Kapil Shirodkar

Objectives Lateral ankle pain can be caused by a variety of pathologies, including those involving the peroneal tendons. The spatial arrangement of the peroneal tendons within the trimalleolar groove remains underexplored in the literature. The objective of this study is to propose a new classification to describe and categorize the spatial relatio...

Background Congenital block vertebrae (BV) is a common condition resulting from segmentation disorders during embryonic development, leading to the fusion of adjacent vertebrae. BV at C2–C3 (cervical vertebrae 2 nd –3 rd ) level is the most common segmentation anomaly. Labeling this correctly is the requirement for exact labeling of the spine. Diag...

Background CAM morphology of the hip is a disorder of abnormal morphology of the femoral head–neck junction associated with loss of the osseous sphericity of the femoral head. Several radiological measurements exist to detect CAM morphology of the hip. Objectives The aim of the study was to evaluate the precision and efficacy of a new BROH CAM offs...

Background and Aim The process of manuscript submission and review in academic publishing is multifaceted, with figures playing a crucial role in communicating research findings effectively. However, the precise impact of these visual elements on reviewer perceptions and manuscript acceptance remains underexplored. This study aims to investigate th...

Shoulder injuries are a common occurrence among both professional and recreational athletes, particularly affecting those involved throwing and racquet sports, and sports where repetitive overhead movements are required such as swimming and baseball (pitchers). They can significantly impact an athlete’s performance and career, resulting in time awa...

Guyon’s canal, or the ulnar tunnel, is a critical anatomical structure at the wrist that houses the ulnar nerve and artery, making it susceptible to various pathological conditions. Pathologies affecting this canal include traumatic injuries, compressive neuropathies like ulnar tunnel syndrome, and space-occupying lesions such as ganglion cysts. Ul...

Objectives ChatGPT 4omni is OpenAI’s newest multimodal software featuring improvements in speed, cost-efficiency, and capability over previous versions such as GPT-4 and GPT-4 Turbo. This article looks at the performance of ChatGPT in consenting patients for ten commonly performed orthopedic and musculoskeletal interventional procedures at our tert...

The spine serves as a protective, load-bearing, and stabilizing axis for the body. Trauma can cause significant damage to spinal structures, potentially resulting in severe neurological dysfunction and disabilities such as paraplegia or quadriplegia. Early and accurate diagnosis of these injuries is important, with computed tomography and magnetic...

Introduction A locked knee may limit mobility and quality of life, significantly affecting their quality of life. This article investigates the common causes of locked knee and emphasizes the need for appropriate diagnosis and treatment. Materials and Methods This study analyzed 267 knee magnetic resonance imaging (MRI) who presented with knee loc...

The quadriceps muscles are a large group of four muscles in the anterior compartment of the thigh, comprising the rectus femoris, vastus medialis, vastus intermedius and vastus lateralis, which in combination act as the primary extensors of the knee joint. The rectus femoris is also responsible for hip joint flexion. Quadriceps muscle injuries are...

Iliopsoas bursitis, although not rare, may manifest clinically as a detectable mass in the groin area. This condition has the potential to apply pressure on the adjacent femoral neurovascular bundle, leading to isolated mononeuropathy. We present an uncommon case of femoral mononeuropathy in a 46-year-old female patient caused by an enlarged iliops...

Background/Objectives: Intraneural tumors (INTs) pose a diagnostic challenge, owing to their varied origins within nerve fascicles and their wide spectrum, which includes both benign and malignant forms. Accurate diagnosis and management of these tumors depends upon the skills of the radiologist in identifying key imaging features and correlating t...

The scapulothoracic joint (STJ) is a non-synovial articulation between the scapula and chest wall and is supported by surrounding soft tissue, muscles, and bursae. It functions with acromioclavicular joint and associated ligaments to provide stability and enable various shoulder motions, including lifting and overhead activities, in coordination wi...

The pectoralis major and pectoralis minor are part of the anterior axio-appendicular musculature and are essential for shoulder and upper arm movement, aiding in activities such as pushing, lifting, and throwing. With the rise in weight training and sports, pectoralis major injuries have become more common. Understanding the complex tendo anatomy o...

