BackgroundLymphomatous involvement of the muscle is a rarely seen disorder, constituting 0.1-1.4% of all extranodal lymphomas. It maybe seen as the intramuscular involvement of disseminated disease, as an extension from adjacent bone or lymph nodes, or asprimary extranodal lymphoma. Primary lymphoma of the skeletal muscle mainly consists of B-cell non-Hodgkin lymphoma(NHL) (>95%).Case PresentationA 50-year-old male patient presented with progressive swelling and pain in his right flank area over a period of one year. Ultrasound(US) was done, and it showed diffuse enlargement of pelvic and limb muscles with hypoechoic regions that irregularlyinfiltrated normal muscle tissue. An incisional biopsy was done, and the histopathologic diagnosis was diffuse large B-cell lymphoma(DLBCL).ConclusionPrimary intramuscular lymphoma is extremely rare. Nevertheless, it should be considered a differential diagnosis in patientspresenting with intramuscular tumors.
Photon counting computed tomography (PCCT) is an emerging imaging technology that has been under development for several years. There are numerous benefits and applications of photon-counting computed tomography (CT) machines that have created a significant buzz in the healthcare community.
Introduction Post-burn contracture is a known sequelae of burn injuries involving neck, axilla, elbow, and hand. There are many methods which are used as adjuvant in rehabilitation of post-burn contracture patients. The low-level laser therapy (LLLT) is one of the methods that can be used as an adjuvant in rehabilitation of joint stiffness following burns and but with very few data available from India. In this article we share our experience of using LLLT for functional rehabilitation of a patient with joint stiffness following postburn contracture. Materials and Methods This study was conducted in a burns centre in a tertiary care institute in South India. Informed consent and departmental ethical committee clearance were obtained prior to study. The subject was a young boy with no known co-morbidities with stiffness of metacarpophalangeal and interphalangeal joint of index and middle finger of right hand. Patient was treated with contracture release with full thickness skin graft. The patient received low-level laser therapy to induce collagenolysis and to increase the movement of the joints. Each joint received laser therapy for duration of 125-second every time for 15-minutes for 2 sessions in a span of 4-days. Result LLLT has been found to be useful in early rehabilitation of post-burn contracture patients with joint stiffness. No side effects were observed during the study. Conclusion The LLLT is an effective, safe, and non-invasive adjuvant in functional rehabilitation of our patient with joint stiffness following post-burn contracture. We suggest further study including multiple subjects and a control group for validation of the result.
Aim The aim of this study was to assess the role of digital planimetry in accurate measurement of wound size and guide in wound bed preparation in our patient. The calculation of wound surface area was done by using ImageJ software. Methods In our study, digital planimetry was used to measure the wound size using ImageJ software. Results In our study, digital planimetry helped inaccurate measurement of wound and helped to plan measures to decrease the wound size. Conclusion Digital assessment and ImageJ is a simple, easy, cost-effective technique of accurate wound measurement for wound management.
Introduction In recent times the benefits of using gonadal shielding have been brought into question. Several professional bodies have released positional statements in support of ceasing the use of gonadal shields. However, in Australia the regulatory authority for radiation has not commented to date. This literature review aims to explore the risks and benefits of using lead protection and to establish the current state of the use of gonadal shields in clinical practice. Methods A search of the literature was conducted using online databases under the subject “Medical Imaging and Radiation Sciences”. Key terms and phrases included “lead protection”, “plain film imaging”, “lead shielding”, “gonadal shielding”, “X-ray”, “radiography”, “pelvic radiography”, “radiation protection”, “methods”, “education” and “gonadal shielding”. Articles pertaining to radiation therapy, literature reviews and those not in English were excluded. Results and Discussion Gonad shields are often poorly used despite agreement of what constitutes accurate and inaccurate shielding. Inaccurate shielding relates to both inappropriate size and inaccurate positioning of shields. Retrospective studies demonstrated a higher incidence of inaccurate gonadal shield placement in females compared to males. Inaccurate shielding had implications for patients such as obscuration of important anatomy and pathology and increased radiation dose if repeat X-rays were required to correct positioning errors. Shield design innovation was identified as a future area of research that could assist with overcoming these errors. Where gonad shielding was found to be of benefit in patients with conditions that require regular follow-up imaging. This is especially important in conditions affecting children and adolescents who have increased radiosensitivity and longer life expectancy. Conclusion Studies have demonstrated high incidence of inaccurately positioned gonad shields for female patients, which leads to repeated X-ray images and increased dose to patients. However, shielding has been shown to be beneficial for patients requiring frequent X-ray examinations to reduce cumulative radiation dose. Establishing a standardised protocol regarding the application of gonadal shields, supported by regulatory agencies, is imperative.
