Within the right adnexa is a heterogeneous mass with maximal dimensions of 78 x 65 x 52 mm (volume 140 mL) arising within the ovary. Small amount of vascularity seen within the mass. Small amount of pelvic free fluid. Normal size and appearance of the left ovary with maximal dimensions of 45 x 28 x 16 mm (volume 11 mL).
The uterus has an anteverted orientation with normal size and appearance, 45 x 25 x 41 mm (volume 24 mL). No focal uterine lesion. Endometrium is uniformly thin.
IMPRESSION
- Findings are most in keeping with a ruptured right ovarian cyst.
- Small amount of free pelvic fluid demonstrated however, when compared to the CT abdomen/pelvis the haemorrhagic right ovarian cyst is the most likely source of the large volume haemoperitoneum.