A 60-year-old female presented with vague lower abdominal pain for 6 months. A transabdominal female pelvic ultrasound was performed stat.
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What is the most likely diagnosis?
A. Distended urinary bladder with debris and large stone
B. Dermoid cyst
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The B-mode ultrasound image shows a complex cystic mass with hyperechoic components. The larger hyperechoic component also has a posterior acoustic shadow. See references below.