Evidence of a two completely separate uteri with widely divergent apices associated with two separate cervices and two vaginas, in each uterus normal uterine zonal anatomy is preserved, also there is a markedly distended blood filled right vagina which shows hypointense signal centrally surrounded by a peripheral hyperintense signal on T1WIs and T1 FAT SAT and hyperintense on T2WIs and compressing the left vagina, the picture goes with uterus didelphys (class III müllerian duct anomaly) associated with grossly distended right vagina (Haematocolpos) likely secondary to transverse vaginal septum.
Right renal agenesis as seen in the images and was confirmed previously.
The above findings highly in favour of Herlyn-Werner-Wunderlich syndrome.
A well-defined round shaped unilocular cystic lesion is seen in the right adnexa measuring 25*23 mm in maximal transverse diameter. It shows fluid signal (hypointense in T1 and high signal in T2 weighted images) and it has a thin wall with no evidence of fatty tissue, no internal septations or mural nodule could be seen, the finding in favor of a simple ovarian cyst.
Clear left adnexa.