EXPERIENCED, COLLABORATIVE &
Noncardiac thoracic ultrasound
Cervical ultrasound (thyroid, parathyroid, larynx, salivary glands, lymph nodes)
Image interpretation (radiographs, CT, MRI, nuclear medicine studies, ultrasound)
Ultrasound guided fine needle aspirates, biopsies, fluid collections
CT guided biopsies (if available at your facility)
Fluoroscopic studies (if available at your facility)
How to use us
Before the ultrasound exam, please arrange for appropriate patient preparation. If you would like an abdominal ultrasound exam for your patient, please have someone shave the hair along the ventral abdomen. Also, please have an area in the hospital set up that can be darkened for ideal viewing of the ultrasound screen. I will need an assistant from your hospital to help restrain the patient during the ultrasound exam.
After the ultrasound exam, I will be happy to review the findings with you in person. I will provide a thorough report of my findings, assessment and recommendations very shortly after the ultrasound exam. Reports will be emailed to the email address that I have on file (which you provided at the time of your initial setup with Timeless Veterinary Systems).
If you think that there is a chance that you might like for me to do fine needle aspirates or some other procedure after the ultrasound, please inform the owner of the possible risks and added costs associated with this. Ideally, these discussion would happen prior to the ultrasound appointment. I’m happy to accommodate this type of sampling, but depending on my schedule, I may need to come back on another day in order to do this.
Frequently Asked Questions
Insight Veterinary Imaging is able to provide mobile ultrasound services in your clinic for the convenience and comfort of your patients. For the most efficient scheduling process, please follow the links online and submit the necessary information.
- Abdominal ultrasound
- Noncardiac thoracic ultrasound
- Musculoskeletal ultrasound
- Cervical ultrasound (thyroid, parathyroid, larynx, salivary glands, lymph nodes)
- Image interpretation (radiographs, CT, MRI, nuclear medicine studies, ultrasound)
- Ultrasound guided fine needle aspirates, biopsies, fluid collections
- CT guided biopsies (if available at your facility)
- Fluoroscopic studies (if available at your facility)
Most of the time, cats and dogs tolerate the ultrasound examination very well. In those cases where the patient is able to calmly lie still during the examination, sedation is not needed. There are some times, however, that a patient will need to have some sedation in order to get the most diagnostic examination. If your patient is fractious, aggressive or very energetic/wiggly, sedation should be considered. I have seen several patients where I try to do an ultrasound on a patient like these, avoiding sedation, and have subsequently repeated the ultrasound using sedation. I frequently find clinically relevant information on the sedated exam that was not seen on the initial non-sedated exam. I don’t require sedation for fractious, aggressive or rambunctious patients, but if you want to get the most useful information from the examination, sedation will likely be helpful.
No. As a radiologist, I will not have a veterinarian client patient relationship (VCPR) established. This restricts me from providing sedatives and other medications. Any sedation will need to be provided by the referring veterinarian that has established the VCPR appropriately.
For abdominal ultrasound studies, the patient should be fasted for at least 12 hours (as clinically appropriate). Also, the urinary bladder is best evaluated when full. If possible, the patient should not be allowed to void the urinary bladder prior to the ultrasound examination.
In most cases (unless the hair coat is absent or quite thin), the hair will need to be shaved from the abdomen. The abdomen should be shaved from the xiphoid of the sternum to the pubis. There is no need for the shaved area to extend laterally beyond the costal arch.
There is no need for fasting prior to thoracic ultrasound exams. Also, there is no need for extensive shaving of the thorax. I typically part the hair coat and apply alcohol in select areas of the thorax to identify the important structures. If a focal abnormality is identified in the thorax and ultrasound guided biopsies are requested, a small area will be shaved in the area of interest to allow for an aseptic preparation of the area.
There is no need for fasting prior to cervical or musculoskeletal ultrasound exams.
These will need to be submitted appropriately by the referring veterinarian.
There is always a risk associated with any biopsy procedure. I take every precaution to minimize these risks, but sometimes there is bleeding or other complication that requires emergency treatment. Arranging for this emergency care is the responsibility of the referring veterinarian.
At this point, I am able to offer services in areas like Salem, OR, McMinnville, OR, Battleground, WA, Hood River, OR, White Salmon, WA, and Bingen, WA.
Absolutely! As long as there isn’t a risk of delaying my arrival to my next appointment, I’m happy to add more patients. Feel free to ask me directly, and if the time is available, all you will have to do is enter in the patient’s information in a new online request form.
Yes, I do have the capacity to offer an emergency ultrasound service. For any ultrasound that will need to start after 5PM, I will charge an emergency fee of $190. If there is an urgent need for an additional ultrasound earlier in the day that will delay my arrival to the next appointment, or likely push my final appointment after 5PM, I will charge an emergency fee of $190.
Ideally, the referring veterinarian is in the clinic at the time of the exam and is able to have a conversation with me either during the exam or afterwards. It will be the referring veterinarian’s responsibility to communicate the results with the owner. A report of my findings, assessment and recommendations will be made available by the end of the day (usually very shortly after the exam). Reports will be available via email and by logging in to the users profile at Timeless Veterinary Systems.
Unfortunately, no. I do not allow owners in the room during the ultrasound examination. I am able to do a more thorough examination when there are fewer distractions in the exam room.