We are having an issue were a program our security team is running causes files to rapidly accumulate in the folder C:\Windows\SoftwareDistribution\ScanFile and they all start with FS_ I need to find a way to alert when these files start to accumulate so we can know that this is going on and get the tool stopped. It has already almost ran a few servers out of space and we would like to know about his symptom quicker than getting the disk space alert.
PowerShell MP
https://download.squaredup.com/management-packs/community-mp-catalog/
And a simple PS script monitor should do it 
Or perhaps this MP:
https://dynamicdatacenter.wordpress.com/2017/12/21/scom-file-count-management-pack/
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good idea if the code for the one used in the demo of the MP was out on git hub it does exactly what I need. It would just need me to tweek what file location to monitor.
I had not seen this one before - Thanks Jannep!
Are you not running the Community Catalog? 
From what I read I think it will only monitor file shares and in this case its is not a shared folder but a local disk path I need to monitor on all my servers.