Pregnant female with sickle cell disease, evaluate placenta, looking for accreta. Gestational age of 21 weeks. PELVIS:UTERUS, ADNEXA: Gravid uterus. Please note that exam is not dedicated for fetal assessment. Placenta is low-lying, with inferior edge approximately 1.2 cm from the internal orifice of the cervix, compatible with placenta previa. There are hypointense T2 bands extending through the myometrium, compatible with placenta accreta. In addition, there is intermediate signal intensity extending through the serosal layer to the left rectus abdominis muscle, best appreciated on series 4, image 17 (sagittal) and series 3, image 27 (axial). While motion artifact limits evaluation of this finding, possibility of placenta percreta with involvement of the left rectus abdominis muscle is raised.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.
1.Gravid uterus. Exam not dedicated for fetal assessment.2.Placenta previa.3.Placenta accreta and additional findings raising possibility of percreta involving the left rectus abdominis muscle.