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Radiology Request CT CHEST LOW DOSE EXAM Scheduling 5403324400 Fax 5403324490 Patient Name ___Apt. Date/Time ___DOB ___ Weight ___ Height ___Phone ___Insurance ___ Policy # ___ Group # ___ Breath
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How to fill out low dose ct lung

01
Check with your healthcare provider if you are a candidate for a low dose CT lung screening.
02
Schedule an appointment for the CT scan.
03
Follow any preparation instructions given by the healthcare provider, such as fasting or avoiding certain medications.
04
Arrive at the appointment on time and ready for the scan.
05
During the scan, you will be asked to lie on a table that slides into the CT machine. Follow any instructions from the technician, such as holding your breath at certain times.
06
After the scan, the results will be reviewed by a radiologist and shared with your healthcare provider.

Who needs low dose ct lung?

01
Individuals who have a history of heavy smoking or exposure to asbestos
02
Individuals with a family history of lung cancer
03
Individuals experiencing symptoms such as persistent cough or chest pain
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Low dose CT lung is a type of imaging test that uses low doses of radiation to create detailed images of the lungs.
Healthcare providers or facilities that perform low dose CT lung scans are required to file the results.
Low dose CT lung scans are usually filled out by a radiologist or other healthcare provider who interprets the images.
The purpose of low dose CT lung is to screen for lung cancer in individuals at high risk, as well as to diagnose and monitor lung diseases.
Information reported on low dose CT lung scans includes the findings of the imaging test, any abnormalities or concerns, and recommendations for follow-up care.
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