Figure-1
Ultrasound evaluation reveals a diffusely thickened placenta measuring more than the expected normal limit for gestational age (>4 cm in the second trimester or >6 cm in the third trimester). The placental texture appears hypoechoic with areas of increased echogenicity and fluid interspaces, consistent with placental edema. No focal masses or abruptions are noted. Associated findings include mild fetal ascites and skin thickening, suggesting early signs of hydrops. Amniotic fluid is within normal range. Umbilical venous dilatation is observed. Fetal cardiac anatomy appears normal; however, MCA Doppler shows elevated peak systolic velocity, suggesting possible fetal anemia.
Conclusion: 📋 Findings are consistent with Placental Edema, with associated signs suggestive of evolving hydrops fetalis. Underlying causes may include fetal anemia, infection, or chromosomal abnormalities.
Recommendation: Recommend further evaluation including maternal antibody screen (to assess for immune hydrops), TORCH screening, fetal karyotyping if indicated, and serial ultrasound follow-up to monitor progression. Referral to fetal medicine unit for multidisciplinary evaluation is advised.
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