Unicornuate uterus is a form of uterine anomalies which arise from failure of development and fusion of the Mullerian ducts, and accounts for about 2.4-13% of all Mullerian anomalies. This is a 30-year-old housewife referred for hysterosalpingography (HSG) on account of secondary infertility. The patient also had history of recurrent abortion in the first trimester. The HSG showed an ellipsoidal or Banana shaped uterus in the left lateral pelvic cavity with prominent left fallopian tube that showed peri-fimbrial spillage of contrast medium with non-demonstration of a communicating rudimentary horn. She also had a pelvic ultrasound that showed an empty uterus with a right hypoechoic solid area most likely the right rudimentary horn. We report the radiologic features of Unicornuate uterus due to its rare nature and peculiar presentation

Spinal osteochondroma are basically of two forms, these are spinal osteochondromas in patients with multiple osteochondromas and solitary osteochondromas occurring in the spine. Osteochondromas are more prevalent among the male gender and has an age of onset between 20-30 years. This is a 27-year-old lady that was referred for plain radiograph of the cervical region on account of a hard mass on the left aspect of the neck that was slowly growing for two years duration. He patient also complai ned of occasional left shoulder, forearm, wrist and hand pain with occasional numbness. The plain radiography was done in both anteriorposterior and lateral projection, showed a soft tissue density fullness and an expansile missed sclerotic and lucent lesion/mass involving the spinous processes of the second to sixth cervical vertebrae. The expansile, and mixed sclerotic and lucent appearance of this area proffered the differential of a solitary cervical spinal osteochondroma. The patient had surgical excision of the t umor, and histopathologic assessment of the tumor confirmed osteochondroma. We report the radiologic finding of a case of Solitary cervical spine osteochondroma in a 27-year-old lady due to its rare nature and presentation.

The spleen is the largest encapsulated lymphoid and intraperitoneal organ in the human body located in the left hypochondrium, and consisting of the white pulp for the immune system and the red pulp for phagocytoses of blood elements. Congenital anomalies of the spleen may vary, ranging from those of the shape, size and location, among which are lobulation, clefts and notches, accessory spleen, wandering spleen and polysplenia. This is a 10-year-old male child referred for an abdominal and pelvic ultrasonography on account of urinary infection (UTI), had no history of trauma and instrumentation to the abdomen or left hypochondrial region. The abdominopelvic ultrasonogram showed a normal sized spleen with a diameter of 110mm, that showed a deep and central fissure extending superior and right medially on the diaphragmatic surface of the spleen. Linear echolucent areas are also demonstrated bilaterally; fissures, multiple notches are also noted on the superior border and clefts; appearing as linear echolucent areas on the superior border dividing it in to lobules. These clefts measure about 2cm from the superior border of the spleen. No accessory or multiple splenic tissues or wandering spleen is however demonstrated. The abdominal organs show normal situs. We report the ultrasonographic appearance of congenital anomalies involving the shape of the spleen in a 10-year-old child due to its peculiar presentation.

Syndactyly is a Greek word meaning fused digits, may involve fusion of the soft tissues with or without bony fusion. It is regarded as the most common congenital defect of the hand, detected in 1 out of every 2000 live births, twice as common in males, and more among the Caucasians. This is a 10-month-old male infant that was referred for plain radiograph of the right hand on account of completely fused 2 nd to 5 th digits and an incompletely fused 1 st digit with medial deviation since birth. The plain radiograph showed soft tissue fusion of the 2 nd to 4 th web spaces completely with a partially fused 1 st web space. There is associated fusion of the distal phalanges of the 4 th and 5 th digit, foreshortening of the 3 rd and 4 th metacarpals with the middle phalanges of the 2 nd and 5 th digits. There is flexion of the interphalangeal joint and medial deviation of the 1 st digit. There is also haphazard arrangement of the metacarpals and phalanges most especially the 3 rd and 4 th digits. Prominence of the thenar and hypothenar eminences with mild ulnar deviation of the entire right hand were also demonstrated. The contralateral left hand appears within normal limits, a complementary ultrasound showed normal abdominal organ situs. A diagnosis of congenital syndactyly most likely the complex-complicated form in a 10-monthold infant was established. The surgical repair to establish function and achieve excellent aesthetics was deferred until the child clocks about 24-months of age. We report a case of congenital syndactyly of the right hand due to its radiographic form of presentation in this 10-month-old infant.

Urinary schistosomiasis (US) causes chronic ill health and caused by the blood fluke Schistosoma haematobium. This disease is endemic in Africa and eastern Mediterranean countries, and has a predilection for the male gender. This is a 64-year-old farmer (swampy farming and fishing) for more than forty years, that was referred from a peripheral health care centre for abdominal and pelvic ultrasonography on account of abdominal pain and discomfort, bilateral loin pain, dysuria, and terminal hematuria for close to a year duration of onset. The ultrasonography demonstrated bladder wall thickening, mucosal thickening and polypoid proliferation in to the bladder lumen, irregular echogenic crust in the bladder base, suspended mobile echoes in urine most likely from hematoma and/or cystitis, there is associated mild-moderate biliterate dilatation of the pelvi-calyceal systems and ureters(hydroureteronephrosis). The remaining abdominal and pelvic organs appeared normal. Urinary parasitology demonstrated the ova of Schistosoma haematobium confirming the diagnosis of urinary schistosomiasis. We report the ultrasonographic features of urinary schistosomiasis because of its peculiar presentation and to emphasize importance of ultrasound in its assessment.