Figure 4b. Metastatic disease in a 46-year-old woman with a prior history of micropapillary serous ovarian cancer and an elevated serum CA-125 level (>8,000 U/mL). (a) CT scan demonstrates partially calcified masses in the left side of the pelvis (arrows) near the bowel and superior to the bladder. (b) Fused PET-CT scan shows increased activity in the area of the pelvic masses (arrows), a finding that is compatible with tumor.