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Prenatal MRI of Heteropagus Twins

Pei-Lin Chen1 and Kyuran Ann Choe

1 Both authors: Department of Radiology, University of Cincinnati, 234 Goodman St., Cincinnati, OH 45267-0761.



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Fig. 1A. 18-year-old gravida 1, para 0 woman in whom previous sonography revealed possibility of conjoined twins. T2-weighted coronal (A) and axial (B) images show exophytic tissue with mixed signal intensity attached to anterior chest wall of fetus (arrow). Note polydydraminos and maternal hydronephrosis bilaterally.

 


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Fig. 1B. 18-year-old gravida 1, para 0 woman in whom previous sonography revealed possibility of conjoined twins. T2-weighted coronal (A) and axial (B) images show exophytic tissue with mixed signal intensity attached to anterior chest wall of fetus (arrow). Note polydydraminos and maternal hydronephrosis bilaterally.

 


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Fig. 1C. 18-year-old gravida 1, para 0 woman in whom previous sonography revealed possibility of conjoined twins. T2-weighted axial image shows partially formed extremity anterior to anterior chest wall of fetus (arrow).

 


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Fig. 1D. 18-year-old gravida 1, para 0 woman in whom previous sonography revealed possibility of conjoined twins. E, Photographs of neonate A at birth show partially well-formed extremities of parasitic twin joined at neck and upper thorax wall.

 


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Fig. 1E. 18-year-old gravida 1, para 0 woman in whom previous sonography revealed possibility of conjoined twins. Photographs of neonate A at birth show partially well-formed extremities of parasitic twin joined at neck and upper thorax wall.

 


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Fig. 1F. 18-year-old gravida 1, para 0 woman in whom previous sonography revealed possibility of conjoined twins. Contrast-enhanced CT scan shows well-ossified lower extremity (arrow) adhering to right thoracic wall of neonate A. a = aortic arch, s = superior vena cava. (Courtesy of Cincinnati Children's Hospital Medical Center, Cincinnati, OH)

 

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