<p>The urinary bladder is moderately distended with clear urine and shows normal wall thickness.&nbsp;</p><p>The uterus is normal in size (47.34mm) and empty. It shows uniform myometrial echoes with intact endometrial plate. Internal os is closed</p><p>The right adnexa contains mixed echogenic mass with suggestion of gestational sac seen. No embryonic pole seen. Tenderness was also elicited.</p><p>The left adnexa appear within normal limits.</p><p>There is significant fluid collection in the POD/pelvis due to hematoma collection.</p><p><strong>Conclusion – Findings are highly suspicious of right adnexal ruptured ectopic gestation.</strong></p>