Normal anatomy scan
Routine anatomy scan
EDD by earliest ultrasound at [ ] weeks: [ ]
Gestational age: [ ] weeks [ ] days ±  days.
Biparietal diameter (BPD) [ ] mm
Head circumference (HC) [ ] mm
Abdominal circumference (AC) [ ] mm
Femur length (FL) [ ] mm
Nuchal fold [ ] mm.
Cardiac activity present
Normal fetal movements
Amniotic fluid: normal
Cord: 3 vessels
Placenta: [anterior/posterior/fundal], [not low lying].
The following were visualised and appear normal:
Head, brain, face, spine, heart (4Ch view and great vessels), diaphragm, stomach, abdominal wall, kidneys and bladder, limbs.
No maternal adnexal abnormality.
Normal anatomy scan.
Incomplete anatomy scan
Incomplete anatomy scan.
Visualisation of the fetal [ ] was limited by [fetal position/maternal habitus, etc]. A follow‑up scan has been arranged for [date].
Technically difficult but grossly normal scan
Technically difficult scan due to [maternal habitus, etc]. Allowing for this, no fetal anomaly has been identified.
Normal fetal anatomy.
The placenta is low lying. The lower placental margin is [ ] mm from the internal cervical os. A follow-up scan is recommended at 32 weeks.
Unfortunately, appearances today are those of a fetal demise at [ ] weeks, [ ] days by [measurements]. [Woman’s name] is aware, and the results have been telephoned to [referrer’s name]. (Please document other relevant findings such as fetal anomaly.)
Cervical length screening (in a high-risk woman)
The cervix measures [ ] mm and appears normal without funnelling.
The cervix is short, measuring [ ] mm, without evidence of funnelling. Follow-up scan and specialist opinion is recommended.
The cervix is short, measuring [ ] mm, with funnelling. Results have been telephoned to [referrer’s name].
The cervix is completely open, with membranes bulging into the lower cervix/vagina. Results have been telephoned to [referrer’s name].
There is [right/left/bilateral] renal pelvic dilatation, [with/without] peripheral calyceal dilatation (Grade A1/A2/A3). A follow-up scan is recommended at 32 weeks.
See Appendix 7: Fetal renal tract dilation charts.
Monochorionic-diamniotic twin pregnancy
Monochorionic-diamniotic twin pregnancy, [ ] weeks, [ ] days by [earliest scan]. Fortnightly scans to screen for twin-twin transfusion syndrome are recommended from 16 weeks.
Isolated muscular VSD
Isolated muscular VSD, [ ] mm. Specialist review and detailed fetal echocardiogram is recommended.
Isolated peri-membranous VSD
Isolated peri-membranous VSD, [ ] mm. Specialist review and detailed fetal echocardiogram is recommended.