32-year-old woman, 34 weeks gestation, with prior C-section, low-lying placenta, and concern for placenta accreta. PELVIS:UTERUS, ADNEXA: Gravid uterus. Low-lying placenta noted with placental tissue seen within 2.5 cm of the cervical os (801, image 24), consistent with grade I placenta previa. Additionally, the placental-myometrial junction is poorly seen anteriorly, appearance compatible with placenta increta. Intraplacental heterogeneous T2 signal and T2 hypointense bands are seen (series 801, image 29). The placenta closely abuts the ventral abdominal musculature particularly the right rectus abdominis muscle with obscuration of the expected intervening plane, appearance suspicious for placenta percreta. Prior C-section scar is noted.BLADDER: The bladder appears normal.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.FETUS: No significant abnormality noted within the brain, spinal canal, kidneys, alimentary tract, or heart of the fetus.OTHER: No significant abnormality noted.
1.Findings of abnormal placentation/increta with possible placenta percreta of involving the ventral abdominal musculature as above. 2.Inferior edge of placenta located approximately 2.5 cm from the internal cervical os, consistent with placenta previa, grade I.