Diagnostics & imaging

Veterinary Diagnostics and Imaging in Poulsbo

When your pet is not feeling well, the uncertainty can be difficult.

A white dog curled in a soft blanket looking up while a hand gently rests on its head
We explain what we're looking for.

You want to know what is wrong, how to help, and whether the next step is something simple or more involved.

At Clifton Hollow Animal Hospital, we take time to explain what we are looking for and why. Our diagnostic services help us investigate symptoms, recognize changes in health, and make informed treatment decisions.

As an independent, family-owned practice, we approach testing with the same personal attention we bring to every part of your pet’s care.

Recommendations start with your pet’s individual needs, and decisions always include you.

Understanding What Your Pet Needs

An examination provides important information, but it cannot answer every question. We begin by listening to what you have noticed and examining your pet. From there, we explain:

  • Which possible causes we are considering.
  • What each recommended test could tell us.
  • How the results may affect treatment.
  • Which tests are most important to do first.
  • What the anticipated costs will be.

For a stable pet, we often work step by step, beginning with the simplest appropriate tests and building on what we learn. If your pet’s condition calls for a broader evaluation right away, we explain why.

Different tests provide different information. Bloodwork can help us assess organ function. A sample from an uncomfortable ear can reveal yeast or bacteria. Imaging can help investigate a limp or look for changes inside the chest or abdomen. Sometimes multiple tests are needed to understand a problem. The goal is to gather useful information while avoiding unnecessary testing and keeping care practical for your family.

A calico cat asleep, cradled in a person's bare hand and arm

In-House Testing and Laboratory Services

Clifton Hollow has a wide range of diagnostic testing available. Having laboratory equipment in the hospital helps us make timely decisions when your pet is ill, and access to our reference laboratory means we can send out more in-depth or specialized testing when needed.

Blood testing and rapid tests

Our in-house capabilities include blood testing and rapid tests that help us investigate illness and assess overall health:

  • Complete blood count, or CBC: Evaluates red blood cells, white blood cells, and platelets, helping us investigate concerns such as anemia and changes associated with inflammation.
  • Chemistry and electrolyte testing: Provides information about kidney and liver values, blood sugar, proteins, and the balance of important minerals.
  • Thyroid testing, or T4: Measures a thyroid hormone level as part of an appropriate thyroid evaluation.
  • Parvovirus testing: Helps assess patients whose symptoms and history raise concern for this infection.

Additional in-house tools

Additional in-house tools help us evaluate specific concerns:

  • Skin and ear cytology: Allows us to examine samples under a microscope for yeast, bacteria, and inflammatory cells.
  • Eye pressure testing: A Tono-Pen measures pressure inside the eye to help evaluate certain eye conditions like glaucoma.
  • Blood-pressure measurement: Helps identify and monitor abnormal blood pressure.
  • Electrocardiography, or ECG: Records the heart’s electrical activity to evaluate its rate and rhythm.

This isn’t an exhaustive list; we may be able to run other tests in-house, too. Our reference lab can handle a broad range of additional blood, urine, or fecal tests your pet might need, as well as cell samples of lumps, biopsies, cultures, and more.

We choose where to run a test based on urgency, the sample involved, and the expertise needed. We will explain when results are expected and what care or monitoring may be appropriate while you wait. Once the results are available, we will go over the results with you and help you understand the next steps.

A dog's chest X-ray displayed on an imaging monitor

Digital X-Rays for Dogs and Cats

Digital radiography lets us examine structures inside your pet’s body in a quick snapshot.

Depending on the concern, X-rays may help evaluate bones and joints, the heart and lungs, organ size, some bladder stones, or signs of an intestinal blockage. Some X-rays can be taken while your pet is awake, while others require sedation, especially if your pet is painful or anxious. We’ll recommend what will provide the best results with the least amount of stress to your pet.

We can also submit radiographs for review by a board-certified veterinary radiologist. This consulting specialist provides additional interpretation to help guide your pet’s care.

Dental X-Rays Look Beneath the Surface

A tooth can look relatively normal above the gumline while disease affects its roots or supporting bone. Digital dental radiography helps identify problems that a visual examination alone can miss, including bone loss, root damage, and changes associated with infection. These X-rays are taken while your pet is under anesthesia for their dental cleaning, asleep and comfortable, and guide our recommendations for any tooth extractions or treatments.

