Chest X-Ray for an Australian Visa: Who Needs It and How Results Matter

The chest X-ray is one of the most important parts of the Australian visa health examination. Its main purpose is to detect tuberculosis (TB) — one of the most closely controlled diseases in the Australian migration process.

Who needs a chest X-ray

Under current rules, all Australian visa applicants from 11 years old and over generally have to have a chest X-ray.

Children under 11 are usually exempt — but DHA may require one if there is a specific medical reason.

Why DHA requires a chest X-ray

Australia requires the X-ray to screen for tuberculosis (TB) — a disease transmitted through the respiratory tract. Applicants from countries with higher rates of TB are routinely required to have a chest X-ray as a standard requirement.

Possible X-ray results

Normal result: No abnormality detected — the application continues to be processed as normal.

Abnormal result (shadowing or signs of concern): This does not mean the visa is refused straight away. DHA will require:

1. Further assessment by a respiratory specialist
2. A sputum test to check for active TB
3. In some cases: TB treatment and evidence that treatment has been completed before the visa is granted

Active TB vs latent TB

Active TB: The disease is progressing and infectious. It usually requires full treatment (six to nine months) before Australia grants a visa.

Latent TB (LTBI): A past TB infection that is not currently active. DHA may accept this following a specialist assessment.

For more detail, see the article on tuberculosis and Australian visas.

Can an old X-ray be used

No. The chest X-ray must be carried out by a panel physician, tied to the visa application’s case number. You cannot use an X-ray from an ordinary hospital or from a previous visa application.

Preparing for the X-ray

• Wear clothing without metal (remove necklaces, avoid garments with many metal buttons)
• If you are pregnant: tell the panel physician beforehand so they can consider it — it may be postponed or protective measures used
• You do not need to fast before a chest X-ray