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Imaging Services


Ready for an Appointment?

To schedule an appointment at either of our convenient locations, call (607) 247-2218. Or schedule your exam through MyChart.

St. James Hospital provides general imaging services 24 hours/day for inpatient, outpatient, and emergency needs. X-ray services are also available at the Hornell Medical Office Building.

The UR Medicine Women's Imaging and Breast Center offers the latest breast imaging technologies, include 3D breast imaging.  


Hornell Medical Office Building

7309 Seneca Rd. N.
Entrance E, Ste. 113
Hornell, NY 14843

Phone: ‚Äč(607) 385-3900

Appointment Phone: (607) 247-2218

3D Mammography
Mon & Wed: 7:00 a.m. - 4:00 p.m.
Tue & Thu: 8:00 a.m. - 5:00 p.m.
Fri: 8:00 a.m. - 4:00 p.m.

Breast & Obstetric Ultrasound
Mon & Wed: 7:00 a.m. - 4:00 p.m.
Tue & Thu: 8:00 a.m. - 5:00 p.m.
Fri: 8:00 a.m. - 4:00 p.m.
Phone: (607) 247-2218

DEXA Bone Density Scanning
Mon & Wed: 8:00 a.m. - 4:00 p.m.
Tue: 8:00 a.m. - 4:00 p.m.

Imaging (X-ray)
Available for urgent care and orthopaedic patients - Entrance B

Stereotactic and Ultrasound Biopsies

Mon-Fri: 7:00 a.m. - 10:00 p.m.

Echocardiography (Heart Ultrasound)
Mon-Fri: 8:00 a.m. - 3:00 p.m.

Mon, Tues, Wed: 7:30 a.m. - 5:30 p.m.
Thu & Fri: 8:00 a.m. - 5:00 p.m.

Ultrasound (Non-Breast & Non-Pelvic)
Mon-Fri: 8:00 a.m. - 11:00 p.m.

7 days a week: 7:00 a.m. - 11:00 p.m.


Imaging Services XrayX-ray images are typically captured to help diagnose disease and/or issues with the musculoskeletal system. An image is made by radiation in the form of X-rays passing through the body. The image is recorded digitally and available instantly. University of Rochester Medicine Radiologists then interpret the images and generate a report that is provided to your physician/provider. X-ray services are available 24 hours/day at the hospital.

Meet Our Radiology Team

Ariel Fisher, MD

Roger Smith, MD

Audra Rhinehard, PA

woman getting a mammographyMammography uses a dedicated digital X-ray machine to capture images of breast tissue. Regular mammograms are important in detecting breast cancer and other breast diseases. Mammograms should be performed annually per American Cancer Society guidelines. Biopsies, needle localizations, and cyst aspirations are done by recommendation of a radiologist. Mammography is often used in collaboration with ultrasound.  St. James offers the latest in 3D mammography, which provides clearer images especially for people with dense breast tissue. 3D mammography makes it easier for physicians to detect abnormalities, such as breast cancer and calcifications. To make an appointment at our Womens Imaging & Breast Center, please call (607) 247-2218 or schedule your exam through MyChart.

Screening mammograms are covered by insurance and no co-pay is required. People who are not covered by insurance may contact Cancer Services Program at (607) 385-3933 or (877) 778-6857. 

Breast ultrasound uses ultrasonography (sound waves) to image the breast. If an abnormality is seen on mammography or felt by physical exam, ultrasound is the best way to find out if the abnormality is solid (such as a benign fibroadenoma or cancer) or fluid-filled (such as a benign cyst). It cannot determine whether a solid lump is cancerous, nor can it detect calcifications.

A breast biopsy is performed when a suspicious finding is discovered either by mammography or ultrasound; these biopsies are performed on site at the St. James Women’s Imaging & Breast Center.

DEXA is an enhanced form of X-ray used to measure bone loss (osteoporosis). Typically, images of the lower spine and hips are captured with a dedicated machine, and a specialized computer system generates a report on total bone loss.

ctWith the opening of the new St. James Hospital, we are equipped with state-of-the-art imaging equipment to include a 64-slice CT scanner. CT scans are X-ray beams that rotate through narrow sections of the body. Many scans are taken in a short period of time and produce multiple images. A computer reconstructs the scans to produce two- and three-dimensional images. Typical CT scans are captured of the head, chest, abdomen, and pelvis. The test can involve drinking contrast solution and/or IV contrast administration, which helps capture a better image. CT services are available on-site 24 hours/day.

Our in-house fixed MRI unit provides state-of-the-art imaging. MRI tests use a strong magneti c field, radio waves, and computers to create images. The MRI machine is cylindrical and creates a magnetic field around the patient. MRI is utilized in situations where organs or soft tissues are being studied; it does not use radiation. When examining the blood vessels, the MRI performs a specialized type of exam called an MRA (Magnetic Resonance Angiography). The MRI unit is a Phillips Ambition 1.5T. Interpretations are provided by the University of Rochester imaging team.

The MRI environment is calming and spacious and allows the patient to listen to music of their choice.

MyChart allows patients to view their imaging reports as soon as they are made available to the ordering provider.


  • Ultrasound uses high-frequency sound waves to produce images. Doppler ultrasound may be used during the test. Doppler ultrasound is a technique that evaluates blood flow through a blood vessel. Typical ultrasound exams capture images from the abdomen (including during pregnancy), heart, gallbladder, breast, kidneys, arteries and veins.
  • Echocardiograms use sound waves to show how blood flows through the heart and heart valves. Sensors attached to the chest and sometimes the legs check the heart rhythm during the test. The test can help providers diagnose heart conditions.
  • ABI tests involve taking pressures and dopplers at the arm and multiple levels in the legs to help determine patency of extremity arteries.

A pelvic ultrasound uses sounds waves to assess organs and structures within the female pelvis, including the uterus, cervix, vagina, fallopian tubes and ovaries. An obstetric ultrasound produces pictures of a baby (embryo or fetus), as well as the mother's uterus and ovaries. St. James has invested in new machines that include all the technological advances in obstetric ultrasound imaging. We are able to capture 3D images of your baby. Our technology does not use ionizing radiation, has no known harmful effects, and is the preferred method for monitoring pregnant women and their unborn babies. The Women's Imaging and Breast Center accommodates all OB patients.

C-armAs part of its expanding Imaging capabilities, St. James has state-of-the-art C-arms, which are high-tech devices used by physicians to guide surgical instruments. The C-arms capture live images during surgical procedures. They provide high-resolution X-ray images immediately, which allow the physician to monitor progress at any point to make any immediate corrections. C-arms are used during pain management cases, general surgery and orthopedic procedures.

What Should I Know About Radiation Safety?

Before your imaging procedure ask your physician the following questions:

  • Why is the test needed?
  • How will having the test improve my care?
  • Are there alternatives that do not use radiation and deliver similar results?
  • Is the facility accredited by the American College of Radiology (ACR)?
  • Are pediatric and adult tests delivered using the appropriate radiation doses?