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11235666 | AP and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. The heart is mildly enlarged, and a left chest wall pulse generator is present, with leads terminating in the right atrium and right ventricle. Median sternotomy wires are present, and are intact. Rightward convex scoliotic curvature of the thoracic spine is noted. | 52791609 | HISTORY: ___-year-old man with weakness. Evaluation for pneumonia. COMPARISON: None available. | Mild cardiomegaly. Otherwise, no acute cardiopulmonary process. |
11235666 | PA and lateral views of the chest. Mild hyperinflation. There is no focal consolidation, pleural effusion or pneumothorax. Left-sided pacemaker with leads in the right atrium and right ventricle are unchanged. The cardiomediastinal and hilar contours are stable. Sternotomy wires are stable. | 53086094 | INDICATION: Chest pain. COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary process. |
11235666 | The lungs are clear with no evidence of a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette remains stable. Two-lead AICD appears in place. Median sternotomy wires appear intact. Post-surgical changes are noted in the right upper lobe with surgical sutures and deformity of the posterior right 5th rib. No acute fractures are identified. | 56371552 | INDICATION: Evaluation of patient with status epilepticus. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11235666 | Two views of the chest demonstrate clear lungs without focal consolidation or pleural effusion. There is no pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is a moderate dextroconvex thoracic scoliosis, unchanged. Median sternotomy wires, and a left two-lead AICD is unchanged in appearance. | 58552584 | HISTORY: ___-year-old male with chest pain. COMPARISON: ___. | No acute chest pathology. |
11235666 | Two-lead pacemaker appears unchanged. Median sternotomy wires appear intact. Cardiac and mediastinal silhouettes remains stable. Scarring is again noted in the right upper lobe. Otherwise, the lungs are clear with no evidence of a consolidation. There is no pleural effusion or pneumothorax. No acute fractures are identified. | 51121483 | HISTORY: HOCM, NSVT, with sub-sternal chest pain. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11777413 | Cardiomediastinal silhouette is unchanged. Lungs are hyperinflated, as before. The central pulmonary arteries remain prominent. A linear opacity at the right base is unchanged and likely represents scarring. There is no consolidation or pleural effusion. No pneumothorax. | 56406942 | INDICATION: ___ year old man with hx of asthma; cough and shortness of breath // r/o pneumonia TECHNIQUE: PA and lateral views of the chest COMPARISON: ___ | No evidence of pneumonia. |
11777413 | Pulmonary hyperinflation. The heart size is normal. The hila are normal. No airspace consolidation. Small granuloma seen in the lateral aspect of the right upper lobe. No pleural effusions. Spondylotic changes of the thoracic spine. | 51978181 | INDICATION: ___ year old man with atrial fibrillation and asthma; shortness of breath and fatigue // r/o pneumonia, chf TECHNIQUE: Chest PA and lateral COMPARISON: To multiple priors most recently dated ___. | Pulmonary hyperinflation suggestive of COPD. No pulmonary edema. No pneumonia. . |
11777413 | Patchy left base opacity raises concern for atelectasis and overlapping vascular structures, but pneumonia is not excluded in the appropriate clinical setting. Slight blunting of the posterior costophrenic angles is chronic. No large pleural effusion is seen. There is no pneumothorax. The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. The cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. | 52728751 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with afib w rvr // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Patchy left base opacity may be due to combination of atelectasis and overlying vascular structures but pneumonia is not excluded in the appropriate clinical setting. |
11256340 | PA and lateral views of the chest provided. Multiple tiny surgical clips are seen projecting over the chest wall. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53074386 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // ? pna COMPARISON: None | No acute intrathoracic process. |
11867957 | An NG tube extends to the stomach, however its tip projects beyond the lower edge of the film. The ET tube is in stable position 4 cm above the carina. Lung volumes remain low. The cardiomediastinal silhouette is unchanged. There is no pulmonary edema. Obscuration of the left hemidiaphragm with increased opacity in the left lower lung is concerning for pneumonia. Chronic right lower lobe opacity with elevation of the right base is unchanged. | 50183705 | HISTORY: Prior CVA, AFib on Coumadin, type 2 diabetes, presents from outside hospital after having been intubated for respiratory failure and altered mental status. Please evaluate for interval change. TECHNIQUE: Single portable AP radiograph the chest. COMPARISON: Radiographs of the chest ___. | New opacity at the left lung base is concerning for pneumonia. Unchanged right lower lobe opacity may be atelectasis, pneumonia, or pleural effusion. Results telephoned to Dr. ___ by Dr. ___ at 12:10 on ___, 45 minutes after discovery. |
11867957 | AP view of the chest. Endotracheal tube ends 3.5 cm from the carina. Left PICC ends at the origin of SVC. Enteric tube ends off the inferior portion of the image. Aortic knob calcifications are unchanged. Small bilateral pleural effusions are unchanged. Mild pulmonary vascular congestion is unchanged. No pneumothorax. Mild cardiomegaly. | 55507038 | INDICATION: Intubated, respiratory failure, evaluate for interval change. COMPARISON: Chest radiograph on ___ and ___. | Unchanged small bilateral pleural effusions, mild pulmonary vascular congestion and mild cardiomegaly. |
11867957 | Endotracheal tube tip terminates 4.3 cm from the carina. Nasogastric tube tip courses below the inferior aspect of the left hemidiaphragm, off the inferior borders of the film. Lung volumes are low. Heart size is mildly enlarged. Aortic knob is mildly calcified. Crowding of the bronchovascular structures is noted, with prominence of the hilar regions. No overt pulmonary edema is noted. Bibasilar airspace opacities are nonspecific, and could reflect atelectasis, aspiration or infection. Small bilateral pleural effusions are present. No pneumothorax. No acute osseous abnormalities are visualized. | 50803805 | HISTORY: Intubated. TECHNIQUE: Portable semi-upright AP view of the chest. COMPARISON: None. | Low lung volumes. Bibasilar airspace opacities are nonspecific but may reflect atelectasis, infection or aspiration. Small bilateral pleural effusions. Standard positioning of the endotracheal tube and nasogastric tube. |
11867957 | The lung volumes remain low. Hazy opacification of the right lung base likely reflects a layering small-to-moderate right pleural effusion. No significant pneumothorax or left pleural effusion. There is mild pulmonary vascular congestion without overt pulmonary edema. Right basilar atelectasis is longstanding. No definite focal consolidation is seen. A tracheostomy tube is in place. Mild-to-moderate cardiomegaly is unchanged. Increased prominence of the mediastinum is related to patient positioning and tortuosity of the aorta. | 57742145 | INDICATION: Chronic respiratory failure status post tracheostomy, on ventilator. COMPARISON: ___. TECHNIQUE: Portable supine frontal radiograph of the chest. | Unchanged small-to-moderate right pleural effusion and underlying atelectasis. Mild pulmonary vascular congestion. |
