Hospital ID Last Name First Name Age Parity LMP Scan ID
1999766 Kimura Kayo 35 1/20/01 40749
Referring Provider ID Referring Provider Name Referred from Referral Date
Ultrasound 5/10/01
Scan Date Scan # Type of Scan Scan Trimester Scan Modality
Thursday, May 10, 2001 1 of 1 Limited Second Abdominal
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LMP: 01/20/01 GA: 15.7 weeks EDC: 10/27/01
Ultrasound: GA: 14.6 weeks EDC: 11/04/2001
Fetal Biometry Additional Biometry
Fetal Biometry: GA
BPD: 2.78 cm 15.0 wks
HC: 9.83 cm 14.6 wks
AC: 7.83 cm 14.3 wks
FL 1.51 cm 14.5 wks
Set EFW by: HC, AC, FL
EFW = 119 grams
FL/AC: 19.3%
FL/BPD: 54.3%
HC/AC: 1.26%
Normal EFW Range:
10% 90%
652 -3,387 grams
EWF Percentile = 0 %
GA by Current US = 14.6 wks
General Assessment
Fetal Presentation: Breech
Placental Grade: Grade 1
Placental Location: Low Lying
Fetal Cardiac Activity: observed
Amniotic Fluid Index:
Impression/Comments
VIABLE SINGLETON IUP=14WKS4D. FH CHECKED. F/U ANATOMY AT 2OWKS.
US Technician: Mr Roy Somnath, CDMS
MFM Physician: FREDERICK GONZALEZ, MD
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Sam Sloan