Normal

This hysterosalpingogram is from a 26 year old female with normaL endometrial cavity and cervical canal. Note the irregular shape to the cervical canal while the endometrial lining is smooth. Note also the free spillage of contrast from the tubes into the peritoneal cavity (white contrast in d, indicating patent tubes.

Courtesy Ashley Davidoff MD Copyright 2009 all rights reserved 83690c02.8s

HSG During Menses

This patient presents with infertility. The hysterosalpingogram in the frontal view reveals normal sized endometrial cavity filled with sloughed endometrium (dark maroon filling defects in b). The contrast has been overlaid in a lighter maroon to indicate blood. These are characteristic findings of menstrual products within the endometrial cavity. The Fallopian tubes are patent.

Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 28208c02.8s

Normal Cervix

Note the serrated appearance of the cavity uterus cervix normal anatomy HSG hysterosalpingogram

Courtesy Ashley DAvidoff MD copyright 2009 all rights reserved 30594.8s Normal cervix.

Filling Defect

This 38 year old female presents with a history of infertility. The hysterosalpingogram shows non filling of both Fallopian tubes and a filling defect (green) in the region of the patient’s left cornu that likely is the cause of the obstructed left tube and in part the cause of the infertility. The lesion is most likely a submucosal fibroid but could also be a polyp.

Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 96897c02.8s

Bicornuate Uterus

Courtesy Scott Tsai MD 47671

Unicornuate

uterus congenital infertility fx failure of fusion dx bicornuate uterus patent Fallopian tubes free spillage hysterosalpingogram Courtesy Scott Tsai MD 47673 uterus congenital infertility fx failure of fusion dx bicornuate uterus patent Fallopian tubes free spillage hysterosalpingogram Courtesy Scott Tsai MD 47671