<prompt> Answer this question truthfullyWhat does the chest x-ray of a patient with Rocky Mountain spotted fever look like?  <response>: <reason> A chest x-ray may be useful in a suspected Rocky Mountain spotted fever case. A retrospective study of 70 RMSF cases demonstrated that 27 showed abnormalities. . Of those 27, more than 50 showed a pulmonary edema pattern. Although this small study did show some pulmonary involvement with the Rocky Mountain spotted fever cases, routine radiographs are not usually a part of the general diagnostic work-up unless there is a specific reason for one. . 