Findings:
Uterus: There are two distinct gestational sacs, each containing a yolk sac and fetus. Fetus A crown-rump length is 3.5 cm, consistent with a gestation of 10 weeks, 3 days. Heart rate of fetus A is 169 bpm. Fetus B crown-rump length is 3.3 cm, consistent with a gestation of 10 weeks, 2 days. Fetus B heart rate is 169 bpm. There is a perigestational hemorrhage present measuring up to 3.2 x 1.2 cm; this is just adjacent to the cervical os, and a small amount of fluid is seen within the internal os.

Right ovary: The right ovary measures 3.6 x 2.4 x 2 cm. The ovary demonstrates a normal
architecture. There is positive vascular flow.

Left ovary: The left ovary measures 2.3 x 1.6 x 0.6 cm. The ovary demonstrates a normal
architecture. There is positive vascular flow.

No evidence of an adnexal mass.

No significant free fluid in the pelvis.

Impression:
Live twin pregnancy, as above. Two distinct gestational sacs are visualized.

Perigestational hemorrhage just adjacent to the cervical os with small amount of fluid
seen within the internal os.

Recommendations:
For your training purposes, recommendations are not included in this report.