Peripheral nerve imaging is a powerful tool in evaluating peripheral neuropathy. This review aims to provide an overview of the anatomy, clinical significance and pathologies of small peripheral nerves, typically less than 2 mm in diameter. High frequency ultrasound probes offer the best assessment of these nerves whilst permitting real-time clinic...

Muscle hernias are relatively uncommon, with most cases reported in the leg involving the tibialis anterior muscle. However, hernias can affect other muscles in both the upper and lower limbs. Here, we present the first documented case of nontraumatic deltoid muscle hernia. An 80-year-old woman presented to the outpatient department with soft tissu...

Hydroxyapatite deposition disease is a common musculoskeletal pathology that often affects rotator cuff tendons in the shoulder joint. Here, we present the first documented case of acute calcific enthesitis involving the lateral patellar retinaculum, specifically the lateral patellofemoral ligament (LPFL). A 35-year-old male presented with insidiou...

Computed tomography plays an ever-increasing role in the management of fractures and dislocations due to its capability in efficiently providing multiplanar reformats and 3-dimensional volume rendered images. It can reveal findings that are occult on plain radiography and therefore allow for more accurate decision making with regard to fracture cla...

Background: Advances in digital technology have led to widespread availability of digital devices and consequent increased usage amongst across the population including practising healthcare professionals. Increased ‘Digital Screen time’ and its effect on physical, psychological health, and sleep patterns has been predominantly evaluated in child...

Background Groin pain is a complex musculoskeletal condition, causing significant difficulty in its diagnosis and management. The stability of the anterior pelvis is maintained by the formation of a complex fibrous aponeurotic plate by the rectus abdominis and adductor longus tendons. It is, therefore, vital to have a comprehensive understanding of...

Introduction Anterior knee pain is not an uncommon problem. A plethora of pathologies can cause anterior knee pain. Patellofemoral maltracking (trochlear dysplasia) is not an uncommon cause of anterior knee pain in adolescents and young adults. Aim We hypothesize that there is an alteration of articular cartilage of the patella and trochlear in tr...

Adductor canal (Hunter’s canal) pathologies are often underdiagnosed, with the saphenous nerve being the most commonly affected. While uncommon, involvement of the femoral artery and vein can cause severe and irreversible complications if not detected early. Significant attention must be given to adductor canal pathologies because the musculoaponeu...

Superficial venous pseudoaneurysm is rare. Prompt diagnosis is essential to formulate management plan and decrease morbidity. We describe a novel Eccentric Ripple sign of BAARISh for diagnosing venous pseudoaneurysm.

Background A healthy lower back is essential for optimal spinal function and overall wellness. Magnetic resonance imaging (MRI) has become the gold standard in assessing lumbar spine disease. This article aims to evaluate the precision and efficacy of the lumbar offset distance (LOD) as a novel MRI parameter designed to determine the lumbar spine a...

Cricket is the second most popular spectator sport in the world after football, with an estimated fan base of 2.5 billion people and played professionally or semi-professionally in 108 countries. In the past two decades, with the establishment of newer formats such as Twenty-20, along with the traditional tests and one-day matches, there has been a...

Pathologies of the scapulothoracic articulation may lead to painful symptoms such as crepitus and bursitis. While conservative treatments are preferred, persistent symptoms may require image-guided injections. This study aims to determine the optimal hand positioning during ultrasound to maximize the distance between the scapula and thoracic wall,...

The novel BAASIK (B-Botchu,Bipin, A-Agrawal, A-Ankit, S- Sindhura, I-Iyengar, K- Kapil) technique is a combined ultrasound-guided injection into the subacromial-subdeltoid (SASD) bursa and the biceps tendon sheath to treat shoulder pain associated with biceps tendonitis/tendinopathy, subacromial bursitis, rotator cuff impingement or to determine th...

Background Isolated tumours affecting the coccyx are infrequent, with only a handful of documented cases in the literature. Herein, we highlight the most extensive consecutive case series involving various isolated coccyx tumours with varied clinical presentations and imaging features. Material and Methods A retrospective search of our tertiary Or...

