27 year old female pregnant patient, 32 weeks gestational age, with area of placenta with concern for focal placenta accreta. Vaginal delivery in 2014 with retained placenta requiring D&C. PELVIS:UTERUS, ADNEXA: There is an intrauterine gestation with the placenta located anteriorly within the uterus. The placenta does not abut the cervix, no placenta previa. There is irregularity along the placenta/myometrial junction, particularly along the right anterolateral aspect of the uterus (image 18, series 4); placenta accreta is not excluded. Furthermore, the uterine myometrium and wall is thinned secondary to the gestation and abuts the anterior abdominal wall, which limits evaluation. No specific evidence of placental percreta. The uterus measures 20 x 10 x 30 cm.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: Grossly normal appearance of the fetus within the uterus, please refer to recent fetal ultrasound study for additional findings. A focus of signal void within the fetal bladder on a single sequence is likely related to flow artifact.
Irregularity of the placental/myometrial junction along the right anterior aspect of the uterus; placenta accreta is not excluded. No MR findings to suggest placenta percreta. 