Height is normal. Speculum examination of the vagina may be impossible or difficult due to the degree of vaginal agenesis. The vulva, labia majora, labia minora, and clitoris are normal. A palpable sling of tissue may be present at the level of the peritoneal reflection. It is postulated that the m llerian duct system ceases development during gestational days 44-48.
Abnormalities can range from minor anatomic changes to total aplasia.
Sonography An excellent imaging modality for MRK, sonography requires no radiation and is noninvasive and inexpensive. Sonography easily depicts the upper level of the vagina and the length of its obstruction. Sonography also can identify uterine duplications and tubal obstruction. Sonography simultaneously allows assessment of kidneys and bladder for abnormalities and visualization of some vertebral anomalies. Magnetic resonance imaging MRI provides excellent images of superficial and deep tissue planes.