Ultrasound

Ultrasound uses high frequency sound waves to provide detailed images of organs, soft tissues and musculoskeletal structures in the body. It can assist in diagnosing injuries and assessing causes of acute or chronic pain as well as being a tool to monitor a foetus during pregnancy.

What to Expect

Most ultrasounds are painless and non-invasive, though some may involve slight pressure or, in the case of certain pelvic exams, an internal probe. Depending on the type of scan, you might be asked to fast beforehand, drink water to fill your bladder, or wear loose clothing. Most examinations usually take between 15 and 45 minutes. Overall, ultrasound is a safe and non-invasive imaging method with no radiation exposure.

Gibraltar Radiology perform a wide range of general, musculoskeletal, arterial, vascular and obstetric ultrasounds.

Please see below for information on some of the most commonly referred services that we provide.

Ultrasound Examinations

What is a Musculoskeletal Ultrasound Scan?

A musculoskeletal ultrasound is a non-invasive imaging technique that can be used to provide detailed images of muscles, tendons and ligaments throughout the body. Ultrasound scans can assess and diagnose injuries, inflammation as well as causes of acute or chronic musculoskeletal pain. An x-ray of the region may be recommended. This provides assessment of bony structures not seen on ultrasound.

This safe, radiation-free procedure provides real-time images, aiding in accurate diagnosis and treatment planning.

Why Might I Need This Type of Scan?

Your doctor may recommend a musculoskeletal ultrasound if you have suspected:

  • Tendon or ligament injuries
  • Muscle tears or strains
  • Inflammation around joints (e.g., bursitis or tendinitis)
  • Soft tissue infections or tumours

What Happens During the Ultrasound?

  1. Preparation: You may be asked to wear loose clothing or change into a gown to expose the area being examined.
  2. Gel Application:  A gel will be applied to your skin to help the ultrasound probe make better contact with your skin and provides clearer images.
  3. Ultrasound Procedure: The sonographer will move the ultrasound probe (a small, hand-held device) over your area of concern.
  4. Duration: The exam typically lasts 15 to 30 minutes, depending on the area being examined and the complexity of the condition.

Is Musculoskeletal Ultrasound Safe?

Yes. There are no known risks associated with ultrasound, making it a preferred method for imaging, especially for pregnant women, and children.

After the Exam

The ultrasound images will be reviewed by a radiologist and the results sent to your doctor. Please book an appointment with your referring doctor to discuss the findings. Results will be available within 24 hours or the next working day.

What is an Upper-Abdominal Ultrasound?

Ultrasound scans can visualise your liver, gallbladder, spleen, pancreas and kidneys. It helps diagnose conditions like kidney stones, liver disease, or gallstones. Not all causes of abdominal pain can be identified with ultrasound, but because this test is safe and free from radiation, it will often be used as an initial investigation.

Why Might I Need This Type of Scan?

Your doctor may recommend an upper abdominal ultrasound if you are experiencing symptoms like:

  • Abdominal pain or discomfort
  • Abnormal blood tests, such as liver or kidney function tests
  • To monitor conditions such as kidney stones, cysts, or liver conditions.

How Should I Prepare?

For an upper abdomen ultrasound, preparation is typically required:

  1. Fasting: You will need to fast from all food and drink for 6 hours before the examination. This helps ensure that your stomach is empty, and the ultrasound can clearly view the liver and gallbladder.
  2. Medications: Continue taking any medications as directed by your doctor with a small amount of water unless otherwise instructed.

What Happens During the Ultrasound?

  1. Arrival: You may be asked to change into a gown. You will lie on an exam table in a comfortable position, usually on your back.
  2. Gel Application: A special gel will be applied to your skin. This gel helps the ultrasound device (called a transducer) make better contact with your body and ensures that the sound waves travel effectively.
  3. Ultrasound Procedure: The technician will move the transducer over the area of your abdomen, gently pressing it on your skin. You may be asked to breathe deeply or hold your breath at certain times to get clear images of your organs.
  4. Duration: The examination typically takes about 15-30 minutes. You may be asked to change positions or move slightly during the test.

Is the Ultrasound Safe?

Yes, an ultrasound is very safe. It uses sound waves instead of radiation. It is a non-invasive and painless procedure.

After the Ultrasound

The ultrasound images will be reviewed by a radiologist and the results sent to your doctor. Please book an appointment with your referring doctor to discuss the findings. Results will be available within 24 hours or the next working day.

