system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 25-year-old woman comes to the physician because she has noted darkening of the skin around her neck since wearing a chain she recently bought at a thrift shop. The darkening occurred gradually over the past 2 months and is accompanied by thickening of the affected skin. She has peptic ulcer disease. Menses occur at irregular 35- to 60-day intervals and last for 9 days with heavy flow. Menarche was at the age of 14 years and her last menstrual period was 3 weeks ago. She is sexually active with her husband and they do not use contraception. The patient's only medication is cimetidine. She is 163 cm (5 ft 4 in) tall and weighs 91 kg (200 lb); BMI is 34 kg/m2. Vital signs are within normal limits. Physical examination shows velvety, hyperpigmented plaques in the axillae, the inframammary fold, and around the neck. The remainder of the examination shows no abnormalities. Further evaluation of this patient is most likely to show which of the following findings?
assistant
Polycystic ovaries on ultrasonography of the pelvis