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Re: Incidental finding of sonolucency and partial abruptionFrom: jworrall@alaska.netSun Jul 12 14:22:12 2009
Dear Candace: There are a few more things that would be very helpful before we attempt to respond to your query. What is your relationship in this clinical situation? Are you the sonographer, the sonologist, the patient's obstetrical provider, the patient, the patient's mother etc? By knowing who you are we will have an idea of how to respond. Are we talking with an ultrasound professional seeking help? Are we talking with an obstetrician trying to understand an ultrasound report? Or are we talking with the patient or her friend or family? Secondly, we will need to know a good deal more about the patient: her age, BMI, gravity and parity, past medical history, past obstetrical history. Does she have chronic kidney disease? Does she have hypertension? If she smokes or did smoke cigarettes, how many per day for how many years? Is there a history of bleeding in this pregnancy? Where was the ultrasound done? Was it done in the obstetrician's office? Was it done in a general radiology department? Was it done in a setting that specializes in prenatal ultrasound? As in all things that humans do, expertise varies greatly in prenatal sonography, and depends on training, experience, specialization, interest, and the academic attitude of the department. Finally, it would be very helpful if you could include digital images of the ultrasound finding. If you are not the sonographer, not the sonologist, and not the obstetrical provider, then it is very likely that the sonologist and obstetrical provider directly involved with this patient's clinical situation are in a far better position to answer your question than any professional on the internet. I shall assume that you are NOT a medical professional involved with this case. I shall also assume that the patient is young, has no significant past medical or obstetrical history, has no significant history of smoking, and does not have hypertension or chronic kidney disease. It is unlikely the sonolucency you describe is of any significance. However, if the sonologist feels that placental abruption is present, that may be of significance and certainly your obstetrical provider should talk to you about that. A placental abruption in an otherwise healthy young patient would be unusual. Placental abruption can be very serious. Sincerely, Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, Alaska, USA -------------------------------------------------- From: "candace" <candacemhall@gmail.com> -------------------------------------------------- Sent: Sunday, July 12, 2009 10:20 AM -------------------------------------------------- To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.obgyn.net> Subject: Incidental finding of sonolucency and partial abruption
> Patient recieved an ultrasound at gestational age of 20 weeks. All
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