Ultrasound
Does a honey-comb, bunch of grapes, or snow-storm appearance a sonographic feature of hydatidiform molar pregnancy?
Yes
Does H. Mole show abnormally elevated B-HCG serum titer levels at the laboratory evaluation?
Yes
What other possible differential diagnosis is likely in a case as this?
Retained non-viable products of conception.
A heterogeneous, moderate content that is diffusely interspersed with multifocal anechoic areas (cystic vesicles) within the proximal endometrial cavity resulting in the usual honey-comb appearance is noted.
The endometrial/myometrial interface is relatively obliterated however, the content is hypovascular on color flow Doppler interrogation and no obvious solid fetal parts or bony areas are seen. The cervix and proximal vaginal vault grossly look normal. The left ovary showed two small-sized follicles within its parenchyma which are most likely theca lutein.