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The uterus is gravid with two gestational sacs (GA 5 weeks, 2 days) following ovarian induction and IVF. Both ovaries are enlarged (right ovary volume 164 mL, left ovary volume 320 mL) with multiple cysts, and associated mild amount of free fluid in the hepatorenal pouch and pelvic region.
The left ovary is situated in midline position superior to the uterus, showing increased parenchymal echogenicity as compared to the right side without evidence of blood flow on colour-flow imaging (despite using low flow scale which proved preserved blood flow in the right ovary).