Medical Specialty:
Obstetrics / Gynecology
Sample Name: Ultrasound OB - 7
Description: A 27-year-old female with a size and date discrepancy.
(Medical Transcription Sample Report)
This is a 27-year-old female with a size and date discrepancy.
GENERAL EVALUATION:
Fetal Cardiac Activity: Normal at 150BPM. Fetal Lie: Longitudinal. Fetal Presentation: Cephalic. Placenta: Anterior Grade I. Uterus: Normal. Cervix: Closed. Adnexa: Not seen. Amniotic Fluid: Normal.
BIOMETRY:
BPD: 8.4 cm consistent with 33 weeks, 6 days gestation
HC: 29.8 cm consistent with 33 weeks, 0 days gestation
FL: 6.2 cm consistent with 32 weeks, 1 day gestation
CI: 83 (70-86)
FL/BPD: 74 (71-87)
FL/HC: 20.8 (19.9-21.5)
HC/AC: 1.00 (0.96-1.21)
GESTATIONAL AGE BY CURRENT ULTRASOUND: 33 weeks 1 day + or minus 2 weeks 2 days. FETAL WEIGHT BY CURRENT ULTRASOUND: 2137 grams (4 lbs 11 ozs) = 92nd percentile EDD BY CURRENT ULTRASOUND: 7/10/07
GESTATIONAL AGE BY DATES: 31 weeks 2 days.
L M P: 10/16/06
FETAL 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
Fetal Abdominal Wall: Normal
Fetal Spine: Normal
Fetal Kidneys: Normal
Fetal Bladder: Normal
Fetal Limbs: Normal
IMPRESSION:
Active intrauterine pregnancy with no gross anatomical abnormality.
Size large for dates but within standard deviation.
Keywords: obstetrics / gynecology, fetal presentation, gestational age, fetal, gestational, edd, ultrasound, gestation,