Mindfulradiology

A 35 year old male patient came with chief complaints of continuous painful erection of penis for last 6 days.There is no history of any trauma, drug intake or any haematological disorders. . : Clinical examination revealed fully erect penis  On ultrasound Doppler evaluation  Transverse image through the engorged penile shaft shows absent flow in the right cavernosal artery(double arrow), the left cavernosal artery shows vascularity (single arrow) but decreased flow  Decreased peak systolic velocity noted in left cavernosal artery  Priapism Priapism is defined as a penile erection that persists for 4 h or longer and is unrelated to sexual activity. It can be of three types  Ischaemic (low flow/veno-occlusive) -  Ischaemic priapism represents over 95% of cases, and results from sinusoidal thrombosis and veno-occlusion with little or no cavernosal blood flow. It is a urological emergency . Aspiration of cavernosal blood reveals a hypoxic, acidic content. It can be caused by haematologica

  A 50 year old male patient presented with      Progressive hearing loss for 3 months     Tinnitus for 2 months.     Ataxia for 1 month Nect axial images show a heterogenous predominantly isodense mass in the left CP angle causing mass effect on 4th ventricle   , . The lesion is noted to bulge into Porus acoustics which appears mildly dilated T1 weighted axial Sagittal and coronal MR images shows an extraaxial  homogenously enhancing mass lesion in the left Cerebello pontine angle causing mass effect on the 4th ventricle leading to hydrocephalus and mass effect on the middle cerebral peduncle  Vestibular Schwannoma They are benign tumours. They are the most common internal auditory canal/ cerebellopontine angle cistern tumours and second most common extra axial neoplasm in adults. VS most commonly involve the inferior vestibular nerve and classically arise at Porus acusticus.  Clinical features Most often asymptotic,  Sensorineural hearing loss, tinnitus, disequilibrium or facial nerv

  Image shows mass in the right nasal cavity A 50-year-old woman was admitted to hospital complaining of gradually increasing right nasal obstruction, rhinorrhoea, nasal malodour, and headache present for 20 years. No history of inserting a foreign body was recalled. No history of any trauma, surgery or cognitive impairment was recalled Rhinoliths are  calcifications that  occur  in  nasal  cavity  due  to  deposition  of mineral  salts  on  a  foreign  body  .  This  calcifications  can  be,  exogenous,  is  rare generally  unilateral  and  asymptomatic.  They  are  most  commonly  seen  in children  and  cognitively  impaired  adults  who  insert  foreign  bodies  in  to  their nose.  Less  commonly,  trauma,  surgery  and  dental  work,  nasal  packing material  and  plugs  of  ointment  may  also  promote  development  of rhinolith .