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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Sonography Report Indicate?

Hi, My sonography report is as below.
Gravid uterus with single gestational sac.
GS measures 14 mm with regular margins
Fetal pole or evidence of cardiac activity is not seen.
Fetal Yolk sac is seen
Choriodecidual rim appears normal
Myometrial walls appears normal.
Internal os is closed. Cx measures 38 mm.
Both ovaries appears normal.
No adenexal mass is seen.
No evidence of free fluid in pelvis.

The comments are:-

early GS with yolk.
Clinical co relation and follow up for viability is suggested.

The doctor on seeing the sonography report has suggested to go for another sonography next week. I am afraid , why the cardiac activity has not come up yet. My last date of period was 20/12/2015. After that i concieved the pregnency and came to know abt it 19/ 20 January 2016. Kindly let me know if its normal.. ??
Mon, 7 Mar 2016
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Radiologist 's  Response
Hello.
The order of appearance on ultrasound is - first the gestational sac, then yolk sac and then embryo is seen to appear last. The timing of visibility on the scan also depends on whether the scan is trans-abdominal or trans-vaginal.
Your wife's scan has been done at a time where the embryo hasn't formed/appeared yet. In such cases, we just repeat the scan in a week or two to see for embryo and cardiac activity.
Rest of the report is unremarkable.
Also to be taken into consideration is regularity of menstrual cycle and if she has had bleeding/spotting.
Hope this is helpful.
Take care and all the best.
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What Does This Sonography Report Indicate?

Hello. The order of appearance on ultrasound is - first the gestational sac, then yolk sac and then embryo is seen to appear last. The timing of visibility on the scan also depends on whether the scan is trans-abdominal or trans-vaginal. Your wife s scan has been done at a time where the embryo hasn t formed/appeared yet. In such cases, we just repeat the scan in a week or two to see for embryo and cardiac activity. Rest of the report is unremarkable. Also to be taken into consideration is regularity of menstrual cycle and if she has had bleeding/spotting. Hope this is helpful. Take care and all the best.