The uterus and endometrium are normal.
Right ovary normal with normal vascularity demonstrated.
The left ovary is markedly enlarged measuring 91 x 69 x 81 mm (264 ml) due to a large, multilocular mass with 2-3 avascular papillary projections measuring up to 25mm. This lesion has smooth internal septations which demonstrate minor vascularity (IOTA colour score 2). No acoustic shadowing.
The left ovary was tender to ultrasound transducer pressure.
Small volume of free fluid in the pouch of Douglas and right adnexa.