Ovarian hemorrhagic cyst
Acute right iliac fossa pain.
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Right ovarian avascular complex cyst with reticular internal septations measuring 4.8cm.
Normal uterus and left ovary.
The appearance is an ovarian hemorrhagic cyst.
Small hemorrhagic cysts (<5cm) with a typical sonographic appearance do not require routine followup - although in practice, a repeat ultrasound is often performed regardless, to alleviate clinician or patient anxiety.
In this case, the cyst measured just under 5cm, and was followed up 3 months later at which time it had resolved, confirming its benign and transient nature.