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2011-11-01-12 Case of the week #310 © Grochal

Case of the week #310

January 19, 2012 - February 2, 2012

Frantisek Grochal, MD1 Anton Cunderlik, MD, PhD2; Peter Klesken, MD, PhD2; Pavel Szwarc, MD3; Pavel Calda, MD, PhD4; Radovan Vlk, MD, PhD5; Pavol Babjak, MD6; Denisa Margusova, MD7; Veronika Frisova, MD

1 Femicare, s.r.o., Center of prenatal ultrasonographic diagnostics, Martin, Slovak republic. UVN SNP Ruzomberok, Gynecological and obstetrical department. Catholic University in Ruzomberok, Faculty of Health Care, Ruzomberok, Slovak Republic;
2 1. gynekologicko – pôrodnícka klinika, Lekárska Fakulta, Slovenská zdravotnícka univerzita, Bratislava a Univerzitná nemocnica Bratislava, FNsP akad.L. Dérera, Kramáre;
3 Nemocnice Třinec Sosna, Czech Republic;
4 Charles University in Prague, First Faculty of Medicine, Department of Gynaecology and Obstetrics of the First Faculty of Medicine and General Teaching Hospital, Apolinarska 18, 128 51 Praha 2 Czech Republic;
5 Department of Gynecology and Obstetrics, Charles University, 2nd Faculty of Medicine in Motol, Prague, Czech Republic;
6 Ambulancia pre rizikovu a patologicku tehotnost, Zilina, Slovak republic;
7 GYN, s. r. o., Krasno nad Kysucou, ulica MUDr. Halka 1367, Slovak republic;
8 Department of Imaging Methods, Charles University, 2nd Faculty of Medicine, Prague, Czech Republic.

Case report

A 35-year-old woman (G2P0) from a nonconsanguineous was sent to our facility at 25 weeks of pregnancy. The patient had taken chronic hormonal treatment because of her hypothyroidism. Our examination found following findings:

Images 1-5: 26 weeks of pregnancy:



Images 6-15: 31 weeks of pregnancy:

Images 16, 17: Prenatal MRI

When you have tried to solve the case on your own (no team work here please !) you can find the Answer here.

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