Dullness To Percussion Over in Obstetrics & Gynecology — Case | Gynecologic Oncology | SMLE Q#19226
SMLE Question #19226
Obstetrics & Gynecology
Gynecologic Oncology
Objective: OBJ-OBG-GONC-001
Last updated: April 2026
A 68-year-old postmenopausal woman has 2 months of progressive abdominal distension, early satiety, and mild dyspnea. Examination shows shifting dullness and reduced breath sounds with dullness to percussion over the right lung base. Pelvic ultrasound shows a complex adnexal mass with solid components and septations. Which diagnosis best explains ascites, pleural effusion, and an adnexal mass in this patient?
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