What is Liver Elastography?

Liver elastography is a specialised, non-invasive imaging technique used to assess liver stiffness, helping to detect conditions like fibrosis, cirrhosis, and fatty liver disease. Using ultrasound technology, this examination measures tissue elasticity, providing valuable insights into liver health without the need for a biopsy. Safe and painless, elastography aids in early diagnosis and monitoring. This test is used to assess the degree of liver fibrosis (scarring) caused by conditions such as:

Why Might I Need this Type of Scan?

Your healthcare provider may recommend liver elastography to:

  • Monitor liver disease progression
  • Assess the level of liver scarring (fibrosis)
  • Determine if further treatment or management is necessary

Unlike a liver biopsy, elastography is a non-invasive, quick, and painless procedure.

How Should I Prepare?

  1. Fasting: You will need to fast from all food and drink for 6 hours before the examination.
  2. Medications: Continue taking any medications as directed by your doctor with a small amount of water unless otherwise instructed.

What Happens During the Ultrasound?

  1. Arrival: You will be asked to lie on the examination bed. The test is usually done while you are lying on your back or on your side.
  2. Gel Application: The technician will apply a small amount of gel to your skin, typically on the right side of your abdomen, just below your ribs.
  3. Ultrasound Procedure: Liver elastography is done using a small, handheld device called a FibroScan. The device sends a painless pulse of vibration through your liver, which the device measures to determine the stiffness of the tissue. The device will then be placed on your skin to take measurements.
  4. Duration: The test takes about 15 to 30 minutes. You may be asked to hold your breath briefly during the procedure.

Is Liver Elastography Safe?

Yes, liver elastography is safe, with no known side effects. Unlike a biopsy, there is no risk of bleeding or infection.

Who Should Not Have Liver Elastography?

While liver elastography is safe for most people, it may not be suitable if:

  • You are pregnant
  • You have a history of liver transplantation
  • You have large amounts of fluid buildup in your abdomen (ascites) that could interfere with accurate measurements

Please inform your healthcare provider if any of these conditions apply to you.

After the Ultrasound

The ultrasound images and measurements will be reviewed by our radiologist and the results sent to your doctor, who will further interpret the results. Please book an appointment with your referring doctor to discuss the findings. Results will be available within 24 hours or the next working day.

What is a Renal and Urinary Bladder Ultrasound?

Renal and urinary bladder ultrasounds are a non-invasive imaging technique used to assess the kidneys and bladder. It helps diagnose conditions like kidney stones, cysts and tumours, infections, hydronephrosis and bladder abnormalities.

Using high-frequency sound waves, this safe procedure provides clear, detailed images for accurate diagnosis and treatment planning.

Why Might I Need This Type of Scan?

Your doctor may recommend an upper abdominal ultrasound if you are experiencing symptoms like:

  • Blood in urine
  • Frequent or painful urination
  • Abnormal kidney function on blood tests
  • Abdominal pain

How Should I Prepare?

For a renal and urinary bladder ultrasound, preparation is typically required:

  1. Full Bladder:  You will need to have a full bladder for this type of examination. This is essential to provide clear images. Drink as close to 1L of water as possible 1 hour before the exam and avoid urinating until the procedure is completed.
  2. Medications & Food: Continue taking all your normal medications and continue to eat as normal.

What Happens During the Ultrasound?

  1. Arrival: You may be asked to change into a gown. You will lie on an exam table in a comfortable position, usually on your back.
  2. Gel Application: A special gel will be applied to your skin. This gel helps the ultrasound device (called a transducer) make better contact with your body and ensures that the sound waves travel effectively.
  3. Ultrasound Procedure: The technician will move the transducer over the area of your abdomen, gently pressing it on your skin. You may be asked to breathe deeply or hold your breath at certain times to get clear images of your organs.
  4. Duration: The procedure typically takes about 15-30 minutes. You may be asked to change positions or move slightly during the test.

Is the Ultrasound Safe?

Yes, an ultrasound is very safe. It uses sound waves instead of radiation. It is a non-invasive and painless procedure.

After the Ultrasound

The ultrasound images will be reviewed by a radiologist and the results sent to your doctor. Please book an appointment with your referring doctor to discuss the findings. Results will be available within 24 hours or the next working day.

What is a Pelvic Ultrasound?

