Wednesday, December 24, 2014

Molar Pregnancy (MR).


PROTOCOL:  
Axial and Coronal T1W and T2W scans.
Axial T1W fat suppressed scans.
Pre & post contrast T1W FS scans

FINDINGS :-

-The uterus is enlarged with diameters 92 x 82 x 57 mm and heterogeneous intensity with multiple cystic areas.
-Absent fetal parts.
-Uterine zonal anatomy is distorted with a hypo echoic irregular myometrial boundary seen.
T1 images: No areas of hyper intensity could be noted suggesting no internal hemorrhage.
T2& Stir images: there is heterogeneous high signal from the cystic spaces.
T1 C+ images: often demonstrates enhancement due to hyper vascularity.
-Small right ovarian cyst (1.5 cm).

-The urinary bladder is well distended. It shows normal wall thickness and signal intensity. The paravesical fat shows normal signal intensity.
-There is no free fluid.


IMPRESSION :-

Picture is suggestive of molar pregnancy for ultrasound and serum beta HCG level correlation (should be markedly elevated, out of proportion to the pregnancy).


Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin

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