Summary: In the vast majority of reported cases this behavior is intentional. Please read further for additional detail.
Apteryx attempts to intelligently assign an appropriate layout based on the images included in your series. In most cases where ghosted images are still being displayed the root cause is that the layout that is in use has an empty tile and Apteryx always fills empty tiles if possible—even if that image was marked as a ghosted or retaken image. This is an intentional design intended to produce consistent viewing results for series.
In the above example we have 2 images that have tooth associations for a 2 bitewing series. However, the left image has been ghosted. Apteryx has scanned the series to see what layout these images should be used in-a 2 Bitewing series. It then filled all tiles regardless of ghosted status. The left image has no replacement image for its tile, so it is displayed by default.
Article Version 1.1 2022.2.16