PATIENT - 62 years, female. Height - 5 ft 2 inch. CONDITION-hyperthyroidism, hypertension, CKD, Ovary Cyst, prediabetic. SYMPTOM - weight loss by 10 kg in one year (from 58kg to 48 kg) else no symptoms at a physical level. BIOCHEMISTRY- alpha feto protein, ca 19-9, ca 125, mSpike, electrophoresis, ANA test all in normal range, CBC normal except slightly lowered haemoglobin (11.6). Cervical pap smear - normal Mammography - normal Carcino embryonic antigen- normal Creatinine - 1.58 Serum Beta HCG-4.38 (range 0-3). Serum HE4-143 pmol/L TVS PELVIS FINDINGS - (report attached please have a look) 1) small hypoechoic nodular lesion (0.45 x 0.61 cm) in posterior fundus 2) Thin endometrial fluid collection (3.9 mm thickness) 3) Benign left ovary (cyst size 2.99 x 4.45 x 5.35 cm) 4) Small simple right ovarian cyst (cyst size 0.66 x 0.84 cm). I beg before you, some of you, please throw some light on the scenario. The statistics are of my mother. Please help..