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The uterine cavity is markedly irregular and constricted, compatible with adhesions from prior D&C procedures.
There is also a marked indentation into the uterine cavity at the fundus, which is nonspecific on the hysterosalpingogram, and could represent a large fibroid, an arcuate or septate uterus, or even a bicornuate uterus. A correlative ultrasound (not shown) did not show a large fundal fibroid or a bicornuate configuration, so the indentation is compatible with an arcuate uterus.
There is also non-filling of the right Fallopian tube. The left Fallopian tube fills and spills normally.