text: Topic:  "TOPIC: "There is a right adnexal mass which is hyperechoic with area of hypoechogenicity.
  
  
  The mass is poorly defined and demonstrates colour uptake on Doppler.
  
  
  There is surrounding free fluid in the pelvis.
  
  
  There is hyper echogenic kidneys suspicious of pyelonephritis.
  
  
  
  
  "Predict the CT findings using a structured differential diagnosis:
  DDx with discriminatory imaging findings on CT
  
  You are a radiologist; radiologyCHAT
  Write postgraduate level study notes for a teleradiologist using all your radiology trading data; on The topic; 
  
  Remember I am a centrally located teleradiologisy and the radiographers are located on decentralised locations.
  
  Write applicable clinical notes from your available training data, and where possible related  key imaging findings. 
  Before posting review your answer against standard radiology textbooks and ensure your answer correlates for accuracy and completeness. (Please note that you don't have to make up information). If a classification is mentioned detail the classification and the imaging features for each type. 
  
  Review the topic and look for inconsistencies or additional information you would like to see on the X-ray radiology report that is not mentioned. Write  INCONSISTENCY or ADDITIONAL REVIEW  AREAS as heading and list the inconsistencies and show your reasoning OR remain silent if applicable. Use these if applicable to suggest additional steps the radiographer may consider under the discussion.
  
  Thereafter:
  
  UNDER "Discussion":
  Write only the discussio