Nyaya Health operates an ultrasound program in rural Nepal to improve healthcare access for underserved communities. The program uses a portable ultrasound machine to provide point-of-care diagnostics and procedures. Initial results found it significantly changed patient management in 23% of obstetric and 40% of non-obstetric cases. Regular oversight and data review through simple teleradiology allows effective use of the technology with minimal infrastructure. The implications of the program suggest similar models could successfully utilize teleradiology for x-rays to expand diagnostic services in other resource-limited areas.