32-year-old female with new onset hematuria, ultrasound findings concerning for defect in the uterus and thickening of the bladder wall. PELVIS:UTERUS, ADNEXA: Intrauterine pregnancy is present with a posteriorly positioned placenta. No evidence of placenta previa. Fetal presentation is cephalic. Fat plane is present between region of lower uterine segment and dome of the bladder.BLADDER: Bladder is collapsed and within normal limits. There is no significant surrounding free fluid in the pelvis. There is no intraluminal signal void to suggest gas within the bladder.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is mild right greater than left hydronephrosis, favored to be physiologic given patient's gravid state.
1.Within limitations of an underdistended bladder, no fistulous connection between the uterus and bladder is evident as clinically queried. No significant free fluid in the pelvis.2.Please note that this nondedicated exam does not constitute formal evaluation of fetal anatomy.