27/01/2026
An Echogenic Intracardiac Focus in Left ventricle..
**The presence of an echogenic intracardiac focus has to be interpreted in the context of maternal risk factors and other sonographic anomalies.
When seen incidentally in isolation in a normal pregnancy, it is considered a benign variant and some authors state karyotyping is unwarranted in the mid-trimester. There is no recognized direct association with congenital heart anomalies for an isolated echogenic intracardiac focus (unless there is an associated aneuploidic anomaly).
In high-risk pregnancies, there is an increased incidence of aneuploidy (e.g. Down syndrome, and trisomy 13) and it is classified as a soft marker. The presence of multiple or bilateral (more than one chamber) echogenic foci is considered to increase the risk.
***They usually disappear during the 3rd trimester..
