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

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.