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All About Ankle Ultrasound In Case Of Sprain

3D ultrasound is a diagnostic imaging process that uses high-frequency waves to examine injured areas within the body. Although the most frequent use of pregnancy Ultrasound is to observe the development of fetuses in pregnant women, they can also be used to see organs and bones, as in the case of the ankle.

ankle-ultrasound

Contrary to traditional radiographs, ultrasound scans do not require radiation, so patients are not subject to the risks of these tests.

What can be seen on an ankle ultrasound?

Ankle ultrasounds allow doctors a more comprehensive and real-time evaluation of the injured foot. Thanks to 4D ultrasound in Delhi, as it enables you to examine all the anatomical divisions of the ankle, such as the tendons, nerves, bones and ligaments, the most common being the nerves, tendons and ligaments.

What is an ankle ultrasound for?

Let's put yourself in a situation: playing soccer with friends, you twisted your ankle abnormally, and now you feel a sharp pain when you bear weight on that foot. Your ankle may even be swollen or you may have instability when resting on your foot. These are just a few symptoms of an ankle sprain.

Ankle disorders are a relatively common pathology, especially in the world of sports and, although there are numerous methods to examine injuries in this area, such as computed tomography (CT) or MRI Test; ultrasound test is the one that offers the most benefits, especially for the evaluation of tendons, ankle nerves and ligaments.

Types of ankle injuries requiring ultrasound

Ankle ultrasound is particularly useful for evaluating sprains, ankle tendinitis, tears, dislocations or subluxations since it allows you to provide a real-time analysis of the lesion, with the advantage of avoiding exposure to X-rays, which it is highly beneficial for pregnant women and children.

What is the protocol to perform an ankle ultrasound?

If you do not know how to prepare for an ankle ultrasound or if you are nervous about what might happen, don't worry, ankle ultrasounds are a non-invasive protocol that does not require prior preparation.

The doctor at diagnostic labs in Delhi will put on a water-based gel that improves ultrasound wave transmission and gently move the transducer along the foot and ankle with moderate pressure. You may be asked to change your posture to fully analyze the structure of the foot. Visit reputed ultrasound lab and ask for 3d ultrasound cost in Delhi before undergoing any radiological test.

Can you walk with a sprained ankle?

Ankle sprains can be classified into three grades, with grade I being the lowest and grade III being the highest. In the first case, doctors recommend resting, taking non-coagulant anti-inflammatories, applying ice to the injured foot to reduce swelling, and sleeping with a pillow or cushion raising the foot above the heart. Once the inflammation has subsided, you can always walk again wearing comfortable shoes and gradually resuming stronger physical activities, as long as you do not feel discomfort.

If the pain persists or if you have trouble walking, see your doctor. If your injury is grade II, you may need to immobilize the joint with a cast or splint, while if you have a grade III sprain, you may need surgery.

Contribution of ultrasound in ankle examination in case of sprain

There are numerous imaging tests to treat ankle disorders, whether traumatic, inflammatory, infectious, or degenerative. Joint ultrasound of the foot is the first-line technique that helps to detect dislocations of the tendons, ligaments and nerves.

It is important to be able to detect ankle injuries in time to prevent them from degenerating or leading to a more serious problem and, therefore, more difficult to treat.

Mammography, Tomosynthesis and Breast Ultrasound

What is a digital mammogram and what is it for?

The digital tomosynthesis mammography is the most effective study to detect early breast cancer and other diseases of women.

There are different types of mammography, but undoubtedly the digital modality offers more accurate diagnoses and, therefore, patient treatments will be more effective, less aggressive and of a shorter duration.

breast-scan

How is a digital mammogram done?

To perform this test, a specialized technician is in charge of compressing the breast between two transparent plates to take photographs of it from two different angles. This process is repeated with the other breast.

The Hologic mammogram that ultrasound clinic have at Delhi emits minimal radiation, making it the safest technology for studying breast cancer, among other pathologies.

What is breast tomosynthesis?

It is a technology that mixes 2D mammography and PET CT scan in Delhi to obtain much more precise 3D images of the size, location and extent of diseases.

Breast tomosynthesis has some advantages such as allowing less pressure on the breast to take the x-rays, and therefore the chances of discomfort are reduced.

What is a breast ultrasound?

