Hydrosalpinx - bilateral

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Dysfunctional uterine bleeding.

Patient Data

Age: 50 years
Gender: Female

Pelvis

mri

Moderately dilated left fallopian tube, filled with fluid signal. No restriction on DWI/ADC. No enhancing nodules. This is coupled with milder similar changes on the right side.

Normal size, shape and signal of the uterine body and cervix.  Endometrial thickening (10mm). No areas of restriction on DWI/ADC.

A small posterior subserous fibroid is noted.

Case Discussion

In this case, bilateral hydrosalpinx is incidentally noted, larger on the left side. 

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