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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infiltrate Right Upper Lobe

hi i got my chest xray yesterday and the conclusion said i had suspicious infiltrate right upper lobe.lordotic view suggested..but my other result said that the heart is not enlarged,the diaphragm is sharp and distinct the pulmonary vessels are within normal limits,the superior mediastinum is not remarkable the trachea is in the midline the osseous thoragic cage reveals no significant bony abnormality,there is suspicious infiltrate at the right upper lobe
Mon, 6 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Normal chest x ray is taken in PA (posteroanterior) view.
In this view, upper part of lungs (apex) are overlapped by bony structures like first 2 ribs and clavicle.
So any pathology in this part can not be reported correctly.
So for better visualization of upper lobes, Lordotic view is needed.
In this, chest x ray is taken in such a way that bony structures can not overlap upper lobes and hence upper lobes are clearly visible so lesions can properly reported.
So get done Lordotic view for proper reporting and diagnosis.
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Suggest Treatment For Infiltrate Right Upper Lobe

Thanks for your question on HCM. I can understand your situation and problem. Normal chest x ray is taken in PA (posteroanterior) view. In this view, upper part of lungs (apex) are overlapped by bony structures like first 2 ribs and clavicle. So any pathology in this part can not be reported correctly. So for better visualization of upper lobes, Lordotic view is needed. In this, chest x ray is taken in such a way that bony structures can not overlap upper lobes and hence upper lobes are clearly visible so lesions can properly reported. So get done Lordotic view for proper reporting and diagnosis.