in the left adnexa is a 4.0x 2.5cm tubulocystic, anechoic structure with incomplete septations suggestive of dilated stump of the left fallopian tube.
Is there a problem in the left side?
It sounds as though she may have a hydrosalpynx of the left fallopian tube. If that is the case, there is a decreased probability of an embryo to implant in the endometrium, even with IVF. It needs to be removed.
How can it be removed? Isn't there is still a tube on the right?
Without seeing your films, I really do not know the condition of your tubes. For my patients with hydrosalpynx, I remove them using a laparoscope.