instruction: hello doctor I have abdominal pain fullness nausea weight loss leg edema I would like a second opinion and another interpretation of my scans please in february I started having bad abdominal fullness nausea vomiting anemia and weight loss for a few weeks then I felt a little better but then I get the same again I am worried about possible ovarian cancer as three of my aunts had it my mom and five aunts had breast cancer and my grandma died of peritoneal cancer of ovarian origin when I looked at the it scans it seemed of pretty poor quality compared to the images I see online please help
output: hi welcome to icliniq com thank you very much for providing detailed history and uploading all the blood tests blood tests give us many clues you definitely have less red blood cells than expected but also you have low white blood cell count that definitely makes me think about some problems related to the bone marrow where those cells produced with the production of less red and white blood cells it is also expected you have a low level of blood proteins let me tell you about your abdomen pelvis scan quality is good they started with noncontrast then got venous routine phase with also additional delayed phase liver gallbladder spleen pancreas bilateral adrenal glands and kidneys look normal uterus and bilateral ovaries are normal bladder is normal what is abnormal intraabdominal fluid ascites which explains your fullness good news is no evidence of ovarian cancer or any other masses I highly recommend you to see a hematologist and maybe sample bone marrow I strongly believe you have bone marrow disease regarding to production of blood cells if you would like to read about it might be some mild form of pancytopenia although your platelet number still looks low normal bone marrow diseases bone marrow biopsy bone marrow diseases