I'm 23 weeks pregnant and recently had my level 2 scan which showed an echogenic focus in the left ventricle. They found another echogenic focus measuring 3.5mm during a fetal echo. I've been trying to conceive for 5 years and finally succeeded with IVF, so I'm really stressed about this. Is this something serious? Can you help me understand what this means?

Dr Dhankecha Dineshbhai

General Practitioner

• MBBS
• 6+ Yrs

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An echogenic focus in the fetal heart is a common finding during pregnancy ultrasounds. In most cases, it is considered a normal variant and not a cause for concern, especially if all other parameters are normal. However, given your history of IVF conception and the size of the echogenic focus at 3.5mm, it is important to monitor it closely. I recommend discussing this finding with your obstetrician. They may suggest further follow-up ultrasounds to track the size and appearance of the echogenic focus. In most cases, no treatment is needed, and it often resolves on its own. Just continue with your regular prenatal care and follow your doctor's recommendations for a healthy pregnancy.

Answered 04/07/2025