Diagnostic Ultrasound - Abdomen and Pelvis

Gestational Trophoblastic Disease
(Left) Transverse
transabdominal grayscale US
of the uterus in a 17-year-old
female shows multiple cystic
areas in the uterine cavity
that are consistent with a
complete hydatidiform mole.
(Right) Coronal T2WI MR of a
complete hydatidiform molar
pregnancy shows an enlarged
uterus markedly expanded by
multiple cystic structures ,
which creates a "cluster of
grapes" appearance. The right
ovary is enlarged with multiple
theca lutein cysts , often
seen in the setting of a
complete mole.
Diagnoses: Female Pelvis
(Left) Transverse color
Doppler ultrasound of the
pelvis in a patient with an
invasive molar pregnancy
after complete mole
evacuation shows multiple
cystic areas ſt as well as
abnormal vascularity . This
patient was treated with
chemotherapy with complete
resolution. (Right) Coronal
color Doppler US of the lower
uterine segment of a
choriocarcinoma shows a
highly vascular heterogenous
mass ſt with cystic
degeneration and invasion
into the posterior uterine wall
st.
(Left) Axial CECT of chest in a
patient with metastatic
choriocarcinoma to the lungs
shows a 3.1 x 2.7 cm mass
in the right lower lobe. (Right)
Gross pathologic specimen of
a placental site trophoblastic
tumor involving the
endometrium , myometrial
wall , and cervix is
shown.
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