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Testicular Ultrasound

Your doctor has requested an ultrasound of your testicles. An ultrasound is a painless way to see what is going on inside your body. It allows the doctors to differentiate between different types of tissue and to diagnose a range of medical conditions. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

Before Your Exam

There is no preparation for this exam.

You will be asked to change into a gown. We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.

Please leave your jewelry and valuables at home.

During Your Exam

Upon arrival, you will be asked to change into a hospital gown.

Once in the exam room, the diagnostic medical sonographer will explain your procedure and answer any questions you may have.

You will be asked to lie flat on your back on the exam table.

The technologist will apply a warm gel to your testicles. The gel is very similar to hair styling gel and allows the sound waves to more readily travel from the machine into your body.

A transducer, a small, microphone-like device, is placed over the area being examined.

There is no pain involved; however, you may feel mild pressure from the transducer.

Sound waves pass harmlessly through the skin from the transducer. A television monitor shows images of your testicles as the transducer converts the echoes to electrical signals.

These moving images can be viewed immediately, recorded and/or photographed for physician review.

Occasionally, additional images may be needed following review by an imaging physician.

Your procedure will take approximately 30 to 45 minutes.

After Your Exam

Your study will be reviewed by a board certified radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

Prostate Ultrasound

Your doctor has requested an ultrasound of your Prostate gland. Ultrasound is a painless procedure that uses sound waves to “see” inside your body. A prostate ultrasound can help diagnose medical conditions such as cancer, inflammation of the prostate gland or infertility. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

Before Your Exam

For the prostate exam, a Fleet enema should be taken about four hours before your exam. This preparation can be purchased from your local pharmacy. The Fleet enema will make the procedure more comfortable for you.

We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.

Please leave your jewelry and valuables at home.

During Your Exam

Upon arrival, you will be asked to change into a hospital gown.

Once in the examination room, the diagnostic medical sonographer will explain your exam and answer any questions you may have.

You will be asked to lie on the table on your left side with your knees bent.

The sonographer will carefully insert a lubricated transducer about the size of a finger into your rectum. You may feel a slight to moderate amount of discomfort during insertion.

A lubrication gel will be used which helps sound waves move more readily from the transducer through your body.

Pictures and measurements of the prostate will be taken.

Once the images are obtained, the transducer will be removed, and you will be asked to wait while the images are reviewed by an imaging physician. The physician will make sure that the images contain all the necessary information to write a report. Occasionally, more images may be requested.

The procedure will take approximately 30 to 45 minutes.

After Your Exam

 The technologist will give you a towel to clean up with and direct you to the restroom, if necessary.

Your study will be reviewed by a board certified radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

Thyroid Ultrasound

Your doctor has requested a thyroid ultrasound. The most common indication for an ultrasound of your neck is a palpable neck mass. When a mass is found in the neck, the origin may not be obvious from a clinical examination; therefore, an ultrasound study is necessary to determine the origin and make-up (solid or water-filled mass) of the neck mass. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

Before Your Exam

There is no preparation required for this exam.

We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.

Please leave your jewelry and valuables at home.

During Your Exam

 

Upon arrival, the diagnostic medical sonographer will explain your procedure and answer any questions you may have.

You will be asked to lie on the examination table with a pillow or bolster under your shoulders and your head extended back.

A warm gel will be applied to your neck (the gel is very similar to hair styling gel). The gel helps the sound waves to get from the machine to your body more easily.

A transducer, a small microphone-like device, is placed over your neck. There is no pain involved; however, you may feel mild pressure from the transducer.

Sound waves pass harmlessly through the skin from the transducer.

A television monitor shows images of your neck as the probe converts the echoes to electrical signals. These moving images can be viewed immediately, recorded, and/or photographed for physician review. Occasionally, additional images may be needed following review by an imaging physician.

Your procedure will take approximately 30 to 45 minutes.

