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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G1_F3.jpg"}},{"insert":"\n\n"},{"insert":"You examine Julie. Her vital signs are stable.\n\nHer abdomen is mildly distended, without any tenderness. However, pelvic examination reveals mild tenderness in the left adnexum.\n\nThe remainder of the examination is unremarkable.\n\nYou perform a pelvic ultrasound, and notice a single intrauterine gestational sac of 0.7 cm.\n\nBoth the left and right ovaries are enlarged, being 5.2 cm and 4.4 cm respectively, with multiple complex follicles.\n\nA 10 x 9 x 9 cm hemorrhagic mass with mixed echogenicity is seen in proximity to the the enlarged left ovary. Minimal free fluid is also present.\n\nThere are no features suggestive of a cornual pregnancy.\n\nHer basic hematological and biochemical investigations are all within normal parameters.\n\nAs you complete the scan, Julie mentions that the pain commenced soon after a workout 3 days ago.\n\nShe did not think too much about it at that time, but is now worried that it might be connected to her symptoms.\n"}]}