Ultrasound
Specialty
Ultrasound is used for various kinds of examinations of your child’s body to:
- Evaluate the structure of organs
- Screen for abnormalities
- Monitor the progression or resolution of a disease process
- Document and measure the blood flow through vessels
- Examination of the mother and fetus
Ultrasound is an imaging technology that uses high-frequency sound waves to produce precise images of structures within the human body. These images provide valuable information to diagnose and treat disease.
Ultrasound is an especially valuable tool when imaging children because there is no radiation exposure.
Our ultrasound examinations are accredited by the American College of Radiology (ACR), and we are committed to providing the safest and best quality care to each of our patients.
Meet the Team
The sonographers at Lurie Children's are specifically trained in exams unique to children. They are required to earn a Pediatric Sonography credential through the American Registry for Diagnostic Medical Sonography (ARDMS).
Preparing for Different Types of Ultrasounds
Ultrasound examinations are very sensitive to motion, so it is best if your child holds as still as possible during the examination. To ensure a smooth experience, it often helps to explain the procedure to the child before the examination. You may also consider bringing books, small toys, music and/or games to help distract the child and make the time pass quickly. We may ask the caregiver to assist the ultrasound team in soothing and positioning the child for optimal imaging.
For certain procedures, a full bladder is required. Please see below for more information.
An abdominal ultrasound is used to evaluate several different organs, including the liver, biliary system, gallbladder, pancreas, kidneys, spleen and bowel (appendicitis and intussusception). To better visualize these organs, there are age-specific dietary preparations for this examination:
- 2 years and younger: Nothing by mouth for two hours before the exam, can have water
- 2-10 years old: Nothing by mouth for 4-6 hours before the exam, can have water
- Over 10 years old: Nothing by mouth for 8 hours before the exam, can have water
A renal ultrasound is used to evaluate the kidneys and urinary tract. The patient should be well hydrated and not urinate one hour before the appointment.
A hip ultrasound is used to evaluate the hip joint and surrounding structures. The optimal time to perform this examination is from 6 weeks to 6 months of age. The sonographer will need assistance from a family member to hold the infant in the correct position.
There are no specific preparations for this examination. However, it is helpful to have a pacifier or bottle to sooth the baby during the examination.
A head ultrasound is used to evaluate the structure of the brain. This examination can only be performed on infants who have an open fontanelle or “soft” spot on top of their head. The sonographer will apply a clear, water-based gel to the transducer (probe) and with a light touch scan through the soft spot.
There are no specific preparations for this examination. However, it is helpful to have a pacifier or bottle to sooth the baby during the examination.
This examination evaluates the muscle connecting the stomach to the small intestines that can become thickened causing projectile vomiting in an infant. To properly evaluate the pylorus, the baby should not be fed two hours before the exam. The sonographer will change the infant’s position during the examination. The sonographer will also need assistance from a family member to hold the infant in the correct position.
A spine ultrasound is used to evaluate the spinal canal and its structures. This examination is performed on infants under four months of age. The sonographer will place warm gel on baby’s back to obtain the images.
There are no specific preparations for this examination. However, it is helpful to have a pacifier or bottle to sooth the baby during the examination.
A pelvic ultrasound is used to evaluate the bladder and/or the female reproductive system. To visualize these structures, the patient should drink 32 ounces of water a half hour before the appointment time and not use the restroom. It may be slightly uncomfortable for the patient to have a full bladder, but it is essential to obtain accurate images.
If the patient is too young to drink or is unable to maintain a full bladder it is suggested to keep the patient well hydrated before the appointment.
A scrotal ultrasound is used to evaluate the scrotum, testicles and surrounding tissues. There is no preparation for this examination. However, if the patient is an infant, it is helpful to have a pacifier or bottle to sooth the baby during the examination.
A MSK ultrasound is used to evaluate joints and joint spaces, tendons, muscles tears, ligaments sprains or tears. There is no preparation for this examination. However, if the patient is an infant, it is helpful to have a pacifier or bottle to sooth the baby during the examination.
A neck and/or thyroid ultrasound is used to evaluate the thyroid and/or surrounding structures in the neck. There is no preparation for this examination. However, if the patient is an infant, it is helpful to have a pacifier or bottle to sooth the baby during the examination.
Doppler ultrasound is used to evaluate the integrity of blood flow within organs and/or structures.
What to Expect
During the Ultrasound
After you check in for your appointment, your sonographer will lead you and your child to the ultrasound room. While parents will be allowed to accompany their child into the room, it might be helpful to make other arrangements for siblings. There will be a large machine in the room that looks like it has a TV screen. The sonographer will explain the procedure to you and your child. Your child will lie on a bed on their back and/or front, depending on the exam being performed.
The sonographer may ask your child to change into a gown or remove clothing to expose the area to be examined. You will be encouraged to sit next to and support your child in a comforting position.
The sonographer will then place some warm gel on your child's skin and look at the area of interest with a transducer (we call this a “camera” or probe). The sonographer operates the equipment and glides the transducer over the patient's skin. The sound waves bounce off the internal structures, creating a digital image seen on the monitor. The lights in the room will be dimmed so the sonographer can properly see the monitor. A typical ultrasound appointment takes 30 minutes to one hour.
Watch the video below to see what happens during an ultrasound:
After the Ultrasound
After the exam is completed, the sonographer will step out of the room to review the images with a pediatric radiologist. The radiologist will determine if the exam is complete or if additional images are needed.
If more imaging is necessary, a radiologist may come into the exam room and look at the monitor while the sonographer takes more images. Sometimes, a radiologist may even scan your child.
Once the exam is complete, you and your child can leave. Your child may eat and drink as usual, unless told otherwise by your doctor.
After the images have been reviewed by the radiologist, the results will be reported directly to your referring physician. Your referring physician will discuss the findings and the plan of care with you.
Make an Appointment
We are pleased to offer self-scheduling via MyChart for ultrasound exams. If you do not have an active MyChart account with Lurie Children's, please call 833.706.4507 to activate your account or 312.227.4277 to schedule an appointment over the phone.
For other questions or concerns, or to speak with a Radiologist, please call 312.227.4500
Our Locations
Ann & Robert H. Lurie Children's Hospital of Chicago
225 E. Chicago Ave.Chicago, Illinois 60611
312.227.4000
Lurie Children's Hospital Outpatient Center in New Lenox
1870 N. Silver Cross Blvd. (formerly Clinton Street)Suite 100
New Lenox, Illinois 60451
312.227.3620
Lurie Children's Hospital Outpatient Center in Westchester
Surgical Treatment Center2301 Enterprise Drive
Westchester, Illinois 60154
312.227.7900
Lurie Children's Hospital Outpatient Center in Northbrook
1131 Techny RoadNorthbrook, Illinois 60062
312.227.7600
Lurie Children's Hospital Outpatient Center in Arlington Heights
Busse Center for Specialty Medicine880 W. Central Rd, Ste 6400
Arlington Heights, Illinois 60005
312.227.5410
Lurie Children’s Hospital Outpatient Center in Skokie
3722 W. Touhy AvenueSkokie, Illinois 60076
312.227.5600
Lurie Children's Hospital Outpatient Center in Lincoln Park
2515 N. Clark Street/467 W. Deming PlaceChicago, Illinois 60614-3393
1.800.543.7362