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Radiologic examination, chest; single view

CPT4 code

Name of the Procedure:

Radiologic Examination, Chest; Single View
Commonly known as: Chest X-ray, Single View X-ray of the Chest

Summary

A chest X-ray is a painless diagnostic test that involves taking a single image of the chest area using a small dose of ionizing radiation. This image helps healthcare providers examine the heart, lungs, airways, blood vessels, and the bones of the spine and chest.

Purpose

The procedure addresses conditions affecting the chest, such as lung infections, heart problems, and rib fractures. The primary goal is to obtain a clear image of the chest to assist in diagnosing or monitoring these conditions.

Indications

  • Symptoms such as persistent cough, chest pain, shortness of breath, or unexplained fever.
  • Conditions that warrant examination include pneumonia, heart enlargement, pleuritis, tuberculosis, and fractured ribs.
  • Patients undergoing pre-surgical assessments or those with a history of respiratory or cardiac conditions.

Preparation

  • No special preparation is generally required.
  • Patients may need to remove jewelry and wear a hospital gown to prevent artifacts on the X-ray.
  • Inform the technician if you are pregnant.

Procedure Description

  1. The patient stands against a flat surface (X-ray detector) or sits/stands as instructed.
  2. The technician positions the patient to ensure a clear view of the chest organs.
  3. The patient may be asked to take a deep breath and hold it briefly while the X-ray is taken.
  4. The X-ray machine emits a small burst of radiation to capture the chest image.

Duration

The procedure typically takes about 10-15 minutes.

Setting

This procedure is performed in a radiology department of a hospital, outpatient clinic, or specialized imaging centers.

Personnel

  • Radiologic Technologist: Conducts the procedure.
  • Radiologist: Interprets the X-ray images.
  • Additional healthcare providers as needed for patient support.

Risks and Complications

  • Minimal exposure to radiation, with very low risk.
  • Rare cases of allergic reactions to any contrast material, if used (not typical for a single-view chest X-ray).

Benefits

  • Provides essential diagnostic information quickly.
  • Non-invasive and relatively low cost.
  • Immediate insights for fast clinical decisions.

Recovery

  • No recovery time required; patients can resume normal activities immediately.
  • Post-procedure instructions are usually not necessary unless outstanding medical advice is given.

Alternatives

  • CT Scan: More detailed imaging but involves higher radiation exposure.
  • MRI: No radiation but is more expensive and time-consuming.
  • Ultrasound: Limited use in chest imaging.

Each alternative has its own benefits and limitations based on the medical condition being evaluated.

Patient Experience

  • Patients may feel slight discomfort or cold from the metal surface but no pain.
  • The technologist ensures positioning is correct for clear images and comfort.
  • With minimal radiation exposure, the procedure is safe and efficient, leading to prompt results for clinicians to review.

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