Increasing Dyspnea On Exertion in Obstetrics & Gynecology — 48yo Woman | Gynecologic Oncology | SMLE Q#1231
SMLE Question #1231
Obstetrics & Gynecology
Gynecologic Oncology
Last updated: February 2026
A 48-year-old woman has 3 months of progressive abdominal distention, early satiety, and dull lower abdominal discomfort, with increasing dyspnea on exertion. Examination shows shifting dullness and decreased breath sounds at the right lung base. Pelvic ultrasound and CT show moderate ascites, a right pleural effusion, and bilateral complex adnexal masses with solid and cystic components. What is the most likely diagnosis?
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