11867957 | Evaluation of the radiograph is limited due to patient position. Within this limitation, portable chest radiograph demonstrates endotracheal tube terminating 4 cm above the carina. Enteric catheter courses below the left hemidiaphragm and out of view. There is increased bilateral opacifications, particularly in the mid and lower aspects of the lungs with an ill-defined ovoid opacification projecting over the right mid lung. Findings likely represent a combination of atelectasis, small bilateral pleural effusions and worsening pulmonary edema; however, multifocal pneumonia is a consideration in the appropriate clinical setting. The ovoid opacification in right mid lung may reflect pleural fluid within the fissure. Cardiomediastinal borders are difficult to assess due to lung volumes and opacification; however there is at least moderate cardiac enlargement. | 53291176 | INDICATION: CVA, AFib on Coumadin, type 2 diabetes, presents from outside hospital after remaining intubated for respiratory failure and altered mental status, assess for interval change. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___. | Increased bilateral opacifications, likely a combination of worsening pulmonary edema, atelectasis and bilateral effusions. Multifocal pneumonia is consideration in the clinical setting. |
11894482 | Heart size is normal. Prominence of the right hila is unchanged dating back to ___. The lungs are hyperinflated but clear. Deviation of the leftward deviation of the trachea reflects underlying enlarged thyroid, as demonstrated on prior chest CT. Pleural surfaces are normal. There is no pneumothorax. Calcified granuloma at the right lung apex is stable. | 58493485 | EXAMINATION: Chest radiograph. INDICATION: ___ year old woman with weight loss and tobacco history, or evaluate for mass TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___. Chest radiograph ___ and ___. | No radiographic evidence of intrathoracic malignancy. |
11304261 | Elevation the right hemidiaphragm is unchanged. The lungs are clear without consolidation, effusion, or overt edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips are noted in the upper abdomen. | 53261815 | INDICATION: ___F with weakness, (left sided), hx of aspiration pna // PNA? Stroke? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11304261 | Compared to chest radiographs from ___, a new right PIC line terminates in the lower SVC. Right lung base opacification has resolved. Elevation of the right hemidiaphragm is chronic. Upper lungs are clear. Small right pleural effusion has improved. No pneumothorax. Borderline cardiomegaly is stable. Esophageal drainage tube has been in the interval. | 59634031 | EXAMINATION: DX CHEST PORTABLE PICC LINE PLACEMENT INDICATION: ___ year old woman with PICC line insertion as well as many other___ medical conditions including DVTs, Crohns, C. Diff, generalized weakness. // please eval PICC placement, IV RN concerned about placement. TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiographs ___. | New right PIC line terminates in the lower SVC. |
11244926 | The cardiac and mediastinal contours remain moderately enlarged, and underlying mediastinal lymphadenopathy as detected on the prior chest CT can not be excluded. There is mild pulmonary vascular engorgement. Chronic interstitial abnormality within the periphery of both lungs likely reflects UIP. Assessment for pleural effusion is limited, but no large pleural effusion is detected. No pneumothorax is noted. There is likely mild bibasilar atelectasis. No acute osseous abnormality is seen. | 56582041 | HISTORY: Hypoxia and shortness of breath. TECHNIQUE: Upright AP view of the chest. COMPARISON: Chest CTA ___ chest radiographs and ___ ___. | Mild pulmonary vascular engorgement on a background of chronic interstitial lung disease previously characterized as UIP. |
11922103 | Endotracheal tube terminates 4.9 cm above the carina. Cardiomediastinal and hilar contours are within normal limits. The lungs are clear. Biapical scarring is noted. There is no pneumothorax. Oral contrast is seen within loops of bowel in the visualized upper abdomen. | 55850277 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with foregin body in esophagus s/p removal // s/p foreign body removal ? pneumomediastinum TECHNIQUE: AP view of the chest. COMPARISON: None. | Endotracheal tube 4.9 cm above the carina. No pneumothorax. |
11006497 | Tip of the nasogastric tube terminates in the stomach, but side port is in close proximity to the GE junction. Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. | 55413422 | PA AND LATERAL CHEST, ___ No prior studies for comparison. | Nasogastric tube terminates within the stomach with side port in close proximity to the gastroesophageal junction. |
11542442 | Lung volumes are very low, with bibasilar atelectasis. No focal consolidation. Small right pleural effusion. No pleural effusion on the left. No pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities. | 53823482 | EXAMINATION: Chest radiograph INDICATION: History: ___F with fatigue, crackles on lung exam. // evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Bibasilar atelectasis in the setting of low lung volumes. Small right pleural effusion. |
11573961 | A left-sided PICC line has been removed. There is probably some degree of pulmonary venous hypertension, but decreased congestive changes. There is similar elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. | 57331535 | CHEST RADIOGRAPHS HISTORY: Right upper quadrant pain and fever. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11573961 | PA and lateral views of the chest show unchanged elevated right hemidiaphragm with new development of bilateral small pleural effusions compared to recent study from ___. Heart and mediastinal contours are unchanged. No definite focal parenchymal consolidation is seen. The lateral view is underpenetrated in technique. Slight deviation of the upper trachea at level of thoracic inlet may be related to known the left thyroid lesion previously biopsied as benign. | 53947150 | WET READ: ___ ___ ___ 9:28 PM Compared to the prior radiograph ___ ___, the lung volumes have decreased. Mild vascular congestion and mild pulmonary edema. Bilateral, right greater than left, lower lobe opacities most likely represent atelectasis in the post operative setting, however, aspiration and infection are also possible. Free air beneath the right hemidiaphragm is expected. ___ ___. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with s/p lap chole, with new wheezing, low grade fever // ? pneumonia, TECHNIQUE: Chest PA and lateral COMPARISON: ___ and CT of the chest from ___ | New small bilateral pleural effusions |
11058560 | Frontal and lateral views of the chest are obtained. Minimal basilar atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable, as are the hilar contours. | 50605830 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of nonproductive cough and chest burning. COMPARISON: ___. | No acute cardiopulmonary process. |
11273472 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59233619 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/chest pain, please eval for PTX // ___M w/chest pain, please eval for PTX TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11614357 | The lung volumes have decreased with slight increase in peripheral interstitial opacities. No acute focal consolidation or new nodules within the limitations of chest radiograph. The cardiomediastinal contour is stable. Blunting of the left costophrenic angle is also stable. No acute osseous abnormalities. | 50173057 | INDICATION: ___ year old man with history of melanoma // please evaulate disease status TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Worsening fibrotic interstitial lung disease, which limits the sensitivity of chest radiograph for metastases. No definite new pulmonary nodules or masses, but CT may be considered if warranted clinically. |
