Ultrasound

Ok so I have endometriosis confirmed by laproscopy in 2018. I also have ovarian cysts. I’ve had pelvic ultrasounds many times. Yesterday I went to the ER in severe pain and having nausea and vomiting. My results were different. I’ve never had it say diffuse heterogeneous texture before. Anyone have any clues?

“FINDINGS Uterus: 7 x 3 x 4 cm. Diffuse heterogeneous echotexture. Endometrial stripe measures 3 mm in thickness. No focal mass. Several small cysts in the cervix. Right ovary: 2 x 2 x 2 cm. Patent color flow. A 1 cm cyst. Left ovary: 3 x 3 x 2 cm. Patent color flow. 2 small cysts with the largest measuring 2 cm. Free fluid: Minimal free fluid in the pelvis. “