Patient's question:
Ultrasound Description: The uterus is significantly enlarged, containing a single fetus in vertex position (ROT), BPD 67mm, FL 49mm, TC 47mm, AC (abdominal circumference) 191mm.The fetal head is oval-shaped, with no ventricular enlargement and no lip defects observed. The chest size is proportionate. Fetal heart rate is 137 beats per minute, regular rhythm, and fetal movement is good. The abdominal contour is normal, with no fluid-filled areas observed in the abdominal cavity. The stomach and bladder shadows are clearly displayed. The left kidney measures 592543mm3, with several cystic hypoechoic areas appearing interconnected, with the largest diameter being 6mm. The right kidney is of normal size.
Ultrasound Findings:
Intrauterine pregnancy, single viable fetus (ROT), consistent with gestational age
Good fetal heart rate and movement
Placental maturity grade I
Normal amniotic fluid volume
Cystic changes in the left fetal kidney (left renal hydrops? Multicystic renal dysplasia with excretion)
Doctor's answer:
In your case, you need to go to the hospital for a 4D ultrasound and amniocentesis to check the fetal development. You should also strengthen your nutrition and avoid picky eating. If there is any malformation, you can consider a miscarriage. Generally, doctors recommend that women with risk signs during prenatal care maintain personal hygiene and avoid sexual activity. Additionally, patients should also pay attention to having a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.