Objective To review the technique, indications, and common imaging findings regarding saline infusion sonohysterography. Methods The literature on saline infusion sonohysterography was reviewed. Pertinent images from our institution are presented to illustrate common imaging findings. Results From the literature review, we summarize the various clinical scenarios in which saline infusion sonohysterography is useful and give examples from our clinical practice. Conclusions Saline infusion sonohysterography is a useful procedure for evaluation of endometrial and subendometrial abnormalities.