physical examination On physical examination she was thin,but not emaciated. There was no peripheral lymphadenopathy. Bilateral wheezing became prominent during forced expiration. The abdominal exam revealed slight tenderness without guarding or rebound. There was a large mass in the mid-abdomen and right flank,measuring about 10 cm. Normal bowel sounds were present.She had bilateral pitting edema up to the knees.physical examination • On physical examination she was thin, but not emaciated. • There was no peripheral lymphadenopathy. • Bilateral wheezing became prominent during forced expiration. • The abdominal exam revealed slight tenderness without guarding or rebound. • There was a large mass in the mid-abdomen and right flank, measuring about 10 cm. • Normal bowel sounds were present. She had bilateral pitting edema up to the knees