RMT Assessment ultrasound

📝 Fetal 1 🧾 Early First Trimester (GS) 2 🧾First Trimester (embryo 6-10w 6d) 3 🧾 First Trimester (11-13w 6d) 4 🧾 Second Trimester 5 🧾 Third Trimester 6 🧾 NT Screening 7 🧾 NT Screening Specific Dopler 8 🧾 Fetal Anomalies Screening / TIFA 9 🧾 TIFA-Specific Fetal Doppler 10 🧾 Doppler Studies 11 🧾 Biophysical Profile / NST 12 🧾 RMT Assessment

Diagnos

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NORMAL RESIDUAL MYOMETRIAL THICKNESS (RMT)

📄 Normal residual myometrial thickness (>3.5 mm)

THINNED MYOMETRIUM AT SCAR SITE

📄 Mildly reduced RMT (2.5–3.5 mm)

📄 Moderately reduced RMT (1.5–2.5 mm)

📄 Severely reduced RMT (<1.5 mm)

CESAREAN SCAR DEFECT (NICHE)

📄 Triangular anechoic defect at lower uterine segment

📄 Hypoechoic scar niche with thinned overlying myometrium

📄 Large niche involving >50% myometrial thickness

SCAR DEHISCENCE / RUPTURE RISK

📄 Critically thin RMT (<1.0 mm)

📄 Bulging of gestational sac at scar site

📄 Poorly visualized or discontinuous myometrium

PREGNANCY-RELATED SCAR CONDITIONS

📄 Cesarean scar pregnancy

📄 Low-implanted gestational sac over scar

📄 Placenta accreta spectrum risk (thin RMT with placental lacunae)

POSTPARTUM / NON-PREGNANT SCAR ASSESSMENT

📄 Well-healed cesarean scar

📄 Scar niche with retained fluid

📄 Scar-related abnormal uterine bleeding

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Patient Info

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NORMAL VARIANT
🧾 Normal (HSG)
🧾 Myometrial Folds