A 35-year-old woman with 23 weeks’ gestation, presented for a routine transabdominal ultrasound to exclude any congenital fetal anomalies. She has no substancial PMH, prior to pregnancy her menstrual cycles was normal. This is her first pregnancy, and she has not undergone any previous ultrasound scans. To date, her pregnancy is uneventful.

She has amenorrhea since she became pregnant and has no vaginal discharge or bleeding during the pregnancy Clinical examination : All vital signs are in normal limits, including BP, which is 124/82 mm Hg. The abdominal examination revealed a fundal height that corresponded to a gestational age of 25 weeks, which exceeded the expected fundal height for a 23-week pregnancy. What could be the possible diagnosis based on these images? *This case is from Docplexus Editorial Team for educative purpose only.