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What Does This Ultrasound Report During 32 Weeks Of Pregnancy Indicate?
Question: Hello Doctor,
I am XXXXXXX, my wife is 32 weeks pregnant & recently my wife had a Antenatal Ultrasound (3rd Trimester)
the clinical findings of the scan are
LMP 10-04-2014
POG 34 weeks 2 days
Sonographic Findings
there is a single viable foetus in cephalic presentation. the foetus shows normal body, limb movement with normal cardiac activity. the foetal skull, spine thoracic viscera are normal. ap diameter of the rt Renal pelvis 8.0 mm ap diameter of lt renal pelvis-7.0mm. stomach and u bladder are normal.
FHR 134 beats per minute
AFI 19.5 cm Liquor amnii quantity is normal
in the scan there is also mentioned due to which i am worried
"There is Mild PELVIECTASIA of both foetal kidneys which requires revaluation after delivery."
What does this mean and is it something to be worried about for the well being of the baby?
What are the options available to me?
would the child be normal & free from any anomalies?
I am also uploading the scans.
I am XXXXXXX, my wife is 32 weeks pregnant & recently my wife had a Antenatal Ultrasound (3rd Trimester)
the clinical findings of the scan are
LMP 10-04-2014
POG 34 weeks 2 days
Sonographic Findings
there is a single viable foetus in cephalic presentation. the foetus shows normal body, limb movement with normal cardiac activity. the foetal skull, spine thoracic viscera are normal. ap diameter of the rt Renal pelvis 8.0 mm ap diameter of lt renal pelvis-7.0mm. stomach and u bladder are normal.
FHR 134 beats per minute
AFI 19.5 cm Liquor amnii quantity is normal
in the scan there is also mentioned due to which i am worried
"There is Mild PELVIECTASIA of both foetal kidneys which requires revaluation after delivery."
What does this mean and is it something to be worried about for the well being of the baby?
What are the options available to me?
would the child be normal & free from any anomalies?
I am also uploading the scans.
Brief Answer:
NOTHING TO WORRY ABOUT.
Detailed Answer:
Hello Mr. XXXXXX
Thanks for writing to us with your health concern.
I am Dr. Aarti, OB - GYN, and would be assisting you with your query.
I have reviewed your reports.
Please understand the basics first.
The kidneys make urine, which is carried by ureters ( tubes on both sides ) into the bladder, and then via urethra it is excreted out of the body.
The renal pelvis is the area connecting kidneys with ureters.
When that is dilated beyond 7 mm, it is called pelvi ectasia ( ectasia - dilatation ).
In more than 96 % of cases, it spontaneously resolves near term or after birth.
In the rest of the cases, follow up with serial scans is required.
In less than 2 % of cases, it might progress and increase.
This maybe due to obstruction at junction of kidneys and ureter, at the junction of bladder with ureter, or due to valves within the urethra.
All conditions again are easily managed surgically.
So there is basically nothing to worry about.
THe child will be normal and free for abnormalities.
Just routine follow up ultrasound scans are required to assess the progression / regression of the pelviectasia.
All the best
Please feel free to discuss further.
Hope this answer helped you.
NOTHING TO WORRY ABOUT.
Detailed Answer:
Hello Mr. XXXXXX
Thanks for writing to us with your health concern.
I am Dr. Aarti, OB - GYN, and would be assisting you with your query.
I have reviewed your reports.
Please understand the basics first.
The kidneys make urine, which is carried by ureters ( tubes on both sides ) into the bladder, and then via urethra it is excreted out of the body.
The renal pelvis is the area connecting kidneys with ureters.
When that is dilated beyond 7 mm, it is called pelvi ectasia ( ectasia - dilatation ).
In more than 96 % of cases, it spontaneously resolves near term or after birth.
In the rest of the cases, follow up with serial scans is required.
In less than 2 % of cases, it might progress and increase.
This maybe due to obstruction at junction of kidneys and ureter, at the junction of bladder with ureter, or due to valves within the urethra.
All conditions again are easily managed surgically.
So there is basically nothing to worry about.
THe child will be normal and free for abnormalities.
Just routine follow up ultrasound scans are required to assess the progression / regression of the pelviectasia.
All the best
Please feel free to discuss further.
Hope this answer helped you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1. "In more than 96 % of cases, it spontaneously resolves near term or after birth.
....
This maybe due to obstruction at junction of kidneys and ureter, at the junction of bladder with ureter, or due to valves within the urethra."
What About the rest 4 % Cases?? Is there a test to diagnose that my child is within the 4 % of cases.?
2. "All conditions again are easily managed surgically."
in case the surgery has to be performed what are the success rates? where the surgeries can be performed? what would be the approximate cost and what is the right time to get it done?
3. "THe child will be normal and free for abnormalities."
i request you to clarify the above lines "free for abnormalities" was it a typographical mistake.
....
This maybe due to obstruction at junction of kidneys and ureter, at the junction of bladder with ureter, or due to valves within the urethra."
What About the rest 4 % Cases?? Is there a test to diagnose that my child is within the 4 % of cases.?
2. "All conditions again are easily managed surgically."
in case the surgery has to be performed what are the success rates? where the surgeries can be performed? what would be the approximate cost and what is the right time to get it done?
3. "THe child will be normal and free for abnormalities."
i request you to clarify the above lines "free for abnormalities" was it a typographical mistake.
Brief Answer:
CLARIFIED.
Detailed Answer:
Let me clarify things a bit further.
1. In the 4 % of cases, the pyelectasia does not resolve , and serial ultrasound scans will detect that it is present / increasing.
Then further testing is done to diagnose the reason for it.
Tests are very technical , and can be explained by a pediatric surgeon to you after birth of the baby, in case he / she is amongst those 4 %.
2. Success rates of surgery depend on TYPE of surgery. Type of surgery depends on the reason for the pyelectasia. Reason is diagnosed by testing AFTER birth if your child is amongst the 4 %. SO it is impossible for me to tell you right now what are the success rates, costs, timing , place etc. HOpe you can understand this sequence of hypothetical events, which makes your questions totally hypothetical.
3. I meant ' free FROM abnormalities '.
Take care.
CLARIFIED.
Detailed Answer:
Let me clarify things a bit further.
1. In the 4 % of cases, the pyelectasia does not resolve , and serial ultrasound scans will detect that it is present / increasing.
Then further testing is done to diagnose the reason for it.
Tests are very technical , and can be explained by a pediatric surgeon to you after birth of the baby, in case he / she is amongst those 4 %.
2. Success rates of surgery depend on TYPE of surgery. Type of surgery depends on the reason for the pyelectasia. Reason is diagnosed by testing AFTER birth if your child is amongst the 4 %. SO it is impossible for me to tell you right now what are the success rates, costs, timing , place etc. HOpe you can understand this sequence of hypothetical events, which makes your questions totally hypothetical.
3. I meant ' free FROM abnormalities '.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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