<s>[INST] i have done hsg test .they took two x-rays then they took me to sonography then they said the tubes are open but in x-rays the tubes are not visible but based on ssg report they gave the tubes are patent.can i trust this report?i am so confused .kindly help me in this situation [/INST] Hi, Welcome to Chat Doctor . Tubal patency can't be commented on ultrasonography either done through abdomen or through vagina. Tubal patency can be visualized only on hysterosalpingo graph.  In SG dye is injected which lines the uterus and tube. Then it is seen on x-ray. If tubes not seen means they are not open.  It's difficult to trust your report as tubal patency never diagnosed on sonography. I would suggest you to discuss this with your treating doctor. Hope I have been helpful. Regards Chat Doctor.  </s>