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???