11614357 | Progressive worsening of pulmonary fibrosis and decreasing lung volumes without vascular congestion. The mediastinal contours, cardiac borders, and hemidiaphragms are stable without evidence of pleural effusion. Chronic anterior wedging of thoracic vertebrae is unchanged. | 54340019 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with acute on chronic shortness of breath, seems worse over the past 1 month // effusion, congestion, hyperinflation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___. CT of the chest from ___. | Progressive worsening of pulmonary fibrosis and decreasing lung volumes without pleural effusion or pulmonary edema. |
11358644 | Right upper lobe opacities are combination of the patient's known mass as well as radiation changes. A fiducial seed is in place. Overall, there is a similar appearance when given differences in modalities to ___ PET-CT. Emphysema is noted. Otherwise, the lungs are clear from infectious process. The left hemidiaphragm is elevated. There is no pleural effusion, pneumothorax or edema. Heart size is normal. No evidence of radiopaque foreign body. Medullary infarction of the left humeral head is chronic. | 55116580 | HISTORY: ___-year-old female with difficulty swallowing, status post eating ___ food. Evaluate for foreign body. COMPARISON: Multiple prior chest x-rays, most recently from ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of radiopaque foreign body or acute process. Radiation-related changes of the mass in the right upper lobe. |
11358644 | Right-sided pigtail catheter is again seen. There is a large right pneumothorax that is increased in size compared to prior. Subcutaneous emphysema has also increased in size. There is mediastinal shift to the left. The left lung is clear. The left hemidiaphragm is slightly elevated. There is volume loss in the right lower lobe. There continues to be a fiducial marker in the right lung mass. | 57706847 | CHEST ON ___ HISTORY: Pneumothorax, status post chest tube placement, question interval change. | Increased size of right pneumothorax. |
11358644 | Spiculated lesion in the right upper lobe with a fudicial marker is compatible with known malignancy. New ill-defined opacification is seen primarily involving the right upper lobe and superior segment of the right lower lobe, concerning for infection. Left lung is grossly clear. Hyperinflation of the lungs with attenuation of the pulmonary vascular markings towards the apices is compatible with emphysema. Elevation of the left hemidiaphragm is chronic. No pleural effusion or pneumothorax is seen, and there is no pulmonary vascular congestion. No acute osseous abnormalities present. Sclerotic focus within the left humeral head is partially imaged and is unchanged, possibly reflecting an enchondroma. | 53669199 | HISTORY: Cough and fevers. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and chest CT ___. | New ill-defined opacification within the right upper and lower lobes concerning for pneumonia. |
11358644 | Single AP upright portable view of the chest was obtained. Fiducial marker is again seen overlying the right upper chest with underlying large opacity in this patient with known malignancy, grossly similar to prior. Increased interstitial markings in a background of pulmonary emphysema are again seen. The lungs remain hyperinflated. Patient's known left-sided chain sutures are obscured by overlying external artifact. No definite new focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. There is diffuse osteopenia. Sclerotic foci projecting over the left glenoid and partially imaged proximal left humerus are stable. | 58825145 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Dyspnea. COMPARISON: ___. | No significant interval change. |
11358644 | The lower right-sided pigtail catheter is again seen and there is a newer larger pigtail catheter seen in the right upper chest. The right pneumothorax is decreased in size, but is still present superiorly. Left hemidiaphragm continues to be elevated. Again seen is the right upper lobe lung mass with fiducial marker. Subcutaneous emphysema is again seen. | 55804289 | CHEST ON ___. HISTORY: Status post chest tube insertion. | New chest tube with decreased right pneumothorax. |
11358644 | A frontal upright view of the chest was obtained reportedly. A new right pigtail catheter overlies the right lower hemithorax. The right pneumothorax is improved and remains moderate in size. The fiducial in the right upper lobe mass is again seen. The left lung is clear without pneumothorax or effusion. Elevation of the left hemidiaphragm is unchanged since ___. The mediastinum is more midline than on the prior study. Heart size is normal. A well-circumscribed density in the left glenoid is a bone island as seen on prior CT ___. | 55976156 | CLINICAL INFORMATION & QUESTIONS TO BE ANSWERED: ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with pneumothorax status post chest tube placement. COMPARISON: ___ at 10:58 a.m. | Improved but persistent moderate right pneumothorax after chest tube placement. |
11358644 | PA and lateral views of the chest were provided. There is a malignancy again seen within the right upper lobe significantly changed from prior exam, containing a fiducial marker. Underlying emphysema is again noted. There is no large effusion or pneumothorax. No convincing signs of pneumonia. The heart and mediastinal contour is stable. There is absence of the left sixth rib likely related to prior thoracotomy. No free air below the right hemidiaphragm. | 54510696 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CTA chest from ___ and chest radiograph from ___. CLINICAL HISTORY: Chest discomfort, history of breast cancer, lung cancer status post left upper lobectomy, with right-sided non-small cell lung cancer, status post CyberKnife. Please evaluate for effusion. | Essentially stable mass within the right upper lobe, compatible with known malignancy. No superimposed acute process. |
11358644 | The lungs are hyperinflated, consistent with known emphysema. Opacity is again seen within the right upper lobe compatible with known malignancy with a fiducial marker identified. There is increased opacity adjacent to tumor, most likely representing post-obstructive infection or atelectasis. There is a new patchy opacity in the right lung base, which likely represents infection. Bibasilar atelectasis or scarring is seen. The cardiomediastinal silhouette is unremarkable. Sclerotic lesion in the left humeral head is unchanged from ___, likely representing medullary infarct or enchonroma. A stable bone island is seen in the left glenoid. | 57533048 | HISTORY: Shortness of breath. COMPARISON: Comparison is made with chest radiographs from ___, ___, an ___. | Multifocal pneumonia in the right lung. |
11358644 | The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Chain suture material along the left mediastinum is consistent with prior left lobectomy. A soft tissue density in the right upper lobe with a fiducial marker in place is consistent with known malignancy, not definitely changed since the most recent prior chest radiograph. Increased interstitial markings and background emphysematous changes are again noted. There is no new focal consolidation. Sclerotic lesions in the left glenoid and humerus are again seen, not completely evaluated on the current study. | 55518498 | INDICATION: Chest pain. COMPARISON: Chest radiograph ___, chest CT ___. | No acute cardiopulmonary process. Right upper lobe density, grossly unchaged since the prior study. Other findings as above. |
