1.Tell Tale of Tablets in Bronchus
Trishna Shimpi ; Ashish Chawla ; Sumer Shikhare
The Medical Journal of Malaysia 2015;70(1):36-37
Foreign body (FB) aspiration is an emergency of concern at
all ages. However, in adults, it can present with atypical
symptoms such as shortness of breath, wheezing or rarely
cyanosis. Aspiration of oral medications is seen in the
elderly population with impairment of protective airway
mechanism. Treatment of choice is endoscopic removal of
the foreign body.
We report such a case of foreign body aspiration (potassium
chloride tablet), diagnosed on imaging and subsequently
developed bronchostenosis. There are a very few reported
cases of oral potassium supplement aspiration and
associated complications in the literature.
Foreign Bodies
2."Do Not Touch": An Uncommon Benign Fatty Bone Tumour.
Sumer N SHIKHARE ; Wilfred Cg PEH
Annals of the Academy of Medicine, Singapore 2016;45(9):427-429
Adult
;
Bone Neoplasms
;
diagnosis
;
diagnostic imaging
;
pathology
;
Diagnosis, Differential
;
Diaphyses
;
diagnostic imaging
;
pathology
;
Humans
;
Knee Joint
;
diagnostic imaging
;
pathology
;
Lipoma
;
diagnosis
;
diagnostic imaging
;
pathology
;
Magnetic Resonance Imaging
;
Male
;
Radiography
;
Tibia
;
diagnostic imaging
;
pathology
4.Clinics in diagnostic imaging (154). Carbon monoxide (CO) poisoning.
Puay Joo LIM ; Sumer Nrupendra SHIKHARE ; Wilfred C G PEH
Singapore medical journal 2014;55(8):405-quiz 410
A 59-year-old man with a history of major depression was found by his wife to be unconscious and foaming at the mouth. On arrival at the emergency department, the patient was noted to be unresponsive. Computed tomography of the brain showed symmetrical ill-defined areas of hypoattenuation involving the medial aspects of both lentiform nuclei, while magnetic resonance images of the brain showed symmetrical increased signal in the bilateral globi pallidi on diffusion weighted, T2-weighted and fluid attenuated inversion recovery sequences. These findings were those of acute carbon monoxide poisoning. Despite aggressive treatment, the patient's condition continued to deteriorate and he eventually passed away. The various imaging findings of carbon monoxide poisoning in the brain and the differential diagnoses are discussed.
Brain
;
diagnostic imaging
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Carbon Monoxide Poisoning
;
diagnosis
;
diagnostic imaging
;
Depressive Disorder, Major
;
complications
;
Diagnostic Imaging
;
Fatal Outcome
;
Humans
;
Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Pulmonary Edema
;
pathology
;
Radiography, Thoracic
;
Suicide, Attempted
;
Tomography, X-Ray Computed
5.Clinics in diagnostic imaging (189). Acute phase cardiac sarcoidosis (CS).
Sumer Nrupendra SHIKHARE ; Ashish CHAWLA ; Ree Nee KHOO ; Wilfred Cg PEH
Singapore medical journal 2018;59(8):407-412
A 44-year-old man presented with breathlessness and episodes of palpitations for the last one year. The imaging diagnosis of cardiac sarcoidosis was made based on chest radiography and cardiac magnetic resonance (MR) imaging findings, and was further confirmed by biopsy. Cardiac sarcoidosis is an uncommon entity, yet is potentially fatal with nonspecific clinical manifestations, including sudden cardiac death. Hence, it is important to diagnose and treat this entity at an early stage to improve morbidity and mortality. Cardiac MR imaging plays a pivotal role in facilitating diagnosis and monitoring therapeutic response. We describe the MR imaging features of cardiac sarcoidosis and discuss imaging features of other cardiomyopathies that may mimic cardiac sarcoidosis.