Name of the Procedure:

Radiologic examination, chest, complete, minimum of 4 views; with fluoroscopy
Common Names: Chest X-ray with fluoroscopy, Chest fluoroscopic examination

Summary

A radiologic examination of the chest using a series of X-ray images from at least four different angles, combined with fluoroscopy—a technique that provides real-time, moving images of the chest's internal structures.

Purpose

Medical Conditions Addressed:

• Lung diseases (e.g., pneumonia, tuberculosis)
• Heart conditions
• Rib fractures
• Tumors or masses ##### Goals/Expected Outcomes:
• Detailed imaging of chest anatomy
• Real-time monitoring for dynamic assessment
• Accurate diagnosis and treatment planning

Indications

Symptoms:

• Persistent cough
• Shortness of breath
• Chest pain
• Unexplained weight loss ##### Patient Criteria:
• Suspected thoracic abnormalities
• Follow-up for known chest conditions
• Pre-surgical evaluation

Preparation

• Remove any metal objects or jewelry from the chest area
• Wear a hospital gown
• Inform the radiologist if you are pregnant
• No specific fasting or medication adjustments usually required
• Previous relevant imaging studies may be reviewed

Procedure Description

1. Positioning: The patient will be asked to stand, sit, or lie down in different positions.
2. Image Capture: X-ray images are taken from at least four angles—front, back, and sides.
3. Fluoroscopy: A fluoroscope provides live images allowing for real-time assessment as the patient breathes or moves.
4. Contrast Agent: In some cases, a contrast agent may be administered. ##### Tools/Equipment:
   • X-ray machine
   • Fluoroscope
   • Digital imaging system ##### Anesthesia:
   • Not typically required

Duration

• Approximately 30–60 minutes

Setting

• Hospital radiology department
• Outpatient imaging center

Personnel

• Radiologist
• Radiologic technologist

Risks and Complications

Common Risks:

• Minor exposure to radiation ##### Rare Risks:
• Allergic reaction to contrast agent (if used) ##### Complications Management:
• Immediate medical intervention for allergic reactions
• Use of protective shields to minimize radiation exposure

Benefits

• High-quality, detailed images of the chest
• Real-time dynamic assessment aiding accurate diagnosis
• Immediate information to guide treatment decisions

Recovery

• Usually, no recovery time is necessary
• Resume normal activities immediately
• Follow-up appointments as directed by your healthcare provider

Alternatives

• Standard chest X-ray (without fluoroscopy)
  • Pros: Less radiation exposure; faster
  • Cons: Less detailed; no real-time imaging
• CT scan
  • Pros: More detailed cross-sectional images
  • Cons: Higher radiation dose; usually more expensive

Patient Experience

During the Procedure:

• Minimal discomfort
• May be asked to hold your breath for short periods ##### After the Procedure:
• Typically painless
• Instructions for any specific post-procedural care will be provided
• Monitoring for any adverse reactions, especially if a contrast agent was used