Diagnostic Ultrasound Scan procedures

We have Consultant Radiologistled Diagnostic Ultrasound Scan procedures at our clinic

An ultrasound scan, sometimes called a sonogram, is a procedure that uses high-frequency sound waves to create an image of part of the inside of the body. An ultrasound scan can be used to monitor an unborn baby, diagnose a condition, or guide a practitioner duringcertain proceduresin orderto perform guided injections etc. for more info click here.

Musculoskeletal Ultrasound: To asses most peripheral body parts including , Upper arm, Shoulders, Elbow, Wrists, Hands, Hip, thigh & Groin, Hernias, Knee, leg, Ankle, Foot, toes, Soft tissue Lumps.

Nerves and Muscles can also be examined through Advanced Ultrasound scanning.

Abdominal ultrasound: To visualise the anatomy and pathology of the liver , gallbladder, bile ducts, spleen, kidneys, pancreas.

Pelvic ultrasound: To assess the prostate, urinary bladder, reproductive organs, adnexal masses, vascular structures, Transvaginal (TV), lymph nodes.

Obstetric / Gynaecological ultrasound: To assess the fetus and related structures in pregnant women.

Small parts ultrasound: Scrotum, lumps and bumps, soft tissue and many more small structures.

Cardiovascular ultrasound including echocardiography: To assess the heart and peripheral vascular structures. Carotid dopplers

Transfontanelle ultrasound: To visualise the intracranial structures before the closure of the fontanelles in paediatric patients or through boreholes.

Intraluminal Ultrasound: To assess gastrointestinal tract and the blood vessels.

Head and Neck Ultrasound: Thyroid, Salivary glands, lymph nodes including FNAC.

Breast Ultrasound: Breast ultrasound, aspirations of cysts, biopsies.

Most common breast symptoms:

"I have breast pain" "I feel a lump in my breast" "I think I have some breast infection/mastitis" "I have some nipple discharge" "I have no symptoms, but I am worried about breast cancer and I would like to check the health of my breasts" "I have breast implants and I am worried there is a problem with them" "I have breast pain"

Breast pain is a very common symptom. It can be cyclical (this means the pain or the intensity of the pain varies with the menstrual cycle) or non cyclical.

Cyclical pain is almost always hormonal in origin.

Non cyclical pain has many possible causes but in the vast majority of cases, if not associated with any other symptoms (a palpable lump, signs of infection, redness of the skin) is not an indicator of serious breast disease. In the vast majority of cases breast imaging can’t explain breast pain. The pain can also be referred, which means that the cause of the pain is not in the breast but originates from another organ (chest wall for example). However breast imaging, mammography if you are 40 years old or older and/or ultrasound scan of the symptomatic area, can reassure you that there is no lump in your breast. The advantage of an ultrasound scan is that it can be done at any age, even if you are pregnant, and has no contra indication.

Additional information can be found following the links

"I think I have some breast infection/mastitis"

Mastitis (inflammation of the breast) can be due to infection but can also be noninfectious. US will help to determine if there is an abscess (cavity in the breast filled with pus). If there is an abscess, this can be drained with US guidance, which will help to relieve the symptoms and will help to determine which germ is responsible. The US scan may need to be repeated every few days until the symptoms are resolved. In case of doubt about a possible infection, you should always talk to your GP.

Mastitis can happen if you breast feed but can also be seen outside lactation.

Additional information can be found following the links

"I have some nipple discharge"

How the breast tissue reacts to female hormones explains a large proportion of nipple discharge, especially if the discharge is clear, milky and bilateral. The US scan will almost always be normal in this clinical situation. However sometimes nipple discharge can be caused by underlying breast disease, possibly a small lump called papilloma, rarely a condition called ductal carcinoma in situ that can lead to cancer. US will be needed in some situations. Depending on your age and/or your symptoms, more tests (mammography, MRI) may also be needed.

Additional information can be found following the links

"I have no symptoms but I am worried about breast cancer and I would like to check the health of my breasts"

The risk of breast cancer is currently 1 out of 8 in the UK. This means that one woman out of 8 will hear at some point she has breast cancer. This is more likely to happen as she gets older. Most women will not have breast cancer. Looking for signs of breast cancer in the absence of symptoms with any imaging technique is called screening. The NHS BSP (Breast Screening Program) offers breast screening with mammography every 3 years starting at 50. If you are registered with a GP you will receive an invitation to attend a screening mammogram every 3 years.

There is no strong medical evidence that breast screening before the age of 50 is beneficial for most women. There are some families for which the risk of breast cancer is increased. If you are worried you may belong to such a family you should discuss the matter with your GP; if appropriate they can refer you to a genetic clinic for assessment of your risk. Breast screening before the age of 50 can be beneficial if you belong to such a family and a tailored screening program will be then designed and offered to you.

Ultrasound scan of the breast can be performed at any age regardless of any associated condition (pregnancy for example) but has not be proven to be efficient used as a screening tool in medical studies, even though this may evolve in the future as it improves constantly. The major advantage of the technique in this case is its absence of side effects and contra indication but all women should understand its limitations in this situation.

Additional information can be found following the links

"I have breast implants and I am worried there is a problem with them"

An ultrasound scan of the breast is the primary test that should be done in this situation. It is a good test to determine whether the implants are intact or damaged. In some situations a MRI of the breasts will be needed as well if the ultrasound findings are indeterminate.