Background Mullerian duct anomalies (MDAs) are relatively common disorders, although the actual incidence and prevalence of these disorders are difficult to assess. Aim This work aimed to survey the role of imaging in determining the location and order of peculiarities of Mullerian conduits by various picture modalities. Patients and methods The study included 37 patients with primary amenorrhea with suspected MDAs on the basis of a preliminary ultrasound study. Patients with primary infertility, secondary infertility, or recurrent abortions were investigated for possible MDA or patients with cyclic abdominal pain referred from the Gynecology Department to the private Radiology Department in Benha and Cairo City. Results The study included 37 patients. All patients underwent pelvic ultrasound, hysterosalpingography, and pelvic MRI. Patients were further divided according to their final diagnosis by hystrosalpingography pelvic ultrasonography and pelvic MRI, which was correlated with clinical characteristics. Conclusion MRI in our study showed excellent diagnosis performance compared with hysterosalpingography and ultrasound. Recommendations Clinicians should be suspicious for Mullerian anomalies in cases of primary amenorrhea, pelvic pain, and certain adverse obstetrical outcomes.