Chest X-Ray
What is a chest
X-ray?
A chest X-ray is an imaging test that uses X-rays
to look at the structures and organs in your chest. It can help your health
care provider see how well your lungs and heart are working. Certain heart
problems can cause changes in your lungs. Certain diseases can cause changes in
the structure of the heart or lungs.
Chest X-rays can show your health care provider
the size, shape, and location of your heart, lungs, bronchi, aorta, pulmonary
arteries, mid-chest area (mediastinum), and bones of your chest.
A chest X-ray uses a small amount of radiation to
make pictures of these areas.
Why might I need a
chest X-ray?
Your health care provider may order a chest X-ray
to see how well your heart or lungs are working. You may need a chest X-ray if
he or she thinks that you may have:
·
Enlarged
heart. This may mean that you have a congenital heart defect or cardiomyopathy.
·
Fluid in the
space between your lungs and your chest wall (pleural effusion)
·
Pneumonia or
another lung problem
·
Ballooning of
the aorta or another great blood vessel (aneurysm)
·
Broken bone
·
Hardening of a
heart valve or aorta (calcification)
·
Tumors or
cancer
·
Diaphragm that
has moved out of place (hernia)
·
Inflammation
of the lining of the lung (pleuritis)
·
Fluid in the
lungs (pulmonary edema). This may mean you have congestive heart failure.
You may also need a chest X-ray:
·
As part of a
complete physical exam or before you have surgery
·
To check on
symptoms related to the heart or lungs
·
To see how
well treatment if working or how a disease is progressing
·
To see where
implanted pacemaker wires and other internal devices are. These other devices
include central venous catheters, endotracheal tubes, chest tubes, andr
nasogastric tubes.
·
To check on
your lungs and chest cavity after surgery
What are the risks of
a chest X-ray?
You may want to ask your health care provider
about the amount of radiation used during the test. Also ask about the risks as
they apply to you.
Consider writing down all X-rays you get,
including past scans and X-rays for other health reasons. Show this list to
your provider. The risks of radiation exposure may be tied to the number of
X-rays you have and the X-ray treatments you have over time.
Tell your health care provider if you are
pregnant or think you may be pregnant. Radiation exposure during pregnancy may
lead to birth defects.
You may have other risks depending on your
specific health condition. Be sure to talk with your provider about any
concerns you have before the procedure.
How do I get ready
for a chest X-ray?
·
Your health
care provider will explain the procedure to you. Ask him or her any questions
you have about the procedure.
·
You may be
asked to sign a consent form that gives permission to do the procedure. Read
the form carefully and ask questions if anything is not clear.
·
You usually do
not need to stop eating or drinking before the test. You also usually will not
need medicine to help you relax (sedation).
·
Tell your
health care provider if you are pregnant or think you may be pregnant.
·
Wear clothing
that you can easily take off. Or wear clothing that lets the radiologist reach
your chest.
·
Tell your
health care provider if you have any body piercing on your chest.
·
Follow any
other instructions your provider gives you to get ready.
What happens during a
chest X-ray?
You may have a chest X-ray as an outpatient or as
part of your stay in a hospital. The way the test is done may vary depending on
your condition and your health care provider's practices.
Generally, a chest X-ray follows this process:
·
You will be
asked to remove any clothing, jewelry, or other objects that may get in the way
of the test.
·
You will be
given a gown to wear.
·
You may be
asked to lie down, sit, or stand. Your position depends on what images the
technologist needs.
·
For a standing
or sitting image, you will stand or sit in front of the X-ray plate. You will
be asked to roll your shoulders forward, take in a deep breath, and hold it
until the X-ray is made. If you are unable to hold your breath, the
technologist will take the picture by watching how you breathe.
·
You will need
to stay still during the X-ray. Moving when you are not asked to may affect the
quality of the image.
·
For a
side-angle view of the chest, you will be asked to turn to your side and raise
your arms above your head. You will be told to take in a deep breath and hold
it as the X-ray is made.
·
The
technologist will step behind a special window while the images are being made.
The chest X-ray is not painful. But you may have
some discomfort or pain from moving into different positions if you have had
recent surgery or an injury. The technologist will use all possible comfort
measures and do the scan as quickly as possible to minimize any discomfort or
pain.
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