IMA Journal – January 2023

Message from Team IMA Chennai Kauvery Alwarpet Branch

Dear colleagues

New Year Greetings and Pongal wishes from Kauvery Alwarpet branch.

On behalf of our branch we extend our best wishes to Dr Senthamil Pari and his team for assuming office as the State President of TNSB and we will continue to extend our fullest cooperation.

The Organisers of TIMACON 2019 needs special appreciation for organising a flawless state conference and we thank them for recognising our Branch’s activities with 9 awards.

This month all the articles are contributed by the Department of Radiology which is one of the premier department of Kauvery hospital with state-of-the-art infrastructure.

Our best wishes to Dr Iyappan and team.

Long live IMA

Yours in IMA service,
Dr S Sivaram Kannan

Radiology is an important diagnostic tool and an integral part of medical care and diagnostics.

This month’s issue comes loaded with articles from the department of Radiology.

Enjoy this issue.

New year and Pongal wishes.

Long live IMA.

Yours in IMA service,
Dr. Bhuvaneshwari Rajendran

Dr. R. Balasubramaniyam

Dear friends

Happy to share this edition of our IMA Journal.

This month contribution has come from the Department of Radiology.

I thank the consultants and the post graduates from the department of Radiology.

We welcome your suggestions and feedbacks.

Best wishes for a Happy New Year and Happy Pongal.

With regards
Dr. R. Balasubramaniyam

Sneaky Muscle Bulge: Uncovering a Transfascial Muscular Hernia on Dynamic Ultrasound


A 32 year old male patient came with C/o swelling in the antero-lateral side of left leg, which appeared on standing, dorsiflexion and disappeared on lying down.

H/o trauma at the swelling site 1.5 years back.

On examination:

A skin coloured swelling appears on standing and dorsiflexing ankle. The swelling pops up and down while flexing the toes.

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Hypertrophic Pulmonary Osteoarthropathy; A Rare But Treatable Condition in Palliative Medicine


Mrs. Kothai 66yrs old female diagnosed as a case of metastatic lung carcinoma. History of bilateral lower limb swelling for past 3 months. History of blackish discolouration of face, hands and feet. She was referred for plain X-ray.


A physical examination revealed fluid collection around ankle and knee joint there was also discomfort

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A Case of Pulmonary Hamartoma


Pulmonary hamartomas are the most common benign tumors of the lung, accounting for 75% of all the benign tumors and 8% of all the pulmonary neoplasms. Pulmonary hamartomas present as asymptomatic nodules, found incidentally on routine radiographs and CT scans.

Case Report:

A 56-year-old lady came to OPD for her master health checkup and incidentally discovered a solitary pulmonary nodule on chest XRAY. She was asymptomatic during her examination.

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A Radiological Exploration of Ochronosis


Elderly male patient came with non-specific C/o lower abdominal pain and left sided chest pain radiating to back.

Past history:

H/o CABG done on 2006. Known case of Alkaptonuria
ECHO done on 10.12.2022: revealed calcified aortic valve; Severe aortic stenosis

X-ray LS spine and pelvis revealed:

Diffuse osteopenia, disc space narrowing, multilevel intervertebral disc calcification and syndesmophyte

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Spectrum of Radiological Modalities in Kauvery Hospital

Kauvery hospital is a leading healthcare provider that is committed to using advanced radiological modalities to care its patients. The Radiology department in Kauvery hospital is equipped with multiple advanced imaging modalities like FUJI DR FDR SMART Xray, Mylab7, Mylab8, Mylab9 & GE Ultrasound, GE REVOLUTION MAXIMA 128 SLICE- AI BASED Computed Tomography and SIEMENS Magnetic Resonance Imaging . Each imaging modalities is a state-of-the-art system offering high quality images, enabling accurate diagnosis and treatment planning.


The FUJI DR FDR SMART x-ray is a state-of-the-art digital radiography system that offers several benefits for patients and healthcare providers alike.

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A Case of Complicated Dermoid presenting as Perirectal Abscess

Clinical details:

37 year male presented with complaints of bilateral gluteal pain for 1 week associated with fever. No history of trauma.

History of difficulty in passing urine, perianal pain on straining at stools (+).
History of fecal incontinence and abdominal distension (+).
Past history of surgery for imperforate anus and appendicectomy.
On examination ,Patient afebrile ,PR – 110/min, BP – 140/90mmHg
P/R – tender from 7 to 9’o’ clock position ; deformed anus, very poor anal tone.

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Highlights @ Kauvery

IMA Chennai Kauvery honoured at TIMACON 2022

Chennai Kauvery Alwarpet Branch was recognised for the services, training programmes and clinical excellence at The TamilNadu State IMA Conference (TIMACON 2022) held at Chennai Trade Centre. Awards were presented to the President, Secretary, Treasurer and IMA journal editor. Awards for regular meetings, blood donation camps and other health awareness programs were also presented to them. Our sincere thanks to Dr. Aravindan Selvaraj and Dr. Iyappan Ponnuswamy for all their support.

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