28 years old married woman with history of loss of pregnancy.
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The images demonstrate convex external contour of the uterine fundus. The upper part of endometrial canal is divided by a myometrial cleft into two parts. The apex of the fundus is 10 mm far from the horizontal line drawn between the two tubal ostia.
Incidental finding of an adnexal cyst.
A common form of Müllerian duct anomaly usually associated with loss of pregnancy. MRI is helpful in depiction of the abnormality. The upper surface of the uterine fundus is convex and a complete or partial septum can be seen in the endometrial cavity dividing it into two parts. The diagnosis of septate uterus is made when the apex of the fundal contour is >5 mm above a line drawn between the tubal ostia.
As submitted by: Dr Hidayatullah Hamidi and Dr. Najibullah Rasouly
- Behr, Spencer C., Jesse L. Courtier, and Aliya Qayyum. "Imaging of Müllerian duct anomalies." Radiographics 32.6 (2012): E233-E250.