KEYWORDS Mammographically dense breasts BI-RADS US lexiconAbstract Purpose: To assess the role of ultrasonography in detection, and categorization of breast lesions in patients with mammographically dense breasts with the use of the BI-RADS US lexicon. Patients and methods: This study included 60 female patients (age range from 20 to 80 years, mean 38.3 ± 11.9) complaining of mastalgia, breast lump or nipple discharge with mammographically dense breast tissue. Breast ultrasound was performed to all patients with a 12-MHz lineararray transducer. Sonographic findings of the breast lesions were described and categorized according to the BI-RADS US assessment categories. Biopsy procedures were performed for the sonographically detected breast lesions with histopathological examination of the biopsied tissue. Results: The main complaint was palpable breast mass encountered in 25 patients, 12 of mastalgia, 4 of nipple discharge, 12 patients were on screening and 7 on follow up. 36 patients were categorized as ACR 3 and 24 ACR 4 regarding the density of their breasts in mammography. Mammography revealed no abnormalities in 31 patients and abnormal in 29 patients, the commonest mammographic finding was breast mass, detected in 19 patients. Ultrasound detected breast lesions in 56 (93.3%) out of 60 patients. BI-RADS US category 2 was the most common category representing 36.7%. Ultrasonography had a diagnostic reliability for differentiating between benign and * Corresponding author. Address:

Objective: Intrauterine fetal ventriculomegaly (IVM) is one of the most commonly detected fetal anomalies. Prenatal diagnosis in IVM is considered a challenge with a significant impact on management. The current study aims to evaluate the added value of performing fetal MRI to sonographically diagnosed IVM. Methods: A prospective cohort study was conducted at a tertiary University Hospital in the period between January 2017 and March 2019. We included pregnant women with a single fetus sonographically diagnosed IVM (symmetrical or asymmetrical). First, a basic obstetric sonographic examination was done, followed by a detailed (2D/3D) fetal CNS anomaly scan for the detection of other associated anomalies. A fetal MRI brain scan was performed for all cases. Results: Sixty women were included in the study. Of the 60 fetuses with IVM, additional findings were seen on MRI in 14 cases (23%), and most of these findings were identified in fetuses with severe IVM (about 50%). No additional abnormalities were identified in fetuses of less than 24 weeks gestation. Callosal and septum pellucidum lesions (29%), along with posterior fossa abnormalities (28%) and cortical malformations (21%) accounted for the most common additional significant fetal MRI findings. Fetal MRI sensitivity, specificity, and positive and negative predictive values in correlation with those of prenatal ultrasound turned out to be notably higher, approaching nearly 100 %. Conclusions: Fetal MRI for sonographically diagnosed moderate or severe IVM is recommended to guide clinical management.

Purpose: To determine oncologic outcomes after laparoscopic complete mesocolic excision (CME) for colonic cancer in our locality in Minia governate. Methods: The clinical and follow-up data of 40 colon cancer patients who were subjected to CME in our institution from August 2015 and September 2019 were prospectively analyzed. Forty patients were included in the study minimum follow up period was two years . oncologic outcomes were evaluated. Results: The aim of present study is to determine health related quality of life, short term oncologic outcomes after laparoscopic colectomy for colonic cancer in our locality in Minia governate benefits including less intraoperative blood loss, faster postoperative recovery, and shorter hospital stay. There was no significant difference in the incidence of 30-day postoperative complications, the incidence of major complications, and the pathological results between the two groups. The intra operative and postoperative 30-day mortality rates in both groups were 0%. There was no significant difference in the tumor recurrence rate, 5-year overall survival (OS), and 5-year disease-free survival (DFS) between the two groups. Conclusion: Oncologic outcomes were good with laparoscopic CME for colonic cancer and safe in selected patients.