29-year-old female with right lower quadrant pain and early pregnancy. Evaluate for appendicitis. No abnormally thickened appendix is identified in this examination, or significant, loculated fluid collections. What appears to represent right ovary is enlarged measuring approximately 3.7 x 5.1 x 7.8 cm and contains an approximately 3.6 cm simple-appearing cyst as well as prominent, peripheral ringing follicles. There is a small amount of para-ovarian fluid. Limited color and spectral Doppler does demonstrate some degree of arterial and venous flow within the enlarged ovary. OB ultrasound was not performed but there is fluid within the endometrial canal with presumed fetal pole.
Enlarged right ovary containing a simple-apparent cyst and a small amount of para ovarian fluid. Despite evidence for flow by Doppler, the findings are highly suggestive of ovarian torsion. This was communicated to the emergency room at the time of the exam.No sonographic evidence for appendicitis.Presumed early pregnancy, but Ob ultrasound was not performed.