It consists of a non-invasive diagnostic test that, in this case, works as a complementary study to mammography. Images are taken in real time through ultrasound and without any risk to women's health.

In diagnostic labs in Delhi there is one more advantage of having a level 1 ultrasound which is the delivery of results on the spot together with the report of digital mammography and tomosynthesis.

Difference between mammography and breast ultrasound. When is each test done?

In most cases, breast ultrasound test is a complementary study that is performed after mammography to obtain an even more reliable diagnosis.

Mammography is the main tool to detect breast cancer, being an irreplaceable test for breast ultrasound. The second study can be very useful to differentiate between a simple benign cyst or a malignant tumor, and in cases of high breast density.

The ideal is to carry out a digital mammogram with tomosynthesis and followed by a breast 4d ultrasound in Delhi.

What does it mean to have a dense breast?

Dense breasts have less adipose tissue and more non-adipose tissues. These are more prone to breast cancer and at the same time offer greater difficulty in detecting the disease. Therefore, mammography remains the main test, but tomosynthesis and breast ultrasound offer the most effective diagnosis in these cases.One should always ask for breast ultrasound price in Delhi before undergoing any diagnostic test.

Between 20 and 45 years of age: It is the period of more cases of high breast density, decreasing with the arrival of menopause. A doctor's annual breast exam, self-exam, and digital mammography can be great allies.

What is a lump or solid tissue in the chest?

Finding a lump in the chest is always alarming but one should not always expect the worst. There are different types of nodules in the breasts that can be benign or malignant in each case:

Benign

  • Inflammation and normal discomfort associated with the menstrual cycle
  • Fibroadenomas
  • Cysts
  • Mastitis and abscesses
  • Fatty cysts (fatty necrosis breast nodules)
  • Lipomas
  • Adenosis of the breast
  • Intraductal papillomas
  • Phyllodes tumors of the breast (a study is necessary to determine if it is benign or malignant)
  • Ductal ectasia

Evil

  • Inflammatory breast cancer
  • Paget's disease of the nipple
  • Phyllodes tumors
  • Angosarcoma
How Advanced Radiology Paved Way In Cancer Treatment?

Cancer is one of the leading deadly diseases that spread rapidly in our country as well as all over the world. Cancer is increasing, but there are promising new ways to strengthen diagnosis and treatment. Especially when diagnosed at an early stage, full success can be achieved in the treatment of many types of cancer. The share of high-tech devices in this success is huge.

cancer-treatment

Beam Treatment Makes a Smile Face

Radiotherapy is one of the fastest developing areas in the treatment of cancer in recent years. Thanks to targeted irradiation, the tumor can be completely destroyed with high doses of radiation, while critical organs and tissues are protected.

The dose given to the patient is reduced by a third in the truebeam device, which is beneficial in the treatment of all cancers, and this reduces the risk of radiation-induced secondary cancer.

Unlimited Treatment Is Provided

In radiosurgery, where surgical treatment is performed without scalpels, bloodless and rays, advanced technology gammaknife and cyberknife devices come to the fore. With the cyberknife (space scalpel), the first and only robotic radiosurgery system in the world, a spot impulse is imposed on the tumor with precise accuracy. This method, which is used as an alternative to surgery, can eliminate the malignant tumor just like surgery. It gives a hope to patients in tumor treatment that cannot be treated with conventional radiotherapy, require a complex operation or cannot be operated.

With the PET CT scan, the rays are focused focally on the brain and cancerous tissues in high doses. Normal tissues are largely protected from the effects of radiation.

MRI test in East Delhi is used in brain tumors, lung, prostate, head and neck and pancreatic cancers, and fewer metastases that cannot be treated with other methods.

Gamma Knife Is Being The Same Day Disclaimer

From brain tumors tovascular bundle cephalic nodes(smaller than 3.5 cm),both can be treated quickly in a single session.

Normal surrounding brain tissue is preserved. The patients can return home on the same day with gamma knife, which is applied for one session and does not require intensive care with anesthesia.

Breast Cancer Is Determining In An Early Stage

It is now possible to diagnose and treat breast cancer, one of the most common cancer types in women, at the earliest stage. Tomosynthesis mammography, 4d ultrasound in Delhi, vacuum biopsy, and MR-guided biopsy make improvements in the diagnosis and treatment of breast cancer.

