Can damage from pid be assessed by an ultrasound?

You can get a good: Idea because an ultrasound would show dilated tubes or a tubo-ovarian complex and fluid all of which is not good, but the most accurate way is to do a laparoscopy and look at it directly and cultures can be done and tubes can be assessed to see if they are open or blocked.

No, not typically: Best to evaluate damage from pid is to get a hystosalpingogram, which puts dye into the fallopian tubes while an x-ray is taken to assess whether the tubes have been blocked from scarring due to infection. Sometimes women with pid form abscesses or cysts in the tubes and ovaries, and that can be assessed by ultrasound.