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MRI confirms very enlarged ovaries, with the right placed superoanterior to the uterus and being larger than the left. Multiple peripheral thick-walled follicles are present. There is free fluid in the pelvis, including a small blood-fluid level. Twin gestation sacs are seen in the uterus. The appendix is not clearly identified, but there is no inflammatory process in the abdomen and pelvis, with no restricted diffusion.