Why does a spot film of the mid-lower lung field is suggested for further evaluation?
Patient: hi. i ve done my chest Pa xray and here s the result: -No previous studies for comparison. -Minimal suspicious opacities are seen in the upper lung fields and in the left mid-lower lung field. -The rest of the lung fields are unremarkable. -The heart is not enlarged. -The trachea is midline. -The costophrenic angles and hemidiaphragms are intact. -The osseous structures and soft tissues are unremarkable. Remarks: An apicolordotic view and a spot film of the left mid-lower lung field are suggested for further evaluation. What does it mean? thanks. Doctor: Thanks for your question on HCM.In noral chest x ray PA view, the apical part of lung is overlapped (hidden) by bony structures like 1st two ribs and clavicle.So the lesion present on apex is not visualised clearly.So we need apicolordotic view.in this view x ray is taken in such a way that bony structures are not going to obstruct the apex. So apex will be clearly visualised and lesion can be identified. And spot film means taking x ray only of interested region. In your case It is left mid and lower part. So in simple words it is the magnifying image of only left mid and lower part. This will give magnified view and so better reporting can be done.