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Diagnostic Ultrasounds



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website created by Buffy Stiles / Cheryl Hill

3D/4D Packages

Picture Perfect Ultrasound

1216 16th Street West

Alpine Village Suite #21

Billings, MT 59102

phone: (406) 969-4340

Wellness Screening Labs Included

All lab draws are performed by experienced phlebotomist (lab personnel). Your blood samples will be sent immediately for processing by an accredited laboratory.

You will receive a full summary of all lab tests you have performed (including optional labs)

Refer to the colored boxs for complete descriptions and summary information on each of the lab tests performed. We want you to understand exactly what your blood sample is being tested for.

These are the labs that are OPTIONAL and can be drawn while you are present at your screening. All of these optional labs are crucial to establishing specific areas of your health to determine wellness. At this screening event, we are able to offer these lab draws for you at a considerable discount. You will save HUNDREDS of dollars!

Vitamin D$55 Vitamin Dis used to investigate a problem related to bonemetabolism or function, possible Vitamin D deficiency or malabsorption, and to monitor some patients taking Vitamin D. Sources of Vitamin D include exposure to sun, certain foods (salmon, mackerel, tuna), fortifi ed milk and Vitamin supplements. Vitamin D deficiencies are becoming more common in our society. This test is key to check your Vitamin D level to see if you are at risk for osteoporosis .

PSA (Prostate Specific Antigen) *Males Only* $40

The PSA test is only part of the test for prostate disease. In order to be sure of any problems, you must also have a physical examination by your doctor which may include a digital rectal exam. However the PSA lab test is the screening test used to determine if a male has potential issues of the prostate. When this lab value is increased, this is an indicator and reason for further diagnostic testing.


The hs-CRP test accurately detects low concentrations of C-reactive protein to help predict a healthy person's risk of cardiovascular disease (CVD). High-sensitivity CRP is promoted by some as a test for determining a person's risk level for CVD, heart attacks, and strokes. The current thinking is that hs-CRP can play a role in the evaluation process before a person develops one of these health problems. Relatively high levels of hs-CRP in otherwise healthy individuals have been found to be predictive of an increased risk of a future heart attack, stroke, sudden cardiac death, and/or peripheral arterial disease, even when cholesterol levels are within an acceptable range.

Hemoglobin A1C (Diabetic Screening) $25

The A1C test evaluates the-average amount of glucose in the blood over the last 2 to 3 months. The A1C test maybe used to screen for and monitor the treatment of diabetes. Diabetes is a leading cause of deaths in our nation. This specific test is a great screening tool if you suspect you may have diabetes or have a family history of diabetes.

Included in your Wellness Screening are ALL of these Lab Tests:

Comprehensive Metabolic Panel (CMPA) includes:

Sodium, Potassium, Chloride and CO2are electrolytes regulated by the kidneys, adrenal glands and lungs and are very important in the proper functioning of all cells, but especially nerve and muscle. Anion Gap is a calculation using electrolyte values. The electrolyte values may be abnormal in kidney or adrenal disease, and many other conditions.

Potassiumis especially important if you are taking diuretics (water pills) or heart medication. Any value outside the reference range should be evaluated by your health care provider.

Glucoseis the name for the sugar in your blood. The normal fasting Glucose range is 65-99 mg/dl. Increased levels may be due to eating before the test, diabetes, stress, or illness. If your fasting glucose result is outside of the normal range, you should consult with your health care professional.

Total Proteinis a measure of serum protein. Protein measurements can refl ect nutritional state, kidney disease, liver disease, and many other conditions.

Albumin is a protein in your blood which is decreased in chronic illness, malnutrition, or through excess loss of albumin through the kidneys or intestinal tract. An increase can occur in dehydration. Globulin is a protein associated with immune system and typically increase with infection. Albumin/Globulin ratio is a calculation which provides additional information to determine the possible cause of a high Albumin or Globulin result. This calculation is particularly helpful in differentiating between liver and kidney function problems.

Calcium is controlled by the parathyroid glands and the kidneys. This mineral is found most commonly in bone, but is also important for proper blood clotting and cell activity,

especially nerve and muscle activity. Calcium may be increased in parathyroid disease, bone disease, or excess intake of calcium and vitamin D. Some diuretics (water pills)

may increase calcium.

