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Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Two-dimensional and four-dimensional ultrasound in the diagnosis of non-cardiac fetal congenital anomalies in high risk pregnancies: a comparative study

Fig. 4

A pregnant female aged 22 years, multigravida, presented with 26 ± 2 weeks of gestation, was hypertensive, presented with eclampsia, had a positive history of consanguinity, and had a past history of a fetus with facial anomalies. She had one previous US examination that revealed polyhydramnios and referred her for an anomaly scan. A, B 2D US coronal images of the fetal face showed a loss of integrity of the upper lip. C 2D US showed an increase in amniotic fluid (polyhydramnios). D Doppler examination revealed an increase in the resistive index of the umbilical artery (RI = 0.76) with low diastolic flow. E A surface-rendering 4D US image of the fetal face revealed loss of integrity of the upper lip, confirming the diagnosis of cleft lip. A case of paramedian cleft lip was confirmed postnatally

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