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Pt.Name: Mrs. SURABHI SOMYA Reg.No: AICV/23-24/004079

Age/Gender: 32 Y/Female UID: 012312140008
MobileNo: 8194859556 Registered: 14/Dec/2023 10:44AM
EmailID: Reported: 14/Dec/2023 12:45PM
Referred By: Dr. REKHA SAREEN Panel: AIC
Pt.Address: MR SACHIN KUAMR G-14 A IIIrd FLOOR LAXMI NAGAR DELHI 92

TARGETED IMAGING FOR FETAL ANOMALY (TIFFA) – LV II

L.M.P. = 02/08/2023 Menstrual Age = 19 wks 1 d

This examination shows a single, viable fetus in unstable lie & breech position.

The Placenta is posterior and in upper uterine segment. It shows gr. 0 maturity. No evidence of any
retroplacental separation or no hematoma is seen.

Amount of liquor is adequate. Amniotic fluid index is 16.3cm sum of four largest cord free pockets in
four quadrants (normal range 7 – 20 cm). Depth of single largest pockets is 6.6 cm.

Fetal cardiac activity and movements are present & appears normal. FHR = 146 b.p.m.

Fetal parameters are as follows :-

Parameters Measurements Weeks

B.P.D. 40.6 mm 18 wks 2 d
O.F.D. 51.7 mm 18 wks 4 d
Head Circumference 152.3 mm 18 wks 2 d
Abd. Circumference 133.0 mm 18 wks 6 d
Femoral Length 29.4 mm 19 wks 0 d
Tibia Length 26.8 mm 19 wks 4 d
Fibula Length 27.3 mm 19 wks 5 d
Humerus Length 28.6 mm 19 wks 2 d
Radius Length 23.2 mm 18 wks 4 d
Ulna Length 27.1 mm 19 wks 6 d
Fetal Weight 260 gm 18 wks 5 d
CI (OFD/BPD) = 80% HC/AC ratio = 1.15 FL/AC ratio = 22%

Average USG Gestational Age is 19 wks 0 d, which is consistent with the period of amenorrhea.

EDD according to this USG is 09.05.2024

Anomaly Scan
A detailed examination of the fetus done with chromosomal marker to detect congenital anomalies.

HEAD

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 Pt.Name: Mrs. SURABHI SOMYA Reg.No: AICV/23-24/004079
Age/Gender: 32 Y/Female UID: 012312140008
MobileNo: 8194859556 Registered: 14/Dec/2023 10:44AM
EmailID: Reported: 14/Dec/2023 12:45PM
Referred By: Dr. REKHA SAREEN Panel: AIC
Pt.Address: MR SACHIN KUAMR G-14 A IIIrd FLOOR LAXMI NAGAR DELHI 92
Midline falx seen. Both lateral ventricles appeared normal, with a diameter of 6 mm at the atrium.
Cerebellum is 20.9mm. Cisterna magna normal measuring 3.8mm. No identifiable intracranial
lesion seen.

SPINE
Entire spine visualized in longitudinal transverse and coronal axis. Vertebrae and spinal canal
appears normal. No evidence of any neural tube defect or protrusion seen.

NECK
No cystic lesion seen around the neck. Nuchal thickness appears normal measuring 1.80 mm.

FACE
Fetal face seen in the coronal and profile views. Both Orbits are normal. Lens seen. Bioccular
distance is 28.9mm & Intra occular distance is 09.4mm. Nasal bone is seen, measuring 6.3mm. Lips
and premaxillary triangle are normal. No evidence of any facial cleft.

THORAX
Heart appears in the mid position. Normal Cardiac situs. Four chamber view normal. Both lungs
seen. No pleural or pericardial effusion is seen. No evidence of SOL in the thorax.

ABDOMEN
Abdominal situs appeared normal. Stomach and bowel appeared normal. Normal bowel pattern
appropriate for the gestation seen. No evidence of ascites. Abdominal wall intact.

KUB
Both Kidneys and Urinary bladder appeared normal. Two umbilical arteries seen adjacent to the
Urinary bladder.

LIMBS
All fetal long bones visualized and appears normal for the period of gestation. Both the hands and
feet appeared normal.

DOPPLER PARAMETERS
Umbilical cord is normal and having 3 vessels. Color Doppler flow pattern appears normal in
Umbilical artery and Ductus venosus with forward diastolic flow. Maternal Uterine artery shows
normal flow on both side with no evidence of any notching. PI is 1.06 Rt. / 1.10 Lt. and RI is 0.61 Rt.
/ 0.60 Lt.

The internal Os is closed. Cervical Length is measuring 34.5 mm.

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 Pt.Name: Mrs. SURABHI SOMYA Reg.No: AICV/23-24/004079
Age/Gender: 32 Y/Female UID: 012312140008
MobileNo: 8194859556 Registered: 14/Dec/2023 10:44AM
EmailID: Reported: 14/Dec/2023 12:45PM
Referred By: Dr. REKHA SAREEN Panel: AIC
Pt.Address: MR SACHIN KUAMR G-14 A IIIrd FLOOR LAXMI NAGAR DELHI 92

IMPRESSION:- Single Live Fetus of 19 wks 0 d gestation with no fetal anomalies noted
in present study.
Adv.: Fetal Echocardiography for detailed cardiac anomalies if required clinically.

The Ultrasound Scan is an investigation & therefore has technical limitations. Ultrasound evaluation of fetal structure anomalies is based on structural assessment alone and may not diagnose fetal functional derangements. Few minor fetal
structural anomalies, mainly pertaining to extremities, face and heart are also likely to be missed on ultrasound, depending on the fetal position during the scan. The Ultrasound screening of fetal chromosomal anomalies in the second
trimester is based on fetal structural markers like major anomaly, nuchal fold thickness, nasal bone, ductus venosus, long bone length, renal pyelectasis, fetal bowel echogenecity and echogenic intra-cardiac foci. Ultrasound scoring system
for risk assessment of chromosomal anomalies is based on these structural markers. Two or more positive markers warrants the need of amniocentesis for further evaluation.

I, Dr. Savita Jain declare that while conducting Ultrasonography/Image Scanning of above mentioned, I have neither detected nor
declared the sex of her fetus to anybody in any manner.

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