YAR

A 23-year old male university student and collegiate athlete who has been in excellent health was suddenly seized in the midde of the night by a severe attack of “indigestion” accompanied by cramplike pains above and arround the umbilicus. He tried to move his bowels but did not succeed. The next morning, he felt hot and uncomfortable and decided to stay in bed. He had no appetite and some nausea and did not eat anything. By evening the pain had moved to the self lower abdominal region. He consulted the school health service, which transferred him to a hospital.

In the examining room the patient was found lying on his back with his right thigh flexed. He has a slightly increased temperature of 99.60 F, his pulse rate was 94 with shallow respiration. The patient now localizes his pain to the lower right quadrant. On palpation of the abdomen, marked localized tenderness and some rigidity in the right iliac fossa are noted. Pressure with the fingertip shows the area of greatest tenderness is located near McBurney’s point. Intense pain was felt when the thigh was hyperextend, indicating a positive "psoas sign"
ultrasound exams, demonstrated these images :
Your diagnosis please ?

A 14 years old boy with both flanks pain for long time.
These are the images of a radiological exam done for him.
What is the examination, and what is your diagnosis?

Radiologic indications (2)

A 3 years old boy with imperforated a**s and colostomy is operated for anoplasty.
After successful anoplasty and colostomy closure, a new problem develops. The child passes urine via a**s.
For diagnosing the possible fistula between urinary tract and gastrointestinal tract, which radiologic exam, do you advice?
1- Ultrasound
2- Barium meal
3- CT scan
4- MCU
5- IVU
6- Other modality such as....

Radiology Comic

Case 3:
A one year old child with cyclic abdominal pain in 15-20mins bouts, inconsolable crying, the child drawing the legs up to the chest, or a sausage shaped mass felt in the Right abdomen. Currant jelly stool and vomiting is also present
What is the condition being illustrated?

Case 2:

25 years old female, with secondary infertility for last 4 years:
This is her hysterosalpingography image.
what is your diagnosis?

Radiologic indication (1)

Liver Trauma

Although sonography can be used to detect hemoperitoneum, it has a rather limited role in the initial evaluation of children with suspected hepatic injuries. However it may be useful in following patients who are managed conservatively and in diagnosing post-traumatic complications.
Most patients with liver injuries are examined with CT, which is superior to sonography in defining extent of hepatic and other injuries to determine whether non-operative management or laparotomy is appreciated.
(pediatric sonography, Marilyn J. siegel, Third edition)

A 65 years old man, complains from feeling of fullness at the epigastric and retrosternal area after meal for last 3 months. After heavy meal, he often has vomiting. He also complains from weight loss.
These are his barium swallow images.
What is your good diagnosis?