ULTRASONOGRAPHY

Abnormal Genitalia

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Abnormal Genitalia

KEY FACTS Terminology • Disorders of sexual development (DSD) • Most common DSD if karyotype is XY (male) ○ Hypospadias: Urethra opens on underside of penis ○ Epispadias (less common):…

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Meckel-Gruber Syndrome

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Meckel-Gruber Syndrome

KEY FACTS Terminology • Syndrome composed of classic triad of findings ○ Renal cystic dysplasia in 95-100% ○ Encephalocele or other central nervous system (CNS) abnormality in 90% ○ Postaxial…

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Circumvallate Placenta

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Circumvallate Placenta

KEY FACTS Terminology • Membranes insert on fetal surface of placenta instead of along edge ○ Edges not “tacked down” & curl away from uterine wall Imaging • Edge of…

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Achondrogenesis

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Achondrogenesis

KEY FACTS Terminology • Lethal skeletal dysplasia with 3 clinical subtypes ○ Type IA (poorly ossified skull, unossified spine) ○ Type IB (poorly ossified skull, rib fractures) ○ Type II…

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Other Developmental Variants

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Other Developmental Variants

KEY FACTS Terminology • Abnormality of renal fusion &/or ascent Imaging • Horseshoe kidney (fused lower poles) ○ Isthmus = central bridging tissue – Isthmus is anterior to aorta ○…

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Retained Products of Conception

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Retained Products of Conception

KEY FACTS Terminology • Incomplete uterine evacuation with retention of placental/trophoblastic tissue within endometrial cavity Imaging • Solid, heterogeneous, echogenic mass ○ Early loss often has small cystic areas ○…

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Macrosomia

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Macrosomia

KEY FACTS Terminology • Newborn with birth weight > 4,000 or 4,500 g (10 lb) • Fetus is considered at risk for macrosomia if estimated fetal weight (EFW) is >…

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Osteogenesis Imperfecta

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Osteogenesis Imperfecta

KEY FACTS Terminology • Genetically and clinically, heterogeneous group of connective tissue disorders presenting with osteoporosis and fractures ○ 90% of cases due to abnormalities in type I collagen •…

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Posterior Urethral Valves

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Posterior Urethral Valves

KEY FACTS Imaging • Exclusively in male fetuses • Bladder often grossly dilated, filling entire abdomen and increasing abdominal circumference • Distended bladder “funnels” into urethra ○ Keyhole sign from…

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Chorioangioma

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Chorioangioma

KEY FACTS Terminology • Reactive proliferation of placental tissue, not true neoplasm Imaging • Most common on fetal side of placenta, near cord insertion • Well-defined, hypoechoic mass • Flow…

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