The patient shows the classic presentation of Meigs syndrome, namely benign solid ovarian mass, gross ascites and pleural effusion. Although no histology is available to ascertain the presence of ovarian fibroma, the tumor is seen to be hypodense and shows scanty enhancement to contrast, similar to findings in ovarian fibroma.

Even, though Meigs syndrome is classically associated with ovarian fibroma, other benign ovarian conditions, as well as ovarian malignancies have also been reported. A possibility of "pseudo-Meigs syndrome" could be considered.