There are moments when a doctor knows their diagnosis has made a profound difference in a patient’s treatment. Often, the patient may never fully understand the complexities and challenges that went into reaching that conclusion. As Radiologists, we take pride in the behind-the-scenes work — the meticulous analysis and dedication that helps doctors make life-changing decisions. This log book reflects few of those moments, reminding us of the meaningful impact we make on patient care.
Note: Dates of the investigations are not disclosed to comply with Privacy Policy.
Investigation |
Diagnosis |
Images |
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Ultrasound Abdomen
Recurrent vomits in 70 yr old female |
Ultrasound Findings: Dilated fluid filled bowel loops with large calculus stuck in small bowel. Echoes & air foci in small/shrunken GB with Pneumobilia.
Final Diagnosis: Cholecystoenteric fistula with Gall stone Ileus Diagnosed by: Dr Ayush Goel |
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Ultrasound Scrotum
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Impending Testicular Infarction (Sequel to Chronic Orchitis)
Findings: Bulky Testis with flow signals showing reversed diastolic flow Diagnosed by: Dr Ayush Goel |
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Ultrasound - FWB
Patient referred at 19-20 wks gestation for review of some anomaly not clearly defined elsewhere. |
Trisomy 13 (Patau Syndrome)
Findings: 19-20 weeks gestation with
Diagnosed by: Dr Ayush Goel |
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Ultrasound - Whole abdomen
Patient referred with suspicion of hematoma in uterus in some previous scan done elsewhere |
Gossypiboma
Findings: Heterogenous echogenic area distending endocervical canal with dirty shadowing and few hyperechoic specks in endometrial region - suggesting Gossypiboma. Follow up from Gynecologist confirmed Retained Sponge Gossypiboma which was removed. Diagnosed by: Dr Garima Goel |
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Ultrasound - Fetal Well Being
Patient came to our centre for the first time at 35 weeks gestation. |
Tricuspid atresia with VSD
Findings show: Small RV, dilated LV, Small pulmonary artery, Inlet VSD and no flow at tricuspid valve. Diagnosed by: Dr Ayush Goel |
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Ultrasound (Pregnancy)- NT scan
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Hypoplastic Right Heart Syndrome
Gestation age 12 wk - No flow seen at tricuspid valve with echogenic appearing right veintricle. (The fetus additionally had absent nasal bone and reversed "a" wave in DV) Follow up from referring doctor - Confirmed the findings on ultrasound at 16 weeks in Chandigarh Diagnosed by: Dr Ayush Goel |
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Ultrasound Whole Abdomen - female patient referred for abdominal bloating and anorexia
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Breast Malignancy – diagnosed through metastatic ovarian lesions (Krukenberg tumor)
Bilateral ovarian masses with ascitis was seen. Liver showed multiple nodules. Patient questioned about any lump in her breast - She informed about a longstanding lump which was never evaluated. Screening of the area showed an irregular mass in breast - constellation of the imaging features are confirmative of diagnosis. Diagnosed by: Dr. Garima Goel |
Krukenberg Tumor
Breast screened - shows typical Malignant mass
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Ultrasound KUB - advised for blood in Urine
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Ultrasound - Whole Abdomen -
Complains of Anorexia. |
Oesophageal malignancy
Follow up taken from the referring surgeon - endoscopy showed ulcero-proliferative growth in distal oesophagus. Diagnosed by: Dr Ayush Goel |
OG Junction Mass
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Upper Limb Arterial Doppler -
Referred for feeble pulse on left side. |
Subclavian steal syndrome
Altered phasicity was noted in left upper limb arteries. Neck was screened and reversed flow noted in Left vertebral artery. Diagnosed by: Dr Ayush Goel |
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Ultrasound - Fetal Well Being
Referred for evaluation of Cerebral Ventriculomegaly |
Aberrant right subclavian artery
Apart from Ventriculomegaly, ARSA was identified, increasing the risk of Trisomy 21 by 80 times. Diagnosed by: Dr Ayush Goel |
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Ultrasound Whole Abdomen -
New born with vomiting after every feed |
Midgut malrotation with Volvulus
Feedback taken from the referring doctor - the baby was immediately referred to pediatric surgeon - got operated - the child is doing well. Diagnosed by: Dr Ayush Goel |
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Ultrasound Fetal Well Being -
Patient came for the first time to our centre at 29 wks gestation |
Perimembranous VSD with Overriding Aorta
Diagnosed by: Dr Ayush Goel |
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Ultrasound Whole Abdomen -
Patient complains of Vomiting |
Duodenal malignancy (early detection)
Diagnosed by: Dr Ayush Goel |
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