11392990 | Upright portable radiograph of the chest demonstrates single-lead pacemaker in appropriate position. The patient is status post CABG. The heart is markedly enlarged and there is evidence of thickening of the minor fissure on the right as well as relatively increased density of the right and left lower lobes, with no evidence of overt pulmonary edema or interstitial fluid. No pneumothorax is present, and there is no evidence of pneumonia. | 59281534 | HISTORY: ___-year-old male with shortness of breath. Evaluation for CHF. COMPARISON: None available. | Markedly enlarged cardiac silhouette with findings suggestive of chronic fluid overload with no evidence of acute pulmonary edema. |
11392990 | There is moderate cardiomegaly with a single-lead pacemaker. Patient is status post median sternotomy as well as CABG procedure. There are no focal opacities that are concerning for infection. There is no pleural effusion, pneumothorax, pulmonary edema. Biapical calcified granulomas are unchanged. | 56039487 | HISTORY: Weakness, question pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute cardiopulmonary process. |
11426908 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pneumomediastinum is seen. No displaced fracture is seen. | 57183293 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of epigastric pain increasing with inspiration. COMPARISON: None. | No acute cardiopulmonary process. |
11459120 | Again visualized are bibasilar atelectatic changes, greater at the left base. Otherwise, lungs are without a focal consolidation. Mild increase in central venous pressure is again noted. A dual-lead AICD terminates in place. Cardiac silhouette remains mildly stably enlarged. Atherosclerotic calcifications are noted at the aortic arch. | 53348537 | INDICATION: Evaluation of patient with hypoxia. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11459120 | A dual-lead pacemaker/ICD device appears unchanged. The cardiac, mediastinal and hilar contours are stable. There is a moderate, somewhat increased interstitial abnormality suggesting mild congestive heart failure. The lungs show no definite focal opacity, however. There is no definite pleural effusion, although posterior costophrenic sulci are difficult to assess and are partly excluded. Mild degenerative changes are present throughout the thoracic spine. The bones are probably demineralized to some extent. The patient is status post partly visualized left shoulder replacement. | 54690878 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | Findings consistent with mild interstitial pulmonary edema. |
11459120 | AP and two lateral chest radiographs were obtained. Left lower and right mid lung opacities have cleared since the prior exam two days ago. The hila are also more distinct. Cardiac contours unremarkable. Biventricular pacing leads project over unchanged positions. | 50267830 | INDICATION: ___-year-old woman with presumed hospital-acquired pneumonia in the left lower lobe. COMPARISONS: ___ to ___. | Clearing of right mid and left lower lobe opacities suggests improvement in mild pulmonary edema. No evidence of infection. Discussed with Dr ___ ___ phone at ___ on ___. |
11459120 | Two-views of the chest demonstrate a left chest wall pacemaker generator with appropriately positioned right atrial and ventricular leads. Left humeral hardware is partially imaged. Cardiac size is top normal. The lungs are clear, hilar and mediastinal contours are normal, and no pleural abnormality is seen. | 55572055 | HISTORY: Weakness and cough. COMPARISON: ___. | No acute cardiopulmonary process. |
11459120 | Portable semi erect frontal image of the chest. Of note, the right costophrenic angle is excluded from this study. The pacemaker is seen overlying the left chest with intact leads in appropriate position. Lung volumes are low with associated bronchovascular crowding. A subtle opacity is seen in the right upper lobe, likely representing residual changes from prior pneumonia. The lungs otherwise clear. There is no visualized pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is stable from prior exam. | 58586620 | HISTORY: Recent fall and rigors. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
11459120 | Frontal and lateral chest radiographs demonstrate mildly hypoinflated lungs. The left lung is clear. Within the right upper lobe there is new subtle opacity. Right lower lobe linear opacity is most consistent with linear atelectasis. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are otherwise unremarkable. Aortic arch calcifications are present. Left chest wall dual lead pacing device is again noted. | 51556348 | WET READ: ___ ___ ___ 9:16 AM 1. New subtle opacity within the right upper lobe is worrisome for pneumonia. Of note this is similar in location to patient's recurrent pneumonias dating back to ___. 2. Linear right lower lobe atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with cough, weakness. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___, ___, ___. CTA chest ___. | New subtle opacity within the right upper lobe is worrisome for pneumonia. Of note this is similar in location to patient's recurrent pneumonias dating back to ___. Linear right lower lobe atelectasis. |
11459120 | Dual-lead pacemaker is noted in place. Cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted at the aortic arch. There is a small focal opacity at the left bases suggestive of atelectasis/aspiration. Otherwise, the remainder of the lungs are clear. No acute fractures are identified. | 58549594 | INDICATION: Evaluation of patient with recent procedure with abnormal lung sounds. COMPARISON: Chest radiograph from ___. | There is a small focal opacity at the left bases suggestive of atelectasis/aspiration. Otherwise, the remainder of the lungs are clear. |
11459120 | Frontal and lateral chest radiographs were obtained. There is again a subtle left basilar opacity seen in the retrocardiac region posteriorly. The right lung opacity has cleared. The heart is mildly enlarged. Hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 53947041 | HISTORY: Patient with CHF and cough, assess opacities seen on previous chest x-ray. COMPARISON: ___. | Subtle area of increased opacity in the left lower lobe which may reflect a clearing consolidation. |
11459120 | Frontal and lateral views of the chest were performed. A left-sided pacemaker is noted with leads terminating in the right atrium and right ventricle. Left humeral orthopedic hardware is partially imaged. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette remains moderately enlarged, similar to ___. There is unchanged mild pulmonary edema from the most recent study. Aortic arch calcifications are re-demonstrated and the pulmonary arteries are enlarged. Multilevel degenerative changes of the thoracic spine are noted. | 55429913 | HISTORY: Fever, evaluate for pneumonia. COMPARISON: Chest radiographs from ___ to ___. | Unchanged mild pulmonary edema and moderate cardiomegaly. |
11459120 | Frontal and lateral radiographs of the chest were acquired. There is a widespread interstitial abnormality, likely secondary to mild pulmonary edema. Moderate cardiomegaly is not significantly changed. Aortic calcifications are noted. Mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. There is a left-sided pacemaker with right atrial and right ventricular leads. There is also re-demonstration of left shoulder hardware. | 53962571 | INDICATION: History of COPD, now with bibasilar rales. Evaluate for pulmonary edema versus pneumonia. COMPARISON: Chest radiograph from ___. | Findings suggestive of mild interstitial pulmonary edema. Moderate cardiomegaly, not significantly changed. |
