Duodenal wall edems is secondary to acute on chronic pancreatitis. Blink& you'll miss it.....

Biliopathy is secondary to type 1 choledochal cyst . Don't miss choledocholithiasis.

Posterior placenta with anterior succenturiate lobe.

Cause of heartburn in this young female in early thirties(multiple visits to reputed cardiac centers) is choledocholthiasis without biliopathy. Because of "commission practice" pioneered by "senior radiologists" basic skill like this has gone down the drain...

Calculus impacted at the neck of Gall Bladder.Don't miss asenomyomatosis at GB fundus.... Mundane stuff....

Blink an eye & you'll miss everything ( carcinoma of Gall Bladder with liver involvement).

I personally find the level of medical expertise/care that an average citizen receives at " tertiary medical centers "in our country at extremely poor side( disaster & disgrace)........with core competency & without commission practice we could & should be getting more cases.....

Carolis disease of liver. Complications include cholangitis(2nd to bile stasis) & cholangiocarcinoma(sequel of recurrent cholangitis).Thumb rule - capsular retraction in the setting of Carolis disease screams cholangiocarcinoma.

Mucin containing appendiceal neoplasm( Low grade appendiceal Mucinous neoplasm). Rupture of appendiceal wall with extraluminal implant of mucin forming neoplastic epithelium results in pseudomyxoma peritonei formation. Cooky Menias Mahan Mathur Mukesh Harisinghani

Farewell to Dr.Bishnu Pandey. Bishnu will start his American Board of Radiology Alternate pathway (4 year)fellowship with UT Health Huston. Extremely hard working & highly competent kid. Impossible to retain quality manpower in our country with our income structure.....

Solid pseudo papillary neoplasm of pancreas.involving body of pancreas.Dx certain...Waiting for histopathology..patient had travelled 150 kiometers from small town India...to reach my practice in small town Nepal ..just couldn't give truckload of d/ds & push for CT ..

Agony is that we just don't have any " radiology department" in our country...without rigorous follow up(achievable target should be >90%) & clinical caudit (anything below 100% is a disaster).....everything else is a reading room,period.

Although commission radiology is a scourge ailing practicing radiologists in both Nepal & India. Highly competent young radiologist based in relatively small town India like Chandigarh, Haridwar, Madhuri, Kunoor , Jamshedpur are omnipresent, lot to learn from them....

Fetal severe skeletal dysplasia( hypophosphatasia ) with severe thoracic hypoplasia ..classic case

Omental thickening with matted bowel loops(abdominal Tuberculosis)in our patient population. 10yo m(small town India), brought by his grandpa.travelled 70-80 kilometers, patiently waited 7-8hours...reminded me of my grandpa...greatness of a nation comes form it's ordinary people.

This is thick pus in renal pelvis ,calyces and proximal ureter with urothelial thickening (pyonephrosis). 9yo m. In adult patient , this will be urothelial carcinoma until proven otherwise.

Key hole like posterior urethra, Distended Urinary Bladder, Dysplastic Kidneys & Pulmonary Hypoplasia. Classic case of severe posterior urethral valve .

Peri hilar cholangiocarcinoma ( peri ductal infiltrating type, Bismuth- Corlette Type IIIa) with liver metastasis.