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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My HSG Test Report Indicate?

Hi Doc, my wife just did an hsg test and the report reads: there is lobulated extrinsic impression on the uterine wall especially on the right side due to intramural masses. Both fallopian tubes have been opacified with evidences of spillage indicating potency. Please what does it means?
Mon, 8 Jun 2015
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Radiologist,  's  Response
Hello, thanks for writing in.
HSG shows inside of the uterus.
The extrinsic impressions on the contrast within the uterus are due to mass lesions in the wall of the uterus- these are most likely due to fibroids(myomas), possibly a subtype called submucosal fibroids that bulge into the uterine cavity.
There is no evidence of mass effect on the tubal openings.
Fallopian tubes reveal no abnormality or blockage.

A correlation with pelvic ultrasound or MRI is required- to see the number, size, and other details of the masses. The specific location of these and pressure on the uterine cavity can affect fertility, as they distort the cavity where the embryo will implant.
Some are leave-alone lesions and some require surgery.
It is important you discuss the findings with your doctor who will see the images and decide the next line of management.

Hope this is helpful. Write in again if any doubts arise.
All the best.
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What Does My HSG Test Report Indicate?

Hello, thanks for writing in. HSG shows inside of the uterus. The extrinsic impressions on the contrast within the uterus are due to mass lesions in the wall of the uterus- these are most likely due to fibroids(myomas), possibly a subtype called submucosal fibroids that bulge into the uterine cavity. There is no evidence of mass effect on the tubal openings. Fallopian tubes reveal no abnormality or blockage. A correlation with pelvic ultrasound or MRI is required- to see the number, size, and other details of the masses. The specific location of these and pressure on the uterine cavity can affect fertility, as they distort the cavity where the embryo will implant. Some are leave-alone lesions and some require surgery. It is important you discuss the findings with your doctor who will see the images and decide the next line of management. Hope this is helpful. Write in again if any doubts arise. All the best.