Cerebral Venous Thrombosis: NCCT
History: A 32 yr female c/o sudden headache followed by loss of consciousness. Post partum statusFindings:Multiple ill-defined hypodense lesions are seen in the brain parenchyma bilaterallyNot confined to single arterial teritoryMost of the lesions show hemorrhagic transformationMild surrounding edema is seenHypderdense superior saggital sinus - thrombosisThe findings are typical of Hemorrhagic venous infarctsDiagnosis:Hemorrhagic venous infarctsExtra EdgeEtiologyGenetic prothrombotic conditions, dehydration, trauma, brain surgery, post partum state, OC pills, mastoiditisHow to differentiate arterial from venous...
Source: Sumer's Radiology Site - February 19, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Education needs Collaborative Approach
New Generation seeks to learn but teaching by humiliation is unacceptableEducation needs a collaborative approach. In medical education there is a strong hierarchical system where there is trend of posing on-the-spot questions to probe the limits of trainees ’ knowledge, also known as “pimping" which often goes on to level which can be considered bullying and is considered an important cause of medical student /resident burnout. Since last two decades in DAMS, I have actively sought to create an interactive platform where we have broken the traditio nal hierarchical barriers, be it interactions between students a...
Source: Sumer's Radiology Site - February 19, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Gall Stone Ileus diagnosed on USG
History – A 43 years female c/o sudden onset severe abdominal pain with vomiting and constipationFindings-USG images shows an air-filled gall bladderThere is a calculus seen in the distal ileal loopWith resultant small bowel obstructionDiagnosis-Findings are s/o gall stone ileusExtra Edge-Rigler ’s triad – Pneumobilia, Gall stone impacted in distal ileum, SBOFamous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 17, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Hell is other people Handling insecurities and opinions
Opinions- the fundamental right of speech, the instrument of thinkers like the pen and paper; weapons of the powerless like a sharp sword or, perhaps, a double edged sword in my …well… ‘opinion’. The seedDuring my youthful years in the medical college I too carried the weight of other people ’s opinions. Having been brought up and spent my adolescent years in an average run of the mill school, medical college seemed like unknown territory to me. Unaware of the glitz and glamour of the world beyond the rusty school gates I experienced a culture shock when interacting with my seniors. T hey inspected my ...
Source: Sumer's Radiology Site - February 15, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Congenital cytomegalovirus infection : CT Scan
History :1 month neonate c/o convulsionsFindings:CT brain shows ventricular dilatationPeriventricular calcification is seen around both the lateral ventriclesDiagnosis:The findings are typical of congenital cytomegalovirus infectionExtra Edge InformationWhat is TORCH infection?Toxoplasma, Rubella, Cytomegalovirus and herpes infection that typically affects newborn. Types of calcification as clue to diagnosis?CMV – Periventricular, Toxoplasma – basal gangliaOther features of CMV infection?Hepatosplenomegaly, chorioretinitisFamous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 14, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Sigmoid diverticulitis with Rupture : CT Findings
History A 56 years female c/o pain in abdomen with fever and diarrhoea since 10 daysFindingsThe CT shows multiple small sigmoid diverticulaeA small abscess is seen in relation to the sigmoid colon with surrounding fat strandingAir foci are seen within the abscess s/o contained ruptureDiagnosisSigmoid diverticulitis with ruptureExtra-EdgeDifference between diverticulosis and diverticulitisDiverticulosis is presence of multiple diverticula, when they are inflamed or infected it is called as diverticulitis Complications of diverticulosis?Diverticulitis, Abscess, rupture, fistula, rarely malignancyFamous Radiol...
