This is a version 1.1 update to the Sega Genesis game Star Trek: The Next Generation – Echoes from the Past. The original game was already based on the popular television series. This update likely includes bug fixes, balance adjustments, or potentially new content compared to the initial release. The (USA) designation specifies the game is the US release.

Star Trek - The Next Generation - Echoes from the Past (USA) (v1.1)

Star Trek - Deep Space Nine - Crossroads of Time (Europe)