A 38 year old woman, G2P1L1, came for an anomaly scan at a gestational age of 19 weeks and four days. The woman was known to have overt . Her HbA1c level in the first trimester was 7.1 %
A detailed anomaly scan showed the following features:
Unossified nasal bone. Single umbilical artery. Perimembranous VSD with overriding of the aorta. Echogenic cardiac focus in the right ventricle. Abnormal 3VT view showing a small pulmonary artery and a large aorta.