Ultrasound - Pelvis
Transverse
The uterus:
- gravid uterus with single intact gestational sac with a viable embryo with normal active pulsations of about 8 weeks of gestation
- no focal or diffuse myometrial lesions
Left ovary:
- located at the pelvis above the uterus
- markedly enlarged (85 cc) with twisted pedicle and stromal oedema with cystic changes and peripheral hypoechoic zone, all ovarian parenchyma are devoid of vascularity, suggestive of ovarian oedema with impending cortical necrosis
- Doppler study revealed twisted left ovarian pedicle with no detected vasculature along the ovarian parenchyma, consistent with left ovarian torsion
- it shows large paraovarian cyst at its pedicle with thin wall and clear fluid content measuring 4 x 5.2 cm
- mild free fluid is noted at the pelvis and right iliac fossa
Right ovary:
- normal size (3 cc) and sonographic features. No cysts or lesions
- located at the right adnexal region