34 weeks pregnant with 2 prior C-sections. Known placenta previa and suspicion for placenta accreta. PELVIS:UTERUS, ADNEXA: Single intrauterine pregnancy. Examination is not specifically protocoled for evaluation of fetal anatomy. No gross abnormality is identified. There is apparent paucity of amniotic fluid.Anterior low-lying uterus completely covering the internal cervical os compatible with placenta previa.The uterine wall is again noted to be markedly thinned and not well defined along the lower anterior third suspicious for placenta accreta/increta. For example on image 33 of series 4 the uterine myometrium/serosal surface is now visualized with placental signal stenting at outside the uterine contour without definite abdominal wall invasion. This is at the level of the C-section scar.No specific evidence of local soft tissue invasion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Suspected placenta increta at the level of the C-section scar with extension of placental signal intensity beyond the visualized uterine margin, raising the possibility of percreta of the parametrial fat without definite invasion into the abdominal wall.2.Apparent paucity of amniotic fluid. If there is clinical concern a fetal ultrasound should be considered for evaluation for oligohydramnios.