Case 1 Two-day-old girl with bilious emesis.

Two days old with billious vomitting

Selected images from contrast swallow study; Finding;the stomach well opacified with contrast no filling defect. Crock screw appearance of opacified small bowel Typical appearance of malrotation with mid gut vulvulus. Ddx Duodenal atresia,dudenal stenosis,annularpancreas

Routine prenatal ultrasound in healthy thirty-year-old

Us axial images show; THERE IS ABNORMALITY WITH THE FETUS HEAD.THERE IS DEFECT THROUGH THE POSTERIOR OCCIIPIT WITH HERNATED MASS WHICH CONTAIN SOLID AND CYSTIC COMPONENTS

DDX: CEPHALOCELE(ENCEPHALOCELE) BRANCHIAL CLEFT CYST CYSTIC HYGROMA TERATOMA

Woman with breast cancer

MRI BRAIN FOR FEMALE WITH BREAST CA There are multiple enhancing lesion through the calvarium,diffuse enhancement of the meninges and confluent hypersignal intensity lesions on the deep whit matter in FLAIR and T2WI. No enhancing intraparenchymal lesion. No mass effect Normal ventricular system

In keeping with hx. Ddx; METS LESION. POST RADIATION الحل الصحيح DIFFUSE INFECTIOUS DIFFUSE INFLAMMATORY SMALL VESSELS DISEASE

HAND XRAY There are tupht expansion of the 4 th and5th phingers with degenerative changes(narrowing of the interphalengeal joint at the same fingers, bony over growth) and periarticular soft tissue swelling Normal undrlying bone density

Ddx: Macrodystophia lipomatosa Hemangiomatosis neurofibromatosis

Lowe limb x-ray There is eccentric lytic lesion with geographic appearance involve the diyaphysis of the fibula with destruction of the cortex and soft tissue swelling with fragments of bone in MRI it show fluid fluid level No other lesion.

Ddx Telange Osteosarcoma Ewing sarcoma Giant cell tumor FIBROSARCOMA

IVP STUDY There is filling defect in the lateral superior aspect of urinary bladder With slight dilatation of the distal end of left ureter No other focal lesion. The bony structure grossly unremarkable

ddx Transitional cell ca. Squmas cell carcinoma Lymphoma Inflammatory process cystitis