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What Does The Following Ultrasound Report Indicate?

Posted on Mon, 6 Mar 2017

Question: 5w pregnancy but utrasound sees nothing except ovary being large and having thick walled cyst like structure with minimal liquid. b hcg 1931 and 3723 next day

Answered by Dr. Deepti Verma (4 hours later)

Brief Answer:
Ectopic pregnancy should be ruled out

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
The ultrasound at 5 weeks gestation should show gestational sac in the uterus.
If not seen, then it is either delayed conception or ectopic pregnancy.
The thick walled structure in the ovary is most probably the corpus luteum cyst, however the ovarian ectopic pregnancy should be ruled out.
Beta hCG values should be double in 48 hours in a normal intrauterine pregnancy, and your values are just less than double.
I will suggest you to get a Doppler transvaginal ultrasound to rule out any ectopic pregnancy.
If ruled out, then you should get a repeat scan after 2 weeks to confirm the gestation age.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

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

Follow up: Dr. Deepti Verma (20 minutes later)

1931 was on monday and 3723 was tuesday

Answered by Dr. Deepti Verma (14 hours later)

Brief Answer:
Likely to be a viable intrauterine pregnancy

Detailed Answer:
Hi dear,
If in 24 hours, the beta hCG increased almost double, then it is likely to be a viable intrauterine pregnancy.
I will suggest you to get a repeat scan after 2 weeks.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Kampana