Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 3 min.
3 topics, 3 min.
4 topics, 7 min.
3 topics, 8 min.
12 topics, 23 min.
Introduction: Normal Pregnancy
2 m.First Trimester US
4 m.Second/Third Trimester US
3 m.First Trimester MR (7 weeks)
3 m.First Trimester MR (10 weeks)
2 m.Second/Third Trimester MR
2 m.Third Trimester MR
2 m.Second/Third Trimester CT
2 m.Multiple Gestations (MRI) Dichorionic Triplets
2 m.Multiple Gestations (MRI) Twins
3 m.Multiple Gestations (CT)
2 m.Summary: Multimodal Imaging of Normal Pregnancy
2 m.9 topics, 29 min.
Introduction: Abdominopelvic Pathology During Pregnancy
3 m.Appendicitis
4 m.Hepatitis
3 m.Acute Deep Venous Thrombosis
2 m.Adnexal Mass
2 m.Second Trimester Pregnancy with Bilateral Adnexal Masses (Teratomas)
5 m.Ovarian Torsion MR
3 m.Ovarian Torsion US
4 m.Summary: Acute Abdominopelvic Pathology During Pregnancy
9 m.9 topics, 36 min.
10 topics, 23 min.
Introduction: Ectopic Pregnancy
2 m.Tubal Ectopic Pregnancy
3 m.Ruptured Tubal Ectopic CT
3 m.Ruptured Tubal Ectopic US
4 m.Cervical Ectopic Pregnancy
3 m.Intra-Abdominal Ectopic Pregnancy
4 m.Interstitial Ectopic MR
2 m.Interstitial Ectopic US
3 m.Cesarean Section Scar Ectopic
3 m.Summary: Ectopic Pregnancy
1 m.4 topics, 13 min.
0:00
This is a CT of the abdomen and pelvis in a
0:02
patient with a multiple gestation pregnancy.
0:06
We can see that the patient does have
0:07
some coexisting pathology, including a
0:10
right pleural effusion, right greater than
0:13
left hydronephrosis, right perinephric
0:15
fluid, and hyperenhancement of the
0:18
right renal and ureteral epithelium.
0:22
When we look at the uterus, it's enlarged
0:24
due to gravity, and if we begin to
0:28
count, we can see one, two, three, three
0:31
fetuses, so this is a triplet gestation.
0:34
There is a qualitatively normal amount of
0:37
amniotic fluid surrounding the fetuses,
0:39
and again on CT, the placenta will appear
0:42
as a heterogeneously enhancing structure
0:44
which is attached to the myometrium.
0:48
On sagittal CT, I think it's easiest
0:50
to delineate that each one of
0:52
these fetuses has its own placenta.
0:55
So here's placenta number one, this is placenta
0:59
number two, and here's placenta number three.
1:02
Thank you.
1:02
So, this is a trichorionic triplet gestation.
1:06
This patient does have a small amount
1:08
of funneling of the amniotic fluid
1:11
toward the internal cervical os.
1:13
So, while we would not call this cervix
1:16
open, we would call it patchless, and
1:19
that is something that we would mention
1:20
to the referring clinicians, since it's
1:22
not a completely normal appearing cervix.
Interactive Transcript
0:00
This is a CT of the abdomen and pelvis in a
0:02
patient with a multiple gestation pregnancy.
0:06
We can see that the patient does have
0:07
some coexisting pathology, including a
0:10
right pleural effusion, right greater than
0:13
left hydronephrosis, right perinephric
0:15
fluid, and hyperenhancement of the
0:18
right renal and ureteral epithelium.
0:22
When we look at the uterus, it's enlarged
0:24
due to gravity, and if we begin to
0:28
count, we can see one, two, three, three
0:31
fetuses, so this is a triplet gestation.
0:34
There is a qualitatively normal amount of
0:37
amniotic fluid surrounding the fetuses,
0:39
and again on CT, the placenta will appear
0:42
as a heterogeneously enhancing structure
0:44
which is attached to the myometrium.
0:48
On sagittal CT, I think it's easiest
0:50
to delineate that each one of
0:52
these fetuses has its own placenta.
0:55
So here's placenta number one, this is placenta
0:59
number two, and here's placenta number three.
1:02
Thank you.
1:02
So, this is a trichorionic triplet gestation.
1:06
This patient does have a small amount
1:08
of funneling of the amniotic fluid
1:11
toward the internal cervical os.
1:13
So, while we would not call this cervix
1:16
open, we would call it patchless, and
1:19
that is something that we would mention
1:20
to the referring clinicians, since it's
1:22
not a completely normal appearing cervix.
Report
Faculty
Erin Gomez, MD
Assistant Professor of Radiology
Johns Hopkins Hospital
Tags
Women's Health
Uterus
Ovaries
Gynecologic (Gyn)
Gynecologic (GYN)
Genitourinary (GU)
Cervix
CT
Body
© 2024 Medality. All Rights Reserved.