Fig. 4

Thirty-six-week fetus; prenatal US revealed ventriculomegaly and echogenic structure within the right lateral ventricle (a). SSFSE T2WIs axial planes b, c revealed supratentorial hydrocephalic changes reaching about 4 cm at the level of right atrium with ballooned occipital horns (colpocephaly), enlarged right choroid plexus (measuring 4.2 × 1.2 cm) eliciting intermediate signal with cystic changes, extending to the frontal horn and cerebral parenchyma in the frontoparietal regions. Sagittal plane d shows agenesis of the corpus callosum with absent precentral gyrus. DWI and ADC e, f revealed evident diffusion restriction within the enlarged right choroid plexus with no diffusion restriction noted within the brain parenchyma. MRI diagnosis: Intraventricular hemorrhage with extension to the adjacent brain parenchyma and sever hydrocephalic changes down to the aqueduct (grade IV germinal matrix hemorrhage) with CC agenesis. Recommendation: Immediate delivery. Outcome: CS delivery followed by admission to NICU; the neonate died after few days.