Parto Teb Azma

Woman  age=23,   
HX: Seizure

DX: Incomplete lissencephaly 

Findings:
There is agyria at parieto-occipital lobes and pachygyria at frontotemporal lobes. The sylvian fissures are shallow and maloriented causing a figure-eight appearance.
Communicating hydrocephalus

HX: Left hemiparesis, neck pain, vertigo and dysphagia following recent neck trauma 33 y

DX: Dissection of the left vertebral artery with ischemic lesion in left cerebellar hemisphere

Findings:
Multiple small bright T2 signal foci at inferomedial aspect of the left cerebellar hemisphere and left posterolateral aspect of medulla.
On MIP: Marked stenosis of distal extracranial and intracranial segments of the left vertebral  artery .
On axial and coronal T1W fat sat: Hyperintensity within the distal extracranial segment (segment 3) of left vertebral artery related to intraluminal hemorrhage along with an eccentric narrowed signal void lumen.

  HX:A 57 man year old with abdominal pain and nausea.

Findings: A large necrotic mass in jejunum with proximal

loope dilatation , omental fat involvement along with  lymph

nodes .

Diagnosis: malignant spindle cell tumor . 

Discussion: Malignant tumors of small bowel are rare

and accounts for the <2% of total GI malignancy.

Because of the heterogeneous and  aggressive nature many

of them present with recurrence and visceral metastasis.

 

HX: A 52y man complaining of hematuria and flank pain .

Findings: Large solid mass in right kidney .

The mass is causing distortion of the renal parenchyma ,

 collecting system and sinus fat.

Diagnosis: Renal cell carcinoma

Discussion : The most common primary malignant tumors

in adults, 80% of all malignant renal tumors , usually

between 40-60 years of age . Man to woman ratio are 2:1 ,

20-50% of hypernephroma  are associated with von hipple –

 lindau disease.

These tumors mostly spread by direct extension into the

renal pelvis and the blood stream , thus early spread to the

lungs is expected. Involvement of renal sinus soft tissue is

occurred. Secondary deposits to the bones , liver and

opposite kidney are commonly seen.

 HX: A 30y woman with left submandibular gland

 enlargement  and pain.

Findings: Large dense stone in left submandibular region ,

enlarged submandibular gland with dilated duct.

Diagnosis : Stone in Wharton’s duct, sialadenitis.  

Discussion:Sialolithiasis is most common disease of salivary

 gland , twice as

common in males as females , 80-95% occur in

submandibular gland or duct , stones are most common

cause of acute and chronic infection of salivary gland .