Findings, case of 40 y/o pregnant woman, abnormally high ßhCG

Imaging Findings

On sagittal ultrasound (US) images, the placenta is visible anteriorly. Posteriorly, an area of mixed echogenicity is seen. There are echogenic areas in close proximity to the placenta, though it is not clear whether of echogenic material is arising from the placenta or the fetus, or whether it is completely separate. The fetal survey (not shown) was normal.

On magnetic resonance (MR) images, portions of a normal fetus are visible. The mass appears to be separate from the fetus and adjacent to the placenta. The images do not clearly delineate the relationship between the mass and the umbilical cord. There is no hyperintensity on either T1 and T2-weighted images to suggest hemorrhage.

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