scholarly journals Retrospective analysis of chest x-ray of patients from eastern Uttar Pradeshpresenting in Radiology department ofHind Institute Medical Sciences, Barabanki Uttar Pradesh

2019 ◽  
Vol 7 (2) ◽  
pp. 98-103
Author(s):  
Dr. Rekha Khare ◽  
◽  
Dr. A.K. Khare ◽  
2019 ◽  
Vol 2019 (2) ◽  
pp. 67-75
Author(s):  
Piotr Nowak ◽  
Diana Martonik ◽  
Ewa Pasieka

2020 ◽  
Vol 10 (1) ◽  
pp. 38-45
Author(s):  
Anamika Jha ◽  
Sundar Suwal ◽  
Dan Bahadur Karki ◽  
Ram Kumar Ghimire

Nepal is also affected by Corona Virus Disease (COVID-19) pandemic which is likely to last for several months. The Reverse Transcriptase-Polymerase Chain Reaction is the current gold standard diagnostic test. Chest X-ray or Computed Tomography scan is considered inappropriate according to most society recommendations for screening though are emerging as frontline diagnostic modalities in conjunction with clinical history and laboratory parameters.Multiple guidelines have been released by prominent radiological societies worldwide to facilitate preparedness of radiology department in the war against COVID-19. Based on these, the Nepal Radiologists’ Association has proposed its guidelines, endorsed by the Nepal Medical Council, practical in our context, with the aim to limit exposure to the infection while ensuring best use of imaging, protection of health care personnel and other patients and maintenance of uninterrupted radiology department operations.This review article aims to summarize the highlights from various guidelines focusing on role of chest X-ray and Computed Tomography including the indications, specific findings, reporting format and important differentials and also addresses the safety issues.


2019 ◽  
Vol 25 (3) ◽  
pp. 95-99
Author(s):  
Sipos Tamas-Csaba ◽  
Denes Lorand ◽  
Brinzaniuc Klara ◽  
Sipos Remus Sebastian ◽  
Raduly Gergo ◽  
...  

Abstract Introduction: Spina bifida is a spine malformation that appears as an incomplete closure of the spine during development. Most frequently it involves lumbosacral vertebrae. There are two types of spina bifida: spina bifida aperta and spina bifida occulta. In most of the cases spina bifida occulta is asymptomatic, and it is identified by accident. Objectives: the aim of this study was to correlate localization of spina bifida occulta with age and sex of the patients. Materials and methods: Between July 2017 and January 2019 there have been 108 patients diagnosed with spina bifida occulta at the Radiology Department of Dora Medicals Tîrgu Mureș. The diagnoses were based on thoracolumbar spine x-ray, pelvic x-ray and chest x-ray studies requested by specialist physicians. Radiologic diagnosis was followed by data processing and statistical analysis. Results: In 81% of the cases the lesion was localized to vertebra S1, and in 15% to vertebra L5; we identified other five cases of rare localizations: C7- T1- T2, T1, T2, S2. This lesion was diagnosed most frequently at ages from 11 to 15 years (44.4%). Spina bifida localized to L5 was more frequent in males (11/16, 68.7%). Cases localized to S1 were more frequent in females (60/88, 68.1%). All spina bifida cases in females localized to vertebra L5 were diagnosed before 20 years of age. Conclusions: Our results partially correspond to those reported in other published studies.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Divertt Tamaweol ◽  
Ramli H. Ali ◽  
Martin L. Simanjuntak

