I just had my 20 week ultrasound and the

Patient : 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!
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