<p>Single live intra uterine fetus is seen; lying longitudinally and presenting breech. No obvious fetal anomaly is seen. The placenta is anterior on the upper uterine segment. Amniotic fluid is clear and adequate.</p><p>BPD= 82 mm (EGA= 32 weeks + 2 days, EDD= 29.10.2021).</p><p>FL= 56 mm AC= 203 MM, (EGA= 30 weeks + 3 days, EDD= 9.11.2021).).</p><p>EFW= 1.55 KG</p><p>On Doppler interrogation, the umbilical and maternal uterine arteries showed normal low resistant wave form with complete disappearance of early diastolic notch. Their resistive indices measured 0.68 and 0.45 respectively.</p><p>On the other hand, the fetal MCA showed low resistant pattern, with respective RI and PI of 0.7 and 1.06</p><p>The cerebro-placental ratio measured 0.89</p><p>CONCLUSION: Single intrauterine fetus at 31 weeks with breech presentation and early Doppler signs of brain-sparing changes IUGR</p>