Abstract: Chronic cough is defined as cough that lasts 8 weeks or more. Chronic cough itself is not a disease, but a symptom of other diseases. Chronic cough is the most common symptom that occurs among outpatients and is the main cause of morbidity which was reported by 3-40% population. Chronic cough can be caused by some diseases such as pneumonia, tuberculosis, asthma, chronic bronchitis, emphysema, and lung fibrosis. Chronic cough is closely associated with smoking habit which is one of the predisposing factors. Chest x-ray is one of the seed examination for chronic cough because it is very helpful in diagnosing diseases especially pulmonary diseases and others that may cause chronic cough. Objective: To identify the chest x-ray imaging in chronic cough patients. Methods: This study using retrospective description data in November 2015.  Sample is obtained from all the medical records of patients with radiological diagnosis chronic cough who undertook a chest x-ray examination in the Radiology Department of the Medical Faculty of Sam Ratulangi University / Prof. Dr. R. D. Kandou Central General Hospital Manado during July – September 2015. Data was collected from chest x-ray request form and the results show 178 cases of chronic cough that fit the inclusion criteria. The results showed that there was 178 cases of chronic cough based on the radiological diagnosis. The most frequent cases were chronic cough caused by pulmonary tuberculosis (97 patients; 54.49%). Most patients were male (107 patients; 60.11%), and the most frequent age group was 20-49 years (60 patients; 33.71%). Keywords: chronic cough, chest x-ray  Abstrak: Batuk kronik adalah batuk yang berlangsung selama 8 minggu atau lebih. Batuk kronik sendiri bukanlah penyakit, tetapi merupakan suatu gejala dari penyakit-penyakit lain. Batuk kronik merupakan gejala yang paling umum terdapat pada orang dewasa yang melakukan pengobatan rawat jalan dan penyebab utama morbiditas yang dilaporkan oleh 3-40% populasi. Batuk kronik dapat disebabkan oleh beberapa penyakit seperti pneumonia, tuberculosis, asma, bronchitis kronik, emfisema, dan fibrosis paru. Batuk kronik erat hubungannya dengan kebiasaan merokok dimana merokok merupakan salah satu faktor predisposisi. Foto toraks adalah salah satu pemeriksaan pilihan untuk batuk kronik karena sangat bermanfaat dalam mendiagnosis penyakit terutama penyakit paru dan gangguan lain yang dapat menyebabkan batuk kronik. Penelitian ini bertujuan untuk mengetahui gambaran foto toraks pada penderita batuk kronik. Penelitian ini menggunakan metode deskriptif retropektif yang dilakukan pada bulan November 2015. Sampel diambil dari semua data catatan medik pasien dengan diagnosis radiologis batuk kronik yang melakukan foto toraks di Bagian/SMF Radiologi FK Unsrat/RSUP Prof. Dr. R. D. Kandou Manado periode Juli – September 2015. Data diperoleh melalui lembaran permintaan pemeriksaan foto toraks dan didapatkan sebanyak 178 kasus batuk kronik yang masuk dalam kriteria inklusi. Hasil penelitian memperlihatkan 178 kasus batuk kronik berdasarkan diagnosis radiologis. Kasus terbanyak ialah batuk kronik akibat tuberkulosis paru sebanyak 97 orang (54,49%), penderita terbanyak ialah laki-laki yaitu 107 orang (60,11%), dan golongan umur terbanyak ialah 20-49 tahun yaitu 60 penderita (33,71%). Kata kunci: batuk kronik, foto toraks


Author(s):  
Rawnak Jahan ◽  
Mohammed Atiqur Rahman ◽  
AKM Mosharraf Hossain ◽  
Shamim Ahmed ◽  
Rajashish Chakrabortty ◽  
...  

COVID-19 is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). Recently COVID -19 radiological literature focuses primarily on CT scan findings which are more sensitive (about 97%) and specific than chest x-ray. But it has to be remembered that performing CT scan is not easy during this pandemic situation. So, the aim of the study was to analyze the chest x-ray severity scoring system and its association with outcome in a young adult patient with COVID-19. This cross-sectional study was carried out from September 15 to December 31 2020 in the COVID unit of BSMMU and it included 100 RT-PCR positive COVID-19 patients according to selection criteria. Chest x-ray postero-anterior view was done in the radiology department of BSMMU. Each patient’s chest x-ray was examined by a radiologist and a pulmonologist with experience of 10 years. Radiological scoring was done by using a scoring system. All patients were followed after 20 days from the first presentation to see the outcome. Out of 100 patients, 73 patients (73%) needed hospital admission, 33(33%) patients were hospitalized but did not developed sepsis, 29 (29%) patient developed sepsis, 10(10%) patient needed ICU support among them 2 patients got intubation. 1(1%) patient was dead. Radiological score ≥ 4 was associated with increased risk of hospitalization. (Area under curve = 0.956). Score ≥ 5 was associated with increased risk of sepsis; score ≥7 was associated with increased risk of ICU admission. (p-value<0.001). BSMMU J 2021; 14 (COVID -19 Supplement): 30-35


2016 ◽  
Vol 7 (3) ◽  
pp. 121-122
Author(s):  
Robin George Manappallil

According to WHO, Dengue fever (DF) is the most rapidly spreading mosquito-borne viral disease in the world. Dengue Haemorrhagic fever (DHF) is a severe and more serious form of DF, characterised by fever, bleeding manifestations, plasma leakage and thrombocytopenia. This is a case of a 28 year old male, who presented with history of fever and myalgia and was diagnosed to have DF. He had developed acute onset dyspnoea and his chest X-Ray showed right sided pleural effusion. Pleurocentesis revealed haemorrhagic fluid in the absence of trauma.Unprovoked hemothorax as an initial presentation of DHF has rarely been reported.Asian Journal of Medical Sciences Vol.7(3) 2016 121-122


Lung diseases are disorders in the lung that affects proper functioning of the breathing system. Chronic Obstructive Pulmonary Disease, lung Cancer, pneumonia, tuberculosis, and pneumothorax are prevalent in most developing countries. Diagnosis of lung diseases is usually performed through visual inspection of chest X- ray images, especially in low resource settings. This procedure is time consuming, tedious, and subjected to inter- and intra-observer variability leading to misdiagnosis. The purpose of this research was to develop a method for automatic classification of multiple lung disease from chest X-ray images using Xception deep learning method. The data required for training, validation and testing the system was collected from Jimma University Medical Center Radiology Department and National Institute of Health (NIH) chest X-ray dataset repository. All the images have been pre- processed prior to training. An accuracy, sensitivity, and specificity of 97.3%, 97.2%, and 99.4%, respectively have been achieved for multi-class classification. The developed system can be used as a decision support system for physicians, especially those in low resource settings where both the expertise and the means is in scarce. The system also allows capturing of images from radiographic films extending its implementation in areas where only the conventional X-ray machines are available.


