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Urogenital Imaging

Uterus, arcuate

the mildest form of bicornuate uterus (see uterus bicornuate). The term refers to a variant of uterine shape in which the fundus is saddle-shaped. The depth of the fundal depression can be assessed at hysterosalpingography by drawing a line through the tips of the uterine horns and measuring the perpendicular distance to the centre of the depression (Fig.1). This distance is normally less than 1 cm. In an arcuate uterus, it is between 1.0 and 1.5 cm. A value greater than 1.5 cm suggests a bicornuate uterus. (The arcuate uterus is considered as a mild form of bicornuate uterus.) Similar findings are seen at MRI. The condition is probably of no clinical significance, and can essentially be regarded as a normal variant.

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Fig.1

Hysterosalpingogram demonstrating an arcuate uterus.
Uterus, arcuate, Fig.1