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USG early pregnancy report format

For first-trimester scans: intrauterine gestational sac, yolk sac, fetal pole with crown-rump length, cardiac activity and the expected date of delivery by ultrasound.

USG OBSTETRIC (EARLY PREGNANCY)

LMP : __ (GA by LMP __ weeks __ days)

GESTATIONAL SAC : Single intrauterine gestational sac seen. Mean sac diameter __ mm.

YOLK SAC : Seen, normal.

FETAL POLE : Seen. CRL __ mm, corresponding to __ weeks __ days.

CARDIAC ACTIVITY : Present. FHR __ bpm.

ADNEXA : No adnexal mass. No free fluid.

EDD BY USG : __

IMPRESSION : Single live intrauterine pregnancy of __ weeks __ days.

Kindly correlate clinically.

This is a normal-study starting point. Edit it to match your findings and your clinic’s style, and always review before signing.