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CLINICAL SONOGRAPHY/PREGNANCY & DOPPLER/ROHTAK

Ultrasound (Sonography): What Should You Know?

Ultrasound uses high-frequency sound waves to create real-time pictures of internal organs, soft tissues, and blood vessels with zero radiation. Conducted and interpreted by Dr. Krishan Jangra (MBBS, DMRD, DNB) at Jangra Diagnostics, Rohtak.

Ultrasound Diagnostic Suite with Dr. Krishan Jangra at Jangra Diagnostics Rohtak
Dr. Krishan Jangra (Consultant Radiologist)
Safe • Real-Time • Non-Invasive

Clear Visualisation of Soft Tissues Without Radiation

Ultrasound (also known as sonography or ultrasonography) enables healthcare providers to examine internal organs, muscles, tendons, and blood vessels in real time without making any cuts or incisions. Because it uses sound waves rather than X-rays, it carries no radiation risk and is completely safe during pregnancy.

Imaging Classifications

What are the Different Kinds of Ultrasounds?

Ultrasound imaging generally falls into three clinical categories:

1

Diagnostic Ultrasound

Used to view internal organs and soft tissues to investigate unexplained pain, palpated lumps or masses, or abnormal laboratory findings.

  • Whole abdomen and pelvic organs
  • Kidney, ureter and urinary bladder (KUB)
  • Gallbladder, liver, spleen and pancreas
  • Thyroid, neck, scrotum, and breast sonomammography
2

Pregnancy Ultrasound

Safe, non-invasive imaging used to monitor every milestone of maternal-fetal development throughout gestation.

  • Confirming viable pregnancy & gestational age
  • Evaluating fetal heartbeat and real-time movement
  • Monitoring amniotic fluid levels & placental location
  • Targeted screening for congenital conditions
3

Ultrasound Guidance for Procedures

Real-time acoustic visualization allowing clinicians to guide needles and instruments with pinpoint clinical accuracy.

  • Fine Needle Aspiration Cytology (FNAC) & biopsy
  • Drainage of cysts, abscesses, or fluid collections
  • Organ sampling (liver, kidney, prostate)
  • Embryo transfer (IVF), nerve blocks & IUD verification
Maternal-Fetal Care

When to Get a Pregnancy Ultrasound Done

Recommended Timeline

While your obstetrician will customize your scan schedule based on your individual health, the following four scans form the standard clinical framework during pregnancy:

1st Scan (6 – 8 Weeks)
Viability & Dating

Early Pregnancy Viability Scan

Confirms viability, establishes accurate gestational age, determines the number of fetuses (single vs. multiple), and checks implantation site.

2nd Scan (11.3 – 13.6 Weeks)
Down Syndrome & Chromosomal Screening

NT/NB Scan & First Trimester Screening

Measures the nuchal translucency (fluid space at the back of the fetus's neck) and checks the presence or absence of the nasal bone. Crucial for early detection of Down syndrome and other congenital heart, abdominal, and skeletal conditions. Frequently paired with the Double Marker blood test.

3rd Scan (18 – 24 Weeks)
Comprehensive Structural Evaluation

Level-II Scan (Targeted Anomaly Scan)

Thorough anatomical survey to evaluate the structural integrity of the fetal brain, spine, heart, kidneys, limbs, facial features, and placenta.

4th Scan (28 – 34 Weeks)
Fetal Well-being & Hemodynamics

Color Doppler & Fetal Growth Scan

Assesses fetal umbilical blood flow, placental perfusion, and intracranial/cardiac hemodynamics, alongside fetal weight and amniotic fluid volume.

Additional Growth Scans: Growth & liquor monitoring scans may be advised by your gynecologist as and when clinically required during the third trimester.

Difference Between 2D, 3D, and 4D Ultrasound

2D Ultrasound
Standard Grayscale Imaging

Produces flat, outline-based anatomical slices. Essential for medical diagnostics and biometry measurements of organs and fetus.

