Primary Fetal Chylothorax

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Figure-1

📄 Report Sample Line - Primary Fetal Chylothorax

Shows a moderate to large unilateral pleural effusion on the right side, appearing anechoic and well-defined, displacing the mediastinum and compressing the adjacent lung. No evidence of pericardial effusion, ascites, or subcutaneous edema is seen. No signs of hydrops fetalis at the time of scan. The amniotic fluid volume is normal. Fetal biometry corresponds to gestational age. No structural abnormalities are identified in the heart, diaphragm, or thoracic cage. These findings are suggestive of primary fetal chylothorax.

Conclusion: 📋 Ultrasound findings are consistent with Primary (Congenital) Fetal Chylothorax without evidence of hydrops or structural anomalies.

Recommendation: Recommend close follow-up with serial ultrasound to monitor progression and assess for hydrops development. Fetal echocardiography and detailed anomaly scan advised. Consider referral to fetal medicine specialist. In selected cases, antenatal thoracocentesis or pleuro-amniotic shunting may be considered if effusion compromises lung development.