Early and accurate identification of lung abnormalities such as pneumonia, tuberculosis, and lung
cancer is critical for timely medical intervention and improved patient outcomes. This paper proposes a fast
and efficient framework that leverages Explainable Artificial Intelligence (XAI) to analyze chest CT scans
and X-ray images for automated lung abnormality detection. The framework integrates state-of-the-art deep
learning models with explainability techniques like Grad-CAM and LIME to ensure diagnostic transparency
and clinician trust. Emphasis is placed on computational efficiency to enable real-time or near-real-time
diagnostics, making the system suitable for deployment in both advanced and resource-limited healthcare
settings. Extensive experimentation on publicly available datasets demonstrates the proposed system’s high
accuracy, sensitivity, and interpretability in identifying a wide range of lung conditions.