Shifting Dullness in Obstetrics & Gynecology — Case | Gynecologic Oncology | SMLE Q#17217

SMLE Question #17217

Obstetrics & Gynecology Gynecologic Oncology
Last updated: February 2026
A 62-year-old postmenopausal woman has 3 months of progressive abdominal distension and exertional shortness of breath. Examination shows a distended abdomen with shifting dullness and reduced breath sounds at the right lung base. Pelvic ultrasonography demonstrates a complex adnexal mass with mixed solid and cystic components. What is the most likely diagnosis?

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