Nodular thickening and mass-like 2 x 2 cm lesion in right uterosacral ligament, appearing hypointense on T2W images, suggesting peritoneal endometriotic implant. Distal ileum segments pulled to this side due to adhesions.
Left ovarian cyst shows dependent high T1 signal with T2 shading, suggesting an endometriotic cyst.
Right ovary is normal.
Fluid collection in pouch of Douglas.