Demographics:
26 years old, Female
Indication:
Lower abdominal pain, negative pregnancy test
Findings
- Large anechoic right ovarian lesion measuring 6.5 x 6 x 5.2 cm with posterior acoustic enhancement
- Otherwise normal appearance of the uterus and ovaries with preserved arterial and venous spectral Doppler waveforms in both ovaries
- Moderate to large volume free fluid layering in the pelvis with internal echoes
Diagnosis
Ruptured ovarian cyst
Sample Report
No evidence of ovarian torsion.
Moderate to large volume free fluid layering in the pelvis with internal echoes, likely representing hemoperitoneum.
Simple appearing right ovarian cyst measuring up to 6.5 cm. Given size, recommend followup pelvic ultrasound in 6-12 weeks for further assessment.
Discussion