The reasons for bilateral renal dysplasia during fetal pregnancy

Patient's question:

The left fetal kidney measures 5.23.53.1 cm. The renal parenchyma is compressed and thinned, with a thickness of about 0.36. The renal pelvis is dilated, with a width of about 1.3. The periphery of the renal calyces shows significant expansion, with the widest point measuring about 1.2. The middle and upper segments of the left ureter are filled, with a width of about 0.6. The distal diameter of the ureter is unclear. A renal-like hyperechoic mass is detected in the right kidney region, measuring approximately 1.60.80.8. The boundary between the parenchyma and the collecting system is indistinct. The left kidney shows severe hydronephrosis with mild ureteral dilation. The right kidney is absent or severely hypoplastic. The umbilical cord is wrapped around the neck once, and the amniotic fluid index is 15.2.

Doctor's answer:

Medical Analysis: Hello, based on your description, your baby may have a urinary system malformation because the ultrasound has revealed underdeveloped kidneys and a high amniotic fluid index.
Recommendation: Since you are already at term, you will have to deliver the baby because if you induce labor at this stage, the child will still be alive when born. If you are still in the earlier stages of pregnancy, it is recommended that you undergo an abortion procedure and not carry the baby to term.

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