Dr Jai Karan Singh's Jksonography Centre.

TERMINAL CYSTOCELE IS A RELATIVELY RARE FETAL ANOMALY. A VARIANT OF FETAL MYELOCYSTOCELE . Came across a few days back in a fetus in second trimester pregnancy.

SEPTATE UTERUS, AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE AND ALOBAR HOLOPROSENCEPHALY ARE GETTING COMMON. NEEDS A SHARP EYE TO PICK UP...BEFORE TIME ..IS THE MAIN POINT. LATER ON ANY ONE WILL DO. JUST INTO SECOND TRIMESTER OR A LITTLE EARLIER IS THE BEST PUBLIC SERVICE IF YOU CAN DO.

Twin pregnancy takes a very heavy toll at times. Just imagine....Sometimes in life One Can carry a rare Alive Extrauterine Scar pregnancy with Zero outcome and a second concomitant intrauterine Non- Viable Embryo. I wish the situation was Vice-Versa.

This case of 20 weeks pregnancy was admitted last week as a case of heavy bleeding and was rightly reported as low-lying posterior placenta pervia..but on today's scan I found out that it was a case with major placental tissue purely high fundal with an additional low-lying posterior accessory/ Succenturiate placenta pervia. No abnormal trapped vessels were noticed close to upper birth canal hence thre should bo no coexistence of Vasa Previa,yet the pregnancy should be terminated well in time through Cesarian section to avoid any massive life threatening bleeding.

This is how a congenital Cut in the Upper lip & hard palate looks on an antenatal Ultrasound. A completely cureble & repairable anomaly after birth.

Classical case of UTERUS DIDELPHUS.two completely separate Uterii/Uterine horns with two separate Cervical canals demonstrated on 3-D Scan.

UTERUS DIDELPHUS.

Chaos.. Congenital High Airway Obstruction Syndrome... Sure shot observations of second trimester 21 weeks fetal Laryngeal/ tracheal Atresia.

DANDY WALKER CYST/ MALFORMATION IN A 26 WEEKS FETUS.
Characterized by hypoplastic cerebellar vermis with enormously dilated fetal fourth ventricle,hence a large cyst in posterior fossa of fetal brain causing enlargement of posterior fossa.

Hypogoadism with AMH 0.02...Age 25 years..married 8 months. Imaging and measuring ovarian volume is a very skilful technique on sonography.
Images are post-2 months replacement therapy. Primary amenorrhea.Mensturated thrice till the age of 25...must have happened after replacement.
Hoping for the best.
Point to be seen is that endometrial thickness has remarkably improved.
Looks like a thicker endometrium for the given size of Uterus. Gynecologists can explain better.

Dilated lateral and third ventricle in a 12 months old infant...raising high probability of a blockage in aqueduct of Sylvian.
The baby is absolutely normal.. due to open fontanalle.

Classical club foot. Typical loss of correct angle between fetal lower leg and foot.

Microcephaly many times has a story to tell...as in this case..you must always try to find why such a small fetal head for dates..as in this case it's a Frank frontal encepholocele.

Dr Jai Karan Singh's Jksonography Centre.'s cover photo

Today I am posting rarest of the most rare fetal anomalies that I came across 14 years back in the March of 2005. Absence of fetal Nose.. ARHINIA. I could easily understand at that time that I won't ever see that again.

Anencephaly...means...a fetus without a tough mineralized bone on head.
Fetal brain floating freely in Liquor.
Impossible to survive at birth. 3-D image.

Normal Middle cerebral artery flow indicating abscence of fetal anaemia..
indication of non-immune Hydrops fetalis.

Bilateral pleural effusion and normal middle cerebral artery flow in the same fetus with NIHF....Non immune Hydrops fetalis.

This is a case of Hydrops fetails.
Cause the Middle cerebral artery parameters were within normal rage..indicating no fetal anaemia.
THIS HAS TO BE A NON IMMUNE HYDROPS FETALIS... If the Middle cerebral artery indices are normal..indicating abscence of fetal anaemia.. As per fetal doppler...it has to be a NON'IMMUNE HYDROPS.

Increased nuchal translucency in a 12 weeks fetus...recent missed abortion.
Should be aneuploidy or Cystic hygroma.
Needs some planning for future pregnancy by the gynaecologist/ obstetrician.

Arachnoid Cyst in fetal brain.

Satisfactory 3-D image of 35 weeks fetus.

4-D TV ultrasound....a very useful imaging modality in picking up endometrial polyps with much more percission.

11 weeks fetus with omphalocele and increased (8.2mm)- nuchal translucency..
raising high probability chromosomal abnormality/aneuploidy trisomy 18 or 13.