Comprehensive Sonography Testing

MHS provides the following sonography testing in our outpatient offices:

Carotid Duplex utilizes sound waves to visualize the carotid arteries that transport blood to the brain. This simple outpatient ultrasound can be done to evaluate atherosclerosis and plaque in the carotid arteries. Common physical signs of carotid artery abnormalities include dizziness, headache, recent onset of abnormal vision, slurred speech and an abnormal sounding carotid artery (bruit) diagnosed by your physician with a stethoscope, history of possible TIA, etc. Carotid Duplex is also one of the best tests to evaluate and visualize atherosclerosis at an early stage as the test clearly reveals in full detail the presence or absence of plaque formation and the degree of extensiveness of the plaque visualized.


Echocardiogram is used to evaluate heart dimensions, valvular structure, valvular function (narrowing or leakage), thickness of the heart walls and motion of the heart chambers. Echocardiogram also allows the physician to check the size of the chambers of the heart, presence of blood clots, wall motion abnormalities, all fundamental information to evaluate how well your heart is functioning, and can be used in the treatment of coronary insufficiency, congestive heart failure, cardiomyopathy, murmurs, etc.


Gallbladder, liver, spleen and pancreas sonography for evaluation of gall stones and organ pathologies including cysts, masses, tumors and organ texture (e.g. fatty liver, abnormal textures indicative of chronic liver disease). Indications for abdominal ultrasound are abdominal pain, nausea and or vomiting, chronic or excessive alcohol consumption, liver cirrhosis and other abnormal laboratory findings.


Kidney sonography is used to evaluate the size, texture, dimensions of the kidneys, presence of cystic formations, masses, tumors, kidney stones, and hydronephrosis. Duplex of the kidney arteries is also used to evaluate blood flow to the kidneys (blockages of these arteries can lead to arterial hypertension, also known as high blood pressure). Common signs of a kidney abnormality are lower back pain, abdominal flank pain, blood in urine, uncontrolled hypertension and abnormal kidney function by lab tests.


Abdominal aorta sonography and Duplex is performed for visualization of the abdominal aorta, evaluation of the presence of plaque and abdominal aortic aneurysms (AAA is one of the leading silent killers). Although abdominal aortic aneurysm is in general a silent disease, sometimes symptoms such as abdominal pain, swelling of the abdomen etc., are observed. You must remember however that the majority of aneurysm of the abdominal aorta are silent and are one of the leading silent killers in modern civilization.


Leg Duplex and sonography reveals the presence of plaque buildup, occlusive plaque disease in both lower extremities at all different levels and calculations of the degree of blockage by duplex. Once leg pain and other symptoms develop the disease is in general far advanced with more than 75% to 80% blockages. Leg circulation problems will lead in time to leg pain or “claudication”, walking induced calf pain, nocturnal pain, swelling, leg ulcers etc. Diabetic patients are at high risk for developing plaque in the legs and other organs typically with minimal or low level of symptoms.


Prostate Transpubic Sonography visualizes the prostate size and weight, protrusion into the urinary bladder, dimensions of the urinary bladder, thickness of the bladder’s wall, possible stones or polyps. Tumors in the urinary bladder can also be identified. Many of these problems are relatively silent, however the most common signs of prostate abnormalities include frequent urination, painful urination, trouble urinating and weak flow. But regardless of symptoms it is recommended for all men above 60 to have their prostate evaluated by their physician. This can be done by the combination of: 1) laboratory (PSA Screening), 2)digital rectal exam and or 3) by “Prostate Transpubic Ultrasound” (PTU) a simple procedure that takes only a few minutes and needs no preparation on the part of the patient. (PTU should not to be confused with Transrectal Prostate Sonography).


Thyroid sonography for the evaluation of patients with thyroid dysfunction, or thyroid dimensions, texture, size, masses and or cysts in the gland. Ultrasound is also used for routine follow-up of nodules in the thyroid gland very frequently seen in female and male patients, thus avoiding unnecessary referrals for further testing out of your doctor’s office. Common signs of thyroid dysfunction are neck lumps, enlarged thyroid (suspected by your physician upon physical exam), lethargy, exhaustion and abnormal blood lab findings.


Testicular sonography for evaluation of the testes in male patients for deformities, masses and vascular blood flow blockages. Common indications of testicular dysfunction include swelling, pain and/or a testicular “lump”.


Pelvis evaluation in female patients for evaluation of the uterus and ovaries, position of the gland size, polyps in the urinary bladder, possible fibroids, tumors, etc. Common pelvic symptoms include pelvic pain, irregular periods, spotting in between periods, painful urination, incontinence (trouble holding urine in bladder), urinary retention, fibroids follow ups, blood in urine, etc.