USG Anomaly Scan (Level 2) in Bihar
Detailed fetal anomaly ultrasound at JP Diagnostic performed at 18-22 weeks. Systematic evaluation of fetal brain, heart, spine, limbs, face, and abdomen — the most important scan during pregnancy across Patna, Gaya & Muzaffarpur.
What is the Anomaly Scan (Level 2)?
A comprehensive, systematic ultrasound examination performed between 18 and 22 weeks of gestation to evaluate fetal anatomy, detect major structural abnormalities, and confirm normal development of all organ systems.
Brain & Spine
Evaluates cerebral ventricles, cerebellum, corpus callosum, skull shape, and spine integrity. Detects spina bifida, anencephaly, and hydrocephalus.
Heart & Chest
Assesses four-chamber view, outflow tracts, heart rate, and rhythm. Evaluates lungs and diaphragm for congenital diaphragmatic hernia.
Limbs & Face
Counts fingers and toes, evaluates long bones, assesses facial profile, cleft lip/palate, and orbits. Detects skeletal dysplasias.
When Do You Need an Anomaly Scan?
Every pregnancy should have a Level 2 scan. Additional indications increase its importance.
Universal Screening
- All pregnancies at 18-22 weeks
- First pregnancy (primigravida)
- Advanced maternal age (>35 years)
- Family history of congenital anomalies
- Previous pregnancy with anomaly
- Consanguineous marriage
Risk Factors
- Abnormal first trimester screening (NT)
- Abnormal double/triple/quadruple marker
- Maternal diabetes or phenylketonuria
- Teratogen exposure (drugs, radiation, infections)
- Multiple pregnancy (twins/triplets)
- Polyhydramnios or oligohydramnios
Genetic & Chromosomal
- Suspected Down syndrome (soft markers)
- Edwards or Patau syndrome screening
- Turner syndrome features
- Known chromosomal abnormality carrier
- Previous child with genetic disorder
Follow-up Indications
- Abnormal routine scan findings
- Fetal echocardiography referral
- Amniocentesis result correlation
- Fetal MRI planning
- Pre-surgical planning for fetal anomalies
Level 2 vs Level 1 vs Level 3
Understanding the hierarchy of fetal ultrasound examinations.
| Feature | Level 1 (Routine) | Level 2 (Anomaly) | Level 3 (Specialized) |
|---|---|---|---|
| Timing | Any gestational age | 18-22 weeks | Any (specialized referral) |
| Anatomy Survey | ✕ Basic | ✓ Comprehensive | ✓ Targeted |
| Heart Evaluation | ✕ Four-chamber only | ✓ Outflow tracts | ✓ Fetal Echo |
| Duration | 20-30 minutes | 45-60 minutes | 60-90 minutes |
| Cost in Bihar | ₹800 – ₹1,200 | ₹1,500 – ₹2,500 | ₹3,000 – ₹5,000 |
| Operator | Sonographer | Experienced Radiologist | Fetal Medicine Specialist |
Level 2 is the most important scan of pregnancy — detecting 60-70% of major structural anomalies at a stage when management options are available.
The Procedure
What to expect during your Anomaly Scan at JP Diagnostic. Total time: 45 to 60 minutes.
Check-in & Counseling
Bring your antenatal card, all previous scan reports, and screening test results. Our fetal medicine radiologist explains the systematic examination process and obtains informed consent.
Detailed Anatomical Survey
The sonographer systematically examines: fetal head (brain structures, skull), face (profile, lips, orbits), spine (vertebrae, skin line), heart (four chambers, outflow tracts), chest (lungs, diaphragm), abdomen (stomach, kidneys, bladder, cord insertion), and limbs (arms, legs, hands, feet). Fetal position, placenta, and amniotic fluid are also assessed.
Post-Scan & Report
Images are reviewed by the radiologist. A detailed report documents all structures examined, measurements, and any findings. You receive printed images and a comprehensive report. If abnormalities are detected, counseling and referral options are discussed.
How to Prepare
Proper preparation ensures optimal visualization of all fetal structures during this critical examination.
