Fetal Ultrasound Normal Vs Down Syndrome | Soft Markers In Fetus For Trisomy 21 | Aneuploidies USG

[@DoingStuffWithDiana]

My doctor saw sandal foot and I’ve been freaking out since; this helped calmed me down a bit while I wait for my blood results. Thank you.

[@terreciakennedy3265]

@@DoingStuffWithDiana blood results can be false positives. I've had them twice.

[@yashfeenkhan.909]

MashaAllah ♥️ very informative channel ever seen

[@DrSamsImagingLibrary]

Thank you very much for watching!

[@daisysummer514]

I love my child with Down syndrome; she is my biggest and best blessing of my whole life ❤️❤️ please don’t be scared, families. X

[@Amanda-j3y]

@@daisysummer514 bless you!

[@Amanda-j3y]

God bless you!

[@MariaBeylo]

@@Amanda-j3y thank you posting this!

[@karriu4769]

That is a comfort to hear. I am getting my test next week.

[@dr.shankarjaykisanpatel5725]

excellent presentation Dr. Sam

[@DrSamsImagingLibrary]

Thanks a lot for watching!

[@VIVEKYADAV-nq3ic]

Most Important very very helpfull video. Ham Lerner logo ke liye

[@DrSamsImagingLibrary]

Thanks for watching! Glad to hear that!

[@liezlrodriguezyummyrecipes1667]

@@DrSamsImagingLibrarydoc, is it possible the lenght of femur and humerus can increase in next scan? My anomaly scan done when i'm 27 weeks and tommorrow i have schedule to repeat a scan.

[@DrSamsImagingLibrary]

@@liezlrodriguezyummyrecipes1667 Hello@ Yes, they can improve over time. The baby's growth rate can change and some short values can also improve

[@liezlrodriguezyummyrecipes1667]

@@DrSamsImagingLibrary thank you doc.

[@liezlrodriguezyummyrecipes1667]

@@DrSamsImagingLibrary doc. Is there any food or vitamins to take, to increase the femur and humerus lenght?

[@saymajahanana4063]

Thank u..dr.sam..ur video help me to write my usg report correctly..

[@kaushikraju5690]

Excellent video your are doing a great job it’s helping a lot

[@DrSamsImagingLibrary]

Thanks for watching!

[@SutanBinoy24]

Thank You very much dr.Sam for the Video 👍 very helpful in learning USG

[@DrSamsImagingLibrary]

Most Welcome!

[@ОльгаТимошенко-ч5п]

Excellent presentation, dr Sam

[@DrSamsImagingLibrary]

Thank you very much for watching!

[@liezlrodriguezyummyrecipes1667]

@@DrSamsImagingLibrary hi doc. nose/nasal bone measuring 0.9cm at anomaly scan at 27 weeks is this normal?

[@DrSamsImagingLibrary]

@@liezlrodriguezyummyrecipes1667 Yes, it is normal

[@liezlrodriguezyummyrecipes1667]

@@DrSamsImagingLibrary thank you.

[@DrSamsImagingLibrary]

Obstetric Ultrasound Normal Vs Abnormal Images | Fetal, Placenta, Umbilical Cord Pathologies USG: kzbin.info/www/bejne/o3uUon97g6qgebc

[@aronlelenora9572]

❤❤❤❤

[@vincentmutugi4597]

wonderful and so helpful

[@DrSamsImagingLibrary]

Thanks for watching!

[@hungluu4070]

Thanks a lot, it is helpful. I am hoping u can make a lot this video!

[@DrSamsImagingLibrary]

Most Welcome and thanks for watching!

[@hauntedblasterblaster3162]

Excellent video sir

[@rochelhalpert758]

great channel helpful for boards!

[@DrSamsImagingLibrary]

Thanks for watching! Glad you found it helpful!

[@srinivasaraosirasapalli5104]

Excellent sir

[@DrSamsImagingLibrary]

Thank you for watching!

[@jagatthapa9679]

Awesome vedio. Thank you so much, sir, for sharing with us ❤

[@DrSamsImagingLibrary]

Most Welcome and thanks for watching!

[@ashokkumargupta8084]

Thanks sir for all your efforts

[@DrSamsImagingLibrary]

Most Welcome!

[@abcd-yb3xc]

Thanks sir ..very informative

[@DrSamsImagingLibrary]

Most Welcome!

[@vlogsmk3767]

Great method ❤

[@DrSamsImagingLibrary]

Thanks!

[@quyenhothanh9709]

Hi Dr. Sam, my wife just did the screening (ultrasound + blood test beta-hCG/PAPP-A) at her 12 weeks 5 days pregnancy. The report said NT=1.3mm, Nasal bone present, other structures appear normal (Cranium, Face, Neck, Heart, Abdominal wall, Stomach, Bladder, Arms, Legs), adjusted risk of Trisomy 21 is "1 in 360" (my wife is 33 yo), which put her under intermediate risk and it suggests a NIPT follow up test. However, our gynecologist reviewed the report and confirmed everything was fine, no need NIPT test. I'd like to have your second opinion? Thanks

[@DrSamsImagingLibrary]

Hello! The screening results are mostly reassuring, especially with the normal NT measurement and the presence of the nasal bone. Your gynecologist's view that everything is fine and that no further testing (NIPT) is needed is likely based on their assessment of the overall risk and the normal findings in the ultrasound. Based on the findings, there is no need of NIPT test. Best Wishes!

