GENERAL
- Thick band like structure noted in the upper uterine segment .
- Adv: review scan after 4 weeks for fetal spine & cardiac evaluation.
- CONGENITAL CARDIAC ANOMALY – ABNORMAL FOUR CHAMBER VIEW WITH DOMINANT LEFT VENTRICLE, SMALL RIGHT VENTRICLE, THICKENED & ATRETIC TRICUSPID VALVE, ? SMAL PERIMEMBRANOUS VSD, RELATIVELY SMALL PULMONARY ARTERY – POSSIBLY SUGGESTING TRICUSPID ATRESIA.
- OCCIPITAL ENCEPHALOCOELE.
HEAD
CASE1: Both lateral ventricles appeared mildly prominent measuring upto 9mm.
IMPRESSION: MILD PROMINENCE OF BILATERAL LATERAL VENTRICLES (UPTO 9MM).
IMPRESSION: MILD PROMINENCE OF BILATERAL LATERAL VENTRICLES (UPTO 9MM).
CASE2: persistant communication between 4rth ventricle and cisterna magna.
Otherwise vermis and corpus callosum grossly appears normal.
IMPRESSION: PERSISTENT COMMUNICATION OF 4RTH VENTRICLE WITH CISTERNA MAGNA. OTHERWISE VERMIS AND CORPUS CALLOSUM GROSSLY APPEARS NORMAL.
CASE3: left lateral ventricle appeared prominent (10.4 mm)
IMPRESSION: MILD DILIATED POSTERIOR HORN OF LEFT LATERAL VENTRICLE (10.4 MM)
IMPRESSION: MILD DILIATED POSTERIOR HORN OF LEFT LATERAL VENTRICLE (10.4 MM)
CASE3: E/O 16 x 14 mm defect in occipital region with herniation of brain tissue through the defect. Ventriculomegaly – upto 10 mm in diameter
IMPRESSION: MILD VENTRICULOMEGALY.
IMPRESSION: ECHOGENIC INTRACARDIAC FOCUS IN LEFT VENTRICAL.
DISTANCE FROM THE INTERNAL OS
CASE1: lower margin of the placenta is completely covering the Internal Os.
IMPRESSION: PLACENTA PREVIA ( GRADE IV ).
KUB
CASE1: Left renal pelvis (AP diameter): ~5 mm.
IMPRESSION: PROMINENT FETAL LEFT RENAL PELVIS.
CASE2: Prominent right renal pelvis (5.6 mm) / Duplex kidney with dilated ureter along its entire course upto VUJ.
IMPRESSION: PROMINENT RIGHT RENAL PELVIS ( ? DUPELX KIDNEY) WITH DILATED AND TORTUOUS ENTIRE RIGHT URETER UPT THE RIGHT VUJ - ? VUJ OBSTRUCTION/ ? VUR/ ? URETERIC ATRESIA.
CASE1: Right shows moderate hydronephrosis, dilated renal pelvis with abrupt cut off at PUJ.
IMPRESSION: FETAL RIGHT PUJ OBSTRUCTION. (AP DIAMETER OF RENAL PELVIS - 12MM).
CASE1: Left renal pelvis (AP diameter): ~4.5 mm
IMPRESSION: MILD LEFT RENAL PELVIECTASIA (AP DIAMETER OFRENAL PELVIS- 4.5 MM).
FACE
CASE1: unilateral cleft lip/palate.
IMPRESSION: UNILATERAL CLEFT LIP AND CLEFT PALATE.
LIMBS
CASE1: Mild varus deformity of left femur. However length appears normal.
IMPRESSION: MILD VARUS DEFORMITY OF LEFT FEMUR. HOWEVER LENGTH APPEARS NORMAL.
CASE1: BILATERAL CLUB FOOT NOTED
IMPRESSION: CONGENITAL ANOMALY:- BILATERAL CTEV (CLUB FOOT).
SPINE
CASE1: open spinal dysraphism with absence of posterior elements and splaying of spinal laminae in lower thoracic and entire lumbar vertebrae.
IMPRESSION: OPEN SPINAL DYSRAPHISM WITH ABSENCE OF POSTERIOR ELEMENTS AND SPLAYING OF SPINAL LAMINAE IN LOWER THORACIC AND ENTIRE LUMBAR VERTEBRAE
- ? RACHISCHISIS
COMPLICATED
FOOT: Bilateral club foot noted.
NASAL BONE: absent
IMPRESSION: CONGENITAL ANOMALIES: - GROSS HYDROCEPHALUS WITH PARENCHYMAL THINNING, BILATERAL CLUB FOOT, ABSENT NASAL BONE.
CONGENITAL ANOMALIES-
1. SHORT, THICK AND BOWED LONG BONES,
2. ABSENT /HYPOPLASTIC NASAL BONE,
3. RELATIVELY NARROW THORAX,
4. SCALOPPING OF FRONTAL BONES
– ABOVE FEATURES LIKELY SUGGEST LETHAL SKELETAL DYSPLASIA (?
THANATOPHORIC DYSPLASIA)
Scalloping of frontal bones
Absent / unossified nasal bone.
Relatively narrow thorax.
All fetal long bones visualized appear normal short , thick and bowed. Telephone handle appearance of humerii and femora.