Type:
Educational Exhibit
Keywords:
Congenital, Imaging sequences, MR, Genital / Reproductive system female
Authors:
M. M. H. Ahmed1, N. M. Saloum2, R. Yousef1, S. A. M. Ibrahim1, T. Salem Alyafei1; 1Doha/QA, 2Doha, Doha/QA
DOI:
10.26044/ecr2019/C-0445
Findings and procedure details
When suspecting a mullerian duct anomaly (MDA),
a plain MRI study of the pelvis should be performed with the following sequences: T2-weighted (T2W) images in coronal,
axial and sagittal planes,
T1W axial,
T1 Fat suppressed sequences axial,
coronal and sagittal images and T2 coronal Fat suppressed sequence.
Coronal T2W images are ideal for demonstrating asymmetric uterine septum as well as normal uterine fundus outer contour (figure 1).
The lower portion of the septum is transversely oriented and obstructing one endometrial cavity leading to its distension and hematometra.
If cyclical secretions extended into the ipsilateral fallopian tube and adnexal region,
ipsilateral hematosalpinx with or without ipsilateral endometriomas may be also seen.
Chronic blood products typically appear bright signal on T1W and T1W fat-suppressed images with a shading effect on T2W images (Figure 2,
3).
Normal other endometrial cavity and it is seen communicating with the cervical canal.
The ipsilateral fallopian tube is normal.