Autosomal recessive polycystic kidney disease - antenatal
G6P5 at 21 weeks gestation. Routine ultrasound.
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Echogenic enlarged kidneys with loss of the corticomedullary differentiation, and preserved reniform shape, containing numerous tiny cysts (size < 5mm) with associated severe oligohydramnios. The urinary bladder is not visualized, indicating most likely a lethal form of autosomal recessive polycystic kidney disease.