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11258541 | AP upright and lateral views of the chest provided demonstrate linear densities in the lower lungs, most compatible with linear plate-like atelectasis. No large consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contours are normal. The imaged bony structures are intact. | 57015260 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison with prior exam from ___. CLINICAL HISTORY: ___-year-old man with DM, hypoglycemia, chest pain, assess for pneumonia or edema. | Mild bibasilar plate-like atelectasis. No signs of pneumonia or CHF. |
11258541 | Heart size is normal. Mediastinal hilar contours are normal. The pulmonary vasculature is normal. Subsegmental atelectasis is noted within the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. | 57618963 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Fall. TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11258541 | Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There is mild elevation of the right hemidiaphragm which is chronic with adjacent subsegmental atelectasis in the right middle lobe. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54096381 | HISTORY: Diabetic ketoacidosis. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No radiographic evidence for pneumonia. |
11199001 | Frontal and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are within normal limits. Lungs are clear without focal areas of consolidation. There is no pleural effusion and no pneumothorax. | 50283637 | INDICATION: History of NSTEMI status post PCI with stents, presenting with chest pain, now resolved. Evaluate for effusion or consolidation. COMPARISON: ___. | No acute cardiopulmonary process. |
11199001 | PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, pneumothorax. Bony structures are intact. Heart and mediastinal contours are normal. No free air below the right hemidiaphragm. | 58190919 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, question cardiomegaly or pneumonia. | No acute intrathoracic process. |
11468164 | 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. | 53925294 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with memory difficulty, extremity weakness TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11553863 | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Again seen are increased interstitial markings within the right lung, consistent with an interstitial pneumonia, improved compared to the prior exam. Paucity of lung markings of the lung apices is consistent with emphysema. Cuffed dilated airways in the upper lobes bilaterally, more so on the right, are consistent with bronchiectasis. The upper abdomen is unremarkable. No acute osseous abnormality is detected. | 51168883 | INDICATION: ___M with fever, recent dx of pna // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT abdomen pelvis ___. | Chronic lung disease. Slightly increased interstitial markings seen on the recent prior are not as well appreciated on the current examination. |
11553863 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Irregularity and attenuation of lung markings in the upper lungs is consistent with a emphysema. There are also cuffed dilated airways in each upper lung, more so on the right than left. Although vague there is widespread increased density in the right mid to upper lung compared to the left suggesting pneumonia with an predominantly interstitial pattern. | 53604945 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever, cough and malaise. COMPARISON: None. TECHNIQUE: Chest, PA and lateral. | Findings suggesting pneumonia superimposed on chronic lung disease suspected to include both emphysema and bronchiectasis. |
11597448 | The lungs are hyperinflated with no focal consolidation to suggest pneumonia. Heart size is normal and there is no pleural effusion or pneumothorax. The osseous structures are diffusely osteopenic and there is mild rightward curvature of the lower thoracic spine. Chronic left lateral rib deformities are likely chronic. | 52233756 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left hip fracture. Preoperative radiograph. TECHNIQUE: AP supine abdominal radiograph COMPARISON: None | Generalized osteopenia and hyperinflated lungs, but no acute cardiopulmonary process. |
11856051 | PA and lateral views of the chest were provided.Unusual contour of the cardiomediastinal silhouette is compatible with known history of transposition of the great vessels. Dual-lead pacer projects over the right chest wall. Abandoned pacer leads project over the left chest wall and left upper abdomen. The lungs are clear without signs of pneumonia or CHF. No effusion or pneumothorax. Subtle sternal closure device is noted. Bony structures are intact. | 57380338 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess pneumonia. | Abnormal contour of the cardiomediastinal silhouette is secondary to known transposition of the great vessels. No signs of pneumonia or CHF. |
11838858 | 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. | 59153477 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11838858 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Right basilar atelectasis is noted. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | 51582038 | INDICATION: ___-year-old male with right flank pain. Evaluate for acute process or infection. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11865611 | Frontal and lateral views of the chest demonstrate the lungs are well expanded and clear. No evidence of pneumothorax, pleural effusion, pulmonary edema, or pneumonia is present. The heart is moderately enlarged and the aorta is heavily calcified throughout its intrathoracic course, including the ascending aorta. There is also calcification of the coronary vessels. | 59185508 | HISTORY: ___-year-old man with nausea and vomiting. Evaluation for pneumonia. COMPARISON: None available. | No evidence of pneumonia. |
11278447 | PA and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Mild cardiomegaly is stable. | 54270075 | WET READ: ___ ___ ___ 9:04 PM No evidence of pneumonia. WET READ VERSION #1 ___ ___ ___ 5:22 PM No evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever // PNA? COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. No pneumonia. |
11221345 | AP upright chest radiograph was obtained. Pleural thickening and atelectasis at the right lung base is better assessed on the prior CT abdomen and pelvis. There are calcified granulomas scattered throughout both lungs. No large pleural effusion is seen. There is a prominent right epicardial fat pad which obscures the right heart border better seen on prior CT. Heart size is grossly within normal limits though better assessed on the outside hospital CT. Mediastinal contour likely reflects vascular ectasia. Bony structures appear intact. | 53987446 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: COPD, dropping O2 saturation, assess for acute intrathoracic process. Comparison is made with a CT abdomen and pelvis from earlier today at an OSH. | Right basilar atelectasis and pleural thickening. Calcified granulomas. No definite acute intrathoracic process. |
11896955 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is mild pulmonary vascular congestion. The heart is normal in size, and the mediastinal contours are normal. | 55970853 | INDICATION: ___-year-old male with sepsis, atrial fibrillation with rapid ventricular response. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral radiographs were obtained. COMPARISON: None. | Mild pulmonary vascular congestion. |
