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Figure 5b. PID. (a) On a US image, the left fallopian tube is dilated with echogenic debris (arrows), a finding that is consistent with pyosalpinx. The left ovary (LO) is relatively spared. (b) US image shows incomplete septa projecting into a fluid-filled tubular structure (arrow), findings that help distinguish hydrosalpinx and pyosalpinx from other adnexal conditions.