Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Obstetrics / Gynecology
Sample Name: Ultrasound OB

Description: Ultrasound OB - followup for fetal growth.
(Medical Transcription Sample Report)

REASON FOR EXAM: Followup for fetal growth.

INTERPRETATION: Real-time exam demonstrates a single intrauterine fetus in cephalic presentation with a regular cardiac rate of 147 beats per minute documented.

FETAL BIOMETRY:
BPD = 8.3 cm = 33 weeks, 4 days
HC = 30.2 cm = 33 weeks, 4 days
AC = 27.9 cm = 32 weeks, 0 days
FL = 6.4 cm = 33 weeks, 1 day

The head to abdomen circumference ratio is normal at 1.08, and the femur length to abdomen circumference ratio is normal at 23.0%. Estimated fetal weight is 2,001 grams.

The amniotic fluid volume appears normal, and the calculated index is normal for the age at 13.7 cm.

A detailed fetal anatomic exam was not performed at this setting, this being a limited exam for growth. The placenta is posterofundal and grade 2.

IMPRESSION: Single viable intrauterine pregnancy in cephalic presentation with a composite gestational age of 32 weeks, 5 days, plus or minus 17 days, giving and estimated date of confinement of 8/04/05. There has been normal progression of fetal growth compared to the two prior exams of 2/11/05 and 4/04/05. The examination of 4/04/05 questioned an echogenic focus within the left ventricle. The current examination does not demonstrate any significant persistent echogenic focus involving the left ventricle.

Keywords: obstetrics / gynecology, amniotic fluid volume, placenta, posterofundal, intrauterine pregnancy, followup for fetal growth, ultrasound ob, cephalic presentation, abdomen circumference, circumference ratio, echogenic focus, fetal growth, fetal,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples