Retrouterine enlarged left ovary measuring 8.5 x 6.7 x 7.9 cm, exhibiting a hypodense center and peripherally-located follicles. There is a 4.4 x 4.0 x 5.1 cm cyst at its right edge and a smaller, twisted, enhancing structure that could represent a ruptured corpus luteum.
Very small amount of free fluid between the left ovary and the uterus and above the ovary.
Intramural fibroid measuring 2.7 x 3.6 x 3.1 cm, displacing endometrium posteriorly.
Atrophic right ovary.
Bartholin cyst bilaterally, right larger than left.
Impression:
Markedly enlarged left ovary showing features consistent with ovarian torsion.