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What Does My Ultrasound Scan Test Report Indicate?

Posted on Sat, 6 Aug 2016

Question: hi i question regarding ultra sound pregnant woman at 17 week 2 days ( sex Female). biometric data is as follows:
BPD -3.88 cm 17 wk 6 d +/- 1 w 2 d
HC - 14.12cm 17 wk 4d +/- 1 w 2 d
AC - 11.59 cm 17wk 3 d +/- 1 w 5 d
FL - 2.35 cm 17wk 1 d +/- 1 w 3 d
Humurus - 1.99 cm is 15wk 6 days
composite gestational age is 17 wk 4 d and estimated wt is 187 g +/- 27
lateral ventricle - dilated bilaterally up to 12 mm . let me know what it means? our baby has any issues that we need to worry?

Answered by Dr. Purushottam Neurgaonkar (48 minutes later)

Brief Answer:
Review USG from expert to know present compression effect on brain tissue.

Detailed Answer:
Hi
Dr. Purushottam welcomes you to HCM virtual clinic!
Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.

1) First of all do not panc.

2) Overall the growth parameters are alright.
Bilaterally dilated left ventricles is what needs to be looked after.
It is for this reason your doctor has advised you second USG review.

3)Bran is a solid organ with fluid filled cavities in the centre of each half ( right & left),called as ventricles. The fluid in side these cavities is constantly flowing in and out through various communication channels. If there is blockage in the system, then these ventricles dilate.

We need to keep doing serial USG scans to know the ratio of brain tissue and ventricular size. If there is no alarming compression on brain tissue , baby has has no harm. Even after delivery, expert pediatric neurologist and neurosurgeon can help out to ease the problem.

4)Review USG with expert, will help to know if baby has danger of brain tissue compression at this stage.

I hope my answer helps you.
Thanks.
Wish you great health.
Dr Purushottam S Neurgaonkar

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Purushottam Neurgaonkar (31 minutes later)

Ok. Thanks. So our gyno says humurus is behind if you see my question you can see measurement off by 9 days. What do you think about that? And scan showed nose tiny. What does it mean?

Answered by Dr. Purushottam Neurgaonkar (5 hours later)

Brief Answer:
Repeat USG and do Triple marker test.

Detailed Answer:
Hi, thanks for appreciating the answer and reverting back.

You have very rightly mentioned about femur length. Yes it lagging by 9 days.
Along with looking for cerebro -ventricular ratio , I will suggest you to get Triple test done. It gives fairly good idea about chromosomal abnormalities.

Please repeat USG and get blood tested for Triple test. It is very important to get both these things done before 20 weeks of pregnancy.

Please seek help of your treating doctor about the same.

I hope this answer helps you.
Thanks.
Dr Purushottam Neurgaonkar.

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Purushottam Neurgaonkar (4 hours later)

Thank you much. They already done triple screen test which was negative. But due to our doctor vacation for 10 days, only nurse read it. So wanted expert opinion.Attached triple screen report. Your advise is very valuable to us. We appreciate your reply.

thanks!

Answered by Dr. Purushottam Neurgaonkar (38 minutes later)

Brief Answer:
Triple test normal. CVP ratio and limb parameters need follow up.

Detailed Answer:
Hi, thanks for appreciating the answer and reverting back.

I have gone through your Triple test reports. They fall in normal limits. No overt risk of Open neural tube defect or Downs syndrome.

Now, we need to follow cerebro - ventricular ratio and also baby's limb length parameters. If your sonologist does not comment that femur length is falling below 10th percentile , you need not worry.

I hope this answer helps you.
Thanks
Dr Purushottam Neurgaonkar.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Purushottam Neurgaonkar (13 minutes later)

Thank you much Doctor, appreciated your inputs and prompt reply.

Answered by Dr. Purushottam Neurgaonkar (2 hours later)

Brief Answer:
Thanks

Detailed Answer:
Hi, thanks for appreciating the answers. I will be happy and available for any help in the future.
Thanks again.
Dr Purushottam Neurgaonkar

Above answer was peer-reviewed by : Dr. Prasad