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Fig. 1. Normal MR anatomy (T2-weighted images) of the uterus and cervix. a Three zones are recognized in the uterus: the hyperintense endometrium, the hypointense junctional zone (arrow) and the outer layer of the myometrium of intermediate signal intensity. b Four zones are distinguished in the cervix: the hyperintense mucous within the endocervical canal, the cervical mucosa, the hypointense cervical stroma (arrowheads), and an additional layer of smooth muscle b
Fig. 2. Normal MR anatomy (coronal T2-weighted image) of ovaries. Multiple follicular cysts are seen in both ovaries secretory phase and thus the normal zonal anatomy of the uterus can be better appreciated.
According to the classification of the American Fertility Society, MDAs can be classified into seven different classes (Fig. 3, 4, 6). The classification describes
I Hypoplasia/agonosis
(a) Vagirval {b) Cervical tHX
(a) Complete (b) Partial
II Unicorn uale
Communicating Communicating
(c) No cavity (d) Ko horn til Dldelpbus ryp
IV Bicornuat*
{a) Complete (b) Partial
VII OES drug related
Fig. 2. Normal MR anatomy (coronal T2-weighted image) of ovaries. Multiple follicular cysts are seen in both ovaries
Fig. 3. Classification system of Mullerian duct anomalies according to the American Fertility Society
Normal ovaries measure between 1.5 and 3 cm during reproductive age while their size decreasing after menopause. They can be easily diagnosed by the presence of T2-weighted hyperintense follicles (Fig. 2).
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