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Click 17 year old female with OHVIRA and pyocolpos. Endovaginal longitudinal view of the uterus (8 MHz EV transducer, Phillips iU22) demonstrating an obstructed left hemivagina with retained echogenic fluid. Uterus is also visualized in this image. Color Doppler demonstrates no flow in the collection.

Click 17 year old female with OHVIRA and pyocolpos. Initial noncontrast coronal T2 FSE weighted sequence (3T Siemens, 5mm slice thickness, TR 3,800, TE 120) demonstrates a didelphic uterus with obstructed left uterine horn and left hemivagina. Note the right uterine horn.

Click 17 year old female with OHVIRA and pyocolpos. Coronal follow-up non-contrast enhanced T2 MRI (3T Siemens, 5mm slice thickness, TR 3,822.8, TE 154) through the abdomen demonstrating absence of the left kidney (arrow) with reacumulation of fluid in the obstructed hemivagina status post IR drainage. Note the right uterine horn.