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How it works

Learn more about each of our services below! Schedule an appointment for your selected services online and we will come to you. After the exams are completed, images will be uploaded to our cloud-based servers (PACS). Radiologist reports will be returned to your clinic within 24 hours.

Overview of exams

Complete abdomen

Complete neck

Echocardiogram

Musculoskeletal

Guided aspirates

Comprehensive exam of the abdominal organ systems, peritoneum, and vasculature with radiologist interpretation

Comprehensive exam of the abdominal organ systems, peritoneum, and vasculature with radiologist interpretation

Duration

1 hour

If multiple patients are scheduled for imaging at your clinic in a day the exams will be performed back-to-back, typically beginning with the most critical patients.

Exam

Our ultrasounds follow ACVR and ECVDI guidance for complete abdominal sonography in dogs and cats. Each exam thoroughly evaluates the following:

Hepatobiliary system including liver parenchyma and vasculature, gallbladder, cystic duct, and common bile duct

Spleen including the dorsal and ventral extremities, splenic body, and hilus

Gastrointestinal tract including all regions of the stomach (cardia, fundus, body, antrum, and pylorus), duodenum, jejunum, ileum, cecum, and colon

Pancreas including left and right lobes and body

Urinary tract including kidneys, ureters, urinary bladder, and proximal urethra

Adrenal glands

Genital tract including the uterus (uterine horns, body, cervix, pre-pubic vagina), ovaries, prostate, testes, scrotum, and epididymides

Lymph nodes including the medial iliac, internal iliac, periaortic, renal, hepatic, splenic, gastric, pancreaticoduodenal, colic, jejunal, and superficial inguinal nodes

Abdominal vasculature including the aorta, caudal vena cava, and portal vein

Peritoneal and retroperitoneal spaces, omentum, and mesentery

Indications

Abdominal ultrasound is an effective diagnostic tool for many different clinical scenarios. Common indications for an abdominal exam may include:

Clinical signs such as vomiting, inappetence, or diarrhea

Physical exam findings such as organomegaly, mass lesions, or pain

Abnormal bloodwork indicating organ dysfunction such as azotemia, increased liver enzymes, or anemia

Abnormalities on abdominal radiographs

Peritoneal effusion

Metastasis screening

Preparation

Appropriate patient preparation can significantly improve the diagnostic quality of exams. Optimal preparation should be the goal for scheduled scans, but may not be feasible for emergent patients. Preparation typically includes:

Fasting for at least 8 hours to minimize interference of gastrointestinal content

Shaving fur on the ventral abdomen to allow full contact of the ultrasound transducers

Individualized patient sedation and analgesia protocols

Why might we request sedation? Use of patient-appropriate sedation and analgesia generally yields higher quality and more efficient exams with improved evaluation of deep anatomy and small structures. Patients with abdominal pain often benefit from analgesia to ensure their comfort during scans. Anxious or highly energetic pets often do best with anxiolytics given at home prior to their veterinary visit which may be combined with in-hospital sedation immediately prior to their scan.

Focal Rechecks

Recheck focal exams of specific organ systems may be appropriate for patients who have received full abdominal imaging within the past 6 months. These shorter duration exams are often used to monitor previously identified lesions and evaluate response to treatments.

Comprehensive exam of the cervical region including the endocrine organ systems, salivary glands, lymph nodes, and regional vasculature with radiologist interpretation

Comprehensive exam of the cervical region including the endocrine organs, salivary glands, lymph nodes, and regional vasculature with radiologist interpretation

Duration

30 minutes

Exam

Each complete neck ultrasound thoroughly evaluates the following:

Endocrine organs including the bilateral thyroid lobes and parathyroid glands

Mandibular salivary glands

Cervical lymph nodes including the medial retropharyngeal and mandibular nodes

Regional vasculature including the carotid arteries and jugular veins

Ventral aspect of the cervical esophagus and trachea

Indications

Neck ultrasounds are often utilized in workups of certain bloodwork abnormalities and palpable mass lesions. These exams can help direct further diagnostics and treatment interventions. Common indications for neck exams include:

Hypercalcemia

Thyroid dysfunction

Palpable mass evaluation

Metastasis screening

Preparation

Appropriate patient preparation is important for high quality exams of the neck, which is often focused on small anatomic structures. Preparation typically includes:

Shaving fur on the ventral neck

Individualized patient sedation and analgesia protocols

Fasting is not required for this exam, but may be advisable prior to sedation

Why might we request sedation? Use of patient-appropriate sedation and analgesia generally yields higher quality and more efficient exams. Neck ultrasounds evaluate structures as small as 1-2 mm in size and thus require minimal patient movement. Anxious or highly energetic pets often do best with anxiolytics given at home prior to their veterinary visit which may be combined with in-hospital sedation immediately prior to their scan.

