29-year-old female 24 week gestation with placental lakes on ultrasound. Evaluate for placenta accreta. PELVIS:UTERUS, ADNEXA, PLACENTA: There is T2 hypointense region within the placenta measuring approximately 2.6 x 2.7 cm (series 3, image 19) without evidence of extension to the myometrial/placental junction. There are additional small scattered T2 hypointense foci within the placenta. There is no evidence of diffusion restriction within these T2 hypointense regions. No evidence of placenta previa. Additionally, there is a large T2 heterogeneous, predominantly hypointense collection posterior to the fetus extending almost the entire length of the fetus.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: Oligohydramnios is noted.
Examination is limited given lack of T1 images. The following observations are made within this limitation. T1 images may be obtained at a later time today and addendum to this report may be made if necessary.1.Several T2 hypointense regions within the placenta with largest measuring up to 2.7 cm. Within limitation above, this may represent intra-placental hemorrhage.2.Large heterogeneous T2 hypointense collection posterior to the fetus extending almost the entire length of the fetus. Within the limitation above, this is concerning for subchorionic hemorrhage.3.No evidence of placenta accreta or percreta. 4.Oligohydramnios.Findings relayed to Dr. Garret Holcomb at 11:50 am over the phone.