I have had this left lower pelvic pain for almost two months now. sometimes it becomes severe and sometimes bearable, but bothersome at all times. Just recently went to get ob/gyn and went for 2nd round of sonogram..please interpret this diagnosis for me. The pain is ongoing and very bothersome.. PELVIC WITH TRANSVAGINAL SONOGRAM History: Left lower pelvic pain Multiple real-time sonographic images of the pelvis were obtained in multiple projections using the transabdominal as well as transvaginal approach to better delineate the intrapelvic structures. The uterus is retroverted and appears slightly heterogeneous however a discrete lesion evident. The uterus is normal in size measuring 6.6 x 3.7 x 5.1 cm. The endometrial stripe is normal measuring 0.9 cm in greatest thickness. The right ovary measures 3.2 cm in diameter. The left ovary measures 4.2 cm in diameter. There are multiple subcentimeter follicular cysts. There is slight increased echogenicity of the central stroma a constellation of findings which can be associated with polycystic ovarian disease. Within the left ovary however centrally the presence of an ovoid 2.0 x 1.3 x 2.0 cm is. Neither ovary demonstrate solid complex lesions. There is no free fluid. The remainder of the study is unremarkable. Impression: Retroverted slightly heterogeneous uterus Multiple Peripheral subcentimeter follicular cysts throughout both ovaries with slightly echogenic central stroma a constellation of findings which can be seen in polycystic ovarian disease, however are normal in size. Dominant 2 cm simple left ovarian simple cyst