Metastatic Ovarian Carcinoma. A. US image of the pelvis in a 68-year-old woman presenting with sudden onset of ascites confirmed ascites (A) with tumor implants (T) on the peritoneal surfaces. The uterus (U) is seen in transverse section, with the broad ligaments (arrows) outlined by fluid. B. Sagittal US image from the upper abdomen demonstrates tumor implantation (T) on the greater omentum outlined by fluid (A). This appearance has been called “omental cake.”

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