3D Ultrasound
Volumetric Surface Rendering

Combines multiple sound wave angles to show realistic surface depth, allowing visualization of facial features, hands, and feet.

4D Ultrasound
3D Ultrasound in Live Motion

Shows 3D images rendered in streaming real-time video, capturing fetal yawning, kicking, or subtle facial gestures.

Medical Safety Guidance: While ultrasound is non-invasive and safe with very low risk, the U.S. FDA advises against unnecessary prolonged exposure for commercial “keepsake” entertainment. Ultrasounds should always be clinically indicated and conducted under trained radiologist supervision.

What Conditions Can Be Detected by Ultrasound?

Ultrasound assists clinicians in identifying a wide variety of pathological, structural, and physiological conditions:

Abnormal growths, tumors, and suspicious masses
Fluid collections or intra-abdominal blood clots
Liver conditions (fatty liver, hepatitis, abscess, lesions)
Intrauterine or ectopic pregnancy confirmation
Gallstones and cholecystitis (gallbladder inflammation)
Kidney, ureteric, or urinary bladder stones
Varicocele (enlarged veins in the scrotum) & testicular disorders
Thyroid nodules, goiter, and breast lesions/cysts
Patient Preparation & Frequently Asked Questions

Everything You Need to Know Before Your Scan

Q:How do I prepare for an ultrasound?

Preparation depends on the specific exam. Many ultrasounds require no preparation at all. For abdominal ultrasounds, you may need to fast (refrain from food or drink except water) for 4–6 hours before your scan. For pelvic, early pregnancy, or KUB ultrasounds, you will be asked to drink 3–4 glasses of water 1 hour prior to ensure a comfortably full bladder for clear acoustic transmission.

Q:Is an ultrasound painful?

External ultrasounds (performed over the skin with warm conductive gel) are completely painless. You will feel slight pressure from the transducer, but you won't feel the sound waves. Having a full bladder may cause mild pressure. Internal ultrasounds (such as transvaginal scans for early pregnancy or gynecology) may cause slight temporary discomfort, but they do not cause sharp pain.

Q:Are ultrasounds safe? Does it use radiation?

Yes. Ultrasound imaging is completely safe and uses non-ionizing high-frequency sound waves—it involves zero radiation. It has no harmful side effects on mothers or developing fetuses. All ultrasounds at Jangra Diagnostics are conducted with medical-grade equipment under ALARA principles.

Q:What is the difference between 2D, 3D, and 4D ultrasound?

Traditional 2D ultrasound produces flat, cross-sectional grayscale images that radiologists use for clinical measurements. 3D ultrasound combines multiple slices into a realistic volumetric surface rendering (showing facial contours, fingers, and toes). 4D ultrasound is a 3D scan in live motion. In line with FDA guidance, 3D/4D scans should always be conducted for medical indications under radiologist supervision rather than for non-medical entertainment.

Q:Who performs an ultrasound at Jangra Diagnostics?

Ultrasounds require advanced clinical training to interpret correctly. At Jangra Diagnostics, all scans are personally performed and interpreted by qualified Consultant Radiologists (Dr. Krishan Jangra - MBBS, DMRD, DNB, Ex-Senior Resident PGIMS Rohtak), ensuring strict adherence to diagnostic accuracy and ethical standards.

Statutory Compliance: All antenatal and pregnancy ultrasounds at Jangra Diagnostics are performed in strict accordance with the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act. Sex determination is strictly prohibited and not practiced.
RADIOLOGIST-SUPERVISED

Book Your Ultrasound Scan

Prior appointment ensures zero waiting time. Urgent & walk-in diagnostic cases are also accommodated promptly.

Report signed by Consultant Radiologist
Mon – Sat: 8:00 AM – 7:30 PM
ALARA Radiation-Free Safe Protocol
📍 Sonipat Road, Near India's First Elevated Railway Track, Rohtak