Fetal MRI obtained 5 days post laser photocoagulation.
Discordant amniotic fluid is no longer seen and the smaller of the 2 twins is now mobile and situated in the right side of the amniotic cavity.
Twin 1 (previous upper twin - now left cephalic)
Established haemorrhagic infarction again noted in the left frontal lobe. This is now more obviously associated with localised disruption of the zonal anatomy, but otherwise has not changed since the previous examination. No new haemorrhage or infarction is identified.
Twin 2 (previous lower twin now right breech)
Persistent borderline lateral ventriculomegaly which is stable, with each lateral ventricular trigone measuring 10 mm.
For ease of anatomic assessment, views of both fetal heads have been cropped and rotated into standard orientation. Please refer to sequence labels to distinguish the cephalic vs breech twins.