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Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: Role of diffusion MR imaging (DWI) and three-dimensional ultrasound (3DUS) in the assessment of placental insufficiency in the gestational hypertension

Fig. 1

Pregnant female, 18 years old. The patient has hypertension with pregnancy on Aldomet and Aspocid. Her obstetric code was G1P0. The patient did not remember her 1st day of LMP by ultrasound, and her gestational age was 22 weeks + 1day. a Doppler examination of both uterine arteries showed bilateral diastolic notches with RI of the right uterine artery 0.7 and the left uterine artery 0.69. Doppler of the umbilical artery showed RI 0.91. b 3D ultrasound measured the volume of the placenta (74.42 cm3). c From the right to left, (i) axial T2-weighted image showed a heterogeneous low signal of the placenta, (ii) sagittal DWI at b 850, and (iii) ADC map: bright signal in DWI and low signal in ADC map (arrows) and low ADC value (1.35) suggestive of placental infarctions. d Placental volume measurement by MRI (190.67 cm3). Comments: The patient had gestational hypertension. Both 3D ultrasound and MR showed features of placental insufficiency and small volume. The patient developed preeclampsia and had preterm labor

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