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Radiologic examination, chest, special views (eg, lateral decubitus, Bucky studies)
CPT4 code
Name of the Procedure:
Radiologic Examination, Chest, Special Views (e.g., Lateral Decubitus, Bucky Studies)
Summary
A radiologic examination of the chest using specific imaging techniques such as lateral decubitus and Bucky studies provides detailed views of the chest cavity and its structures. These special views help in visualizing areas that may be difficult to assess with standard chest X-rays.
Purpose
The procedure aims to diagnose and assess various chest conditions, such as fluid accumulation, lung infections, or structural abnormalities. The detailed imaging helps in accurate diagnosis and treatment planning.
Indications
- Unexplained chest pain
- Persistent cough or respiratory symptoms
- Suspected fluid in the pleural space
- Lung infections or pneumonia
- Pre-surgical screening for chest conditions
Preparation
- The patient may be instructed to remove any metal objects or clothing that could interfere with imaging.
- No fasting or special preparations are typically necessary.
- A preliminary assessment, such as a standard chest X-ray, might be performed first.
Procedure Description
- The patient will be positioned based on the required special view, such as lying on their side for a lateral decubitus view.
- The technologist will use a Bucky grid or similar device to help enhance image quality by reducing scatter radiation.
- The X-ray machine will be positioned to take images from various angles as needed.
- The patient might be asked to hold their breath for short periods during the imaging.
Duration
The procedure typically takes about 15-30 minutes.
Setting
The radiologic examination is performed in a hospital's radiology department or an outpatient imaging center.
Personnel
- Radiologic Technologist
- Radiologist (to interpret the images)
Risks and Complications
- Exposure to low levels of radiation.
- Rarely, allergic reactions to contrast materials if used.
Benefits
- Accurate diagnosis of chest conditions.
- Detailed images that help in the assessment and management of chest diseases.
- Immediate results available in many cases.
Recovery
- No recovery time is needed; the patient can return to normal activities immediately after the procedure.
- Any specific instructions will be provided based on findings.
Alternatives
- Standard chest X-ray: less detailed compared to special views.
- CT scan: offers more detailed images but involves higher radiation exposure.
Patient Experience
- The procedure is painless, though holding still and certain positions may cause slight discomfort.
- The patient will be monitored for comfort and can ask for breaks if needed.