There is a well-defined and heterogeneous echo pattern cyst/mass located in the left adnexal region and mostly arising from the left ovary, it measuring 6 x 8 x 7 cm, it characterised by hypoechogenicity, containing well-circumscribed echogenic component measuring 5 x 5 cm and internal echogenic debris. There is no definite vascularity on colour Doppler. Features are likely complex left ovarian cyst.