Ultrasound of the abdomen includes a routine assessment of the liver, gall bladder, pancreas, Aorta , spleen, kidneys, bladder and pelvic organs. An abdominal ultrasound protocol is followed ensuring that no pathology is missed.
It is important to be starved of any foods for at least 6 hours prior to scan for proper assessment of the gall bladder. If the gall bladder has been removed then this is not necessary. It is also important for to arrive with a full bladder so that assessment can be made of the pelvic organs. This is achieved by drinking 6 glasses of water, an hour before the exam and then not using the loo until the scan is complete.
Warm ultrasound gel is then placed onto your abdomen and an ultrasound probe is then used to assess the abdominal organs. The procedure takes approximately 10 minutes and no radiation is used.
Venous Doppler: Ultrasound can be performed on the veins to assess for any blood clots (deep vein thrombosis) within the deep or superficial system. Colour Doppler and spectral doppler is utilized to exclude or confirm the presence of a blood clot.
Venous Insufficiency: The ultrasound can also be used to assess for venous insufficiency where the valves in the venous system become incompetent leading to varicose veins throughout the limb.
Arterial doppler: Ultrasound is used to assess for plaque formation and narrowing of the arteries when peripheral vascular disease is suepcted by your doctor. Colour and spectral doppler allow for assessment of the blood flow within the arteries.
Carotid doppler: The ultrasound is used to assess for the patency or the arteries in your neck that supply your brain. Using color and spectral doppler the arteries are assessed for any raised velocities and any discrete narrowing of the vessel caused by plaques. No patient preparation is required for any of these procedures.
Small Parts Ultrasound
Thyroid: Ultrasound is used to assess for any thyroid nodules which may cause a multiple nodular goiter. Ultrasound also looks at the echo pattern of the thyroid to assess for an inflamed thyroid. The salivary glands and neck are also assessed for any pathology.
Breast: Ultrasound is used to assess for any solid or cystic lesions within the breast. The Axilla are also assessed for any swollen glands. Breast lesions are assessed for the presence of any sinister features.
Scrotum: Ultrasound is used to assess for any testicular torsion or any inflammatory changes within the scrotum. Swollen scrotal veins can be a cause of infertility and these can be assessed well on ultrasound. Testicular lesions can be assessed for any sinister features.
Pleural Space: The ultrasound is used to differentiate between pleural thickening or pleural fluid as these can look very similar on an x-ray.
No patient preparation is required for any of the above procedures.
Shoulder: Careful assessment of the rotator cuff including the biceps tendon. The ultrasound can demonstrated rotator cuff tears, tendinosis, calcifications or any pathology related to the bursa.
Elbow: Assessment includes the common extensor and flexor tendons, triceps tendon insertion and distal biceps tendon insertion at the radial tuberosity. A joint effusion and Ulnar nerve entrapment can also be demonstrated on ultrasound.
Wrist: The 6 extensor compartments of the wrist, the flexor tendon and nerves of the carpal tunnel can be assessed. Ganglions are a common finding at the wrist level.
Hip: Assessment for a joint effusion, Iliopsoas bursitis, gluteal tendon insertion pathology. A trochanteric bursitis and ITB can be assessed laterally. The hamstring origin posteriorly can also be examined with the ultrasound.
Knee: The extensor mechanism, collateral ligaments, Outer body of the mensicus, ITB insertion, Pes anserinus and the presence of a joint effusion and bakers cyst are all assessed with ultrasound of the knee.
Ankle: The medial, anterior, lateral and posterior tendons are all assessed together with the lateral ankle ligament complex.
No patient preparation is required for any of the above mentioned procedures
Head: The skull, facial bones, paranasal sinuses can be assessed for any pathology.
Spine: The cervical, throracic, lumbar and sacral spine can be assessed for any bone abnomality.
Chest: The lung fields are assessed for any infective changes, neoplasm and pleural effusions commonly.
Abdomen: The bowel gas patterns, abdominal organ outline are assessed in supine and erect positions.
Joint: The joints of the body are assessed for any osteoarthritis or broken bones.
Soft tissue lump and 3D and 4D ultrasound
Soft tissue lumps can form anywhere on your body. These can be assessed with ultrasound. No patient preparation is required for the scan.
3D and 4D ultrasound is a software that is used create beautiful pictures of your unborn child. It is important that the scan after 24 weeks and no later that 32 weeks. This is so that there is sufficient amniotic fluid in front of babies face so that we can see the facial features well. Sometime if baby doesn’t lie in a favorable position you will need to have another scan at a later stage to get better images. There is no additional charge for the additional scan.