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 2016-08-06  Case of the week # 432  © Lilit Hovsepyan
Answer to the case of the week # 432
October 27, 2016 - November 10, 2016

Lilit Hovsepyan
, MD.
Erebouni Medical Center, Armenia.

Case report

A 31-year old woman (G2P1) was sent to our unit at 27 weeks of pregnancy. Both parents carriers of the gene of Thalassemia and the first baby was born with congenital deafness.

Our routine ultrasound examination revealed the following findings:

 - Hyperechogenic mass on the left and lower part of the thorax.

 - Heart shifting to the right.

 - Hydrothorax.

 - No other abnormalities. 


The parents opted the termination of pregnancy. The histological diagnosis was extralobar pulmonary sequestration, the less common type of sequestration. It was covered by its own pleura and receives vascular supply from the intercostal vessels. 

Congratulation to Javier Cortejoso for his brilliant answer!!!!!!


Images 1-4; videos 1-6: 2D and color doppler coronal and sagital images showing a large echogenic mass located on the left side of the thorax, associated with hydrothorax and right cardiac shifting.


Images 5 and 6: post-mortem images show an extralobar pulmonary sequestration and confirmed the ultrasound findings.


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