Background: Thyroid gland is the largest gland of the body which secretes thyroid hormones named T3 & T4. Incidence of solitary thyroid nodule is common in Bangladesh. Objectives: To validate the ultrasonography evaluation of solitary thyroid nodule comparing with histopathological diagnosis. Methodology: This cross sectional study enrolled 75 patients of age range between 14 to 72 years during July 2016 to June 2018 and the study was carried out in the department of Radiology & Imaging of Ultrasonography evaluation was finally compared with histopathological diagnosis which was considered as gold standard. Results: Among 75 patients are included in this study the age ranged between 14 to 72 years. Majority of the patients 37 (49.3%) were found between 31 to 40 years. 65 (86.3%) were female & 10 (13.3%) were male. All patients were presents with thyroid swelling. In USG findings Microcalcifications were present 9 (12%) in benign & 5(6.7%) in malignant cases. Presence of Halo were in all benign cases 14 (18.7%). Comet tail sign were in 5 (6.7%) in benign & 3 (4%) in malignant cases. Histological nodular goiter were 57 (76%), Follicular adenoma 8 (10.7%), Thyroditis 5 (6.7%) and Papillary carcinoma 4 (5.3%), Follicular Carcinoma 1 (1.3%). Conclusion: This cross sectional study was carried out with an aim to determine the usefulness of ultrasonogram diagnosis of solitary thyroid nodule compared with histopathology findings. As the validity test results are higher, it can be concluded that the ultrasonogram is a useful diagnostic modality in the evaluation of solitary thyroid nodule. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 76-84

Background : Fetus in fetu is a rare congenital anomaly in which a malformed fetus or parasitic fetus grows within the body of its twin. It is a parasitic twin of a Diamniotic, monozygotic twin. Fetus in fetu is often overlooked in the differential diagnosis of an abdominal mass in infants and children. Teratoma is one of the closest differentials and must be excluded. Unlike teratomas, fetus in fetu is a benign disorder. The objective of our study is to describe the sonographic findings of an extremely rare pathology. We therefore the present diagnosis, pathology, management of fetus-in-fetu. Case Presentation: On 6th June 2021, a two years boy was brought by his parents to Chittagong Medical College Hospital (CMCH) for treatment with the complains of abdominal mass, occasional abdominal pain and loss of appetite. The patient was evaluated radiologically by plain radiographs, USG and pre & post contrast CT scan of the abdomen. All radiological modalities showed a mass in the left lumber region having internal bony structures likelong bone, vertebra and teeth. CT scan played the vital role in clearly demonstrating the bones and confirming the presence of vertebra. Radiologically a diagnosis was made as fetus-in-fetu and the possibility of Teratoma was excluded by the presence of vertebra. The patient underwent surgery and the mass was completely excised. A deformed parasitic fetus enclosed in a complete capsule was removed from the patient’s abdominal cavity. Autopsy of the specimen showed deformed limbs, presence of vertebra, long bone, other soft tissue, organogenesis around an axis and histopathology confirmed the presence of vertebra, bone and bone marrow, cardiac muscle, nerve tissue, intestine, renal tubules with glomerulus, lymphoid tissue, respiratory epithelium and skin. All findings were compatible with fetus-in-fetu. Conclusion : Although fetus in fetu is a rare condition, correct diagnosis using imaging can be made before surgery. It should be considered as a diffential diagnosis for lump abdomen especially in infant. Complete excision is curative. JCMCTA 2021 ; 32 (2) : 151-155

Background: Head and neck cancers include cancers of the lips, mouth, nasal cavity, paranasal sinuses, pharynx and larynx. Most of these cancers are squamous cell carcinomas (SCCs). The presence of metastatic cervical lymphadenopathy is of particular importance as with every single nodal metastasis, survival of the patient is reduced by one half. Objective: To see the prevalence of metastatic neck node. Methods: The prospective cross-sectional clinical study was carried out in the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka during March’2018 to March, 2019. All 100 patients were included in this study and were treated at the Department of Otolaryngology of Combined Military Hospital, Dhaka. Results: Total 26 cases were found parotid among them 8(30.8%) in metastatic neck node and 18(69.2%) in without metastatic neck node. Total 10 cases were found paranasal sinuses among them 1(10.0%) in metastatic neck node and 9(90.0%) in without metastatic neck node. Which were statistically significant (p<0.05) between two groups. Conclusion: In this study observed that majority of metastatic neck node were found pyriform fossa, supraglottic larynx, base of tongue which were 68.2%, 68%, 77.8% respectively. In oral cavity and parotid site also found 48.1% and 30.8% metastatic neck node. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 102-107

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