A 43-year-old woman presented to us with progressive breathlessness, dry cough and weight loss. A chest radiograph showed homogeneous opacification of the entire left hemithorax. A contrast enhanced computed tomography (CECT) scan of the thorax showed a large intrathoracic mass occupying almost the entire left hemithorax and appeared grossly inoperable. A transcutaneous CT guided tru-cut biopsy revealed a solitary fibrous tumour. We reviewed the CT scans based on the biopsy report, and, in retrospect, the mediastinal vessels seemed more stretched and pushed by the tumor rather than directly infiltrated by it. We performed an exploratory thoracotomy and to our surprise, were able to dissect the mass quite easily off the mediastinum. She had an uneventful postoperative recovery, and the final histopathology confirmed a solitary fibrous tumor. We report this case to emphasize that a cursory clinico-radiological interpretation can dissuade surgical intervention in these patients.

The insertion of drains did aid in the detection of complications following gastric and pancreatic surgery. Two drains offer no further advantage over one drain in terms of detection of complications. While the number of drains did not contribute to, or reduce, the morbidity and mortality in the two groups, the use of one drain significantly reduced hospital stay. Taken together, these findings support the prophylactic insertion of a single intra-abdominal drain following gastric and pancreatic resections.

Background: The importance of frontal sinuses in Forensic Radiology has been well documented. Literature revealed few studies on the morphometric analysis of frontal sinuses on paranasal radiographs in sex determination. This initiated this radiographic study with the aim of analysing the dimensions of the frontal sinuses through digital PNS radiographs for gender determination. Materials and Methods: The study group comprised 150 healthy adults of either gender over the age of 20 years. One paranasal sinus radiograph was made for each patient using the standardized radiographic technique. Digital measurements of the height, width and area of the frontal sinuses were recorded using AutoCAD 2014 software. The data collected was subjected to statistical analysis. Results: This study found an accuracy rate of 68.6% for sex determination through paranasal sinus radiographs. It was noted that the right height of the frontal sinus was a better predictor than any other parameter assessed for identifying the gender. Conclusion: From the present study, we conclude that the dimensions of frontal sinuses on PNS views can be used as an essential tool for gender determination in forensic sciences.