Pelvis and gynaecological ultrasounds are imaging tests that use sound waves to create images of the organs and structures in your pelvic area, including the uterus & ovaries. It helps your doctor diagnose and monitor various conditions such as endometriosis, cysts, fibroids or uterine abnormalities.

Why Might I Need This Type of Scan?

Your doctor may recommend a pelvic ultrasound to:

  • Evaluate pelvic pain
  • Investigate abnormal bleeding or heavy periods
  • Monitor conditions such as endometriosis
  • Check for cysts, tumours or placement of an IUD

Booking Your Exam

Ultrasound can be performed at any time of the menstrual cycle. However, interpreting the appearance of the ovaries and endometrium (lining of the uterus) is ideal immediately after your period. Please always follow any specific instructions from your referring practitioner with regards to examination timing.

How Should I Prepare?

  1. Full Bladder: For most pelvic ultrasounds, you will need to have a full bladder. This is essential to provide clear images of your pelvic organs. Drink as close to 1L of water as possible 1 hour before the exam and avoid urinating until the procedure is completed.
  2. Clothing: Wear loose, comfortable clothing. You may be asked to undress from the waist down, but you will be given a gown or drape for modesty.

What Happens During the Ultrasound?

  1. Arrival: You will be asked to lie on the exam table and may be required to change into a gown.
  2. Gel Application: A warm gel will be applied to your lower abdomen. The gel helps the ultrasound probe make better contact with your skin and provides clearer images.
  3. Ultrasound Procedure: The technician will move the ultrasound probe (a small, hand-held device) over your abdomen to capture the images of your pelvic organs. The probe may be pressed firmly against your abdomen, so you might feel some slight discomfort, but it should not be painful.
  4. Duration: The examination usually takes between 15-30mins.

What is a Transvaginal Ultrasound?

A transvaginal ultrasound provides the best views of the ovaries and uterus, and in most cases is recommended. For this, a thin probe is inserted into the vagina to provide closer images of your uterus and ovaries.

You may be asked to empty your bladder before this part of the exam.

Transvaginal scans are not performed on young girls, those who have not been sexually active or those who choose not to have this type of scan.

If this exam is not appropriate for you, please let the sonographer know.

Is The Ultrasound Safe?

Vaginal ultrasound probes are sterilised and covered by a disposable sheath for each patient. There are no known risks associated with ultrasound.

After the Exam

The ultrasound images will be reviewed by our radiologist and the results will be sent to your doctor. Please book in an appointment with your referring doctor to discuss the findings. Results will be available within 24 hours or the next working day.

What is an Early Pregnancy Ultrasound?

An early pregnancy ultrasound is a non-invasive imaging procedure that uses sound waves to create an image of your pregnancy in the womb. This ultrasound is typically performed in the first trimester, usually between 6 and 10 weeks of pregnancy, to help confirm and evaluate the early stages of pregnancy.

Why Might I Need This Type of Scan?

Your healthcare provider may recommend an early pregnancy ultrasound for several reasons, including:

  • Confirming pregnancy: To confirm that a pregnancy is present and located in the uterus, rather than in the fallopian tubes (ectopic pregnancy).
  • Checking foetal heartbeat: To detect the early heartbeat of the baby, usually seen around 6-7 weeks.
  • Determining gestational age: To estimate the due date by measuring the size of the embryo or foetus.
  • Identifying multiple pregnancies: To check for the presence of twins.
  • Evaluating early pregnancy concerns: To check for potential issues such as bleeding, or abnormal growth patterns.

How Should I Prepare?

You will be asked to have a full bladder. Please drink as close to 1L of water 1 hour before your examination and do not urinate until your examination is complete.

What Happens During the Ultrasound?

  1. Arrival: You will be asked to lie on an exam table
  2. Gel Application: A warm gel will be applied to your lower abdomen to help the ultrasound device (called a transducer) make better contact with your body and ensures that the sound waves travel effectively.
  3. Ultrasound Procedure: The technician will move the transducer (a small handheld device) over your skin to create the image.
  4. Duration: The examination usually takes between 15-30 minutes.

Is the Ultrasound Safe?

Ultrasound is a very safe procedure, with no known risks to you or your baby. It does not use radiation like X-rays and is widely regarded as a safe way to monitor the progress of a pregnancy.

After the Ultrasound

The images will be reviewed by our radiologist and the results sent to your doctor. Please book an appointment with your referring doctor to discuss the findings. Results will be available within 24hrs or the next working day.

