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Large heterogeneous mass arising from the left ovary, lying anterior to the uterus. The mass contains soft tissue, fat and calcification. Vessels around the edge of the mass pass towards the left side and drain into the left ovarian vein, indicating left ovary as the origin of mass. Right ovary lies right posterolateral to uterus and has a normal appearance. Large volume of free fluid throughout abdomen and pelvis, no fat-fluid levels, and no abscesses. No pneumoperitoneum.