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In radiology, pyosalpinx is the accumulation of pus within a dilated fallopian tube, typically occurring as a complication of pelvic inflammatory disease (PID). It is distinguished from a hydrosalpinx (clear fluid) by the presence of internal debris, thicker walls, and signs of active inflammation. Imaging Features by Modality Ultrasound (Initial Modality of Choice) Structure: Appears as a dilated, tubular, or
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