Atypical lipoma

Lower abdominal pain *Chief Complaints* Abdominal pain. *History* Postmenopausal for 12 years. No history of post menopausal bleeding. Complaints of abdominal pain . No other complaints *Vitals* Vitals were stable. Pulse 88/ min. BP-120/86 mm Hg. *Physical Examination* Per abdomen there was mass palpable around 20 weeks size of gravid uterus ...mostly on left side mobile from side to side. No guarding/ rigidity/ tenderness. No free fluid. Per vaginal examination . Uterus was palpable separate from the mass and was senile. Mass was around 14*15 cm. Mobile . *Investigations* CA 125 was 5645 Ultrasound solid cystic mass arising from left ovary. Uterus was senile. Right ovary normal. Minimal free fluid in abdomen. CECT revealed same findings *Diagnosis* Complex left ovarian neoplasm *Management* Laparotomy was done. There was 18*14 cm mass arising from left ovary lobulated appearance. No surface excrescences. No surface growth. Other ovary was cystic around 3*3 cm. . Uterus senile. Hysterectomy with bilateral salpingo ovariotomy done.

Diagnosis and Treatment please.

b'6 year child having history of LRTI'

M.53yrs. Right flank pain 10 days. KCO- T2DM.

F.52 yrs. Struggling to breathe Noisy breathe-wheezing Violent coughing 4 days.