Wednesday, November 21, 2007

Radiology Grand Rounds XVIII




Here is a case of Acetabular fracture for the Radiology Grand Rounds submitted by Dr MGK Murthy, Dr Sumer Sethi of Teleradiology Providers. Concept and Archive of the Radiology Grand Rounds is available at- Radiology Grand Rounds.


This patient had posterior dislocation of hip reduced about 6 months back now he presents with complaint of pain in the left hip.

FAQ (questions to be answered)
(a)Is it unreduced?
NO

(b) Has it developed AVN?
NO

(c) Is there any associated injury which Xray did not pickup?
MRI is silent on it



(d) Can anything else help?
YES CT would help

(e) What does it show?
It shows post wall fracture comminuted with loose fragment in the joint cavity

(f)What are the complications of posterior dislocation hip?
Complications-- include avascular necrosis, osteoarthosis, sciatic nerve injury and heterotrophic ossification.

(g) What are the types of acetabular fractures?
Acetabular fractures are classified according to Judet classification usually.
Walls, Columns and Transverse varieties


Wall fractures
Anterior wall
Posterior wall
Posterior column with posterior wall (also a column fracture)
Transverse with posterior wall (also a transverse fracture)


Column fractures
Anterior column
Posterior column
Both-column
Posterior column with posterior wall (also a wall fracture)
Anterior column with posterior hemitransverse (also a transverse fracture)


Transverse fractures
Transverse
T-shaped
Transverse with posterior wall (also a wall fracture)
Anterior column with posterior hemitransverse (also a column fracture)


Common types (90%)
Both-column
Transverse with posterior wall
Posterior wall
T-shaped
Transverse


Hope you enjoyed this edition of Radiology Grand Rounds submissions are requested for the next Radiology Grand Rounds posted every month last sunday. If you interested in hosting any of the future issues contact me at sumerdoc-AT-yahoo-DOT-com.

Sunday, November 18, 2007

AIIMS NOVEMBER 2007 FULLY SOLVED


AIIMS NOVMEBR 2007 now releases with Peepee Publishers, shortly available in all leading book stores. Exclusive answers with explanations by DAMS Faculty.




For advance orders send email or inquiries here-
DAMS Delhi Academy of Medical Sciences
ph-011-42433051, 011-25853434

or

Peepee Publishers & Distributors (P) Ltd.
Ph: 9811156083, 011-65195868

Friday, November 16, 2007

Achondroplasia- MRI Lumbar Spine


MR image of a 23-year-old man with known achondroplasia and symptoms suggesting spinal stenosis demonstrates posterior vertebral scalloping throughout the lumbar spine with multilevel spinal stenosis.



Thursday, November 15, 2007

Mammogram Interpretation

The American College of Radiology (ACR) has established the Breast Imaging Reporting and Database System (BI-RADSTM) to guide the breast cancer diagnostic routine. Radiologists sometimes refer to each BI-RADSTM category as a "level."



BI-RADS Assessment Categories
Category 0---Need Additional Imaging Evaluation
Category 1---Negative
Category 2---Benign Finding
Category 3---Probably Benign Finding – Short Interval Follow-Up Suggested
Category 4---Suspicious Abnormality – Biopsy Should Be Considered
Category 5---Highly Suggestive of Malignancy – Appropriate Action Should Be Taken

Teleradiology Providers

Friday, November 09, 2007

Tuberculosis- A Pictorial Radiological Review






Here is a Pictorial Review of Tuberculosis of various organ systems, including classical appearances showing Putty Kidney, Tubercular endometritis, miliary kochs, mediastinal and hilar lymphnodes (classical of primary infection) and ileocaecal kochs. Cases have been compiled by- Dr Sumer Sethi, CEO & Consultant Teleradiology Providers, pioneering Indian Online Radiology Consult.

Saturday, November 03, 2007

Who wants to be an expert Radiologist?

This is nice quiz by medicexchange.com. All you have to do is answer a set of fifteen questions with interesting features like 'ask-peers' and '50-50' lifelines. Simply play and if you can reach the top position in the Hall of Fame and manage to stay there till the end of the month, you'll receive an iPod touch.
Available here-

PS-I played this yesterday and hurray got all correct!!

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