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HomeAnswersRadiodiagnosisapicolordotic view of chest x-rayWhy does a doctor recommends apicolordotic chest view?

Why is the apicolordotic view of the chest advised in case of opacities in the lung apices?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ruchi Sharma

Medically reviewed by

iCliniq medical review team

Published At February 15, 2023
Reviewed AtOctober 16, 2023

Patient's Query

Hello doctor,

I am a 33-year-old female. I recently had a chest X-ray done, and there were opacities in my right infraclavicular region. The doctor has advised me to undergo an X-ray with an apicolordotic view. I did not understand what they meant by that. Kindly explain it to me. Thank you.

Answered by Dr. Ruchi Sharma

Hello,

Welcome to icliniq.com. So, your chest x-ray PA (posteroanterior) view report says that suspicious opacities are noted in the right infraclavicular region (attachments removed to protect the patient's identity). These could represent a lung pathology like an infection, or sometimes shadows are cast by normal lung structures like lung pleura, mainly at the apices (infraclavicular regions) that look like opacities but are normal. Also, overlying ribs in lung apices sometimes make diagnosing difficult as bones hide the underlying tissue. These could also represent bone lesions (the report says opacities superimposed over osseous structures) and not necessarily a lung pathology. Therefore, an apical view of the chest has been suggested to ensure whether the opacities in your chest x-ray are a true pathology of either lungs or bones or are just artefactual. This standard X-ray is asked after a PA chest X-ray view to see the lung apices. I hope this helps. Take care.

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Dr. Ruchi Sharma

Radiodiagnosis

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