Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis

Figure 5

Left diaphragmatic hernia. Gestational age: 27 weeks and 6 days. (a) Coronal SSFSE T2. (b) Sagittal SSFSE T2. (c) Volume rendering coronal reconstruction. Complete herniation of jejunal (solid white arrow) and ileal (solid white arrowhead) loops is observed. Herniation of the hepatic angle of the colon (curved white arrow), ascending colon and cecum (empty white arrow) is also observed, and they are located above the splenic angle of the colon (empty white arrowhead). The left lung is hypoplastic and is collapsed in the left upper hemithorax (white asterisk). The cardiomediastenic displacement towards the right hemithorax and normal right lung (black asterisk) is shown. No hepatic or gastric herniation is observed. Relative pulmonary volume is 72.64%; the intensity ratio of the pulmonary parenchyma relative to the hepatic parenchyma is >1 and the intensity ratio of the pulmonary parenchyma in relation to the CSF is 0.78, implying a good prognosis. Fetal MRI provided useful information for perinatal management and prognosis over the fetal ultrasound.

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