[@quyenhothanh9709]

@@DrSamsImagingLibrary thanks so much

[@شوشوشوشو-ف2ط]

@@DrSamsImagingLibrary Did your wife give birth to a healthy baby? I have the same measurements. I had a blood test and am waiting for the results

[@ayshabanu5360]

my 21 weeks5days report they written nuch fold thickness is 3.7mm but the nuch fold scan image below systematic mention nuch fold is 5.7mm in biometry calculation..is there any calculation in nuch fold

[@toobamalik880]

Sir plz make a video what does it mean or how to move probe laterraly inferiorly etc

[@DrSamsImagingLibrary]

Here is the playlist for probe position: kzbin.info/aero/PL4cRFWfjMmf_vYnNGABoV3U1KFmJmCHEv

[@ayshabanu5360]

In my 22 weeks Posterior horn lateral ventricle is right is 8mm and left is 6mm And my nuch fold is 5.7mm is this normal or not this defect any chromosomal abnormal

[@sabakhanam5998]

Very nice 👌🏻👍

[@DrSamsImagingLibrary]

Thanks for watching!

[@DrAdi-vn3tz]

dr sam thx for this

[@DrSamsImagingLibrary]

Most Welcome!

[@maswathi9835]

My NT scan report was normal and the anomaly scan shows the presence of two soft markers. 1.Two intracardiac echogenic foci measuring 1.9 mm and 1.8 mm noted in left ventricle. 2.Renal pelvis appear prominent measuring 4.2 mm on left and 4.8 mm on right. No calcyce al/ureteric dilatation. Does this indicate DS? I have given blood for NIPT test.

[@DrSamsImagingLibrary]

A normal NT scan is a good sign. The other 2 findings you mentioned do not directly mean the baby has Down Syndrome, they are soft markers which mean there may be an increased risk for Down Syndrome. The NIPT test results will provide more details regarding Down Syndrome. Best Wishes!

[@maswathi9835]

@DrSamsImagingLibrary Thank You Dr ! I didn't get the results if it's negative then should I have to worry?

[@TNPSCMasterClub]

How is your baby now

[@maswathi9835]

@@TNPSCMasterClub My NIPT results was negative... Blessed with a baby boy...He is doing well... 😊

[@TNPSCMasterClub]

@@maswathi9835 okay sis super

[@chariemaegales7667]

Hi dr. Im 25 weeks and 3 days pregnant and i had done my BPS utz and diagnosed of dilated renal pelvis bilateral this may indicate my baby is DS? And the length of the femur is 4.32cm behind normal of 24 weeks and 1 day.

[@Ashlei211990]

Hi, I'm 11 weeks pregnant and I just had my Nuchat Translucency scan done and it came back abnormal. I'm also a type 1 diabetic. I did ask my doctor if she thought my diabetes had anything to do with the abnormalities and she said it's a possibility. She wants me to get a CVS test, but my husband and I have our reservations about it. I had an appointment with a genetic counselor yesterday. I did an NIPT test and other genetic testing. I'm extremely scared and nervous so any advice/ comments would help. NT scan is measuring at 6.5mm. Thank you.

[@DrSamsImagingLibrary]

I'm very sorry to hear about the concerns you are facing. It's absolutely normal to feel scared and nervous in this situation, and I commend you for seeking out professional opinions and support. An NT measurement of 6.5mm is indeed higher than the typical range, and it can be an indication to investigate further. It does not, however, confirm any specific diagnosis. While uncontrolled diabetes can have effects on pregnancy, it's not directly linked to the NT measurement. CVS is a diagnostic test that can provide more information about chromosomal conditions. It carries some risks, but they are generally low. If you have reservations about the CVS test, it is completely valid and essential to discuss them with your healthcare providers. They can explain the pros and cons specific to your situation and address your concerns. Best Wishes!

[@Ashlei211990]

@@DrSamsImagingLibrary thank you for responding!! My husband and I are going to wait for the call from the genetic counselor and proceed from there. My MFM doctor wasn't concerned with DS because of presences of a nasal bone. She was thinking more so heart conditions. I'm not sure if you have an opinion on that

[@DrSamsImagingLibrary]

@@Ashlei211990 Most Welcome! The heart will be evaluated on further scans to check for any cardiac conditions. DS is diagnosed after a combination of imaging tests, genetic tests and tests like CVS are performed. Your genetic counselor will advise you further. Hope everything is OK! Best Wishes!

[@aswathisnair4442]

@@Ashlei211990 hello... I would like to know what were your resulta if you are okay with it.. Iam almost goung through this situation now

[@Ashlei211990]

@@aswathisnair4442 the baby turned out fine!!

[@ayshabanu5360]

Nuchal fold thickness 5.7mm in 21 weeks is normal or abnormal?

[@hemlatapal8019]

Nice one

[@DrSamsImagingLibrary]

Thanks for watching!

[@satish9187]

Hi sir, Recently second Trimester anomaly scan we did in that Congential deodenal obstruction observed doctor suggested to do CMA test can you suggest what are the probably cause of such observation in our Baby???? In NT scan T13 risk is observed Low still how its hppen deodenal obstruction kindly guide 😢

[@DrSamsImagingLibrary]

Hello. I'm sorry to hear about that. Congenital duodenal obstruction can occur due to reasons not directly related to T13 or other common chromosomal abnormalities. It might be associated with other genetic conditions or isolated anomalies.

