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Renal pelvic diameter is a normal cut off at 5 months of scanning of the foetus. Usually in a low risk setting, a Renal pelvic dilatation, that is RPD is less than 2%, it is a normal variant, but it can be associated with trisomies or renal pelvic walls , which causes obstruction. It can also be associated with trisomies and antenatal reflux programs causing obstruction. In absence of additional abnormalities on scan, provided the screening tests are normal, the risk of trisomies are low and usually invasive testings are not required. The follow up scan after 2 months is recommended and renal pelvic diameter can be measured and one can look for any other anomalies in that time. The renal pelvic diameter usually resolves in the follow up scans and obstruction can be treated later after delivery post natal assessment is important after the childbirth to assess any reflux problems.