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Can Bilateral Renal Pelvic Dilatation (6 Mm On Both Sides) Indicate Fown Syndrone Or Any Other Foetal Health Issues?
hello,
I am a 38 years old lady pregnant for the second time ( 22 weeks). I just had an ultrasound that indicates a bilateral renal pelvic dilatation (6 mm on both sides). The gender of the fetus is a girl and the Radiologist who reported my ultrasound told me that this may indicate Down Syndrome and we have to repeat the ultrasound after two weeks to see if this will persists. I feel very worry about my baby health, please let me know about my case. (you can find the ultrasound report below). Thank you.
The ultrasound report:
Single, active fetus.
Size corresponding to 21 WKS 6 D by USS.
EDD by USS 21/5/2014.
Adequate amniotic fluid.
Bilateral mild renal pelvis dilatation (6 mm).
No gross fetal anomalies seen Placenta anterior upper.
In view of advanced maternal age, bilateral pylectasis is considered a soft marker for fetal aneuploidy. However, fetal position were not optimal to reach a solid conclusion. Recommend to repeat scan in 2 weeks. If persistent pylectasis, recommend counseling and Genetic amniocentesis if patient agree.
I am a 38 years old lady pregnant for the second time ( 22 weeks). I just had an ultrasound that indicates a bilateral renal pelvic dilatation (6 mm on both sides). The gender of the fetus is a girl and the Radiologist who reported my ultrasound told me that this may indicate Down Syndrome and we have to repeat the ultrasound after two weeks to see if this will persists. I feel very worry about my baby health, please let me know about my case. (you can find the ultrasound report below). Thank you.
The ultrasound report:
Single, active fetus.
Size corresponding to 21 WKS 6 D by USS.
EDD by USS 21/5/2014.
Adequate amniotic fluid.
Bilateral mild renal pelvis dilatation (6 mm).
No gross fetal anomalies seen Placenta anterior upper.
In view of advanced maternal age, bilateral pylectasis is considered a soft marker for fetal aneuploidy. However, fetal position were not optimal to reach a solid conclusion. Recommend to repeat scan in 2 weeks. If persistent pylectasis, recommend counseling and Genetic amniocentesis if patient agree.
Wed, 22 Jan 2014
Dear member,
Thanks for writing to healthcare magic.
As mentioned in the scan report the fetus has a soft marker for downs. The diagnosis is always by amniocentesis and not by one or 2 markers on scan.normal Genetic scan gives a reduction in risk of a patient but never completely rules out or confirms downs.
have you undergone 1st trimester double marker and NTscan?
you are worried then it would be better to go for genetic counseling where the risk vs reward for amniocentesis will be explained to you in detail.
Thanks.
Dr Bhagyashree.
Thanks for writing to healthcare magic.
As mentioned in the scan report the fetus has a soft marker for downs. The diagnosis is always by amniocentesis and not by one or 2 markers on scan.normal Genetic scan gives a reduction in risk of a patient but never completely rules out or confirms downs.
have you undergone 1st trimester double marker and NTscan?
you are worried then it would be better to go for genetic counseling where the risk vs reward for amniocentesis will be explained to you in detail.
Thanks.
Dr Bhagyashree.
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