Background: Chest X-rays are important for tracking the progression of lung abnormalities, particularly in critically ill COVID-19 patients in the intensive care units (ICU). We aimed to assess correlation of chest X-ray findings with the COVID-19 disease severity and outcome. Methods: This prospective observational study was conducted at B & C Teaching Hospital, Birtamode from 15 March to 15 July 2021. All diagnosed COVID-19 patients admitted in the ICU for respiratory distress with oxygen saturation < 90% and evaluated by portable X-rays were enrolled. The radiographic findings were evaluated for the distribution and patterns of affection, and the total severity score was calculated using RALE scales of 0 - 8 and Brixia scales of 0 - 18. The scores were then compared between the expired and improved patients. Results: The age of patients (mean ± SD) was 48.2 ± 13.84 years. During the first four days of hospitalization, there was no significant difference in Brixia score (p = 0.793) or RALE score (p = 0.842) between expired and improved patients.The differences in both (Brixia and RALE) scores grew with each passing day (p < 0.05). The Brixia and RALE severity scores had a strong positive correlation at various stages of disease in both expired and improved patients. (r > 0.75, p < 0.001). Conclusion: In resource limited setting, the severity scores (RALE or Brixia) can be used as a quantitative method of the extent of COVID-19 pneumonia, correlating with an increased risk of ICU admission.

Background: Spinal injury is the most common injury which may lead to devastating disability. Such fractures are relatively rare but frequently result in neurologic damage due in part to retro- pulsed fragments that narrow the spinal canal. Hereby we would like to correlate the CT scan findings and neurologic impairment in thoracolumbar burst fractures at our center. Materials and Methods: This prospective observational study was conducted at B&C teaching hospital, Birtamode, Nepal. Patients were evaluated by CT scan between July 2016 to December 2018 referred from the emergency department with a history of trauma and suspected thoracolumbar vertebral fractures with or without neurological deficit were included in the study. The different demographic variables like gender, age were included and injury at the level of the spine and neurological deficit was studied. Thus, obtained data were processed in statistical software and expressed in percentage and frequency. Results: The total number of patients was 34 (male: 19, female: 15). The age ranged from 16 years to 77 years with a mean age of 39.1 years. The neurologic deficit was detected in 10 cases (29.4%), out of which complete deficit in 6 (60%) and incomplete deficit in 4 (40%). The neurologic deficit was absent in 24 cases (70.6%). An associated laminar fracture was detected in 17 patients (50%). Laminar fracture associated with the neurologic deficit was found in 10 patients. Conclusion: CT scan is an excellent imaging modality for the evaluation of thoracolumbar fractures. Measurement of central canal ratio and assessment of associated laminar fracture can be useful information to predict the neurologic deficit and plan for further management.

Teratomas are germ cell tumors that usually occur in the gonads, and present in early age group. Mesenteric teratoma is rare. Patients with mesenteric teratoma may remain asymptomatic or may present with compressive symptoms. Teratomas contain derivatives of all three germ layers, hence may contain diverse tissues. Computed tomography (CT) scan is ideal to establish the diagnosis of mesenteric teratoma, and reveal fluid, fat, calcifications, fat-fluid level. This is a case of 35-year-old female, who presented with upper abdominal pain for 2 months. She underwent Computed Tomography (CT) scan which revealed large well circumscribed mass in left upper abdomen, containing fluid, fat, and globular calcifications. Size of the lesion was: craniocaudal dimension= 12 centimeter, transverse diameter = 10 centimeter, anteroposterior diameter = 10 centimeter. Patient was managed by complete surgical resection. Histopathological examination confirmed the diagnosis of mature teratoma of mesentery.

A 12 month old infant with progressive left sided proptosis was evaluated by ultrasound and computed tomography (CT). A diagnosis of congenital frontoethmoid and left intraorbital meningocele was made, which is very rare.

Background: Coronavirus disease outbreak, first reported in Wuhan, China in December, 2019 is a WHO declared pandemic. Chest tomography (CT) findings can supplement in the diagnosis of COVID-19 pneumonia. Methods: This was a retrospective descriptive study in 40 patients with reverse transcriptase polymerase chain reaction (RT-PCR) positive patients with respiratory symptoms who underwent Computed tomography (CT) chest. This retrospective study was conducted at B & C Medical College Teaching Hospital, Birtamode, Jhapa, Nepal. Results: Total 40 patients, more than 3 lobes of lung involved in all 40 patients (100 %). Only ground-glass opacities seen in 11 patients, only consolidative opacities seen in 5 patients, both ground-glass and consolidation seen in 23 patients, and 1 patient had neither of them. Subpleural linear density was present in 16 patients (40%). Pleural effusion was present in 8 patients and crazy paving pattern in 9 patients. Total lung severity score range from 3 to 19 with a mean score of 9.8. Conclusions: Characteristic chest Computed tomography (CT) findings were observed in Corona virus disease 2019 infection, which are helpful to the radiologists, clinical physicians and other public health officials in the early detection and diagnosis of this global health emergency.