Author(s):  
Dr. Yasmeen Usmani

Abstract: A pilot study of 150 patients at premier medical institute of western Uttar Pradesh, INDIA. The purpose of this pictorial review article is to describe the most common manifestations and patterns of lung abnormality on CXR in COVID-19 in order to equip the medical community in its efforts to combat this pandemic. The varied spectra of COVID-19 presentation included fever, cough, shortness of breath, sore throat etc. Diabetes mellitus, hypertension, COPD/K-Chest and CAD were found as major comorbid conditions. Symptomatic presentation of COVID-19 was observed to be higher in patients with co morbid disease, especially if multiple. HRCT chest in COVID-19 patients had a major diagnostic and prognostic importance as positive CT findings were more prominent in symptomatic patients and co-morbid patients. Clinical symptoms of patients directly correlated with CT severity index. CT imaging was found to be useful in predicting clinical recovery of patients or progression of disease. Introduction: COVID-19 (coronavirus disease 2019) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), declared as a pandemic on 11th March 2020. The chest imaging findings are nonspecific and most commonly show atypical or organizing pneumonia, often with a bilateral, peripheral and bi-basal predominant distribution. Our study is concerned with the data of COVID positive patients admitted in the institute for the period of March 16- May 17, 2020. Aims and Objectives 1) To correlate clinical and radiological spectra of covid positive patients and their final outcome. 2) To describe the spectrum of lung parenchyma changes in the symptomatic as well as asymptomatic in COVID- 19 patients. Review of literature: This case report series presents a summary of key findings frequently associated with COVID-19, which will assist radiologists and clinicians in preliminary clinical evaluation (PCE). Materials and Methods: The data for the study is sourced from clinically suspected patients from the Covid Ward, LLRM Medical College, Meerut,(U.P.),INDIA which were subjected to chest radiography on 60mAh portable X-Ray machine. The patients are followed up to correlate the findings with clinical outcome. The study has been conducted on a minimum of 150 patients with portable Chest X-Ray machine. Observations & Discussion: The most frequent findings encountered are airspace opacities are viz- Hazy pulmonary opacities, Bilateral lower lobe consolidations, Peripheral air space opacities, Uncommon CXR findings, Diffuse air space disease. Conclusion: Based on our study, few inferences have been deduced; A significant proportion of the clinically symptomatic cases shows characteristic radiological changes on chest X-ray and also how chest radiography can be used as a tool not to substitute but supplement RTPCR in evaluation of COVID positive cases. Keywords: Patchy areas of consolidation, shortness of breath, high resolution CT Scan, RTPCR.


2021 ◽  
pp. 57-59
Author(s):  
Noorul Hasan ◽  
Sameer R. Verma ◽  
Neeraj Prajapati ◽  
Vinod Kumar Mogha

AIMS & OBJECTIVES- The aim of the study was to compare the sensitivity of Digital X-ray of L.S.Spine in relation to DEXA Scan in the detection of reduced bone mass (osteopenia/ osteoporosis) and evaluate the association of osteoporosis/ osteopenia with certain factors like age, height, weight, smoking, alcoholism and awareness. MATERIALS AND METHOD- This Prospective, this prospective observational study included 100 patients of both sexes between 40 – 80 years age , who presented to in the Department of Radiodiagnosis, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly (Uttar Pradesh) with presenting symptoms of non- inammatory low back pain and underwent dexa scan of L.S. Spine and X-Ray of L.S.Spine. A detailed history including demographic feature and social factor (history of smoking and alcoholism and education/ knowledge status). The investigation ndings were recorded and tabulated and data were analyzed statistically. RESULTS- The DXR L.S.Spine shows the sensitivity 75.29%, specicity 78.95%, and accuracy was 77.01% in compression to dexa scan in patients with osteopenia/ osteoporosis. There was negative correlation between weight and height and knowledge of the patient with osteopenia/ osteoporosis and no signicant correlation between history of smoking and alcoholism. CONCLUSION- In conclusion, DXR and DEXA measurements shows fair agreement. Our results suggest DXR to be a promising screening tool for detecting low bone quality or osteoporosis.


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