Markedly enlarged right ovary, which is centrally placed and located in the pelvis anterior to the uterus and fallopian tubes. It shows heterogeneous enhancement, with multiple peripheral cysts representing ovarian follicles, giving it a “string of pearl” appearance. However, no lead point is identified. The size of the ovary is approximately 5.4 x 3.4 cm.
Engorged vessels are seen along the anterosuperior aspect of the right ovary, representing a twisted pedicle pathognomic for ovarian torsion.
There is no gross deviation of the uterus to the side of the twist.
The left ovary is unremarkable. It measures 0.8 x 0.3 cm.
The uterus is of small size with respect to age, measuring 1.0 x 0.5 x 1.8 cm, representing an infantile uterus.
Mild pelvic fluid.