It costs time

  Osseous metaplasia of the endometrium is an  uncommon yet unforgettable  diagnosis on pelvic ultrasound. Although rare, recognizing it is important because it is a  treatable cause of secondary infertility  and is frequently misinterpreted as retained products of conception (RPOC) or chronic endometritis. What Is Endometrial Osseous Metaplasia? A condition where  bone tissue forms within the endometrium , usually after a prior pregnancy loss. The proposed mechanisms include: Metaplastic transformation of endometrial stromal cells Chronic inflammation stimulating osteoblastic activity Retained fetal bone fragments (less common) Typical Ultrasound Appearance Ultrasound is often diagnostic due to its characteristic features: On grayscale USG: Highly  echogenic linear or plate-like foci  within the endometrial cavity Posterior acoustic shadowing  — often dense Fragmented, irregular calcific elements Endometrial thickening may be present On Dopp...

  Enhanced Myometrial Vascularity (EMV)  is one of the most striking and often misunderstood sonographic findings encountered after miscarriage, medical termination, or delivery. For years, many clinicians labelled it as  uterine arteriovenous malformation (AVM)  — a diagnosis that carries heavy implications and often leads to unnecessary interventions such as uterine artery embolization. A recent expert review by Dewilde et al. (2023) clarifies the confusion and emphasizes that  EMV is not an AVM  — and recognizing this distinction is crucial for safe, evidence-based management. What Exactly Is EMV? EMV refers to  dilated, tortuous, high-velocity, low-resistance myometrial vessels  seen on Doppler imaging beneath  retained pregnancy tissue . It is  a physiological, temporary, pregnancy-related vascular change , not a congenital malformation. It arises because the  placental bed vessels remain open and high-flow  as long as any...