After Your Exam

 

There are no post-examination instructions.Your study will be reviewed by a board certified radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

Breast Ultrasound

Your doctor has requested an ultrasound of your breast or breasts. Ultrasound is a safe and painless procedure that uses sound waves to “see” inside your body. The scan can help examine any lumps or unusual findings you or your doctor may have found. Ultrasound is most suited to identify fluid-filled spaces such as cysts (cysts are masses that are definitely not cancer, as distinguished from other masses that may or may not be cancer). Additionally, ultrasound is also very useful for examining both silicone and saline breast implants. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

 

 Before Arriving for Your Exam

It is important that the imaging physician have any previous mammograms available for comparison when reading your current study. Please bring any previous mammogram films with you on the day of your exam.

It is suggested that you do not schedule your breast ultrasound one week prior to your menstrual cycle, as your breasts are usually very sensitive at this time.

We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.

Please leave your jewelry and valuables at home.

After Arriving

If you have not recently had any other test on your breasts performed at the same office, you will be asked to complete a “Breast Imaging Questionnaire.”

A technologist will review the questionnaire and will add other information as necessary.

The technologist will also explain your procedure and answer any questions you may have.

During Your Exam

You will be asked to lie on your back on the examination table with your hands at your sides.

A warm gel, very similar to hair styling gel, will be applied to your breast. The gel will help the sound waves to travel from the machine into your breast.

A transducer, a small microphone-like device, will be placed over your breast. This will be painless; however, you may feel mild pressure from the transducer.

Sound waves will bounce off the different tissues in your breast. These waves will create “echoes”; The echoes are reflected back to the transducer, which converts them to electronic signals. A computer then processes the signals into pictures and shows them on a television monitor.

These moving images may be viewed immediately, or photographed for further study.

The images will be reviewed by an imaging physician, who may determine that additional images are necessary for a complete examination.

Your exam will take approximately 30 minutes.

After Your Exam 

Your study will be reviewed by a board certified radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

 

Abdominal Ultrasound

Your doctor has requested an ultrasound of your abdomen. Ultrasound is a safe and painless procedure that uses sound waves to “see” inside your body. The scan can help diagnose such medical conditions a cancer, gallbladder disease, gallstones, as well as problems in the liver, kidneys, pancreas or spleen. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

Before Your Exam

You must not eat or drink for eight hours prior to your exam.  
 
We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.  
 
Please leave your jewelry and valuables at home.

During Your Exam

You will be asked to change into a gown.  
 
A diagnostic medical sonographer will explain your exam and answer any questions you may have.  
 
Your procedure will be performed with you lying flat on your back on the examination table.  
 
The technologist will apply warm gel to the skin of your abdomen. This gel helps the sound waves to get from the machine into your body. It is very similar to hair styling gel.  
 
A transducer, a small, microphone-like device, will be placed over various locations on your abdomen.  
 
Sound waves will bounce off certain organs and tissue in your body. This creates “echoes.” The echoes are reflected back to the transducer, which converts them to electronic signals. A computer then processes the signals into pictures and shows them on a television monitor.  
 
These moving images may be viewed immediately, or photographed for further study.  
 
Your exam will take approximately 30 to 60 minutes.

After Your Exam

You may resume your regular diet, unless told otherwise by your doctor.  
 
Your study will be reviewed by a cardiologist/radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

Venous Duplex Ultrasound – Legs

Your doctor has requested an ultrasound of your leg veins. Ultrasound is a procedure that uses sound waves to “see” inside your body. This procedure is performed to evaluate symptoms including leg pain or swelling, excessive varicose veins, shortness of breath, or suspected blood clots in your legs and/or lungs. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

Before Your Exam

There is no preparation for this procedure.  
 
We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.  
 
Please leave your jewelry and valuables at home.

During Your Exam

The vascular technologist will explain your exam and answer any questions you may have.  
 
Your procedure will be performed with you lying on the examination table on your back with your hands at your sides or on your stomach.  
 
The technologist will apply warm gel to your leg(s).  
 
A transducer, a small, microphone-like device, will be placed over various locations on your leg(s).  
 
You will not feel any pain; however you may feel mild pressure from the transducer as the technologist needs to apply pressure to your veins at various locations on your leg(s).  
 
