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A thick walled cyst is seen in midline, which on ultrasound had diffuse low level internal echoes. The left ovary is seen separately ( not shown in these images). The right ovarian residual stroma is noted stretched around this cyst. The right adnexa on earlier ultrasound demonstrated no adnexal vascularity; however on post contrast images it appears to enhance brilliantly while no significant enhancement is noted in the cyst wall. Minimal free fluid was present in the POD. These features were in favor of torsion with concomittant de torsion.