CASE 67

History: A 40-year-old woman presents with intermittent rectal bleeding.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Primary colon carcinoma

B. Peritoneal metastatic cancer

C. Primary gynecologic malignancy

D. Pelvic inflammatory disease

E. Pelvic congestion syndrome

2. If this patient’s symptoms were monthly cyclical, what would be a likely diagnosis?

A. Hydrosalpinx

B. Endometriosis

C. Uterine leiomyoma

D. Polycystic ovary syndrome

3. What imaging modalities would be most helpful if endometriosis is suspected?

A. CT

B. MRI

C. Ultrasound

D. Hysterosalpingography

4

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