ABANTAO M.D. (207) May-20-1985 28 year/s ROOM/BED REFERRING PHYSICIAN DATE/TIME OF EXAM 11 25 2013 05:29 PM OR/CI No. 0135131105284765 DATE OF REQUEST 11 25 2013 02:58 PM SPECIMEN NO. F WOMEN'S HEALTH CARE UNIT VELASCO, Jennifer Benosa CONGENITAL ANOMALY SCAN ULTRASOUND REPORT LMP: 04/09/2014 20weeks 5days 0703/2013 AOG: EDC: 0 P: G: 1 1 Number of Fetus: GENERAL SURVEY: CEPHALIC Presentation FHB= 141 BPM Fetal Heart Rate PLACENTA ANTERIOR, NO PREVIA Location Grade 0 BIOMETRY: 49.2mm (20w 6d) BPD HC 177.5mm (20w 2d) 150.8mm (20w 2d) AC FL 32mm (20w 0d) 20weeks 3days Ave. Ultrasound Age Ultrasound EDD 04/11/2014 338grams +/- 50grams(0 lbs 12oz+/- 2oz) Sonographic EFW DETAILED FETAL ANATOMICAL SURVEY: CAS shows an intact cranium and intracranial structures. Nuchal fold not thickened. Normal facial features with intact lips and palate. No neck mass. Normal spine. Normal 4-chamber heart view with intact outflow tracts. Stomach bubble in the left and below the heart and diaphragm. 3-vessel cord with intact cord insertion. Normal kidneys and urine filled bladder. Well-aligned and complete extremities. LV: 5.4 mm; TCD: 21.5 mm; CM: 4.3 mm; NT: 4.1 mm; Nasal bone: 6.3 mm; CT Ratio:0.41 ; Cardiac axis = less than 45 MA. ZONIA L. LOPEZ, MD, FPOGS, FPSUOG OB-GYN SONOLOGIST This report has been electronically validated. No signature is required. PRINT DATE/TIME: TRANSCRIBED BY: DOCUMENT NO.: 01351113709582 LOPEZ, MARIA ZONIA LEE 11 25 2013 05:59 PM 1 of 2 Page 279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301 1311169861 OPD TALAMPAS, ROSEMINDA ABANTAO M.D. (207) May-20-1985 28 year/s ROOM/BED REFERRING PHYSICIAN DATE/TIME OF EXAM 11 25 2013 05:29 PM OR/CI No. 0135131105284765 DATE OF REQUEST 11 25 2013 02:58 PM SPECIMEN NO. F WOMEN'S HEALTH CARE UNIT VELASCO, Jennifer Benosa IMPRESSION: PREGNANCY UTERINE, 20 WEEKS 2 DAYS AOG BY FETAL BIOMETRY CEPHALIC PRESENTATION, LIVE, SINGLETON ESTIMATED FETAL WEIGHT: 338grams +/- 50grams(0 lbs 12oz+/- 2oz) GOOD CARDIAC ACTIVITY (FHB = 141 BPM) ACTIVE FETAL MOVEMENTS AND BREATHING ADEQUATE AMNIOTIC FLUID VOLUME (SVP = 4.4 CM) PLACENTA ANTERIOR, GRADE 0, NO PREVIA EDD: APRIL 11, 2014 NO OBVIOUS GROSS ANOMALY SEEN AT TIME OF SCAN Ultrasound even in the best of hands can only be a screening tool when it comes to fetal structural anomalies. In worldwide literature, only 70% can be detected by ultrasound. This is due to factors affecting the images available to the sonologist such as maternal abdominal thickness, fetal position, fetal movements and adequacy of amniotic fluid pockets. CJO MA. ZONIA L. LOPEZ, MD, FPOGS, FPSUOG OB-GYN SONOLOGIST This report has been electronically validated. No signature is required. PRINT DATE/TIME: TRANSCRIBED BY: DOCUMENT NO.: 01351113709582 LOPEZ, MARIA ZONIA LEE 11 25 2013 05:59 PM 2 of 2 Page 279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301