Ultrasound  
Ultrasound is painless and safe. An ultrasound uses sound waves to create pictures of body parts. An ultrasound technologist will apply a warm gel to the skin, allowing sound waves to be sent and received from inside the body.
 
Procedures:
Abdomen

• Gallbladder: The ultrasound camera is moved over the skin to examine the mid and right area of the belly.
• Upper Abdomen: The ultrasound camera is moved over the skin to examine the entire belly (upper and lower).
• Liver: The ultrasound camera is moved over the skin to examine the mid and right area of the belly.
• Kidneys: The ultrasound camera is moved over the skin to examine the right and left belly area.
• Pancreas: The ultrasound camera is moved over the skin to examine the mid upper belly area.
• Spleen: The ultrasound camera is moved over the skin to examine the left side of the upper belly.
• Aorta: The ultrasound camera is moved over the skin to examine the mid belly area. Abdomen
• Abscess/Ascites: The ultrasound camera is moved over the skin to examine the specific area of concern or the entire area of the belly.

• Liver Doppler: The ultrasound camera is moved over the skin to examine the liver vessels of the mid and right belly.
• Superior Mesenteric Artery (SMA)/Celiac Doppler: The ultrasound camera is moved over the skin to examine vessels of the mid and right belly.
• Renal Artery Doppler: The ultrasound camera is moved over the skin to examine the kidney vessels of the right, mid, and left belly.

• Pelvic: The ultrasound camera is moved over the skin to examine female organs. (This requires a full bladder)
• Pelvic Transvaginal (Internal Exam): The ultrasound camera is placed inside the vagina to examine female organs.
• Pelvic OB before 14 weeks: The ultrasound camera is moved over the skin to examine the fetus in the lower belly. (This requires a full bladder)
• Pelvic OB after 14 weeks: The ultrasound camera is moved over the skin to examine the fetus in the lower belly. (This requires a full bladder)
• Pelvic Transvaginal OB (Internal Exam): The ultrasound camera is placed into the vagina to examine the fetus.
• Bladder: The ultrasound camera is moved over the skin to examine the lower belly before and after urinating. (This requires a full bladder and can be done on a male or female).

• Thyroid: The ultrasound camera is placed over the skin to examine the right, mid, and left neck area.
• Scrotal/Testicle: The ultrasound camera is placed over the skin to examine the right and left testicles.
• Breast: The ultrasound camera is moved over the skin to examine the right and/or left breast for an obvious lump or to follow a mammogram.
• Exam Surgical Specimen: The ultrasound camera examines tissue that has been removed from the body following a surgery.

• Carotid Doppler: The ultrasound camera is moved over the skin to examine the arteries in the right and left neck area.
• Lower Extremity Venous Doppler: The ultrasound camera is moved over the skin to examine the deep vein in the right and/or left leg from the groin to behind the knee. Sometimes this exam can include the calf and the ankle area.
• Upper Extremity Venous Doppler: The ultrasound camera is moved over the skin to examine the vein in the right and/or left arm from the neck to the elbow.
• Lower Extremity Arterial Doppler (Includes PVR's an ABI's): An extensive exam of the arteries in the legs involving blood pressure cuffs and exercise.
• Upper Extremity Arterial Doppler: The ultrasound camera is moved over the skin to examine the artery in the right and/or left arm from the shoulder to the wrist.

• Paracentesis: Guided by the ultrasound camera, a radiologist drains fluid from the belly.
• Thoracentesis: Guided by the ultrasound camera, a radiologist drains fluid from around the lung.
• Liver Biopsy: Guided by the ultrasound camera, a radiologist removes liver tissue samples from the right side of the belly.
• Thyroid Biopsy: Guided by the ultrasound camera, a radiologist removes thyroid tissue/cells from the neck with a fine needle.
• Thyroid Cyst Aspiration: Guided by the ultrasound camera, a radiologist removes fluid from the thyroid in the neck.
• Breast Biopsy with Clip Marker Placement: Guided by the ultrasound camera, a radiologist removes tissue samples from the breast. Following this exam, the clip marker is inserted for future reference into site of the biopsy. Mammogram is done after as well.
• Breast Cyst Aspiration: Guided by the ultrasound camera, a radiologist removes fluid from a cyst in the breast.
• Breast Needle Localization: Guided by the ultrasound camera, a radiologist places a tiny wire into the breast to remove breast tissue.
• Transrectal Prostate Biopsy: Guided by the ultrasound camera, a radiologist removes prostate samples rectally. (An 18 hour fleet prep must be done)

• Survey Study: The ultrasound camera is moved over the skin to examine an obvious lump/discoloration in and/or around the area of pain in an extremity.
• Knee Baker's Cyst/Popliteal: The ultrasound camera is moved over the skin to examine the area behind the knee for fluid collection.

• Transrectal Prostate: The ultrasound camera is placed inside the rectum to examine the prostate. (An 18 hour fleet prep must be done)
• Appendix: The ultrasound camera is moved over the skin to examine the lower Abdomen/pelvis from the mid belly button area out to the right side.
• Groin: The ultrasound camera is moved over the skin to examine the right and/or left areas between the thigh and mid belly.
• Chest Fluid Localization: The ultrasound camera is moved over the skin to examine the right and/or left sides of the back to locate fluid around the lungs.

• Abdomen, Gallbladder, Liver, Pancreas, Kidney, Aorta, Spleen, and/or Vascular Abdomen: For 8 hours prior to the exam, take nothing by mouth except medications using only a sip of water.
• Note: Insulin dependent diabetics consult your physician regarding insulin intake.
• Thyroid, Testicles, Arterial Doppler, Venous Doppler, and Carotid Doppler: None required
• Pelvic/OB: A full bladder is absolutely necessary for this exam. You must finish drinking 32-44 ounces of water one hour before the exam. Do not empty your bladder until after the exam.
• Transvaginal: None required
• Invasive Procedures: For 8 hours prior to the exam, take nothing by mouth except medications using only a sip of water. No blood thinners are allowed to be taken 4-5 days prior to the procedure. You will receive a call from the radiology nurse the day before the exam about specifics.

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