CASE 34
Used with permission from Anderson Publishing Ltd., from Victoria T, et al: Fetal MRI of common non-CNS abnormalities: a review. Appl Radiol 40(6):8-17, 2011. © Anderson Publishing Ltd.
History: A patient undergoes a 22-week prenatal ultrasound examination.
1. What should be included in the differential diagnosis for an enlarged kidney with multiple hypoechoic fluid-filled spaces in a fetus on prenatal examination? (Choose all that apply.)
B. Autosomal recessive polycystic kidney disease
C. Multicystic dysplastic kidney (MCDK)
D. Bilateral subdiaphragmatic pulmonary sequestrations
E. Bilateral mesonephric blastomas
2. Which of the following entities is the most likely cause of noncommunicating cyst?
A. MCDK
C. Ureteropelvic junction obstruction
3. Which of the following studies is not part of the standard workup of the differential diagnosis?
B. CT
C. MRI
4. Without intervention, noncomplicated MCDK tends to result in which of the following?