Ultrasound findings: one or more strong echogenic spots or dots in the heart chambers are a marker for chromosomal abnormalities, that is, a sign, Down’s related marker, and should be noticed. Some of them may disappear on their own, and if they don’t, they don’t affect the heart’s beating or function. It is not a heart abnormality and there is no need to review or do a heart ultrasound at all. How is it treated? The sonographer sees it and looks carefully for any other markers. If the fetus has no other abnormalities, the prognosis is good. If the ultrasound report also reveals other abnormalities, such as widened renal pelvis and widened lateral ventricles, the fetus needs to be checked for combined malformations or other abnormalities (including a Down’s test), or even an amniotic fluid or cord blood puncture for chromosomes. If the chromosomes are normal, and if the maternal age is normal childbearing age, a single strong echogenic spot, which is an independent marker, will not increase the risk of Down’s in this child and the prognosis is good.