11459120 | There is a dual-lead pacemaker/ICD device terminating in the right atrium and ventricle. The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a mild-to-moderate coarse interstitial abnormality which is very similar and suggests a baseline finding, perhaps due to chronic vascular congestion or airway inflammation, but without definite evidence for a superimposed process. There is a vague patchy opacity in the left costophrenic sulcus suggestive of minor atelectasis. There is no definite pleural effusion or pneumothorax. | 51130348 | CHEST RADIOGRAPH HISTORY: Weakness. Question infectious process. COMPARISONS: ___. TECHNIQUE: Chest, AP upright. | Stable appearance of the chest. |
11459120 | There are bilateral hazy pulmonary opacities, greater on the right than left, concerning for pulmonary edema. There is also cardiomegaly. Pacemaker with leads terminating in the right atrium and right ventricle are noted. Left-sided shoulder replacement is noted. Also seen are more peripheral vague opacities on the right. Likely small bilateral pleural effusions as well. | 54407986 | HISTORY: ___-year-old woman with shortness of breath and wheezing. Evaluate for pneumonia. COMPARISON: ___. FINDINGS: AP AND LATERAL VIEWS OF THE | Mild asymmetric pulmonary edema. Additional more peripheral opacities on the right could be concerning for an underlying infectious process. Recommend follow up radiographs after diuresis. |
11459120 | As compared with the prior chest radiograph, there is a new airspace opacity in the inferior right upper lobe abutting the minor fissure. The more superior right upper lobe also appears somewhat increased in density. Otherwise, there has been no significant change. There is no evidence of pleural effusion, pneumothorax, or overt pulmonary edema. The heart size is top normal. Mediastinal contours are unchanged. Aortic knob calcifications are present. A left pectoral pacemaker is noted with humeral head with two intact leads seen terminating in the expected locationd. Partially imaged orthopedic hardware is seen in the region of the left humeral head. | 51203386 | HISTORY: Dyspnea. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made with chest radiographs dated ___. | New right upper lobe airspace opacification, concerning for pneumonia. Recommend followup in 4 weeks following antibiotic therapy to document resolution. |
11459120 | AP and lateral chest radiographs demonstrate a new focal consolidation involving the left lower lobe. There is also a focal opacity in the right mid lung. Small bilateral pleural effusions are noted. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Transvenous right atrial and ventricular pacer leads are in the standard position. | 51410860 | INDICATION: Cough and shortness of breath. Evaluation for pneumonia. COMPARISONS: Chest radiograph, ___. | Multifocal pneumonia. Recommend repeating chest radiograph after treatment and resolution of symptoms. |
11459120 | Patchy right upper lung opacity, not clearly seen on the prior radiographs, or least significantly increased, is worrisome for pneumonia. Additional ground-glass opacities noted on chest CT from ___ for better appreciated on CT. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Dual lead left-sided pacer is stable in position. Partially imaged left humeral prosthesis is again noted. | 55205549 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough // R/O PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Patchy right upper lung opacity worrisome for pneumonia. Recommend followup to resolution. Additional ground-glass opacities seen on chest CT from ___ are better appreciated on CT. Findings should be followed up with CT. |
11459120 | Given rotation to the left, the lungs are clear. Cardiomediastinal silhouette is unchanged. There is no large effusion or vascular congestion. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities. Left shoulder arthroplasty is partially visualized on the lateral view. | 50734991 | INDICATION: ___F with several days weakness, lethargy, N/Vx2 // r/o PNA TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11459120 | A left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart is mildly enlarged but unchanged. The aorta is tortuous with calcifications noted at the aortic knob. The pulmonary vasculature is not engorged. Patchy opacities are seen within the right upper lobe as well as in both lung bases, new compared to the previous exam and concerning for areas of multifocal infection. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures. A left humeral head prosthesis is partially imaged. | 50197469 | HISTORY: Weakness and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Patchy opacities in the right upper lobe as well as both lung bases concerning for multifocal pneumonia. |
11459120 | Focal opacities in the right upper lobe have mostly resolved. Background coarse lung markings appear unchanged and are suspected to represent airway inflammation or possibly vascular congestion, although vascular prominence has decreased substantially. This appearance is unchanged but most striking in posterior lower lobes. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. The pacer is seen overlying the left anterior chest with intact leads in appropriate positions. Atherosclerotic calcification is seen in the aortic arch. | 53847122 | INDICATION: History: ___F with intrascapular back pain, tender to palpation paraspinal region. // Please evaluate for pneumonia, mediastinal changes to suggest intrathoracic cause of back pain TECHNIQUE: AP and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___ and CT chest ___. | Marked improvement in vascular congestion and focal right upper lobe opacities. Persistent moderate interstitial abnormality. |
11459120 | PA and lateral chest radiographs were provided. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Left chest wall pacemaker is noted with leads in the right atrium and right ventricle. The visualized cardiac silhouette is normal. The bones are intact. A left humeral replacement is noted. | 57101262 | INDICATION: History of fall, left shoulder and hip pain. Evaluate for traumatic process. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11459120 | Portable AP upright view of the chest was provided. Since the prior exam performed earlier today, there has been development of mild pulmonary edema. The previously noted airspace opacity in the right upper lobe is stable-to-slightly-increased and there is also airspace consolidation in the left lung base. No large effusion or pneumothorax. Dual-lead pacer and left shoulder prosthesis are again noted. | 55415405 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior exam from earlier today. CLINICAL HISTORY: Worsening dyspnea, question interval change. | Mild pulmonary edema with multifocal pneumonia. |
11416560 | The patient is status post median sternotomy and aortic valve surgery. Cardiomediastinal contours are within normal limits for postoperative status of the patient. Right internal jugular vascular sheath has been removed, with no visible pneumothorax. Permanent pacemaker is unchanged in position. Bilateral moderate-sized pleural effusions are present with adjacent basilar atelectasis. As compared to the recent single view portable chest x-ray, this appears slightly worse on the right and slightly improved on the left. | 52478963 | PA AND LATERAL CHEST OF ___ COMPARISON: Chest radiographs dating between ___ and ___. | Bilateral moderate pleural effusions with adjacent bibasilar atelectasis. |
11416560 | Bilateral pleural effusions have markedly increased. Underlying consolidations most likely represent atelectasis, but pneumonia cannot be excluded. Curvilinear density projecting above the meniscus of the right pleural effusion likely represents atelectasis, but cavitation cannot be excluded. No pneumothorax is seen. Heart size is difficult to evaluate in the setting of overlying effusions. There is no mediastinal widening. Aortic valve replacement hardware is seen. Pacing hardware appears similarly positioned on this view. Sternal wires appear intact. Mediastinal clips are noted. | 50497883 | HISTORY: ___-year-old female status post aortic valve replacement, now with shortness of breath. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. COMPARISON: ___. | Markedly increased bilateral pleural effusions with underlying consolidations, most likely atelectasis but infection cannot be excluded. Findings reported to ___ by ___ by telephone at 12:49 p.m. on ___ at time of initial review of the study. |
