Woman 34 yo with onset 2 weeks ago, fever and pain at pelvic region.
Ultrasound first at an obgyn hospital says ovary cyst or endometriosis. But medical management with antibiotis failed in clearing fever.
(US 1: scanning after 2wks, uterus and cystic mass # 10cm with very thickening wall; US 2 : on CDI; US 3: intracystic mass detecting one structure like a bridge: US 4: ascites intra RLAQ; US 5: this mass was scanned with linear 12 MHz probe.
MRI of pelvis with gado= this cystic mass is in left ovary with the wall very thick, and black spot intra mass unknown original, but radiologist suspected an ovary cancer.
Blood tests= WBC 12k with 70% neutron, Plt= 515, CA 125 rising 100 UI.
What is your diagnosis for the case?