Vit D is very low, ideally to keep it is > 40 Ca125 is 66, it's done to detect high risk zone of cancer of ovaries. In a post-menopausal woman with a palpable adnexal mass and CA-125 level greater than 65 U/mL, the positive predictive value is >95% for ovarian malignancy. In patients who are not as carefully selected clinically, the utility of this test decreases, thus highlighting the need for careful clinical scrutiny.