[@satish9187]

@@DrSamsImagingLibrary Thanks for response. If CMA test comes negative shall we continue pregnancy and dr suggest your baby need pediatric surgery but my question is baby having ability to withstand such procedure kindly guide... it's our first pregnancy n after 4 Years we got good news.. My wife is constantly crying kindly reply. In imagine of our baby shows only single bubble while imaging sometime it shows n sometimes it appear normal is it good sign??

[@DrSamsImagingLibrary]

@@satish9187 A negative Chromosomal Microarray (CMA) test means that the test did not detect any chromosomal abnormalities in the baby. The decision to continue the pregnancy after a negative CMA result, especially when there are other concerns such as the need for pediatric surgery, should be made after a thorough discussion with your doctors. They will consider the overall health of the baby, the specific condition requiring surgery, and the potential outcomes of that surgery. Regarding the imaging findings you mentioned (seeing a "single bubble" sometimes and other times appearing normal), it's challenging to provide specific guidance without more context.

[@satish9187]

@@DrSamsImagingLibrary Thank you 🙏 !! Doctor told it's partial block not complete block if two big bubbles are visible that means completely block .so i ask her what's the reason, she told sometimes fibres may get stuck into it n blocks the passage partially

[@DrSamsImagingLibrary]

@@satish9187 Most Welcome! And I hope everything goes well! Best Wishes!

[@zozik84]

Thanks dr .🙏

[@DrSamsImagingLibrary]

Most Welcome!

[@syaidatulzahariahnordin6776]

Hi Dr Sam, these all soft maker are only for 1 foetus of SD or for more than 1 foetuses of SD?

[@DrSamsImagingLibrary]

Hello! These images are of different foetuses. The presence of soft markers varies. Some may have all soft markers present, some may have few of them.

[@mounirhashad8310]

Hello is isolated mild renal pelvis dilation in one kidney while every thing else is normal a worrying sight

[@DrSamsImagingLibrary]

Hello! No, it is normal if everything else is fine. Best Wishes!

[@mounirhashad8310]

@@DrSamsImagingLibrary yes every thing in the 4d scan is fine and baby is moving and there are no any abnormalities detected

[@DrSamsImagingLibrary]

That is a good sign. Nothing to worry about. Best Wishes!

[@barnalichakraborty3436]

I have an hyperechoic focus 2.9*4.4mm near the junction of ivc and right atrium,i do my nipt and fetel echo which is normal, should I worry for the echogenic focus

[@DrSamsImagingLibrary]

If no other other abnormality is seen and the NIPT is normal, it is usually a normal variant and does not cause any issue.

[@ayshabanu5360]

Nuch fold 5.75mm is normal or not?

[@ayshabanu5360]

In 21 weeks nuch fold is 5.75mm is normal or not

[@DrSamsImagingLibrary]

It is normal

[@yasmeenrashid7654]

thanks. Such avery knolagable ur vedios I am not very confident to see kidneys. When I am doing anomaly scan Need ur help Tips to easy found clear both kidneys

[@DrSamsImagingLibrary]

Thanks for watching! To scan the fetal kidneys, first determine the fetal presentation (whether it is cephalic, breech, etc.). Next, locate the fetal spine in transverse plane, then adjust the gain and depth settings accordingly. Sweep the probe until you find two symmetric, bean-shaped structures on either side of the fetal spine.

[@raghuvendraprataptripathi1006]

Hello Dr. Sam, my wife is 15w2d pregnant had a normal scan with nuchal fold 1.5 mm, nasal bone 3.1 mm, FL 17 mm, AC 90 mm, HC 111 mm, BPD 31 mm, her trisomy 21 risk have came 1:342 is this a cause of worry, please suggest your view.

[@DrSamsImagingLibrary]

Hello, the values are normal and the risk for Trisomy 21 is low. Best Wishes!

[@raghuvendraprataptripathi1006]

@@DrSamsImagingLibrary Thanks for your time and valuable opinion.

[@maxnikhan409]

Is it possible your NT measurement was normal at 12 weeks and the anatomy scan found increased?

[@DrSamsImagingLibrary]

Hello. Yes it is possible for the NT thickness to increase later on

[@meghanamegha8859]

Hi in my 5th month anamoly scan there are 2 soft marker that is echogenic intracardiac focus in left ventrical and mild renal pelvic dilatation in left kidney measured 4mm and my doctor suggest me for NIPT Blood test and result showed as low risk. can u please explain the possibility of down syndrome.

[@DrSamsImagingLibrary]

If your NIPT results came back as low risk, it means that the likelihood of your baby having a common chromosomal abnormality is low. The presence of soft markers, in combination with a low-risk NIPT result, typically suggests that the risk of Down syndrome is not elevated.

[@aswathisnair4442]

Hello.. I am going through same situation.. Had 2 soft markers and gave for nipt test yesterdy... If you dont mind can you share how was your results?

[@TNPSCMasterClub]

@@meghanamegha8859 how is your baby now

[@TNPSCMasterClub]

@@meghanamegha8859 how is your baby now

[@TNPSCMasterClub]

@@aswathisnair4442 how is your baby now

[@iacun]

Excelent🎉🎉🎉

[@DrSamsImagingLibrary]

Thanks for watching!

[@ayshabanu5360]

Hello! In my 21 weeks my baby right lateral ventricle in 9mm and the left lateral ventricle in 6mm is it normal.it will increase or decrease in further weeks can you tell me please.

[@DrSamsImagingLibrary]

Hello! Both the measurements are normal.

