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2-wpl-22907-22.doc

3. The pregnancy is almost 31 weeks. The opinion of the expert Committee at Sir J.J. Group of Hospitals, Mumbai reads thus:

COMMITTEE OPINION:-

"After careful examination and study of ultra-sonography reports with 30 week of gestation, it is confirmed that the fetus has bilateral club feet, echogenic focus in the left ventricle and mild placentomegaly.

1. Bilateral club feet

2. Expansion of fourth ventricle in the cisterna magna resulting in key hole appearance

3. Blake's pouch cyst

4. Echogenic intracardiac focus in left ventricle of fetal heart

5. Asymmetrical enlargement of left lateral ventricle

6. Mild Placentomegaly After detection of fetal sonographic abnormalities, amniocentesis was performed on 03/06/2022 performed at Centre For Genetic Health Care, Bandra West and amniotic fluid sample was sent for microarray to Medgenome Labs Ltd. The microarray was reported as arr [GRCh 37] 6q22.1q27x3 and 7q36.3 x 1 indicating partial trisomy of 6q22-q27 segment (due to large 54.9 Mb duplication) and partial monosomy 7q36 (due to 2.4 Mb deletion).