Background Magnetic resonance imaging (MRI) is key in evaluating central cartilage tumors. The BACTIP (Birmingham Atypical Cartilaginous Tumour Imaging Protocol) protocol assesses central cartilage tumor risk based on the tumor size and degree of endosteal scalloping on MRI. It provides a management protocol for assessment, follow-up, or referral o...

Isolated spontaneous tears in the non-insertional portion of the iliopsoas tendon without any underlying injury are uncommon, especially among elderly individuals. We describe the case of an 88-year-old man who experienced right groin pain caused by a spontaneous non-insertional tear in the iliopsoas tendon identified through ultrasound and confirm...

The introduction of the xxxxxxxx (GIBPS) technique represents a patient-centric novel and innovative method of ultrasound guided corticosteroid injection targeting the Glenohumeral joint (GHJ) and the Subacromial-Subdeltoid (SASD) bursa in a sequential manner, in the same setting. By integrating the two different sites of injection into a single te...

Objectives The study’s objective was to determine if Chat Generated Pre-Trained Transformer-3 (ChatGPT)-4V can interpret magnetic resonance imaging (MRI) knees and generate preliminary reports based on images and clinical history provided by the radiologist. Materials and Methods This cross-sectional observational study involved selecting 10 MRI k...

Objectives Anterior tibial tendon (ATT) pathologies, though infrequent, can significantly impact patient morbidity. This study aims to describe the cross-sectional area (CSA) of ATT on magnetic resonance imaging (MRI). Materials and Methods A retrospective study was done on 50 consecutive patients with normal ATT who underwent ankle MRI. The CSA m...

Supraspinous fossa is an important location in the periscapular region, which houses important structures such as the supraspinatus muscle and the suprascapular nerve. The supraspinous fossa can be affected by pathologies involving its contents (supraspinatus muscle and suprascapular nerve), osseous boundary (scapular body, distal clavicle, and spi...

Explores the Role of Various Imaging Modalities in evaluation of Shoulder Arthroplasty

Cubital tunnel syndrome (CuTS) is the second most common peripheral neuropathy in the upper limb. It occurs due to ulnar nerve compression within the fibro-osseous cubital tunnel at the elbow joint. Although CuTS is typically diagnosed clinically and with electrodiagnostic studies, the importance of imaging in evaluating the condition is growing. K...

This study analyses the performance and proficiency of the three Artificial Intelligence (AI) generative chatbots (ChatGPT-3.5, ChatGPT-4.0, Bard Google AI®) and in answering the Multiple Choice Questions (MCQs) of postgraduate (PG) level orthopaedic qualifying examinations. A series of 120 mock Single Best Answer’ (SBA) MCQs with four possible opt...

Meralgia Paresthetica (MP) causes outer thigh discomfort, numbness, and tingling. Compression or injury to the Lateral Femoral Cutaneous Nerve (LFCN), which gives sensory innervation to outer aspect of the thigh. It frequently gets impinged beneath the inguinal ligament resulting in in sensory impairment in the distribution of LFCN. Compression of...

Intraarticular lipomas are infrequently reported, with most reported cases occurring in the knee joint. A case of intraarticular lipoma in the small joints of the hand, specifically in the pisotriquetral joint, has been documented for the first time. A 24-year-old male visited the emergency department after a road traffic accident with a painful an...

Lipoma is a common soft tissue tumour in the human body, but at the same time is very rare in the palm and rarer still in the thenar region. These lipomas in the hand can give rise to various problems such as cosmetic, functional, and neurological compromise among others and removing them becomes important when symptomatic. Diagnosing a hand pathol...

There is increasing reliance on computed tomography to evaluate fractures and dislocations following routine evaluation with plain radiography, critical in preoperative planning; computed tomography can provide multiplanar reformats and 3-dimensional volume-rendered imaging, providing a better global assessment for the orthopedic surgeon. The radio...

Objective: To determine whether an artificial intelligence candidate could pass the rapid (radiographic) reporting component of the Fellowship of the Royal College of Radiologists (FRCR) examination. Design: Prospective multi-reader diagnostic accuracy study. Setting: United Kingdom. Participants: One artificial intelligence candidate (Smarturge...

