Comprehensive evaluation of heart chambers, valves, great vessels, utilizing two dimensional duplex ultrasonography and Doppler for quantification of ejection fraction, volumetric chamber size and function, valvular regurgitation and/or stenosis and pulmonary hypertension. Especially useful for management of congestive heart failure, coronary artery disease, heart valve repair or replacement, and for evaluating cardiac status in patients with conditions or receiving treatment that can affect their heart, (i.e. autoimmune disorders, chemotherapy).
Comprehensive evaluation of the extra cranial cerebral artery vasculature utilizing two dimensional duplex and Doppler ultrasonography for pre-operative evaluation of blood flow hemodynamics, bruit, plaque morphology, and possible causes of TIA, CVA . Includes evaluation of the common carotid, internal, external, vertebral and subclavian arteries.
Comprehensive evaluation of the liver, portal system, gallbladder, pancreas, spleen, kidneys. Helpful in the documentation of cholelithiasis, portal hypertension, ascites, tumor, abcess formation among many other possible causes for abdominal pain, or distention.
Comprehensive evaluation of the abdominal aorta and screening of visceral artery branches. Common indications may include pulsatile aorta/mass on physical exam, family history of aneurysm, or multiple risk factors for aneurysm. Medicare has approved a one time screening abdominal aortic ultrasound as part of their “Welcome to Medicare” physical for certain groups of patients.
Direct, comprehensive evaluation of the bilateral main renal arteries in their entirety with Doppler flow velocities taken throughout to evaluate for renal artery stenosis as a potential cause of refractory hypertension or renal insufficiency. Also includes an evaluation at the blood supply within the kidney itself and overall size and appearance, (arcuate velocities, cortical thickness, kidney size). Interrogation of the mesenteric vessels, celiac axis as indicated for abdominal bruit, pain after eating, etc.
Ultrasound examination of the kidneys, ureters and bladder, pre and post-void. Useful to r/o urinary tract obstruction, hydronephrosis and etiology of medical renal disease.
Two-dimensional and pulse-wave Doppler evaluation of the upper or lower extremity venous systems for diagnosis of deep vein thrombosis or venous insufficiency.
(aka. Upper or lower extremity arterial physiologic testing) Comprehensive peripheral vascular disease evaluation for patients with signs and symptoms of claudication or positive ankle brachial index, (ABI), often localizing the level of arterial involvement of the upper or lower extremity arterial system.
Screening blood pressures of the upper and lower extremity arterial system utilizing non-imaging continuous wave Doppler to identify peripheral vascular disease, causes of claudication. Included in arterial duplex exam for follow up of peripheral bypass graft or peripheral stent surveillance.
Ultrasound with pulse and continuous wave Doppler used to identify arterial blockage in the upper and lower extremities following peripheral bypass or stent surveillance. Also in cases of suspected pseudoaneurysm or A-V vistula after having an interventional procedure, peripheral bruit, hematoma, etc. Includes ABI.
Scrotum and testicular evaluation by two dimensional ultrasound and pulse-wave Doppler is helpful to diagnose epididymitis, mass, torsion for scrotal pain and swelling.
Extensive evaluation of the thyroid and surrounding structures for goiter, hyperplasia, adenoma, and other potential causes of thyroiditis, hyperthyroidism or hypothyroidism, palpable mass.
Evaluation of uterus, ovaries, and both adnexas scanning transabdominal and transvaginal. Useful to evaluate fibroids, endometrial hyperplasia, polyps, ovarian cysts and masses. (Please indicate on order if blood flow Doppler to ovaries is needed to rule out torsion.)
Pelvic transabdominal ultrasound only for non sexually active patients under 18 years old.
Evaluation of uterus, endometrium, and both ovaries transabdominal and transvaginal. Useful to measure follicular size for reproduction purposes.
Evaluation of uterus, endometrium, ovaries and both adnexas utilizing transabdominal and transvaginal imaging. Useful to evaluate gestational sac, fetal age and number, viability, perigestational bleeds, ectopic pregnancy and ovarian cysts/pathology.
Evaluation of cervix, fetal position, measurements of head abdomen and femur bone. Detailed images of all fetal anatomy are also obtained. Useful to determine early signs of anatomical abnormalities/defects, fetal age, growth, placenta previa or other causes of bleeding.
Evaluation of fetal stomach, heart, kidneys, and bladder. Measurements of head, abdomen, and femur bone are also obtained to monitor growth. We also view any previously unseen anatomy or abnormalities that the physician is following.
Doppler of the fetal umbilical cord to determine cord velocity.
Biophysical Profile of the fetus scoring fetal breathing , gross body movements, fetal tone, and amniotic fluid index. Useful to determine fetal well-being.