question-icon

What Does This Ultrasound Scan Report Indicate?

default
Posted on Thu, 30 Jul 2015
Question: My sister is pregnent having 17th week and during scan there is problem of vertebral. Her age is 29 years. The report is:- possibilty of anomaly of single vertebral body, in the form of hemivertebra/ wedge- shaped vertebra cannot be ruled out.
All other parts of baby are normal.
Is it curable?? Is there effect of this on baby's growth?? Please tell we have to go with baby or not??
doctor
Answered by Dr. Richa Agarwal (2 hours later)
Brief Answer:
Upload the report.

Detailed Answer:
Hello Sir,
Thanks for trusting hcm about her health care.
I can understand your concerns.
As such only hemivertebra is having a good prognosis but other congenital abnormalities ( lmainly neural tube defects )should be rule out.
So before giving my opinion I want to ask a few questions.
Please upload the ultrasound report?
Is she done any other investigation?
Is there any congenital abnormalities?
Please revert back to me with all my answers.
Hope to hear from you soon.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Richa Agarwal (2 hours later)
Hello mam
She did through routine check up and doctor recommends her for ultrasound every month as the doctor recommends in routine. After ultrasound we consulted a neurosurgeon and two gynecologists. Both have different view, neurosurgeon said there is minor problem and be curable and one gynecologist recommends for abortion and another is uncertainty about baby. We want to know that will baby be normal or not , any chances of physical deformity?? And if there are chances of abnormal baby then how much percent chances of recovery are there?? Please tell me in detail. I am sending you full report.
4-D OBSTETRICS ULTRASONOGRAPHY FOR FETAL ANOMALIES
Single live intrauterine foetus with somatic movements seen.
No gross dysmorphic developmental anomaly delineated.
Cardiac activity is visualized.
FHR at time of examination-     156 BPM
Gestational Parameters:-
BPD:     37.5 mm
HC:     140mm
AC:     115mm
FL:     24.7mm
CEREBELLUM:     16.4mm
COMPOSITE ULTRASOUND AGE:      17wk 3d
ESTIMATED FETAL WEIGHT-     191gm (37th percentile)
ANATOMICAL FETAL SURVEY FOR CONGENTIAL MALFORMATIONS:-
1.     FETAL CRANIUM AND BRAIN:-
Cranium is intact.
Brain- Midline structures and thalami are normally visualized.
Cerebellar transverse diameter measures 16.4 mm and is normal. Vermis is normally seen.
Cisterna magna measures 4.0 mm (normal <10 mm)
Lateral ventricles are normal. No evidence of hydrocephalus seen.
HC/AC ratio- 1.21 (Normal- 1.05-1.29)
Nuchal fold thickness is normal(2.9mm)
Facial profile view is normally seen. No e/o cleft lip/plate noted.
Interorbital distance measures 10 mm (normal), OOD -27.5mm
Nasal bone is visualized and measures 6.7 mm.
2.     FETAL SPINE:
Overlying skin is intact. No e/o meningocoele present.
Spinal curvature shows scoliosis at thoracolumbar junction. POSSIBILITY OF ANOMALY OF SINGLE VERTEBRAL BODY,IN THE FORM OF HEMIVERTEBRA/ WEDGE SHAPED VERTEBRA CANNOT BE RULED OUT.
3.     FETAL CHEST:
Lungs are of normal echopattern. No fluid collection seen.

4.     FETAL HEART:
Apex is towards left. Situs solitus. 4 chamber view is identified and is normal. All 4 chambers are symmetrical. Atrio-venticular concordance, Ventriculo-arterial with normal crossing of great vessels with normal outflow tracts.
5.     FETAL ABDOMEN:-
Anterior abdominal wall is normallu visualized.
Stomach bubble and liver,GB are normally seen.
Both kidneys- Normal in length. No evidence of hydronephrosis seen
Urinary bladder- seen in distended state and is normal
No fluid collection seen.
6.     LIMBS:- normal in length with normal phalangeal arrangement. Both radii, ulna hume, femurs, tibia, fibula are normally seen. Finger counting attempted. Hands and feet are normal in structure.
UMBLICAL CORD: triple vessel and in normal insertion.
PLACENTA- anterior distance from internal os measures 4.5 cms. Grade 0 maturity
No intra/ retroplacental clot is seen
LIQUOR is adequate. Maximum vertical pocket measures 3.7 cms
Internal os is closed.cervical length normal (3.5 cms)

Spectral waveform analysis
1.     UMBILICAL ARTERY:- Showers normal waveform with good end diastolic flow
No reversal of flow noted
2.     UTERINE ARTERIES:
Left uterine artery- Diastolic notch not seen. Good diastolic flow.
Right uterine artery- Diastolic notch not seen. Good diastolic flow.
Doppler indices
ARTERY      S/D       RI PI
UMBLICAL ART     4.0     0.7     1.3
RT UTERINE ART     1.9     0.5     0.7
LT UTERINE ART     2.1     0.6     0.7

No evidence of cerebral blood flow redistribution seen.
No evidence of IUGR noted.
IMPRESSION-
ONGOING 17.3 WKS PREGNANCY (CORRESPONDING TO DLMP) WITH ADEQUATE LIQUOR WITH SPINAL ANATOMY,AS DESCRIVED ABOVE
doctor
Answered by Dr. Richa Agarwal (16 hours later)
Brief Answer:
Spinal deformity present.

Detailed Answer:
Hello dear,
Sorry for the long delay in my response.
I am so sorry for the delay.
I have seen your sisters reports and it only shows hemivertebra ( a spinal deformity) ,there is no other congenital abnormalities are present.
usually studies shows that the prognosis is good in her case but there is a more chances of c- section and premature delivery.
And after delivery she should go to paediatric orthopaedician doctor and took treatment in his supervision and surgery advised at an early age to correct scoliosis caused by it.
Yes ultrasound scan should be done every month.
Hope found useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4027 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does This Ultrasound Scan Report Indicate?

Brief Answer: Upload the report. Detailed Answer: Hello Sir, Thanks for trusting hcm about her health care. I can understand your concerns. As such only hemivertebra is having a good prognosis but other congenital abnormalities ( lmainly neural tube defects )should be rule out. So before giving my opinion I want to ask a few questions. Please upload the ultrasound report? Is she done any other investigation? Is there any congenital abnormalities? Please revert back to me with all my answers. Hope to hear from you soon. Good luck. Regards