Radiologic examination, pelvis; complete, minimum of 3 views
CPT4 code
Name of the Procedure:
Radiologic Examination of the Pelvis; Complete, Minimum of 3 Views
Common name(s): Pelvic X-Ray, Pelvic Radiograph
Summary
A radiologic examination of the pelvis is a diagnostic imaging procedure that uses x-rays to capture detailed images of the pelvic bones. The procedure involves taking a minimum of three different views to provide comprehensive visual information about the pelvis.
Purpose
This imaging test helps diagnose conditions affecting the pelvis, such as fractures, infections, or degenerative diseases. It allows healthcare providers to evaluate bone integrity, detect abnormalities, and plan appropriate treatments.
Indications
- Suspected pelvic fractures
- Persistent lower abdominal or pelvic pain
- Evaluation of hip joint conditions such as arthritis or hip dysplasia
- Investigation of lower back pain to rule out pelvic causes
- Assessment of pelvic deformities or congenital abnormalities
- Suspected pelvic tumors or infections
Preparation
- Inform the technician if you are pregnant.
- Remove any metal objects, such as jewelry or belts, which could interfere with the x-ray images.
- No special fasting or medication adjustments are typically required.
- May need to change into a hospital gown for the procedure.
Procedure Description
- The patient lies on an x-ray table in various positions to obtain multiple views of the pelvis.
- A radiologic technologist positions the x-ray machine and places protective shields over areas not being imaged.
- The technologist may ask the patient to hold their breath briefly while the x-rays are taken.
- Multiple images from different angles (usually front, side, and oblique views) are captured.
- The images are reviewed to ensure they are clear and provide the necessary diagnostic information.
Duration
The procedure typically takes about 15 to 30 minutes.
Setting
The radiologic examination is performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologic Technologist: Conducts the imaging procedure.
- Radiologist: Reviews and interprets the x-ray images.
Risks and Complications
- Exposure to a low level of ionizing radiation.
- Rare risk of injury if patient needs to be moved during the procedure, especially if a fracture is present.
Benefits
- Provides detailed images to diagnose and monitor pelvic conditions.
- Helps guide treatment decisions.
- Quick and non-invasive.
Recovery
- No special recovery time is needed.
- Patients can usually resume normal activities immediately after the procedure.
- Follow-up with the healthcare provider to review the x-ray results and discuss next steps.
Alternatives
- MRI or CT scan: More detailed imaging but may be more expensive and take longer.
- Ultrasound: Useful for evaluating soft tissues but less effective for bone imaging.
- Clinical exam alone: May miss subtle or hidden issues that an x-ray can reveal.
Patient Experience
During the procedure, patients may feel slight discomfort from the x-ray table's hardness or the positions required. The process is generally painless. If any pain is experienced, especially if there is a suspected fracture, the technologist will make efforts to minimize discomfort.