Image Question-24

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What is the diagnosis of Image?

Case courtesy of Maulik S Patel, Radiopaedia.org. From the case rID: 16188

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Bunch of Grapes sign

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Bunch of Grapes sign is seen in –

A. Adenomyosis of Uterus

B. Cystic glandular hyperplasia

C. Red degeneration of Fibroid

D. Hydatidiform mole

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1	Hydatidiform mole	“cluster of grapes,” appearance “snowstorm,” appearance “honeycomb” appearance Central heterogeneous mass with numerous discrete anechoic spaces ↑ β-hCG (> 100,000 mIU/mL) suggests complete mole > partial mole
2	Partial mole	– Fetal parts and amniotic fluid – Abnormally wide gestational sac – Abnormal-looking placenta
3	complete mole	Ovarian theca-lutein cysts more likely in complete mole

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1. Central heterogeneous mass with numerous discrete anechoic spaces
2. “snowstorm,” appearance
3. “cluster of grapes,” appearance
4. “honeycomb” appearance

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