This 30-year-old lady presented through the ER with lower abdominal pain. Physical examination demonstrated tenderness at the suprapubic region and left iliac fossa. Ultrasound of the abdomen and pelvis was requested demonstrating heterogeneous lesion at the left iliac fossa predominantly solid and hypervascular on Doppler examination was thought about this lesion to be inflammatory in nature. Further evaluation by CT with IV contrast was requested by the treating team and demonstrated heterogeneously enhancing lesion likely arising from the left ovary. Laboratory results did not show the normal doubling of serum beta HCG levels and the diagnosis of ectopic pregnancy was made.