I had a pelvic ultrasound, what does this mean?

I had a pelvic ultrasound and was wondering if you can tell me what this picture means and refers to? I am a 40yr female. Have had a hysterectomy 5 years ago they took everything but my ovaries. I have been suffering lethargy and nausea. Abdominal/pelvic bloating and feeling of needing to urinate often as well as deep low pelvic pain.
Age:40
Female
Medications: None