I just had my 20 week ultrasound and the

Patient

Q: I just had my 20 week ultrasound and the report I got I didn't really understand. They found a single, live intrauterine pregnancy near the cervix. The placenta is anterior in location without previa or abruption. Small amount of fluid near the cervix. They said that the baby is perfectly healthy but should I be worried, what does this mean?

Here is the results:

GRAVIDA: 1 PARA: 0 AB: 0 MISCARRIAGE: 0

EDC: 11/19/15 LMP:

POSITION: VERTEX KEY: V = VISUALIZED
V CEPHALIC LV = LIMITED VISUALIZATION
BREECH NV = NONVISUALIZATION
TRANSVERSE
VARIABLE

FETAL ORGANS OBSERVED
V STOMACH V HEART
V BLADDER V 4 CHAMBER
V KIDNEYS V LVOT
V RIGHT KIDNEY 155 FETAL HEART RATE
V LEFT KIDNEY
V SPINE V UMBILICAL CORD (# VESSELS)
V SAGITTAL SPINE V PLACENTAL INSERTION
V TRANSVERSE SPINE V ABDOMEN INSERTION
V HEAD
V PROFILE YES PT WANTS TO KNOW SEX
V NARES
V MOUTH
V CISTERNA MAGNA (nl - 2-11 mm 13+ weeks NV NUCAL FOLD (< 5 mm)
V LAT VENT (NL = 0.1 cm 15+weeks V DIAPHRAGM

MEASUREMENTS (MEAN) ESTIMATED GESTATIONAL AGE
BPD 5.39 cm BPD 22W,3D (wks/days)
HC 19.95 cm HC 22W,1D (wks/days)
AC 16.8 cm AC 21W,6D (wks/days)
FL 3.71 cm FL 21W,6D (wks/days)
FL/BPD % 69 (71-87%) HC/AC 1.19 (1.06-1.25)
FL/AC % 22 (20-24%) CI
EFA 22W,1D (+/- SD) EFW 457 GRAMS EDD 11/16/15
LMP % 52 AFI VISUALLY GOOD
PLACENTA LOCATION ANTERIOR (NL 8-24 2nd & 3rd trimesters)

US OB 2ND/3RD TRIMESTER

COMPARISON: 4/16/2015 transvaginal ultrasound

HISTORY: Supervision of normal pregnancy in 21-year-old G1 000 patient.

TECHNIQUE: Transabdominal scanning was performed.

FINDINGS: A single, live intrauterine pregnancy in cephalic presentation.
The
placenta is anterior in location, without previa or abruption. The
amniotic
fluid volume is subjectively within normal limits., The maternal cervix is

normal in length, measuring approximately 4 cm. There is a reasonably
well-circumscribed circumscribed fluid collection posterior to the cervix
measuring approximate 5 cm x 3 x 2 which is nonspecific and may represent
small
focus of fluid or less likely septation.
Fetal measurements are symmetric, correspond to the following:
Biparietal diameter: 5.39 cm corresponding to 22 week 3 day gestational
age.
Head circumference: 19.95 cm corresponding to 22 week 1 day gestational
age.
Abdominal circumference: 16.8 cm corresponding to 21 week 6 day
gestational age.
Femur length: 3.71 corresponding to 21 week 6 day gestational age.
Composite gestational age: 22 weeks 1 day gestational age.
Sonographic EDD: 11/16/2015
EDD based on clinical data is 11/19/2015.
There has been appropriateInterval fetal growth.
Estimated fetal weight: 457 g.

The fetal brain, stomach, kidneys, bladder, spine, three-vessel cord
insertion
are normal. A normal four-chamber heart is identified. The fetal heart
rate is
regular, measuring 155 beats per minute. The fetal cardiac outflow tracts
are
unremarkable. The gender is male.

Impression
1. Single, live intrauterine pregnancy, with a composite gestational age
of 22
weeks 1 day.
2. Sonographic EDD is 11/16/2015.
3. No fetal abnormalities are identified.
4. Small focus of fluid posterior to the cervix which may represent small
free
fluid, partially visualized cyst or less likely septation. This finding is
of
questionable clinical significance and attention at follow-up is
recommended.

Thank you for your help!

Doctor

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