Renal dysplasia secondary to posterior urethral valves Renal dysplasia secondary to posterior urethral valves. A: Coronal image of 23-week fetus with posterior urethral valves demonstrating dysplasia of both kidneys with thin echogenic parenchyma (arrows) and marked dilation (*). Part of the dilated ureter (arrowhead) can be seen on one side. B: Coronal magnified image of one kidney showing marked dilation* and cortical thinning with increased echogenicity (arrow). C: Transverse image of a different fetus with posterior urethral valves, this one at 32 weeks, demonstrating multicystic dysplasia of both kidneys (arrows) secondary to lower urinary tract obstruction. Source: The Fetal Genitourinary System, Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e Citation: Fleischer AC, Abramowicz JS, Gonçalves LF, Manning FA, Monteagudo A, Timor IE, Toy EC. Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e; 2017 Available at: http://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/2231/fleischer8_ch22_f017b-1a.png&sec=172934037&BookID=2231&ChapterSecID=172933961&imagename= Accessed: January 02, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved