Case of the Month 11/2021

Dr. Winkels diagnosed a molar pregnancy on ultrasound.  Note the 'cluster of grapes' or 'snowstorm appearance' within the uterus that is typically described.  Another finding in these images are the bilateral enlarged, cystic ovaries.  This is referred to as Hyperreactio Luteinalis, and is associated with significantly elevated bHCG (this patient >770, 000) and is seen in approximately 25% of patients with molar pregnancies. ​