Coronal SSFSE T2-weighted MR image of the same fetus shows h | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Coronal SSFSE T2-weighted MR image of the same fetus shows herniation of fluid-containing small bowel loops (black arrow) into the left chest. The meconium-containing colon (white arrow) is dark on T2 sequences but bright on T1 sequences (white arrows on the previous image). The normal right lung (blue arrow) is homogeneously hyperintense in this patient with a large left-sided congenital diaphragmatic hernia. On the previous image, the liver is seen anteriorly with portions above and below the expected level of the diaphragm. Fetal MRI can play an important role in determining prognosis and optimum management in these patients by assessing: 1) the degree of pulmonary hypoplasia, 2) factors associated with pulmonary hypertension, and 3) additional anomalies. #FridayQuizDay

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