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Computed Tomography Angiography of the Chest Vessels — With or Without Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

A CT scan used to examine blood vessels in the chest, such as the pulmonary arteries and thoracic aorta, sometimes using IV contrast.

Quick summary

["This imaging test helps identify blockages, aneurysms, or other abnormalities in blood vessels of the chest."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
30804-9
Short code
CTA Chest ves WO+W contr IV
Synonyms
CTA Chest ves WO+W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Computed tomography angiography, or CTA, uses X-rays and a computer to create detailed pictures of blood vessels in the chest. The study may be performed with or without an intravenous contrast dye, depending on the area being evaluated and the purpose of the test.

Why might I need this test?

A chest CTA may be used to evaluate suspected pulmonary blood clots, narrowing of major arteries, aortic aneurysms, or aortic dissection. It may also help assess blood vessels or surrounding structures when other imaging findings need further evaluation.

How is the test performed?

You lie on a table that moves through a CT scanner while X-ray images are taken. If contrast is used, it is given through an intravenous line in your arm or hand, and the scan is timed to capture the blood vessels clearly.

How do I prepare for the test?

Follow the instructions provided by the imaging center. Tell the care team about any prior reaction to iodinated contrast, kidney disease, relevant allergies, pregnancy possibility, or implanted medical devices. Remove metal objects and inform the team if you cannot remain still during the scan.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate a blood clot, blocked or narrowed vessel, aneurysm, dissection, or another structural abnormality involving the chest vessels. The clinical meaning depends on the vessels examined, the use of contrast, and the person's symptoms and medical history. A radiologist interprets the images, and the results are usually reviewed together with other tests by the ordering clinician.

Short name

Chest CT angiogram

Frequently asked questions

Is a chest CTA the same as a routine chest CT?
No. A chest CTA is specifically timed to show blood vessels and is performed with or without intravenous contrast according to the examination ordered. A routine chest CT is designed primarily to evaluate the lungs and other chest structures.
Is intravenous contrast always used?
No. Some chest CTA examinations are performed without contrast, while others use iodinated contrast to improve the visibility of blood vessels. The imaging center will explain which approach applies to the ordered study.
What should I do if I have had a reaction to contrast dye?
Tell the imaging center and ordering clinician before the appointment, including the type and timing of the previous reaction. This information helps the care team assess whether contrast can be used safely or whether an alternative study should be considered.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy