A 24-year-old hispanic female comes in with suprapubic cramping and mild vaginal bleeding.  This is her first pregnancy and she has no known ectopic risk factors.  She is about 8.5 weeks by her last menstrual period.  Her vitals are stable and her physical examination is only significant for mild suprapubic tenderness without guarding or rebound.  You perform a transabdominal ultrasound and note the following:

Take the Case