Female Genital Tract

Transabdominal ultrasound remains the first-line imaging modality of the pediatric female pelvis. However, magnetic resonance imaging (MR imaging) is increasingly important in the investigation and characterization of suspected abnormalities. The superior soft tissue contrast resolution of MR imaging provides excellent evaluation of ovarian and uterine anatomy. MR imaging may be particularly useful in nonsexually active girls in whom transvaginal ultrasound is generally contraindicated. This chapter discusses MR imaging applications to evaluate normal anatomy and development as well as congenital and acquired disorders of the pediatric female genital tract.