Hello. The report is from a procedure called hystero-salpingo-graphy (done under xray or ultrasound). The contrast has filled the uterine cavity and both tubes. Patency of tubes would result in a spill into the abdominal cavity. However there is a block at the farthest end of the tubes called fimbrial end. The fimbriae normally pickup the egg released from the uterus and send it to the uterus through the tube passage, hence blockage results in infertility. The block is commonly due to tubal damage from inflammation or infection. Procedures are done to open up the tubes, but success rate is variable. You must talk to your doctor about this, as assisted fertility methods is an option. Hope I have helped you understand the problem. You can write in if you have any queries. All the best.