Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation
CPT4 code
Name of the Procedure:
Radiologic Examination, Renal Cyst Study, Translumbar, Contrast Visualization, Radiological Supervision, and Interpretation Common Names: Renal Cyst Imaging, Translumbar Renal Contrast Study
Summary
This procedure involves using radiologic imaging to visualize renal cysts. A contrast dye is injected translumbarly (through the lower back) to enhance the visibility of the renal cysts on the radiologic images. Radiologists then interpret these images to diagnose or assess the condition.
Purpose
The procedure helps to diagnose and evaluate renal cysts, which are fluid-filled sacs in the kidneys. Goals include determining the size, number, and nature (benign or malignant) of cysts.
Indications
- Unexplained abdominal pain or discomfort
- Presence of cysts observed in prior imaging studies
- Suspected complications like cyst infection or malignancy
- Assessment for patients with known polycystic kidney disease
Preparation
- Fasting for several hours before the procedure
- Discontinuation of certain medications as advised by the doctor
- Pre-procedure blood tests to check kidney function
Procedure Description
- The patient lies prone (on their stomach) on the X-ray table.
- Local anesthesia is administered to numb the area.
- A thin needle is inserted through the lower back into the kidney.
- Contrast dye is injected through the needle.
- Radiologic images (such as X-rays or CT scans) are taken to visualize the cysts.
- The needle is removed, and a dressing is applied to the injection site.
Duration
The procedure typically takes about 45 minutes to an hour.
Setting
Usually performed in a hospital's radiology or imaging department.
Personnel
- Radiologist
- Radiologic technologist
- Nursing staff
- Occasionally an anesthesiologist if sedation is required
Risks and Complications
- Common Risks:
- Mild pain or discomfort at the injection site
- Allergic reaction to the contrast dye
- Rare Risks:
- Infection
- Bleeding
- Injury to surrounding tissues
Benefits
The procedure provides detailed images of renal cysts, aiding in accurate diagnosis and allowing for appropriate treatment planning. Benefits are usually realized immediately after interpretation of the images.
Recovery
- Patients are typically observed for a short time post-procedure for any immediate complications.
- Pain at the injection site may be managed with over-the-counter pain relievers.
- Avoid strenuous activities for 24 hours.
- Follow-up appointments may be necessary for result discussion and further management.
Alternatives
- Ultrasound imaging
- Non-contrast MRI or CT scans
- Pros of Alternatives: Less invasive, no use of contrast dye.
- Cons of Alternatives: May provide less detailed images of the cysts.
Patient Experience
Patients may feel a brief sting from the local anesthesia injection and pressure during the needle insertion. Post-procedure discomfort at the injection site can be managed with pain medication. Good communication with healthcare providers can help ensure a comfortable experience.