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Chest trauma is classified as blunt or penetrating, with blunt trauma being the cause of most thoracic injuries (90%). The main difference in penetrating trauma is opening the thoracic cavity, created either by stabbing or gunshot wounds, which is absent in blunt chest trauma. Following head and extremities injuries, Blunt thoracic injuries are the third most common injury in polytrauma patients. Assessment of blunt chest trauma patients with clinical and radiographic finding suggestive of pneumothorax, rib fractures, effusion and suspected lung injuries. A cases of 100 patients were included in the study with the age group between 18-49 years. Patients referred from the trauma centre with blunt chest trauma due to road traffic accidents and high velocity trauma. The hospital staff collects data of all trauma patients who were transferred-into the trauma centre with blunt chest trauma. Pneumothorax was detected in 28 patients, 19 patients had associated rib fracture and 11 patients had associated pleural effusion. 11 patients were associated with subcutaneous emphysema .In 19 patients, underlying lung parenchymal injury was present. Hemothorax was detected in 15 patients on CT scan. Pneumomediastinum was detected in 3 patients, while pneumopericardium was not seen in any case. Pulmonary contusion was detected in 15 patients. Computed Tomography (CT) Scan is the modality of choice for rapid assessment of emergency chest trauma patients where associated abdominal injuries can be scanned in one sitting with high sensitivity and specificity.

Abnormal uterine bleeding is any variation in the normal menstrual cycle, Includes: changes in frequency, duration and amount of blood loss during or in between the cycles. Approximately 70% of all gynecological consultations in perimenopausal and postmenopausal women are for abnormal uterine bleeding. There complaints may significantly affect the quality of life and lead to surgical intervention. TVS is an inexpensive, non-invasive, easly available and a convenient method to assess the uterine pathology. It is recommended as the 1st line diagnostic tool for assessing uterine pathology in perimenopausal age women presenting with abnormal uterine bleeding.To differentiate and characterize uterine and ovarian lesions based on MRI and TVS findings. To identify organ of origin of uterine and ovarian lesions based on MRI and TVS findings. To diagnose pathologies which have a difficulty in detection with TVS.40 patients in perimenopausal age group with complain of abnormal uterine bleeding were subjected to TVS and MRI examination. Final correlation with histopathology was done wherever it was acquired.Among 40 females, majority of them were in pre menopause period 25 (62.5%) and the rest in the post menopause period 15(37.5%). Among 40, majority were diagnose fibroids 14(37.5%), adnexal lesions 11(27.5%), carcinoma of cervix 5(12.5%), endometrial lesions 6(12.5%)and adenomyosis 4(10.0%). Adnexal lesions start in early age itself (35±2). Endometrial lesions(51±8) and carcinoma of cervix(55±6) were reported mostly in the post menopausal periods. Fibroids (40±5)and Adenomyosis(42±4) were reported in middle age. Among 11 patients TVS diagnosed 4 as Complex Adnexal Cysts, 3 as Dermoid, 2 as Simple ovarian Cyst, 1 as haemorrhagic Cyst and 1 as Possibly hydrosalphinx and MRI diagnosed 3 as Complex Adnexal Cysts, 3 as Dermoid, 2 as Simple ovarian cysts, 2 as haemorrhagic cyst and 1 as Hydrosalphinx. MRI is found to be more accurate and precise in comparison to ultrasound to characterize, localize and evaluate the number of lesions both benign and malignant along with its staging in pelvic pathologies. While TVS lacks specificity and sensitivity in relation to MRI but acts as a great screening tool in evaluation and further management. MRI is accordingly a more precise preoperative imaging modality for portraying and distinguishing the distinct features of varied lesions.

Vascular malformations belong to wide spectrum of disease involving all vascular segments- arteries, veins as well as lymphatics. Being Ultrasound as the primary diagnostic modality, all peripheral vascular malformation diagnosis can be made by clinical examination and duplex ultrasound examination.A study of 50 patients was carried over a period of 1 year from 1 May 2021 to 1 May 2022 on the patient who came with complain of slow growing, superficial swelling which is painless in nature. The machine used is Affinity Philips 70 G.With help of duplex ultrasound, various types of vascular malformations were diagnosed with incidence such as Slow Flow Venous malformation (60%- 30 patients), High flow Arterio-venous malformations (16%- 8 patients), Capillary malformations (12%- 6 patients) and Lymphatic malformations (12%- 6 patients).Vascular malformations have been classified into venous, arterial, capillary, combined and lymphatic malformations types. Besides age presentations, detailed history and clinical examination, ultra-sound imaging plays an important role in correct diagnosis and classification of vascular malformations. It assesses exact flow dynamics in order to differentiate between Slow flow v/s High flow vascular malformations. MRI is most valuable diagnostic tool for comprehensive assessment of vascular malformationsUltrasound are first imaging modality in peripheral vascular malformations. It has plays crucial role in proper treatment planning of the lesion as it describes the extent, type, flow pattern within the lesion.

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