Sound waves will bounce off the muscle, tissue and blood moving in your legs. This creates “echoes.” The echoes are reflected back to the transducer.  
 
A television monitor shows images as the transducer converts the echoes to electronic signals. These images may be viewed immediately or photographed for further study.  
 
Additionally, you may hear unusual sounds as the technologist views and records the blood flowing through the veins and arteries in your leg(s).  
 
Your exam will take approximately 15 to 30 minutes.

After Your Exam

There are no post-exam instructions.  
 
Your study will be reviewed by a vascular surgeon or cardiologist/radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

Arterial Duplex Ultrasound Scan – Legs

Your doctor has requested an ultrasound of the arteries (vessels that carry blood from your heart) in your leg(s). Ultrasound is a procedure that uses sound waves to “see” inside your body. This procedure uses color to map the arteries in your leg(s) to identify narrowing of your vessels that may be causing leg pain when walking, resting leg pain, foot, ankle, heel or toe ulcers, or skin discoloration. At DVT Diagnostic Services, INC., we have a specialized team of Radiologists and technologists who are experts in ultrasound radiology.

Before Your Exam

There is no preparation for this procedure.

We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time. Please leave your jewelry and valuables at home.

During Your Exam

The vascular technologist/sonographer will explain your exam and answer any questions you may have.  
 
Your procedure will be performed with you lying on the examination table on your back with your hands at your sides or on your stomach.  
 
The technologist/sonographer will apply warm gel to your leg(s).  
 
A transducer, a small, microphone-like device, will be placed over various locations on your leg(s).  
 
Additionally, blood pressure readings will be taken of your ankles. You will not feel any pain; however you will feel mild pressure from the blood-pressure cuff and the transducer.  
 
Sound waves will bounce off the muscle and tissue in your body and off the blood moving in your arteries. This creates “echoes.” The echoes are reflected back to the transducer. A television monitor shows images as the transducer converts the echoes to electronic signals.  
 
These images may be viewed immediately, or photographed for further study.  
 
You will hear unusual sounds as the technologist views and records the blood flowing through the veins and arteries in your leg(s).  
 
Your exam will take approximately up to 60 minutes; however, in some cases you will be asked to do some mild exercises. If so, this procedure can take longer.

The vascular technologist will explain your exam and answer any questions you may have.

Your procedure will be performed with you lying on the examination table on your back with your hands at your sides or on your stomach.

The technologist will apply warm gel to your leg(s).

A transducer, a small, microphone-like device, will be placed over various locations on your leg(s).

You blood pressure will be taken at both your foot and your arm.

You will not feel any pain; however you will feel mild pressure from the transducer and blood-pressure cuff.

Sound waves will bounce off the muscle tissue in your leg(s) and the blood moving in your arteries and graft. This creates “echoes.” The echoes are reflected back to the transducer. A television monitor shows images as the transducer converts the echoes to electronic signals.

These images may be viewed immediately, or photographed for further study.

Additionally, you may hear unusual sounds as the technologist views and records the blood flowing through the veins and arteries in your leg(s).

Your exam will take approximately 30 minutes.

After Your Exam

There are no post-exam instructions.

Your study will be reviewed by a board certified radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

Carotid Duplex Ultrasound

Your doctor has requested an ultrasound of your carotid arteries. Ultrasound is a procedure that uses sound waves to “see” inside your body. This procedure is performed to evaluate symptoms including dizziness, loss of memory, stroke, and loss of control of your muscles and other findings that might result from narrowing or blockage of the vessels (carotid arteries) on either side of your neck.

Before Your Exam

There is no preparation for this procedure. 

You may want to wear loose clothing for this procedure, especially at the neck. It is best not to wear turtlenecks or silk shirts (because of the gel that will be used). 

We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time. 

Please leave your jewelry and valuables at home.

During Your Exam

The registered vascular technologist will explain your exam and answer any questions you may have. 

Your procedure may be performed with you lying on the examination table or sitting in a chair.  

The technologist will apply warm gel to your neck area. 

A transducer, a small, microphone-like device, will be placed over each side of your neck. 

