Virinder Mohan

Symptomatic vertebral haemangiomas.

Twelve cases of symptomatic vertebral haemangioma are reported in respect of their clinical presentation and radiological findings. One patient was only 10 years old, the youngest patient ever reported. Less commonly known findings of associated paravertebral mass and the displacement of the thoracic paraspinal line are discussed.

Urethral Diverticulum in Male Subjects: Report of 5 Cases

We present 5 cases of urethral diverticulum in male subjects, of which 2 were congenital and 3 were acquired. Of these diverticula 4 were in the anterior urethra, while 1 was in the posterior urethra. One congenital diverticulum contained multiple calculi.

The thoracic paraspinal line: Further significance

Three hundred and seventeen cases which included 100 normal individuals have been studied for roentgen significance of the thoracic paraspinal line (TPL). The descending thoracic aorta greatly determines the course and configuration of the TPL. In a right-sided aorta, the TPL is seen on the right side as a mirror image of a left-sided TPL. Lateral deviation of the TPL and descending aorta occur as an ageing process. In systemic hypertension where there is an aortic unfolding, the TPL also unfolds and the degree of TPL deviation has a fair degree of linear relationship with the severity and duration of hypertension in young individuals. Most cases of mitral valvular disease show lateral deviation of the TPL and descending aorta. In these cases the enlarged left atrium displaces the descending aorta and hence the posteromedial border of left lung posterolaterally tangential to the vertebral column resulting in deviation of the TPL and aorta. Perioesophageal spread of carcinoma of the oesophagus into the posterior mediastinum is indicated by changes in pleuro-oesophageal interface and TPL. Mediastinal lymphadenopathy in cases of testicular tumours may be detected by discovery of TPL deviation on frontal radiographs of the thoracic spine. In extradural masses such as granulomas, abscesses and metastatic deposits, the TPL shows a localised bulge corresponding to the clinical and myelographic level of spinal compression.

Neurilemmoma of the parapharyngeal space

Neurilemmomas are rare neurogenic tumours and their parapharyngeal location is very uncommon, A case of neurilemmoma of this location is presented.

An iatrogenic radio-opaque foreign body in the nasal passage

Boredom, curiosity and a passing whim to explore the aperture of their body are usually the reasons why normal children put foreign bodies up their noses. Sometimes a child will place articles in the nostril of a younger child left in its care. Usually these attempts are innocent enough, although the consequences to the victim may be serious. Accidental insertion of foreign bodies is also known but iatrogenic cause of foreign body in nasal passage is as yet unreported. The usually reported exogenous foreign bodies are paper pieces, buttons, peas, beans, denture, metal piece, plastic pieces, pins and needle etc and the most common endogenous foreign body is a rhinolith.