Tomosynthesis mammography facilitates the detection of cancer and decreases unnecessary shooting, biopsy and surgery rates by increasing the opportunity to make a correct diagnosis. The nozzle is compressed less than normal mammography, thus providing shooting comfort. In nuclear PET Scan Delhi, no area of the breast is overlooked, and errors due to inexperienced practitioners are minimized.

Tissue Sample In 30 Seconds

Vacuum biopsy is the most advanced needle biopsy method. It is used only for the diagnosis of findings that can be detected in mammography and MRI test labs in Delhi. It stands out as the preferred method in biopsy of suspicious calcifications, which may be the earliest finding of breast cancer. The patient is not treated and does not feel pain. It is possible to take more tissue samples than other methods in about half a minute. Therefore, the chance of correct diagnosis is 97-100 percent.

Digital Mammography: New Technology in Breast Imaging

The most important factor in the treatment of diseases is early diagnosis. Breast cancer is one of the most common types of cancer among women today. Breast cancer, which has become the fearful dream of most women over the age of 35, is a type of cancer that can be diagnosed and treated early.

breast-scan-cost-in-delhi

Mammography helps to show the formation and development of even small tissues and cells that are not noticed when examined by hand. Mammography, one of a kind of imaging systems, helps doctors in the medical world with its life-saving feature in breast cancer.

Women are sensitive to breast cancer, of course, but some types of examinations they perform on their own are not sufficient to understand whether breast cancer has occurred. Generally; they try to decide whether there are any injuries from the skin of the breast, color change, whether there is any ingress of the nipple or noticeable change in the vessels. Know about breast scan cost in Delhi to confirm the presence of tumor under breast.

However, breast cancer is not a disease that can manifest itself as obviously as it is thought. Sometimes it is impossible to notice this with the naked eye, as it provides internal growth. When scanning with mammography, even invisible diseases and cancerous cells can be detected. Experts of diagnostic labs in Delhi warn that all women over the age of 35 must be checked twice a year.

What is mammography?

Thanks to the developments in the modern medical world and the new generation imaging systems developed, breast cancers that were previously untreatable can now be treated. According to the experts' diagnostic test in Delhi reports, 90% of the results obtained in mammography screening can be successful.

Since mammography is an improved imaging method, whether the cancer cell or mass is large or small, it helps to learn the size of the cancer without changing anything. With the imaging method, which provides extremely convenience for early diagnosis, the patient is healed again and continues his life in a healthy way.

What is fibroadenoma?

Approximately 10 percent of women have fibroadenoma. Fibroadenoma is called "benign tumor". These tumors can be seen in women between the ages of 15-30. Fibroadenoma, which begins to grow under the influence of the hormone estrogen, manifests itself mostly during pregnancy. In the period of menopause, this growth leaves its place to shrink. Fibroadenoma, consisting of connective tissue and gland cells, can be single or multiple. Women with a large number of fibroadenomas are more likely to have breast cancer.

Changing the level of hormones in women during pregnancy affects the more prominent Fibroadenomas. During these periods or before menstruation, mild pain or swelling can be observed.

More precise information about the multiplicity of fibroadenomas can be obtained with 4D ultrasound test and PET CT scan

What are the mammography types?

Screening mammography:

Screening mammography is a type of imaging applied to women who do not have any complaints. The purpose of exploring CT scan cost in east Delhi is to diagnose in the early period and to determine the appropriate treatment method before cancer danger or suspicion, if any.
 
Diagnostic mammography:

Diagnostic mammography forwomen who have complaints in the breast is to investigate the causes of the abnormal formations detected in the breast, and suspect cancer if any, and determine the appropriate treatment method. As a result of diagnostic 4D ultrasound in Delhi, it gives the doctor the most accurate information.

Myths And Realities Of Ultrasound, In Pregnancy

First of all, it is very important to understand the way an ultrasound device works.

The ultrasound uses sound waves, which penetrate the tissues of the body, by placing the transducer accompanied by gel as a conductive medium and in this way the sound waves that bounce off the different organs are processed by the ultrasound devices in two-dimensional images.

ultrasound-in-pregnancy

These images will give the doctor information about the size, shape, and texture of the body part, also in the case of pregnancy determine the condition of the baby, listen to his heart, see his movements and if possible observe the sex.

