COVID-19 pneumonia is a recently identified lung infection, the hazardous factor of this pneumonia is pandemic dissemination of infection by corona virus. Due to its high mortality and morbidity it has become a threat to the human life. As pneumonia is the commonest manifestation chest x-ray becomes the primary modality of investigation however many symptomatic patients do not have a positive chest X-ray findings hence, HRCT is used as primary modality for both screening as well as a diagnosing COVID-19 pneumonia. It has been observed that in many situations RT-PCR test are negative or inconclusive but the HRCT in such cases is useful and conclusive. Aim of the article is to highlight the role of HRCT in diagnosing COVID-19 pneumonia and providing proper guidance to the Clinicians for assessing the response and therapeutic purpose for covid19 pneumonia. recently, HRCT score have also been used to provide the clinicians an idea about the Prognosis of this disease progress.
The severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) causes COVID-19, which is known to cause fever, dry cough, exhaustion, headache, and loss of taste and smell. Although fever, sore throat, and cough have historically been the utmost characteristic symptoms of the illness, published case reports have recently started to emphasize additional uncommon and unusual presentations of infection with the coronavirus. In COVID, the musculoskeletal system is seldomly involved. In addition to reviewing the causes and imaging characteristics of COVID-19-related illnesses of the musculoskeletal system, we elaborate on a case of a middle-aged man who developed myositis as sequelae to the COVID-19 infection.
Background We report an interesting case of a primary isolated intraventricular and intracranial hydatid cyst in 20-year-old female that mimicked bleeding cystic tumor presenting as intraventricular hemorrhage with hydrocephalus. Case presentation Patient presented with headache and giddiness for 1 month. On magnetic resonance imaging, there was multiloculated multi-cystic lesion in left lateral ventricle and adjacent left periventricular deep white matter. Lesion was causing compression of the body of the left lateral ventricle with temporal horn dilatation and midline shift of 17–18 mm toward right side. On investigation, it was diagnosed intracranial hydatid cyst with intraventricular extension. Patient underwent complete removal of cerebral hydatid cyst. Follow-up postoperative computed tomography scan done which revealed no residual hydatid cyst. Conclusion In this case, larvae of echinococcus might have passed through capillaries of liver and lungs and entered systemic circulation reaching brain. Intracerebral hydatid cysts are rare and hence, dangerous if the diagnosis and treatment is not prompt. Intracerebral hydatid cysts have slow growth rate with late-stage symptoms, morbidity and mortality are high. So, take home message is whenever intracranial cystic lesion are found on magnetic resonance imaging hydatid cyst with possible intracranial extension should be considered in differential diagnosis.
Simple renal cyst (SRC) is uncommon paediatric pathology. It's spherical, round to oval. Perceptible wall, anechoic, without septa, and cyst is separated from the collecting system, and the cyst has no colour Doppler flow. They may be as small as a pea or as large as a golf ball. Simple renal cysts are filled with serous fluid and have a simple epithelial covering. They are less common in children with incidences of less than 0.5 percent, while adults have incidence of more than 10 %, and more than 30 % in adults aged 70 and older. The exact mechanism by which renal cysts form is unknown. There are a few theories of how the disease develops. The causative factor, according to one hypothesis, is a focal ischemia in a renal tubule that causes localised obstruction. According to another hypothesis, renal cysts are caused by calyceal diverticula that have lost contact with the adjacent calyx.1 Because of the increased use of ultrasound screening (USS), more children are being diagnosed with renal cysts. Asymptomatic and symptomatic cysts (abdominal pain, hematuria, etc.) are distinguished, but mostly asymptomatic cysts develop slowly, though complications such as bleeding, infection, or rupture may occur, particularly in younger children.2 Chronic kidney disease (CKD), polycystic kidney disease, malignant transformation, and symptomatic enlargement have all been identified in paediatric patients with renal cysts. The vast majority of renal cysts, fortunately, do not develop and remain largely unchanged over time. In cases of asymptomatic simple renal cysts in infants, a conservative management approach is used. Recent research supports the use of an ultrasound-based (US) adapted Bosniak classification system to classify renal cysts in children. This would result in lower rates of surgical treatments for benign lesions, as well as less ionising radiation from needless computed tomography (CT) scans. It would also mean less extended monitoring and associated morbidity.
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