Ruptured Ovarian Cyst on Pelvic Ultrasound 22 year old female w/ acute onset RLQ pain & TTP over her abdomen, LMP 2 weeks ago. This is a sagittal view of the uterus with the bladder inferior to the fundus. Given the acute onset & mid-cycle timing, the presence of free fluid suggests an ovarian cyst rupture. Urine pregnancy test definitely indicated though (just in case!). Dr. Meghan Herbst @EUSmkh #Ruptured #Ovarian #Cyst #Pelvic #Ultrasound #Transabdominal #clinical #gynecology #obgyn #POCUS