Plz help me in my wife OBSTETRIC ULTRASONOGRAPHY REPORT, what it mean? L.M.P. :11/07/2013 G.A. by LMP 9 Weeks & 2 days E.D.D :17/04/2014 UTERUS - The uterus is retroflexed and bulky. - The myometrial echotexture is homogenous and normal. - Cervical os is closed. GESTATIONAL SAC & FOETUS - A single intrauterine GS is noted. - Mean sac diameter is 23 mm and corresponding to 6 weeks 6 days+/- 4 days . - Fetal pole is not visualized. - Upto 3-4 mm thick decidual reaction is present around the sac. ADNEXA & OVARIES - Adnexa and both ovaries are normal. - A corpus lutuem is present in left ovary. CUL-DE-SAC - Pouch of Douglas is clear. FINAL IMPRESSION USG REVEALS AN INTRAUTERINE GESTATIONAL SAC CORRESPONDING TO 6 WEEKS 6 DAYS GA WITH NON VISUALIZED FETAL POLE. D/D- DELAYED CONCEPTION MISSED ABORTION . ADV: Rescanning after 1 week
Hello and welcome to HCM, The ultrasound report of the pelvis is as follows: The uterus shows a presence of a gestational sac. Gestational sac is a sac which contains the products of conception or fetus. The gestational sac is present proving that conception did take place. However, the fetus is not present in sac. This can be due to missed abortion i.e. the products of conception have aborted without your knowledge. Or the other possibility is that the conception has been delayed. Delay in conception will delay the appearance of fetal pole on the ultrasound scan. In case of delayed conception, the fetal pole will be visible after a weeks time.
Let me explain the report findings in simple language.
As per the menstrual cycle dates, your wife is supposed to be pregnant with fetus corresponding to age 9 weeks 2 days. The ultrasound report shows a gestational sac corresponding to age 6 weeks 6 days.
Therefore, there is discordant findings as per age of pregnancy by dates and from ultrasound scan findings. Also it is clearly mentioned that there is no fetal pole present. A fetal pole is the earliest fetal identifiable part.
Sometimes there fetal pole can be seen later due to wrong dates. Under such circumstance, your wife must get another scan done after a week which is important to tell if there is a viable pregnancy. Even serial HCG level estimation may be done for a better monitoring of the present situation. Please get another ultrasound done as advised.
Hope this helps
I find this answer helpful
1 Doctor agrees with this answer
You found this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Pregnant, Had Ultrasonography. What Does It Mean?
Hello and welcome to HCM, The ultrasound report of the pelvis is as follows: The uterus shows a presence of a gestational sac. Gestational sac is a sac which contains the products of conception or fetus. The gestational sac is present proving that conception did take place. However, the fetus is not present in sac. This can be due to missed abortion i.e. the products of conception have aborted without your knowledge. Or the other possibility is that the conception has been delayed. Delay in conception will delay the appearance of fetal pole on the ultrasound scan. In case of delayed conception, the fetal pole will be visible after a weeks time. Thanks and take care Dr Shailja P Wahal