36-year-old pregnant female with history of 2 prior C-sections. Known placenta previa. Suspicion for placenta accreta. Evaluate. PELVIS:UTERUS, ADNEXA: There is an intrauterine pregnancy. Examination is not protocoled for evaluation of fetal anatomy, but no gross abnormality is identified.The placenta is low-lying in the anterior lower third of the uterus. The placenta completely covers the internal cervical os indicating placental previa.The uterine wall is markedly thinned in the anterior lower third and there is loss of the normal contour with convex anterior bulging in this region. There is no definite placental invasion of the myometrium, however there are a few scattered areas within the myometrium is slightly indistinct (series 9 image 46, series 10 image 24).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.No definite placenta accreta, however there are a few regions particularly on the left lateral aspect of the prior cesarean scar where the placental myometrial junction is slightly less distinct.2.Placenta previa.