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Fig. 1B —Fetus with cleft palate and normal corpus callosum. Standard (A) and real-time (RT) (B) single-shot fast spin-echo images obtained at 26 weeks gestation show corpus callosum, which was scored indeterminate by all reviewers on standard imaging and as probably normal on RT imaging. Palate was scored indeterminate by all reviewers on standard imaging and as definitely abnormal on RT images. Note tongue (T) is more clearly defined on RT image because it is outlined by fluid. In region where secondary palate should be located (arrow, B) only fluid is seen. This communication between oro- and nasopharynx on RT image—with no intervening midline palate tissue—allows diagnosis of cleft secondary palate.