Would you call these Fetal kidneys polycystic or would you call them multi-cystic?
Anyway, these kidneys which are very poorly visualised are definitely abnormal and enlarged suggesting a bad prognosis for this patient and the fetus.
for more images of this case visit: http://www.ultrasound-images.com/amniotic-fluid.htm#Severe_oligohydramnios_in_late_2nd_trimester
Also visit: http://www.ultrasound-images.com/fetal-urogenital.htm#Fetal_bilateral_multicystic_kidney_disease
where I discuss, that the ultrasound images of this case are more suggestive of multi-cystic kidney disease of the fetus rather than autosomal recessive polycystic kidney disease.
The points which favour of multicystic dysplastic kidney disease in this fetus, based on these ultrasound images, are- relatively larger cysts in the kidneys, compared to the micro cysts that are seen in autosomal recessive polycystic kidney disease, the poorly defined borders of the Fetal kidneys, as opposed to the relatively well defined margins of kidneys in autosomal recessive polycystic kidney disease of the fetus.
It must however be noted that, some of the features of autosomal recessive polycystic kidney disease and multicystic dysplastic disease of the kidneys can overlap resulting in considerable confusion between the sonographic findings of both these diseases. The second link above describes the specific sonographic findings in this case that favour a diagnosis of multicystic dysplastic kidney disease of fetus.
Anyway, these kidneys which are very poorly visualised are definitely abnormal and enlarged suggesting a bad prognosis for this patient and the fetus.
Also visit: http://www.ultrasound-images.com/fetal-urogenital.htm#Fetal_bilateral_multicystic_kidney_disease
where I discuss, that the ultrasound images of this case are more suggestive of multi-cystic kidney disease of the fetus rather than autosomal recessive polycystic kidney disease.
The points which favour of multicystic dysplastic kidney disease in this fetus, based on these ultrasound images, are- relatively larger cysts in the kidneys, compared to the micro cysts that are seen in autosomal recessive polycystic kidney disease, the poorly defined borders of the Fetal kidneys, as opposed to the relatively well defined margins of kidneys in autosomal recessive polycystic kidney disease of the fetus.
It must however be noted that, some of the features of autosomal recessive polycystic kidney disease and multicystic dysplastic disease of the kidneys can overlap resulting in considerable confusion between the sonographic findings of both these diseases. The second link above describes the specific sonographic findings in this case that favour a diagnosis of multicystic dysplastic kidney disease of fetus.
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