This study aimed to determine the gray scale and color Doppler sonographic features of the most common and some of the least common scrotal lesions. Between October 2012 to May 2013, 100 patients the age range of new born to 85 years old the mean 30.95, with scrotal symptoms, who underwent scrotal ultrasonography (US), were retrospectively reviewed. The clinical presentation, outcome, and US results were analyzed. The presentation symptoms including scrotal pain, painless scrotal mass or swelling, and trauma. Sonographic features that were reviewed included the size and echogenicity of the tumors, presence of cystic areas or calcifications,and distribution pattern of detectable blood flow on color or power Doppler imaging..This study revealed that of 100 patients the age range of new born to 85 years old the mean 30.95 (7%) presented with Testicular torsion , (10%) with epididymitis, epididymo-orchitis (13%), abscess (5%) ,encysted hydrocele (8%), varicocele (10%), Spermatocele (5%) , testicular malignancy (13%), orchitis (4%), hematoma 8 (8%), Scrotal hemia 6 (6%), undecended testis 8 (8%) and lymphoma (3%). Operation (orchiodectomy) was done for 6 pateint (one for testicular torsion ,second one inguinal hernia and undecended testis, ,two of seminoma and one unsenimotous disease). Color Doppler ultrasonography accurately diagnosed all cases of epididymitis or epididymo-orchitis, spermatic cord injury, testicular torsion, varicocele, and hydrocele .US provides excellent anatomic detail, The study concluded that Color Doppler ultrasonography is an excellent, a safe, and reliable method for evaluating patients with scrotal diseases. It aids in diagnosis of testicular tumors and reduces the number of unnecessary exploratory operations. It is especially important in conditions like testicular torsion where immediate diagnosis is required.

Meningioma and CT scan examination plus MRI. Chi-Square. Purpose: To determine the diagnostic accuracy values of CT. Scan in the detection of meningioma in the brain. Correlated the accuracy of MRI with meningioma volume in (CC). Methods: Prospective study of Saudi both males & females patients of different age-randomly of 35 patients using CT. Scan axial, sagittal and coronal scans while in MRI Scan using standard protocol of examinations T1 weighted image and T2 weighted image in all cases were examined. The results are classified in tables and using Chi-Square analysis. Results: Both CT. Scan and MRI exam's can find meningioma lesion more than zero (cc). The table-7 Chi-Square test showing the P. Value =0.410 > 0.05 showing No. significant between the CT. Scan and MRI in finding the meningioma. Moreover, the table-10: Shows Chi-Square the P.value =0.008 > 0.05 showing significant in assessment of meningioma volume in (cc). Conclusion: Meningioma CT. Scan is useful examination in emergency patients. While MRI should always be considered as an indispensable imaging modality in the assessment of meningioma volume (cc). Both CT. Scan and MRI are used to support the diagnosis and evaluation of meningioma. But MRI is better in accurate diagnosis meningioma volume (cc).

The diagnosis of acute appendicitis is mainly clinical and to confirm the clinical diagnosis ultrasonography (USG) of the abdomen is being used to help in diagnosis of the disease. To find out the role of USG in the diagnosis of acute appendicitis in clinically equivocal cases and to correlate USG findings with histopathological reports (HPR) of removed appendix.Total numbers of 100 patients were included in the study from 12March 2019 to 5 December 2019. Findings on ultrasound were finally compared with histopathological report of appendices removed on surgery. Those cases with alternate diagnosis were followed up and proved with other means of investigation. The sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of ultrasound in diagnosis of acute appendicitis in our study were found to be 79 %, 84.20 %, 95.50%, 48.40% and 80% respectively.

Objective:This study was designed with an aim to determine the incidence of gallbladder stonesandto evaluate the accuracy of ultrasonography in the diagnosis of calculus, occur in Saudi patients whom presents at the Radiology and Ultrasound Department. Materials and method: Retrospective study in the period 22 August 2020 to 22 December 2020, a total of 108 patientsunderwentultrasound. When the gallbladder is investigated using ultrasound imaging (US) modality. Ultrasound instrument used was spatial digital U22 Philips Convex probe 3.5 Data analysis performed using the tables and computerized systems,ultrasound using different types of ultrasound units with 3.5 MHz and 5 MHz curve linear probes.Statistical analysis was performed using Microsoft Excel Software and the Standard Statistical Package for the Social Sciences version 15 for windows. Result: Out of 108 examined samples [mean age of 29 years male to female ratio of .9:1].Gallstones in this study were more common in the age range from 2 to 39, (58.3%).The most common causes of gallbladder stones are, 0ral contraceptives44(40.7%),Cholesterol28 (25.9%),Biliary dyskinesia 17 (15.7%),Diabetes 12 (11.1%),and Spinal cord injury7 (6.5%)one of the commonest complaints is upper abdominal pain,52(48.1%) and in majority of the cases the etiology is treatable,Nausea30 (27.8%) andVomiting 26(24.1%).Confirmation is done by CT scan 20 (18.5%) for the cases of small gall stones (<2mm) and impacted stones in cystic duct and operations, Cholecystectomy 14(13%) were done for stones large than (>2 cm), who have a nonfunctional or calcified (porcelain) gallbladder and patients for spinal cord injured. Conclusion: Ultrasound (US) is the preferred method for evaluating gallstones with 96% accuracy. The number, size and calcification can be evaluated by virtue of US inversion and attenuation. If there are more than five stones, the accuracy decreases.