The images are interpreted by radiologists and sonographers, who will inform the patient about the different findings and make the study diagnosis.

An ultrasound scan usually takes 25-30 minutes, but it may take a little longer.

Many people say that ultrasound can cause diseases in the baby, that you don't have to do many because they hurt you and this causes fear and insecurity in your breast. However, Pregnancy Ultrasound can give you and your doctor valuable information about the status of your baby and its correct development.

Since we understood how ultrasound equipment works let's get into the subject of myths and realities.

- MYTH THE ULTRASOUND CAN DAMAGE THE BABY.

* REALITY ultrasound in a simple innocuous and painless technique. It does not involve radiation or exposure, for which it is safe for both the breast and the baby.

-MYTH: NO MORE THAN THREE ULTRASOUNDS MUST BE MADE.

* REALITY: It really depends a lot on the indication of your doctor, and it would have no risk to perform more ultrasounds, you have to keep in mind that the baby's development is constant and that there are risks and complications; such as multiple pregnancies, hypertension (high pressure in the mother), stunted baby growth, gestational diabetes, and bleeding.

- MYTH: THE ULTRASOUND OF THE FIRST QUARTER MUST BE TRANSVAGINAL.

* FACT: Although it is the favourite method by radiologists and sonographers before 12 weeks of pregnancy because it allows a sharper image, abdominal ultrasound can be done without any problem and as an example is the image taken in a baby of only 10 weeks of life.

- MYTH: 4D ULTRASOUND IS BETTER THAN NORMAL (2D).

* REALITY: this is false, most of the diagnoses that are made by ultrasound are made by means of 2D ultrasound or normal call, however, 4d ultrasound in Delhi allows us to see in three dimensions and in addition to the movements in real-time to babies, which allows us to see your body and face.

- MYTH: 4D ULTRASOUND CAN ONLY BE DONE AT THE END OF PREGNANCY.

* FACT: Ultrasound of this type is recommended between weeks 26 and 30 because the baby has the size to assess small details such as the mouth, nose, and fingers are his hands, but if they can be done when the babies are small.

- MYTH: THE ECOGRAPHY DETECTS THE BABY'S ANOMALIES.

* REALITY: true, although only in one part. Ultrasound is a diagnostic tool dependent on the ability and knowledge that the doctor has when conducting the study, this being very important, as well as the quality and resolution of the ultrasound equipment. There are studies that show that the ability to detect anomalies at close to 75%, which means that almost one in every 4 anomalies could go unnoticed.

3d And 4d Ultrasound During Pregnancy

3D -4D- the study of the fetus is an additional research method, which is carried out only simultaneously with an ultrasound of the fetus at different stages of pregnancy!

THE PROCEDURE FOR CONDUCTING THREE-DIMENSIONAL AND FOUR-DIMENSIONAL ULTRASOUND OF THE FETUS

Ultrasound of the fetus in 3D and 4D modes can be performed at any time during pregnancy.

If a specialist in ultrasound diagnostics during the ultrasound of the fetus suspects any deviations in its development, then it is imperative to conduct such an additional construction of a three-dimensional image of one or another part of the fetus of interest.

At the request of future parents, the doctor can build an image of the embryo or the face of the fetus in 3D-4D modes.

Future parents need to know that the most favorable time for successful research in 3D-4D modes is 17-18 weeks, i.e. II trimester (13-24 weeks). Success in building a three-dimensional (four-dimensional) image of the fetus depends on the amount of amniotic fluid and the position of the fetus. In the II trimester, the fetus has not yet reached its maximum size, as in the III trimester; the amount of amniotic fluid is enough to build an image.

Amniotic fluid is the acoustic window for successful imaging, and the desired position of the fetus allows you to get the most complete picture. Not always during the entire study, the fetus takes the right position to build a three-dimensional (four-dimensional) image. In this case, during the next screening, you can try to build the image in 3D-4D modes.

An expert study includes an ultrasound during pregnancy of the appropriate period, in the third trimester with the mandatory Doppler study (blood flow in the mother-placenta-fetus system) with the creation of a 3D image of the fetus in 3D and 4d ultrasound test.

Ultrasound findings include:

Ultrasound diagnosis,

Images of the fetus and a disc with the recording of images and mini-video clips that the expectant mother receives on the day the ultrasound is performed.

