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The right ovary itself is seen enlarged (3.7 x 5.4 x 5.5 cm in AP x ML x CC respectively) with echogenic stroma and peripherally displaced follicles. Doppler scan (not shown) revealed no internal vascularity. Impression of ovarian torsion.
A large well defined anechoic cystic lesion is seen at the mid pelvic region, encroaching upon the right adnexal region and inseparable from the right ovary. It is seen indenting the uterine body and displacing it posteriorly. It measures 7 x 10 x 12 cm and is in keeping with a large paraovarian cyst.