Browsing by Author "Regmi, Pradeep R"
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Publication Adnexal Torsion in Ovarian Hyperstimulation Syndrome in Early Pregnancy: A Diagnostic Challenge(Institute of Medicine, 2020) Regmi, Pradeep R; Amatya, Isha; Poudel, AtitABSTRACT Adnexal torsion in ovarian hyperstimulation syndrome (OHSS) is rare but serious complication in pregnancy. It is more common in assisted reproductive techniques. Delay in diagnosis and treatment results in functional loss of ovary as well as termination of pregnancy. In this report, we are presenting a case of 27 years female with subfertility who conceived after ovulation induction presented at 7 weeks 6 days period of gestation with ovarian hyperstimulation associated with adnexal torsion. Later, she was treated with laparoscopic salpingo-oophorectomy. Keywords: Adnexal torsion, ovarian hyperstimulation syndrome, pregnancyPublication Brain MRI Findings in Severe COVID-19: Case Report of Two Cases(Institute of Medicine, 2021) Regmi, Pradeep R; Amatya, Isha; Kayastha, PrakashABSTRACT Most of the imaging spectrums of COVID-19 are evolving day by day. Every other day, we get to know the imaging peculiarities in this novel disease. Apart from the chest involvement, neurological manifestations are well recognized in COVID-19 infection. The neurological manifestations are infarcts (ischemic or hemorrhagic), acute demyelination, acute necrotizing encephalomyelitis, micro-haemorrhages, acute demyelinating encephalomyelitis, leukoencephalopathy, global hypoxic injury, cranial nerve enhancement, cytotoxic lesions of the corpus callosum, olfactory bulb involvement and Guillain Barre Syndrome. Though the imaging findings in COVID-19 are non-specific and may not be diagnostic, proper correlation with the history and clinical spectrums can suggest the changes related to COVID-19. We have reported two severe COVID-19 cases that illustrate various neuroimaging manifestations. Keywords: COVID-19, imaging, neuroimaging manifestationsPublication Naso-Orbito-Ethmoid Fibrous Dysplasia, a Rare Case in a Rare Location for Radiologists: A Case Report(Institute of Medicine, 2022) Regmi, Pradeep R; Kayastha, Prakash; Amatya, IshaABSTRACT Fibrous dysplasia is a non-inherited but congenital disorder which is characterised by the replacement of normal bone by an excessively proliferative cellular fibrous connective tissue intermixed with irregular bony trabeculae. Fibrous dysplasia may be localised to the single bone (monostotic form) or multiple bones (polyostotic form). About 25-30% of the facial dysplasia is associated with cranial or facial involvement. Imaging plays an important role in diagnosis and follow-up in the cases of cranio-facial fibrous dysplasia because of the anatomical complexity of the region. We have described herein a rare case of fibrous dyplasia involving naso-orbito-ethmoid region in radiological perspective. Keywords: Computed tomography, fibrous dysplasia, naso-orbito-ethmoidPublication Papillary Carcinoma of Thyroid in a Child, Rare but Aggressive: A Case Report(Institute of Medicine, 2021) Regmi, Pradeep R; Amatya, Isha; Paudel, Sharma; Kayastha, PrakashABSTRACT Thyroid nodules are uncommon in childhood than adult population. Thyroid malignancies are more common in the detected nodules comprising 22-26% in paediatric age groups in comparison to 5-15% of the adult population. In addition, thyroid malignancies are more aggressive in children than in adults with nodal and pulmonary metastasis. Despite having more recurrent rate than in the adults, survival seems to be better. We are presenting a case of an 11-year-old child presented to our clinic with swelling of neck for 3 months duration. Diagnosis was made through ultrasound, computed tomography and histopathological analysis. Therefore, diagnosing a case with papillary carcinoma of thyroid in children is very challenging and demanding the expertise. Paediatric radiologist could play a vital role in diagnosis which leads to proper management. Keywords: Children, computed tomography, papillary carcinoma, ultrasoundPublication Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report(Institute of Medicine, 2021) Regmi, Pradeep R; Amatya, Isha; Kafle, Bipula; Kayastha, Prakash; Paudel, SharmaABSTRACT Congenital variations and anomalies of the aortic arch are important entity in vascular imaging. Most of them are asymptomatic. About 30-40% presents with tracheo-oesophageal symptoms like dyspnea and dysphagia. A 27 year-old female presented with persistent dysphagia for 6 months duration and cause of persistent dysphagia was the right sided aortic arch with aberrant left subcalvian artery from Kommerell’s diverticulum. The diagnosis was made through combination of chest X-Ray, echocardiography, non-ionic contrast swallow and Computed Tomography angiography. Non-invasive modalities (CT and MR Angiography) play an important role in diagnosis and pre-operative surgical planning providing relationship with the surrounding structures especially trachea and esophagus. Keywords: Aortic arch, CT angiography, dysphagia, left subcalvian artery