Purpouse – to define of diagnostic significance of x-ray examination of the cervical spine of children with complaints on headache.

Retrospective comparative study was conducted. During the research, 159 medical histories of children from 5 to 17 years were analyzed: patients had complaints on headache and standard and functional x-ray examination of the cervical spine was prescribed and performed. 59 of those patients also had sonography examination of the vertebral arteries, and in 38 medical histories contained results of functional sonography test (examination of vertebral arteries in the middle and rotation positions of the head).

All medical histories of children were divided in 3 groups based on the curvature of the cervical spine (p ≤ 0,01). Assessment of values of mobility indicators in the cervical spine, based on Kolmogorov-Smirnov criteria, revealed normal distributions in all three groups. Comparative analysis of values of the segmental mobility in the cervical spine in all 3 groups didn’t reveal statistically significant differences (p > 0,05). The significant correlation between values of sonography examination of the vertebral arteries, values of functional sonography tests and values of the segmental mobility in the cervical spine was not revealed.

The x-ray examination of the cervical spine is not prioritized method of diagnostics in children with headache. Found cases of increasing segmental mobility in the cervical spine had not demonstrated significant change in blood flow in vertebral arteries in children.

Prescription of X-ray of the cervical spine must be strictly justified recommendation if patients are children with complaints on headaches.

Between January 2019 and May 2022 parotid salivary glands were examined in 130 patients who were directed for ultrasonographic evaluation to the Radiology Department of State Budget-Funded Healthcare Institution of the City of Moscow «City Polyclinic № 191 of Moscow Healthcare Department» or were self-motivated to screening in medical project «Zdorovaya Moskva». Of the 130 patients, 71 were directed to ultrasonographic evaluation with provisional diagnosis «Tumor of parotid salivary gland». The ultrasonographic features were compared with diagnostic patterns of parotid salivary glands in medical literature.

Shoulder joint replacement is becoming an increasingly common procedure for severe injuries and diseases of the proximal humerus, which in turn requires a thorough and purposeful preoperative examination of patients, respectively, expansion and improvement of the diagnostic program used by them, one of the most important elements of which are radiation diagnostic methods, in particular standard radiography and multisection computed tomography.

Analyzing the given literature data, it can be noted that the use of multisection computed tomography allows to ensure the most accurate position of the components of the endoprosthesis at the preoperative stage, allows the use of digital planning programs for a specific patient and significantly increases the reliability of the results of long-term follow-up of patients at the postoperative stage in the detection of signs of aseptic instability.

However, despite the fact that multisection computed tomography is widely used in patients at the preoperative stage, a number of parameters for the placement of endoprosthesis components, in particular the glenoid component of the endoprosthesis, still do not have a single standard for planning, in addition, it requires refinement of the algorithm for the use of multisection computer tomography at the postoperative stage, due to artifacts that reduce the quality of images and preventing a reliable analysis of the fixation of the components of the endoprosthesis.

An otorhinolaryngologist must know the anatomy of the nasal cavity and paranasal sinuses prior to endoscopic surgery, because many structures cann’t be evaluated by him during visual and endoscopic examination. In this regard, all patients undergo computed tomography of the paranasal sinuses as a preoperative preparation, which allows not only to identify the pathological process, but also to assess anatomical features that may predispose to surgical complications. This review illustrates various anatomical variants of the nasal cavity and paranasal sinuses, which should be noted in the protocol and focus the attention of an otorhinolaryngologist on them in order to reduce the risk of possible surgical complications.

The purpose of the work was to demonstrate of the possibilities of SPECT/CT in the diagnosis of condylar hyperplasia in a 17-year-old patient. According to the results of bone scan and SPECT/CT, anatomical and metabolic abnormalities were found, confirming the clinical diagnosis. The use of modern diagnostic methods, in particular SPECT/CT, is justified and recommended for suspected condylar hyperplasia.

Epididymal cysts in children are rare, and, as a rule, their detection is an incidental finding, the course is asymptomatic, the surgical treatment is not carried out. Isolated torsion of these cysts is extremely rare in both children and adults, causing acute pain syndrome and swelling of the scrotum. Due to its rarity and lack of specificity of clinical and echographic manifestations, this condition leads to a delay in the accurate diagnosis of the disease, which is carried out only intraoperatively. The rare case of combined testicular torsion and torsion of a large appendage cyst in a 12-year-old teenager is presented in the publication.