RADIOLOGY: FEMALE REPRODUCTIVE: Case# 33981: TUBO-OVARIAN ABSCESS. Twenty-two year old woman with pelvic pain, cervical discharge. Her pregnancy test is reportedly negative, and she states that she had her tubes ligated approximately four years ago. Complex cystic appearing left adnexal mass. Given the clinical history, this most likely represents a tubo-ovarian abscess. Ovarian malignancy cannot be totally excluded with this appearance.