Hysterosalpingographic findings in primary and secondary infertility patients

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Figure 1
Normal and abnormal hysterosalpingography (HSG) findings A) Normal study; normal uterine shape and contours (black arrow) with patent salpinges (white arrows) in a primary infertility patient. B) Bilateral dilated and blocked tubes/hydrosalpinx (white arrows) in a primary infertility patient. C) Unicornuate uterus (black arrow) in a secondary infertility patient. Note mild right sided intravasation (white arrow). D) Bicornuate uterus in a secondary infertility patient with 2 separate uterine horns (white arrows).
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Figure 2
Selected images of 2 patients (A & B) demonstrating abnormal hysterosalpingography (HSG) findings confirmed on subsequent MRI: A1- Flattened contour of uterine cavity is seen on HSG in a secondary infertility patient. A2- Selected sagittal reformat CT image of same patient showing a large degenerated fundal fibroid (star) compressing upon the uterine cavity (arrow). B1- Suspicion of septate uterus with two uterine cavities (arrow)on HSG in a primary infertility patient. B2- Selected T2W coronal reformat image of the same patient showing completely septate uterus with myometrial tissue between the 2 uterine horns (arrow).