Paras Diagnostic Centre

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34 weeks Fetal Echocardiography shows ventricular disproportion of RV and LV. RV measuring about ~17.7mm and LV measurin...
09/12/2024

34 weeks Fetal Echocardiography shows ventricular disproportion of RV and LV. RV measuring about ~17.7mm and LV measuring about ~7.3mm. RV/LV ratio ~2.4. Cardiac apex formed by LV. All the four valvular structures and atrio-ventricular valvular off- setting normal with no obvious malaligned VSD.

# 3 vessels trachea view shows disproportion of great arteries with tubular hypoplasia of Aortic arch. Ductal arch ~8mm, Aortic arch ~4.4mm.

Findings corresponding to fetal coarctation of Aorta.

Advise: Karyotyping and plan delivery at tertiary centre with immediate availability of neonatology and pediatric cardiology services.

The 29+weeks fetal stomach double bubble sign with inter-communication – Duodenal atresia with polyhydramnios. No other...
09/12/2024

The 29+weeks fetal stomach double bubble sign with inter-communication – Duodenal atresia with polyhydramnios. No other chromosomal associated anomaly seen.

High risk of chromosomal anomaly mainly T21.

Advise: Karyotyping to confirm/rule out chromosomal association.

Fetal Echocardiography IIIrd trimester: Dominant LV with rudimentary RV with absent tricuspid apparatus with large fora...
17/10/2024

Fetal Echocardiography IIIrd trimester: Dominant LV with rudimentary RV with absent tricuspid apparatus with large foramen ovale in 4 chamber view.

# AV and VA concordance (Aorta arising from LV and pulmonary artery from RV) with criss cross of great arteries.

# 3VT shows mild narrowing of main Pulmonary artery with reversal flow (ductal dependant pulmonary flow).

• Tricuspid atresia with ductal dependant pulmonary flow.

Advise: Expert opinion of fetal Cardiologist for further management and counseling please.

18 weeks fetal spine shows a bony spur in its middle of its canal at the level of about L3 with bifurcation of the cord ...
16/10/2024

18 weeks fetal spine shows a bony spur in its middle of its canal at the level of about L3 with bifurcation of the cord in two hemicords - Diastematomyelia.
No other anomaly detected at present.

Outcome: May cause symptoms in lower extremities and sphincter dysfunction as a result of neurological deficit during childhood.

A CASE OF NEONATAL GYNAECOMASTIA (USG): 20days male child breast swelling usg show ovoid shaped, well distinct margins r...
23/07/2024

A CASE OF NEONATAL GYNAECOMASTIA (USG):

20days male child breast swelling usg show ovoid shaped, well distinct margins retroareolar lesion both breast, right sided measuring about ~25.2x13.5mm and left sided measuring about ~26.3x13.4mm filled with tiny internal cysts with
intra-lesional vascularity seen .

Placental sonography of 20weeks pregnancy (A case of Placenta Percreta) ...
21/07/2024

Placental sonography of 20weeks pregnancy (A case of Placenta Percreta)
The placenta located inferiorly and covering the os completely with multiple small lakes. On TVS with color doppler study, there is apparent loss of the sub-placental myometrial layer replaced by large maternal blood vessels in lower uterine segment. Few villi projecting into the bladder wall –placenta Percreta.

Fetal Echocardiography at 31+weeks of pregnancy a case of Ebstein anomaly grade IV: Apical displacement of septal and po...
20/07/2024

Fetal Echocardiography at 31+weeks of pregnancy a case of Ebstein anomaly grade IV: Apical displacement of septal and posterior leaflets of tricuspid valve inferiorly causing atrialization of RV with significantly enlarged RA. There is evidence of severe TR. 3VV shows mildly small ductal arch. The prognostic score ratio in relation with RA area and all other chamber areas is >1.5, suggestive of grade IV i.e. poor prognosis.

Advise: Expert opinion of fetal cardiologist and medicine specialist

A case of fetal HLHS 22 weeks fetal echo showed markedly underdeveloped LV and LVOT with cardiac apex formed by RV. RV m...
07/05/2024

A case of fetal HLHS

22 weeks fetal echo showed markedly underdeveloped LV and LVOT with cardiac apex formed by RV. RV measuring about ~ 10.6mm and LV ~2mm. Tricuspid flow seen with RV filling with no TR. No significant mitral flow or LV filling seen. FO shunt L to R seen. No VSD.
3VT shows reversal flow in Aortic arch – suggestive of Aortic atresia- Fetal hypoplastic left heart syndrome(HLHS)
Advised Karyotyping and serial prenatal ultrasonography evaluation after every 4-6weeks for fetal growth, tricuspid valve dysfunction and flow across FO.

03/05/2024

Paediatric Echo of 5 months male child shows a single well defined soft echogenic mass of about ~18.4x8.4mm RV in relation with distal segment of IVS – likely Rhabdomyoma, not causing any flow disturbances

Fetal Radius-Ulna hypoplasia syndrome - An alive 19+weeks pregnancy.There is evidence of right sided radius and ulna h...
26/01/2024

Fetal Radius-Ulna hypoplasia syndrome - An alive 19+weeks pregnancy.

There is evidence of right sided radius and ulna hypoplasia with radial club hand.

Right Radius length 7.94mm

Demonstration of fetal aberrant right sub-clavian artery (ARSA) in Level II scan- Arising from descending Aorta at jun...
21/01/2024

Demonstration of fetal aberrant right sub-clavian artery (ARSA) in Level II scan- Arising from descending Aorta at junction of Aortic arch and Ductus arteriosus and passes behind trachea. May be in association with chromosomal and non- chromosomal anomalies or isolated as normal variation.

19+weeks fetal Echocardiography - Coarctation of Aorta ------------------------------------------------------------...
06/01/2024

19+weeks fetal Echocardiography - Coarctation of Aorta
------------------------------------------------------------------------
• Situs solitus with normal axis and position. No cardiomegaly

• There appears ventricular disproportion with small sized LV (small width with normal length). RV, LV ratio 1.75:1. Cardiac apex built by LV. normal LV contractility with narrow width of mitral flow with no obvious VSD seen. FO shows normal R to L shunt.

• RVOT enlarged ~3mm. LVOT small ~1.7mm. On 3VT view, the great vessel disproportion is noted. DA - 3.5mm and AA - 2.1mm. Systolic aortic flow in aortic arch and isthmus - antegrade with no reversal component. Aortic isthmus shows aliasing with increased systolic flow - Coarctation of Aorta.

• All the valvular structures and flow normal.

 Risk of chromosomal anomaly high – Karyotyping advised.

Address

49, Sukhadia Marg
Sri Ganganagar
335001

Telephone

9414088716

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