You will not feel any pain; however you will feel mild pressure from the transducer. 

Sound waves will bounce off the organs and tissue in your body and the blood moving in your arteries. This creates “echoes.” The echoes are reflected back to the transducer. A television monitor shows images as the transducer converts the echoes to electronic signals. These images may be viewed immediately, or photographed for further study. 

Additionally, you may hear unusual sounds as the technologist views and records the blood flowing through your neck vessels (carotid arteries). 

Your exam will take approximately 15 to 30 minutes.

After Your Exam

There are no post-exam instructions. 

Your study will be reviewed by a board certified radiologist and the results will be sent to your physician. Your physician will discuss these results with you and explain what they mean in relation to your health.

 

 

Echocardiography

What is an Echocardiogram?

An echocardiogram is a test in which ultrasound is used to examine the heart. The equipment is far superior to that used by fishermen. In addition to providing single-dimension images, known as M-mode echo that allows accurate measurement of the heart chambers, the echocardiogram also offers far more sophisticated and advanced imaging. This is known as two- dimensional (2-D) Echo and is capable of displaying a cross-sectional “slice” of the beating heart, including the chambers, valves and the major blood vessels that exit from the left and right ventricle

   An echocardiogram can be obtained in a physician’s office or in the hospital. For a resting echocardiogram (in contrast to a stress echo or TEE, discussed elsewhere) no special preparation is necessary. Clothing from the upper body is removed and covered by a gown or sheet to keep you comfortable and maintain the privacy of females. The patient then lies on an examination table or a hospital bed 
 
   Sticky patches or electrodes are attached to the chest and shoulders and connected to electrodes or wires. These help to record the electrocardiogram (EKG or ECG) during the echocardiography test. The EKG helps in the timing of various cardiac events (filling and emptying of chambers). A colorless gel is then applied to the chest and the echo transducer is placed on top of it. The echo technologist then makes recordings from different parts of the chest to obtain several views of the heart. You may be asked to move form your back and to the side. Instructions may also be given for you to breathe slowly or to hold your breath. This helps in obtaining higher quality pictures. The images are constantly viewed on the monitor. It is also recorded on photographic paper and on videotape. The tape offers a permanent record of the examination and is reviewed by the physician prior to completion of the final report.

What is a Doppler Examination?

Doppler is a special part of the ultrasound examination that assess blood flow (direction and velocity). In contrast, the M-mode and 2-D Echo evaluates the size, thickness and movement of heart structures (chambers, valves, etc.). During the Doppler examination, the ultrasound beams will evaluate the flow of blood as it makes it way though and out of the heart. This information is presented visually on the monitor (as color images or grayscale tracings and also as a series of audible signals with a swishing or pulsating sound)..

What information does Echocardiography and Doppler provide? 
Echocardiography is an invaluable tool in providing the doctor with important information about the following:

 Size of the chambers: of the heart, including the dimension or volume of the cavity and the thickness of the walls. The appearance of the walls may also help identify certain types of heart disease that predominantly involve the heart muscle. In patients with long standing hypertension or high blood pressure, the test can determine the thickness and “stiffness” of the LV walls. When the LV pump function is reduced in patients with heart failure, the LV and RV tends to dilate or enlarge. Echocardiography can measure the severity of this enlargement. Serial studies performed on an annual basis can gauge the response of treatment.

Pumping function of the heart can be assessed by echocardiography. One can tell if the pumping power of the heart is normal or reduced to a mild or severe degree. This measure is known as an ejection fraction or EF. A normal EF is around 55 to 65%. Numbers below 45% usually represent some decrease in the pumping strength of the heart, while numbers below 30 to 35% are representative of an important decrease.

