The study reveals
A large homogeneous pelvic mass containing mixed solid cystic components with multiloculations is seen ;measuring about 19.7x27.531 cm.
The mass located bilateral pelvic cavity upto upper abdomen,extended from prevertebral region to anterior abdominal cavity.
No calcification or fatty components The mass compressed of the urinary bladder and bilateral ureter but no left hydronephrosis and hydroureter.
The lesion also displacement of adjacent bowel loops with no gross bowel wall thickening or obstruction.
Normal small size uterus,cervix, and vagina.
The pelvic wall and pelvic sidewall are still intact
Both kidneys are normal sized,contour and enhancement. Small LK cyst is seen.
No renal stone of both kidneys, Both renal hilar vessels are normal enhancement
Minimal ascites is seen. No peritoneal thickening and omental mass can detected
No pelvic or abdominal or inguinal lymph node enlargements
Two thin wall hypodensity cystic lesions in segment8 and segment 5 liver are seen,about 0.3cm and 1cm. Main portal vein and hepatic veins are normal enhancement.
The gall bladder is well distended ,no gall stone. No biliary duct dilatation or calculi
The spleen is normal sized and density,no focal lesion or splenomegaly
The panareas is normal density, contour and sharp demarcation.
No peripancreatic collection or cyst. No pancreatic duct dilatation or calcification
Included basal lungs are clear. No pleural effusion or basal lung mass,
Impression;
-large ovarian cancer with minimal ascites,no evident of other organ metastasis stage la primary ovarian tumor are first considered
-nonspecific right iobe liver cysts, benign cysts is first oonsidered -small benign LK cyst