{"ops":[{"insert":"A 56 year old woman presents with worsening dyspnea and abdominal distention for 8 months.\n\nHer medical history is unremarkable, while her menopause took place at 52 years of age. She has had 3 uneventful pregnancies.\n\nA full blood count and chest x-ray show a hemoglobin level of 13 g\/dl and a right sided pleural effusion respectively. A recent mammogram was normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-009_en.png"}},{"insert":"\n"}]}
2
Investigate
Ultrasound abdomen/pelvis
{"ops":[{"insert":"There is a large hypoechogenic homogenous mass (10x9 cm) arising from the right ovary. The uterus and left ovary appear normal. There is moderate ascites. No liver metastases or intra-abdominal lymphadenopathy is seen.\n"}]}
CA-125
{"ops":[{"insert":"The CA-125 level is 50 U\/ml (normal: \u003C 35)\n"}]}