28 years, Female, Reason: pt with a longitudinal vaginal septum; will not tolerate transvaginal sono History: pain with insertion of anything into the vagina. PELVIS: FemaleUTERUS, ADNEXA:Cystic lesion formation along the anterior aspect of the upper vagina, located posterior to the bladder, which measures 0.7 x 0.8 x 2.6 cm (1301/17 and 601/19). No definite communication with either the vagina or urethra is identified.Vagina is normal in appearance. No obstructing septum or fluid collection to suggest an obstructed vaginal cavity is identified.Normal-appearing ovarian follicles.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Small amount of free fluid in the pelvis is likely physiologic.
1.No obstructing vaginal septum is identified. However, please note that a nonobstructing collapsed longitudinal septum cannot be excluded on the basis of imaging.2.Cystic lesion formation along anterior aspect of the upper vagina most likely related to Gartner's duct cyst development. Another differential consideration is ectopic ureter, correlation with patient's clinical history recommended; left renal area not well assessed on current study but if patient is known to have a normal left kidney, an ectopic ureter is unlikely and again Gartner's duct cyst favored. 