EURORAD ESR

Case 14962

“Two Minds In One” -A Rare Case Of Intracranial Fetus In Fetu

Author(s)
NANJARAJ CP, SANJAY P, PRAMEELA, SHILPA K, ASHWIN RAGHAVENDRA A, NISHANTH RK, SUNANDA N, DENNIS T, TRUPTA NAIK , UMAMAHESHWARI KB, RAJENDRA KUMAR NL, SHASHIKUMAR MR, HEMANTH PN, MANU R

Department of Radio-Diagnosis, Mysore Medical College and Research Institute, MYSURU 570 001, India; Email:drnanjaraj@gmail.com
 
Patient
female, 22 year(s)
 
 
  • Figure 1
    Ultrasound image of the fetal cranium.
     

    Ultrasound image of the fetal cranium shows a well-defined heterogeneous extra-axial lesion displacing the fetal brain parenchyma to one side. The lesion is seen surrounded by a membrane.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Education; Special Focus: Fetus;

    Color-Doppler sonogram shows color uptake by the lesion.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Education; Special Focus: Fetus;
     
     
  • Figure 2
    Ultrasound image of the fetal cranium.

    Ultrasound image of the fetal cranium shows an oval peripherally calcified area involving one pole of the lesion, resembling a miniature fetal cranium.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Education; Special Focus: Fetus;
     
     
  • Figure 3
    Fetal MRI - T2 weighted images.
     

    Coronal image shows a heterogeneous lesion surrounded by a membrane in the fetal cranium with few hyper-intense areas within.

     
    Area of Interest: Obstetric imaging; Imaging Technique: MR; Procedure: Education; Special Focus: Fetus;

    Sagittal image shows the lesion displacing the fetal brain to one side.

     
    Area of Interest: Obstetric imaging; Imaging Technique: MR; Procedure: Education; Special Focus: Fetus;

    Axial image showing the intracranial mass lesion.

     
    Area of Interest: Obstetric imaging; Imaging Technique: MR; Procedure: Education; Special Focus: Fetus;
     
     
  • Figure 4
    Conventional radiograph of the aborted fetus.

    Conventional radiograph shows a heterogeneous, calcified lesion inside the cranium.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Calcifications / Calculi;
     
     
  • Figure 5
    Coronal CT image of the aborted fetus.

    Coronal CT image shows an oval calcified structure resembling a miniature fetal head and a curvilinear calcified structure resembling fetal spine within the cranium.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Calcifications / Calculi;
     
     
  • Figure 6
    Gross specimen of the aborted fetus.

    Head of the aborted fetus appears enlarged and deformed.

     
    Area of Interest: Education; Imaging Technique: PACS; Procedure: Education; Special Focus: Fetus;
     
     
  • Figure 7
    Gross specimen of the excised intracranial lesion.

    Fetiform mass with two pairs of flipper like upper and lower limb buds noted. The cranium shows optic and nasal pits.

     
    Area of Interest: Education; Imaging Technique: PACS; Procedure: Education; Special Focus: Fetus;
     
     
Ultrasound image of the fetal cranium shows a well-defined heterogeneous extra-axial lesion displacing the fetal brain parenchyma to one side. The lesion is seen surrounded by a membrane.
 
Color-Doppler sonogram shows color uptake by the lesion.
 
Ultrasound image of the fetal cranium shows an oval peripherally calcified area involving one pole of the lesion, resembling a miniature fetal cranium.
 
Coronal image shows a heterogeneous lesion surrounded by a membrane in the fetal cranium with few hyper-intense areas within.
 
Sagittal image shows the lesion displacing the fetal brain to one side.
 
Axial image showing the intracranial mass lesion.
 
Conventional radiograph shows a heterogeneous, calcified lesion inside the cranium.
 
Coronal CT image shows an oval calcified structure resembling a miniature fetal head and a curvilinear calcified structure resembling fetal spine within the cranium.
 
Head of the aborted fetus appears enlarged and deformed.
 
Fetiform mass with two pairs of flipper like upper and lower limb buds noted. The cranium shows optic and nasal pits.
 
 
 
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