Figure-1
Antenatal ultrasound reveals bilateral anechoic fluid collections in the pleural spaces, more prominent on the right side. The effusions cause mild compression of the adjacent lung tissue without complete lung collapse. No mediastinal shift is currently observed. Cardiac position appears central, and fetal cardiac function is preserved. No associated ascites, pericardial effusion, or subcutaneous edema is noted at this time. Amniotic fluid volume is within normal limits. No gross structural anomalies are identified in the current scan.
Conclusion: 📋 Bilateral Fetal Pleural Effusions noted. Findings are currently mild and without secondary signs of hydrops. Consideration for primary chylothorax or secondary causes such as infection or chromosomal anomaly is advised.
Recommendation: Serial ultrasounds recommended to assess progression and risk of hydrops. Consider TORCH screening, karyotyping, and fetal echocardiography if additional abnormalities arise. Monitor for associated findings such as ascites, pericardial effusion, or skin edema.
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