Introduction: Globally, increasing clinical demands threaten postgraduate radiology training programmes. Time-based assessment of clinical workload is optimal in the academic environment, where an estimated 30% of consultant time should ideally be devoted to non-reporting activities. There has been limited analysis of the academic radiologist workload in low-and middle-income countries. Methods: Departmental staffing and clinical statistics were reviewed for 2008 and 2017. The Royal Australian and New Zealand College of Radiologists 'study ascribable times' (RANZCR-SATs) for primary consultant reporting were used with the Royal College of Radiologists (RCR) 2012 guidelines for secondary review of resident reports, to estimate the total consultant-hours required for each year's clinical workload. Analyses were stratified by type of investigation (plain-film vs. special) and expressed as a proportion of the total annual available consultant working hours. Results: Reporting all investigations required 90% and 100%, while reporting special investigations alone, demanded 53% and 69% of annual consultant working hours in 2008 and 2017, respectively. Between 2008 and 2017, the proportion of consultant time available for plain-film reporting decreased from 17% to 1%, while preserving 30% for non-reporting activities. Conclusion: A time-based analysis of the academic radiologist's clinical workload, utilizing the RANZCR-SATs and RCR 2012 guidelines for primary and secondary reporting, respectively, provides a reasonably accurate reflection of the service pressures in resource-constrained environments and has potential international applicability.

Renal cell carcinoma is rarely described in paediatric patients with tuberous sclerosis complex. This report describes a case of an 11-year-old male with tuberous sclerosis-associated renal cell carcinoma.

Extra-pulmonary tuberculosis (EPTB), caused by Mycobacterium tuberculosis, is the leading cause of communicable disease-related deaths in people with human immunodeficiency virus (HIV) worldwide and in South Africa. Mycobacterium tuberculosis disseminates haematogenously from an active primary lung focus and may affect extra-pulmonary sites in up to 15% of patients. Extra-pulmonary TB may present with a normal chest radiograph, which often causes a significant diagnostic dilemma. This review describes the main sites of involvement in EPTB, which is illustrated by local imaging examples.