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Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: Additive value of fetal MRI to different ultrasound modalities in diagnosis of fetal GIT and abdominal wall anomalies

Fig. 6

A 39-year-old pregnant female with antenatal US showing large congenital diaphragmatic hernia. Ultrasound findings: A, B Axial and coronal sections of the fetal abdomen and chest showing left diaphragmatic hernia with herniation of the stomach and bowel into chest. MRI Findings: C, D, E sagittal T2WI, B coronal T2WI, and E axial T2WIs showing a large left-sided rather posterior diaphragmatic defect with herniation of the whole stomach, small bowel loops, and left hepatic lobe into whole left hemithorax with consequently marked compression of the left lung, shift and compression of heart to the left side with compressed right lung (arrowed). F sagittal TWI showing high meconium signal within herniated colon into the left hemithorax. Combined US and MRI Diagnosis: Large left-sided intra-pleural hernia with marked mass effect on both lungs and heart with concluded poor postnatal survival rates. Termination by C.S at GA 37 weeks

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