Source: Sumer's Radiology Site - February 12, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Dermoid Cyst Ovary- Clinicoradiological Approach
Sharing a teaching video on integrated approach to Dermoid cyst. Famous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 10, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Pleomorphic xanthoastrocytoma (PXA) : MRI
History– A 14 yr female c/o headache since 2 months. 2 episodes of seizures in last one weekFindings- An ill-defined soild-cystic mass is seen in the left parietal lobe with surrounding mild to moderate edema. The cystic component shows restriction of diffusion and rim enhancement. The solid component shows avid postcontrast enhancementFinal Diagnosis- Pleomorphic xanthoastrocytoma (PXA)Golden PointDDs of cyst with mural nodule-Pilocytic astrocytoma, PXA, ganglioglioma, hemangioblastoma, craniopharyngioma Famous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 9, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Pilomyxoid xanthoastrocytoma (PXA) : MRI
History– A 14 yr female c/o headache since 2 months. 2 episodes of seizures in last one weekFindings- An ill-defined soild-cystic mass is seen in the left parietal lobe with surrounding mild to moderate edema. The cystic component shows restriction of diffusion and rim enhancement. The solid component shows avid postcontrast enhancementFinal Diagnosis- Pilomyxoid xanthoastrocytoma (PXA)Golden PointDDs of cyst with mural nodule-Pilocytic astrocytoma, PXA, ganglioglioma, hemangioblastoma, craniopharyngioma Famous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 9, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
TB Wrist Joint : MRI
Xray- Frontal radiograph of wrist shows multiple osteolytic areas with surrounding sclerosis is seen involving all carpal bones and second metatarsal bone s/o permeative type of bone destruction.MRI- MRI shows Extensive areas of altered marrow signal with osteolysis are seen involving all the carpal bones and almost the entire 2nd metacarpal bone. Similar areas of involvement are seen in the proximal radius predominantly involving the dorsal aspect with large soft tissue component.The altered areas appear hypointense on T1 and hyperintense on T2 WIs. There is involvement of base of the third and the fourth ...
Source: Sumer's Radiology Site - February 8, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Adenomyosis : HSG
History: A 27 years female c/o menorrhagia. HSG is shown below.Findings:HSG study shows multiple small outpouchings from the uterine cavity, especially in the fundusThe uterine cavity is otherwise preservedThe tubes are normal with free spillFindings are s/o adenomyosis Extra Edge Point :Investigation of choice and findings--MRI – Widening of the junctional zone>12 mm, multiple small cystic lesions, pseudodiverticulaeFamous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 6, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Aneurysmal Bone Cyst : Xray & MRI
History A 13 years male c/o pain and swelling in right shoulderFindings:The Xrays shows a large expansile lytic lesion is seen in the right distal clavicle with a large associated soft tissue component in an immature skeletonThe MRI shows a large expansile lytic lesion is seen in the right distal clavicleMultiple fluid-fluid levels are seen throughout the lesionFindings are typical of ABC of clavicleDiagnosisAneurysmal Bone CystFamous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 5, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Message by Dr Sumer Sethi to New MBBS Students
Welcoming new fledglings to the medical fraternity§ “You shouldn’t have come into this profession.”§ “Oh damn, I should’ve gone for engineering.”§ “I am studying for exams, while all my friends from other fields are partying… this is not fair.”How many times do we hear these words? A lot of demoralizing talks stem from not only the media and seniors but it is going to come from you too. Hence, at the very beginning, I want to sit you down and reassure you that:Yes, itis going to be a long and tedious journey but every bit of itwill feel worth it in the end.Medical profession cannot be va...
Source: Sumer's Radiology Site - February 5, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Bronchial Carcinoid : CT Findings
History: A 31 years male presented with 6 weeks history of breathlessness and intermittent hemoptysis. CT scan was performed and show belowFindings:An intrabrocnchial soft tissue lesion is seen obstructing the left lower lobe bronchus with distal atelectasis. The soft tissue shows eccentric foci of calcification. The lesion shows significant post contrast enhancement in arterial phaseDiagnosis:These imaging findings are typical of a Carcinoid tumorFamous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - February 3, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
DAMS 2021 Year Review
Sharing a brief review on DAMS Institute's 2021 YearFamous Radiology Blog by Dr Sumer Sethi www.sumersethi.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - January 5, 2022 Category: Radiology Authors: Sumer Sethi Source Type: blogs
