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. MRI can clarify inconclusive sonography results concerning cavitation of the uterus. MRI improves assessment of subperitoneal structures and detects presence of a cervix. Laparoscopy Laparoscopy provides only indirect assessment of uterine cavitation.