Caption: Transverse image of the right adnexa
Description: There is a complex mass seen in the right adnexa. The right ovary is not seen separate from the mass.
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Caption: Transverse image of the right adnexa
Description: The complex heterogeneous mass is again noted in the right adnexa. It is predominantly hypoechoic with a few cystic areas within the mass.
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Caption: Sagittal image of the contralateral ovary
Description: The contralateral left ovary appears normal and shows prominent follicles within.
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Caption: Sagittal image of the right adnexa
Description: This is the peripheral component of the complex mass that was seen in the right adnexa. It appears to be an enlarged and heterogeneous right ovary with peripherally displaced follicles - this is classical for torsion.
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Caption: Spectral Doppler image of the right adnexal mass
Description: Spectral analysis demonstrates a normal arterial waveform. The venous waveform however, could not be obtained, implying that the venous supply is probably compromised.
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