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What is 500mm f5 6 on medium format in full frame?

500mm on medium format gives the view of 395mm on full frame. For the same depth of field, f/5.6 there behaves like about f/4.4 on full frame. Exposure doesn't change: f/5.6 gives the same brightness on any sensor.

The same view on every common format:

Crop factors are by the sensor diagonal, rounded as they're usually quoted; a format with a different shape (4:3 against 3:2) frames a little differently across the width. More in the focal length converter.

Computed from the sensor sizes, not written by a model.

Medium format (yours)Full frameSame lens: Full frame frames 1.3× tighter
The same 500mm lens on medium format and on full frame.
500mm on medium format · 5°500mm on full frame · 4°
How wide 500mm sees on each.

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