Mindfulradiology

 A 60 year old male patient presented with history of trauma and injury in the posterior aspect of left thigh 6 days back. He developed swelling in this region. Patient also had pain, loss of sensation, absent distal pulse. A clinical diagnosis of compartment syndrome was made. This was the intraoperatve image of the patient showing swollen lower thigh . Fasciotomy was performed to relieve pressure in the lateral compartment of thigh. Tensor fascia Lata incision was performed to release the pressure in lateral compartment. Vastus lateralis is muscle is seen. There was no clinical improvement following fasciotomy, so further investigations were done  USG Doppler demonstrate a segment of occlusion by thrombus for 1.2 cm in the distal part of superficial femoral artery. Distal to this site of thrombus no absent arterial flow. The popliteal, anterior tibial, posterior tibial and dorsalis pedis artery are showing monophasic waveform with very low peaksystolic velocity but maintained flow pr

 A 33 year old female patient presented with right flank pain for 2 days with no history of hematuria. CECT abdomen was done                3D volume reconstructed images shows the  pseudo aneurysm in the right renal area Contrast enhanced axial CT abdomen image shows a heterogenous lesion in the mid pole of right kidney with fat densities within  an intensely enhancing rounded intratumoral pseudo aneurysm. Hyperdense areas also noted within the lesion suggestive of  haemorrhage within the tumour ...above mentioned features are suggestive of right renal angiomyolipoma with intratumoral pseudo aneurysm and haemorrhage  within  Coronal image shows the same findings in mid pole of right kidney. .                                                               Sagittal images of the same    USG shows a heterogenous right renal inter polar mass with hyperechoic components and a round hypoechoic intratumoral area.   i   The round intratumoral area shows bidirectional colour flow (red and blue)

A 60 year old female patient came with complaints of lump in the left breast gradually increasing in size for last 6 months. There was no history of any nipple discharge, pain, trauma, nipple retraction or no other significant past surgical history. On palpation a hard lump was felt in the left breast in lower inner quadrant. Both breast shows scattered fibroglandular tissue. An irregular high density mass with spiculated margins is noted in lower inner quadrant of left breast. No evidence of any skin thickening, nipple retraction or calcification is noted, suggests possibility of birads 4c lesion(HPE Correlation). A well circumscribed ovoid high density lesion noted in the upper outer quadrant of right breast, suggest possibility of birads 3 lesion(Rec: USG correlation/ follow up). Another similar density ovoid lesion with obscured margin noted medial to the above mentioned lesion in right breast, suggest possibility of birads 3 lesion(HPE Correlation). Bilateral axillary lymph nodes