Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an intravascular imaging catheter. The intravascular imaging catheter may include an elongate sheath having a distal tip region. The distal tip region includes a first port, a second port, and a guidewire lumen extending between the first port and the second port. A core wire may be disposed within the elongate sheath along the distal tip region. An imaging core disposed within the elongate sheath.