Welcom to the 161st edition of the Grey's Anatomy Insider Caption Contest.

It was a difficult call, as it always is, but this week's winner is mcanna, with an honorable mention to katiegr. The winning entry appears beneath the picture below.

Thanks to all for playing and best of luck again in this week's contest ...

Meredith: Oh, Izzy. I just wanna tell you. I am pregnant. This is my first ultrasound image. It has Dereks hair.

Steve Marsi is the Managing Editor of TV Fanatic. Follow him on Google+ or email him here.