CASE 16: Fetal MRI for abnormal US finding / Differentials are given

This case was provided by Dr. Marco Cabrera at Tecniscan Diagnostic Center. Was reffered because of a mass  in prenatal ultrasound. Images are pretty obvious so let's ask us these questions:

Is it normal or abnormal?

What is the radiologist recomendation?

 

NOTE:
This obviously has no final diagnosis yet because patient is still pregnant, so I'll give only differentials.

There is a cystic abdominal mass above urinary bladder..

DD: Mesenteric Cyst, Ovarian Cyst, Urachal Cyst.

The question was if diagnosis could alter perinatal management and it does. Even if in-utero treatment options are rare in Guatemala we need to exclude normal variant from a truly mass.  This has benign characteristics...thank you for your FB comments on Radiology Resident Group and COBRA.