Ravinder Sidhu

Role of tissue harmonic imaging in focal hepatic lesions: comparison with conventional sonography.

Background: The purpose of the present study was to compare iissue harmonic imaging (THI) and conventional sonography in focal hepatic lesions.

Maxillofacial Cysticercosis Uncommon Appearance of a Common Disease

Objective. To highlight the sonographic appearances of cysticercosis involving uncommon muscular sites. Methods. Two patients with nodular swelling involving the tongue and maxillary region were examined with high‐resolution sonography. Results. Sonographic examination revealed an anechoic area with a small calcified scolex suggesting cysticercus infection. Conclusions. High‐resolution sonography is a noninvasive and nonionizing imaging modality that plays an important role in establishing the diagnosis of cysticercosis.

Patellar metastasis: a rare presentation

Primary patellar neoplasms are uncommon and metastasis to the patella is rarer still. Very few reports have been published in the literature (Stoler & Staple, 1969; Keeley, 1973; Gall et al, 1974; Ashby & Dappen, 1976; Hussey, 1976; Kwa & Nade, 1989). We present a case of primary bronchogenic carcinoma presenting as a huge swelling around the knee owing to a metastatic lesion in the patella.

Intrathoracic Kidney in an Adult

An intrathoracic kidney, although rare, should be considered in a patient with a mass at the base of the lung on a chest radiograph. Excretory urography is diagnostic and may eliminate the need for further extensive investigation and operation.

Uterine artery embolisation for the treatment of symptomatic uterine fibroids: short‐term results of work in progress

Bilateral uterine artery embolisation (UAE) was used to treat 11 women with symptomatic uterine fibroids. Uterine volume and dominant fibroid volume were assessed quantitatively by ultrasonography both before and at two and six months post procedure. Both uterine arteries were occluded effectively in all of the women, and the procedure was well tolerated, with hospital stays limited to 24–48 hours in all cases. An improvement of symptoms occurred in 10 of the 11 women. There were no significant complications.

Giant urachal cyst in utero

A 19-year-old primigravida presented with features of obstructed labour at 24 weeks gestation. Fetal sonography revealed the presence of a large intra-abdominal cystic structure measuring 17 x 10 x 7 cm in a single live fetus in transverse lie (Figure la, b). Fetal ascites was also present. Both kidneys showed a dilated pelvicalyceal system. The urinary bladder could not be visualised. Detailed sonographic evaluation for other congenital anomalies could not be performed because of the large size of the cyst. Taking all aseptic precautions, approximately 1.2L of thick clear fluid was aspirated with a 20 G spinal needle under ultrasound guidance. The patient spontaneously aborted a 1300 g male fetus with a distended abdomen. The autopsy revealed the presence of a large intra-abdominal urachal cyst measuring 17 x 10 x 7 cm (Figures 2,3). Other congenital anomalies were also present in the form of exomphalos, imperforate anus, bilateral hydronephrotic kidneys with dilated ureters opening into the cyst.

Is there a subset of patients with recurrent cancer in the vagina who are not candidates for interstitial brachytherapy that can be treated with multichannel vaginal brachytherapy using graphic optimization

Purpose To evaluate recurrent vaginal cancer treated with vaginal brachytherapy (VBT) using graphic optimization in patients not amenable to surgery and interstitial brachytherapy (ISBT). Material and methods We retrospectively reviewed the records of 5 patients with recurrent cancer in the vagina that were deemed not to be good candidates for ISBT implant because of medical reasons. All patients received computed tomography/magnetic resonance imaging (CT/MRI) based evaluation in addition to a detailed clinical examination, and were noted to have recurrent nodules in the vagina with size ranging from 10-25 mm. Four of the 5 patients had recurrent disease in the vaginal apex, whereas one patient had recurrence in the lateral vaginal wall. Subsequently, all patients were treated with external beam radiation therapy (EBRT) followed by multichannel vaginal cylinder (MVC)-based VBT using graphic optimization for shaping the isodose to improve the clinical target volume (CTV) coverage, as well as to spare the organs at risk (OAR). The dose to the bladder and rectum with regard to 0.1 cc, 1 cc, and 2 cc were recorded. Results Median age of the patients was 78 years (range 58-86 years). Thickness of the lesions before VBT ranged from 6-15 mm. All patients were followed up with MRI at 3 months. All patients but one demonstrated complete clinical/ radiological response of the tumor. No patient had any grade III/IV toxicity at 24 months. Conclusions MVC-based VBT using graphic optimization is safe and yields favorable results if used judiciously.

Sonographic Evaluation of Intraocular Cysticercosis

The authors report a case of intravitreal cysticercosis with retinal detachment diagnosed on sonography.