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Radiologic examination; neck, soft tissue

CPT4 code

Name of the Procedure:

Radiologic Examination; Neck, Soft Tissue
Common Names: Neck X-ray, Soft Tissue Neck X-ray, Cervical X-ray

Summary

A radiologic examination of the neck's soft tissues uses X-rays to produce detailed images of the throat and upper neck area. This non-invasive imaging test helps healthcare providers diagnose conditions affecting the soft tissues, such as the trachea or esophagus.

Purpose

Conditions Addressed:
  • Determine causes of breathing or swallowing issues
  • Detecting infections, tumors, or foreign objects
  • Evaluating traumatic injuries to the neck
Goals/Outcomes:
  • Accurate diagnosis of underlying problems
  • Planning further medical or surgical treatment
  • Monitoring response to ongoing treatment

Indications

Symptoms or Conditions:
  • Persistent cough or difficulty swallowing
  • Breathing difficulties or noisy breathing
  • Swelling or mass in the neck
  • Trauma to the neck area ##### Patient Criteria:
  • Unexplained neck pain
  • Suspected foreign object in the throat
  • Evaluation before certain surgeries

Preparation

Pre-Procedure Instructions:
  • Remove any jewelry or metallic objects around the neck
  • Inform radiologist of any existing medical conditions or allergies
  • No specific fasting or medication adjustments unless advised by the doctor ##### Diagnostic Tests:
  • Some patients may require preliminary blood tests or throat cultures

Procedure Description

  1. Patient Positioning: The patient is positioned upright or lying down, ensuring a clear view of the neck area.
  2. Shielding: A lead apron may be used to protect other body parts from radiation.
  3. X-ray Exposure: The radiologic technologist captures images from different angles.
  4. Image Review: The images are reviewed for clarity and completeness.
Tools & Equipment:
  • X-ray machine
  • Lead shielding equipment ##### Anesthesia:
  • Not required for this procedure

Duration

  • Typically takes about 10-15 minutes.

Setting

  • Performed in a hospital radiology department or an outpatient imaging center.

Personnel

  • Radiologic Technologist
  • Radiologist (interprets the images)
  • Referring Physician

Risks and Complications

Common Risks:
  • Minimal radiation exposure ##### Rare Complications:
  • Allergic reaction to contrast material if used (though uncommon in simple X-rays)

Benefits

  • Quick and non-invasive diagnostic tool
  • Immediate results to guide further treatment
  • Helps visualize issues not detectable through physical examination

Recovery

Post-Procedure Care:
  • No specific post-procedure care is required ##### Recovery Time:
  • Immediate return to normal activities ##### Follow-up:
  • Based on findings, further tests or treatments may be scheduled

Alternatives

Other Imaging Options:
  • MRI or CT scan for more detailed images
  • Ultrasound for specific soft tissue evaluation ##### Pros and Cons:
  • MRI and CT scans offer more detailed images but are more expensive and time-consuming.

Patient Experience

During the Procedure:
  • Patients might feel a bit uncomfortable holding still in certain positions.
  • The procedure is painless. ##### Post-Procedure:
  • No pain or discomfort is usually experienced post-procedure.
  • Normal activities can be resumed immediately.
Pain Management and Comfort Measures:
  • Not typically required for this procedure.

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