Hydrosalpinx - bilateral
Part of work-up for subfertility
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HSG: Bilateral distended, serpingenous fallopian tubes. No peritoneal spillage implies non-patent tubes.
2 case question available
Both fallopian (uterine) tubes are overtly distended, with their torturosity illustrated, but without free spillage of contrast into the peritoneal cavity, implying distal obstruction/non-patency.