Hi, A hysterosalpingogram (HSG) is a radiological test used to evaluate the uterus and Fallopian tubes. The test involves the injection of a contrast dye through the cervix into the uterus, which then flows through the Fallopian tubes. X-ray images are taken to observe the flow of the dye and any blockages or abnormalities that may be present. In your case, the HSG results indicate that neither of your Fallopian tubes is opacified, meaning that the contrast dye did not flow through either of them. Additionally, there was no spillage of dye into the peritoneal cavity, which is the area surrounding the reproductive organs. The impression of the HSG report suggests that you have bilateral (meaning both sides) blocked Fallopian tubes. This means that there is a blockage preventing the eggs from traveling from the ovaries to the uterus, making it difficult or impossible for fertilization to occur. The presence of small fibroids, which are noncancerous growths in the uterus, may also contribute to fertility issues. It is important to follow up with your healthcare provider to discuss the implications of these findings and possible treatment options. Depending on the cause and severity of the blockage, options may include surgery or in vitro fertilization (IVF) to achieve pregnancy. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician