See below:
B mode fetal heart 4 chambers show foramen ovale pretty clearly. This fetus was really cooperative 😊.
The flow is from the right atrium to the left atrium as you may see in the color Doppler ultrasound images below:
One of the tricky things about fetal echo is that you don't always get the best views of everything. The 4 chambers was class, but 3 vessel view was passable 😉.
For more on normal fetal cardiac anatomy:
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