Experimental measurements show that coherent, azimuthal density fluctuations (1) focus lower hybrid resonance cones azimuthally, and (2) modulate the radial location of the resonance cones. A simple theory based on wave refraction is presented; this theory is in good agreement with the experimental observations. The theory is extended to give a physical description of wave propagation through turbulent, isotropic (perpendicular to B) noise such as has been observed in tokamaks; it is found that the turbulence causes the lower hybrid wave vectors to have an angular spread in the plane perpendicular to B.