Title: Diagnostic accuracy of shear wave elastography in evaluation of solid breast lesions & its correlation with histopathology. Background: To assess role of shear wave elastography in diagnosis of solid breast lesions with histopathological correlation. Materials and Methods: This cross-sectional analytical study was conducted in 50 patients from
Introduction: Hirayama disease is a form of cervical myelopathy common in male adolescents that affects distal upper extremities & anterior horn cells of spinal cord. It is a symmetrical lower motor weakness that is self-contained in hands & forearms. Materials and Methods: Observational type of case study using MRI. 16 years male presented with inability to move his right index finger & decreased sensations for 3 months Results: T2 sagittal images showed mild atrophy with flattening of cervical cord & displacement of posterior dura with compression on cord on dynamic flexion. Cord diameter was reduced suggestive of compression. Conclusion:Based on the patient's clinical, electrophysiological, & radiological characteristics, "Hirayama disease" was diagnosed. In addition to physiotherapy, a cervical collar was used to treat him in order to avoid neck flexion & thus surgery was avoided.
Introduction: Paget's disease is an uncommon metabolic skeletal disorder characterized by increased osteoclast-mediated bone resorption & compensatory excessive osteoblastic activation. It is often an incidental finding & can also rarely co-exist with other disorders like ankylosing spondylitis. Materials & Methods: Observational type of case study using computed tomography (CT) and X-Ray. 80 years old male came with complaints of giddiness & fall & decreased speech output. CT scans showed intraventricular hemorrhage & patient was treated for the same. However, CT scans revealed features suggesting Paget's disease with co-existing ankylosing spondylitis & a bone survey for whole body was done. Increased S. Alkaline Phosphatase (187 U/L) & low Calcium (7.5 mg/dl) was noted. Results: CT Brain showed mixed lytic sclerotic changes with widened diploic space & coarse trabeculae involving calvarium fully giving a cotton wool appearance. Spine imaging revealed, picture framing of some vertebrae, anterior & lateral syndesmophytic fusion giving a bamboo spine appearance & diffuse osteopenia with multiple sclerotic areas. X-Ray pelvis showed of Kohler tear drop & sclerosis with near complete fusion of bilateral sacroiliac joints. Conclusion: Paget disease of bone shows an abundance of patterns on imaging that are related to pathologic stage of disease. Recognition of imaging spectrum usually allows early diagnosis & differentiation of its complications, which helps guide therapy & improve patient management.
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