HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does My Ultrasound Report Indcate?

Posted on Fri, 13 Jun 2014

Question: hello doctor my ultrasound report are as follows
LMP 21.03.2014
Yolk sac visualized
decidual reaction moderate
internal os closed
cervical length normal\adnexa normal
adv clinical co-relation & follow ups scan
pl provide your valuable opinion about the report
warm regards XXXXXXX khurana

Answered by Dr. Shanti Vennam (19 minutes later)

Brief Answer:
Detailed below.

Detailed Answer:
Hello XXXX

Thanks for posting your query.

Firstly, I would like to know the frequency of your cycles and if they are regular or not. This is because, presuming that you have 28-30 day cycles, according to your last menstrual period, you should be 8-9 weeks pregnant now.

As per your sonogram report, it appears as though your gestational age is about 5 weeks. Appearance of yolk sac is seen at 5 weeks while cardiac activity can be seen at six weeks. So, to clarify this disparity, you need clinical correlation and repeat sonogram.

The other findings in the sonogram are normal; decidual reaction has been reported to be moderate and this can be reviewed at a later stage and treated if necessary.

Hope I have clarified your query. Please feel free to contact for further information. I will be happy to help.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanti Vennam (1 hour later)

Hello Doctor
Thanks for your reply.
My periods were regular before conceiving. I would like to mention that my doctor has advice for abortion because growth of the baby stopped at 6 weeks & 3 days. Pl help me with your valueable opinion.
Thanks & regards
XXXX

Answered by Dr. Shanti Vennam (9 hours later)

Brief Answer:
Can decide after another sonogram or hCG titres.

Detailed Answer:
Hello,

Thanks for writing back.

It is true that in the current scenario, a missed abortion is diagnosed and abortion done, but, I would ask for a repeat sonogram after 4-5 days along with serial serum beta-hCG titres meanwhile to confirm the arrested pregnancy. Decline in the serum titres instead of the doubling seen every 2-3 days at this stage of pregnancy along with no evidence of progress in the sonogram is confirmatory. Once confirmed, induced medical abortion under surveillance with follow up usually suffices.

Hope I have answered your query. Please contact for further information. I will be available to help.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanti Vennam (8 hours later)

hello doctor,

As per your advice, the report of Serial Serum beta HCG report is given below.pl comment and also advice if their is no option left except abortion, then how much time we take for planning of baby.

Thanks & regards
XXXX

Name MRS. XXXXXXX Age 40 Yrs. Sex F
Referred By DR. SUSHEELA
Lab. No 140/24/05/2014 Printed 24/05/2014 06:33 PM
Coll Time
Test Name Result Units Ref.Range ( Dacie )
IMMUNOLOGY - SEROLOGY
BETA HCG
Patient value 9250 miu/ml
Non Pregnant <5.0
Pregnancy Weeks :-
Weeks ( mIU/ML or IU/L)
3-4 WEEKS 9 TO 130
4-5 WEEKS 75 TO 2,600
5-6 WEEKS 850 TO 20,800
6-7 WEEKS 4,000 TO 100,200
7-12 WEEKS 11,500 TO 289,000
12-16 WEEKS 18,300 TO 137,000
16-29 WEEKS 1,400 TO 53,000
29-41 WEEKS 940 TO 60,000
*** End of Report ***
DR D K GULATI
M.D. (PGI)
CONSULTANT PATHOLOGIST

Answered by Dr. Shanti Vennam (1 hour later)

Brief Answer:
Detailed below.

Detailed Answer:
Hello XXXX
Thanks for writing again.

I suggested getting serial serum beta-hCG titre assessment, i.e., you should get the titres measured every 2-3 days for about a week. If there is a fall it is conclusive that it is an abortion; in normal states, the titres double every 2-3 days.

In addition, a repeat sonogram after 4-5 days will help to aid in the diagnosis.

The hCG values at present correlate with about 6 weeks gestation.

After all the tests, if a missed abortion is confirmed, you have to get the pregnancy aborted under medical supervision and after checking the bleeding and clotting profiles properly.

After an abortion, you should wait for at least 2-3 months before trying to conceive again and in the meanwhile improve your diet and general condition.

Hope you got the information you needed. Please do contact if you need any more help. I will be available to help.

Wish you good health.

regards,
Shanti.V.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar