42 year old female came in with lower pelvic pain-it’s like a diffuse pain she says. No nausea, vomiting and fever. This has been going on for 2 weeks. She states feeling like she has air and in pelvic area and cannot suck in. On exam, she also says right upper quadrant was a little tender to touch, and radiates to her right lower back. From the looks of this, what is going on?

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