Hello I had gone through your report very diligently and I can understand your concern Your right ovary has number of cysts which a matter of worry This could be lead to ovulation failure and subsequently infertility You may require hormonal assessment for further evaluation Minimal free fluid in cul de sac is suggestive of PID Pelvic inflammatory disease which can be treated with a course of antibiotics or clinical aspirations of fluids If you are married and willing for a child than definitely it s a matter of concern Please upload me complete medical history your age and obstetric history Maintain good hygiene Have plenty of fluids orally Waiting for your response wishing you good health