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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Infiltrates On Upper Apex Of Right Lobe A Serious Condition?

hi.. good morning.. may husband had xray interpretation of suspicious infiltratres on upper apex of right lobe.. suggested apicolordotic xray? is this serious?and 2 years ago he also had xray which had result of ptb? im afraid of this situation. pls. help me.. wat we should do next?
Fri, 6 Nov 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
Normal chest x ray is taken in PA (posterioanterior) view.
In this view, upper lobes are not clearly visualized due to overlapping by ribs and clavicle.
So any lesion in upper lobe can not be seen and hence reported perfectly.
So apicolordotic view is done. In this x ray is taken in such a way that ribs and clavicle don't overlap upper lobe and hence upper lobes can clearly seen.
So any pathology in upper lobes is easily visible in apicolordotic view.
So for your husband, get done apicolordotic view for better visualization of lesion.
Possibility of pneumonia or tuberculosis is more.
So consult pulmonologist.
Hope I have solved your query.
Wish you good health. Thanks.
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Are Infiltrates On Upper Apex Of Right Lobe A Serious Condition?

Thanks for your question on Health Care Magic. I can understand your concern. Normal chest x ray is taken in PA (posterioanterior) view. In this view, upper lobes are not clearly visualized due to overlapping by ribs and clavicle. So any lesion in upper lobe can not be seen and hence reported perfectly. So apicolordotic view is done. In this x ray is taken in such a way that ribs and clavicle don t overlap upper lobe and hence upper lobes can clearly seen. So any pathology in upper lobes is easily visible in apicolordotic view. So for your husband, get done apicolordotic view for better visualization of lesion. Possibility of pneumonia or tuberculosis is more. So consult pulmonologist. Hope I have solved your query. Wish you good health. Thanks.