Name of the Procedure:

Radiologic Examination of the Sternum (Sternal X-ray)

Summary

A radiologic examination of the sternum is a diagnostic imaging test where X-rays are used to capture detailed images of the breastbone (sternum). The procedure typically involves taking at least two different views to give a comprehensive look at this part of the skeleton.

Purpose

This procedure is performed to evaluate sternum injuries, detect abnormalities, or monitor the progression of existing conditions. It can help diagnose fractures, infections, tumors, or other pathologies affecting the sternum.

Indications

• Severe chest pain or tenderness
• Suspected sternal fractures following trauma
• Unexplained swelling or deformities in the chest area
• Follow-up of known sternal conditions such as tumors or infections

Preparation

• Generally, no special preparation is required.
• Patients may be asked to remove jewelry or clothing that might interfere with the imaging.
• Women who are or might be pregnant should inform the technician.

Procedure Description

1. The patient stands upright or lies down on the X-ray table, depending on the views needed.
2. At least two views of the sternum are taken: typically, a frontal view and a lateral view.
3. The radiologic technologist positions the patient and the X-ray machine to capture the required images.
4. The patient may be asked to hold their breath momentarily while the X-ray images are taken to prevent blurring.
5. The images are reviewed for clarity and diagnostic quality.

Tools and Equipment:

• X-ray machine
• Lead aprons for radiation protection (if necessary)

Anesthesia or Sedation:

• None required.

Duration

The entire procedure usually takes about 10-15 minutes.

Setting

This procedure is typically performed in the radiology department of a hospital, outpatient clinic, or imaging center.

Personnel

• Radiologic technologist to perform the X-rays
• Radiologist to interpret the X-ray images

Risks and Complications

• Exposure to a small amount of ionizing radiation (generally considered safe for most patients)
• Minor discomfort from holding still in specific positions

Possible Complications:

• Very minimal; typically, there are no complications from a standard X-ray.

Benefits

• Provides crucial information for diagnosing sternal conditions.
• Non-invasive with quick imaging results.
• Helps guide appropriate treatment planning.

Recovery

• No special recovery required.
• Patients can resume normal activities immediately after the procedure.
• Follow-up appointments may be scheduled to discuss the results.

Alternatives

• CT Scan or MRI for more detailed imaging if needed.
• Ultrasound for specific conditions.
• Pros and Cons: Alternative imaging techniques might provide more detailed images but are often more costly and time-consuming.

Patient Experience

• Patients may feel a brief period of discomfort holding certain positions during imaging.
• The procedure is painless and quick.
• Some patients might feel anxious about radiation exposure but can be reassured about the safety and low risk.