A method for obtaining a digital chest x-ray image of a patient, executed at least in part by a computer system, acquires a standard dose radiographic image and a reduced dose radiographic image, wherein the standard dose radiographic image and reduced dose radiographic images are obtained at peak kilovoltage values that differ by at least 10 kVp. A bone-enhanced image is formed by combining data from the standard dose radiographic image and reduced dose radiographic images and bone structure is segmented from the bone-enhanced image. A processed image is formed by suppressing bone contrast from the standard dose radiographic image according to the segmented bone structure. The processed image is displayed, stored, or transmitted.
