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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Intra Uterine Pregnancy In Scan Report Suggest?

Greetings Dr, Can you answer for the below scan report... 1. single viable intra uterine pregnancy 2. fetal movements and carbiac activity rare seen and normal - H.R - 154/mt Rate and rhythm are normal 3. Fetal anonalies survey      a. Fetal - Head           shape and size are normal inter hemisphere fissure identified. Both thalamus normal. Ventricles not dilate. posterior fossa imaged normally.      b. Fetal - Spine        Fetal spine visualized normally. The bony parts and the spinal canal are normal. No evidence of spinal canal defect seen.      c. Fetal - Face & Neck           Fetal eyeballs, nose, lips are imaged normally. No demonstrable mass seen in the neck.      d. Fetal - Thorax & Fetal Heart.           Situs of the heart is normal. All four champers visualized normally. Out flow tracts are normal. Echo patern of both lungs normal.      e. Fetal - Abdomen           Stomech bubble visualized on the left side. No obvious dilated bowel loops seen. Both kidneys and bladder are identified and normal.      f. Fetal - limbs           Upper limbs on both forearm, visualized normally.           Lower limbs - Fetal thys and legs are normally visualized. 4. plecenta is in planted along the fundal both anterior and posterior ball extending to the lower uterine segment about 2.5 cm from the cervical os showing GR I maturity sign. 5. amniotic fluid is adequate in quantity. 6. measurement of B.B.D., F.L., and F.A.C correspond to 21 to 22 weeks. Gestational age. B.B.D 5.1 cm = 21 weeks 3 days F.L 3.8 cm = 22 weeks 3 days F.A.C - 17.9cm = 22 weeks 5 days E.FW - 508 + /- 76gms 7. Umbilical artery doppler flow shows normal blood flow. 8. Both uterine artery doppler flows shows early diastolic notch. 9. servical os is not dilated. servical length is normal and measures 3.3 cm. 10. materanl kidneys are identified and normal.      impression       single viable intra uterine pregnance of 21 - 22 weeks gestational age.      Low lying plensenta      both uterine artery doppler flow shows early diastolic notch.      suggested follow-up scan.
Tue, 12 Aug 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. Placenta is at a lower location in uterus.
2. Possible anomaly in umbilical cord, which requires followup.
3. Otherwise, all the reports are normal. Followup after a month to look for placental fixation and umbilical cord changes.

Hope it helps.
Any further queries, happy to help again.
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What Does Intra Uterine Pregnancy In Scan Report Suggest?

Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows: 1. Placenta is at a lower location in uterus. 2. Possible anomaly in umbilical cord, which requires followup. 3. Otherwise, all the reports are normal. Followup after a month to look for placental fixation and umbilical cord changes. Hope it helps. Any further queries, happy to help again.