A 17 year old girl presented with a progressively increasing swelling in her neck since 9 months. On examination a2*3 cm, firm, pulsatile swelling was felt in the left anterior triangle. The CT scan of the mass was suggestive of a carotid body tumor and urinary cathecholamines were negative. The mass was excised completely.

ARTICLE INFO ABSTRACTThe purpose of the study is to establish the role of magnetic resonance imaging (MRI) in the evaluation of various causes of compressive myelopathy, characterization of compressive lesions and to classify the lesions based on location into extradural / intradural compartments. Seventy patients who were clinically suspected to have compressive myelopathy were subjected for MRI. In this study, extradural compression due to degenerative changes (54.3%) was found to be the most common cause of compressive myelopathy, followed by infectious spondylitis (14.3%), post traumatic compressive myelopathy (12.8%), primary neoplasms & metastases (12.8%) and other causes (5.8%). There were 6 cases of intradural extramedullary pathology, remainder (64 cases) of the cases showed extradural location of pathology. MRI detected cord changes in 97% of cases with cord compression and also assessed the integrity of spinal cord, intervertebral discs and ligament after acute spinal trauma. MRI is very definitive, sensitive, accurate, though costly but very specific, noninvasive, radiation free modality for evaluation of compressive myelopathy.

Background: Magnetic Resonance (MR) imaging studies are sufficient for detection of gross Hippocampal Atrophy (HA), subtle HA that may characterize early disease is often missed. Quantitative MR imaging/ MR volumetry can depict the presence and laterality of HA in epilepsy with accuracy rates that may exceed those achieved with visual inspection of clinical MR imaging studies. Materials and Methods:The study comprised of Children at or below 6 years of age admitted in pediatric ward for seizure from July 2019 to December 2020 in Mahatma Gandhi Medical College Hospital and Research Institute presenting with seizures, admitted to pediatric department, and referred to radiodiagnosis for MRI. Complete case history including the socio-demographic data and other medical conditions of the patient was recorded. Results: The maximum no of patients were recorded in the age range of 13-24 years, with a slight male predominance. 44.76% patients suffering from generalized seizures, followed by 35.24% with focal seizures & 20% with undetermined form of seizures. Mean right & left hippocampal volume was found to be 2.572 & 2.4168 respectively. The mean right hippocampal volume in patients suffering from focal, generalized & undetermined patients was found to be 2.56, 2.53 & 2.67, & on left side it was 2.34, 2.42 & 2.45 respectively. The mean right hippocampal volume in patients as per the frequency/episode of 1-3, 4-6, 1-9 & 10 & above per month was found to be 2.6, 2.48, 2.41 & 2.685 & on left side it was 2.44, 2.33, 2.35 & 2.65. Conclusion:The use of MRI has been well-established as a reliable marker for the assessment of the mean volume of the hippocampus which is commonly seen to be involved in patients with seizures. We found a correlation between the mean hippocampal volume against the frequency of seizures wherein there was an increase in the volume with an increase in the frequency of seizures. We recommend more studies to understand these associations as there are deficit in terms of these parameters.

Background: Colour doppler of foetal pulmonary artery is non-invasive tool in predicting neonatal respiratory distress. Materials and Methods: This was a hospital based observational study conducted among 110 pregnant women who presented for institutional delivery in

Haemoptysis is one of the deadliest symptoms of respiratory illness. Identifying the etiology and source of haemoptysis plays a crucial role in early diagnosis and planning for appropriate management. The aim of the study was to evaluate the role of MDCT angiography in identifying the site, cause and source of haemoptysis along with determining the normal variants of bronchial arteries. A prospective study was performed on 50 patients with complaints of haemoptysis for a period of 18 months. MDCT angiography was performed to interpret site and source of bleed. Tuberculosis (44%) was the most common underlying cause of haemoptysis in a cohort of 50 patients. In most patients, bronchial artery was adjudged to the source of haemoptysis (72%), followed by the pulmonary artery. Non bronchial systemic arteries contributed to haemoptysis in 12% of patients. A total of 145 bronchial arteries were detected, out of which 75 were right bronchial arteries (51%) and 71 left bronchial arteries (49%). The combination of 2 right bronchial arteries and 1 left bronchial artery was the most common (18%) branching pattern in this study. MDCT angiography is a robust diagnostic tool that permits visualisation of pulmonary vasculature involved in haemoptysis, thereby effectuating suitable treatment in time, and possibly reduce associated mortality rates.