Here we show a case of partial hydatidiform mole, associated with molar placenta and alive fetus with hydrocephalus and marked ascites.

The total beta HCG level was very high (175,969 mIU/mL). MRI has an important role in the exclusion of myometrial invasion that was negative in this case. However serial beta HCG level follow up is recommended after evacuation to exclude the possibility of persistent trophoblastic disease and invasive mole.

Ultrasound contribution by Dr Samar Fathy.