What Does A Gestational Sac And Yolk Sac But No Fetal Pole Yet, Along With Possible Subchorionic Hemorrhage And Minimal Free Fluid Mean In An USG?
PROCEDURE: US PREG UTERUS TRANVAGINAL CLINICAL INFORMATION: 32 years, first trimester vaginal bleeding with mild cramping COMPARISON: None. SONOGRAPHER: Kim G GRAVIDA: 8 PARA: 7 ECTOPIC: 0 ABORTION(spontaneous/surgical): 0 LMP: patient states EDD provided by Women s Clinic of 01/06/2024 QUANT: 6,954.99 Pain: None. Bleeding: Yes. Cramping: Yes. HCG: Positive. Pregnant: Yes. Mean sac diameter: 0.73 cm too small for dating/calculation Yolk sac seen: Yes. 1.7mm Fetal pole seen: No. / possible early gestation vs ectopic (patient states no pain just mild cramps) Previous surgery: No. UTERUS: L: 10.3 cm AP: 5.63 cm W: 6.31 cm Description: Inhomogenous. Fibroids: No. hypoechoic area 1.0cm x 1.1cm x 1.6cm- possible subchorionic hemorrhage CERVIX: Description: WNL. RIGHT OVARY: L: 2.44 cm AP: 1.68 cm W: 1.58 cm Description: WNL. Blood flow: WNL. Cyst: None. Mass: None. RIGHT ADNEXA: Description: dilated vessels Mass: None. CUL-DE-SAC: Description: Minimal free fluid. LEFT OVARY: L: 3.11 cm AP: 2.09 cm W: 2.93 cm Description: WNL. Blood flow: WNL. Cyst: Complex. 2.3cm x 1.6cm x 2.1cm Mass: None. LEFT ADNEXA: Description: WNL. Mass: None. IMPRESSION: Single Intrauterine gestations sac noted. Yolk sac noted. No fetal pole noted. Diameter of the gestational sac is 0.73 cm. It is too small to determine fetal age. 1.1 cm x 1.6 cm in size hypoechoic area noted adjacent to gestational sac. This may represent subchorionic hemorrhage. Follow-up sonogram with beta serum-hCG level is suggested after 5-7 days. Present findings should be correlated with beta serum hCG level. Minimal free fluid noted in cul-de-sac. What does this mean???