Presentation
Routine pregnancy ultrasound
Patient Data
Age: 20 years
Gender: Female
From the case:
Echogenic fetal cardiac focus
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Anomaly ultrasound of a 21-week fetus. Ultrasound cine clip shows a unilateral intraventricular echogenic focus in a normal 4-chamber fetal heart.
No fetal anomaly was observed during the study.
Case Discussion
The presence of an echogenic intracardiac focus in an otherwise normal fetus typically requires no further follow-up.
In high-risk pregnancies, it is associated with an increased incidence of aneuploidy and is classified as a soft marker. The presence of multiple or bilateral (more than one chamber) echogenic foci is considered to increase the risk.