We report two cases of uterine lipoleiomyoma in postmenopausal women of ages 52 and 55 years, who presented with complaints of leukorrhea and lower abdominal pain, respectively. Lipoleiomyoma is a rare benign variant of leiomyoma, having an incidence of 0.03%–0.2%. These are benign pelvic tumors which are usually asymptomatic and commonly occur in obese postmenopausal women. However, they can occasionally present with typical leiomyoma symptoms. Imaging plays a crucial role in the diagnosis of benign pelvic tumors. Ultrasonography is the first imaging modality for diagnosis of pelvic tumors in females. Computed tomography and magnetic resonance imaging are specific in demonstrating the uterine origin and fat component.

Mucormycosis (previously called zygomycosis or phycomycosis) is an uncommon opportunistic infection with the gastrointestinal form being the rarest occurrence and one of the most lethal infections known to humanity. The most common risk factors predisposing to develop gastric mucormycosis are uncontrolled diabetes mellitus, stem cell transplantation, or underlying any hematologic malignancy and major trauma. Pain abdomen, hematemesis, and melena are common symptoms which the patient presents. The exact diagnosis of gastric mucormycosis can be missed due rarity of the disease. A high level of suspicion is required in the early diagnosis and management of disease, particularly in immunocompromised patients. The radiological imaging modalities such as CT scan or MRI of the abdomen initially usually reveal non-specific findings such as mucosal wall thickening, mass, and reactive lymphadenopathy and prompt additional investigation with endoscopic or surgical biopsy of the lesions. The disease outcome and mortality are very high with gastrointestinal mucormycosis.

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Primary cutaneous adenoid cystic carcinoma is a rare slow-growing neoplasm, with limited literature reporting the involvement of the scalp. It has a tendency to recur locally; however, lymph node, distant pulmonary and bony metastases are exceptionally rare. We highlight the case of a 65-year-old female with primary cutaneous adenoid cystic carcinoma with distant pulmonary and bony metastases and the importance of imaging in diagnosing distant metastasis and perineural spread.

Introduction: Acute abdomen is a common presentation seen in the emergency department.Patients most commonly present with pain, which is a broad spectrum for assessment. Hence the clinician often needs an aid to come to a diagnosis. Ultrasonography is one of the leading imaging modality that helps to confirm the diagnosis made by the clinician. Methodology: This was a retrospective study conducted in the Department of Radiology at Saveetha Medical College and Hospital between January 2021 to April 2021 with the objective to assess the efficacy of ultrasound in acute abdomen. Hundred patients who were admitted in the hospital with abdominal pain were chosen. Patients with the history of trauma, history of chronic abdominal pain and pregnant women were excluded from the study.Clinical history, physical examination, ultrasonogram, per-operative clinical findings and histopathological examination were used to come to the final conclusion. Results: Out of hundred patients sixty-four (64%) were managed surgically. After obtaining histopathological results it was found that the sensitivity of ultrasound to diagnose a surgical condition was less compared to the histopathological investigation. The remaining thirty-six(36%) were managed medically after obtaining the diagnosis from ultrasound,lab investigations and higher imaging modalities like magnetic resonance imaging(MRI) and computerized tomography(CT). The specificity of ultrasonogram was found to be really high while the sensitivity was less compared to other imaging modalities. Conclusion: Ultrasonogram has established itself as a rapid,safe and cost effective imaging modality. It aids the clinician to come to a diagnosis or to confirm it leading to accurate treatment and patient survival.