ad. 15. What is hyperechogenic intracardiac focus in a fetal heart?

Echogenic intracardiac focus (also called hyperechogenic or a bright “spot”) is a rather common ultrasound image occurring in ab. 3% of healthy fetuses. It is not a heart defect or a calcification. This image comes from reflection of ultrasounds from a rough surface of chordae tendineae (structures joining valve of the heart with its muscles) and with certain positions of the apparatus transducer it may produce an impression of a small bright nodule. It is a variation of the norm and does not require highly specialized consultations or monitoring.

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