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Radiograph of a hysterosalpingogram demonstrating an enlarged uterine cavity with marked distention of the lower uterine segment (the cavity is no longer triangular in shape, the distension is thought to be related to a large fibroid within the uterine wall), proximal (close to the uterus) tubal occlusion (blockage) on the right side (marked with the “R”), left tubal dilatation and hydrosalpinx without clear free spillage of dye into the pelvis, and intravasation of the radiopaque dye within the uterine cavity into the surrounding vasculature within the uterine wall (single purple arrows demonstrate dye “forced into” the vessels branching out from the adjacent uterine cavity and double purple arrows demonstrate how the dye then collects into the larger veins that return blood to the heart). The possibility of intravasation should always be considered when performing a hysterosalpingogram and the study should be concluded if significant intravasation is identified.
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