Ultrasound examination is one of the most common diagnostic imaging procedures. The use of portable ultrasound units, training more sonographers, delegating wisely according to case complexity, scheduling appointments, etc are some of the important strategies to maximize ultrasound usage in the radiology department. Ways to improve ultrasound image quality include using the right pre-sets, checking the depth, using the right frequency, adjusting the gain, using time-gain compensation and increasing the focus.