[@ayshabanu5360]

Nuchal fold thickness 5.7mm is normal or abnormal in 21 weeks

[@pepengmbul]

How if the condition only Absent Nasal bone the other normal, is it possible to DS?

[@DrSamsImagingLibrary]

At how many weeks is an absent nasal bone noted? An absent nasal bone can be a marker for DS

[@pepengmbul]

@@DrSamsImagingLibrary 11 week +1, many thks for your feedback dr. Sam

[@DrSamsImagingLibrary]

@@pepengmbul If other parameters and serum biochemistry are normal, a follow up is required for further evaluation and monitoring.

[@pepengmbul]

@@DrSamsImagingLibrary we're waiting for the result of NIPT hopping it's negative and all is good. thks dr. Sam God bless you

[@DrSamsImagingLibrary]

@@pepengmbul Most Welcome! Wish you all the Best!

[@ambedkarSeema]

Saar mere Baby ka sar me 11 much pani h doctor boli h kya Ye dik yoga

[@dilmiachinthika9891]

Dear sir mc=NF Same mesurment in the pregnency

[@skitnado25]

Well my wife and just got our first NT in her first trimester. NT was 2.78mm and the doctor was indicating it was too high and suggesting amniocentesis but did not suggest cvs. We currently waiting for NIPT results. The following results were normal: nasal bone present, neck, thorax, cardiac situs, cardiac axis, abdominal wall, stomach, arms and legs. We don’t think such invasive test as suggested by this doctor is necessary but will wait for out NIPT results. Should there be any reason for concern or is this doctor trying to get to do a test that would harm our baby? Thanks

[@DrSamsImagingLibrary]

An increased NT measurement can be associated with chromosomal abnormalities like Down syndrome, as well as other genetic disorders and some heart defects. However, an increased NT measurement does not necessarily mean there is a problem. Many babies with increased NT measurements are born healthy. It's reassuring that other ultrasound findings (nasal bone, neck, thorax, etc.) are normal. Waiting for the NIPT results is a reasonable step before deciding on more invasive procedures like amniocentesis. Amniocentesis is more definitive than screening tests like NT or NIPT, but it carries a small risk of complications, including miscarriage. Once you get the results of NIPT, you can have a detailed discussion with your doctor regarding further management based on the results. Best Wishes!

[@skitnado25]

@@DrSamsImagingLibrary thank you so much.

[@Hugogutierrezful]

Hello, I am 21 weeks preganant and I had my ultrasound today. Before leaving they informed me everything looked fine. But then when I went to my regular doctor visit they had informed him of the following: A normal nasal bone was not seen. This is a marker for aneuploidy, most commonly trisomy 21, with a 35% PPV for Down syndrome. No other obvious markers for aneuploidy were seen. .This study was read remotely so not discussed with the patient We are still not sure of this. Baby was moving a lot so I couldnt myself see their face. We are hoping this is not correct. I had a blood test done and we are waiting for those results now. Can you give your opinion on this? Thank you!

[@DrSamsImagingLibrary]

Hi! An absent nasal bone can be a marker for Down Syndrome. The baby will be monitored on further scans and DS can detected by blood tests (if advised by your doctor). Since you stated the baby was moving a lot, it may be that the nasal bone wasn't seen due to the position of the baby.

[@Hugogutierrezful]

@@DrSamsImagingLibrary thank you so much for responding. We are hoping for the best and that it was just that they could not get a good image. Also hoping those test results come out good as well.

[@DrSamsImagingLibrary]

Best Wishes! Hope everything goes well. Keep in touch with your doctors.

[@user-jt9fl2qd2w]

@@Hugogutierrezful what was the result get after that

[@Hugogutierrezful]

@@user-jt9fl2qd2w so after the blood work everything came back 99.9% negative thankfully. I also did a 3D ultrasound about 3 weeks ago and she looked fine, however that doctor did mention to me that we cannot go based on nasal bone all the time and cannot trust an ultrasound on that. Before 12 weeks ultrasound they look at more the head shape there and other problems with their organs. Thats more when they can determine in an ultrasound that baby could have downsyndrome. If you are going through something similar stay positive I know its hard as mothers to always think the worse.

[@lufunomakhavhu9873]

Hi Sir..resuls of high risk of DS..does it necessarily mean the child will be born qith DS?

[@DrSamsImagingLibrary]

Hello! Are these the results of NIPT or ultrasound?

[@aswathisnair4442]

Doctor.. Did my anomaly scan yesterdy found 2 soft markers-hypoplastic nasal bone and mild dilatation of renal pelvis.. Nuchal thickness is 3mm which the doctor told is normal.. (It was 1.5 in nt scan) Gave for nipt test yesterday.. Nt scan was completely normal.. Double marker test was also normal.. Is there anything to worry?

[@DrSamsImagingLibrary]

The normal NT scan and Double Marker test results are positive signs that reduce the likelihood of chromosomal abnormalities. The NIPT (Non-Invasive Prenatal Testing) you've undergone is a highly sensitive screening test that looks for genetic conditions like Down syndrome, Edwards syndrome, and Patau syndrome. It's very accurate in detecting these conditions and can provide you with more information about the risk level of the pregnancy. The nuchal thickness measurement of 3mm is considered to be within the normal range, especially if it was 1.5mm at the NT (Nuchal Translucency) scan, which is reassuring. Hypoplastic Nasal Bone and Mild Dilatation of the Renal Pelvis are soft markers for chromosomal abnormalities and are not definitive diagnoses. Many babies with these findings on ultrasound are born healthy and without genetic conditions.

