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
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 PROFILE YES PT WANTS TO KNOW SEX
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.
placenta is anterior in location, without previa or abruption. The
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
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
Head circumference: 19.95 cm corresponding to 22 week 1 day gestational
Abdominal circumference: 16.8 cm corresponding to 21 week 6 day
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
are normal. A normal four-chamber heart is identified. The fetal heart
regular, measuring 155 beats per minute. The fetal cardiac outflow tracts
unremarkable. The gender is male.
1. Single, live intrauterine pregnancy, with a composite gestational age
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
fluid, partially visualized cyst or less likely septation. This finding is
questionable clinical significance and attention at follow-up is
Thank you for your help!
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.