Second Trimester Genetic Sonogram

Patient Name:

Identification Number:

Patient Age:

Previous Obstetrical history:

Nuchal Translucency Screen:

Second Trimester Biochemistry:

Gestational Age Calculator

BPD in mm: Gestational Age = weeks

HC in mm : Gestational Age = weeks

AC in mm : Gestational Age = weeks

FL in mm : Gestational Age = weeks

Second Trimester Markers

(N= Normal; Abn = Abnormal)

Nuchal Fold: (abnormal = 6 mm or greater;5-5.9mm borderline) :

Humeral Length:(abn = measured:expected length <0.9)* :

Femur length: (abn = measured:expected length <0.91)** :

Echogenic Intracardiac Focus (as bright as bone): :

Pyelectasis (4mm or greater): :
Echogenic Bowel (greater than bone): :

* Expected humeral length = -7.9404 + 0.8492 x BPD

** Expected femoral length = -9.3105 + 0.9028 x BPD

Structural Abnormalities

Heart: Endocardial Cushion Defects: :

LV/RV Disproportion: :

Other: :

Abdomen: Duodenal atresia: :

Other: :


Cranium / CNS: Ventriculomegaly: :

Nasal Bone: :

Neck / Soft tissues: Cystic Hygroma: :

Hydrops: :

Other Findings

Hands (clinodactyly/ short phalanx 5^th digit):
Sandal Foot:

Other;

Other