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Why do they require a chest x-ray? I understand having an EKG but a chest x-ray?

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Because it can show a variety of things on the X-ray from an enlarged heart, Fluid around the lungs or any heart/lung disease. Just routine for most surgeries

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I requested one because of a family history of enlarged heart.

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It can detect pneumonia, lung tumors and lesions, enlarged heart. The last thing you want to do...is anesthetize a person with an active lung infection or an undiagnosed pulmonary issue.

Breathing is important.

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