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Pregnancy 35+ Community

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Mild hydronephrosis at 34 wks, echogenic focus on heart

by my2girls2007, Sep 17, 2007 05:21PM
I am currently 35wks3days pregnant and just had my 35th birthday a month ago.  This is our second pregnancy, the first resulting in a beautiful healthy girl who is now 27 months old (after 6 years of ideopathic infertility and no ART!).

We had a normal ultrasound at 10 weeks.  At 19 weeks there was an isolated echogenic focus on the left ventricle but no other abnormal finding.  My triple screen came back at 1:4910 for Trisomy 21 so my doctor was not worried (of course we were and still are, but after 6 years of infertility we are not willing to risk a procedure-related miscarriage from amniocentesis).  I had a follow-up scan at 24 weeks where the focus was still visible and the placenta appeared to be somewhat low-lying, but otherwise things looked normal and healthy.  I had a further scan at 34 weeks to make sure the placenta was not low-lying (and it's not), but now the left kidney appears to have mild hydrnephrosis (measures at 6 mm).  Amniotc fluid level has always been normal.

My question is, is this considered a second soft marker for Trisomy 21, or again a normal variant?  Thanks in advance for any input you might have!
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