Indication: Right lower quadrant pain
Negative pregnancy test
Markedly enlarged right ovary with heterogeneous echotexture, peripheralization of ovarian follicles, and minimal internal vascularity, concerning for ovarian torsion.
Echogenic mass along the medial aspect of the right ovary with internal “dot dash” appearance is consistent with a dermoid cyst and is the likely lead point for ovarian torsion.
Normal appearance of the uterus and left ovary.
Moderate volume of mildly complex fluid layering in the cul-de-sac.