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 a few of those moments, reminding us of the meaningful impact we make on patient care.

Friday, 5 June 2026

Perimembranous VSD with Overriding Aorta




Ultrasound Fetal Well Being – Patient came for the first time to our centre at 29 weeks gestation.

Perimembranous ventricular septal defect (VSD) with overriding aorta is a congenital cardiac anomaly. It involves a defect in the membranous part of the interventricular septum along with partial overriding of the aorta over both ventricles.

Early recognition is important for appropriate parental counseling, delivery planning, and postnatal cardiac care.



Diagnosed by: Dr Ayush Goel


SHIVI Imaging Centre

Digital X-Ray • Ultrasound • Colour Doppler • Advanced DEXA Scan • OPG • Mammography Centre

📍 #660, Sector 7, Near ITI College for Boys, Opposite Doctor’s Colony, Ambala City, Haryana, India

Duodenal malignancy (early detection)


Duodenal malignancies are uncommon and often present with non-specific symptoms, making early diagnosis challenging. 

In this case, a careful ultrasound examination performed for upper abdominal complaints revealed focal wall thickening in the duodenal region with altered echotexture, raising concern for a possible malignant lesion.

Although ultrasound is not the primary modality for evaluating duodenal tumors, it can serve as an important initial screening tool, prompting timely further assessment with CT or endoscopy.

This case highlights the value of meticulous scanning and maintaining a high index of suspicion, as early detection can significantly improve patient outcomes.



Diagnosed by: Dr Ayush Goel

SHIVI Imaging Centre

Digital X-Ray • Ultrasound • Colour Doppler • Advanced DEXA Scan • OPG • Mammography Centre

📍 #660, Sector 7, Near ITI College for Boys, Opposite Doctor’s Colony, Ambala City, Haryana, India