[@TNPSCMasterClub]

@@aswathisnair4442 how is your baby now..did u done nipt test ah or amniocentsis ah

[@saikrishna-xu2mc]

Hi sam, NT thicknes 5mm for 12 week baby is it normal or abnormal and please suggest further 🙏🙏

[@DrSamsImagingLibrary]

Hello! NT thickness is abnormal and can increase risk for abnormalities. However, it does not directly mean there is an abnormality. Further ultrasound scans are required for monitoring. Your doctor may advise tests such as NIPT. Please consult with your doctor. Best Wishes!

[@mohdkareem4406]

If Nt value is 1.9 is it normal plz plz reply

[@DrSamsImagingLibrary]

How many weeks?

[@maxnikhan409]

In my 22-week anomaly scan observed 3 soft marks 1 pathogenic intracardiac focus as bright as bone within the left cardiac ventricle increased nuchal fold of 6.4mm and septated gallbladder. I'm so worried could you please tell me about this?

[@DrSamsImagingLibrary]

I'm very sorry to hear about this. It can be worrying. The presence of 3 soft markers does increase the risk of having Down Syndrome but it is still not a definitive diagnosis. It requires further investigation which will be advised by your doctor.

[@maxnikhan409]

@@DrSamsImagingLibrary thank you for your reply

[@DrSamsImagingLibrary]

Most Welcome! Yes it can happen. A 12 week scan can be normal. Some abnormalities occur later on in pregnancy. Best Wishes and hope everything goes well!

[@maxnikhan409]

Dr. Sams today I did an ultrasound again and they found a duplicate gallbladder and an increase of Nt 6.1 My doctor booked my appointment related to an ultrasound summary with a genetics specialist could you please tell me what a possible result will be according to your knowledge if someone has an increase Nt and duplicate gallbladder in her ultrasound. is duplicate gallbladder also associated with a syndrome? Thank you

[@TNPSCMasterClub]

​@@maxnikhan409how is your baby now

[@sivaram5186]

Hi Sir, In analomy scan observed 2 soft markers. One left choroid plexuses cyst measuring 5.3*3.4mm & echogenic small bowel grade 1. These 2 soft markers are dangerous sir ?

[@DrSamsImagingLibrary]

These soft markers can increase the chance of having Down Syndrome, but they are also found in normal pregnancies. The baby's growth and well being will be monitored on follow up ultrasounds. Down Syndrome is diagnosed with a combination of ultrasound and blood tests as well as tests like Amniocentesis and Chorionic Villus Sampling. Best Wishes!

[@sivaram5186]

@@DrSamsImagingLibrary Hi Sir, Thank you for quick update. We went for amniocintes test last week and first report received today for QPCR. All the results are good in that. So for KT also we will get good results right ?

[@Chloe-xm1lx]

Hi just came across your video. I am currently 28 weeks and 3 days. Combined test came back high for Edwards or patau syndrome However had NIPT test done that was low risk result so no further testing recommended. 20 week scan showed all measuring fine. However had a growth scan today and was told baby's femur is measuring small and head is also measuring small but abdomin is normal and heart and kidneys appear fine too. I now have an appointment next week with fetal medicine doctor and another scan booked and possibly being offered amniocentesis. Could this be baby is just measuring on the smaller side or possibly suggestive of a condition? What condition would cause just the head and femur to be measuring smaller.? Blood flow and placenta is appearing all fine too and i am taking aspirin due to developing pre eclampsia and HELLP syndrome in a previous pregnancy. However no signs of preeclampsia so far in this pregnancy and blood pressure has been fine. I am feeling so stressed and worried and it's a week of waiting and not knowing much right now. Could the 20 week scan have been wrong or missed something i dont know how just the head and femur could be measuring small now.?

[@DrSamsImagingLibrary]

Hello! In your case, the small measurements of the baby’s head (microcephaly) and femurs can be seen in various conditions, but most commonly are associated with certain genetic syndromes. Edwards and Patau syndromes, which you mentioned were initially indicated as high risk from your combined test but later downgraded by your NIPT test results, do often involve such findings. However, the NIPT provides a strong indication that these may not be a concern, especially when paired with the low-risk results and normal findings from the 20-week scan. The discordance between the growth scan and earlier scans might simply be due to natural variations in growth, or it could be an indicator of a specific condition that affects growth, such as skeletal dysplasias or other less common genetic syndromes. It's also possible, though less likely, that there could have been measurement inaccuracies in any of the scans. The planned appointment with the fetal medicine specialist can offer more detailed scans and possibly an amniocentesis, which can provide more definitive genetic information. Amniocentesis will be particularly useful to rule out or confirm any chromosomal abnormalities that the non-invasive tests might miss. Best Wishes!

[@Chloe-xm1lx]

@@DrSamsImagingLibrary Thank you for your time and replying, I appreciate it very much and thank you for explaining things more to me. I was unsure how tests so far and scans could be showing fine so far but now not. I will see what the consultant says at the next scan this week hopefully will have a clearer picture of what it all means at least. Thank you for your time. Best wishes and God Bless you. 🙏🏼

[@lobo-92]

Dr out of all the indicators explained in the video, what is the possibility of the baby to have DS if there 2 indicators present during the 8th month scan? 1. Single spot calcium deposit present in the heart. 2. Renal dilation is around 16mm in both kidneys. Kindly provide your opinion doctor🙏

[@DrSamsImagingLibrary]

Hello, the 2 indicators stated above can increase the risk of having Down Syndrome in a fetus, but they do not directly mean the baby has Down Syndrome and do not provide a definitive diagnosis. Other factors such as maternal age, family history of DS, and results from tests such as Non-invasive Prenatal Testing, or second trimester serum screening can provide more context about the risk. Please consult with your doctor regarding this. Best Wishes!

