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CT Scan of the Neck and Mediastinum — With and Without IV Contrast

Published: August 9, 2026Updated: August 17, 2026

A CT scan uses X-rays to create detailed images of the neck and chest area called the mediastinum, with images taken before and after IV contrast.

Quick summary

["This CT scan evaluates structures in the neck and mediastinum and may help identify masses, inflammation, infection, or other abnormalities."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
83308-7
Short code
CT Neck+Mediastinum.sup WO contr
Synonyms
CT Neck+Mediastinum.sup WO contr
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct
CPT
84484
SNOMED
302774002
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?

This is a CT, or computed tomography, scan of the neck and mediastinum, the central area of the chest between the lungs. Images are obtained before and after an intravenous contrast agent is given.

Why might I need this test?

The scan may be ordered to investigate a lump, swelling, pain, breathing difficulty, or unexplained symptoms. It can help evaluate lymph nodes, thyroid and nearby structures, blood vessels, and abnormalities in the mediastinum.

How is the test performed?

You lie on a table while a CT scanner rotates around you and takes X-ray images. IV contrast is usually injected through a vein, and the scan may include images before contrast and shortly afterward.

How do I prepare for the test?

Follow the instructions provided by the imaging center, including whether to avoid eating or drinking beforehand. Tell the care team about kidney disease, previous contrast reactions, iodine allergy, and pregnancy or possibility of pregnancy.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may include enlarged lymph nodes, a mass, inflammation, fluid collection, infection, or narrowing of an airway or blood vessel. The scan can also help characterize changes in organs and blood vessels in the mediastinum. Results must be interpreted by a radiologist in the context of symptoms and other clinical information.

Short name

CT Neck and Mediastinum

Frequently asked questions

Does this test use radiation?
Yes. A CT scan uses X-ray radiation. The scanner is designed to obtain detailed images while keeping radiation exposure as low as reasonably achievable.
What is IV contrast, and why is it used?
IV contrast is a special dye delivered through a vein. It can make blood vessels and certain tissues easier to see on CT images.
Will I need blood tests before the scan?
Sometimes. The imaging center may check kidney function before giving contrast, particularly if there is a history of kidney disease or other risk factors.
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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 17, 2026. · Read our editorial policy