina, its anterior displacement causing enlarged posterior epidural space and engorged epidural veins. The spinal cord was compressed against the posterior margin of vertebral body d]. Case 2A 25-year-old male presented with reduced bulk of left hand muscles for six months associated with resting tremor and reduced grip. On examination, there was wasting and reduced power of small muscles of hand. No sensory system involvement was noted. Routine MRI of the cervical spine showed mild kyphosis of cervical spine, mild asymmetric cord flattening and atrophy. There was evidence of mild

Macrodystrophia lipomatosa (MDL), a rare non-hereditary congenital disorder of localised gigantism, is characterised by progressive proliferation of all mesenchymal elements, with a disproportionate increase in fibroadipose tissue. We report a case of a 19-year-old man who presented with a history of painless enlargement of the left upper limb since childhood, which was gradually increasing in size and predominantly involving the radial aspect of the upper limb with relative sparing of the ulnar aspect. The patient was imaged with X-ray and MRI. Imaging and clinical features were classical of MDL. The patient underwent stage 1 reduction plasty of the left forearm; preoperative and histopathological findings confirmed the preoperative diagnosis.