Twins or no??? Ectopic???

Haylee

I am 4 weeks3 days and did an u/s at work. Thought maybe I saw two but also concerned about the white heart shape at the top around what I believe is the gestational sac and it's different than my other early scans so I worry about ectopic? Anyone else think maybe twins?? I've been way sicker this time than my last two starting right at 4 weeks but who knows! lol what's yalls opinions/comparisons to this pic?