Definition
A chest x-ray is a photograph-like image of the heart and lungs that uses a small dose of radiation to create a picture. It is one of the most common medical tests performed.
Heart, Lungs, and Major Blood Vessels

© 2008 Nucleus Medical Art, Inc.
Reasons for Procedure
Chest x-rays are done to look for abnormalities of the heart, lungs, bones, or blood vessels in the chest. Your doctor may order a chest x-ray in response to certain symptoms or to help diagnose a medical condition.
Common symptoms requiring a chest x-ray include:
- Bad or persistent cough
- Chest pain
- Chest injury
- Coughing up blood
- Fever
- Shortness of breath
- Falls
The following conditions can be diagnosed by a chest x-ray:
- Blood vessel problems
- Congenital heart disease
- Congestive heart failure
- Fractures of the ribs
- Heart valve defects
- Lung cancer
- Cancerous spread to the bones
- Pericardial effusion (fluid around the heart)
- Pneumonia
- Pulmonary edema (fluid in the lungs)
- Tuberculosis
Risk Factors for Complications During the Procedure
Chest x-rays are done using a small dose of radiation. A lead apron is used to shield the abdomen and pelvis to minimize the risk of even this small dose of radiation. If you are pregnant or suspect you may be pregnant, inform your doctor or the x-ray technician. X-rays are generally avoided during the first two trimesters or throughout pregnancy.
What to Expect
Prior to Procedure
Chest x-rays can be performed in a hospital, an outside lab, or doctor’s office. You will be asked to remove all jewelry from the waist up and put on a hospital gown.
Anesthesia
There is no need for anesthesia during a chest x-ray.
Description of the Procedure
Pictures are taken from two different views, a side view and a front view. An x-ray technician will position you according to the type of x-ray machine used. Most commonly you will be asked to stand against the x-ray machine with your hands up or to the side. You will be asked to take a deep breath and hold it while the x-ray is being taken. You will also be asked to stay as still as possible when the film is taken. You may notice that the film cartridge feels cool to your skin.
After Procedure
Once the x-rays are completed you are free to go.
How Long Will It Take?
The process generally takes 10 to 15 minutes.
Will It Hurt?
The procedure is painless.
Possible Complications
None, unless you are pregnant
Average Hospital Stay
X-rays do not require hospital stays.
Postoperative Care
There are no actions to take after x-rays.
Outcome
A radiologist (a doctor who specializes in x-rays) will evaluate your x-ray and send a report to your doctor. Results are generally available in 1 to 2 days. An abnormal x-ray may require further testing including a chest computed tomography (CT) scan or magnetic resonance imaging (MRI) scan . If an abnormal growth is seen, a biopsy may be ordered.
RESOURCES:
American Heart Association
Radiology Info
CANADIAN RESOURCES:
University Health Network
References:
Chest. Radiological Society of North America. Radiography website. Available at: http//:www.radiologyinfo.org/ . Accessed on June 9, 2003.
Chest X-rays: helping detect heart and lung conditions. MayoClinic.com website. Available at: http://www.mayoclinic.com . Accessed on June 6, 2003.
Zaret BL, Jatlow PI, and Katz LD. The Yale University School of Medicine Patient’s Guide to Medical Tests. New York, NY: Houghton Mifflin Company;1997:134-136.
Last reviewed November 2007 by Rosalyn Carson-DeWitt, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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