Fig. 2

Ultrasound assessment at 25 weeks’ gestation, with evidence of fetal hydrops with ascites and a pleural effusion seen on sagittal view (a), a 4-chamber axial view of the heart shows persisting complex epicardial mass predominately associated with the left ventricle (b) and features suggestive of pseudoaneurysmal rupture with heterogenous material consistent with blood clot (*) seen in the pericardial effusion (c)