” Gray zones in Ultrasound ” at YUVA FOGSI” conference at Ahmedabad

It was a privilege to serve as a panelist on the session “Gray Zones in Ultrasound” at the West Zone YUVA FOGSI conference held in Ahmedabad. Sharing a panel with respected colleagues from across the region, before an audience of engaged young gynaecologists, was one of the more stimulating academic experiences of the year, and something we at Paaranu Women’s Superspecialities were proud to be part of.

The title of the session captured exactly what makes ultrasound both fascinating and demanding. Much of what we see on a scan is clear and reassuring, but a meaningful part of everyday practice lives in the gray zones, the findings that are neither obviously normal nor clearly abnormal. It is in these uncertain areas that experience, judgement and honest discussion matter most. A measurement that sits at the edge of the reference range, a soft marker of unclear significance, an image that could be read more than one way, these are the moments that decide how a pregnancy is counselled and managed.

As panelists, our task was not to pretend that every question has a tidy answer. It was to talk openly about how we approach ambiguity, how we weigh probabilities, when we choose to reassure and when we choose to investigate further. The most valuable discussions were the ones where panelists respectfully differed, because that is closer to the reality of clinical work than any single rigid protocol. For the younger doctors in the audience, I hope it was reassuring to see that uncertainty is a normal part of the field and that there are thoughtful, evidence based ways to navigate it.

Ultrasound in obstetrics and gynaecology has advanced enormously, and with better images come subtler questions. This is precisely why forums like YUVA FOGSI are so important. They allow us to pool collective experience, to challenge our own habits, and to keep learning from one another. Every panel I take part in sends me back to my own scanning with fresh perspective, and that ultimately benefits the mothers and families in our care.

At Paaranu, we believe that continued academic engagement is not a luxury but a duty. Fetal medicine and ultrasound are fields where careful interpretation directly shapes outcomes, and staying sharp requires exactly this kind of honest, high quality discussion with peers.

I am grateful to the organisers of YUVA FOGSI and to my fellow panelists for such a rich exchange, and to everyone who attended and contributed with their questions. Sessions like “Gray Zones in Ultrasound” remind us that good medicine is built not only on certainty, but on the wisdom to handle uncertainty well. We look forward to being part of many more such conversations.