Document Detail


Utility of the lateral chest radiograph in the evaluation of patients with a positive tuberculin skin test result.
MedLine Citation:
PMID:  14605055     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVES: In the United States, chest radiographs are performed on patients with positive tuberculin skin test (TST) results. It is not known whether, in addition to a single posteroanterior radiograph, a lateral chest radiograph is clinically indicated or cost-effective. We sought to determine the utility of the lateral chest radiograph in evaluating TST-positive adults. DESIGN: Cross-sectional study. SETTING: Tertiary-care hospital. PATIENTS: Adults with positive TST results. MEASUREMENTS: Findings on posteroanterior radiographs alone were compared to posteroanterior and lateral chest radiographs. RESULTS: In 2 of 535 cases (0.4%), lateral chest radiographs revealed a calcified granuloma not visible on posteroanterior radiographs. This finding did not alter patient management. In all other cases, lateral radiographs only confirmed findings seen on posteroanterior chest radiographs. CONCLUSION: Treatment altering findings were always visible on posteroanterior radiographs alone. These results suggest that lateral chest radiographs are not useful in evaluating adults with positive TST results.
Authors:
Marianne Meyer; Peter Clarke; Anthony W O'Regan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  124     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-07     Completed Date:  2003-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1824-7     Citation Subset:  AIM; IM    
Affiliation:
Pulmonary Center, Boston University School of Medicine, Boston, MA 02118, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Humans
Observer Variation
Radiography, Thoracic*
Tuberculin Test*
Tuberculosis, Pulmonary / diagnosis*

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