Chest X-Ray (2 views) Diagnostic Imaging

A chest x-ray (2 views) is a quick imaging test that uses a small amount of radiation to create pictures of the chest.

Chest X-Ray (2 views) procedure illustration

Overview

A chest x-ray (2 views) is a quick imaging test that uses a small amount of radiation to create pictures of the chest. The two standard views are PA (front-to-back) and lateral (side), which help show the lungs, heart, airways, and bones from different angles. Clinicians use this test to look for infections, fluid, lung collapse, heart size changes, fractures, or device placement. It is commonly ordered for cough, shortness of breath, chest pain, fever, or to check recovery after illness or surgery.

Overview Preparation Clinical Info Recovery FAQ References

Also known as: CXR 2 views, PA and lateral chest radiograph, Two-view chest x-ray

Recovery
Same day
Return to Work
Same day

Preparation & Next Steps

Everything you need to know before and after your procedure

Before Care

  • Bring a photo ID, insurance card, and any prior chest x-rays or imaging reports if available
  • Wear simple clothing without metal snaps or buttons; you may be asked to change into a gown
  • Remove necklaces, body piercings, and other metal objects from the chest and neck area
  • Tell the imaging staff if you are or might be pregnant
  • Let the technologist know about implanted devices (such as a pacemaker); the exam can still be done
  • No fasting is needed; take your usual medicines unless your clinician provided different instructions
  • Be prepared to stand briefly and hold a deep breath for a few seconds during each view
  • Arrive a little early to verify the imaging order and complete any forms

After Care

  • Resume normal activities and regular medicines
  • Review your patient portal or ask how and when results will be available
  • Store the report and images or access link for your records and future comparisons
  • Follow the plan your clinician outlines based on the results
  • If a device or tube placement was checked, confirm any next steps with your care team
  • Contact your clinician if your symptoms worsen or new concerning symptoms appear
  • Keep a simple record of your imaging history to avoid unnecessary repeat exams

Clinical Information

Important medical details about this procedure

Indications

  • Cough, shortness of breath, or chest pain
  • Fever with suspected pneumonia
  • Suspected heart failure or fluid in the lungs
  • Trauma to the chest or suspected rib fracture
  • Evaluation of chronic lung conditions (such as COPD)
  • Follow-up after abnormal exam or prior imaging
  • Check placement of lines, tubes, or devices
  • Preoperative or pre-employment screening when required

Alternatives

  • Clinical observation and repeat exam
  • Point-of-care lung ultrasound in some settings
  • Chest CT when more detail is needed
  • Breathing tests or lab tests depending on the concern
  • Electrocardiogram (ECG) for heart-related symptoms

Risks

  • Low radiation exposure
  • Incidental findings that may lead to more testing
  • Rare need to repeat images if motion or positioning blurs the picture
  • Discomfort from holding a deep breath or standing briefly

Contraindications

  • No absolute contraindications
  • Pregnancy is a special consideration; imaging approach may be adjusted
  • Limited ability to stand or hold breath may require modified technique

Recovery Timeline

What to expect during your recovery

There is no medical recovery period after a standard chest x-ray. Most people resume normal activities immediately.

Typical Range

Same day

Return to Work

Same day

Recovery Milestones

Day 0

Resume normal daily activities

Day 0–1

View results in the patient portal if available

Day 1–14

Discuss results and next steps with your clinician if a follow-up is planned

Frequently Asked Questions

Common questions and expert answers about this procedure

What are the two views in a chest x-ray?

They are PA (front-to-back) and lateral (side) views. Taking images from two angles helps show the lungs, heart, and bones more clearly.

How long does the exam take?

The imaging itself usually takes less than 10 minutes. Total time can be longer if there is waiting or paperwork.

Is a chest x-ray safe?

It uses a low dose of radiation. For most people, the benefits of finding important problems outweigh the small risk from the exposure.

Can I get a chest x-ray if I am pregnant?

Tell the imaging staff if you are or might be pregnant. The team may adjust the approach or consider alternatives based on urgency.

Do I need to remove jewelry or clothing?

Yes. Items with metal can block the view. You may be asked to remove necklaces and change into a gown.

Will it diagnose pneumonia or COVID-19?

It can show signs of infection or inflammation but does not identify the exact cause by itself. Results are interpreted with your symptoms and other tests.

Do I need a referral or order?

Many imaging centers require an order from a licensed clinician. Policies vary by state and facility.

When will I get results?

A radiologist reviews the images and issues a report to your ordering clinician. Many centers post results to the patient portal within a short time.