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Digital chest X-rays (CXRs) are stored in a standardized digital format known as DICOM, which allows for efficient storage, retrieval, and sharing of medical images. AI algorithms applied to CXRs face challenges such as ensuring data quality and diversity to avoid bias, as well as addressing ethical considerations related to patient privacy and data security (HIPAA). Technical challenges include integrating AI systems into existing clinical workflows and ensuring compatibility with different hospital systems. Despite these challenges, AI has the potential to improve the accuracy and efficiency of CXR interpretation, particularly in identifying subtle abnormalities and assisting in disease detection. AI can also help address the shortage of radiologists in certain areas by providing automated image analysis and assisting in prioritizing critical cases.