13 year old female with uterus didelphys, unilateral distal vaginal agenesis, and ipsilateral renal agenesis. Coronal long axis non-fat saturated FSE T2. After administration of sterile saline plus sterile ultrasound gel into the vaginal fornix via a small sterile catheter (arrowhead) high T2 signal extended from the vaginal fornix into a normal appearing cervix and uterine horn confirming patency on the right (filled arrow) and corresponding with a prior physical exam performed by the surgeon. Note blind-ending uterus (long arrow). Please note the lower uterine segment (open arrow). (Protocol: 1.5 Tesla MRI (GE Signa Excite), TR/TE: 4000/110, 5mm slice thickness, non-contrast).