Joe Antony, MD

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(Images are courtesy of Jordan Jordanov, MD).

These images show absence of the crux, linear insertion of the AV valves, and common AV valves besides a large VSD. These suggest a diagnosis of AVSD.

There is no evidence of an EIF or pulmonary stenosis in these images.

Poll

QUIZ: What is your diagnosis based on these fetal echo images?

Image IQ: Fetal Echo Images

What is your diagnosis in this late 2nd trimester fetus?

(Images are courtesy of Firoz Bhuvar, MD)

The correct answer is CHAOS. CHAOS or congenital high airway obstruction syndrome is characterized by laryngeal stenosis or atresia with resultant accumulation of fluid in the distended lungs causing compression of the fetal heart (tubular shaped), ascites and dilated trachea. 

QUIZ: What's causing the compression of the fetal heart (tubular shaped), ascites and dilated trachea?

Image IQ: Compression of the Fetal Heart

What's your diagnosis of this lesion in a woman who is 34 weeks pregnant?

5. Huge maternal ovarian cyst with pregnancy

There is a large unilocular cystic lesion to the right of the uterus reaching anterior to the right kidney. This rules out maternal urinary bladder. The cystic lesion shows thin walls, ruling out septate uterus. These findings confirm a cyst on the maternal right ovary, possibly serous cystadenoma. This was a known case of right ovarian cyst.

QUIZ: These images show something isn't quite right in a woman who is 34 weeks pregnant.

Image IQ: Urinary Issue or Something Else?

What's your diagnosis based on these images of the fetal eyes?

The fetal right eye (arrow) shows edema of the eyelids and thickening with increased echogenicity of the cornea. These ultrasound features suggest corneal inflammation, or keratitis, of the affected eye. Fetal keratitis is usually the result of maternal infections such as syphillis.

QUIZ: These images of the fetal eyes reveal a clue about the mother's health.

Author | Joe Antony, MD

Articles

Image IQ: Fetal Echo Images

Image IQ: Compression of the Fetal Heart

Image IQ: Urinary Issue or Something Else?

Image IQ: Fetal Eyes and Maternal Health