An audit of Zimbabwean public sector diagnostic ultrasound services.

Introduction: the provision of basic diagnostic imaging services is pivotal to achieving universal health coverage. An estimated two-thirds of the world's population have no access to basic diagnostic imaging. Accurate data on current imaging equipment resources are required to inform health delivery strategy and policy at national level.

Maffucci's syndrome in association with giant tubular adenoma of the breast: Case report and literature review.

Introduction: Maffucci's syndrome is a rare congenital, non-hereditary mesodermal dysplasia characterised by multiple enchondromas and vascular lesions. To our knowledge this is the first report of tubular adenoma of the breast in association with Maffucci's syndrome.

Presentation Of Case: We report a 31-year-old female who presented with a large, ulcerated slow-growing painless breast mass.

Morel-Lavallée lesion in a 12-month-old child: A case report and literature review.

Introduction: The Morel-Lavallée lesion is an infrequently described, post-traumatic closed de-gloving wound that results from separation of the skin and subcutaneous tissues from the underlying deep fascia as a result of shearing forces that tear perforating vessels and lymphatics. This condition is rare in children and to our knowledge it represents the youngest case of Morel-Lavallée lesion yet reported.

Presentation Of Case: We report on a twelve-month-old girl who presented after a motor vehicle accident with a tender fluctuant mass of the back and buttocks.

Percutaneous image-guided needle biopsy of rib lesions: a retrospective study of diagnostic outcome in 51 cases.

Objective: To assess the diagnostic yield and diagnostic accuracy of image-guided percutaneous needle biopsy of rib lesions and to analyse the diagnostic spectrum of rib lesions referred to a tertiary musculoskeletal oncology centre.

Materials And Methods: A retrospective review of all patients that underwent image-guided rib biopsy and/or excision during the period from 1 January 2003 to 31 July 2011. A total of 51 consecutive subjects were identified and included in this study.

The MR arthrographic anatomy of the biceps labral insertion and its morphological significance with labral tears in patients with shoulder instability.

Introduction: Most of the fibres of the long head of biceps tendon attach on the superior labrum just posterior to the supraglenoid tubercle.

Aim: Our hypothesis was that posteriorly attached biceps tendons predispose to posterior superior labral tears and SLAP lesions.

Methods And Materials: A prospective analysis of all MR shoulder arthrograms for shoulder instability referred from the shoulder specialist clinics, performed during a one year period were reviewed by two independent observers who were blinded to clinical history.

Is There a Role of Double Reporting and CT Pelvis for Lung Cancer Staging?

Background: Lung cancer is the most common cancer in the world. Staging of lung cancer involves CT of chest and abdomen. Subsequently these are discussed in MDT and if required PET imaging is arranged.

Computed tomography findings in xanthogranulomatous pyelonephritis.

Background: Xanthogranulomatous pyelonephritis (XGN) is an uncommon condition characterized by chronic suppurative renal inflammation that leads to progressive parenchymal destruction.

Purpose: To review the computed tomography (CT) findings of patients diagnosed with XGN.

Materials And Methods: A retrospective review of CT findings in patients with histologically proven XGN was carried out.

Out of hours multidetector computed tomography pulmonary angiography: are specialist resident reports reliable?

Rationale And Objectives: The purposes of this study were to assess the accuracy of trainee radiologists' reports for computed tomographic pulmonary angiographic (CTPA) imaging and to determine agreement or discrepancy with final verified consultant reports.

Materials And Methods: A total of 100 consecutive out-of-hours CTPA examinations were prospectively analyzed. Fifty-one male and 49 female subjects were included in the study.

Frequency of variations in aortic arch anatomy depicted on multidetector CT.

Aim: To investigate the prevalence and imaging appearances of anatomical variations of the common aortic arch, as depicted on multidetector computed tomography (CT).

Methods And Materials: A retrospective study of 861 CT chest and thoracic aorta examinations in consecutive patients who underwent CT imaging over a 4 year period was undertaken.

Results: The branching of the aortic arch had a conventional configuration in 643 (74%) patients.

Computed tomography-guided coblation and cementoplasty of a painful acetabular metastasis: an effective palliative treatment.

Percutaneous cementoplasty is an effective palliative treatment for acetabular metastases. Potential problems with this technique include inadequate filling and intra-articular cement leakage, leading to increased hip pain. We present a case of metastatic non-small cell lung cancer in which we illustrate how using radiofrequency coblation prior to cement injection creates a well-defined cavity allowing controlled cement injection limiting cement extrusion.

MRI findings in herniation of the spinal cord.

Herniation of the spinal cord is a rare condition that causes non specific neurological deficits that are often a diagnostic challenge to clinicians. Despite several reports in the neurosurgical literature, it is only recently that the imaging appearances of this condition have come to be recognised, due mainly to the widespread adoption of spinal MRI. It is important for radiologists to recognise the telltale MRI features of this condition, as several cases have undergone initial misdiagnosis, resulting in delayed treatment We present a case with typical imaging features to familiarise radiologists with this condition, as it is likely that more cases will come to the fore, with more spinal MRIs being performed.

Active retropharyngeal hemorrhage from an acute thyrocervical artery injury: a rare complication of hyperextension cervical spine injury.

Background: Acute vascular injury is uncommon after cervical spine injury. We describe a recent case of active retropharyngeal bleeding from the thyrocervical artery after an acute cervical spine injury.

Objectives: The case illustrates an unusual vascular injury diagnosed by 64-slice multidetector computed tomography (MDCT) and managed successfully by emergency transcatheter embolization.

Pre-operative diagnosis of an unusual complication of abdominal aortic aneurysm on multidetector computed tomography: a case report.

Spontaneous fistulation of an abdominal aortic aneurysm (AAA) into the inferior vena cava (IVC) is an unusual and infrequently encountered complication in clinical practice. In the majority of cases, it is a diagnosis made on the operating table, during surgical repair of AAA. We report a patient with an aortocaval fistula diagnosed preoperatively on multidetector computed tomography (MDCT).