Autosomal recessive polycystic kidney disease
34 weeks gestational age fetus with abnormality seen in routine obstetric ultrasound. Severe oligohydramnios (AFI<2cm). AC: 40 weeks. BPD, HC and FL:34 weeks
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Both kidneys are markedly enlarged and show increased parenchymal echo-pattern with decreased cortico-medullary differentiation. No stones or masses. No pelvicalyceal dilatation bilaterally.
The right kidney averages 8.5 x 5.6cm
The left kidney averages 8.4 x 4.7 cm
Diffuse bilateral renal tiny parenchymal cysts with increased parenchymal echo pattern, suggestive of autosomal recessive polycystic kidney disease.
The findings are those of autosomal recessive polycystic kidney disease (ARPKD).