Q. Please go through my USG reports and suggest further course of action.
Hello doctor,
I am a 23-year-old female and 19 weeks pregnant. The ultrasonography reports are - a bilateral 5 mm choroid plexus cyst and a small echogenic intracardiac focus in the left ventricle. What does this mean? Please help. I take vitamin C tablets daily and had a double marker test during my third trimester.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern.
I reviewed the report (attachment removed to protect patient's identity). In this situation, I suggest you go for an amniocentesis to confirm the fetal karyotype and rule out trisomy of 21 or Down's syndrome.
The echogenic intracardiac foci and choroid plexus cyst are the soft markers of Down's syndrome, and hence it should be ruled out by amniocentesis.
I hope you found the answer helpful.
Thank you.
Thank you, doctor,
We had a quadruple screen test, and the result was negative. I have a few questions, doctor. Can we continue the pregnancy? Is there any need for amniocentesis? Is there any risk to the fetus? I have attached the test reports of the quadruple test. We got consultations from three fetal expert doctors, but out of three doctors, two doctors said there was no need for amniocentesis, and one said that there are 99 % chances for you to get a normal result, but why do you want to take the risk for 1 %? So he suggested we do amniocentesis. Now we are confused. As per your expert experience, is it necessary? I want a clear opinion from your side. Thank you.
Hi,
Welcome back to icliniq.com.
I understand your concern.
I have reviewed the report.
Whenever there are two soft markers of genetic disorders in ultrasound, then it is always advisable to go for amniocentesis to confirm the fetal karyotype.
In my opinion, amniocentesis should be done.
Regards.
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