CASE 3
Used with permission from Anderson Publishing Ltd., from Hellinger J, et al: Fetal MRI in the third dimension. Appl Radiol 39(7)8-19, 2010. © Anderson Publishing Ltd.
History: A patient presents for a routine second-trimester ultrasound.
1. What should be included in the differential diagnosis? (Choose all that apply.)
E. Renal cysts
2. Which of the following is not included in the ultrasound findings in a fetus with ovarian cysts?
A. The cysts are usually bilateral.
B. The cysts may be seen in the upper abdomen.
C. The cysts may undergo torsion.
D. Most cysts are purely cystic.
3. In regard to treatment of fetal ovarian cysts, which of the following statements is not true?
A. After delivery, observation alone is considered appropriate therapy.
B. Uncomplicated ovarian cysts usually resolve spontaneously.
C. Prenatal cyst aspiration should not be performed.
D. If ovarian torsion is present, surgery should be considered.
4. Which of the following statements is not true?
A. Ovarian cysts may result in fetal ascites.