Urinary bladder is well distended. Multiple internal echoes are seen in the urinary bladder .Urinary bladder wall irregular and thickened measuring 6 mm suggestive of cystitis. Uterus is anteverted and anteflexed, and is bulky in size measuring 10 x 4.4 x 3.8 cm and shows 8x10 mm and 10x12 mm intramural fibroids in the anterior wall. Endometrium is normal in thickness (6 mm). Both ovaries appear enlarged in size with increased stromal echogenecity and multiple small subcentimeter sized follicles seen in the periphery. Right ovary measures approx. vol: 14cc Left ovary measures approx. vol:10cc Note is made of excessive gaseous distention of bowel loops.