---
type: imaging
category: hysterosalpingogram
person: Jiang, Erica (Xuewei)
date: 2024-02-05
provider: Candice B. Tilles, MD
source: jiang_hsg_2024.pdf
---

# FL Hysterosalpingogram - Erica Jiang

**Patient:** Erica Jiang | **DOB:** 3/13/1993 | **MRN:** 20018501333 | **PCP:** Kimberley H. Chan, MD

**Source:** MyChart - Test Details (mychartor.providence.org)

---

## Provider Message

**Candice B. Tilles, MD** - 02/6/2024, 12:07 AM

> Hi Erica,
>
> The HSG was normal - your fallopian tubes were open. As we discussed, please come see me on cycle day 3 to do an ultrasound and blood work.
>
> Dr Tilles

---

## Results

**FL Hysterosalpingogram [IMG893]** (Accession 56401140PRV) (Order 1615550240)

### Comments From the Doctor's Office

> Hi Erica,
>
> The HSG was normal - your fallopian tubes were open. As we discussed, please come see me on cycle day 3 to do an ultrasound and blood work.
>
> Dr Tilles

Written by Candice B. Tilles, MD on 2/5/2024 4:07 PM PST
Seen by patient Erica Jiang on 2/9/2025 9:33 AM

**2/5/2024 1:44 PM - Edi, 772303**

### Narrative

FL HYSTEROSALPINGOGRAM

| Field | Value |
|-------|-------|
| Examination Date and Time | 2/5/2024 11:00 AM |
| Comparison | none |
| Indication | dysmenorrhea, family planning |

### Findings

Examination was explained to the patient in detail. She denies allergy to Betadine. Speculum gently placed. Cervix cleaned with Betadine x3. Flexible 5.5 French catheter was placed in the lower uterine segment and the balloon was expanded. Nonionic contrast was gently administered. The uterine cavity is normal. The fallopian tubes are normal. Spill is elicited bilaterally. Fluoroscopy time 0.1 minute, total 9 images.

### Impression

**IMPRESSION:** Normal hysterosalpingogram.

Electronically signed by: Vicki Schiller on 2/5/2024 1:41 PM

### Result History

FL Hysterosalpingogram (Order #1615550240) on 2/5/2024 - Order Result History Report

### Performing Facility

PROVIDENCE SAINT JOHN'S HEALTH CTR
2121 Santa Monica Blvd
Santa Monica, California 90404-2303
310-829-8814

### Reviewed by

Candice Bianca Tilles, MD - 2/5/2024 4:07 PM