Anembryonic pregnancy (blighted ovum)
1st trimester bleeding.
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Bulky uterus showing single gestational sac with irregular margins with no fetal pole or fetal cardiac activity within.
GS (MSD) = 22 mm.
This case may lead to Anembryonic pregnancy (blighted ovum). However, it does not meet definitive diagnostic criteria and follow up ultrasound is required for confirmation.