What is an Obstetric Ultrasound?

An obstetric ultrasound is a non-invasive imaging procedure that uses sound waves to create pictures of your baby in the womb. It provides valuable information about your baby’s growth, development, and general health during pregnancy. Ultrasound is safe for both you and your baby and is a routine part of prenatal care.

Types of Obstetric Ultrasound Performed

12-16wk Early Morphology

An early morphology ultrasound, typically performed in the first trimester, ideally around 14 weeks, is used to assess the baby’s development, check for a heartbeat, and confirm the due date based on the size of the foetus. 

Nuchal Translucency

The Nuchal Translucency (NT) scan is usually performed between 12-13 weeks. It measures the fluid at the back of your baby’s neck. The amount of fluid present is one of the markers used to assess the risk of certain chromosomal conditions, such as Down syndrome (trisomy 21), trisomy 18, and trisomy 13. A higher-than-normal amount of fluid may indicate an increased risk for chromosomal abnormalities, though many babies with a thicker NT fold are healthy. The NT scan is usually combined with blood tests to give a more complete risk assessment.

20-Week Morphology Ultrasound

The 20-week morphology ultrasound, also known as the anatomy scan, occurs in the second trimester and provides a detailed look at the baby’s organs, bones, and overall growth. This scan helps identify structural abnormalities such as problems with the heart, brain, spine, kidneys, or limbs. It also provides information on the location of the placenta and how much amniotic fluid is present. It can also be used to confirm the due date, and, if desired, reveal the baby’s gender. This ultrasound is important for monitoring pregnancy health and foetal development.

What Happens During the Ultrasound?

You’ll lie on your back, and gel will be applied to your belly. The technician will use a transducer to capture images of your baby. You may be able to see your baby’s features and movements on the screen, which can be a very exciting moment! The scan usually takes anywhere between 30-60 minutes, depending on what stage of pregnancy you are at.

How Should I Prepare?

  • You will be asked to drink 500mL of water 1 hour before the examination if you are under 20wks or just to be well hydrated if you are 20wks and over. Please do not empty your bladder 1hr before the examination.

Is There Any Risk to My Baby?

No, ultrasound is considered a safe procedure during pregnancy. It does not use radiation, and there is no evidence to suggest it poses a risk to you or your baby.

After the Ultrasound

The ultrasound images will be reviewed by our radiologist and the results will be sent to your doctor. Please book an appointment with your referring doctor to discuss the findings. Results will be available within 24 hours or the next working day.

Most of the time, the results will be normal, and no further action will be needed. If there are any concerns, your healthcare provider may suggest further testing or refer you to a specialist.

Are Ultrasounds Safe?

Yes. There are no known risks associated with ultrasound, making it a preferred method for imaging, especially for pregnant women, and children.

After the Ultrasound

  • You can return to normal activities immediately
  • A radiologist (a doctor specialised in interpreting ultrasound images) will review the images
  • Please book an appointment with your doctor to discuss the results

Key Features of Our Clinic

Our point of difference

All Referrals Welcome

In Australia, radiology referrals are not clinic-specific. You can use a referral made out to another clinic here.

Expert Radiologists

An imaging study is only as good as the specialist reporting it. Our team are highly-experienced radiologists, with sub-specialised areas of expertise.

Latest Technology

We have invested in the latest low-dose imaging technology, which offer enhanced clarity, to ensure our patients enjoy the safest clinical experience possible.

Fast Reporting

Onsite Radiologists means rapid turn-around of reports, with results sent back to your referrer within 24-hours, or the next working day.

Urgent Appointments

Clinically urgent appointments are always accommodated. Please call reception for further assistance.

Our Team

Meet Our Radiology Team

Dr Andrew Low

BEng, MSc, MBBS(Hons 1), FRCPC, FRANZCR

Radiologist

Dr James Bewes

BScAdv, MMedPhys, MBBS(Hons), FRANZCR

Radiologist

Questions

If you have any questions or concerns about ultrasounds, please feel free to contact our friendly staff.

Expert imaging. Clear answers. Compassionate care. Book your appointment today!

If you wish to make a booking or require urgent attention, please get in touch with our friendly team to make a booking.

Dear Patients

Welcome to our brand new clinic!
 
We are currently able to offer walk-in appointments for x-ray and same day or next day appointments for ultrasound and ultrasound-guided procedures.
 
Please phone our team to make a booking.
 
All referrals accepted.