Left lower quadrant, suprapubic and left flank pain. White cells count 15.5 (ref. 4.0-11.0) with Neut 12.4 (ref. 2.0-8.0).
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There is a prominent fluid-attenuation tubular left adnexal structure, up to 2 cm in calibre, consistent with hydrosalpinx. It conglomerates with the left ovary with thick enhancing walls. Subtle focal fat stranding is noted in between this lesion and the rectum. The right ovary and the uterus are unremarkable within the limitations of a CT study.
No abnormality of the bowel is identified. There is no free fluid or free gas.