Case 10.2

15-year-old girl with imperforate hymen Sagittal oblique (Figure 10.2.1) and axial (Figure 10.2.2) FSE T2-weighted images demonstrate cystic lesions along the anterior wall of the mid-distal vagina. Gartner duct cysts Gartner duct cysts represent remnants of the mesonephric or wolffian ducts that involute in the absence of a Y chromosome. These cysts arise from the anterolateral wall of the vagina above the level of the pubic symphysis and usually contain simple fluid. There is a small increased incidence of developmental anomalies of the genitourinary tract associated with the presence of Gartner duct cysts, and some authors have advocated large field-of-view coronal acquisitions to include the kidneys when a cyst is discovered on pelvic MRI. Logistically, this is often difficult to manage unless you simply include a large field-of-view 3-plane localizer in your routine female pelvis protocol....