Presentation
Antenatal scan at 22 weeks.
Patient Data
Gender: Female
From the case:
Echogenic intracardiac focus
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Echogenic focus is noted within the fetal left ventricle. Sequential reduction in ultrasound gain shows that this is well and truly "as bright as bone".
Case Discussion
An echogenic intracardiac focus is a soft marker for Down syndrome, but is also seen in 3-5% of normal pregnancies. As an isolated finding in this young patient, the adjusted risk for aneuploidy remains low.