ANOMALY SCAN Indication : Routine. LMP : Gestational age by LMP : … weeks … days. EDD by LMP : … Gestational age by USG : … weeks … days. EDD by USG : … Findings : Single, alive normal intra uterine pregnancy. Fetal heart action present. Fetal heart rate – … bpm. Fetal measurements : BPD- … mm, HC – … mm, AC – … mm, FL – … mm. Corresponding gestational age – … weeks … days. Estimated fetal weight : 0000 gm (±10%) – passes at >10th percentile line – (normal average weight score – Normal range: 10th–90th percentile). Presentation : Cephalic at present. Placenta : and away form os, Grade – …, Structure normal, Retro-placenta – NAD. Umbilical cord – 3 vessels. Amniotic fluid : Normal, Single pocket : 5.0 cm (Normal : 2-8 cm). Fetal growth : Dating and graphical presentation shows normal growth. Ratios : HC/AC : … (…-…), FL/AC : 22% (Normal – 20-24%) FL/BPD : 67% (71-87%). Doppler : Umbilical artery : Normal spectral study. Ductus venous : Showed – Normal flow. Both uterine arteries : Show normal spectral study. Please see the next page. Patient ID - Fetal anomaly scan: CNS : The ventricle all appears normal. No specific intercranial abnormality is seen. Chest : Heart – All chambers are well defined. No gross congenital abnormality is seen. The RVOT and LVOT appear normal. No pleural effusion is seen. Fetal breathing pattern is normal. Abdomen : The stomach and urinary bladder are normal, all other abdominal organs appear normal. No ascites is seen. The anterior wall is intact with V3 cord insertion. Skeleton : All limbs are normal. Remaining parts appears normal. Impression at present : • About … weeks size of single live pregnancy with cephalic presentation. • Gestational age assigned by LMP, i.e. EDD – … (± 2 weeks). • Gestational age assigned by USG, i.e. EDD – … (± 2 weeks). • Amniotic fluid – Normal. • Placenta – … • Fetal growth – Normal. • Doppler study – Normal. • Abnormal findings – No major or obvious structural abnormality is detected. However minor abnormality may not be always detected by USG.