Female Pelvis Anatomy on MRI
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Now let's review the anatomy
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of the female pelvis on MRI.
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This is a sagittal, T2-weighted,
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fat saturated image of the female pelvis.
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And again, we can see the uterus.
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This patient is anteverted and anteflexed.
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This is the uterine fundus.
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On MRI, the myometrium will appear T2
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bright and minimally heterogeneous.
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Again, this is that T2 dark
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junctional zone, that densely packed
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myometrium, and T2 bright endometrium.
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We can see the bladder here anteriorly.
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As we scroll back and forth,
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we start to see almond-shaped
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structures with T2 bright follicles.
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And so this is one of the ovaries,
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and the other ovary is located here.
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This is an axial T2-weighted
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image of the pelvis.
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Again, we see the uterus.
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This is the uterine fundus.
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We see that nice junctional
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zone, endometrium, and T2 bright,
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minimally heterogeneous myometrium.
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Here are the ovaries.
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This is the left ovary.
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The ovaries in this patient are slightly
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anterior to the uterus, but again, they are
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along the course of the external iliac vessels.
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And so this is the right ovary with multiple
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T2 hyperintense follicles, and the left ovary.
Erin Gomez, MD
Assistant Professor of Radiology
Johns Hopkins Hospital
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