PT NAME : JNJK AGE : 20-Yrs SEX : MALE

REF BY : Dr. A RAJ REG NO : 1420952 DATE : 22-Jul-2019

ULTRASOUND PREGNANCY

LMP: EGA by LMP:

Two fetuses are seen in amniotic cavity. Two fetal heads, two fetal heart and two fetal spines are seen. Fetal cardiac
activity is present. Fetal movements are present.

Fetal “A” heart rate is146B/minutes. Fetal age parameters are as follows : -

BPD : 56mm 23Wks 5day

HC : 42mm 23Wks 0days

AC : 42mm 23Wks 0days

FL : 42mm 23Wks 0days

HUMERUS : 28mm 23Wks 5days

ULNA : 36mm 24Wks 1days

TIBIA : 38mm 24Wks 4days

RADIUS : 37mm 24Wks 3days

FIBULA : 37mm 24Wks 3days

CEREBELLUM : 25mm 23Wks 4days

CISTERNA : 4.8mm

MAGNA

IOD : 14mm

OOD : 43mm

FL/AC rato : 22.0

HC/AC rato : 1.06

Mean Gestational Age: 21Wks 2days

EDD by USG: (on basis of present sonographic age)

Fetal weight: gms

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Fetal “B” heart rate is 136B/minutes. Fetal age parameters are as follows: -

BPD : 56mm 23Wks 5day

HC : 42mm 23Wks 0days

AC : 42mm 23Wks 0days

FL : 42mm 23Wks 0days

HUMERUS : 28mm 23Wks 5days

ULNA : 36mm 24Wks 1days

TIBIA : 38mm 24Wks 4days

RADIUS : 37mm 24Wks 3days

FIBULA : 37mm 24Wks 3days

CEREBELLUM : 25mm 23Wks 4days

CISTERNA : 4.8mm

MAGNA

IOD : 14mm

OOD : 43mm

FL/AC rato : 22.0

HC/AC rato : 1.06

Mean Gestational Age: 21Wks 2days

EDD by USG: (on basis of present sonographic age)

Fetal weight: gms

Single placenta is seen anteriorly, not low lying . Placental maturity is Grade 0. Amniotic cavity is divided into two by

a membrane.

Amniotic fluid volume is adequate.

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TIFFA level 2 was done.
Structural details of fetuses "A & "B"
Fetal face and nuchal region:
Fetal face was seen in profile view and shows frontal bone, nasal bone, upper lip and chin.
Fetal orbits and lenses are seen normally.
Interorbital distance is normal.
Fetal Brain: Intracranial Anatomy: Normal
Fetal brain is normal in shape and outline. Cerebral cortex is normal. Choroid plexus is seen completely filling the atria of
lateral verticals.
Cerebellar tonsils and cerebellar vermis are normal in size and shape.
Posterior fossa is normal. Cisterna magna is normally seen.
Fetal thorax: Fetal thorax is normal in size and shape
Bilateral chest cavities are normal in size and shape.
Cardiac 4 chamber view: Normal
Fetal Spine:
Fetal spine is normal in shape and contour
No evidence of spinal defect or meningocele is seen.
Fetal Abdomen: Liver and spleen are normal
Umbilical cord insertion is normal
Umblical cord shows 3 vessels in cross section.
Stomach and bowels are normal
Both kidneys are normal in size and echotexture.
Renal pelvis is normal in shape and size.
Fetal urinary bladder is seen normally
Abdominal wall is normal No abdominal wall defect or omphalocele is seen.
Fetal Extremities:
Fetal limbs are seen normally.
Fetal genitalia are seen normally.
No obvious fetal anomaly incompatible with life is seen at the time of study.
contin.........
IMPRESSION: Viable intrauterine twin pregnancy of 22wks 2day of gestational age with adequate liquor with no gross
congenital anomaly in either of fetuses.

Note The overall sensitivity rate of detection of congenital anomalies by USG is approx. 60% . More ever a normal study does not exclude a
significant anomaly (Ref- Antenatal detection of congenital malformation by routine ultrasonography …….Rosendahl H et al). At least 40-50 %
fetuses with down syndrome will have no recognizable sonographic abnormility- Peter W Callen 1994.
Fetal echocardiography is advised for detailed fetal heart anatomy to rule out congenital cardiac abnormilities.
Some conditions present late in intrauterine life and are picked up only on serial follow up study.
Few of the congenital abnormalities (Viz. Functional / Infectious) will have no recognizable sonographic abnormalities.
All anomalies do not manifest in intrauterine life and may present postnatal for the first time.
Not all anomalies can be dedected by a sonographic examination due to its known limitation and subtle defects may not be seen in all scans.
The present study cannot completly confirm 1 (absence of any or 2) presence of all congenital anomalies in the fetus which may be dedected
in the post natel period. USG markers for screening of chromosomal abomaly may not always be evident and as sluch. Their abscence may
not totally rule out presence of foetal chromosomal anomaly.
Investigation have their limitations. Solitary investigation never confirm the final diagnostic of disease. It only helps in diagnosing the disease
in correlation to the symptoms.

I , Dr. Nidhi Mittal declare that while conducting ultrasonography on Mrs (name of pregnant women) I have
neither detected nor disclosed the sex of her fetus to anybody in any manner.

PNDT REGN. NO APP AUTH /196/ 2004 VALID TILL -MAR’ 2024

Report Typed By :
Dr.Nidhi Mittal
admin
M.D.(Radiodiagnosis)