Large uterus inconsistent with 20 weeks pregnancy, with no ultrasound. Now with PV bleeding, presents to the emergency department.
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Large uterus with rapidly enhancing heterogenous material, with multiple cystic, granular, grapelike formations. No finding of disemmination on chest and abdomen CT
The BhCG was 50990 (markedly raised) and the US suggestive of gestational trophoblastic disease. CT is usually used to evaluate invasive mole or secondary localization.