Blood Urea Nitrogen (BUN) and Creatinine are waste products excreted by the kidney. Increased values may mean the kidneys are not working as well as they should.

BUN increases with high protein diets, strenuous exercise, or dehydration. BUN may be lower in pregnancy. The BUN/Creatine ratio is a calculation which provides additional information to determine the cause of high or low values. High values suggest abnormal blood flow to the kidneys whereas a low value may be suggestive of liver

disease or malnutrition.

Bilirubin Total is a measure of bilirubin, a waste product from the natural breakdown of red blood cells. Bilirubin is formed in the liver and excreted in the bile ducts and

gallbladder. Increased values are usually due to liver disease, bile duct obstruction, or increased red blood cell breakdown. Decreased values are not significant.

ALK Phosphatase is an enzyme found primarily in the bone, liver and bile ducts. Increased values may be due to disease in these areas. Higher values are normally seen in children and pregnant women.

SGOT (AST) and SGPT (ALT) are abbreviations for enzymes which aid various chemical activities within cells of muscle, liver and heart. Injury to cells from these areas can release these enzymes into the blood and cause increased values. Decreased values are not signifi cant.

Lactate Dehydrogenase (LD) is an enzyme carried in the cells of the heart, liver, muscles, kidneys and red blood cells. LD is often measure to evaluate the presence of tissue damage, especially to the heart, liver, kidney, and skeletal muscle. It can also be used to detect a variety of malignancies.

Lipid Profile / Cholesterol includes:

Cholesterol is a blood fat. The reference range given is from a long term study that indicates that people who have values above this range are at increased risk of coronary heart disease.

Triglyceride is a blood fat that is affected by what you have eaten and may be elevated for up to 12 hours after a meal. A slight increase in triglycerides may be seen in women taking birth control pills. Increased triglycerides may be due to an abnormality in the way the body processes dietary fat, and may lead to abdominal pain or other problems.

HDL (High-Density Lipoprotein) HDL may be considered the “good” cholesterol. It appears to have a protective affect. In general, the higher the HDL value, the LESS’the risk of developing coronary heart disease. In other words, an increased HDL value may reduce your risk.

LDL (Low-Density Lipoprotein) LDL may be considered the “bad” cholesterol. In general, the higher the LDL value, the GREATER the risk of coronary heart disease. By reducing LDL, you may reduce your risk. Other factors, such as smoking and high blood pressure increase the risk of coronary heart disease. Your health care

provider can use these values along with your history and physical exam to help you assess our risk of coronary artery disease and recommend diet or medication if needed.

TSH (Thyroid Stimulating Hormone) TSH is a hormone made by the pituitary gland that tells the thyroid gland when to make thyroid hormone. When the thyroid gland is not making enough hormone (hypothyroidism) the TSH goes up. When the thyroid gland is making too much thyroid hormone, the TSH drops to a very low level. Many medications affect TSH levels so a list of medications should be considered when evaluating the testing result.

AHEMP2: Hemogram with Platelets includes:

White Blood Cell Count The main function of white blood cells, also called leukocytes, is to fi ght infection. Values outside The normal limits, are often important, although The presence of a normal count does not always indicate The absence of disease.

Red Blood Cell Count is a measurement of the number of red blood cells. The primary function of the red blood cells, or erythrocytes, is to carry oxygen from the lungs to body

tissues and to transfer carbon dioxide from the tissues to the lungs. A lower than normal count is known as anemia and may be caused by bleeding, abnormal destruction of red

blood cells, or a lack of substances needed for RBC production.

Hemoglobin is the oxygen-carrying component found in your red blood cells. Hemoglobin may be decreased in anemia due to many causes. An increase may be due to dehydration, heart or lung disease or an abnormal production of red blood cells by the body.

Hematocrit is a measurement of the percentage of red blood cells found in your blood. Hematocrit may also be decreased in anemia due to many causes. An increase may be due to dehydration, heart or lung disease or an abnormal production of red blood cells by the body.

Red Blood Cell Indices (MCH, MCHC, MCV, and RDW) Red Blood Cell Indices relate to the size, shape and color of the red blood cells and help in the diagnosis and determination of the type of anemia.

Platelets are cells in the blood which are necessary for blood clotting. Any values outside normal should be referred to your doctor.

Screening Labs (Optional)Very Reasonable