How to identify fetal abnormalities from a 4D ultrasound report taken around the fifth month of pregnancy?

Patient's question:

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"Five months pregnant 4D ultrasound report. How can this report reveal fetal abnormalities? At the time, the doctor didn’t explain it in detail and had a poor attitude, so I’m worried about the baby having abnormalities. I’d like to seek advice from the experts here and am very grateful!"
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Doctor's answer:

At 23 weeks pregnant: The average biparietal diameter is 5.80 ± 0.44, the average abdominal circumference is 17.90 ± 1.85, and the femur length is 4.21 ± 0.41. Based on your 4D ultrasound results, everything appears basically normal, but the femur length is slightly shorter. Please pay close attention during later ultrasound exams, but note that the femur length only measures the thigh bone. The child born may not necessarily have short legs.

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