Hysterosalpingogram (HSG) Report

Clinical Indication
Primary infertility

Technique
The examination was performed under sterile conditions with fluoroscopic guidance following the administration of contrast material into the uterine cavity.

Findings

The uterine cavity demonstrates a heart-shaped configuration suggestive of a congenital uterine anomaly such as Bicornuate uterus or Septate uterus.
No definite filling defects are seen within the uterine cavity.
The right fallopian tube is not opacified with no evidence of contrast spillage into the peritoneal cavity despite adequate contrast injection.
The left fallopian tube is not opacified with no evidence of contrast spillage into the peritoneal cavity despite adequate contrast injection.

Conclusion

Abnormal uterine cavity with a heart-shaped configuration, suggestive of a congenital uterine anomaly (further evaluation with 3D ultrasound or MRI is recommended for characterization).
No radiological evidence of contrast spillage from both fallopian tubes, suspicious for bilateral tubal obstruction; however, Tubal spasm cannot be excluded.