Patient's question:
Female, 33 years old, Gestational Age 37w0DBiparietal Diameter (BPD) 8.5, Flaccid BPD 0.81, Umbilical Artery S/D 2.25
Circumference of Head (hc) 31.1, HC/AC 1.01, Pulsatility Index (PI) 0.77
Abdominal Circumference (ac) 30.8, Flaccid AC 0.22, Resistance Index (RI) 0.55
Femur Length 6.9, Humerus Length (HL) 6.0, Amniotic Fluid Index 10
Ultrasound Findings
Fetal Position: Vertex
Placenta: Located on the right anterior wall. Grade I+
Fetal Heartbeat and Movement Visible
Both lateral ventricles of the fetus are widened, with poor internal transparency.
Left lateral ventricle: Posterior angle ~1.0 cm, anterior angle ~1.3 cm.
Right lateral ventricle: Posterior angle ~1.1 cm, anterior angle ~1.1 cm.
Middle Cerebral Artery Blood Flow: S/D 8.05, PI 2.05, RI 0.88
Score:
Respiration: 1 point
Fetal Movement: 2 points
Muscle Tone: 1 point
Amniotic Fluid: 2 points
Estimated Fetal Weight (EFW): 2562 g
Ultrasound Suggestion:
Late pregnancy, single viable fetus, head circumference
Both lateral ventricles of the fetus are widened
Umbilical cord (one loop around the neck)
Recommendation: Consultation with a higher-level hospital
Ultrasound Gestational Age: 34 weeks
Doctor's answer:
The width of the lateral ventricle of the fetus is less than 1 cm is normal, 1-1.2 cm is usually absorbed on its own, 1-1.5 cm is mild. In fact, the important indicator for judging hydrocephalus is spina bifida. Over 1.5 cm is abnormal. The widening of the lateral ventricle is mostly caused by excessive cerebrospinal fluid in the fetus. Most fetuses can absorb it on their own in the later stage. Let's do an ultrasound in a few weeks to see if it continues to widen.