11465141 | The right internal jugular central venous line has been placed. There is no pneumothorax or evidence of mediastinal widening. The tip is at the distal SVC. Redemonstrated is bilateral pleural effusions, unchanged. The left upper lobe obstructive mass with left upper lobe collapse is again seen. Asymmetrical right-sided pulmonary edema is unchanged. Cardiomediastinal hilar contours are unchanged. | 52691079 | HISTORY: Lung cancer, pleural effusions, right internal jugular central venous catheter placement. COMPARISON: ___ at ___. | Interval placement of right internal jugular vein central venous catheter with tip at the distal SVC. Otherwise unchanged compared the study done 46 minutes earlier. |
11465141 | The cardiomediastinal and hilar contours are stable. Previously seen right apical pneumothorax has completely resolved. A right basal pleural catheter is in place, with a relatively stable large right pleural effusion. Small to moderate left pleural effusion is also unchanged. Asymmetric pulmonary edema in the right lung is unchanged. Known left upper lobe mass with post-obstructive collapse re-demonstrated. Stable sclerotic changes are seen in the T3 vertebral body. | 56348580 | INDICATION: ___-year-old woman with pleural effusions. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST | No significant interval change in the large right and a moderate sized left pleural effusion. Asymmetric right-sided pulmonary edema is similar. |
11465141 | An endotracheal tube ends between thoracic inlet and the carina in appropriate position. A new enteric tube projects with its tip over the stomach. Bilateral pleural effusions are unchanged. Right internal jugular central venous line ends in the distal SVC, unchanged. No pneumothorax. Cardiomediastinal and hilar contours are unchanged. Left upper lobe mass is unchanged. Asymmetric pulmonary edema worse on the right is unchanged. | 50909811 | HISTORY: Lung cancer, pleural effusions, new endotracheal tube and OG tube. COMPARISON: ___ at 14:47. | ET tube in appropriate position. An enteric tube ends with its tip in the stomach. Otherwise unchanged. |
11465141 | Right pleural drainage catheter is in place. The cardiomediastinal and hilar contours are stable. A small right pleural effusion is smaller compared to prior study. Asymmetric pulmonary edema, worse on the right is not changed. A moderate left pleural effusion is slighter larger. The known left upper lobe mass with postobstructive left upper lobe collapse is re- demonstrated without significant change. No pneumothorax. | 52074080 | HISTORY: Lung cancer, pleural effusions. COMPARISON: Chest radiographs on ___, ___, and ___. | Slight decrease in small right pleural effusion. Slight increase in moderate left pleural effusion. Unchanged left upper lobe/left upper mediastinal mass. Asymmetric right-sided pulmonary edema is unchanged. |
11465141 | There has been interval placement of a right-sided Pleurx catheter and while the pleural effusion on that side is essentially drained, there is a small-to-moderate pneumothorax now present. There is no flattening of the hemidiaphragms or mediastinal shift to suggest tension. The left-sided pleural effusion has increased, now moderate to large in size with underlying atelectasis. Additionally a large hiatal hernia is present. The aerated portions of lung show little change from prior exam. Severe degenerative changes are present at both glenohumeral joints. | 50829236 | HISTORY: ___-year-old female with bilateral pleural effusions and recent right-sided PleurX catheter placement. STUDY: Portable AP upright chest radiograph. COMPARISON: ___ at 14:26. | Right-sided pneumothorax without evidence of tension; improvement of right, but increase in left, pleural effusions after right PleurX catheter placement. |
11465141 | As compared to the previous radiograph, right chest tube is in unchanged position. The right pneumothorax is slightly larger with no evidence of tension. The right pleural effusion is also somewhat larger compared to the prior. No change in elevation of the left hemidiaphragm. Stable appearance of cardiomediastinal silhouette. | 59831821 | HISTORY: Pleurex catheter placement, apical pneumothorax, trapped lung. Evaluate for change. COMPARISON: ___. | Slight increase in size of small right pneumothorax with no evidence of tension. Increase in size of right pleural effusion. Findings discussed with Dr ___ by Dr ___ at 13:40 on ___ via phone, ___ min after discovery. |
11848786 | There is a tortuous and prominent thoracic aorta, possibly dilated. Otherwise, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 56710891 | INDICATION: ___F with poor air movement, evaluate for acute process, pneumonia. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None. | No acute cardiopulmonary process. Possible dilation of the ascending thoracic aorta. Recommend CT Chest. |
11904362 | PA and lateral views of the chest provided. A linear density in the left lateral mid lung may represent plate-like atelectasis. Known pulmonary nodules seen on prior CT are poorly visualized. The heart size appears within normal limits. Mediastinal contour is normal. There is blunting of the left CP angle concerning for effusion. No pneumothorax. Bony structures are intact. | 51967483 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CT from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Dyspnea, question acute intrathoracic process. | Small left pleural effusion and left mid lung plate-like atelectasis. Known nodular opacities on prior CT are poorly visualized on radiograph. |
11414573 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. | 57565665 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a chest radiograph from ___ as well as a CT torso from ___. CLINICAL HISTORY: Chest pressure, assess for pneumonia. | No signs of pneumonia. |
11225197 | Heart size is normal with mild unfolding of the thoracic aorta. The mediastinal and hilar contours are unremarkable. Indistinct, primarily peribronchovascular opacity at the right lung base is re- demonstrated, but with slightly changed morphology. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. | 55957000 | WET READ: ___ ___ 2:56 PM Indistinct, primarily peribronchovascular opacity of the right lung base raises concern for aspiration or pneumonia. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Shortness of breath TECHNIQUE: Single frontal chest radiograph. COMPARISON: ___ | Indistinct, primarily peribronchovascular opacity of the right lung base raises concern for aspiration or pneumonia. |
11225197 | The cardiomediastinal and hilar contours are normal. Patchy opacification at the right lung base is concerning for aspiration. There is no pleural effusion or pneumothorax. No pulmonary edema is present. | 50317149 | INDICATION: ___-year-old male with vomiting and tachycardia. COMPARISON: ___. PORTABLE AP CHEST | Patchy opacification at the right lung base is concerning for aspiration. |
