Mesenteric Lymph nodes are frequently visualized by sonography in pediatric patients. The purpose of this study was to evaluate the incidence of the appearance of enlarged mesenteric nodes, in pediatric patients who were referred for abdominal pain of various causes. METHODS: Of the 500 patients who were referred for abdominal pain of various causes, the presence of enlarged nodes, their location, size and other sonological findings were recorded. The patients were divided into two groups. One is those with abdominal pain, due to an acute abdominal condition and those without an acute abdominal condition. The study was carried out in a one year period of March 2010, to March 2011. RESULTS: Enlarged lymph nodes > 5 mm were detected in 25 % of the asymptomatic patients and 27.2% of the patients presenting with abdominal pain. On the basis of this study, mesenteric lymphadenitis should be used for the specific inflammation of the nodes in the appropriate clinical setting. Our study also showed that the 90% of the lymph nodes were seen in the right lower quadrant followed by the left lower quadrant and in the peri-aortic region. Another observation that was made was that-the incidence of enlarged lymph nodes increase with age with the peak incidence at around 5 years and decrease thereafter. CONCLUSION: Enlarged lymph nodes are frequently seen in pediatric patients who are referred for abdominal pain. Mesenteric lymph nodes more than 5mm on their long axis in children presenting with abdominal pain represent Mesenteric Lymphadenitis.

No abstract

ABSTRACT:The RI (Resistive Index) changes in renal inter lobar segmental arteries were studied in fifty diabetic patients and other 35 random cases. 98% of documented cases of diabetic nephropathy showed raised RI values, more than 0.7. The RI value of one diabetic nephropathy case (2% of cases) was only 0.68. Another one case showed raised RI values, even when the urine microalbuminuria level was only the upper normal value (30mg/L).This shows that renal interlobar segmental artery Doppler evaluation is as sensitive as the urine microalbuminuria study to detect the diabetic renal involvement, and rarely the Doppler study is seen to have an edge over the urine microalbuminuria assessment.

No abstract

A 70 year old woman developed gastropleural fistula following gastric perforation after consumption of formic acid. The diagnosis required multiple imaging studies including chest radiographs barium studies of upper gastrointestinal tract. The patient was not willing for surgical excision of the fistulous track and is currently under follow up for significant developments.

Encephalo cranio cutaneous lipomatosis (ECCL) is a rare neuro-cutaneous syndrome. It is characterized by unilateral lipomas of the cranium, face, and neck, ipsilateral lipodermoids of the eye, ipsilateral brain anomalies. There are 53 cases mentioned so far in the literature. To our knowledge, only 3 cases were reported from India . We report a case of a baby girl who presented in our institution for neuro-radiological evaluation based on which diagnosis of ECCL was made.

No abstract