An irregularly multiloculated, predominately fluid density mass in the right adnexa displaces the uterus to the left and posteriorly extends superior to the uterus to impinge upon the sigmoid colon at the apex of a very acute sacrococcygeal angle.
There appears to be associated free fluid in the pouch of Douglas.
Conclusion
The insinuation of the complex mass into anatomical spaces is in keeping with the diagnosis of tubo-ovarian abscess.