Suggestions for the Diagnostic Study of a Patient with an Abnormal X-Ray Shadow of the Chest

¹ Clinical Associate Professor of Medicine, University of Minnesota, St. Paul, Minnesota.

The diagnosis and work-up of a patient with an abnormal x-ray shadow of the chest is dependent upon, first of all, a detailed history and physical examination. Second, it is important to remember that the roentgenologist's diagnosis is only an impression, and that although the description of the lesion as he sees it is accurate and his interpretation of the cause of the lesion may be highly correct, he still cannot make a histological or bacteriological diagnosis from the film. The ultimate diagnosis remains the province of the physician and in most instances the diagnosis can be established in the manner outlined above.