On Saturday, January 23, 2016 I went to the ER with severe pain in my RLQ and rectum. They did a CT scan which showed a mass in my LLQ. They did both an external and internal ultrasound and came back telling me that I had a 4.6x4.7cm mass in my left adnexal region with numerous internal echoes but couldn't tell if it was connected to my ovary. The ER Doctor was adamant about me seeing an OBGYN ASAP for a biopsy. I sent the radiology reports to 2 friends of mine who are doctors and also my PCP. I've had PCOS since I was 14 and no one has EVER made a big deal about any of my cysts and with this I've had 4 doctors basically freak out about it. My PCP referred me to the OBGYN January 27th and he said he thinks it's just a corpus luteum cyst but referred me to another OBGYN to have another ultrasound and let him determine whether or not I need a biopsy. I see the other OBGYN February 4th. My question is what does "numerous internal echoes" mean? Also, why have 4 doctors freaked out but the OBGYN blew it off? BTW, my WBC count on January 26th was 21,000.