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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Chest X-ray Result Indicate?

Hi Doc! My x ray result is questionable opacities seen in the right upper lobe. Heart is not enlarged.Diaphragm and sulci are intact. Bones and soft tissue.Outline is unremarkable.Interpretation Questionable opacities, right upper lobe. Suggest lordotic view for further evaluation.What does it mean Doctor?
Wed, 10 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Normal chest x ray is taken in the PosteroAnterior (PA) view. In this view apical postions of the lung are overlapped by bony structures like clavicle and first 2 ribs. So any lesion in apical part of lung is not clearly visualised. So proper reporting is not possible.
To overcome this lordotic view is needed. In lordotic view x ray is taken in such a way that bony structures will not occlude apical parts. So better visualisation of apical area is possible. And due to this better reporting of the lesion is possible.
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What Does This Chest X-ray Result Indicate?

Thanks for your question on HCM. Normal chest x ray is taken in the PosteroAnterior (PA) view. In this view apical postions of the lung are overlapped by bony structures like clavicle and first 2 ribs. So any lesion in apical part of lung is not clearly visualised. So proper reporting is not possible. To overcome this lordotic view is needed. In lordotic view x ray is taken in such a way that bony structures will not occlude apical parts. So better visualisation of apical area is possible. And due to this better reporting of the lesion is possible.