Female 29 years old with a history of 3 prior cesarean sections. Placental lakes seen on ultrasound. Evaluate placentation. PELVIS:UTERUS, ADNEXA: Gravid uterus. The myometrium is thinned along the right lower anterior uterine body compatible with scarring from prior cesarean section. There is disruption of the normal hypoechoic myometrium stripe by intermediate signal intensity placental soft tissue in this region. The placenta is heterogeneous with areas of bandlike low T2 signal intensity and foci of T1 hyperintensity.BLADDER: The urinary bladder is decompressed.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No hydronephrosis.
1.Focal area of myometrial thinning and abnormal signal intensity along the right anterior lower uterine body is suspicious for placenta accreta. More deeper invasion is not excluded as the myometrium is thinned in this area.2.Please note that this exam was not tailored to provide detailed evaluation of fetal anatomy.