 Hello everyone. I'm Dr. Reza Sabu, finally a PG in Mahatma Gandhi Medical College and Research Institute, Pondicherry. I'm going to present my paper on imaging spectrum of malaria duct anomalies on MRI. Aim is to illustrate the imaging findings of different types of malaria duct anomalies on MRI. Introduction, malaria duct anomalies results from non-development fusion or resorption effects of malaria ducts or the paramezonaphric ducts. They occur in 1 to 15% of women. Malaria duct anomaly, clinically they present with menstrual disorders and infertility. They may be associated with renal anomalies such as age genesis and ectopics. Coming to the embryology, the development of uterus, fallopian tubes, cervix and upper two-third of vagina results from the reshaping and fusion of malaria ducts during 6 to 11 weeks of gestational age. Fusion is followed by a slow resorption of intervening wall septum, forming a single cavity. The types of malaria duct anomalies are class 1 is age genesis or hypoplasia, class 2 is unique cornoate uterus, class 3 is uterus di-delphis, class 4 is biconvate uterus, class 5 is septate uterus, class 6 is arcoate uterus, class 7 is t-shaped uterus. This is the illustration of the different types of malaria duct anomalies. In imaging techniques, hysterosalpine or grippy is used as an investigation in infertility cases to see the uterine growth morphology but is limited in use as external condor of the uterus cannot be determined. Ultrasonic grippy is prepared as there is no ionizing radiation in suspected cases of malaria duct anomaly to see the uterine morphology. Magnetic resonance imaging is useful for complicated, indeterminate cases. MRI is gold standard because it has been shown to be accurate and non-invasive method for the evaluation of malaria duct anomalies. MRI is also helpful in elucidating the etiology of obstructed malaria duct anomalies and it's particularly useful in patients in whom surgical unification is anticipated. My study type is case series, materials and methods. In this study we are reporting five different types of malaria duct anomalies. So this is case one, here image A and C, image A is T2 subtitle and image C is T2 coronal. They show grossly hypoplastic uterus and cervix with normal vagina and image B is T2 axial which shows non-visualization of bilateral ovaries and hypoplastic uterus and cervix. These are features suggestive of class one malaria duct anomaly. Coming to case two, the image is T2 weighted axial which shows a right unicornvate uterus with non-communicating left rudimentary horn. Right horn of the uterus is normal and shows a normal endometrial cavity, junctional zone and cervix. Whereas left rudimentary horn shows obstruction, it is enlarged and shows endometrial cavity collection which is hyperinduced on T2 axial mosecus. Features suggestive of class two malaria duct anomaly unicornvate uterus. Coming to case three, here image A is T2 weighted and image C is spare coronal MR image which shows uterine fundal clefter greater than one centimeter with soft tissue separating two symmetrical uterine cavities. Both uterine cavity opens into there on cervix respectively and image B is T2 axial which shows two uterine cavities with myometrium in between. These are features suggestive of class four malaria duct anomalies. Coming to case four, image A and B, T2 MR oblique image which shows convex external contour of the fundus. Uterus is normal in size and intensity with low signal intensity fibrous septum running from fundus up to the internal os dividing the high signal intensity myometrial cavity. Fibrous septum is seen running up to the surface. These are features suggestive of class five malaria duct anomaly septate uterus. Coming to case five, axial T2 weighted MR image which shows the indentation seen in superior aspect of the uterus though the external fundal contour is maintained. Features suggestive of class five malaria duct anomaly armpit uterus. So uterus dilapidus is complex duplication of uterine horn cervix and proximal part which is due to non-fusion of the two malaria ducts. T-shaped of the hypoplastic uterus is diethylstylbestrol related anomaly which is now more of historical interest. Features of T-shaped uterus is wide and lower uterine segmental hypoplastic uterus are narrow fundal endometrial canal irregular endometrial margins and intraluminal uterine filling defect. Coming to the discussion, malaria duct anomaly is a developmental anomaly due to defective formation, fusion or disruption of para miso nephric of the malaria ducts. Malaria duct anomalies are closely associated with the urinary tract anomalies. MRI is best modality for diagnosis of malaria duct anomalies. It is important to diagnose correct type of malaria duct anomaly as treatment and surgical planning varies. I define malaria duct anomaly on MRI. Constitutions to be made are evaluate presence of uterus and its dimension. In case there is no uterus or it is small in size anomalies due to underdevelopment is considered. If uterus is present with normal dimension then evaluate fundus of uterus. Uterine fundus with concavity greater than 1 centimeter indicates non-fusion anomalies. Uterine with normal fundus condor but has septum indicates non-degenerative anomalies. Intendition septum greater than 1 centimeter indicates septic uterus and less than 1 centimeter indicates armpit uterus. These are my references. Thank you.