If a woman has a 4D ultrasound around 24 weeks of pregnancy that suggests that the fetal gastric bubble is not showing, there are two possibilities that are often considered; the first is a malformation due to the absence of the fetal gastric bubble. The second is to consider that the fetus did not cooperate during the 4D ultrasound examination, resulting in the gastric bubble not being clearly visible. If it is caused by the absence of fetal gastric vesicles, then it is recommended not to, and induce labor as soon as possible to terminate the pregnancy. However, if it is caused by fetal non-cooperation, a fetal MRI can be done to confirm the diagnosis and then continue the pregnancy.