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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
- Patient Positioning: The patient is positioned upright or lying down, ensuring a clear view of the neck area.
 - Shielding: A lead apron may be used to protect other body parts from radiation.
 - X-ray Exposure: The radiologic technologist captures images from different angles.
 - 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.