I am 29 & this my 2nd pregnancy. the first one was ectopic. the sonographic report says anteverted uterus bulky. gestational age 4.5 weeks. worry?

Diagnosing ectopic: That ultrasound report is not very helpful. It's usually impossible to see a gestational sac at 4.5 weeks. Making the diagnosis of ectopic may require serial blood tests to watch the HCG hormone levels rise, and repeat ultrasounds. As a guideline, when your HCG level reaches about 1200, you should be able to see a tiny gestational sac in the uterus. Good luck!