Figure 3: 13 year-old female with primary amenorrhea and prior left nephrectomy for a nonfunctioning pelvic kidney. a) Axial oblique MR image demonstrates bilateral divergent uterine horns with noncommunicating endometrial segments (double arrow) with undifferentiated soft tissue at the anticipated site of the cervix (single arrow). b) Axial T2 weighted-MRI image demonstrates an atretic upper vagina (arrow) as well.