Figure 1: T1W (a) and fat saturated T2W (b) images demonstrate bilateral normal pudendal neurovascular bundles (arrows). Consecutive fat saturated gadolinium enhanced T1 W images (c and d) demonstrate enhancement (thin arrow) on left pudendal nerve and asymmetrical prominency (thick arrow) on left pudendal neurovascular bundle. T1W image (e) reveal mild thickening of right pudendal nerve and perineural scarring (thin arrow) with normal neurovascular bundles on fat saturated T2W images(f) on both sides at the level of Alcock's canal (thick arrows). T1 W (g) and fat saturated T2 W (h) images demonstrate mild prominency on left neurovascular bundle at the level of ischial spine