Cardiac ultrasound including evaluation of heart structure and function, the pericardial space, and heart base region with cardiologist consultation

Cardiac ultrasound including evaluation of heart structure and function, the pericardial space, and heart base region with cardiologist consultation

Duration

1 hour

Exam

Echocardiograms evaluate the structure and function of the heart with a variety of ultrasound techniques including B-mode, M-mode, color Doppler, spectral Doppler, and duplex imaging. The following regions are evaluated on every exam:

The four major heart chambers and their relative sizes, structure, and function

The structure and function of the mitral, tricuspid, aortic, and pulmonic valves

The left and right ventricular outflow tracts including the proximal aorta and pulmonary arteries

The heart base, left and right auricles, and any regional mass lesions

The pericardium and pericardial space

Indications

Echocardiograms are frequently utilized in both well pet pre-anesthetic screenings and diagnostic workups of patients with clinical cardiac disease. Common indications for echocardiograms include:

Heart murmur on physical exam

Cardiomegaly identified on radiographs

Abnormal ECG findings

Pleural, pericardial, or peritoneal effusion

Syncope

We do not perform echocardiograms on patients less than 5 years old. These patients often have congenital cardiac anomalies and we recommend they be evaluated and have their exam performed by a board-certified veterinary cardiologist.

Preparation

Most echocardiograms are performed without sedation and patient preparation is minimal! Preparation typically includes:

Ensuring stable vital parameters including oxygenation, blood pressure, and heartrate

Individualized patient sedation and analgesia protocols

Fasting is not required for this exam, but may be advisable if sedation is needed

Some medications temporarily alter cardiac function and measurements if given prior to the exam, such as dexmedetomidine. These medications should be avoided if possible.

Dynamic ultrasound of a specific anatomic region such as the shoulder joint or calcaneal tendon with radiologist interpretation. These are bilateral exams so the left and right limbs can be compared and interpreted comprehensively.

Dynamic ultrasound of a specific anatomic region such as the shoulder joint or calcaneal tendon with radiologist interpretation. These are bilateral exams so the left and right limbs can be compared and interpreted comprehensively.

Duration

1 hour (includes left and right limb)

Exam

The most common musculoskeletal exams are of the following regions:

Shoulder exams including evaluation of the infraspinatus, supraspinatus, biceps brachii tendons, bursa, and regional structures

Calcaneal tendon exams including evaluation of the superficial digital flexor, gastrocnemius, and common calcaneal tendons, bursa, and regional structures

Indications

Musculoskeletal exams can be utilized in both acute and chronic lameness cases. These exams are often used to achieve precise musculoskeletal diagnoses and guide treatment planning. Radiographs of the region are recommended prior to ultrasound.

Chronic lameness with limited or absent radiographic abnormalities

Atypical gait patterns, such as forelimb circumduction or plantigrade stance

Soft tissue swelling and lameness post-injury

Preparation

These exams entail manipulating painful joints and tendons. To ensure patient comfort, the exams are performed with sedation and analgesia.

Individualized patient sedation and analgesia protocols

Fasting is not required for this exam, but is advisable due to sedation

Shaving a small region of fur at the bilateral region of interest (e.g., shoulder or plantar tarsus)

Guided aspirates of tissues for cytologic evaluation such as liver, spleen, or mass lesions, as well as diagnostic fluid sample collections

Guided aspirates of tissues for cytologic evaluation such as liver, spleen, or mass lesions, as well as diagnostic fluid sample collections

Duration

15 minutes

Indications

Diagnostic tissue or fluid sample collections may be added onto other imaging exams. Common indications for sample collection include:

Cytologic diagnosis of identified mass lesions

Peritoneal effusion fluid analysis and cytology

Metastasis screening, such as with mast cell tumor

Preparation

To optimize patient safety and comfort, sedation is generally recommended prior to aspirates.

Pre-procedure labwork including platelet count and coagulation testing

Individualized patient sedation and analgesia protocol

Fasting for at least 8 hours prior to the imaging exam

Shaving fur and cleaning the skin in the region of sampling

Medical supplies including needles, syringes, slides, slide boxes, and fluid collection tubes