Presentation
Dysmenorrhea in a patient with primary infertility.
Patient Data
Age: 35 years
Gender: Female
From the case:
Müllerian duct anomaly - type IIb
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The right uterine horn is not communicating with the uterine cavity and contains endometrium of high signal intensity on T1WI and T2WI, indicating a functional non-communicating horn. Left unicornuate uterus.
Both ovaries show multiple small follicles.
Minimal effusion is seen in Douglas pouch.
Case Discussion
MRI features suggestive of a Mullerian duct anomaly class IIb: unicornuate uterus with a non-communicating contralateral rudimentary horn, containing endometrium.