PET/CT has overtaken CT and MRI as a diagnostic tool for the diagnosis and follow-up of neuroendocrine tumors. However integration of AI into PET/CT is still lagging behind compared to other realms of imaging applications, necessitating increased language consistency regarding reporting of neuroendocrine tumors.KeywordsNETAIPET/CTSSTRFDG/PETTheragn...

Acquired equinovarus deformity is rare, with most cases related to congenital disorders such as clubfoot. We describe a unique case of traumatic capsuloligamentous soft-tissue entrapment within the calcaneocuboid joint in a 13-year-old girl, causing an acquired equinovarus deformity. This required surgical exploration and joint fixation. Assessing...

Colonic diverticulitis is one of the common causes of surgical intervention in general surgical practice. In most cases, surgical intervention depends on the presence of a collection around the sigmoid colon, the feasibility of percutaneous drainage, and the patient's medical condition. The collection can occur in the thigh in rare cases due to a f...

We describe two cases of intracranial cystic lesions associated with acrocallosal syndrome. These fetal anomalies were detected on antenatal sonography and confirmed postnatally. Imaging findings include corpus callosum agenesis with interhemispheric cysts and craniofacial anomalies associated with polydactyly. Identifying the above imaging feature...

Sickle cell trait is the heterozygous disease form of sickle cell anemia which is generally asymptomatic. Manifestations such as vasoocclusive crisis occur when patients are subjected to anoxic / hypoxic situation, identification of which is important for understanding the cause and management. Splenic infarct is such a manifestation. In this case...

Inguinal hernias containing ovary have a documented incidence of 3%. Most of the cases are associated with congenital anomalies of genital tract such as Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. A 20-year-old female presented with primary amenorrhoea, normal secondary sexual characteristics and genetic karyotyping showing 46XX chromosome. On...

Pictoral Assay depicting spectrum of mandibular lesions

A Pictorial Assay depicting various imaging features of RCC

Pictorial assay depicting various imaging findings of retroperitoneal hemorrhage

Pictorial Assay describing various complications of cholelithiasis

A rare case report of testicular metastasis in a patient with plasmacytoma

Objectives: This paper is a prospective observational study to assess the role of 18F-FDG PET/CT in evaluation of pyrexia of unknown origin (PUO) in a hospital based population in a tertiary level referral center in an Indian metropolitan city. Materials and methods: Medical records of 25 patients who underwent 18FDG PET/CT as a part of investigati...

Uncommon tumor locations and presentations of extra-articular synovial sarcoma URL: https://dps.rsna.org/exhibit/?exhibit=MS159-ED-X

We report herein a 53 yrs old female who came to the emergency room with the chief complains of severe dysphagia and chest pain following accidental swallowing of her denture; The patient had swelling of the face, neck and eyelids with difficulty in breathing. A skull radiogram was taken which revealed a missing partial denture from right lower jaw...

Enumerating the most common non-traumatic neurological emergencies. Describing their imaging findings on CT, MR , DSA. Discussing their Management (Medical, Surgical andInterventional). Discussing the post-procedure complication .

Review the various traumatic abdominal vascular emergencies encountered on MDCT Review the various Non-traumatic abdominal vascular emergencies encountered on MDCT Discuss salient imaging features on MDCT Management stratergies for treating the vascular emergencies

1.Review the various Traumatic HFN emergencies encountered on MDCT 2. Review the various NonTraumatic HFN emergencies encountered on MDCT 3. Discuss salient imaging features on MDCT 4. Discuss management strategies

ECR 2016_"Know Your Calcifications"_Case-Based Diagnosis Training_Extensive multiorgan and vascular calcifications_Amyloidosis http://www.myesr.org/ecr2016/16_CBDT/Extensive_multiorgan_and_vascular_calcification.pdf

Mulla,V, Agrawal,V, Shirodkar,K, Mallarajapatna,G, Patil,A, Correlation between Standardized Uptake Value and Apparent Diffusion Coefficient in Focal FDG-PET Positive Hepatic Metastasis. Radiological Society of North America 2015 Scientific Assembly and Annual Meeting, November 29 - December 4, 2015, Chicago IL. archive.rsna.org/2015/15007209.html...