Cardiac Calcification's

1) Known case of Rheumatic Valvular heart disease and coronary artery disease-

Dense Mitral Annulus calcification

Approximate location-
Brown ring- Mitral valve
Yellow ring- aortic valve
Green ring-pulomnary valve
Purple ring- tricuspid valve
Dark red ring- aortic knuckle
Blue line- pericardial calcification

This case demonstrates calcification of the mitral valve annulus (not to be confused with mitral valve leaflet calcification which is the result of, and can cause, mitral valve disease).

Coarse calcification is seen in the expected location of the mitral valve, to the left of midline.  It is associated with conduction defects and coronary artery disease.

Other causes-

• Metastatic calcification in the form of myocardial calcinosis  is an entity need to be considered in patients with bone disease, hypercalcemia, hyperphosphatemia, renal disease or those on chronic dialysis. Complications arising from cardiac calcification include valvular dysfunction, complex atrial and ventricular arrhythmias, coronary events and sudden cardiac death.
• Calcified Peri-cardial cyst
• Calcified hydatid cyst of heart
• Intra-cardiac calcified aneurysm
• calcified old myocardial infarct
• Rheumatic valvular disease with calcification of the valvular leaflets
• Atrial appendage calcification ( also in RVHD and myocardial calcinosis)

Uterine anomalies

1) 

There is single endometrial cavity.

It is elongated and banana shaped.

It is deviated to left side.

It has tapered end.

Single cervix is seen.

Single left Fallopian tube is patent.

No contrast spill on right side.

These features indicate Left Unicornuate uterus with patent left fallopain tube.

There is no e/o of a communicating right sided rudimentory horn, however a non-communicating one can be made out on MRI/ 3D USG.

Sono HSG is useful modality in demonstrating uterine anomalies.

These patients are at risk of spontanoeus abortions, preterm delivery, abnormal fetal position and IUGR

Types of Mullerian duct anomalies-

Type II Salter Harris

A child with history of trauma-





Type II SH fracture at distal end of radius.Ulnar styloid fracture.

Cervical Tb

22 yrs female -









There is prevertebral soft tissue swelling with erosion of anterior cortex of C2 vertebral body.
Features favour Tuberculosis.





Atlanto-axial Instability noted in flexion-extension views

Pathological fracture  probably due to duerlying NOF(Non-Ossifying Fibroma)

RV positive patient with Tuberculosis cavitatory lesions

Polyp Right Maxillary Sinus