PA-S-36 (GROUND FLOOR)

JLN. PASIR EMAS, SG. CHUA, PEARL AVENUE

43000 KAJANG, SELANGOR DARUL EHSAN

MORPHOLOGY SCAN DATE:

NAME : ID/IC :
LMP : DOB :
EDD : EDD (U/S) :
GA : GA (U/S) :

FETAL DESCRIPTION

NO. OF FETUS : 1/2/3/4

FETAL HEART : PRESENT / ABSENT
FETAL POSITION :
FETAL MOVEMENT :
PLACENTA :
AMNIOTIC FLUID :
GENDER : BOY / GIRL

BPD : HC :
AC : FL :
EFW :

BRAIN ABDOMEN
LATERAL VENTRICLE ABDOMINAL WALL
CEREBELLUM STOMACH
CISTERNA MAGNA BOWEL
NUCHAL FOLD KIDNEY RT LT
DIAPHRAGM RT LT
CORD INSERTION
FACIAL UMBILICAL ARTERY 2UA SUA
BOD BLADDER
IOL SPINE
OD
NASAL BONE
LIPS / NOSE
NECK

HEART EXTREMITIES
HEART RATE bpm UPPER LIMBS LOWER LIMBS
4 CHAMBERS RT HUMERUS RT FEMUR
LEFT OUTFLOW ULNA TIBIA
RIGHT OUTFLOW RADIUS FIBULA
3 VESSEL VIEW LT HUMERUS LT FEMUR
IVS ULNA TIBIA
AORTIC ARCH RADIUS FIBULA
DUCTAL ARCH

DISCLAIMER:
Singleton alive fetus.
It was explained that a normal morphology scan cannot totally exclude the possibility of all structural anomalies or a
chromosomal anomaly. It was also explained that the septal defects and valvular anomalies may not be detected antenatally.

COMMENTS:

No structural anomaly detected within the limits of this examination