case_images: PMC11427251_01
case_images: Preoperative chest CT showed massive pleural effusion on the right side and partial dilatation of the lower lobe. (A) Transverse plane. (B) Coronal plane.
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case_images: PMC11427251_01_fmed-11-1427568-g0001.jpg
case_images: F1
case_images: She initially went to the respiratory department, and a computed tomography (CT) scan revealed pleural effusion (Figure 1).
case_images: Results of abdominal ultrasound, pelvic CT and pleural effusion cytology. (A) Cytological examination of pleural effusion showed that the cells were mainly lymphocytes, and no malignant cells were found. (B) Abdominal ultrasound showed a heterogeneous echogenic mass about 16.5 x 15.2 x 10.7 cm in size in the pelvis, which was isoechoic, mainly solid, regular in shape, and clear in boundary. (C) Abdominal ultrasound showed a large number of fluid dark areas in the pelvic cavity, which were deep in the pelvic cavity, about 1.8 cm. (D) CT of the pelvic cavity showed a large cystic and solid mass in the pelvis, with a larger cross-sectional area of about 190 x 116 mm.
case_images: fmed-11-1427568-g0002.jpg
case_images: PMC11427251_01_fmed-11-1427568-g0002.jpg
case_images: F2
case_images: Analysis of the pleural effusion revealed an exudate mainly composed of mononuclear cells, with no evidence of tumor cells (Figure 2A). An ultrasound examination revealed a cystic-solid mass (17.3*19.4*9.7 cm) in the right adnexal region, which was suspected to originate from the right ovary (Figures 2B, C). Further pelvic CT imaging revealed a large mass in the pelvic and abdominal cavities, with a large amount of effusion in both the pelvic and abdominal cavities as well as the right pleural cavity (Figure 2D).