Hi! How are u.. I am 26 weeks and 5 days pregnant. On our 20 week ultrasound they found a small white spot on the heart. On the 26 week ultrasound they found that the spot was a little smaller however there was some fluid around the heart as well as a slight echogenic bowel. The quad screen and the fetal cell free DNA maternity21 test all were clear. What should we do and what are we likely facing?
Hi there,,The cell free Fetal DNA being clear for Downs is a very good sign. it is almost certain that your baby does not have Downs syndrome which is one of the first things to rule when ultrasound shows the soft markers you have described.White spot or echogenic focus in heart is not  a very significant finding and not considered as a indication for further testing.The echogenic bowel though could be an indication of various conditions, like cystic fibrosis, Intra uterine growth retardation, viral infection.Do you or your husband have any family history of cystic fibrosis?Regular growth scans to see the growth parameters of this baby will be required through the remainder of your pregnancy.Maternal blood to rule out TORCH infections, and Parvo virus B 19 is also required.For the fluid around fetal heart please get a fetal 2D echo done to rule out any significant heart abnormality.Hope this helps.Regards.