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Abnormality in a fetus on ultrasound

BMJ 2017; 356 doi: (Published 23 February 2017) Cite this as: BMJ 2017;356:j688
  1. Yong-Hai Zhou, consultant paediatrician1,
  2. Ming-Hua Zheng, consultant hepatologist2
  1. 1Department of Pediatrics, Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
  2. 2Department of Hepatology, Liver Research Center, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
  1. Correspondence to M-H Zheng zhengmh{at}

A pregnant 18 year old woman had an antenatal examination at 30 weeks’ gestation. She was healthy and had no history of smoking, drug abuse, or positive family history of chromosomal disease or encephalodysplasia. She had experienced mild flu-like symptoms during the first month of pregnancy but had not taken any medication, and the symptoms had disappeared after three days. During the antenatal appointment she had an ultrasound scan (fig 1). What does the ultrasound image show?

Fig 1

Ultrasound …

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