PMC7085840_01
(a) Fetal ultrasound:bilateral hydrocephalus, mild on the right side and severe on the left side; (b) fetal MRI:lesion next to the foramen of Monro, typical for SEGA; (c) fetal ultrasound:echogenic intracardiac focus on the left ventricular apex.
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fig1
The fetal ultrasound (34 w + 4 d) showed an echogenic intracardiac tumor on the left ventricular apex, being interpreted as rhabdomyoma, due to the fetal MRI result (Figure 1).
Cranial ultrasound:(a) bilateral hydrocephalus, mostly on the lest occipital horn-posterior coronal section; (b) well-delimitated, irregular, echogenic structures, bumping inside lateral ventricles:right parasagittal section; (c, d) echogenic structures near the left foramen of Monro, with a slight mass effect:coronal section (c) and left parasagittal section (d).
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fig2
In the subependymal area were found the well-delimited, irregular, echogenic structures, some of them bumping inside lateral ventricles (Figure 2).
(a, b) Subependymal nodules, 8 weeks postnatal:right parasagittal section (a) and left parasagittal section (b); (c, d) multiple retinal hamartomas:indirect ophthalmoscopy; (e) Shagreen patch; (f) hypomelanotic macules:ash leaf; (g) hypomelanotic macules:confetti-like (Wood's lamp).
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fig3
Dermatological examination, including Wood's lamp, pointed out size increase of Shagreen patch and appearing of hypomelanotic macules (ash leaf and confetti-like type) (Figure 3).
PMC7085840_02