Bicornuate uterus (MRI)

Case contributed by Shailaja Muniraj
Diagnosis certain

Presentation

Intermittent lower abdominal pain since 2 months. Irregular menstrual cycles.

Patient Data

Age: 25 years
Gender: Female
ct
This study is a stack
Sagittal
non-contrast
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Axial
non-contrast
This study is a stack
Coronal
non-contrast
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Info

Two discrete uterine horns identified. Endometrium and cervical canal cannot be commented upon.

Left ovarian cyst is appearing hypo-attenuating. 

mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
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Axial T1
fat sat
This study is a stack
Coronal
STIR
This study is a stack
Sagittal
T2
This study is a stack
Axial
ADC
This study is a stack
Axial
DWI
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Info

Two discrete uterine horns are noted. Fundal cleft measures more than 1 cm with widened intercornual distance. Separate non-communicating endometrial cavities seen. 

Also seen is incomplete septum within the cervix. The vagina appears normal.

Left ovary shows a thin-walled cystic lesion with minimal internal debris and incomplete septae within. No evidence of any obvious mural nodule / solid component.

No suspicious lymphadenopathy.

Incidental bilateral polycystic kidneys noted.

Case Discussion

Bicornuate uterus with incomplete septum within the cervix.

Special thanks: Dr. Nanda Kumar

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