I have my 20 week scan in 3 days, but I opted out of any testing for downs (I'm 35, by the way). Just a quick question: At the 20 week anatomy scan, can they tell for sure if the baby has downs or not?
The short answer is No.
My genetic consoler told me soft markers are displayed on 50% of scanned babies with Downs. So one can have a Level II u/s which shows normal results, and still have a baby with Downs.
The only way to know for sure (99%) is with invasive testing.