| EXAM: | |
| Transvaginal ultrasound. | |
| HISTORY: | |
| Pelvic pain. | |
| FINDINGS: | |
| The right ovary measures 1.6 x 3.4 x 2.0 cm. There are several simple-appearing probable follicular cysts. There is no abnormal flow to suggest torsion on the right. Left ovary is enlarged, demonstrating a 6.0 x 3.5 x 3.7 cm complex cystic mass of uncertain etiology. This could represent a large hemorrhagic cyst versus abscess. There is no evidence for left ovarian torsion. There is a small amount of fluid in the cul-de-sac likely physiologic. | |
| The uterus measures 7.7 x 5.0 cm. The endometrial echo is normal at 6 mm. | |
| IMPRESSION: | |
| 1. No evidence for torsion. | |
| 2. Large, complex cystic left ovarian mass as described. This could represent a large hemorrhagic cyst; however, an abscess/neoplasm cannot be excluded. Recommend either short interval followup versus laparoscopic evaluation given the large size and complex nature. |