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With the lungs, an early, precise look is what counts.
Chest complaints · Munich

Chest Pain & Airways

Chest and lungs – clarity through imaging.

The causes of chest pain and persistent respiratory complaints range from harmless to serious. Imaging brings certainty: a chest CT shows every detail of the lungs and airways – and a lower radiation dose is often sufficient. Targeted assessment is particularly important for smokers and after occupational dust exposure. Everything in one place, interpreted by experienced specialists.

Important: Sudden, severe chest pain – especially with shortness of breath, cold sweat or pain radiating into the arm, neck or upper abdomen – can be a heart attack. Please call the emergency services on 112 immediately.

Our promise
When an assessment makes sense

Two good reasons to take a closer look

For a persistent cough or shortness of breath

A cough that does not clear up after an infection, that worsens or that keeps you awake at night deserves to be looked at. Imaging reveals what lies behind it – from pneumonia and chronic changes in the lung tissue to a pulmonary nodule. Blood in the sputum is always a reason to be seen promptly – regardless of the amount or duration.

As a smoker or after occupational exposure

Smoking means constant stress and chronic inflammation for the lungs; asbestos and other occupational dusts also leave their mark. Here a targeted assessment is worthwhile to rule out disease caused by smoking or exposure.

The examinations

Assessing the lungs and chest with confidence

For the lungs, computed tomography is the most informative imaging method. For early detection it is always performed using low-dose technique, as specified by the German Federal Office for Radiation Protection (Bundesamt für Strahlenschutz, BfS) – from the smoker's check-up to targeted assessment.

Computed tomography of the lungs

In seconds, CT renders lung tissue, nodules and airways in fine detail and is the most informative imaging method for the lungs. The dose is tailored to the clinical question: low-dose for screening, standard dose with contrast medium for targeted assessment or oncological staging.

Smoker's & preventive check

After many years of smoking, low-dose CT serves early detection – to rule out tumours and smoking-related lung changes, often before they cause symptoms. The same scan also reveals calcified coronary arteries, which indicate the extent of coronary sclerosis.

Infections & chronic courses

Pneumonia can heal or become chronic; certain forms of fibrosis as well as autoimmune and tuberculosis-related conditions also become visible on CT and can be monitored over time.

The heart as a contributing cause

Chest pain can originate in the heart. If your risk profile calls for it, we also consider a coronary cause – the coronary arteries are visible neither on ultrasound nor on an exercise ECG.

How it works

Certainty in three steps

Book an appointment

Conveniently online or by phone – you will receive an appointment promptly through our friendly reception.

The examination

The low-dose chest CT takes only seconds and is done in a single breath – gentle and with a minimised radiation dose.

Findings & consultation

You receive a detailed report and a personal consultation about the next steps.

Your doctor

Personally there for you

Dr. Dr. Georg-Friedemann Rust – Facharzt für Radiologie und Neuroradiologie

Dr. Dr. Georg-Friedemann Rust

Consultant in Radiology & Neuroradiology

Physicist and radiologist – combining medical and technical expertise for precise imaging and personal care.

What our patients say

Trust that grows from experience

★★★★★  87 × 5-star reviews on Google

Google
★★★★★
“A doctor and physicist who combines the highest professional competence with a very pleasant manner – the patient is at the centre, and the findings are explained in an understandable way.”
Thomas S. · Google
Google
★★★★★
“Competent, attentive, thorough. He helps where other doctors fail.”
Jonas S. · Google
Google
★★★★★
“He conveyed the findings factually, calmly and clearly. A welcome angel after days of panic over an orthopaedist’s preliminary finding.”
Verifizierter Patient · Selbstzahler · Google
Google
★★★★★
“I have been coming here for years – always reliable, friendly and professional. The team takes its time.”
Firat S. · Google
Google
★★★★★
“No waiting time, short-notice appointments, very competent. The best radiology practice in Munich!”
Svetlana M. · Google

Gain clarity

Arrange your appointment – online in just a few steps or by phone.

Facts & context

The spectrum ranges from harmless to serious: from an upper respiratory infection through pneumonia – which can heal but may also become chronic – to fibrosis and autoimmune and tuberculosis-related conditions. Smoking deserves particular attention: it places the lungs under constant stress with chronic inflammation and is the most important avoidable risk factor for lung cancer – the cancer that causes the most deaths in Germany, with around 45,000 fatalities each year.¹ For people at risk, early detection with low-dose CT is a proven method: in the National Lung Screening Trial it reduced lung-cancer mortality by 20 % compared with chest X-ray.² Chest pain can also originate in the heart. Coronary heart disease is the most common cause of death in Germany, and its coronary arteries are imaged neither by ultrasound nor by an exercise ECG.³ How important early detection has now become is shown by a recent decision: because the use of X-rays on healthy people must be specifically approved, the German Federal Office for Radiation Protection (Bundesamt für Strahlenschutz, BfS) examined and approved low-dose CT early detection; the Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA) then defined it as early detection for long-term smokers – for those aged 50 to 75 with at least 25 years of smoking and at least 15 pack-years.⁴

If imaging of the chest offers no explanation, the assessment does not end here: because cardiology is located in the same building, the cardiac work-up can follow immediately – right up to a cardiac CT, which shows the coronary arteries directly. Without changing doctors and without travelling to another part of town.

References
  1. Robert Koch-Institut (RKI) & Gesellschaft der epidemiologischen Krebsregister: Krebs in Deutschland für 2021/2023, Ausgabe 2025 (Lungenkrebs – Sterbefälle, gerundet). krebsdaten.de
  2. National Lung Screening Trial (NLST) Research Team. Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening. N Engl J Med 2011;365(5):395–409.
  3. Robert Koch-Institut (RKI), Gesundheitsberichterstattung: Koronare Herzkrankheit – Sterblichkeit (häufigste Todesursache in Deutschland). rki.de Abrufjahr 2026.
  4. Gemeinsamer Bundesausschuss (G-BA): Richtlinie zur Früherkennung von Lungenkrebs mittels Niedrigdosis-Computertomografie bei Raucherinnen und Rauchern (50–75 Jahre, mindestens 25 Jahre Rauchen und ≥ 15 Packungsjahre, Rauchstopp höchstens 10 Jahre zurück); Beschluss vom 18.06.2025, Leistungsbeginn 1. April 2026. g-ba.de
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