Large cystic renal tumours can be confused with hepatic lesions even on crosssectional imaging. Careful clinical, sonographic and imaging analysis is needed for establishing correct diagnosis. We report a case of papillary cystic renal carcinoma in a 60 year old man, which was confused with amoebic liver abcess and was initially drained. Subsequent recurrence of symptoms prompted us to re-evaluate the case and repeat sonography confirmed the extrahepatic origin of mass based on simple observation that the liver and mass were moving separately on inspiration. Later guided aspiration from solid component of the mass confirmed the diagnosis as renal cell carcinoma. He was successfully treated with radical nephrectomy with uneventful post-operative recovery.

Esthesioneuroblastoma is a rare malignant tumor of the sinonasal tract. Oral and maxillofacial pathologists rarely encounter this tumor in their daily practice. Because of their complex anatomic location, non-specific symptoms, varied histomorphology and unfamiliarity, most of the times, the tumor is diagnosed as benign tumor and thereby conservative treatment results in multiple recurrences. A recurrent case of esthesioneuroblastoma in a 24-year-old female patient describing the clinical, histopathological and immunohistochemical features along with differential diagnosis is discussed.

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BACKGROUND: Exposure to noise beyond prescribed limits of WHO in terms of intensity and duration results in temporary and in a few permanent loss of hearing acuity. The effect of traffic noise in Police personnel of Kurnool city was assessed by questionnaire. MATERIALS AND METHODS: Seventy traffic police personnel posted in various traffic junctions of Kurnool City were asked to fill a questionnaire related to their hearing acuity. Ambient noise Levels at important traffic junctions were measured using portable precision digital sound level meter (Lutron -Model SL4010). RESULTS: Irritation and problem in hearing in the crowd was the main complaints seen in 27.14% of the study subjects. RTC bus stand recorded the highest value of 109.6dB. CONCLUSION: Legal framework should be imposed to maintain the noise levels in traffic within acceptable levels. Health education and personal protection devices should be provided to the traffic police and their correct usage should be explained.