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Diagnostic Ultrasound - Abdomen and Pelvis

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Hydrosalpinx<br />

(Left) Longitudinal<br />

transvaginal ultrasound shows<br />

an elongated, thin-walled,<br />

fluid-filled structure with an<br />

incomplete septum ſt. This<br />

was unchanged on follow-up<br />

examination <strong>and</strong><br />

asymptomatic. (Right) Axial<br />

oblique T2 TSE MR confirms<br />

the tubular shape, internal<br />

fluid content, <strong>and</strong> incomplete<br />

septum ſt. Fibroids st were<br />

also present.<br />

Diagnoses: Female <strong>Pelvis</strong><br />

(Left) Longitudinal<br />

transvaginal ultrasound shows<br />

a dilated, thin-walled fallopian<br />

tube with mural nodules<br />

(beads on a string) ſt. The<br />

distal end of the hydrosalpinx<br />

was much larger st. (Right)<br />

Coronal transvaginal color<br />

Doppler ultrasound shows no<br />

increased vascularity in the<br />

wall of the hydrosalpinx or in<br />

the nodules ſt in this chronic<br />

hydrosalpinx.<br />

(Left) Axial T2 TSE performed<br />

for staging cervical carcinoma<br />

shows bilateral asymptomatic<br />

hydrosalpinges ſt, the left<br />

greater than the right. The<br />

ovaries st were seen<br />

separately. (Right)<br />

Hysterosalpingogram<br />

performed for infertility shows<br />

blunted fimbrial ends ſt of<br />

the dilated fallopian tubes<br />

with no free spill, indicating<br />

bilateral tubal occlusion.<br />

833

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