FEATURES OF 3D AND 4D ULTRASOUND OF THE FETUS

Three- and four-dimensional ultrasound of the fetus is one of the latest ultrasound diagnostic methods that have emerged using modern computer technology. These studies have expanded the possibilities of an objective assessment of the intrauterine development of the fetus and allow it to obtain a three-dimensional image of the baby on the screen of an ultrasound scanner.

For example, with the usual two-dimensional ultrasound, only a specialist can evaluate the “picture” on the monitor screen, while three-dimensional ultrasound allows parents to see the real “photo” of the baby for the first time.

A four-dimensional study is different in that in addition to the volumetric image acquisition of the child (height, width, and depth of the picture), fetal movements can be seen in real-time. That is, a fourth dimension is added to 3D ultrasound - time, which allows you to observe the intrauterine life of your baby.

Recommended dates

An obligatory screening ultrasound examination during pregnancy is carried out three times: at 11 - 14, 18 - 24 and 32 - 36 weeks. An additional study is prescribed if there is evidence and if there are suspicions of possible abnormalities in the development of the fetus and placenta, amniotic fluid pathology and pregnancy. 3d ultrasound and four-dimensional ultrasound is recommended at 17-18 weeks.

On What Terms Do An Ultrasound During Pregnancy?

During the waiting period for the baby, the fairer sex has to undergo numerous studies and pass a lot of tests. So, before each appointment with a gynecologist, the expectant mother must donate blood and urine for examination. The results obtained permit us to judge the course of pregnancy and the state of health of a woman. In this article, we will discuss about how long an ultrasound scan is done during pregnancy. You will find out the features of this diagnosis. You can also find out the generally accepted terms for an ultrasound during pregnancy.

Ultrasound diagnostics

This type of research has been used for a long time. Every year there is an improvement in inspection methods. So, in modern medical clinics, you can not only go through an ordinary ultrasound scan but also do a study in several planes (3D and 4D).

Ultrasound diagnostics is carried out as follows. During the study, the doctor applies a special sensor to the patient’s body that sends pulses. This ultrasound is reflected from the organs and gives an image on the screen. The patient and the doctor cannot hear the ultrasound, as it has very high frequencies. It is worth noting that the study can be carried out in several ways. In the earliest phases of embryo development, a transvaginal probe is selected. The doctor puts on it a special conductive gel and injects into the vagina. Later pregnancy allows for a transabdominal ultrasound. In this case, a slightly different sensor is selected, which is applied to the stomach of the future mother. Before having ultrasound, you should know 4d ultrasound cost in Delhi.

How many times do an ultrasound during pregnancy and before it occurs?

If a woman only plans to conceive, then the doctor prescribes her a course of examinations called folliculometry. This method allows you to track the growth of the follicle and determine the exact time the egg leaves it. Thanks to this method, the probability of conception increase several times. During folliculometry, a woman is given one to three ultrasound examinations.

With the onset of pregnancy, the expectant mother should visit the ultrasound room as prescribed by the doctor. How many times do an ultrasound in this case? In the normal course of pregnancy, the study is conducted no more than three or four times over the entire period. However, in half the cases, women are forced to undergo this procedure more often. Establishment of the fact of pregnancy: for how long? When can you safely go for an ultrasound to determine the fetal egg in the uterine cavity? What are the terms for an ultrasound during pregnancy in this case?

Establishment of the fact of pregnancy: for how long?

When can you safely go for a 4d ultrasound in Delhi to determine the fetal egg in the uterine cavity? What are the terms for an ultrasound during pregnancy in this case?

You can establish the completed conception starting from the fifth week of pregnancy. However, you will not be able to see the embryo. However, an experienced specialist will detect a formation in the uterine cavity, which will subsequently become your child. At earlier times, there is a chance of error, since some devices cannot recognize such a small point (during this period, the size of the fetal egg is not more than two millimeters).

Is there Any Difference Between 3D Ultrasound and 4D Ultrasound?

Many people wonder what the difference between 3D ultrasound and 4D ultrasounds is! Initially, these techniques based on ultrasound were limited to 2D. Technological advances now allow exploration 3 and 4d. A 3D ultrasound is a scanner that produces a three-dimensional image similar to a photograph, rather than a cross-sectional image obtained in a 2D scan. A 4D scanner is the term of the technique used. A 4D scan means that instead of just getting an image, you get a video. In a 4D scan, the actions of the fetus are visible in real time. In simple terms, a 3D ultrasound is an image, and 4D ultrasounds are videos showing movement.

