71270 Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections

Name of the Procedure:

Computed tomography (CT) scan of the thorax with an initial scan without contrast material, followed by scans with contrast material and additional sections.

Summary

A thoracic CT scan is a non-invasive imaging procedure used to obtain detailed pictures of the chest area, including the lungs, heart, and blood vessels. This scan begins without any contrast material and is followed by the injection of contrast material to provide clearer and more detailed images.

Purpose

This procedure is used to diagnose and evaluate conditions affecting the chest, such as lung diseases, tumors, infections, and vascular conditions like pulmonary embolism. The goal is to obtain comprehensive images that help in diagnosis and treatment planning.

Indications

• Persistent cough
• Chest pain
• Unexplained weight loss
• Suspected lung or heart conditions
• Follow-up on lung nodules or masses detected on other imaging studies
• Evaluation of abnormalities seen on a standard chest X-ray

Preparation

• Patients may need to fast for a few hours before the procedure.
• Inform the doctor about any allergies, especially to iodinated contrast material.
• Patients may need to avoid certain medications before the scan.
• Blood tests may be required to assess kidney function.

Procedure Description

1. The patient lies on the CT scanner table.
2. Initial images of the thorax are taken without contrast material.
3. A contrast material is injected into a vein in the patient's arm.
4. Additional images are taken with the contrast material circulating in the body.
5. The images are reviewed, and further sections may be scanned if needed.

Tools and technology:

• CT scanner
• Contrast material injection system

Anesthesia: Typically not required, but sedation may be used for claustrophobic patients.

Duration

The entire procedure typically takes about 30 to 60 minutes.

Setting

The procedure is performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist
• Radiologic technologist
• Nurse (for administering contrast material and patient monitoring)

Risks and Complications

• Allergic reaction to contrast material
• Slight risk of radiation exposure
• Temporary discomfort from the contrast injection
• Rarely, issues with kidney function due to contrast material

Benefits

• Provides detailed images of the chest, leading to accurate diagnosis
• Helps in early detection and treatment of serious conditions
• Non-invasive with a relatively quick procedure time

Recovery

• Most patients can resume normal activities immediately.
• Drink plenty of fluids to help flush the contrast material from the body.
• Follow-up appointments may be necessary to discuss results.

Alternatives

• Chest X-ray: Less detailed but simpler and quicker.
• Magnetic Resonance Imaging (MRI): No radiation, but not as effective for lung imaging.
• Ultrasound: Limited use in thoracic imaging.

Patient Experience

Patients may feel slight discomfort from lying still and the injection of the contrast material. Some may experience a warm sensation or a metallic taste during the injection. Pain management is generally not required, and comfort measures include patient communication and providing blankets or pillows.