| Utility of the lateral chest radiograph in the evaluation of patients with a positive tuberculin skin test result. | |
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MedLine Citation:
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PMID: 14605055 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Marianne Meyer; Peter Clarke; Anthony W O'Regan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 124 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 2003 Nov |
Date Detail:
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Created Date: 2003-11-07 Completed Date: 2003-12-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 1824-7 Citation Subset: AIM; IM |
Affiliation:
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Pulmonary Center, Boston University School of Medicine, Boston, MA 02118, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cross-Sectional Studies Humans Observer Variation Radiography, Thoracic* Tuberculin Test* Tuberculosis, Pulmonary / diagnosis* |
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