Name of the Procedure:

Radiologic Examination, Chest, 2 Views, Frontal and Lateral; with Fluoroscopy
Common Name: Chest X-ray with Fluoroscopy
Technical Term: Radiographic Chest Examination with Fluoroscopic Guidance

Summary

A radiologic examination of the chest using X-rays to capture two views (frontal and lateral) and fluoroscopy for real-time imaging. This procedure helps visualize the chest structures, including the lungs, heart, and bones.

Purpose

Medical Condition: Evaluates issues related to the lungs, heart, chest cavity, and bones.
Goals: To diagnose and assess conditions like pneumonia, lung cancer, heart disease, or fractures in the rib cage.

Indications

• Persistent cough
• Chest pain
• Difficulty breathing
• History of lung or heart disease
• Suspicion of fractures or tumors in the chest area

Preparation

• Remove any metal objects or jewelry.
• No fasting usually required.
• Discuss any current medications with the healthcare provider.
• Notify the technician if there's a possibility of pregnancy.

Procedure Description

1. The patient is positioned in front of the X-ray machine and asked to stand still.
2. Two X-ray images are taken: one from the front and one from the side.
3. During fluoroscopy, real-time imaging captures dynamic processes such as breathing.
4. The patient may be asked to hold their breath momentarily for clearer images. Tools/Equipment: X-ray machine, fluoroscope.
   Anesthesia/Sedation: Not required.

Duration

Approximately 10-15 minutes.

Setting

Typically performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologic Technologist
• Radiologist (reviews and interprets the images)

Risks and Complications

• Exposure to low levels of radiation.
• Rare allergic reaction to contrast material (if used).
• Possible need for additional imaging if initial results are inconclusive.

Benefits

• Quick and non-invasive.
• Real-time imaging helps in dynamic assessment.
• Provides comprehensive views for accurate diagnosis.

Recovery

• No recovery time required; patients can resume normal activities immediately.
• Follow-up instructions depend on the findings and the underlying condition.

Alternatives

• CT scan: Offers more detailed images but involves higher radiation exposure.
• MRI: No radiation, but more expensive and longer duration.

Patient Experience

• Might feel mild discomfort from holding breath or standing still.
• Generally painless and quick.
• Comfort measures include clear communication and a comfortable environment.