Ultrasound uses sound waves to create images of internal structures. It can provide information that complements X-rays, particularly when a closer assessment of organs or the heart is needed. We usually clip fur over the area being examined and help your pet rest comfortably while images are collected. The time needed and whether sedation would help depend on the study and your pet’s comfort.

Focused Abdominal Ultrasound

We can perform a quick, focused abdominal ultrasound in-house to investigate specific questions, such as whether fluid is present in the abdomen. It’s generally used in urgent situations, like when a pet suddenly becomes weak or develops abdominal discomfort, and can help guide immediate care decisions. This focused examination answers specific questions and does not replace a comprehensive abdominal ultrasound.

Comprehensive Ultrasound and Cardiology Services

When we need a more in-depth look at an internal organ’s structure, internal detail, or movement, ultrasound is the right tool. An echocardiogram is an ultrasound of the heart that helps assess its structure and how the blood is flowing through the valves and chambers. An abdominal ultrasound can give a clear picture of the liver, spleen, intestines, stomach, pancreas, bladder, and more, providing detail on the layers of tissue in an organ that X-ray can’t provide.

When your pet needs a comprehensive ultrasound of their abdomen or their heart, our team can arrange an appointment with a mobile imaging specialist or cardiologist. These mobile specialists visit our practice, and can often allow your pet to receive a specialist study right here at Clifton Hollow. Our team explains the recommendation, coordinates the appointment, and helps incorporate the findings into your pet’s ongoing care at Clifton Hollow.

If your pet needs CT, MRI, or other imaging unavailable at Clifton Hollow, we coordinate referral to an appropriate specialty hospital in the Seattle or Tacoma area.

A sleepy tabby kitten cradled in a pair of bare hands
Blood sample tubes in a rack beside a laboratory centrifuge

Why Test a Pet Who Seems Healthy?

Some health changes become detectable with lab work before they cause obvious symptoms, and baseline results give us a point of comparison for the future.

A slow rise in a laboratory value over several visits may warrant a closer look even when an individual result remains within the laboratory’s “normal” reference range.

For some pets, imaging is a useful part of preventive screening. Depending on your pet’s breed, age, history, and examination findings, we may recommend chest X-rays, an abdominal ultrasound, or a heart evaluation. When we catch a problem early, before your pet is feeling sick, treatment is usually easier and less expensive.

Screening recommendations are tailored to your pet’s age, breed, health history, medications, and risk factors. We explain what is appropriate now and how that may change as your pet grows older.

Clear Costs and Shared Decisions

Before proceeding with recommended testing, we explain its purpose and review expected costs. Diagnostic needs vary, so estimates reflect the individual patient and the questions we are trying to answer.

If pursuing the full recommendation is difficult, please tell us. We can discuss priorities, reasonable alternatives, and what we might remain uncertain about if a test is postponed. Your family’s circumstances deserve consideration and respect. Our team is here for the conversation, without judgment.

Good questions

Frequently Asked Questions

Some pets can comfortably have X-rays or ultrasound while awake. Others benefit from sedation because they are painful, anxious, or need to remain very still for accurate images. Dental X-rays are performed under anesthesia as part of dental care. We will explain the plan for your pet.

Preparation depends on the test and your pet’s health. Our team will provide instructions about food, water, and medications when the appointment is arranged. Please ask before making changes to their usual routine, especially for young pets, seniors, and diabetic patients.

Yes. Please share previous results or ask the hospital to send them. Reviewing existing information helps us avoid unnecessary duplication. Repeat testing may still be appropriate if your pet’s condition has changed, the results are older, or we need to monitor a trend.

Some conditions require more than one step to identify. We will discuss what the initial results have clarified, which questions remain, and whether further testing, monitoring, or referral would be most useful.

Ready when you are

Answers You Can Understand, Care You Can Feel Confident About

At Clifton Hollow Animal Hospital, diagnostic care includes the conversation that comes with the results. We help you understand what we know, what remains uncertain, and what the next step means for your pet.