[@JessicaAndrade-fy5ei]

My NT test is normal in first tri , my Anatomy Scan is also normal , but they found my baby has mild dialation of fetal renal pelvis, is this normal ? Could this mean DS alone ? dr says they are not worried as its very mild and at the cutoff

[@DrSamsImagingLibrary]

Hello! An isolated mild dilatation of fetal renal pelvis does not indicate DS. It is a normal finding.

[@JessicaAndrade-fy5ei]

@@DrSamsImagingLibrary thank you so much ! You put my mind at ease , 🙏🏼🥺

[@DrSamsImagingLibrary]

@@JessicaAndrade-fy5eiMost Welcome!

[@Loveforrosee]

1:4400 low probability of having a fetus with down syndrome aya hai kya karu me

[@JessicaAndrade-fy5ei]

@@Loveforrosee i was told that it resolved on its own 🙏🏼

[@nasrinkhan219]

Hi Sam,s ! Could I please know your full name so that I can include your lectures in my quality Assurannce portfolio

[@ayyotube5224]

On my ultrasound both at 12 weeks and 20 weeks normal, but blood test abnormal for Trisomy 21...😢😢😢

[@DrSamsImagingLibrary]

I'm sorry to hear about that. Please keep in touch with your doctors for further monitoring and evaluation.

[@ayyotube5224]

@DrSamsImagingLibrary they said they have to do more testing. I am not interested. I am just going to wait until I give birth. I don't accept what they said as truth. Not my blood they tested I will give birth to healthy baby.

[@ayyotube5224]

@@DrSamsImagingLibrary thank you for replying 🙏

[@DrSamsImagingLibrary]

Most Welcome and Best Wishes!

[@sathyanatraj27]

Hi dr, i did my 5th month scan,in that report right intracardiac echogenic focus is noted and all previous report are normal.this only said now,is it serious issue dr

[@DrSamsImagingLibrary]

Hello. This finding does not directly indicate a chromosomal abnormality, especially if previous scans were normal. It can also be seen in normal cases. Further monitoring on ultrasound is required. If you have any concerns, please consult with your doctor. Best Wishes!

[@sathyanatraj27]

Dr said to take fetal echo scan after 3 weeks

[@sathyanatraj27]

Thanks for your reply dr

[@DrSamsImagingLibrary]

Okay. Most Welcome!

[@LaS88709]

What if there is one soft marker (absent nasal bone) at 23 weeks all blood work came back great and low risk for DS in two testing. Baby looks healthy ( body and brain) only thing that is missing is nasal bone. Dr noted I do not have a prominent nasal bone like herself and my husband. my husband and I are both west African and she stated that it is common that sometimes the nasal bone can be absent or delayed. My question is should I consider the amniocentesis testing or wait it out? is this a huge indication of possible down syndrome?

[@DrSamsImagingLibrary]

Hello! Based on ethnicity, the nasal bone may be small and hence may not have been visualized on ultrasound. If the blood tests indicated a low risk for Down syndrome and other chromosomal abnormalities, this is reassuring. Amniocentesis is the definitive test for diagnosing chromosomal abnormalities, including Down syndrome. It involves taking a sample of amniotic fluid and has a very high accuracy rate. However, it is an invasive procedure and carries a small risk of complications, such as miscarriage. Based on the results of the tests, there is no need to go for Amniocentesis but it important to discuss this with your doctor since you are under their care. Best Wishes!

[@LaS88709]

@@DrSamsImagingLibrary Thank you so much! These are the most reassuring and comforting comments I have heard. I also decided to go for a 3D/4D ultrasound and the baby looked normal. Even though that does not mean much from a diagnostic point of view. It was very reassuring to see the baby's face- more so the nose looked normal. I will consult with my doctor further and keep you updated. Thank you!

[@DrSamsImagingLibrary]

Most Welcome and best wishes!

[@aswathisnair4442]

Hello i would like to know avout your results if you are okay with it.. Iam going through the same situation.. But mine and husbands nose is almost prominent only.

[@LaS88709]

@@aswathisnair4442 Hello! Hope all is well. Of course, I can share. I am a woman first and if I can help another I absolutely will. So far my results are the same. No DS and genetic testing showed no abnormalities. Currently, the baby is not here yet. I continue to see my anatomy doctor due to the fact of this one factor. The Dr. can monitor the baby’s growth. Everything looks great. There’s nothing else wrong with the baby. My OB did question why I was still seeing her since there is nothing else. But honestly, I like the anatomy Dr, and her machines are a lot more advanced compared to my OBs. I did speak to a lot of other moms on other platforms ( baby apps- Wemoms, Baby Center) they have such wonderful communities of women who have also had similar experiences and showed pictures of their ultrasound, their baby pictures as a newborn, and a few months after. That gave me hope because I could see a visual perspective. I’m just waiting for the delivery because at the end of the day, an ultrasound is just an ultrasound and as much as technology and science have advanced it doesn’t equate to physical truth when the babies are actually here for further testing. As mentioned before, I did testing for Down syndrome and was low risk, so I am praying for a healthy baby. As mentioned previously, my nose is not as prominent I have more cute little nose that is not wide and does not take over my central face. In other words, if you were to look at my profile, you would be able to pretty much be able to see parts of my other eyes or across my face. It’s pretty flat in the center of my face I don’t really have that bridge versus my husband who does. I can only see one eye on his profile. The doctor on this platform, my doctor, and other moms who were of non-Caucasian ethnicities stated that is very common for African descent, Asian, and other ethnic groups to have an absent/ short nasal bone. If it were uncommon then I would be more uneasy. If I were you, I would pay attention to what your doctor saying, and ask for other soft/ hard markers for abnormalities. If your doctor is saying things that my doctor is saying, like the baby's brain, kidney, lungs, liver, back of neck, hands, feet, face, and heart is well, then just continue to pray and wait for delivery. That’s the only other option outside of the non-invasive testing. Please keep me posted. How far along are you in your pregnancy and what exactly did your doctor say? Praying for you and your baby! 🙏🏾

