21-year-old G3P2 TOA1 female presents with severe pelvic pain, lies with her hips flexed and won't straighten her legs. Pulse 102, BP 102/80,temp 37.0 R-16. Pt refuses pelvic and abd 
exam, demands a CT scan, denies pregnancy based on a mefipristone abortion 6 weeks PTA. Her serum preg IS negative but her urine preg is weak pos. She finally agrees to a trans-abd US in exchange for pain meds & ice chips. You perform a focused ultrasound and note the following…
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