28 weeks ultrasound photo, heart has bright spots, is there a problem?

Patient's question:

Pre-natal check-ups have always been normal. At 28 weeks, the ultrasound showed bright spots in the heart. At 32 weeks, the 4D ultrasound also indicated that everything with the heart was normal. On August 22nd, I gave birth via cesarean section, and the hospital suspected pneumonia, so I was admitted to the ICU. On the 23rd, an X-ray showed no issues in the lungs. Today, they are questioning heart problems again, and an echocardiogram revealed congenital heart disease. I want to ask if this could be a misdiagnosis? Why was everything fine during the 4D ultrasound?

Doctor's answer:

Hello, based on the situation you described, the possibility of misdiagnosis is unlikely. Ultrasound is after all an imaging examination. During pregnancy, a careful ultrasound examination of the fetal position may sometimes be difficult to demonstrate, and small abnormalities may not be detected. It is only after birth that the diagnosis can be made. Postnatal ultrasound examination of the heart is clearer. There are many types of congenital heart disease, some of which are mild and can be temporarily observed.

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