Female 25 years old Reason: 25yo G5P0132 at 15w4d with complete previa, 1 prior C/S with concern for C-section scar ectopic vs accreta History: no visible placenta plane on CLI U/S PELVIS:UTERUS, ADNEXA: Fetus identified within the uterus. This study is not performed for dedicated evaluation of the fetus and should not be considered as an anatomical assessment. The placenta covers the cervical os consistent with placenta previa. The exact site of the patient's reported c-section defect is not definitely seen, but the placenta covers the expected region. The plane between the bladder and placenta is preserved. The placenta-myometrial junction has irregular contours however (series 3, image 16; series 6, image 14). Based on this appearance, while there is no evidence of placenta percreta, placenta accreta or increta cannot be excluded.Unremarkable appearance of the right ovary. Within the superior pelvis on the left side there is 4.9 x 8.6 cm mass which cannot be separated from the left ovary. This contains fluid and fat and although it is incompletely evaluated in the absence of intravenous contrast, the appearance is suggestive of a dermoid.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Placenta previa. No evidence of placenta percreta. Placenta increta or accreta is not excluded.2.8.6 cm lesion which appears to arise from the left ovary. This is incompletely evaluated in the absence of intravenous contrast however the appearance is suggestive of an ovarian dermoid.