Sample Type / Medical Specialty: Obstetrics / Gynecology
Sample Name: Ultrasound OB - 3
A 37 year-old female with twin pregnancy with threatened premature labor.
(Medical Transcription Sample Report)
This is a 37 year-old female with twin pregnancy with threatened premature labor.GENERAL EVALUATION:
Fetal Cardiac Activity: Normal at 166 BPM
Fetal Lie: Longitudinal, to the maternal right.
Fetal Presentation: Cephalic.
Placenta: Fused, posterior placenta, Grade I to II.
Adnexa: Not seen
Amniotic Fluid: AFI 5.5cm in a single AP pocket.BIOMETRY:
BPD: 7.9cm consistent with 31weeks, 5 days gestation
HC: 31.1cm consistent with 33 weeks, 3 days gestation
AC: 30.0cm consistent with 34 weeks, 0 days gestation
FL: 6.4cm consistent with 33 weeks, 1 day gestation
CI (BPD/OFD): 77 (70-86)
FL/BPD: 81 (71-87)
FL/HC: 21.3 (19.9-21.5)
FL/AC 21 (20-24)
HC/AC: 1.00 (0.96-1.11)
GESTATIONAL AGE BY CURRENT ULTRASOUND: 33 weeks, 0 days +/- 2 weeks, 2 days FETAL WEIGHT BY CURRENT ULTRASOUND: 2194 gms (4 lbs 13 oz) = 6th percentile EDD BY CURRENT ULTRASOUND: 07/30/07
GESTATIONAL AGE BY DATES: 35 weeks, 5 days
L M P: Not given.
EDD BY DATES: 07/11/07
GESTATIONAL AGE BY PREVIOUS ULTRASOUND: 35 weeks, 2 days DATE OF PREVIOUS ULTRASOUND: 04/20/07 EDD BY PREVIOUS ULTRASOUND: 07/13/07FETAL ANATOMY:
Fetal Ventricles: Normal
Fetal Cerebellum: Normal
Fetal Cranium: Normal
Fetal Face: Normal Nose and Mouth
Fetal Heart (4 Chamber View): Normal
Fetal Diaphragm: Normal
Fetal Stomach: Normal
Fetal Cord: Normal three vessel cord, there is a nuchal cord
Fetal Abdominal Wall: Normal
Fetal Spine: Normal
Fetal Kidneys: Normal
Fetal Bladder: Normal
Fetal Limbs: NormalIMPRESSION:
Monochorionic diamniotic twin pregnancy.
Twin B is small for gestational age and equivalent to twin A (size and dates as detailed above).
Low amniotic fluid volume.
obstetrics / gynecology, normal fetal, premature labor, amniotic fluid, nuchal cord, twin pregnancy, gestational age, fetal, pregnancy, gestation, gestational, cord, twin, ultrasound,
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.