 Good morning everyone. I am Gayathri Kupaswamy, second day president from Rivey Patel Medical College, Kona Poo. My paper was showing comparison of CT-Propagraphy and Kalyadokra Valtaswamy for addiction research in synthetic patients. The study was done under the guidance of Dr. Pradeep Patel. Interaction of communicable disease and photohypotension or common clinical encounters is that disease continues to open for substantial proportion of the healthcare utilization in India. Syrosis related disease was submitted to increase and expected to be 12th leading course of death in 2020. The course of Syrosis varies in different parts of the world with the hepatitis C and anguvolysis predominating in the same countries and the hepatitis being in the mission of the Africa. In India, alcoholism is the most common cause of Syrosis while hepatitis is the cause of chronic liver disease in general and non-synoptic chronic liver disease. Elevated hydrostatic pressure within the portal room or distributed is manifesting as increase in pressure gradient between the portal room and hepatic or inferior venal killer is termed as portal hypotension. Development of portal hypotension and hypodynamic circulation is the ultimate end result in synoptic patients leading to significant immobility in mortality. Incident of esophageal illnesses in synoptic patients is 80 to 90 percent and about one-third of patients with esophageal varices may be leading to high morbidity and mutilating. Please, there is a need to develop a non-invasive reliable imaging technique for diagnosis and assessment of portal hypotension. The most common cause of death in Syrosis patient is upper GI blood due to development of esophageal varices. We must be aware of the model's homographic and CT anatomy of the portal and systemic circulation to understand the various gullatei pathways. The aim and objective of the study is to compare diagnostic efficacy of CT photography and of color Doppler ultrasound for reduction of viruses in synoptic patients. The metrology is 30 patients who diagnosed with the decompensated liver Syrosis has been sent to the department of radio diagnosis. The patients are subjected to the study after taking more concern, patient are subjected for reduction of viruses on ultrasound and findings are compared to CT photography. The inclusion criteria of this patients or decompensated patients with decompensated liver Syrosis due to any etiology included in this study. The exclusion criteria would severe hematomesis, previous history of the nodule to contrast agent, renal failure patients and hepatitis syndrome and refusal to participate in this study. The results 30 patients with cirrhotic liver, more 30, 17 and esophageal varices of different grades in the endoscopy. This table depicts a grading, more 17, four patients have grade one and 10 patients had grade two, where the three patients had grade three. This bar diagram showing the grading of esophageal varices in endoscopy and those detected in CT uncolored ophthalate ultrasound. Among 13 patients who had more varices on endoscopy, one showed varices on CT and none has been detected on ultrasound. Among four, among four grade one, three has been detected by CT none has been detected by ultrasound. Among 10 grade two esophageal varices, all the 10 has been detected by CT none has been detected by ultrasound. When the grade three, three patients had grade three, all the three has been detected by CT and only one has been detected by ultrasound. Therefore, from this result, CT can detect all the grade one and grade two varices, esophageal varices, when the ultrasound can only detect grade three esophageal varices. These are the different varices has been compared with CT photography and color Doppler, where 17 had esophageal varices. Among 17, only one has been detected on color Doppler, where nine showed the para esophageal varices on CT photogram. Among nine, only six has been detected by the ultrasound, color Doppler ultrasound. On the gastric mucosal varices, five has been detected on CT, among five, only two has been detected by ultrasound. Thirteen showed pericastric collatiles on CT photography, among thirteen, only four showed, four has been detected by ultrasound. With 24 patient showed peri umbilical collatiles on CT photography, among 24, almost all of the patient, almost 22 have showed peri umbilical collatiles on color Doppler, where 22 patient had a short sprenodinal collatiles on CT, among 22, 21 has been detected by ultrasound, where nine patients showed peri coli cystic collatiles on CT photogram. Among nine, six has been detected by ultrasound. So, this is, this table column shows a positive and both were positive in both CT and color Doppler ultrasound. CT with color Doppler money, this is only detected on CT. Therefore, the sensitivity, this table column depicts the sensitivity specificity, positive predictive value, not a predictive value of ultrasound with CT for deduction of photosystemic collatiles with the specificity and the positive, predictive value for the CT is 100% for all the varices and collatiles for all the photosystemic collatiles. Discussion in our study, most of the patient included between 30 to 60 years of with the main age of 55.7%. The cost of cirrhosis in most cases varies either chronic alcoholism or chronic hepatitis infection. Other causes include non-alcoholic fatty liver disease, extra hepatic portal venous obstruction, where two out of 30 patients had no identifiable cause and were included in cryptogenic cirrhosis category. This is the pathophysiology of development of collatiles and potent hypertension and these are the different sides of the photosystemic collatiles. When the patient developed liver cirrhosis, there is increased intrahepatic vascular resistance and there is elevated blood flow through the total venous system and there is a high pressure hepatopetal which is a normal curve, but there is a high pressure then redirected through the alternative low pressure systemic pathways and there is the formation of the extensive photosystemic collatiles. This image shows various photosystemic collatiles where we can see esophageal theory where we can see the pericastric collatiles, sclerodinal chromate collatiles and retroperitoneal and there will be a rectal collatiles and periamlical collatiles. The following states were evaluated for the presence of erasers in ultrasound and CT open, distal esophagus, parallel esophageal, perigastric, gastric metrusals, splemorhino, anterior abdominal wall, periamlical, retroperitoneal and pericolysis secretions. This is a case where 47-year-old me presented the hematomasis and abdominal distinctions where the ultrasound shows a normal G.E. junction where the CT image shows them shrunken liver, shrunken with a nodular surface, nodular surface and there is some multiple enhancing protrusion noted in the esophagus. This show, this is a show, this is a, this consistent with grade 1 varices on the endoscopy, this is the esophageal varices. This is a case of 56-year-old male patient who was in a chronic algorithmic, presented with two episodes of a hematomasis where the Doppler image shows the presence of the tortuous vessel in the stomach wall and the actual CT image shows the sephageal is collaborates in the gastric wall, which is a gastric mucosal varices. This is a case of 38-year-old male patient presented with abdominal pain and shortness of breath. The Doppler study shows the presence of tortuous vessel between the kidney, kidney is not seen in the stomach, between the spleen and the kidney, where the coronary CT image shows multiple varices in communication with the splenic vein and the renal vein is which is appears to be dilated and there is a spleen renal, this is the spleen renal colactals. This is a case of 55-year-old male with chronic alcoholic patient presented with weak abdominal discomfort, redlessness and loss of weight. The Doppler shows the presence of tortuous vessel in the pericolycystic region and the actual shows the multiple sephageal is pericolycystic colactals, which is the pericolycystic colactals. This is a CT image, the actual and the coronary CT image, where we can see the nodular and the shank and liver and the gross acetase and with the presence of large paroesophageal varices which is surrounding the esophagus circumferentially, surrounding the esophagus, this is a paroesophageal varices. Concurrention, ultrason deduce grade 3 varices and CT deduce grade 2 and 3 varices. CT is better for delineation of all proto-systemic colactals compared to ultrason, ultrason was impedable in the CT-portal venous phase in delineating complex colactal pathways. Multi-slice CT scan detects potential problematic varices by detailing the course of tortuous vessel which is important in liver transplantation, surgeries for deduction of unexpected venous that can result in significant bleeding. So, these are the references. Thank you.