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In primary care, chest X-rays are commonly performed to assess patients presenting with a prolonged cough. However, the extent to which the flms are accurately interpreted depends on the skill of the doctors. Doctors with insufcient experience may miss an exact diagnosis when evaluating a flm, especially in patients with nonspecifc symptoms, such as in the case discussed in this paper. Tis case involved a persistent dry cough with an underlying diagnosis that would have been missed if the fndings of the chest X-ray had not been properly analyzed.