Name : MRS.
P TIOP Age/Sex : 20/F
Ref By : DR R.B.HABR Date : 30Apr 2022
ANOMALY SCAN
Level II Real Time B mode, 3D and 4D ultrasound of the gravid uterus was performed.
General Survey
A single live foetus in changing position is seen in the uterine cavity. Fetal cardiac
activity is present.
Cervical length is 3.9CM. Internal os is closed.
Placenta is situated on posterior wall with grade II maturity and homogenous
echotexture, not low lying. No e/o obvious intraplacental / retroplacental
hematoma.
Amniotic Fluid is adequate for this gestational age.
Detailed Structural Survey
Detail evaluation of fetal anatomy was restricted due to skeletal maturity due to advanced gestational age,
fetal position due to loop of cord around neck & thick maternal ant. abdominal wall.
Head & Brain:-Skull vault appeared normal. No obvious calvarial defect is seen. Midline
falx seen. The parenchyma including thalami, CSP and ventricles are normal. Choroid
plexuses are symmetrical. No e/o choroid plexus cyst is seen. Cerebellum is normal. Cisterna
magna and nuchal fold thickness measurement are normal. There is not abnormal
calcification or cystic lesion noted in brain parenchyma. Both auricles are seen and appeared
normal.
Spine:-Entire spine is visualised in longitudinal, coronal and transverse axis. Normal
curvature of spine is seen. Sacral tapering noted.
Vertebrae and spinal canal appear unremarkable. No obvious neural tube defect seen at
present scan.
Face & Neck:-Foetal face seen in the coronal and profile views. No evidence of facial cleft.
Nasal bone seen. Both orbit are of same size. Interorbital distance is normal.
Nose and lips are normal. Tongue appeared normal. Maxilla and mandible including alveolar
arches appeared normal. Fetal neck appeared normal.
Thorax & Lungs:-Both lungs seen. Lung echogenicity normal and equal on both sides. No
obvious solid/cystic lesion is seen in on both sides. Both hemidiaphragms are well-visualized
and are at the same level. Ribs are normal.
No evidence of pleural or pericardial effusion. Anterior chest wall normal.
Fetal Heart : Normal cardiac situs, position and axis. Four chambers view normal.
Outflow and inflow tracts appear normal. Exclusive fetal echo at 24 weeks is
necessary to diagnose major cardiac anomalies.
Abdomen:-Abdominal situs appears normal. Liver, GB, spleen and stomach are well-
visualized & are normal in their anatomical positions. Bowels appear normal in echogenicity.
No evidence of ascites. Abdominal wall intact.
KUB:-Both kidneys are normal in size and echotexture. No hydronephrosis/hydroureter on
both side. Bladder is well-visualized and is normal in size.
Limbs:-All foetal long bones visualised and appear normal for the period of gestation.
Both the feet and hands are visualized & are grossly normal. No e/o agenesis or CTEV.
The gestational calculations are as follows: -
Fetal Parameter Measurement Gestational age
(WeeksDays)
Biparietal Diameter: 44 19W4D
Head Circumference: 172 19W6D
Abdo Circumference 139 19W2D
Femoral Length 32 20W0D
Fetal Weight: 306 GMS
Heart Rate: 152 Beats Per Minute.
IMPRESSION :
and Fetoplacental Insufficiency, at present.
Advice: Follow up USG after 4 weeks to assess interval growth & evolving anomalies .
Please note that, all congenital anomalies can-not be detected in antenatal ultrasound at all the times due to various technical and
circumstantial reasons like gestational period, fetal position, fetal skeletal maturity, amount of liquor, maternal abdominal adiposity
etc. The present study can-not completely confirm presence or absence of any or all the congenital anomalies in the fetus which may
be detected on post-natal period. Growth parameters mentioned herein are based on International Data and may vary from Indian
standards. Date of delivery (at 40 weeks) is calculated as per the present sonographic growth of fetus and may not correspond with
period of gestation by L.M.P. or by actual date of delivery. As with any other diagnostic modality, the present study should be
correlated with clinical features for proper management. Except in cases of Fetal Demise or Missed Abortion, sonography at 20-22
weeks should always be advised for better fetal evaluation and also for base line study for future reference.
, I have neither detected nor disclosed the sex of the fetus to anybody in any manner.
