Figure-1
Evidence of fetal ascites with free fluid noted in the peritoneal cavity. Additional features of hydrops include scalp edema and bilateral pleural effusions. The fetal skin appears edematous, and the umbilical vein is dilated. Mild cardiomegaly is also observed. No structural cardiac or other anatomic abnormalities are identified. Amniotic fluid volume is increased (polyhydramnios), and the placenta appears thickened. Middle cerebral artery peak systolic velocity (MCA-PSV) is elevated, suggestive of fetal anemia.
These findings are consistent with **Immune Fetal Hydrops**, likely secondary to red cell alloimmunization (e.g., Rh isoimmunization).
Conclusion: 📋 Ultrasound findings are consistent with Immune Hydrops Fetalis, with fetal ascites, edema, pleural effusion, and Doppler features suggestive of fetal anemia.
Recommendation: Recommend urgent referral to a fetal medicine unit. Monitor MCA-PSV trends closely. Consider intrauterine transfusion if fetal anemia is confirmed. Serial follow-up and multidisciplinary perinatal management are essential. Maternal antibody titers and prior transfusion history should be reviewed in detail.
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