What Is an Ultrasound? A Simple Guide for Patients

At Independent Physicians Medical Center (IPMC) in Northeast Philadelphia, we offer a comprehensive range of ultrasound services performed by experienced, registered sonographers and interpreted by board-certified radiologists — all in a private, comfortable outpatient setting.

How Does Ultrasound Work?

During an ultrasound exam, a small handheld device called a transducer is placed on your skin (or, in some cases, inserted into the body). The transducer emits high-frequency sound waves that travel into your body and bounce off internal structures — organs, tissues, fluid, and blood vessels. A computer captures these returning echoes and converts them into real-time images displayed on a monitor.

Different tissues reflect sound waves differently. Fluid-filled structures like cysts appear dark (anechoic), solid organs appear in shades of gray, and dense structures like bone or calcifications appear bright white. This contrast allows the sonographer and radiologist to distinguish between normal and abnormal findings with remarkable precision.

Doppler ultrasound is a specialized technique that measures the speed and direction of blood flow through arteries and veins. Color Doppler adds color to the image to show flow direction, while spectral Doppler produces a waveform that reveals flow velocity. These techniques are invaluable for evaluating conditions like blood clots, narrowed arteries, and abnormal blood flow to organs.

What Can Ultrasound Be Used For?

Ultrasound has an extraordinarily wide range of clinical applications:

• Abdominal imaging. Evaluating the liver, gallbladder, bile ducts, pancreas, spleen, kidneys, and abdominal aorta for conditions such as gallstones, fatty liver disease, kidney stones, cysts, tumors, and aneurysms
• Pelvic imaging. Examining the uterus, ovaries, fallopian tubes, cervix, bladder, and prostate for fibroids, cysts, masses, endometriosis, and other conditions
• Thyroid imaging. Evaluating thyroid nodules, goiter, and guiding fine needle aspiration biopsies
• Breast imaging. Differentiating solid masses from fluid-filled cysts, evaluating mammographic findings, and guiding biopsies
• Vascular imaging. Assessing blood flow in the carotid arteries (stroke risk), leg veins (deep vein thrombosis), and other vessels
• Musculoskeletal imaging. Evaluating tendons, ligaments, muscles, and joints for tears, inflammation, and fluid collections
• Testicular imaging. Investigating lumps, pain, swelling, and blood flow abnormalities in the scrotum
• Pregnancy monitoring. Tracking fetal development, estimating due dates, checking for complications, and guiding prenatal procedures
• Procedure guidance. Directing needle placement during biopsies, fluid drainage, joint injections, and line insertions for greater accuracy and safety

Because ultrasound uses no ionizing radiation, it is considered one of the safest imaging modalities and can be used repeatedly without cumulative risk — making it ideal for monitoring conditions over time and for imaging pregnant women, children, and patients of all ages.

How to Prepare for an Ultrasound

Preparation varies by the type of exam:

Abdominal ultrasound. You will typically be asked to fast (no food or drink) for 8 to 12 hours before the exam. Fasting keeps the gallbladder distended with bile and reduces gas in the intestines, both of which improve image quality.

Pelvic ultrasound. You may need to drink 32 ounces of water and arrive with a full bladder. A full bladder pushes the intestines out of the way and acts as a “window” that helps sound waves reach the pelvic organs.

Thyroid, breast, testicular, and vascular ultrasounds. Generally no preparation is needed. You can eat, drink, and take medications normally.

General tips. Wear loose, comfortable clothing. You may be asked to change into a gown depending on the exam. Leave jewelry at home or be prepared to remove it. Our scheduling team will provide specific instructions when you book your appointment.

What Happens During an Ultrasound?

At IPMC, your exam will follow this general process:

1. Check-in and positioning. You’ll be brought to a private exam room and positioned on an exam table — typically lying on your back, though you may be asked to turn onto your side for certain views.
2. Applying the gel. The sonographer applies a clear, water-based gel to the area being examined. This gel eliminates air between the transducer and your skin (air blocks sound waves) and helps the transducer glide smoothly. The gel may feel slightly cool at first but warms quickly.
3. Scanning. The sonographer presses the transducer gently against your skin and moves it across the area, capturing images from multiple angles. Real-time images appear on a monitor. You may see your organs on screen as the sonographer works. The sonographer may ask you to hold your breath, change positions, or take deep breaths at certain points to optimize the images.
4. Doppler assessment (if applicable). If blood flow evaluation is part of your exam, you may hear a pulsing “whooshing” sound — this is the Doppler signal detecting blood moving through vessels.
5. Duration. Most ultrasound exams take 20 to 45 minutes, though some specialized studies may take longer.
6. Comfort. The exam is painless for most people. You may feel light pressure from the transducer, and certain areas (such as a tender gallbladder) may produce mild discomfort when pressed, but this is brief.

It’s important to know that sonographers are trained to capture high-quality diagnostic images, but they are not permitted to diagnose conditions or discuss results during the exam. Your images will be reviewed by a board-certified radiologist afterward.

After Your Ultrasound

There is absolutely no recovery time. The gel is wiped off your skin, and you can eat, drink, drive, and return to all normal activities immediately. If you were asked to fast, you can eat right after.

A board-certified radiologist at IPMC will review all of the images and prepare a detailed report, which is sent to your referring doctor. Your doctor will contact you to discuss the results and any recommended follow-up — whether that’s reassurance that everything looks normal, additional imaging, a biopsy, or a referral to a specialist.