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In the army, a Lt General thus is a rank just below that of a General. Yes there is a confusion, no doubt, but the root comes from one being a second to the rank of a General and the other (Major General), being senior to a Brig General.
Best Answer: When speaking to the Lieutenant Colonel, address as Colonel. The Lieutenant Commander, as Commander. A 2nd Lieutenant is a Lieutenant...a 1st Lieutenant is a Lieutenant....a Lieutenant Junior Grade is a Lieutenant. When written, it is the full title...Lieutenant Commander.