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What Do These Lab Reports Indicate?

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Posted on Fri, 7 Jul 2017
Question: *** Please transfer this request to XXXXXXX Jain***
I have attached the reports .

My wife is in 19th week now and Initial First two scans went good and the baby formation was showing good and everything is normal and no Down syndrome .
On 24/4/2017 - We had third scan and she is currently in 19th week of pregnancy and we tool Anomoly Scan and the Radiologist said she did not notice one Kidney of the baby in the scan report and she wanted to us to take MRI Scan on the baby so she can see everything to confirm if all the organs are fine . I Have attached all the three different scans during pregnancy period taken from Initial checkup .
Later , We went to fetal MRI SCAN and I have attached the doctor prescription post Fetal MRI scan and also Fetal MRI SCAN Report . Even they could not identify the Kidney .
When I had conversation with my Doctor Post MRI scan , They said there is a small part i.e. where kidney was formed and the Left Kidney went up and it is working good however there are uncertain if the right kidney was formed or else was it not formed . They say they can see a Tissue near the right kidney place however cannot come to the conclusion what body part it is . They still not accurate if Right Kidney is missing or what that tissue is ..
Could you please provide more detailed answer for below queries :
What will MRI SCAN Report Give :
Will MRI SCAN gives the picture of organs orelse even the functionality of the organs if they are in working accurately :
Do you recommend any other scan in next 5-10 weeks to confirm about this Tissue :
How do we know if there is any problem to other organs bcos of missing Kidney and in which month we will be knowing that other organs will be effected :
Doctor said other organs are good for now and will there be possibility of other organs not functioning well later stages of pregnancy :
Are they any Anomalies :
How do we if Urine is Forming :
Please check and reply back if you want us to proceed with the pregnancy :
Will there be an issue in growing age if there is missing Kidney :
What kind of precautions we need to take :
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hello sir, I understand your anxiety about the issue
There seems an ectopic kidney which has failed to develop normally and at right location.
You need to get repeat scan 4D one at 24-26 weeks which will give you the exact status of kidney and other organs (if at all affected)
Seeing the report everything else seems fine and there is no risk of other organ problems
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Manisha Jain (1 hour later)
Thank you for your response ma'am and it was very helpful . I will be following up with you regarding this concern after few weeks . please remember my case .

I wanted to know what is the name of the 4D scan . I am based out of XXXXXXX and usually how much it would charge ma'am for the 4D scan ?

Will there be an issue in growing age if there is missing Kidney ?
doctor
Answered by Dr. Manisha Jain (22 hours later)
Brief Answer:
4D scan

Detailed Answer:
Yes dear you can always discuss this with me anytime on this forum and I have special interest in fetal medicine and it usually costs 2000-2500 rs for 4D scan and has no other name and just 4D scan but take all your previous reports along
All the best
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Manisha Jain (16 hours later)
Is it good for my spouse to be subjected to Radio Active because I heard these scans will effect the fetus if we have too many scans .

And also What is the Risk of having other Organs effected because of this issue ?

I heard we will only come to know post delivery if there are any other Organs effected with this ?

Can we get to know in 6 or 7 month if other organs are effected ?

My doctor said the urine composition looks good and it means Kidney is working fine.
doctor
Answered by Dr. Manisha Jain (8 hours later)
Brief Answer:
Most likely everything will be fine only

Detailed Answer:
No there is no risk to spouse or baby with repeated scans and thus keep that thing out of your heart and just focus on the 4D scan
Get it done as advised and if it comes out to be normal and the water around baby is adequate in amount then there is nothing to worry
So basically for the time being just wait for 4D scan timing
All the best
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Do These Lab Reports Indicate?

Brief Answer: Nothing to worry Detailed Answer: Hello sir, I understand your anxiety about the issue There seems an ectopic kidney which has failed to develop normally and at right location. You need to get repeat scan 4D one at 24-26 weeks which will give you the exact status of kidney and other organs (if at all affected) Seeing the report everything else seems fine and there is no risk of other organ problems