Methotrexate and cytarabine are intrathecal chemotherapy agents for acute lymphoblastic leukaemia. We report a case of a paediatric patient with late onset CNS relapse of Pre-B acute lymphoblastic leukaemia who developed chemotherapy-induced myelopathy secondary to triple intrathecal chemotherapy (TIT) with its imaging findings. Imaging plays a role in localising abnormality within the spinal cord for diagnosis and aids clinicians to prevent further axonal damage by stopping the causative chemotherapeutic agents.

Drowning is one of 10 leading causes of death in every region of the world especially in the picnic and recreation. Statistics from Fire and Rescue Department showed an average of 700 people drown each year in this country. There were also cases where casualty to rescuers during the Save and Rescue Operation (SAR). As the incidents increased, the task of rescuers and equipment used should be reviewed. Issue How to ease rescuer task and safely lift underwater drown body. Problem Statement Difficulties arise during lifting drown body from underwater to the surface due to certain circumstances. This involved safety to rescuers, process of rescuing and time consuming of the operation. Objective The objective of this study is to determine the efficient ways of lifting drown body based on rescuers preferences. From the results, new stretcher design parameters will be established. Method Thirty rescuers from two Water Rescue Teams namely PPDA Putrajaya and PPDA Shah Alam Branches participated in this study. They are 24 male and 6 female aged between 23 to 51 years with mean of age at 29.5 year and experienced in SAR. Instrument Questionnaires were used to identify factors contributed to success or failure of any SAR operation. Likert scale questions were used to measure their preferences. Data then processed using statistical software (SPSS). Results Findings shows that all respondents agreed that lifting method is the most significant factor affecting their task performance, safety and time consumes. Meanwhile 83.3% of them strongly agreed and 16.7% agreed the usage of proposed floatable stretcher to lift drown body in their future SAR Operations.

Complications of breast cancer metastasis may be the first manifestation of the disease. We report a rare case of left eye ptosis secondary to cavernous sinus syndrome in a 34-year-old lady due to refusal of proper medical treatment for metastatic breast cancer. The delay in seeking medical treatment was attributed to her use of Traditional Chinese Medicine (TCM).

Medullary carcinoma is a rare breast carcinoma with a syncytial growth pattern and high-grade cytology. It can be difficult to diagnose and may be missed on conventional imaging as the findings may overlap with benign lesions i.e. fibroadenomas. The authors report a case of a 25-year-old female who presented with multifocal breast lumps diagnosed with medullary carcinoma and fibroadenomas. Imaging and pathological correlation with contrast-enhanced MRI are presented in the diagnosis of these lesions.