Is it safe for mother and baby?

The biological effects and the safety of ultrasound techniques have received considerable attention in recent years. Several research articles, textbooks, and institutional documents have been published. The American Institute of Medicine in Ultrasound (AIUM) has stated that significant biological effects have not been independently recorded. Also, no risk has been identified with the use of ultrasound diagnostics in humans.

Do I have to see a doctor before the visit?

Yes of course. You are required to visit a Ultrasound Lab and a medical diagnostic ultrasound of your fetus before visiting the ultrasound center.

What is the best time to have a 4D/3D ultrasound?

It is recommended that you do your 4D/3D ultrasound after 16 weeks. From 16 to 20 weeks is the best time to see the whole body, but the face will not be fully formed. From week 24 the baby's face will be more developed, but it is not easy that the whole body cannot be observed. We will see the different parts of the body in separate sections.

What can I do to maximize my chances of having a clear picture?

The clarity and quality of the images of 4D ultrasounds depend both on the sonographer and on several factors that are beyond the control. These factors include, but are not limited to a percentage of body fat of the pregnant mother, position of the fetus, age, position of the placenta, etc.

To maximize the chances of obtaining good images in 4D the pregnant mother can do three simple things: (1) hydrate, taking infusions during pregnancy, fruit or drinking more (at least three days before your appointment), (2) getting a good night's rest before your appointment, and (3) eating something sweet 10 to 20 minutes before your appointment. Although these things are not going to guarantee a good ultrasound session, the possibilities will increase. Always check with your doctor before taking any of these assessments.

The 4D ultrasound in Delhi are increasingly popular, to the point that most pregnant women get a raise to try to know what their baby before seeing it in person. Anyway, we must also recognize that a large number of couples still do not know what this new technology can offer unique and consider whether the differences between a 3D/4D echo are significant enough to decide to do it.

What is the difference between 4D and 5D ultrasound?

If you are predicting a child and you are looking for information about care and testing, you will have noticed that the new technologies are applied to parenting and education products, and in the case of ultrasound, they are a real revolution. There are centers where you will find the possibility of performing ultrasounds in 5D, through which you will see your baby transparently and authentically.

An ultrasound is a medical diagnostic procedure that uses ultrasound to generate images. This non-invasive test allows during pregnancy to control the actual evolution of the fetus. For future dads, it is always a relief and a moment of high emotion to see the child for a few seconds on the ultrasound monitor and hear his heartbeat. These appointments are marked on the calendar and generate nerves and illusion. All parents expect their babies to evolve correctly and not present any problem.

Medically, the importance of ultrasound is unquestionable. They allow to detect malformations and perform a complete control to assess the growth of the fetus and many other variables.

Ultrasound 5D

In addition to the necessary ultrasounds of diagnoses included in the social security control framework, there is the possibility of performing extra control ultrasounds that evolve more and more technologically.

Differences between 4D and 5D ultrasound

Ultrasounds are evolving by leaps and bounds; in the video that we have attached, you can appreciate the clarity and precision of 5D technology. The differences are the following:

The 5D ultrasound has a volume processing software that gives the image of the baby a higher resolution, greater clarity and shadow tones that provide an amazingly realistic appearance to the features of the fetal face.

In the 5D ultrasound, all obstacles such as cord or shadows that are seen in many of the images of 4d ultrasound in Delhi are not appreciated.

In addition to obtaining images so vivid that it seems that you have the baby in front, 5D ultrasound is perceived a completely natural tone of the skin, which is why this phenomenon that has revolutionized the world of fetal ultrasound is also called "way of life."

What is the usual reaction of moms and dads who come to do a 4D ultrasound?

Parents are so excited to see their baby move in the stomach! Ultrasound allows you to see the most drawn features and gestures of the baby, his movements when he opens and closes his mouth when he brings his tongue when he hides under his arms when he moves his fingers- it is a unique experience!

Why recommend a mom to do a 4d ultrasound test?

Although she does not provide additional medical information, the 3D or 4D ultrasound allows the mother to take benefit of this experience and to see more realistically how her future baby will be. She will be able to look at her features like the nose, the eyes, and the shape of the mouth.

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