WK 3 L 2 PIC 2 This 70 yr. old patient presented with foul smelling vaginal discharge with fever. Sonography revealed a large collecion of fluid with echogenic debris within the endometrial cavity. Transvaginal ultrasound scan images reveal fluid within the fundus and body in the uterine cavity. These findings are diagnostic of pyometra. Color doppler imaging shows marginal increase in vascularity in the uterine walls. Images courtesy of Dr. Jaydeep Gandhi, Mumbai, India.