11225197 | The patient had been intubated. The endotracheal tube terminates approximately 7 cm above the carina near the thoracic inlet. An orogastric tube terminates in the stomach. The cardiac, mediastinal and hilar contours appear within normal range. The lungs are clear. There is no pleural effusion or pneumothorax. | 51052449 | WET READ: ___ ___ ___ 2:37 PM No acute disease. ET tube at thoracic inlet; advancing somewhat could be considered. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH HISTORY: Status post intubation. COMPARISONS: Prior chest radiographs are not available at this time. TECHNIQUE: Chest, AP supine portable. | Endotracheal tube terminating at the thoracic inlet. If clinically indicated, advancing the tube by 2-3 cm may be appropriate for more optimal positioning. No evidence of acute disease. |
11503474 | No significant interval change since ___. Lung volumes remain low. Left lower lung retrocardiac opacity is likely atelectasis and small left effusion. Central pulmonary vascular congestion and mild central edema is unchanged. Oblique right mid lung opacities most likely atelectasis. No pneumothorax. Heart size enlarged, unchanged. Convexity of the left mediastinum may reflect tortuosity of the descending aorta or enlargement of the pulmonary artery. | 55143917 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with tachypnea in the ICU // interval change TECHNIQUE: Portable, semi upright frontal radiograph view of the chest. COMPARISON: Chest radiograph exam is dated ___ and ___. . | Increased left lower lobe opacity could reflect increased atelectasis and small left effusion. Of the left mediastinum may reflect Increased convexity of the left mediastinum were reflect an enlarged pulmonary artery or descending aorta. Recommend Chest CT non-emergently to further evaluate. |
11503474 | Again seen is marked distension of the colon. The dobhoff tube is in the stomach. Lung volumes are low and there is volume loss at the bases | 51534045 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with nonspecific protein calorie malnutrition, s/p dobhoff placement for enteric tube feeds // Confirm dobhoff placement. TECHNIQUE: Chest PA and lateral COMPARISON: CT FROM ___ | dobhoff tube in the stomach |
11452869 | Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG with some broken sternal wire seen, superiorly. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal to mildly enlarged. There may be minimal pulmonary vascular congestion without overt pulmonary edema. The aorta is calcified and tortuous. | 53601632 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain, severe AS. COMPARISON: None. | Possible minimal pulmonary vascular congestion without overt pulmonary edema. Mild enlargement of the cardiac silhouette. |
11665789 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 55114734 | INDICATION: Cough and shortness of breath. Evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. |
11935224 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. | 53528657 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough and fever // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of pneumonia. |
11938332 | The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 51065532 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and chemotherapy. TECHNIQUE: Chest, PA and lateral. COMPARISON: PET-CT from ___. | No evidence of acute cardiopulmonary disease. |
11938332 | Previous right PICC has been removed. Previous small right pleural effusion has resolved. No new focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is minimal, if any. | 59863681 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with fever. Evaluate for infection. TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiograph of ___, ___, and ___. | No focal consolidation concerning for pneumonia. |
11938332 | 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. | 51800554 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of ileal Crohns s/p ileocecotomy ww/indeterminate quantiferon gold. // Indeterminate quantiferon gold, starting Humira for ileal Crohns. TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11938332 | Small right pleural effusion with associated atelectasis in right lower lobe. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Right PICC with tip in the mid SVC. Interval removal of NG tube. | 56762037 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p pelvic exenteration, colostomy and urostomy placement, with recurrent fevers. // ? pneumonia TECHNIQUE: Chest: PA Frontal and Lateral COMPARISON: Chest radiograph ___. | Right PICC in mid SVC. Right pleural effusion with right base atelectasis |
11938332 | PA and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. | 51657043 | INDICATION: History: ___F with cough and sputum // ?PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | No acute cardiopulmonary process. |
11599852 | PA and lateral views of the chest provided. The lungs are hyperinflated. Several calcified granulomas are noted in the left hemithorax, unchanged since prior study. Heart size is top normal. There is severe scoliosis. Multiple right-sided old rib fractures are again seen. | 51839764 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with mild worsening of COPD, former smoker. // r/o changes in lungst oexplain her increased sx. COMPARISON: Chest radiograph from ___. | Hyperinflated lungs. Otherwise, compared to prior study, there has been no significant change. |
11599852 | Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Severe upper lobe predominant emphysema is again noted along with lung hyperinflation. No focal consolidation, pleural effusion or pneumothorax is present. Remote right-sided rib fractures are again seen along with a chronic fracture of the right proximal humerus. | 51145217 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Severe emphysema. No acute cardiopulmonary abnormality. |
11599852 | Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Atherosclerotic calcifications are diffusely noted within the thoracic aorta. The lungs remain hyperinflated with marked emphysematous changes again noted at the upper lobes. No focal consolidation, pleural effusion or pneumothorax is present. Diffuse demineralization of the osseous structures is present without displaced fracture. Deformity of the right proximal humerus is compatible with a remote fracture. | 56387207 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with loss of consciousness TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. Severe emphysema. |
11599852 | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are overinflated with splaying of interstitial markings and flattened hemidiaphragms, consistent with emphysema. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Healed rib fractures of right posterolateral ribs 5 through 7 are noted. The upper abdomen is unremarkable. | 55238215 | INDICATION: Vomiting and abdominal distention. TECHNIQUE: Frontal and lateral views of the chest were obtained. COMPARISON: Chest radiograph ___, ___. | No focal consolidation concerning for pneumonia. Emphysematous changes re-demonstrated. |
11599852 | The lungs remain hyperinflated, with flattening of the diaphragms and lucency at the lung apices consistent with chronic obstructive pulmonary disease, pulmonary emphysema. No definite focal consolidation is seen. The cardiac silhouette is top-normal. The aorta is calcified. There may be minimal pulmonary vascular congestion. Remote right-sided rib fractures are re- demonstrated. | 57875422 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP radiating to back, +trop // evaluate for acute process, specifically evaluate aorta TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Severe pulmonary emphysema/ COPD. Equivocal minimal pulmonary vascular congestion. |
