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Radiologic examination, chest, 2 views, frontal and lateral; with fluoroscopy
CPT4 code
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
- The patient is positioned in front of the X-ray machine and asked to stand still.
- Two X-ray images are taken: one from the front and one from the side.
- During fluoroscopy, real-time imaging captures dynamic processes such as breathing.
- 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.