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41 Y-O with Right Abdomen Pain

41 year old female with right sided abdomen pain.

CT:  Vague mass in the right adnexa.  Usually, but not always, on a contrast CT you can identify some normal ovarian tissue.  Here it is absent.

ULTRASOUND:  Right adnexal mass without flow.

TEACHING POINT:  Don't forget to raise the possibility of ovarian torsion when things just don't look right.