   Echocardiography can also identify if the heart is pumping poorly due to a condition known as cardiomyopathy (pronounced cardio-myo-puth-e), or if one or more isolated areas have depressed movement (due to prior heart attacks). Thus, echocardiography can assess the pumping ability of each chamber of the heart and also the movement of each visualized wall. The decreased movement, in turn, can be graded from mild to severe. In extreme cases, an area affected by a heart attack may have no movement (akinesia, pronounced a-kine-neez-ya), or may even bulge in the opposite direction (dyskinesia, pronounced dis-kine-neez-ya). The latter is seen in patients with aneurysm (pronounced an-new-riz-um) of the left ventricle or LV. It must be remembered that LV aneurysm due to an old heart attack does not usually rupture or “burst.”

Valve Function: Echocardiography identifies the structure, thickness and movement of each heart valve. It can help determine if the valve is normal, scarred from an infection or rheumatic fever, thickened, calcified (loaded with calcium), torn, etc. It can also assess the function of prosthetic or artificial heart valves. 
The additional use of Doppler helps to identify abnormal leakage across heart valves and determine their severity. Doppler is also very useful in diagnosing the presence and severity of valve stenosis (pronounced stee-no-sis) or narrowing. Remember, unlike echocardiography, Doppler follows the direction and velocity of blood flow rather than the movement of the valve leaflets or components. Thus, reversed blood direction is seen with leakages while increased forward velocity of flow with a characteristic pattern is noted with valve stenosis. 
Echocardiography is used to diagnose mitral valve prolapse (MVP), while Doppler identifies whether it is associated with leakage or regurgitation of the mitral valve (MR). The presence of MR frequently prompts the use of antibiotics prior to any dental or non-sterile surgical procedure. Such action helps reduce the rare complication of valve infection.

Volume status: Low blood pressure can occur in the setting of poor heart function but may also be seen when patient’s have a reduced volume of circulating blood (as seen with dehydration, blood loss, use of diuretics or “water pill.”, etc.). In many cases, the diagnosis can be made on the basis of history, physical examination and blood tests. However, confusion may be caused when patients have a combination of problems. Echocardiography may help clarify the confusion. The inferior vena cava (the major vein that returns blood from the lower half of the body to the right atrium) is distended or increased in size in patients with heart failure and reduced in caliber when the blood volume is reduced.

Other Uses: Echocardiography is useful in the diagnosis of fluid in the pericardium (the sac that surrounds the heart). It also determines when the problem is severe and potentially life-threatening. Other diagnoses (plural for diagnosis) made by Doppler or echocardiography include congenital heart diseases, blood clots or tumors within the heart, active infection of the heart valves, abnormal elevation of pressure within the lungs, etc.

How safe is echocardiography? Echocardiography is extremely safe. There are no known risks from the clinical use of ultrasound during this type of testing.

How long does it take? A brief examination in an uncomplicated case may be done within 15 to 20 minutes. The additional use of Doppler may add an additional 10 to 20 minutes. However, it may take up to an hour when there are multiple problems or when there are technical problems (for example, patients with lung disease, obesity, restlessness, and significant shortness of breath may be more difficult to image).

When can I expect to receive the results? If a doctor is present during the test or reviews it while you are still in the office, you may be able to get the results before you leave. However, the doctor is not routinely present during the test and you may have to wait from one to several days before the images have been reviewed by a board certified radiologist/cardiologist and the results are sent. Some physicians will discuss your case before the study is performed and will contact you if there are significant unexpected findings. For example, if you are expected to have a finding or known to have a given disease, your physician may indicate that he or she will call you only if there are significant unexpected findings. You may also be contacted if echocardiography reveals a finding that influences a change in treatment. For example, the presence of a distended inferior vena cava (discussed above) may result in increasing the dose of your diuretic or water pill, if it is indicated by other aspects of your condition.  
If you are anxious or confused about the results feel free to contact the physician’s office staff. They can usually clarify a question for you.

OB/GYN

OnSite Sonographers understand the excitement and anxiety that accompanies pregnancy. That is why we offer a FREE DVD with each detailed OB exam. We also provide comprehensive nongravid pelvic exams.

  • OB 1st Trimester
  • OB Endovaginal
  • OB Detail Fetal Anatomy
  • OB Doppler (Umbilical/Cerebral)
  • OB Multigestation
  • Biophysical Profile
  • Pelvic Complete
  • Endovaginal

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