Pneumocephalus is a rare condition that usually arises from severe head and facial trauma, tumours of the skull base and surgical procedures involving the base of the skull. Tension Pneumocephalus (TP) is a clinical condition and a neurological emergency characterised by continuous accumulation of air inside the cranial cavity leading to irregular pressure being exerted on the brain which leads to neurologic deterioration. This is a case of a young motorcyclist who was involved in a Road Traffic Accident (RTA) and presented with deteriorating level of consciousness and plain skull radiograph and Computed Tomography (CT) of the brain showed skull fractures, presence of air in both lateral ventricles and brain parenchyma confirmed the diagnosis of post-traumatic TP, but unfortunately patient was succumbed to death.

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Congenital esophageal atresia and tracheoesophageal fistula is a rare congenital anomaly that occurs in one per 3000 live births and consist of esophageal discontinuity with or without connection to the trachea. Approximately 92% of patients with esophageal atresia have a tracheoesophageal fistula, which is a congenital fistulous connection between the esophagus and the trachea or a main bronchus. This patient presented with episodes of choking and cyanosis after every feed, respiratory difficulty and a distended abdomen. The plain radiograph of the chest including the abdomen was done where the stomach appeared to be markedly distended with air. The contrast meal performed showed a blind ended esophagus with a coiled feeding tube and pool of contrast in the blind ended esophagus. We present the radiologic findings of this case due to its rare nature and peculiar features.

Neonatal small left colon syndrome is a well-defined functional disease of the lower colon and it results in signs and symptoms of intestinal obstruction. It is an uncommon cause of neonatal intestinal obstruction characterised by an abrupt transition of intestinal caliber at or near the splenic flexure. More than 50% of affected patients are born to mothers with diabetes. We report a five-day-old neonate who presented with abdominal distension and vomiting diagnosed to have small left colon syndrome by contrast enema. He had surgical resection of the narrowed segment and anastomosis with subsequent resolution of symptoms.