Usg report indicate upper tibial epiphysis not appeared & lower femoral epiphysis appeared . what does it mean?

? too early to tel : The questioner has asked a question about "usg" which is probably meant to be "usd" for ultrasound. Musculoskeletal ultrasound is an extremely useful tool; however, large bones are poorly visualized with this imaging modality in adults. Ob ultrasound can examine bone in the growing fetus from which useful information regarding the fetus is derived. Follow-up us is recommended if abnormality noted.