Marked bilateral hemato/hydrosalpinges reaching 4 cm in caliber, showing foci of blood signal as well as marked diffusion restriction.
Multiple islands of deep invasive uterine endometriosis, involving the outer myometrium and showing low T2 signal, the largest of which is 5 cm and shows internal microcysts of blood signal. The uterus is retroverted, with normal endometrial and junctional zone thickness.
A T2 hypointense plaque measuring 12 mm involves the colonic wall at the level of recto-sigmoid junction (which may explain the bleeding per rectum).
Minimal free pelvic fluid.