The MRI sequences demonstrate a right cystic mass posterolateral to the uterus with a thick enhanced wall with fluid-fluid content that shows restricted diffusion. Marked surrounding inflammatory changes extending to the left pelvic region, minimal peritoneal effusion with thickening and enhancement of the adjacent peritoneal reflections suggestive of pelvic peritonitis.
Elongated uterus adherent to the surgical scar (history of previous cesarean sections).
The left ovary shows small follicles as well as small corpus luteal cyst with surrounding inflammatory changes.