What is a hemorrhagic ovarian cyst?
It is an ovarian cyst with internal hemorrhage. It may show a fluid-fluid level; and when organized hematoma occurs, this can present as nonvascular septations or solid-appearing contents.
How can we differentiate between a hemorrhagic cyst and an ovarian cystic neoplasm?
The solid component of a hemorrhagic cyst should not show internal vascularity by color Doppler and pulsed wave examination.
What is "physiologic" pelvic free fluid?
It is a small amount of free fluid in the pelvis (usually in the pouch of Douglas), and this free fluid is most commonly seen in young females within the reproductive period.
The right ovary shows a cystic lesion with anechoic contents as well as numerous echogenic septations forming a hyperechoic component. No internal vascularity could be detected by color Doppler interrogation and pulsed wave examination. The cyst measures about 6.0 x 6.7 x 7.6 cm.
The left ovary is of normal size, measuring about 2.0 x 3.2 cm, with a normal shape and echotexture. No abnormal cysts or masses could be seen.
The uterus is normal size, measuring about 3.1 x 3.3 x 8.8 cm, and shows a normal echopattern and no focal lesion. IUCD is in a normal position.
The cervix has a normal appearance with no focal lesion.
Minimal anechoic free fluid in the pouch of Douglas, likely physiological.
No abnormal pelvic collection.