The aim of the first trimester fetal anatomy scanning is to confirm the presence of a viable intrauterine pregnancy, to verify the expected delivery date by measuring the CRL, and to identify multiple gestations.Early sings of fetal malformations should be also looked for.The introduction of trans-vaginal ultrasound, color Doppler and three dimensional (3D) ultrasound represent a new approach for early and accurate detection of fetal malformations.The aim of the study is to evaluate the potentials of the early pregnancy scan, using (2D) and (3D) trans-abdominal and trans-vaginal ultrasound in visualizing fetal organs and diagnosis of fetal anomalies when compared with the mid trimester fetal anatomy scan