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BHCG with high dose hook. Sample received from OnG from 18 yr old with no history initial result was 576. Doctor queried result and gave history of GTD with 24 week uterus. Sample manually diluted and above result obtained.

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Straightforward case but thought these were good textbook images. BHCG +ve, RIF Pain, Bleeding. Uncertain LMP. Second image is the uterus for the non radiology folks.

Quantitative BHCG > 200,000. "Cluster of grapes" appearance in endometrial canal consistent with gestational trophoblastic disease (molar pregnancy).

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This is a case of a 35-year-old patient G4P3. Came in due to vaginal bleeding. No history of abortion or any complications from previous pregnancies. LMP was 3 months prior to admission. Now with 20 weeks size uterus.