11599852 | PA and lateral radiographs of the chest demonstrate hyperinflation of the lungs and flattening of the diaphragms consistent with emphysema, unchanged from the prior study. The lungs show no pleural effusion, focal consolidation or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from ___. The aortic arch is partially calcified and the thoracic aorta is mildly unfolded. The pulmonary vasculature is not engorged. | 56579945 | INDICATION: ___-year-old female with intermittent chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiographs, last performed on ___. | No acute cardiopulmonary process. Emphysema. |
11666278 | Lung volumes are low. Mediastinal contours, elevated, distorted left hilus, and cardiac silhouette are stable from ___. Calcified pleural plaque adjacent the aortic arch again noted. No pneumothorax or pleural effusion. Elevation of the left hemidiaphragm and left chest wall thoracotomy is stable from ___. | 55746819 | WET READ: ___ ___ 5:33 AM No acute abnormality within the limits of plain radiography. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with epigastric pain // evaluate for ACS TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute abnormality within the limits of plain radiography. |
11549602 | A small residual loculated air collection may be present at the left base at the site of chest tube removal. A more vertically oriented lucent line at the left base is more likely to represent a skinfold rather than a large pneumothorax. Consolidation and small effusion at the right base are unchanged. A right internal jugular catheter remains at the cavoatrial junction. An endotracheal tube remains in the upper airway. Nasogastric tube remains in the stomach. Thoracic spinal fusion and spacer hardware is stable. | 57530172 | INDICATION: ___-year-old man with spinal osteomyelitis and epidural abscess as well as chest tube removal. COMPARISON: ___ to ___. | No large left pneumothorax status post chest tube removal. There may be a small loculated air collection at the chest tube site. |
11549602 | Again seen are right internal jugular catheter, endotracheal and nasogastric tubes, and left PICC in standard position. Right lower lobe consolidation persists. There are unchanged moderate right and small left pleural effusions. Deep sulcus sign again noted on the left, and a small basilar pneumothorax cannot be excluded. There is no apical pneumothorax. Moderate cardiomegaly and central venous congestion are unchanged. Multiple mildly displaced right lateral rib fractures are present. There is fixation hardware in the spine. | 53705833 | INDICATION: ___-year-old male with epidural abscess post-spinal fusion, sudden tachypnea. COMPARISON: ___ at 9:04. CHEST, | Stable appearance of chest, with right lower lobe pneumonia and bilateral pleural effusions. |
11549602 | New left-sided pacemaker has three leads one in the right atrium, the other one in the right ventricle and the last one going into the sinus coronary into one of the epicardial vein. There is no pneumothorax or pleural effusion after the procedure. The aorta is tortuous. The cardiac contour is mildly enlarged. Right diaphragm is chronically elevated with accompanying basilar atelectasis. | 59042045 | WET READ: ___ ___ ___ 6:59 PM No pneumothorax. Leads appear to be appropriately positioned. Right lower lobe atelectasis. Possible small right pleural effusion. No airspace consolidation. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with pacemaker implant. Rule out pneumothorax. COMPARISON: ___ to ___. | There is no pneumothorax or pleural effusion after pacemaker placement. |
11549602 | An endotracheal tube ends at the level of the clavicles. An enteric catheter extends inferiorly off of the field of view. Right-sided internal jugular line ends at the cavoatrial junction. Two left-sided chest tubes are in unchanged position. A small right effusion is unchanged. Right basilar consolidation is also similar. No pneumothorax is present. Right-sided rib fractures and thoracic spine fusion and spacer hardware are unchanged. | 50164546 | WET READ: ___ ___ ___ 9:23 PM Unchanged right basal consolidation and effusion with left basal chest tube without evidnece of pneumothorax. Rib fx and Tspine hardware as before ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with esophageal tear after vomiting. COMPARISON: ___ to ___. | Stable right basal consolidation and small effusion. |
11549602 | Endotracheal and nasogastric tubes have been removed. Right internal jugular catheter terminates at the cavoatrial junction. Left PICC ends in the mid SVC. Again seen are right lower lobe consolidative opacities and a moderate right pleural effusion. Left lower lobe atelectasis has increased. There is mild central venous congestion and interstitial edema. Mild cardiomegaly is unchanged. There are thoracotomy defects in the lateral right seventh and eighth ribs. Fusion hardware is noted in the mid thoracic spine. | 50511741 | INDICATION: ___-year-old male with thoracic spine osteomyelitis and epidural abscess. COMPARISON: ___. CHEST, | Right lower lobe pneumonia and effusion. ETT and NGT removal, with increased left lower lobe atelectasis. Mild pulmonary edema. |
11549602 | A small right effusion and right basilar consolidation are unchanged. Left chest tubes remain in the pleural space. Right internal jugular line remains at the cavoatrial junction. Endotracheal tube is at the mid clavicular heads. Orogastric tube is in the stomach. Right rib fractures and thoracic spine hardware are unchanged. | 55790992 | INDICATION: ___-year-old man with thoracic spine osteomyelitis and epidural abscess. Evaluate for interval change. COMPARISONS: ___ to ___. | Stable appearance of small right effusion and right basilar consolidation. |
11549602 | Since the most recent prior radiograph, there has been increase in moderate pleural effusions, in particulary on the left. Fluid within the right minor fissure is unchanged. There is no focal consolidation or pneumothorax. Cardiomediastinal silhouette is unchanged and there is elongation of the aorta. There is stable compression of thoracic vertebral body. | 50014691 | FINAL ADDENDUM ADDENDUM: Upon special request, review of a radiograph from ___ was performed. There is a left PICC line with the tip unchanged in position and in the upper one-third of the SVC. There is no significant change from prior radiograph. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with pleural effusion, evaluate. COMPARISONS: PA and lateral chest radiograph from ___, CT chest from ___. | Interval increase in moderate pleural effusions, particulary on the left. |
11549602 | The lung volumes are low. The cardiac, mediastinal, and hilar contours appear unchanged including borderline cardiomegaly and moderate unfolding of the descending thoracic aorta. There are persistent moderate pleural effusions with basilar opacities that can probably be attributed to atelectasis, although these are not specific. Exaggerated kyphosis is associated with lower thoracic wedge compression deformities associated with partial collapse of vertebral bodies associated with a recent episode of spinal infection. | 51424497 | CHEST RADIOGRAPHS HISTORY: Anasarca. COMPARISONS: Recent prior study from ___. TECHNIQUE: Chest, PA and lateral. | Stable appearance of the chest including moderate bilateral pleural effusions. Partial collapse of two lower thoracic vertebral bodies associated with a recent episode of diskitis-osteomyelitis. |
