Respi Case 02

Respi case 02 Case courtesy of Dr Suzy 56 y/o previously works at electronic company, exposure to aluminium U/L childhood BA, initially presented to ED on 20/4/19, complaining SOB, cough for 5/7 and fever for 5 days. No history of sick contact/TB contact, no constitutional symptoms. Upon arrival to ED, pt tachypneic and hypoxic. DescriptionCECT […]

Respi Case 01

Respi 01 Case courtesy of Dr Azril 37 years old, Pulmonary sarcoidosis with Extrapulmonary – gut involvement ( presented with chronic diarrhoea) at HTJ Seremban. Rigid bronchoscopy n& cryobiopsy of lung done 22/12/16- Lung, biopsy, right middle lobe, cryobiopsy — Granulomatous inflammation.Patient has been on Prednisolone for 18 months but has no improvement and her […]

Neuro Case 04

Neuro case 04 Case courtesy of Dr Vimala Indication: 30 y/o Chinese male with u/l RVD + on HAART currently being treated as toxoplasmosis CT brain-multiple bilateral patchy white matter hypodensities with hydrochepalus. TRO Progressive multifocal leukoencephalopathy. DescriptionSequence:Axial: T2, Flair, Flair post gad, GRE, ADC/ DWISaggital: T1 Findings:Multiple rim enhancing lesion seen at bilateral basal […]

Neuro Case 03

Neuro case 03 Case courtesy of Dr Anas 5yo Fever and vomitting for 9 days. H/O prolonged cough. DescriptionMRI Brain FindingsThere are multiple bilateral asymmetrical subcortical white matter T2/FLAIR hyperintensities at both cerebral hemispheres and cerebellum. Corresponding T1 hypointense changes identified. No significant diffusion restriction. Subtle patchy enhancement demonstrated post gadolinium. There are also signal […]

Neuro Case 02

Neuro case 02 Case courtesy of Dr Vimala Indication: 30 y/o Chinese male with u/l RVD + on HAART currently being treated as toxoplasmosis CT brain-multiple bilateral patchy white matter hypodensities with hydrochepalus. TRO Progressive multifocal leukoencephalopathy. DescriptionSequence:Axial: T2, Flair, Flair post gad, GRE, ADC/ DWISaggital: T1 Findings:Multiple rim enhancing lesion seen at bilateral basal […]

Neuro Case 01

Neuro 01 Case courtesy of Dr Vimala 63yr male underlying hypertension. Current issue: resolved severe met acidosis secondaery to ? traditional meds, TRO methanol poisoning. Unequal pupils. TRO ICB. NECT Brain Findings:Presence of hypodensities involving both lentiform nuclei (more pronouced at the putaminal regions) as well as corpus callosum.There are also subcortical white matter hypodensities […]

Abdomen case 02

Abdomen case 02 Case courtesy of Dr Vimala Indication: 60 years old/ Male/ Active smoker , current issue Acute Anteroseptal MI Killip II with LV thrombus complaining of worsening epigastric pain radiating to RIF post PICC insertion.Indication: TRO Ischemic bowel/ TRO Acute appendicitis CTA Abdomen done on Findings:Atherosclerosis changes with scattered thick mural calcifications of […]

Abdomen Case 01

Indication: 29 y.o gentleman with underlying epilepsy presented with hematuria.