We report two cases with interstitial pregnancy, which showed complete
ly different MR appearances. In case 1, a gestational sac was demonstr
ated and the diagnosis of ectopic pregnancy was straightforward. In ca
se 2, a hypervascular mass was shown without demonstration of a gestat
ional sac, the findings usually seen in gestational trophoblastic dise
ase (GTD). MR imaging may play some role in the diagnosis of interstit
ial pregnancy when sonography is insufficient or equivocal. If GS is v
isualized, diagnosis is easy. However, if not, the appearance may have
a spectrum and can be similar to GTD.