Echogenic lesion in the neck extending inferior to the superior mediastinum.
DIAGNOSIS
FETAL GOITER
RADPEARLS
Can be seen in fetuses with hypothyroid mothers especially those who stop taking their medication during pregnancy
Seen as an echogenic lesion in the neck
Complications include : polyhydramnios due to esophageal and tracheal compression, both of which may be compounded by neck hyperextension leading to dystocia
Respiratory impairment can also occur because of compression of the trachea by the enlarged thyroid gland
Diagnosis is by Fetal Cord Blood Sampling / Amniocentesis
Treatment can include weekly intra-amniotic injections of thyroid hormone after measuring TSH, T4 of amniotic fluid