11549602 | Right internal jugular catheter terminates in the lower SVC. Endotracheal tube terminates 4.5 cm above the carina. A nasogastric tube courses into the stomach. Thoracostomy tube at the left lung base. Right lower lobe confluent opacities and moderate effusion are unchanged. The left lung is clear. There is no pneumothorax. Mild central venous congestion. Heart size is top normal. Fusion hardware is noted in the lower thoracic spine. | 55936671 | INDICATION: ___-year-old male with thoracic spine osteomyelitis and epidural abscess. COMPARISON: ___ at 5:05. CHEST, AP | Persistent right lower lobe consolidation and parapneumonic effusion. |
11549602 | A left pneumothorax, suggested by the deep sulcus sign on recent chest radiograph, is not convincingly shown on this AP upright projection. Endotracheal tube remains at the level of the clavicular heads. Right sided internal jugular catheter tip terminates in the low SVC. Bibasilar atelectasis and small right effusion are unchanged. Posterior spinal fusion rods are new. | 51113748 | INDICATION: ___-year-old man with prior pneumothorax. COMPARISON: 8:30 a.m. | No left pneumothorax is convincingly demonstrated. |
11549602 | A single portable supine chest radiograph is obtained. A left deep sulcus sign is again seen. No apical pneumothorax is visualized. Right lower and middle lobe atelectasis is unchanged. There are no fractures of the posterior left lateral spinal fusion hardware and intervertebral and vertebral disc spacers. Endotracheal tube terminates in appropriate position. A left-sided PICC line tip is difficult to visualize. A right-sided internal jugular line tip is also not seen. Left posterior rib fractures are partially visualized. | 53845667 | INDICATION: Vertebral osteomyelitis status post fusion. COMPARISON: ___ to ___. | Redemonstration of a left deep sulcus sign on this supine portable radiograph. Although no pneumothorax was clearly seen on the patient's upright film this finding remains suspicious for a small anterior pneumothorax. |
11549602 | The left PICC terminates in the mid SVC. Bibasilar atelectasis and elevation of the right hemidiagraphm is unchanged. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Deformities of the lower thoracic vertebrae are consistent with known diskitis/osteomyelitis. | 55883345 | INDICATION: Assessment of PICC location. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: CT-Chest on ___. Multiple prior chest radiographs, most recently on ___. | Left PICC terminates in the mid SVC. Findings were discussed with Dr. ___ at 11:20 p.m. on ___. |
11360891 | Endotracheal tube is seen, terminating approximately 6 cm above the level the carina. Patient is status post median sternotomy and CABG. Left-sided single lead AICD is seen with lead extending to the expected position of the right ventricle. The cardiac silhouette is enlarged. Perihilar airspace opacities are concerning for pulmonary edema however, underlying pulmonary hemorrhage or infection is not excluded in the appropriate clinical setting. The left hemidiaphragm is obscured which may be due to underlying atelectasis or pleural fluid. No pneumothorax is seen. | 57249262 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with ARDS, intubated // Eval for ETT placement TECHNIQUE: Single frontal view of the chest COMPARISON: None | Endotracheal tube in appropriate position. Enlarged cardiac silhouette with bilateral perihilar opacities concerning for pulmonary edema, underlying pulmonary hemorrhage or infection not excluded in the appropriate clinical setting. Difficult to exclude pleural effusion particularly on the left. |
11360891 | Right IJ central line terminates in mid to lower SVC. Sternotomy wires intact and aligned. The ET tube ends just below the clavicles. Left-sided AICD in place. There is no pneumothorax. Stable retrocardiac airspace opacification may be due to atelectasis or infection. Moderate cardiomegaly despite the projection is stable. Old right rib fractures are unchanged. | 54799805 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with influenza pna, intubated // Assess for interval change TECHNIQUE: AP radiograph of the chest. COMPARISON: ___. | No appreciable interval change in retrocardiac airspace opacification, which may be due to atelectasis or infection. Stable moderate cardiomegaly. |
11360891 | Left pectoral ICD with right atrial lead following its expected course and right ventricular lead oriented superiorly with proximal electrode spanning the SVC. Flattening of the hemidiaphragms suggests hyperinflation. Stable, moderate cardiomegaly. Stable widening of the mediastinum. Clear lungs. No pneumothorax or hemothorax. No appreciable pericardial effusion, but would not expect chest radiograph to detect a pericardial effusion. | 55582824 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of CHF status post ICD upgrade with attempted coronary sinus lead placement. Evaluate for pneumothorax and pericardial effusion. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recent from ___. | No pneumothorax. No appreciable pericardial effusion, but would not expect chest radiograph to detect a pericardial effusion. Mildly hyperinflated lungs. |
11360891 | Since the prior study, there has been interval placement of a right internal jugular central venous catheter, which terminates in the mid SVC. Additionally, a new orogastric tube has been placed, which is not well seen below the level of the midesophagus. Otherwise, the endotracheal tube is unchanged, and in appropriate position. The appearance of the chest is otherwise stable since the prior study, with persistent perihilar airspace opacities and obscuration of the left hemidiaphragm. There is no pneumothorax. Cardiac enlargement is stable. | 56652229 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with new right IJ and OGT // Eval new right IJ and OGT TECHNIQUE: Single upright portable view of the chest. COMPARISON: Comparison is made to chest radiograph from 1 hr prior. | Orogastric tube is not well visualized below the level of the mid esophagus. Right IJ line in appropriate position. Otherwise, no significant change in appearance since the prior study from 1 hr ago. |
11373077 | The heart size is top normal. The hilar and mediastinal contours are within normal limits and unchanged since ___. Again seen is pulmonary vascular prominence but no overt edema. There is no focal consolidation, pneumothorax, or pleural effusion. | 54973873 | INDICATION: Fevers. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
11373077 | Since the prior exam, there is new elevation of the right hemidiaphragm with associated volume loss in the right lower and mid lung zone. A component of a subpulmonic effusion with associated consolidation cannot be completely excluded. The right apex is clear. The left lung is clear. There is no left pleural effusion. There is no pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged, and stable from the prior exam. | 54868578 | INDICATION: Cough. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | New volume loss in the right middle and lower lung with associated elevation of the hemidiaphragm. A component of subpulmonic effusion and/or consolidation cannot be completely excluded. |
