31-year-old female. Difficulty with penetration, husband only able to enter 1 to 2 inches and then something blocks the way, transverse vaginal septum. Evaluate for pelvic organ anomaly. Evaluate urinary tract for anomaly. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small right renal cyst. Kidneys are normal in morphology and symmetric in size and enhancement. No renal anomalies are evident. The ureters are not well-opacified on post-contrast sequences and therefore not visualized; however, given lack of a renal anomaly, the likelihood of a ureteral anomaly is low.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Retroverted uterus. No uterine masses. No uterine anomaly is identified. Small follicles in the ovaries, which are normal in size and appearance. The vagina is collapsed. No vaginal dilatation to suggest a completely obstructing septum. Small 5 mm cyst at the midline posterior aspect of the upper vagina. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Retroverted uterus. No uterine anomaly is evident.2.No vaginal dilatation to suggest a completely obstructing septum. Collapsed state of vagina makes it difficult to evaluate for a partial septum.3.No renal anomalies. Ureters are not well-visualized; however, given the lack of renal anomaly, the likelihood of a ureteral anomaly is low.