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Radiology Quiz Case 2
Vanessa Erickson, MD;
Anna Messner, MD
Lucile Packard Children's Hospital at Stanford, Stanford, Calif
Arch Otolaryngol Head Neck Surg. 2007;133(3):299.
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On routine prenatal ultrasound at 18 weeks' gestation, a 30-year-old, gravida 2, para 0, Hispanic woman was noted to have a fetus with abnormally large, echogenic lungs and fetal ascites. Her pregnancy previously had been unremarkable except for diet-controlled gestational diabetes. She was referred to our tertiary care center. Fetal magnetic resonance imaging (MRI) was performed at 23 weeks' gestation with fast imaging techniques, including spin-echo and gradient-recalled images in axial, sagittal, and coronal planes.
Findings included massively enlarged fluid-filled fetal lungs with associated chest deformation and fetal heart compression caused by the enlarged lungs (Figure 1) as well as massive fetal ascites and an inverted diaphragm (Figure 2). Also, at the level of the vocal cords, there was an abrupt, V-shaped termination of the trachea, with the apex pointing superiorly (Figure 3). The tracheobronchial tree was massively . . . [Full Text of this Article]
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