OBJECTIVE:To evaluate role of radio-imaging, with emphasis on MRI in comparison to other modalities, in patients of paediatric age group presenting with epilepsy and correlate it with clinical findings in Bundelkhand region. METHODS: Prospective data was obtained from evaluation of patients presenting with epilepsy in paediatric OPD and IPD, between 2010 and 2012. A total of 271 patients presenting with epilepsy (> 2 episodes of seizures) were included. CBC, Chest X-ray and CSF analysis were also performed for clinical evaluation as per need. Neurosonogram was done in 41 children below age of 1year (15.1%), Head CT was obtained in 167 (61.7%), MRI in all cases. EEG was done in all cases, except in 5 cases of trauma. Epilepsy provoked by causes such as fever, electrolyte imbalance and dehydration were excluded. RESULTS: We observed that generalized seizures were more common presentation, followed by partial seizures, mostly complex. Majority had more than 2 episodes of seizures at the time of presentation. MRI revealed positive findings in 191 cases (70.4%) and CT in 64 cases (38.3%) of 167 done. MRI had positive findings in 35 cases (34

Primary renal echinococcosis, a rare disease involving the kidney, accounts for 2-3% of human echinococcosis. We present a case of 55 yr. old female with dull aching pain and passage of grape skin like structures in urine. Evaluation with IV urography, ultrasound and CT scan was done. Radiologically, a diagnosis of primary renal hydatid cyst was made as there was no evidence of cyst at other locations. Circular filling defects with mild hydroureteronephrosis was noted on IVU suggesting possibility of rupture. Diagnosis was confirmed at surgery.