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It would depend on several factors. The Physical size of the person, The size of the pill, the radiographic technique used, the material and density of the pill, and finally where in the lung it is. For instance, bone, consisting primarily of calcium, shows very clearly on x-rays, where small changes in flesh density do not, and air in lungs are the least resistive to the x-ray beam. This is due to bone absorbing the incident x-rays, where flesh is more likely to pass the radiation unatenuated, given sufficient engery of the x-ray photon. Given that the pill is not lodged in the lung behind a rib, there is a good chance it could be seen. Even a better chance it could be seen in a slice of a CT scan. Hope this helps. My background is 25 years experience as an x-ray field service engineer, where details such as what you described is the resolution where most high end x-ray equipment strive to image. X-rays, however, are still random, and there is only so much enhancement and filtering that can be made to an image, while keeping real data. Good luck!

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