Background: Spinal trauma is associated with long-term disability. Early detection can lead to prompt and accurate diagnosis, expeditious management, and avoidance of unnecessary procedures. Magnetic resonance imaging (MRI) helps to accurately depict the presence and extent of spinal cord injury (SCI) in these patients. Purpose: This study was aimed to look for various MRI findings which are predictive of initial neurological deficit in patients with spinal trauma and to correlate the findings with resultant neurological outcome. Materials and Methods: The present study was conducted over a period of 18 months from January 2016 to June 2017 in 57 patients with spinal trauma who underwent MRI spine. Neurological status of patients was assessed at the time of admission and discharge in accordance with the American Spine Injury Association (ASIA) impairment scale. Various MRI parameters were evaluated for correlation with the severity of the spinal injury. Results: Patients with cord transection, cord hemorrhage, and epidural hematoma had initial high-grade ASIA impairment scale. Patients with cord transection and cord hemorrhage did not show any improvement in their neurological status during their hospital stay. Patients with only cord edema and epidural hematoma showed favorable neurological outcome. Cord contusion showed lesser neurological recovery, as compared with cord edema and normal cord. Conclusion: MRI findings in acute SCI correlated well with the initial neurological deficits on admission and at the time of discharge. MRI should be recommended in all patients with suspected spinal trauma both as a diagnostic and prognostic indicator.

Congenital diaphragmatic hernia (CDH) is usually diagnosed antenatally or during the initial few hours of life in newborns who present with respiratory distress. CDH presenting with intestinal obstruction in adulthood is very rare. We report a case of 28 year old male, who presented to emergency department, with acute onset of abdominal pain and breathlessness since 2 days. Patient was investigated and diagnosed to have Bochdalek hernia (BH), with herniation of intra-abdominal contents to thorax through the defect (3.5×4.5 cms) in postero-lateral aspect of left hemi-diaphragm with obstructive features of bowel. Patient underwent emergency exploratory laparotomy with reduction of contents and hernia repair. Patient recovered and remains well. High suspicion of BH should be done when patient presents with abdominal and respiratory symptoms even though it is very rare in adults.

Tuberculosis is an important public problem worldwide from 19th century. Manifestations of tuberculosis widely classified as pulmonary and extra pulmonary manifestations. Central nervous system (CNS) tuberculosis is a serious condition where patients most often present with seizure. Tuberculoma is one of the CNS manifestations of tuberculosis. The imaging feature of tuberculoma is ring enhancing lesions. Tuberculoma should be differentiated from other diseases with ring enhancing lesions like neurocysticercosis, coccidiomycosis, toxoplasmosis and malignancies.

Tuberculosis is a public health problem worldwide causing significant morbidity and mortality. Manifestations of tuberculo-sis are widely classified as pulmonary and extra pulmonary. Tuberculoma is one of the CNS manifestations, which on imag-ing shows ring enhancing lesions. Although intracranial tuberculomas are common, spinal tuberculomas are rare and consti-tute only 2% of CNS tuberculomas. We present a case of both intra-axial and spinal tuberculoma in the same patient. Keywords: Tuberculosis, CNS, Tuberculoma, Ring enhancing lesion, MRI