Abdominal Ultrasound

Test Overview

An abdominal ultrasound takes pictures of the organs and other structures in your upper belly. It uses sound waves to show images on a screen.

Areas that can be checked include the:

If your doctor needs more details about a specific organ in the upper part of your belly, you may get a special ultrasound, such as a kidney ultrasound. If you need the structures and organs in your lower belly checked, you will get a pelvic ultrasound.

Why It Is Done

Abdominal ultrasound is done to:

• Find the cause of belly pain.
• Find, measure, or monitor an aneurysm in the aorta. An aneurysm may cause a large, pulsing lump in the belly.
• Check the size, shape, and position of the liver. It may also check for problems of the liver. These include jaundice, cirrhosis, or fatty liver. This test may be done to follow up after liver function tests.
• Look for gallstones, inflammation of the gallbladder, or blocked bile ducts.
• Learn the size of an enlarged spleen and look for damage or disease.
• Find problems with the pancreas, such as a tumor.
• Look for blocked urine flow in a kidney. If needed, a kidney ultrasound can find out the size of the kidneys, detect a mass, or detect fluid surrounding the kidneys. It can also look for causes of bladder infections that won't go away. Or it can check how the kidneys are doing after a transplant.
• Find out if a mass in a belly organ is a solid tumor or a fluid-filled cyst.
• Guide the placement of a needle or other tool during a biopsy.
• Look for fluid buildup in the belly cavity. This problem is called ascites. An ultrasound also may be done to guide the needle during a paracentesis. This is a procedure to remove fluid from the belly cavity.

How To Prepare

What you need to do depends on the reason for the ultrasound. For example:

• If you are having your liver, gallbladder, spleen, and pancreas checked, you may need to eat a fat-free meal on the evening before the test. Then you may need to avoid eating for 8 to 12 hours before the test.
• For a test of the kidneys, you may be asked to drink 4 to 6 glasses of liquid about an hour before the test. This is to fill your bladder. You may need to avoid eating for 8 to 12 hours before the test to avoid gas buildup in the intestines. Gas could affect the results of the kidney ultrasound.
• If you are having your aorta checked, you may need to avoid eating for 8 to 12 hours before the test.

How It Is Done

You may need to take off your jewelry. You may also need to take off all or most of your clothes. It depends on which area is being examined. You will be given a cloth or paper to cover yourself during the test.

You will lie on your back (or on your side) on a padded exam table. Warmed gel will be spread on your belly or back to help the sound waves work best. A small handheld device (transducer) is pressed against your belly and is moved back and forth. A picture of the organs and blood vessels can be seen on a video monitor.

You may be asked to change positions so more scans can be done. For a kidney ultrasound, you may be asked to lie on your stomach.

You need to lie very still while the test is being done. You may be asked to take a breath and hold it for several seconds during the test. This lets the person doing the test see organs and structures more clearly.

How long the test takes

• The test will take about 30 minutes.
• You may be asked to wait until the radiologist has reviewed the scan. He or she may want to do more ultrasound views of some areas of your belly.

How It Feels

Most people do not feel pain during the test. If your belly hurts already from an injury or illness, the slight pressure from the transducer may be somewhat painful. You will not hear or feel the sound waves.

Risks

There are no known risks from having this test.

Results