11416560 | The ETT, NGT, mediastinal chest tubes, and right IJ catheter have been removed. Right Cordis remains in place. Moderate right pleural effusion and left basilar opacity have developed in the interim. The heart has also increased in size, but there is no evidence of pulmonary edema. There is no pneumothorax. | 54114211 | HISTORY: Aortic valve replacement. Chest tubes removed. Evaluation for pneumothorax. COMPARISON: ___ and ___. | New moderate right pleural effusion, enlarged heart, and left basilar opacity. While these findings may be related to extubation, pericardial effusion or mediastinal fluid (including hemorrhage) are possibilities. No pneumothorax. Findings were discussed by Dr. ___ with ___, NP by phone at 12:12 p.m. on ___. |
11416560 | Single frontal view of the chest was obtained. Right pigtail pleural catheter has been slightly withdrawn, with the proximal-most side hole now outside the pleural cavity. Right internal jugular catheter terminates in the lower SVC. Metallic aortic valve appears in similar position to prior. Right atrial and right ventricular leads of a left chest wall generator are in stable position. Right pleural effusion has decreased, now small. Small left pleural pleural effusion remains. Right medial lung base and retrocardiac opacities have improved. Small right apical pneumothorax persists. Heart size and cardiomediastinal contours are stable. | 54128774 | HISTORY: ___-year-old female status post aortic valve replacement complicated by pneumonia. COMPARISON: Multiple prior chest radiographs, most recently ___. | Right pleural catheter has been slightly withdrawn, with the proximal-most side hole now outside the pleural cavity. Small right apical pneumothorax persists. Decreased right pleural effusion and persistent left pleural effusion with improved retrocardiac and right medial lung base opacities. Findings were communicated via phone call by ___ to ___ on ___ at 14:45. |
11416560 | Frontal and lateral chest radiographs demonstrate unchanged mild bibasilar atelectasis, and bilateral moderate pleural effusion right greater than left. A left chest pacemaker and its atrial and ventricular leads are in standard position. Patient is status post median sternotomy and AVR. | 55183625 | HISTORY: Evaluate effusion status post AVR. COMPARISON: ___, ___. | Little change in bibasilar atelectasis and bilateral moderate pleural effusions. |
11416560 | Moderate, bilateral pleural effusions and right basal atelectasis and/or pneumonia, are improved since ___. Biapical scarring is chronic. The heart size is top normal and there is no edema or vascular abnormality. The aortic valve position is more inferior than expected, probably because of surgery to the aortic root. There is no pneumothorax. The preoperative orientation of the right atrial lead, directed posteriorly, and probably abuting the interatrial septum, is unchanged. | 56050995 | INDICATION: ___-year-old female with a history of pleural effusions who presents for followup evaluation. COMPARISON: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | Moderate bilateral pleural effusions and right basal atectasis/pneumonia, improving. Longstanding RA pacer lead probably abuts interatrial septum. |
11845193 | PA and lateral views of the chest provided. There is a vague asymmetric opacity projecting over the left lung base best appreciated on the frontal view which in the correct clinical setting could represent a very early pneumonia versus atelectasis. No large effusion or pneumothorax. No signs of edema or congestion. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 55758735 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with increased seizure frequency // Eval for evidence of PNA COMPARISON: None | Subtle vague opacity at the left lung base could represent a very early pneumonia in the correct clinical setting. |
11392794 | Frontal and lateral views of the chest demonstrate subtle increase in radiodensity in the right upper and lower lobes, since ___, in regions of ground-glass opacity on chest CT from ___. There is no focal consolidation to suggest pneumonia. There is no evidence of pulmonary edema. Cardiomediastinal and hilar contours are normal. There is no pneumothorax. | 59758437 | INDICATION: History of inflammatory bowel disease with new cough, purulent sputum, wheezing, SOB and crackles, assess pneumonia or CHF. COMPARISON: Chest radiographs from ___ through ___. Chest CT ___. | Subtle increased density in the right upper and lower lobes, slightly worse than on ___, in regions of ground-glass opacification on chest CT from ___, a repeat chest CT can be obtained for further evaluation. No definitive evidence of pneumonia or pulmonary edema. |
11392794 | Heart size and mediastinal contours are stable. Diffusely increased opacity of the lungs consistent with the patient's known interstitial disease is stable. No focal consolidation, pleural effusion or pneumothorax. | 58084047 | INDICATION: ___ year old woman with intersitial lung disease, LTB, and prior abnl CXR with increasing cough, SOB, and wheezing // ?PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ and chest CT dated ___ | Stable appearance of the chest with no evidence of pneumonia. |
11392794 | There has been interval placement of a chest tube which ends in the right mid hemithorax whic has resulted in nearly total resolution of the right-sided pneumothorax with some residual pleural air seen in the right apex. Otherwise, lung volumes are low. There is mild vascular congestion but no focal opacities. Cardiomediastinal contour is unremarkable. There is no pleural effusion. | 51045234 | INDICATION: ___-year-old female with pulmonary infiltrates after bronchoscopy and right upper alveolar lavage with a post-bronchoscopy pneumothorax with recent placement of chest tube. Evaluate. COMPARISON: Chest radiograph performed two hours prior to this study as well as multiple prior chest CTs, most recent on ___. TECHNIQUE: Portable upright chest radiograph. | Nearly total resolution of right-sided pneumothorax after placement of a right-sided chest tube which is in appropriate position. Pulmonary vascular congestion. |
11392794 | Frontal and lateral chest radiographs demonstrate an unchanged cardiomediastinal silhouette, with the heart top normal in size. Diffusely increased opacity of the lungs consistent with the patient's known interstitial disease is less apparent and there is no focal opacity, pleural effusion, or pneumothorax. | 59595035 | HISTORY: History of interstitial lung disease and latent tuberculosis, now with increasing cough, shortness of breath, and purulent sputum. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___ and ___. | No evidence of pneumonia. |
11392794 | Frontal and lateral radiographs of the chest show stable biapical pleural thickening. The previously noted mild diffuse increased interstitial lung markings from ___ are not appreciated on today's exam likely due to resolution of mild pulmonary congestion. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. | 55206883 | INDICATION: ___-year-old female with colitis, now with cough and shortness of breath, here to evaluate for pneumonia. COMPARISON: Chest radiographs, last performed on ___. | No acute cardiopulmonary process. Resolution of mildly increased interstitial lung markings from ___ likely due to resolved pulmonary congestion. |
