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General Diagnostic Ultrasound

Abdominal Ultrasound
Breast Ultrasound
Infant Hip Ultrasound
Pelvic/Transvaginal Ultrasound
Renal (Kidney) Ultrasound
Testicular Ultrasound
Thyroid Ultrasound

Abdominal Ultrasound

Abdominal ultrasound includes scanning of the liver, gallbladder, pancreas, kidneys, aorta and spleen. This examination is most frequently used to evaluate abdominal pain, abnormal liver function tests, ascites (fluid inside the peritoneal cavity), kidney, pancreas, and the gallbladder.

If specifically requested, the lower abdomen can be scanned for detection of hernias, aortic aneurysm or appendicitis. Ultrasound for pyloric stenosis, one cause of infantile projectile vomiting, can be diagnosed with ultrasound.

Adequate visualization of abdominal structures with ultrasound may be limited by layers of tissue (obesity) and the presence of bowel gas.

Abdominal ultrasound involves scanning of the upper abdomen with some water-soluble gel and a transducer by the sonographer. A patient is generally positioned on his or her back for the exam, but may be asked to hold their breath briefly or roll on one side or the other during the examination.

How to prepare for your Abdominal Ultrasound

Eat a fat-free dinner the night before your exam, but do not eat or drink anything after midnight. Please see Fat Free Diet for more information about this diet.A small amount of clear liquid may be taken with oral medication if needed before your appointment. Morning appointments are recommended.

No preparation is required for hernia ultrasound.

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Breast Ultrasound

A breast ultrasound uses sonar technology to find out if a lump felt is solid or contains fluid. Most fluid filled lumps are cysts and are considered to be non-cancerous (benign). If a cyst is found, your healthcare provider may recommend no further treatment and follow you more closely for a period of time or recommend that your cyst be aspirated. If the lump is solid, a biopsy will likely be recommended.

Patients are asked to undress from the waist up and change into a gown or drape for the exam. Images are obtained by gently pressing and rolling a hand-held transducer over areas of the breast or underarms. A gel is utilized to improve sound wave propagation.

Breast ultrasound examinations are not painful.

To avoid delay or rescheduling of your breast ultrasound exam arrive 15 minutes prior to your scheduled appointment time to register for your exam. Plan for an additional 30 minutes to complete your exam. No other preparation is required.

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Infant Hip Ultrasound

Infant hip ultrasound involves scanning of the pelvic bone and is most frequently performed on infant children under 6 months of age to evaluate hip dysplasia. The examination is performed by a radiologist, who is assisted by a sonographer.

The radiologist scans the baby's hip socket while rotating the infant's leg. Total scanning time is approximately 15 minutes.

No preparation is required for an infant hip ultrasound.

Parents are reminded to carry out any soiled diapers, as health department regulations require.

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Pelvic/Transvaginal Ultrasound

Also called: pelvic or endovaginal ultrasound

Pelvic ultrasound, primarily performed on females, is most frequently used for evaluation of pelvic pain, abnormal vaginal bleeding, inflammatory disease, or detection of a mass. Pelvic ultrasound may help explain findings from a manual examination and provide additional information. Pelvic ultrasound examination will generally result in good depiction of the bladder, uterus, and ovaries.

In some patients, transvaginal ultrasound, may be necessary to provide a complete analysis of the ovaries and uterine endometrial lining. Transvaginal ultrasound involves the insertion of a small transducer (probe) into the vagina. Early pregnancy or body habitus (obesity) can obscure adequate evaluation of some structures. The decision to use transvaginal ultrasound is determined by the radiologist following pelvic ultrasound.

Pelvic ultrasound generally requires a full bladder and is performed with the patient lying flat on a padded table. Transvaginal ultrasound testing requires the patient to empty their bladder in the restroom and return to the scanning room for the examination. Patients are asked disrobe from the waist down and lie down with hips elevated by folded towels or a foam pad. Patients usually insert the probe themselves, but can be assisted.

How to prepare for a Pelvic Ultrasound

Arrive 15 minutes prior to your scheduled appointment time to register for your test.

The length of time needed to complete this examination will vary depending on the information needed. Plan for up to 30 minutes to complete your exam.

Please follow preparation instructions carefully to avoid delay or rescheduling of your examination.

  • A full bladder is essential for adequate visualization of the pelvic region.
  • Finish drinking four 8-ounce glasses (32 ounces total) of water one hour prior to your appointment. It is important to only drink water. Do not substitute other beverages.
  • Do not empty your bladder prior to the exam. A full bladder is important for this exam.
  • Eat as you normally would before and after the examination and return to your usual or recommended activities after the exam.
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Renal (Kidney) Ultrasound

Renal ultrasound is frequently used in the evaluation of renal dysfunction, urinary tract infection, hematuria (blood in the urine), or to evaluate flank for kidney stones. Renal vascular ultrasound (also called renal artery duplex) can be more helpful in the evaluation of high blood pressure.

Renal ultrasound involves scanning along the flank by the sonographer. The bladder is also evaluated by scanning the lower pelvis.

How to prepare for a Renal (Kidney) Ultrasound
Finish drinking two eight-ounce glasses of water (16 ounces total) one hour prior to your appointment time. Do not empty your bladder prior to the exam.

To avoid delay or rescheduling of your kidney ultrasound examination, follow preparation instructions carefully. Arrive 15 minutes prior to your scheduled appointment time to register for your test. Plan for about 30 minutes to complete your exam.

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Testicular Ultrasound

Testicular ultrasound is generally used to evaluate scrotal pain, mass or swelling. Ultrasound techniques provide information concerning testicular blood flow.

Patients are asked to disrobe from the waist down. The patient will be covered with a sheet except during scanning. Folded towels are placed to cover the penis and lift the scrotum. Scanning is generally performed by the songrapher using gel and a small transducer. The radiologist may also examine the patient. Testicular ultrasounds take approximately 30 minutes to complete.

Testicular ultrasound does not require any preparation prior to exam.

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Thyroid Ultrasound

Thyroid ultrasound is used to evaluate the thyroid gland. It may also be helpful in evaluating abnormal thyroid function blood tests or in the setting of symptoms which suggest thyroid disease.

Thyroid ultrasound requires a patient to lie on their back with a pillow under the shoulders and the neck is extended. The sonographer scans the neck. Patients are asked to limit conversation as the vibration of talking can blur images.

Thyroid ultrasound does not require any preparation prior to exam. It is recommended that patients wear an open collared shirt (not a turtleneck) to their appointment and remove any necklaces. Arrive 10 minutes prior to your scheduled appointment time to register for your test. Thyroid ultrasound examinations take about 30 minutes to complete.

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