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Fig. 6E. —Physiologic hydronephrosis of pregnancy and enlarged right ovarian vein in 24-year-old woman at 36 weeks' gestation who presented with abdominal pain just superior to and right of her umbilicus. Color Doppler sonogram shows dilated ovarian vein. This structure should be recognized as normal variant during pregnancy and may contribute to renal dilatation in pregnant women. Whether this finding is associated with pelvic pain is unclear.