[@manjulamanju7806]

No nuchal thickening seen meaning plss

[@DrSamsImagingLibrary]

It is normal if the there is no increased nuchal thickening seen

[@manjulamanju7806]

Normal or abnormal

[@iamsuperyann]

Hello. I am 22wks2days today. Nuchal thickness is at 0.7cm but all other scans are normal. Nasal bone is 0.7cm. What does this indicate about my baby?

[@DrSamsImagingLibrary]

If your overall report is normal then it should not be of concern. Best Wishes!

[@iamsuperyann]

@@DrSamsImagingLibrary thank you dr sam! Is there any risk with having a nuchal fold of 0.7cm?

[@DrSamsImagingLibrary]

@@iamsuperyannIt slightly increases the risk of having Down Syndrome but it is not a definitive diagnosis. Best Wishes!

[@arnelganub5379]

Hello i am 20 wks pregnant and the fetal heartbet of baby is 109 bmp ...is there possibility that the heartbet become normal?

[@DrSamsImagingLibrary]

Fetal heart rate is low. This indicates fetal bradycardia. Has this heart rate always been low? Your doctor will closely monitor the heart rate on further scans. Please consult with your doctor regarding this

[@NiranjanKumarsps]

How many chances of down syndrome.in case of nuchal fold slide thicker in 18 to 22 week .

[@DrSamsImagingLibrary]

How much is the nuchal fold thickness?

[@NiranjanKumarsps]

6.5

[@ismayatisutawi3706]

How to solve down syndrome 19 weeks pregnancy, please 🙏 your answers is very helpful

[@DrSamsImagingLibrary]

Are you asking about treatment of Down Syndrome?

[@ismayatisutawi3706]

Yes

[@DrSamsImagingLibrary]

@@ismayatisutawi3706 I'm sorry to say but Down Syndrome cannot be cured. However, various therapies and interventions are available which can help the child lead a healthy and fulfilling life. Best Wishes!

[@MubikaAlvina]

Am so so stressed, was told am at high risk of having a DS child , cnt even concetrate somebody help me

[@DrSamsImagingLibrary]

I'm sorry to heat that. Did your doctor advise NIPT test?

[@shahanakhan6172]

Hello dr. i hve 13 weeks pregnant and my baby nasal bone 2.1 its all right. Everything is ok

[@DrSamsImagingLibrary]

Hello. Yes, it is normal.

[@natashanurmumu1502]

Hello.. my nt scan report was totally normal but at my 20 weeks scan my baby had- Echogenic intracardiac focus in fetus And mild fluid on kidney But all other structures are totally fine is it indicate ds? 😢

[@DrSamsImagingLibrary]

Hello! These features increase the risk of Down Syndrome, but they do not directly indicate that the baby will have Down Syndrome. That is why they are called soft markers. A normal NT is reassuring and a good sign. Your doctor may advise you some tests to evaluate Down Syndrome. Best Wishes!

[@natashanurmumu1502]

@@DrSamsImagingLibrary dr told me to do nipt test .. waiting for the results hope everything will be good 😓

[@natashanurmumu1502]

@@DrSamsImagingLibrary dr told me to do nipt test .. waiting for the results hope everything will be good 😓

[@DrSamsImagingLibrary]

Best Wishes!

[@natashanurmumu1502]

My report came alhamdulliah its came out negative.. thanks for ur support..

[@jasminebari9961]

Thanks for sharing

[@DrSamsImagingLibrary]

Most Welcome!

[@aronlelenora9572]

❤❤❤❤

[@NiranjanKumarsps]

My nuchal fold thickness is 6mm in 24 week pregnancy. It is normal. Please reply me 🙏

[@DrSamsImagingLibrary]

Hello. Nuchal fold thickness of 6mm is considered normal for 24 weeks.

[@NiranjanKumarsps]

Dr. suggest nipt test. For down syndrome.

[@NiranjanKumarsps]

Nipt report low risk

[@mariamatouray3945]

@@DrSamsImagingLibrary how about 20 weeks?

[@dikshan2409]

Hello sir mera nt 2.1 h 9week pe kya ye normal h ya abnormal h sir please reply

[@DrSamsImagingLibrary]

Hello. A nuchal transluceny thickness of 2.1mm is considered normal

[@tamannaakther4340]

My nt is 2.7 12 weeks scan ...is It ok ?

[@DrSamsImagingLibrary]

It is slightly above normal and may increase the risk of Down Syndrome, but it is not a definitive diagnosis. Best Wishes!

[@talithaisabellemelgar3432]

Hi what does 6.8mm thick nuchal fold? Does it mean DS?

