This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Presentation (Carcinoma Ovary), Subject name: Gynaecology & Obstetrics
All are components of Meig's syndrome. Except - 
Select and explain. 
A. Pleural effusion, B. Ovarian tumour, C. Ascitis, D. Pericardial effusion
D: Pericardial effusion
Answer: D: Pericardial effusion 
Explanation: Ans. is 'd' ' Pericardial effusion (Ref : Shaws, 13/e, p 365 (12/e, p 322))."Meigs syndrome is combination of ovarian fibroma* with ascites* and hydrothorax* usually right sided" - Shaws, 12/e.Other than fibroma, other ovarian tumours associated with this syndrome are -Granulosa tumours*Brenner tumour*