11373077 | Frontal and lateral chest radiographs demonstrate mild pulmonary edema. Linear atelectasis is seen within the left lower lung. There is no new effusion or pneumothorax. An inferiorly placed central venous catheter tip is noted at the cavoatrial junction. The mediastinal contours are notable for slight prominence of the right paratracheal stripe consistent with patient's known mediastinal lymphadenopathy. The right main pulmonary artery appears enlarged, consistent with pulmonary hypertension. | 55996729 | CLINICAL HISTORY: ___-year-old male with right-sided chest pain and shortness of breath. COMPARISONS: Multiple priors including chest x-ray ___, CT chest ___. | Mild pulmonary edema. Mediastinal lymphadenopathy, and pulmonary arterial enlargement, better seen on previous CT. Inferiorly placed central venous catheter with distal tip projecting over the cavoatrial junction. |
11373077 | There is diffuse heterogeneous opacity within the bilateral lower lobes, which has improved from the prior study. Heart size is top normal and unchanged. There is bilateral fullness within the hila, as well as convexity of the azygoesophageal recess likely reflecting the patient's known lymphadenopathy. There is no pneumothorax or pleural effusion. | 58738746 | INDICATION: Fever and patient with HIV. COMPARISON: Chest radiograph from ___ and CT chest from ___. PA AND LATERAL VIEWS OF THE | Bibasilar heterogeneous opacities, left worse than right, are concerning for pneumonia given the patient's clinical history. There is interval improvement from the prior chest radiograph. |
11373077 | Lung volumes are low. Hemodialysis catheter from an inferior approach terminates within the right atrium. Moderate enlargement of the cardiac silhouette is similar compared to the previous exam. Elevation of the right hemidiaphragm persists with adjacent atelectasis in the right lung base noted. There is mild pulmonary vascular congestion. Probable trace right pleural effusion is also likely present. No pneumothorax is identified. No acute osseous abnormality is seen. | 55899891 | INDICATION: Fevers and hypotension. COMPARISON: ___. TECHNIQUE: Supine AP view of the chest. | Pulmonary vascular congestion. Continued elevation of the right hemidiaphragm with adjacent right basilar atelectasis. Small right pleural effusion. |
11373077 | The cardiac silhouette size remains mildly enlarged. The mediastinal contours are unremarkable. Mild pulmonary vascular congestion appears improved compared to the previous exam. Elevation of the right hemidiaphragm is again demonstrated with linear opacities within the right base compatible with subsegmental atelectasis. Minimal streaky opacity in the retrocardiac region also is compatible with atelectasis, and overall the aeration of the lung bases is improved compared to the previous exam. No pleural effusion or pneumothorax is present. There are multiple clips within the left axillary region. No acute osseous abnormalities are demonstrated. | 52920492 | HISTORY: Altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Bibasilar atelectasis, improved compared to previous exam, with interval improvement in degree of mild pulmonary vascular congestion. Chronic elevation of the right hemidiaphragm. |
11461300 | Diffusely increased heterogeneous opacities bilateral lung or on the right than left likely represent mild pulmonary edema superimposed on background interstitial lung disease. SMALL BILATERAL pleural effusion. Cardiac silhouette mildly enlarged, similar to before. | 58147287 | INDICATION: History: ___F with xfer from ___ for CHF exacerbation now s/p diuresis and CPAP // eval ? worsening CHF, infiltrate TECHNIQUE: Chest frontal view COMPARISON: Chest radiograph ___ | Mild pulmonary edema superimposed on background interstitial lung disease. |
11461300 | Compared to the prior chest radiograph there has been slight improvement in the degree of aeration of the bilateral lungs, likely reflecting resolving pulmonary edema. There are reticular opacities with cystic change seen peripherally bilaterally consistent with the patient's known interstitial lung disease. The cardiomediastinal contour is unchanged compared to the prior study. No pneumothorax seen. | 59073093 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CHF exacerbation and ILD // interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: CT chest ___, chest radiograph ___. | Interval improvement in the aeration of the bilateral lungs likely reflecting improving pulmonary edema. There are background changes of interstitial lung disease. |
11461300 | PA and lateral views of the chest were provided. Lung volumes are low with chronic interstitial opacity likely reflective of chronic interstitial lung disease with evidence of mild interval progression. Correlation with high-resolution chest CT may be helpful to further assess. The possibility of a superimposed atypical pneumonia is impossible to exclude given the underlying interstitial opacities. No large effusion or pneumothorax is seen. The heart and mediastinal contour appear overall stable. The bony structures are intact. No free air is seen below the right hemidiaphragm. | 59948950 | HISTORY: ___-year-old female with shortness of breath. COMPARISON: Prior study dated ___. | Progression of interstitial opacities compatible with chronic fibrosis. Consider high-resolution chest CT to further assess. Please note, due to the presence of interstitial opacity the possibility of an atypical superimposed pneumonia is impossible to exclude. |
11461300 | Frontal and lateral views of the chest. Low lung volumes are again noted. Increased interstitial markings seen more extensive at the bases, is again noted and is compatible with patient's known IPF. Overall, the appearance is not significantly changed. There is no definite new consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. | 57295522 | CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with IPF and CHF with shortness of breath. COMPARISON: ___. | Chronic changes compatible with patient's known IPF, without definite superimposed acute cardiopulmonary process, noting that subtle change would be difficult to discern. |
11461300 | Lung volumes remain low. The cardiac silhouette size remains unchanged and normal. Mediastinal and hilar contours are similar. No pulmonary edema is overtly demonstrated. Diffuse interstitial abnormality is compatible with known chronic interstitial lung disease which is more pronounced in the lung bases. Minimal patchy opacity within the left lung base may reflect superimposed atelectasis. No pleural effusion or pneumothorax is identified. No displaced fractures are present. | 54877897 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with motor vehicle collision, on Coumadin, right chest wall tenderness. TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and ___ chest CT | No substantial interval change in the appearance of chronic fibrosing interstitial lung disease. Patchy opacity in the left lung base may reflect superimposed atelectasis. |
11508953 | PA and lateral views of the chest provided. Lungs are hyperinflated and lucent. No focal consolidation, large effusion or pneumothorax is seen. No congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50351235 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough // r/o cxr COMPARISON: None | No acute intrathoracic process. |
11515019 | Upright AP radiograph of the chest. The lungs are clear. The heart size is top-normal. A hiatal hernia is present. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 56746706 | HISTORY: ___-year-old man with acute cholecystitis and upper abdominal pain. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___ at 0:04. | Low lung volumes but no evidence of pneumonia. |