[@DrSamsImagingLibrary]

A nuchal fold thickness of 6.8mm may indicate an increased risk of having Down Syndrome, but it does not mean that the baby has Down Syndrome. An abnormally thick nuchal fold alone cannot diagnose a Down Syndrome. Further evaluation is needed. Best Wishes!

[@SalimAnsari-tr8pq]

Hii sir..my nuchal fold thickness is 6.8mm in 17 weeks pregnancy. It is normal. Please reply me 🙏

[@DrSamsImagingLibrary]

Hello. It is enlarged, are there any other abnormalities seen in your report?

[@SalimAnsari-tr8pq]

Thanks for ur guidance sir. Quadrupole marker test mei sare parameters 'screening negative' aaya hai ye kitna accurate hota hai..? 🙏

[@DrSamsImagingLibrary]

@@SalimAnsari-tr8pq It is a very accurate test. Screening negative means there is very low chance of having chromosomal abnormalities. It is a good sign. Most Welcome!

[@SalimAnsari-tr8pq]

Thank you so much for your kind information 🙏

[@amazingsatisfyingvideos2189]

Hi 5month scan report placenta position Anterior wall upper segment grade 1maturity, fhr 154, plz baby gender

[@DrSamsImagingLibrary]

This report cannot determine gender

[@amazingsatisfyingvideos2189]

Scan report will be sent. Pls contact number?

[@DrSamsImagingLibrary]

Hello. It will not be possible to determine the gender from that report. Thank you

[@bellagameela]

Greetings doctor. I'm 36 weeks 5 days pregnant, and my baby's FL is 67 mm. NT scan was done at week 13th and the result was normal (0.15 mm). Is there still a risk of my baby having DS because of this FL finding? Thanks for your opinion doctor 🙏

[@DrSamsImagingLibrary]

Greetings! The FL value is within normal range. These findings do not suggest Down Syndrome. If you have any concerns, please consult with your doctor. Best Wishes!

[@bellagameela]

@@DrSamsImagingLibrary Thank you for you reply doctor. My obstetrician recently said that my baby's FL is 2 weeks behind my gestational age and there's a possibility of DS. Your opinion ease me & my husband's mind. Thank you so much 🙏

[@SaeedHafiz-g4l]

❤❤❤❤😊😊😊

[@aneetkumar9969]

Hello sir

[@DrSamsImagingLibrary]

Hello

[@aiswaryakunnath1881]

My age 28, NT= 2.9 N.B = 1.4, Tricuspid Valve regurgitation Is this normal ? Gave sample for NIPT

[@DrSamsImagingLibrary]

Hello. NT is slightly higher. The nasal bone (N.B) measurement is normal. Mild tricuspid valve regurgitation can be seen in normal pregnancies, but it may also be associated with an increased risk of chromosomal abnormalities and heart defects, especially when combined with other markers like increased NT. The NIPT results will provide more details. Further assessment is required. Best Wishes!

[@GooseGoesse]

I just had an ultrasound performed. My baby boy popped up with a possible AV Canal Defect or one hole in the heart and a possible Distal Duodenal Atresia defect. My baby's femur is in the 2.5 percentile and the humerus is in the less than 5 percentile. Everything else appears normal/healthy. I'm waiting on the results of genetic testing. What are the odds of my baby having Down's Syndrome??

[@DrSamsImagingLibrary]

The conditions you've described, such as an atrioventricular (AV) canal defect, distal duodenal atresia, and smaller measurements for the femur and humerus, can be associated with Down syndrome. The combination of these findings does increase the likelihood of Down syndrome, but it's important to remember that ultrasound findings are only part of the picture. The definitive diagnosis of Down syndrome or any chromosomal abnormality is through genetic testing, such as karyotyping or non-invasive prenatal testing (NIPT), which can provide a more conclusive answer.

[@artisharma5257]

Hloo Dr.

[@elisaneves5392]

Elisa

[@chaarnado6648]

Hi. In my 25 weeks ultrasound I just found out that 0.66cm and isolated increased nuchal fold in my unborn baby but the sonologist didn’t told me about it that my baby will be having a 3.2% fo have a down syndrome. I am very loss and cried everyday cause I don’t know if it is really accurate cause the result said it has 75% accuracy rate to have DS and my obgyn told me yesterday that nothing to worry much cause when the baby comes out they will observe it and in my 28 weeks now I am so worried cause they do nothing like to get me a another test for a down syndrome. Is there anything I can be worry for when its 3.2% to have a baby with ds? Please notice me Sir cause I am very lost as of the moment. 😭

[@DrSamsImagingLibrary]

Hi! I'm very sorry to hear what you are going through. Was the nuchal translucency increased during 11-13 weeks scan? Or is it the first time the nuchal thickness has come out increased?

[@aswathisnair4442]

Hello.. How are you and bab now?

[@DrSamsImagingLibrary]

@@TNPSCMasterClub These findings are good signs, it should be fine. Just have reqular follow up as advised by your doctor. Best Wishes!

[@merinjoseph5947]

Hai , in my 12 week scanning the NT was 1.2mm which i think is normal but in my 19 week scanning NF is 6.6mm which high remaining all the parts normal and in my scanning report it is return no fetal abnormalities identified should i worry about it … please reply….

[@shahanakhan6172]

Plzz reply dr nd let me know..i hope u will reply me.

[@pattontheapplegamer5437]

Please change the title and remove "normal" it's very offensive.