### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I m a 38 year old female. I recently had a CT scan and abdominal ultrasound that showed my left ovary is 4.7 x 4.5 x 4.6 with a complex septated cyst which is 3.8 x 3.5 x 3.5 . I also have non specific fluid in my pelvis and pelvic phelobiths. Fatty infiltration of liver. 2 right kidney stones.bibasilar pleural thickening. I have protein, blood, hb/myoglobin, ketones, bilirubin and squamous epithelial cells in my urine along with mucus and a hazy appearance. There is also crystals. Specific gravity is elevated. What could thus be and I m most worried about ovarian cancer? Also had hpv in my early 20 s. Had hysterectomy in 2012 but still have both ovaries. Going back next week for another ultrasound and follow up appointment.

### output:

Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Multiple cysts in left ovary without involving the other areas is possibly benign.2. In the forties, the common lesion of ovary is usually serous cyst or mutinous cyst. As it is multicystic, it is possibly mutinous cyst. Judging by size, I could think of polycystic ovarian disease.3. The specific gravity in urine is elevated due to presence of protein, blood and myoglobin. Need a renal biopsy to identify abnormality in kidney.4. Its not malignant ovarian cancer. The size is also small, maybe mutinous cyst or polycystic ovarian disease. Hope it helps. Any further queries, happy to help again.