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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Suspicious Densities In Right Apex In Chest X-ray Suggest?

Hi doc. Good afternoon I have a question regarding the result of my X-ray can u please help me because this is one of my requirements for pre employment.My X-ray result impression is no focal consolidations is identified. Suspicious densities in the right apex for which a follow up apicolordotic view may be of help if clinically indicated .
Mon, 8 Dec 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
Normal chest x ray is done in PosteroAnterior view (PA view). In this technique the apical part of both lungs are hidden by bony structures like clavicle and first 2 ribs. So any opacity in apical area can be masked or not properly visualised in PA view. So apicolordotic view will be needed.
In this the x ray is taken in such a way that bony structures are not going to obstruct apical areas.
So apical areas are clearly seen and better reporting can be done.
So in your case apicolordotic view is must to rule out apical infiltration. Apical infiltration is seen most commonly with TB and pneumonia. So get done apicolordotic view to rule out these.
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What Does Suspicious Densities In Right Apex In Chest X-ray Suggest?

Thanks for your question on HCM. Normal chest x ray is done in PosteroAnterior view (PA view). In this technique the apical part of both lungs are hidden by bony structures like clavicle and first 2 ribs. So any opacity in apical area can be masked or not properly visualised in PA view. So apicolordotic view will be needed. In this the x ray is taken in such a way that bony structures are not going to obstruct apical areas. So apical areas are clearly seen and better reporting can be done. So in your case apicolordotic view is must to rule out apical infiltration. Apical infiltration is seen most commonly with TB and pneumonia. So get done apicolordotic view to rule out these.