what it mean the uterus is normal size shape and poaition there may be a sall leimyomja messuring at the lower uterine body the endometrium messuress 5mm there no free fluid in the cul-de-sac and technique ttansbdominal and endovaginal real time imeging is performed limited duplex doppler color flow with seotral analysis and waveform analysis of adenexae is performed and left and right ovary there are small follimcles these is no evidence of ovarian torsion arterial and venous flow is demonstrated by doppler