Varicocities of the round ligament is a relatively uncommon condition. Almost all the cases in literature had been reported in pregnant patients. It presents as a unilateral or bilateral painful or painless inguinal mass. Clinically it is difficult to distinguish from inguinal hernia on physical examination. We present a 22-year-old primigravida at 30 weeks of gestation with unilateral round ligament varicocele diagnosed on sonography and Doppler, who was managed conservatively.
The common presentations of patient complaints regarding the musculoskeletal system, such as pain, swelling, and restriction of movement, lead to the imaging discovery of various lesions often located in, or arising from, skeletal muscle in the region of interest. Knowledge of the patients' clinical history, laboratory parameters, and various imaging characteristics of the implicated lesions would assist the radiologist in coming to a timely, reasonably accurate conclusion about the etiology of the patient's complaints, the severity of disease, and in directing patient therapy.
Demyelinating disease presenting with clinical and radiologic features similar to a brain tumour is referred to as tumefactive demyelination. These lesions pose considerable diagnostic uncertainty. This is partly due to the atypical neurologic symptoms that the patient can present with as a consequence of the size, location, and potential for associated mass effect and oedema. The MRI appearance of these lesions can aid in preoperative diagnosis and assist with the final pathologic interpretation. We report a case of tumefactive demyelination where MRI played a vital role in arriving at a diagnosis. The diagnosis was confirmed histopathologically.
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