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.

Thursday, 9 July 2026

​Oesophageal malignancy

 



An Ultrasound Whole Abdomen was performed for a patient presenting with anorexia.

Although the examination was requested for a non-specific symptom, the ultrasound revealed circumferential wall thickening in distal oesophagus, findings suspicious for oesophageal malignancy, prompting further evaluation.

Follow-up with the referring surgeon confirmed the diagnosis. Upper GI endoscopy demonstrated an ulcero-proliferative growth in the distal oesophagus, correlating with the imaging findings.

This case underscores the importance of carefully evaluating all visible structures during an ultrasound examination. Even when symptoms are non-specific, a meticulous approach can lead to the early detection of significant pathology and timely specialist referral.


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

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