A 31 years old female presented with swelling and pain above the right knee for three years. On examination, there was a tender swelling over the right knee more pronounced over the suprapatellar region. Plain X-ray, US, CT scan and MRI of the knee were suggestive of Primary synovial osteochondromatosis (PSC) of the suprapatellar pouch. Patient underwent total synovectomy and the diagnosis of synovial osteochondromatosis was confirmed histopathologically. Recognizing the imaging appearances of PSC is important to improve patient management.

Multiseptate Gallbladder (MSG) is a congenital problem with varing clinical presentation. Its prevelance in peadriatic age group is much less as compared to adults, especially in females, making it a rare condition. Symptoms may be mild or severe, or patient may be completely asymptomatic, with incidental sonographic diagnosis. Exclusion of other associated conditions is also required. Its correct diagnosis is important, so that the patient can be observed for complications including possibility of carcinoma in rare instances. We report here a case of a female child, diagnosed as having Multiseptate gallbladder, at Hearts International Hospital, Rawalpindi, Pakistan . She is being regularly followed in opd.