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Radiology Obstetrical Ultrasonography in the Second Trimester 5793518b

Snow storm appearance is seen in?

A
Tubal pregnancy
B
Abdominal pregnancy
C
Hydatidiform mole
D
Fibroid
High-Yield Explanation
ANSWER: (C) Hydatidiform moleREF: Dutta obs 6th e p. 196Investigations used in H.moleultrasound* Snow storm appearance in uterus* Complete molar pregnancy (chorionic villi show diffuse hydropic swelling and absence of fetal shadow)* Some fetal tissue seen* For diagnostic purpose USG alone is adequate , hormonal assays are for post molar and post chemo follow upSerum beta HCG* Very high in molar pregnancy* > 40000 detected by R1A* Rapidly increasing levels suggest molar pregnancyChest X-ray* To rule out lung metastasisCT scan* To rule out brain and liver metastasis

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