11489167 | Frontal and lateral chest radiographdemonstrates well expanded lungs with mild equalization of blood flow.No pleural effusion or pneumothorax. Mild cardiomegaly is noted. Mediastinum contour and hila are unremarkable. | 51930515 | WET READ: ___ ___ ___ 10:16 AM Mild cephalization of pulmonary blood flow is of uncertain chronicity. If acute it would indicate early cardiac decompensation. WET READ VERSION #1 ___ ___ ___ 12:17 AM Mild vascular congestion. WET READ VERSION #2 ___ ___ ___ 10:11 AM Mild equalization of blood flow is likely chronic in nature however there are no prior studies to assess for interval change. If acute finding this may suggest very early decompensation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Shortness of breath. Assess for acute process. COMPARISON: CT chest ___. | Mild cephalization of pulmonary blood flow is of uncertain chronicity. If acute it would indicate early cardiac decompensation. |
11376162 | A right PICC line in unchanged position terminating in the lower SVC. Lung volumes are lower. A moderate left pleural effusion has increased. There is increased opacity at the right lung base. No pneumothorax. Retrocardiac opacity likely reflects a combination of hiatal hernia an atelectasis. | 57558006 | INDICATION: ___ year old man with hx copd with cough // COUGH, ? pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Right lower lobe opacity could reflect pneumonia in the correct clinical setting. Other considerations include aspiration or atelectasis. |
11376162 | Right-sided PICC terminates in the mid SVC without evidence of pneumothorax. There are trace bilateral pleural effusions with overlying atelectasis. Large retrocardiac opacity most likely represents a hiatal hernia with adjacent atelectasis. The aorta is calcified and tortuous. The cardiac silhouette is top-normal to mildly enlarged. | 54751613 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with R PICC // Eval PICC line TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Right PICC terminates in the mid SVC without definite pneumothorax seen. Small bilateral pleural effusions. Large rounded retrocardiac opacity most likely represents hiatal hernia with adjacent atelectasis. |
11828962 | A right upper extremity PICC has been removed in the interim. There is been improvement in the small left pleural effusion. Linear atelectasis seen in the left midlung. The right lung is essentially clear. There is no focal airspace consolidation or pneumothorax. | 53125132 | HISTORY: Pleural effusion status post decortication. Evaluate for interval changes. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs of ___, ___ and ___. | Slight decrease in small left pleural effusion. |
11828962 | PA and lateral views of the chest. Right PICC ends in the low SVC. Better lung volumes. Previously seen bibasilar atelectasis is resolved. Right upper lobe opacities have decreased, likely representing some residual evidence of aspiration. Mediastinal and hilar contours are normal. No pleural effusion or pneumothorax. The splenic flexure of the colon is air-filled with an air-fluid level. | 59415793 | INDICATION: Aspiration during intubation, cough, evaluate for pneumonia. COMPARISON: Chest radiograph on ___. | Bilateral perihilar and basilar opacities have decreased with some persistent right upper lobe opacities. Small bilateral pleural effusions have decreased. Splenic flexure of the colon is air-filled with an air-fluid level, suggesting stasis, correlate clinically. |
11495089 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59974407 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with 1 month of cough, nausea, vomiting and neck stiffness for 2 days TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11084285 | Cardiomegaly is stable. Patient status post median sternotomy. There are no focal consolidations concerning for pneumonia. No pleural effusion or pneumothorax. Bibasilar atelectasis is stable. | 52956687 | HISTORY: Dyspnea and productive cough. COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
11143944 | Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is top normal in size with otherwise normal mediastinal contours. | 55735838 | HISTORY: Pleuritic chest pain. COMPARISON: ___. | No acute intrathoracic process. |
11143944 | A single portable AP chest radiograph was obtained. Low lung volumes accentuate vascular markings. Despite these limitations, there is no obvious consolidation. No effusion or pneumothorax is present. Cardiac silhouette is exaggerated by AP technique and low lung volumes. Mild increase in heart size cannot be excluded due to differences in technique. | 57267965 | INDICATION: ___-year-old man with chest pain, evaluate for cardiopulmonary process. COMPARISON: ___. | Apparent enlargement of the cardiac silhouette is most likely related to technique. No acute cardiopulmonary process. |
11143944 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 58536488 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of hyperglycemia. COMPARISON: ___. | No acute cardiopulmonary process. |
11639193 | The patient is status post median sternotomy, CABG, and aortic and mitral valve prostheses. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. Moderate cardiomegaly is re- demonstrated. The aorta is tortuous and diffusely calcified. There is mild interstitial pulmonary edema, similar compared to the previous exam. Small bilateral pleural effusions, left greater than right are noted, with interval increase in the amount of pleural fluid on the left. No pneumothorax is demonstrated. Patchy opacity in the retrocardiac region likely reflects atelectasis. Diffuse demineralization of the osseous structures is noted. Several clips are demonstrated within the upper abdomen. | 57624692 | HISTORY: Congestive heart failure, orthopnea, shortness of breath. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion appearing increased in size compared to the prior exam. |
11639193 | The patient is rotated somewhat to the left. Previously seen right-sided PICC is no longer seen. The patient is status post median sternotomy and cardiac valve replacements. There is a small left pleural effusion. Trace right pleural effusion may also be present. There is mild to moderate pulmonary edema. The cardiac silhouette remains enlarged. The aortic knob is calcified. | 51917148 | HISTORY: Shortness of breath. TECHNIQUE: Single AP upright portable view of the chest. COMPARISON: ___. | Enlarged cardiac silhouette, small pleural effusions and pulmonary edema suggest fluid overload possibly due to CHF. |
11562983 | PA and lateral views of the chest demonstrates clear lungs. The cardiac silhouette is normal. No pleural effusion or pneumothorax. | 53840411 | HISTORY: Cough and fever. COMPARISON: ___. | No evidence of pneumonia. Findings discussed with the referring physician at the time of dictation. |
11394517 | Lungs are well-expanded. Compared with prior exam there is interval worsening of vascular congestion, more prominent in the right lung. Mild cardiomegaly is unchanged. The small bilateral pleural effusions are slightly improved from prior. Retrocardiac opacities are stable from prior and likely atelectasis although superimposed infectious process cannot be excluded. The left-sided transvenous pacemaker is redemonstrated with leads ending in appropriate position. | 54859100 | EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old male with chest pain shortness of breath and vomiting. TECHNIQUE: Frontal semi upright chest radiograph COMPARISON: Multiple prior chest radiographs, most recent on ___. | Worsening asymmetric pulmonary vascular congestion, right worse than left, on the background of mild cardiomegaly. Poor aeration of the left lower lung and retrocardiac opacities are likely a combination of atelectasis and pleural effusion. However superimposed infectious/inflammatory process cannot be excluded. |
