Medical Specialty:
Obstetrics / Gynecology

Sample Name: Ultrasound OB - 2


Description: A 34-year old female with no fetal heart motion noted on office scan.
(Medical Transcription Sample Report)


This is a 34-year old female with no fetal heart motion noted on office scan.

FINDINGS:
By dates the patient is 8 weeks, 2 days.

There is a gestational sac within the endometrial cavity measuring 2.1cm consistent with 6 weeks 4 days. There is a fetal pole measuring 7mm consistent with 6 weeks 4 days. There was no fetal heart motion on Doppler or on color Doppler.

There is no fluid within the endometrial cavity.

There is a 2.8 x 1.2cm right adnexal cyst.

IMPRESSION:
Gestational sac with a fetal pole but no fetal heart motion consistent with fetal demise at 6 weeks 4 days. By dates the patient is 8 weeks, 2 days.

A preliminary report was called by the ultrasound technologist to the referring physician.

Keywords: obstetrics / gynecology, fetal heart motion, gestational sac, endometrial cavity, fetal pole, fetal heart, heart motion, gestational, fetal,