Magnetic Resonance Imaging (MRI) is the modality of choice and is considered a highly accurate tool for the evaluation of Müllerian duct anomalies to characterize the uterine and vaginal anomalies [1,2]. In clinical practice, the MRI examination is used by the clinician to reach the diagnosis, for assessing the abnormalities and planning for surgery or future intervention. The information provided by other examinations like pelvic examination, sonography, hysterosalpingography can be confirmed and complemented by MRI. The case described here illustrates the standard MRI findings of vaginal and cervical agenesis with clinical and surgical correlation and revisits the uses of MRI.