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What Does The Ultrasound Scan Report Indicate?

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Posted on Wed, 25 Nov 2015
Question: my wife is undergoing a preganancy after level 3 ultrasound doctor said all is normal but there is acalcified spot on babys chest which may or may not be risky my wife is very tense please help tell us its consequences after delivery
doctor
Answered by Dr. Sameer Kumar (59 minutes later)
Brief Answer:
suspected anomaly ...endocardial cushion defect.

Detailed Answer:
Hello,
Thanks for the query to hcm,
The third ultrasound does comment on an echogenic focus in the left ventricle which is again commonly seen in 5 % of foetuses anddoesnt necessarily means that the foetus may be a down syndrome. As all the soft tissue markers and maternal screen 4 test showed low risk, an isolated soft marker may not certify the diagnosis at all. The Best Way To Diagnose downs in the present setting would be a non invasive prenatal trisomy 21 screening with maternal blood or an amniocentesis for karyotyping.
But as it was too early for the level 2 scan to be done in 17 weeks gestational age, it is suggested that a repeat scan may be undertaken between 18-20 weeks gestation and if possible a 3D ultrasound can offer a clearer picture or if a foetal echo is possible at this stage by the radiologist , it should be helpful.
Nevertheless , there are no gross abnormalities in the child and hence we have to wait for further investigation. Baby is growing well for the age.
Regards
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Does The Ultrasound Scan Report Indicate?

Brief Answer: suspected anomaly ...endocardial cushion defect. Detailed Answer: Hello, Thanks for the query to hcm, The third ultrasound does comment on an echogenic focus in the left ventricle which is again commonly seen in 5 % of foetuses anddoesnt necessarily means that the foetus may be a down syndrome. As all the soft tissue markers and maternal screen 4 test showed low risk, an isolated soft marker may not certify the diagnosis at all. The Best Way To Diagnose downs in the present setting would be a non invasive prenatal trisomy 21 screening with maternal blood or an amniocentesis for karyotyping. But as it was too early for the level 2 scan to be done in 17 weeks gestational age, it is suggested that a repeat scan may be undertaken between 18-20 weeks gestation and if possible a 3D ultrasound can offer a clearer picture or if a foetal echo is possible at this stage by the radiologist , it should be helpful. Nevertheless , there are no gross abnormalities in the child and hence we have to wait for further investigation. Baby is growing well for the age. Regards