Introduction: Diseases of the Para nasal sinuses include wide spectrum ranging from inflammatory conditions to neoplasms. CT has replaced conventional radiographs as imaging modality of choice for assessment of Para-nasal sinus diseases. Material and Method: This was the prospective study carried out on 50 symptomatic sinus diseased patients who underwent CT imaging of paranasal sinuses in both coronal and axial sections in Department of Radiodiagnosis, NSCB Medical College and hospital, Jabalpur from November 2014 to October 2015. Results: Most patients were in the 3 rd and 5 th decades of their life with male : female ratio of 4:1.The common complaint with which they presented was headache followed by nasal obstruction. Sensitivity and specificity for detection of mucosal abnormality was very good. On evaluating patients with CT PNS, the most common sinus involved was maxillary sinus. Commonest pattern of inflammation was sinonasal polyposis followed by osteomeatal unit pattern. Conclusion: To conclude, this study proved good result of CT evaluation of diseases of paranasal sinuses due to high sensitivity and specificity to diagnosis and the planning of management in paranasal sinuses diseases.

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A comparative study of pulmonary Koch's among marble stone worker community of Bhedaghat and nonmarble stone worker community of Garha Introduction: Occupational stone dust exposure may result in several health risks tuberculosis (TB) silicosis, obstructive as well as restrictive lung diseases, among which TB is more prevalent in developing countries like India. Most people residing in Bhedaghat engaged in carving statues from variable stones and marble rocks belongs to poor socioeconomic conditions and unaware of the preventive measures. Ultimately they end up in chronic respiratory problems and various complications. Objective: The study was carried out to fi nd the effect of marble stone dust exposure on the prevalence of TB and to study some of associated epidemiological factors and effect of working environment. Materials and Methods: The present study is cross-sectional study with a comparison group, which was matched for age, sex and socioeconomic status, unexposed to similar working environment, that is, carving and cutting marble stones. Using interview technique demographic, occupational and clinical details were recorded on the predesigned proforma. For pulmonary TB among study subjects already detected, cases were included, and those strongly suggestive on the basis of clinical history were confi rmed by means subsequent sputum smear examination and radiography. Statistical analysis was carried out by using Statistical Software Package Epi Info 7. Results and Conclusion: Overall prevalence of pulmonary TB was 6.25% among marble stone workers while in the comparison group it was 4.38%. Among marble stone workers, the prevalence was more among workers working in closed and congested room and not using any personal protective measures and employed in stone cutting for >5 years. Abstract Access this article onlineWebsite: www.ijmedph.org

BACKGROUND With the advent of high-resolution ultrasound, evaluation of superficial soft tissue structures has become very easy. Parotid gland being a superficial structure is easily amenable for high resolution ultrasound evaluation. And in the same sitting, a guided FNAC can be done for pathological characterization of suspected mass. Because of ease of availability, non-ionizing property, repeatability, real time scanning, being less expensive and easy follow up, USG can be used as a first line diagnostic procedure for suspected parotid lesions. METHODS This is a prospective study of 45 patients in the adult age group of 18 years and above, referred to the Department of Radiodiagnosis, NSCB Medical College, Jabalpur, with suspected parotid gland pathology. All these patients underwent USG and then FNAC after proper consent for histopathological examination. After detailed history, correlative laboratory findings, sonography was done with high resolution probe with patient in supine position and head turned to opposite side. Scanning was done by coupling techniques with the use of gel in axial, sagittal & coronal planes. Diagnosis was confirmed on FNAC and clinical correlation. RESULTS Out of a total number of 45 patients who were diagnosed and evaluated for parotid gland lesions by ultrasonography, the most common condition was pleomorphic adenoma followed by infective and inflammatory pathology.

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