11515019 | The lungs are clear. No pleural effusion or pneumothorax. Normal heart size. Tortuous aorta is stable. Moderate hiatal hernia is unchanged. | 56536684 | HISTORY: Weight loss. Question pulmonary abnormality. COMPARISON: ___. | No acute pulmonary abnormality. Unchanged moderate hiatal hernia. |
11203579 | The heart size is normal. The hilar and mediastinal contours are normal. Streaky right basilar, and left mid lung opacities secondary to atelectasis, are overall unchanged compared to the prior exam. Retrocardiac opacity, well seen on the lateral view is new compared to the prior exam. Small right pleural effusion has increased compared to the prior exam. There is no pneumothorax. Visualized osseous structures are unremarkable. | 55328539 | HISTORY: History of hypertension, leukocytosis. Please evaluate for pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral radiographs of the chest | New retrocardiac opacity may be atelectasis or pneumonia. If radiologic confirmation is required for management, a repeat lateral radiograph at deeper inspiration and an ___ view would need to be obtained. Slight interval increase in the small right pleural effusion compared to the prior exam from ___. Updated recommendation was discussed with Dr. ___ by Dr. ___ by telephone at 7:___a on ___. |
11203579 | AP and lateral views of the chest. Streaky right basilar and left mid lung opacities are seen, which may be due to atelectasis. No definite correlate finding seen in the lateral view, noting that the patient's arms project over the upper half of the chest. There is blunting of the right posterior costophrenic angle compatible with trace effusion. The cardiomediastinal silhouette is within normal limits. No definite acute osseous abnormality is identified noting degenerative changes at the acromioclavicular joints and left glenohumeral joint. | 50570027 | CHEST TWO VIEWS, ___ HISTORY: ___-year-old male with cough for two weeks. Weight loss. COMPARISON: None. | Relatively linear left mid lung and right basilar opacities, potentially due to atelectasis, infection is not entirely excluded. |
11984732 | Two views of the chest were obtained. Left-sided pacemaker and both pacemaker leads are in unchanged position, in the expected positions of the right atrium and ventricle. There is interval decrease of pulmonary edema with small bilateral effusions and atelectasis. No pneumothorax is seen. Cardiomegaly, aortic calcifications, and post-CABG findings are stable. Right humerus is incompletely assessed on this image but appears high riding suggesting degenerative rotator cuff disease. | 52524638 | INDICATION: ___-year-old woman status post dual-chamber pacemaker for AV block. Assess pacemaker leads. COMPARISONS: Chest radiograph from one day prior. | Interval decrease in degree of pulmonary edema with small bibasilar effusions. |
11984732 | Again is seen a left-sided pacer unit with leads in the right atrium and right ventricle. Sternotomy wires and mediastinal clips associated with post-CABG changes are stable. The heart size is stably enlarged. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob with a mildly tortuous aorta. The lungs are clear of consolidation and while the pulmonary vasculature is prominent, there is no septal thickening to suggest pulmonary edema. There is no pleural effusion or pneumothorax. | 52380103 | HISTORY: ___-year-old female with upper abdominal pain radiating to the back. STUDY: AP upright and lateral chest radiograph. COMPARISON: ___. | Cardiomegaly and post-CABG changes, but no evidence of pneumonia or pulmonary edema. |
11984732 | Single AP view of the chest. New compared to priors is dense retrocardiac opacity. There is also a right basilar opacity silhouetting the costophrenic angle. Findings may be due to pleural effusions with underlying atelectasis or infection also possible. Pulmonary vascular markings are indistinct. Cardiac silhouette is slightly enlarged, unchanged given differences in technique and rotation to the left. Left chest wall dual lead pacing device is again noted as well as median sternotomy wires and mediastinal clips. | 58257804 | HISTORY: ___-year-old female with hypotension and hypoxemia. COMPARISON: ___. | Pulmonary vascular congestion. Left greater than right bibasilar opacities suggesting underlying effusions noting atelectasis or component of infection, particularly on the left is also possible. |
11984732 | The patient is status post median sternotomy and CABG. There is mild enlargement of the cardiac silhouette. The aortic knob is calcified. Mild pulmonary edema is present with vascular indistinctness and perihilar haziness. Small bilateral pleural effusions are likely. No pneumothorax is identified. Widening of the right paratracheal stripe may suggest the presence of tortuous vessels. No acute osseous abnormality is seen. | 50838294 | HISTORY: Congestive heart failure, on BiPAP. TECHNIQUE: Upright AP view of the chest. COMPARISON: None. | Mild congestive heart failure with small bilateral pleural effusions. Widened right paratracheal stripe may be related to tortuous vessels but underlying lymphadenopathy is not excluded. Comparison with prior exams is recommended, or a CT of the chest can be obtained for further evaluation. |
11954526 | Moderate to severe cardiomegaly is unchanged. The aorta is tortuous and diffusely calcified. There is mild interstitial pulmonary edema, new from the prior exam. No focal consolidation, pleural effusion or pneumothorax is identified. Mild loss of height of a mid thoracic vertebral body is unchanged. | 59744078 | HISTORY: Hypoxia. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild interstitial pulmonary edema. |
11688457 | Endotracheal tube is slightly low lying terminating approximately 2.6 cm from the carina. An enteric tube tip is just beyond the gastroesophageal junction and the side port is in the distal esophagus. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Gaseous distention of the stomach is demonstrated. | 59930606 | WET READ: ___ ___ 6:47 PM 1. Low lying endotracheal tube terminates approximately 2.5 cm from the carina and recommend slight withdrawal. 2. The enteric tube tip is just beyond the gastroesophageal junction with side port in the distal esophagus, and should be advanced by at least 10 cm. ______________________________________________________________________________ FINAL REPORT HISTORY: Status epilepticus, intubated at outside hospital. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: None. | Low lying endotracheal tube terminates approximately 2.5 cm from the carina and recommend slight withdrawal. The enteric tube tip is just beyond the gastroesophageal junction with side port in the distal esophagus, and should be advanced by at least 10 cm. |
11688457 | Endotracheal tube terminates 4.1 cm from the carina. Enteric tube tip and side port are within the stomach. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is seen. | 57134580 | HISTORY: Endotracheal tube pulled back 2 cm. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___ at 18:14. | Endotracheal and enteric tube tips in standard positions. |
