Volume 4 Issue 11

Issue 11 Articles

Hyperechoic Presentation of Air in Thyroid – Esophagus Fistula

Clinical Image
An 83-year-old woman with primary hypothyroidism and multinodular goiter had maintained euthyroid status for many years under Eltroxin supplementation. Patient was asymptomatic, however during routine follow-up, ultrasonography of the thyroid revealed numerous hyperechoic ‘jelly-like’ pseudo-calcifications at the right thyroid (Figure 1A). Fine needle aspiration cytology to rule-out cancer reported only a fewmacrophage cells. Further survey via computed tomography of the neck without contrast identified the right lobe of thyroid gland to contain hypointense air components...

Evaluating the Role of Computed Tomography in the Assessment of Breast Tumour Response to Chemotherapy

Research Article
Background. Breast magnetic resonance imaging (MRI) is currently the most accurate indicator of the response to pre-operative chemotherapy but is seldom used because of its cost. Contrast enhanced computed tomography (CT) is often done for re-staging prior to surgery and we hypothesis that enhancement, or the lack of it, can indicate tumor viability. Aims. We examined the correlation between radiological response on CT and actual pathological response, specifically whether CT predicted for complete pathological response...

Rare Presentation of Unilateral Chorio-Retinal Coloboma in a Patient with Bilateral Retinitis Pigmentosa

Clinical Image
Retinitis pigmentosa and choroidal coloboma are known to usually exist as two separate entities. The fundus photo shows features of Retinitis pigmentosa, with an isolated coloboma inferior to disc, in a 30 years old lady, who, presented with decreased peripheral vision and nyctalopia. On evaluation she was found to have 6/6 vision bilaterally. Anterior segment was unremarkable in both eyes. Right eye fundus showed features of Retinitis pigmentosa. After extensive literature review, such association of...

Late Presentation of Advanced Breast Cancer

Clinical Image
A 68-year-old recently widowed woman with a negative past medical history, was brought to the clinic reluctantly by her daughter for a medical check-up. The patient comes from a middle-class socioeco- nomic status, has a high school degree, and has worked as a practical nurse for many years up until her retirement. She had consistently refused, out of fear, to perform any mammography or breast ultra- sound despite being advised by her physician.

Long-Term Positional Headaches Due to Cervical Cerebrospinal Fluid Leak After Acupuncture Treatment – A Case-Report

Case Report
Acupuncture is a frequent alternative treatment for both acute and chronic pain and its usage has spread widely during the last decades. This technique is however not free of adverse effects, mainly due to mi- grating material or excessive depth of needling, and some might durably impair ’ quality of life. In this article, we present a case of post-acupuncture traumatic cervical dural leak in a young female patient leading to chronic positional headaches resulting...