11394517 | Left pectoral pacemaker leads end in the expected locations of the right atrium and right ventricle. Mild opacity in the right mid lung is new from ___ and may represent developing infection in the appropriate clinical setting. Pulmonary vasculature is within normal limits. Heart size is normal. The aorta appears slightly larger than in ___, which probably due to patient rotation. There is no pneumothorax. Blunting at the left costophrenic sulcus is similar to the prior study. In the left lower lung, a 1.8cm nodular opacity likely representing callus formation at a healing rib fracture. | 52038451 | CLINICAL HISTORY: ___-year-old man with dyspnea, lower extremity edema and crackles. Evaluate for congestive heart failure. COMPARISON: ___ and ___. | Right mid lung opacity may represent early infection. Recommend repeat radiograph after treatment to document resolution. Left lower lung nodule is probably callus formation at a healing rib fracture. Recommend shallow obliques for confirmation. No evidence of congestive heart failure. Discussed with Dr. ___ at 12:07am ___. |
11797455 | The lungs are clear without focal consolidation or edema. There is blunting of the posterior costophrenic angles, potentially small effusions or atelectasis. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. | 53788632 | INDICATION: ___F with cough, fever // pna? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Possible small bilateral pleural effusions. No other signs of acute cardiopulmonary process. |
11891842 | Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are slightly decreased with bibasilar patchy opacities. No pleural effusion or pneumothorax. | 58268764 | HISTORY: ___-year-old female with shortness of breath and wheezing. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Bibasilar patchy opacities may reflect atelectasis in the setting of low lung volumes, but infection is not excluded. |
11891842 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 53122996 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Intravenous drug abuse, cellulitis, on antibiotics but still with fever. Assess for septic emboli. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11123840 | PA and lateral images of the chest. Lungs well expanded. There is mild vascular congestion. There is no pleural effusion or pneumothorax. There is moderate cardiomegaly. | 58068259 | HISTORY: EKG changes. COMPARISON: None. | Moderate cardiomegaly and mild vascular congestion, which could represent acute cardiac decompensation. These findings were communicated to Dr. ___ at 8:39 a.m. on ___ by phone. |
11123840 | Lung volumes are slightly lower compared to the prior radiograph. There is mild pulmonary vascular congestion and enlargement of the central pulmonary vasculature. Moderate cardiomegaly is noted. There is no focal consolidation, pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 51812182 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest pain // eval for ptx or pna TECHNIQUE: Single AP Chest radiograph. COMPARISON: Chest radiograph from ___. | Moderate cardiomegaly and mild pulmonary vascular congestion. |
11649545 | The lungs are clear. There is no pneumothorax. Moderate dextroscoliosis of the thoracic spine is present. The heart and mediastinum are within normal limits. | 58540887 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, shortness/wheeze/not responding to inhalers. // ? infiltrate/pneumothorax/mass TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None available. | Clear lungs. Scoliosis. |
11581156 | The right Port-A-Cath appears intact and ends at the cavoatrial junction. The patient has a neoesophagus. The tip of the right chest tube is in the right hemithorax. Bilateral moderate-to-large pleural effusions, with apparent interval re-accumulation of pleural fluid on the right and interval improvement on the left. Cardiomegaly. No pneumothorax. | 51351158 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with esophageal cancer, s/p R pleurodesis ___; evaluate for interval change. COMPARISON: Chest radiograph dated ___. | Progression of right pleural effusion. Improvement of left pleural effusion. |
11581156 | PA and lateral views of the chest were obtained. Since the prior study, there has been interval removal of a right pleural tube. There is no evidence of pneumothorax. The neoesophagus is seen projecting over the right hemithorax with an air-fluid level. There is no evidence of focal consolidation, pleural effusion or pulmonary edema. Residual barium is seen within the neoesophagus and also in bowel below the level of the diaphragm. The cardiomediastinal silhouette is unremarkable. | 53660817 | INDICATION: ___-year-old man status post laparoscopic esophagogastrectomy. Rule out pneumothorax post chest tube removal. COMPARISON: Comparison is made to radiograph of the chest from ___. | Interval removal of right pleural tube with no residual pneumothorax. Stable post-operative changes. No acute cardiopulmonary disease. |
11581156 | The patient is status post esophagectomy and gastric pull-through accounting for the widened right mediastinal contour. Heart size is difficult to assess but likely remains at least mildly enlarged. A moderate sized pleural effusion has increased in size compared to the previous chest radiograph. Pulmonary vasculature is not engorged. Left basilar opacification likely reflects compressive atelectasis but infection is not excluded. New focal patchy opacity is demonstrated within the medial left upper lobe. No pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. | 56913611 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea on exertion, chest pain TECHNIQUE: Chest PA and lateral COMPARISON: PET-CT ___ and chest radiograph ___ | Increased size of left pleural effusion, now moderate in size. Left basilar opacification likely reflects compressive atelectasis but infection is not excluded. New focal patchy opacity in the medial aspect of the left upper lobe is concerning for infection. |
11200617 | Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. | 57722130 | HISTORY: DKA and leukocytosis. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: ___. | Normal chest radiograph, specifically no evidence of pneumonia. |
11200617 | Single AP upright portable view of the chest was obtained. There is subtle left base streaky opacity which may be due to atelectasis. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. | 51957875 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with lactate of 5.0 // Assess for infection TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Subtle left basilar streaky opacity may be due to atelectasis, however, an early infectious process is difficult to entirely excluded in the appropriate clinical setting. Suggest dedicated PA and lateral views for better evaluation when/if patient able. |
11749725 | Mild to moderate cardiomegaly is unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine. | 56154612 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with complaints of chest pain and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11460900 | The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 52423397 | EXAMINATION: Chest radiographs. INDICATION: History: ___M with history of chest pain. // acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11258541 | Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax identified. Subsegmental atelectasis is demonstrated within the right middle lobe and likely both lower lobes. There is no acute osseous abnormality. Mild degenerative changes are noted in the mid thoracic spine. | 50886464 | HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No radiographic evidence for pneumonia. |
Subsets and Splits