Image Question-24


What is the diagnosis of Image?

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


Bunch of Grapes sign


Bunch of Grapes sign is seen in –

A. Adenomyosis of Uterus

B. Cystic glandular hyperplasia

C. Red degeneration of Fibroid

D. Hydatidiform mole



1Hydatidiform 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
2Partial mole– Fetal parts and amniotic fluid
– Abnormally wide gestational sac
– Abnormal-looking placenta
3complete moleOvarian theca-lutein cysts
more likely in complete mole
Hydatidiform mole

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

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