Demographics:
23 years old, Female
Indication:
Right lower quadrant pain, negative pregnancy test
Findings
- Markedly enlarged right ovary with heterogeneous echotexture, peripheralization of ovarian follicles, and minimal internal vascularity
- Echogenic mass along the medial aspect of the right ovary with internal "dot dash" appearance
- Normal appearance of the uterus and left ovary
- Moderate volume of mildly complex fluid layering in the cul-de-sac
Diagnosis
Ovarian torsion
Sample Report
Markedly enlarged right ovary with heterogeneous echotexture, peripheralization of ovarian follicles, and minimal internal vascularity, concerning for ovarian torsion.
Echogenic mass along the medial aspect of the right ovary with internal "dot dash" appearance is consistent with a dermoid cyst and is the likely lead point for ovarian torsion.
Normal appearance of the uterus and left ovary.
Moderate volume of mildly complex fluid layering in the cul-de-sac.
Discussion