Answer:

Explanation
Multiplanar T2 and T1 MRI of the pelvis is used for further evaluation after ultrasound or CT of leiomyomas, congenital uterine anomalies, and female pelvic malignancies (e.g., adnexal masses). [An MRI of the pelvis utilizing multiplanar T2 and T1 sequences demonstrated two widely divergent separate uteri and cervices with the uterine volume of the right horn smaller than the left.]

Transabdominal ultrasound is used to investigate for an uterine or renal abnormalities.  [Transabdominal ultrasound demonstrated widely divergent uterine corpi, raising the index of suspicion for uterine duplication anomaly…Renal evaluation revealed an absent left kidney corroborating the diagnosis of uterine duplication anomaly, most likely uterine didelphys. ]

Multiplanar non-fat saturated FSW T2 sequence MRI of the pelvis used to further assess the patency of the uterine segments. [Two days later, an additional MRI of the pelvis was performed utilizing multiplanar non-fat saturated FSE T2 sequences after administration of sterile saline plus sterile ultrasound gel into the vaginal fornix via a small sterile catheter to further assess the patency of the uterine segments and correlate with a physical exam performed by the surgeon.]

Pelvic exam under anesthesia is used to further clinically correlate to the abnormalities seen on MRI and ultrasound. [After the initial MRI, the patient had a physical exam under sedation demonstrating a single cervical opening tilting in the direction of the expected right uterine horn.]