Bunch of grapes

Case contributed by Ian Bickle
Diagnosis not applicable

Presentation

For illustration purposes only.

Photo

A bunch of grapes.

Case Discussion

The Bunch-of-grapes sign  has been used to describe 3 different radiological appearances.

1. The ultrasound appearance of multiple cystic spaces within the uterus as the result of hydropic swelling of trophoblastic villi within a hydatidiform mole.

2. In bronchiectasis where on plain radiograph, the dilated bronchi in approximation appear as a bunch-of-grapes.

3. The appearances of an intraductal papillary mucinous neoplasm (IPMN).

Photograph courtesy of Mr Roger Bickle, Melton Mowbray, UK.

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