We enjoyed reading the recently published article by Dr van der Knoop and colleagues in this Journal, on the additional value of advanced neurosonography and magnetic resonance imaging (MRI) in 56 fetuses at risk for brain damage1. Detection of acquired fetal brain anomalies is a major issue in high-risk fetuses, and multiplanar neurosonography and MRI are helpful modalities in the evaluation of periventricular echogenicity and intraventricular hemorrhage (IVH)1. There are three conflicting and discrepant issues in this article