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    • #21533
      Katrina Matras

      Good day
      I found this echogenic focus towards the apex and it appears to be in the septum not in any of the ventricles.

      Any ideas of what it can be?


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    • #21548
      Stephen Bird

      Hi Katrina,

      Lovely to hear form you,

      What is the gestational age of this scan?

      It is certainly an echogenic focus within the septum / right ventricle.

      It is a little more towards the apex than the typical position for an echogenic focus however I do see them in this position occasionally.

      I don’t really think it is likely to be a significant finding.

      The importance of echogenic foci in the heart as a soft marker for aneuploid has diminished over the years.

      It could be noted and a follow up scan could be organised.

      A differential would be a cardiac myxoma, however I think this is highly unlikely.

      Most of these echogenic foci are associated with the valve attachment apparatus and are of no significance.

      Was it mobile during the cardiac cycle?


      • #22156
        Katrina Matras

        Hi Stephen
        Thanks for the reply.
        Gestational Age was 21weeks and was not mobile at all. I will keep you posted if there is any significant changes with the follow-up scan.

        Kind Regards

    • #22161
      Stephen Bird

      Thanks Katrina,

      I am looking forward to your follow up,


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