✅ Do’s
- Schedule between 18-22 weeks (ideal window)
- Bring all previous ultrasound and blood test reports
- Bring your antenatal card and vaccination records
- Wear loose, comfortable two-piece clothing
- Have a light meal before (not too full, not fasting)
- Bring your partner for support
❌ Don’ts
- Do not schedule before 18 weeks (structures too small)
- Do not apply oils or lotions on the abdomen
- Do not skip this scan (most important of pregnancy)
- Do not expect gender disclosure (illegal under PCPNDT)
- Do not come without previous reports
Special Cases
| Condition | Required Preparation |
|---|---|
| Multiple Pregnancy | Longer appointment (60-75 min); chorionicity confirmation needed |
| Obese Patients | Early morning appointment; TVS may supplement TAS |
| Previous Anomaly | Bring all previous pregnancy records and genetic counseling notes |
| Increased NT | Bring NT scan report; detailed cardiac evaluation emphasized |
| Poor Fetal Position | May need walk, wait, or return same day for complete views |
Duration & Report Timing
The Level 2 scan requires more time than routine scans due to its comprehensive nature.
| Scan Type | Duration |
|---|---|
| Anomaly Scan (Singleton) | 45 – 60 minutes |
| Anomaly Scan (Twins) | 60 – 75 minutes |
| Anomaly Scan + Fetal Echo | 60 – 90 minutes |
| Re-scan for Poor Position | 20 – 30 minutes |
| Level 3 (Targeted) | 60 – 90 minutes |
Safety & Risks
Level 2 ultrasound is completely safe for mother and fetus when performed by qualified professionals.
- Zero radiation exposure
- No known harmful effects on fetus
- Used worldwide for over 50 years
- Non-invasive and painless
- Safe for extended examination time
- Long scan may cause mild maternal back discomfort
- Pressure on abdomen may be uncomfortable
- Fetal position may require repeat visit
- Emotional stress if abnormalities found
- Detects 60-70% of major anomalies (not 100%)
- Subtle heart defects may be missed
- Brain anomalies may be subtle
- Some anomalies manifest after 22 weeks
- Genetic abnormalities without structural changes missed
⚠️ Legal Notice: Prenatal sex determination is strictly prohibited under the PCPNDT Act. JP Diagnostic complies fully with all legal requirements. We do not disclose fetal gender under any circumstances.
Frequently Asked Questions
Everything you need to know about Anomaly Scan in Bihar.
Transparent Pricing
No hidden charges. Quality diagnostics at honest prices.
| Test Type | Market Price (Bihar) | JP Diagnostic Price |
|---|---|---|
| Anomaly Scan (Level 2) | ₹2,000 – ₹3,000 | ₹1,500* |
| Anomaly Scan + Fetal Echo | ₹3,500 – ₹5,000 | ₹3,000* |
| Level 3 (Targeted) | ₹4,000 – ₹6,000 | ₹3,500* |
| Re-scan for Poor Position | ₹800 – ₹1,200 | ₹600* |
*Prices indicative. Call for current rates and packages. EMI available.
Related Tests
Your obstetrician may recommend these additional diagnostics.
NT Scan
First trimester screening
Explore →
Fetal Echocardiography
Detailed fetal heart scan
Explore →
Amniocentesis
Genetic testing
Explore →
Fetal MRI
Advanced fetal brain imaging
Explore →
Expert Opinions
Why do fetal medicine specialists emphasize the Anomaly scan?
The 18-22 week anomaly scan is the single most important ultrasound in pregnancy. It is our best opportunity to detect major structural defects like spina bifida, heart defects, and limb anomalies at a stage when parents have time for genetic counseling, fetal intervention, or delivery planning.
In our practice, we insist that every patient undergoes a systematic Level 2 scan regardless of age or risk status. Many anomalies occur in low-risk pregnancies. Early detection through this scan has transformed our ability to offer timely interventions and improve neonatal outcomes.
Book Your Anomaly Scan Today
📞 Phone: 9006677776
🕐 USG: Mon–Sat: 9:00 AM – 7:00 PM | Sun: 10:00 AM – 1:00 PM
🕐 Mammography: Mon–Sun: 9:00 AM – 5:00 PM
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🌐 Website: jpdiagnostic.com