Correct!
5. Enhanced abdominal-pelvic CT shows more than one of the above findings

The axial enhanced CT of the abdomen and pelvis shows a large cystic mass centered in the right adnexal region, accounting for the patient’s palpable fullness at pelvic examination. The right adnexal region also appears inflamed, with surrounding fat infiltration. A solid lesion is seen in the left pelvis, remote from the right adnexal process. The appendix was discretely visualized and appeared normal, excluding appendicitis.
The patient returned to her previous institution and was lost to follow up, but she re-presented 2 years later, again complaining of the ulcers on her tongue as well as mild intermittent shortness of breath and dyspnea on exertion, again with painful swallowing. She felt a palpable lump in her left groin as well. The patient again underwent enhanced CT of the abdomen and pelvis (Figure 4).

Figure 4. Axial unenhanced (A) and enhanced axial (B), sagittal (C), and coronal (D) images 2 years after presentation.

Which of the following represents an appropriate interpretation for this examination? (click on the correct answer to be directed to the fourth of twelve pages)

1. CT of the abdomen and pelvis shows only postsurgical changes
2. CT of the abdomen and pelvis shows right adnexal inflammation
3. CT of the abdomen and pelvis shows a left pelvic mass
4. CT of the abdomen and pelvis shows multifocal lymphadenopathy
5. CT of the abdomen and pelvis shows none of the above

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