25-year-old female. Fetus with multiple cardiac anomalies. Evaluate spleen. Cardiac anomalies on fetal ultrasound, including dextrocardia. PELVIS:UTERUS, ADNEXA: Single intrauterine pregnancy is identified in vertex position. The placenta is posterior near the fundus without evidence of placenta previa or increta/percreta.The cardiac apex is on the right side of the fetus, compatible with dextrocardia, with the liver on the same right-side. A gallbladder is noted. The stomach is on the left side of the abdomen. No spleen is identified. No body wall defect is evident. There appears to be malpositioning of the bowel suggestive of malrotation. Fluid-filled bladder is noted. Bilateral kidneys are noted. A triple vessel cord is present. This study was not performed for detailed assessment of the neural axis, which is unremarkable.Bilateral adnexa are noted with numerous follicles. No surrounding fluid.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No hydroureteronephrosis.
Given the stated history of cardiac abnormalities including dextrocardia, there are findings compatible with heterotaxy syndrome, specifically asplenia. Suspected bowel malrotation.