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Trishdeep Grewal: A 19-Week Fetal Ultrasound Demonstrated a Skin-Covered, Avascular Cystic Lesion in the Sacrococcygeal Region
Jun 30, 2026, 11:42

Trishdeep Grewal: A 19-Week Fetal Ultrasound Demonstrated a Skin-Covered, Avascular Cystic Lesion in the Sacrococcygeal Region

Trishdeep Grewal, Consultant Fetal Medicine at Jindal IVF, shared a post on LinkedIn:

“A 19-week fetal ultrasound demonstrated a skin-covered, avascular cystic lesion in the sacrococcygeal region.

Key findings:

  • Avascular cystic lesion
  • Intact skin covering the lesion
  • Neural placode identified
  • No intracranial signs of open spinal dysraphism

What would be your leading diagnosis and differential?

Fetal MRI was recommended for further characterization; however, the couple declined further imaging. Therefore, the diagnosis remained based on prenatal ultrasound findings.

Case shared for educational purposes.”

Proceed to the video attached to the post.

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