Case Study: Ultrasound Evaluation (FTS)

Rebecca is a 31yo G2 P1001 who was seen for an ultrasound evaluation and FTS. She overall denies any major medical disorders other than she is hypothyroid and on replacement therapy. She also has a history of a LEEP procedure but that occurred in 2012. She did have a full-term delivery over 2 years later that went to 39 ½ weeks with an 8 lb 12 oz infant. Overall on today’s assessment, she has no complaints.

By dates, she is 11 5/7 weeks, and the crown-rump length measurement is concordant. The nuchal translucency measurement fell within the normal range. Due to early gestational age and fetal position, the nasal bone could not be fully assessed. There was normal ductal flow. There were no adnexal masses or free fluid. There is a question

of a small subchorionic hemorrhage, but the patient denies any vaginal bleeding.

The patient was interested in having the FTS performed and therefore the blood was drawn, and we will forward the results to your office upon return. We also discussed cystic fibrosis (CF) and SMA carrier screening and she is somewhat interested in this but does not recall whether or not she had CF testing done in her last pregnancy in 2014. Therefore, she plans on discussing these 2 tests with you at her next appointment to determine whether or not she wants to be evaluated for these.

Lastly, because she had the LEEP procedure we would recommend that you reevaluate the cervix in about 4-5 weeks. Overall, she should probably do well since she went to term with an 8 lb 12 oz infant after the LEEP procedure but to be safe we would evaluate at around 15-16 weeks and if normal it can be reassessed when you perform the anatomy scan. Currently at this time we have not scheduled her back for a follow-up evaluation with us but if you would like us to perform any of her future scans, please feel free to reschedule her with us.

Thank you for referring this patient to our office. Please do not hesitate to call us if you have any questions.

THIS REPORT HAS BEEN DICTATED BUT NOT EDITED
Craig V. Towers, M.D.
Maternal-Fetal Medicine