11741414 | PA and lateral views of the chest provided. Cervical spinal hardware noted in the lower neck. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mild aortic knob calcification noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 57128939 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain/back pain COMPARISON: None | No acute intrathoracic process. |
11147672 | Lungs are hypoinflated. No acute infiltrates, edema, effusion or pneumothorax are seen. Multiple sternotomy wires again noted. The cardio-mediastinal silhouette is unremarkable. | 52124235 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fall with left anterior rib pain // assess for rib fx /pneumo TECHNIQUE: PA and lateral views of the chest COMPARISON: ___ | No acute pulmonary disease. |
11147672 | 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. Sternotomy wires are intact and unchanged. | 51662674 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with acute chest congestion // ck clearing of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___ | No acute cardiopulmonary abnormality. |
11147672 | PA and lateral images of the chest. There is an opacity in the right upper lung concerning for pneumonia. Lungs otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 52725410 | HISTORY: Acute chest congestion. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Opacity in the right upper lung concerning for pneumonia. Recommend repeat chest radiographs in 4 weeks after treatment to exclude mass. |
11147672 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact. No acute osseous abnormalities. | 51384632 | INDICATION: ___M with RLQ pain, chills, fevers // any cpd TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11147672 | Lung volumes are low without pulmonary edema. Bilateral pleural effusions are small and bibasilar atelectasis is mild. No pneumothorax. A right PICC terminates at cavoatrial junction, unchanged. Postoperative mediastinum and cardiac silhouette are normal. | 53412103 | INDICATION: ___ year old man with ___, anasarca // ?pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. CT torso from ___. | No pulmonary edema. Small bilateral pleural effusions. |
11967920 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No radiopaque foreign bodies are detected. There are no acute osseous abnormalities. Mild degenerative changes are seen throughout the thoracic spine. | 54345772 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fall with chipped tooth and left shoulder pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. No radiopaque foreign body identified. |
11967920 | Increased opacification in the lung bases is likely secondary to bronchovascular crowding. No confluent consolidation is identified to suggest pneumonia. There is no pulmonary vascular congestion or edema. No pneumothorax is identified. Cardiomediastinal and hilar contours are within normal limits. | 59876763 | HISTORY: ___-year-old male with history of asthma, now presenting with cough and dyspnea. COMPARISON: Chest radiograph from ___, and from ___. PA AND LATERAL CHEST | No acute cardiopulmonary process. No evidence of pneumonia. |
11967920 | Heart size is top normal. Mediastinal silhouette and hilar contours are normal. Bronchovascular crowding at the right lung base is unchanged. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. | 53087656 | INDICATION: Asthma, now with productive cough. COMPARISON: ___. PA AND LATERAL CHEST RADIOGRAPH, TWO VIEWS | No acute cardiopulmonary process; specifically, no evidence of pneumonia. |
11912550 | The lungs appear slightly better aerated than the most recent prior study. There is no focal consolidation or pneumothorax. Again seen is hazy opacity in the left retrocardiac and basilar region, likely atelectasis as well as a small pleural effusion. Cardiomediastinal silhouette is unchanged. | 57953683 | INDICATION: ___-year-old man with recent STEMI, evaluate for cause of hypoxia. COMPARISONS: Prior radiograph from ___. | Improved aeration in the lungs. Left basilar atelectasis and small pleural effusion. |
11174141 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected. | 56953276 | EXAMINATION: Chest radiograph. INDICATION: ___M needs med clearence // acute process TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to PA and lateral chest radiographs dated ___. | No evidence of acute cardiopulmonary process. |
11345788 | The cardiac silhouette is mild to moderately enlarged. The aorta is tortuous. Patchy right lower lobe opacity is seen with differential diagnosis including consolidation due to infection or aspiration versus overlap of vascular structures. Recommend followup to resolution to exclude underlying lesion. Minimal left basilar atelectasis is seen. There is no pleural effusion or pneumothorax. Some degenerative changes are seen along the spine. | 58802249 | HISTORY: Chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: No priors currently available for comparison. | Patchy right lower lobe opacity with differential diagnosis including consolidation due to infection or aspiration versus overlap of vascular structures. Recommend followup to resolution. |
11345788 | Lumbar luminal lobe, accounting for some bronchovascular crowding. No focal opacities concerning for pneumonia. Cardiac size is unchanged compared with the previous exam. The aorta is tortuous as before. There is no pleural effusion or pneumothorax. | 50040000 | EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old male with slurred speech and chest pain. TECHNIQUE: Frontal UPRIGHT chest radiograph COMPARISON: None available | No evidence of acute cardiopulmonary process. |
11345788 | Overall no significant interval change from the prior exam. Lung volumes are slightly low, similar to the prior exam. Relative elevation of the left hemidiaphragm is also unchanged from the prior exam. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The thoracic aorta is tortuous, similar the prior exam. Aortic knob calcifications are mild, unchanged. Dextroconvex scoliosis of the upper thoracic spine is again noted. Degenerative changes in the shoulders and AC joints are noted, worse on the right. | 59878324 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with ?recudesence of symptoms. Rule out infection. TECHNIQUE: Portable upright radiograph view of the chest. COMPARISON: Chest radiograph dated ___. | No significant interval change in the radiographic appearance of the chest. Low lung volumes. No evidence of focal pneumonia. |
11345788 | Cardiac silhouette size is normal. The aorta is markedly tortuous, unchanged. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. Moderate multilevel degenerative changes are seen within the thoracic spine with mild loss of height of ___ mid thoracic vertebral bodies, not changed from ___. | 57378479 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left chest wall pain status post low speed MVC TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___ | No acute cardiopulmonary abnormality. |
11345788 | PA and lateral views of the chest provided. Lung volumes are low. Cardiomediastinal silhouette is unchanged with mild cardiomegaly and a markedly unfolded thoracic aorta. Bibasilar atelectasis noted. There is mild hilar congestion without frank pulmonary edema. No large effusion or pneumothorax. No evidence of pneumonia. Bony structures are intact. | 56601038 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain/SOB // Eval for acute process COMPARISON: ___ | Mild cardiomegaly with mild hilar congestion. No evidence of pneumonia. |
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