Vaginal bleeding. Vaginal delivery 3/1/2016, complicated by postpartum hemorrhage status post D&C x2 for retained products of conception. PELVIS:UTERUS, ADNEXA: Anteverted uterus. It measures 12.4 x 8.2 cm in the sagittal plane.The endometrial cavity is dilated measuring 4.2 cm in the sagittal plane with heterogeneous low T1 weighted and intermediate and high T2-weighted luminal contents. Postcontrast images demonstrate a nodule of enhancement in the right aspect of the fundal endometrial cavity along the endometrial surface measuring 1.1 cm which is intrinsically T2 hyperintense (series 701/27). The adjacent myometrium demonstrates mildly heterogeneous hypo-enhancement. No intramural enhancing component is evident to suggest increta of residual placental tissue. 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.
Mildly heterogeneous postpartum uterus with a dilated endometrial canal containing a 1 cm focus of T2 hyperintensity which enhances on postcontrast images suggestive of retained products of conception. No significant intrinsic T1 weighted hyperintensity to suggest acute blood product. No intramural enhancing component is evident to suggest increta of residual placental tissue. 