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A bilocular cyst is noted in the pre-sacral retro-rectal concavity, separable from both ovaries. It measures 10 x 9 x 8.5 cm in its maximal AP, side to side, and cephalocaudal dimensions respectively. It shows a homogeneous fluid signal with no solid components and internal septation.
The cyst exerts mass effect upon adjacent pelvic structures. It compresses and displaces the rectum to the right side, the uterus, vagina, and the urinary bladder anteriorly and superiorly.
Multilocular left ovarian cyst is noted, measuring 6.5 cm, with no suspicious features (functional cyst).