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14. Female pelvis hysterosalpingogram (HSG), AP projection

To perform this study the tip of a catheter is placed within the external os of the uterus, and radiopaque contrast material is injected to fill the lumens of the cervical canal, uterine cavity, and fallopian (uterine) tubes. Normally, when these are fully patent, the injected contrast will spill from the infundibula of the fallopian tubes into the peritoneal cavity. Spillage of contrast demonstrates that a tube is patent, and marks the completion of a normal HSG. This image is one of a sequence from a normal HSG and was obtained prior to spillage of contrast. It was selected because intraperitoneal contrast can obscure the anatomic detail of the fallopian tubes.