No significant abnormalities are seen in the bilateral adnexal region, which is usually the diagnostic recommendation given by the ultrasound. The ultrasound will describe the position of the uterus, the size of the uterus, the thickness of the endometrium, and the presence or absence of masses between the muscular walls of the uterus. The bilateral adnexal area includes the ovaries and fallopian tubes, which are called the adnexa. No obvious abnormality means that neither cysts nor solid tumors nor thickening or inflammatory changes are seen, which is no obvious abnormality in the bilateral adnexal area. If there is a cystic mass in the adnexal region, it will describe the presence of anechoic, hyperechoic, mixed echogenicity, or the presence of effusion, encapsulated effusion, irregular anechoic areas, these refer to abnormal presentation of the adnexal region. If the ultrasound, when probing the bilateral adnexal areas, does not see masses, swellings, or effusion, and only two normal sized ovaries are seen, with the fallopian tubes visible or not, this is a case where no significant abnormalities are seen in the bilateral adnexal areas.