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11345788 | Lung volumes are low. Again seen is widening of the AP diameter suggesting chronic obstructive lung disease. There is no evidence of focal consolidation, pleural effusion or pneumothorax. Eventration of the right hemidiaphragm is stable. The aorta is tortuous but stable. | 54208392 | INDICATION: ___-year-old man with chest pain and shortness of breath. COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary abnormality. Stable compared to ___. |
11345788 | Frontal and lateral views of the chest were obtained. The cardiac silhouette is top normal. The aorta is quite tortuous, as was seen previously. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No overt pulmonary edema is seen. There are degenerative changes along the spine. | 54352947 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___. | No acute cardiopulmonary process. |
11428592 | The lungs are well expanded and clear. The pulmonary arteries are enlarged, suggesting pulmonary hypertension. There is no pulmonary edema. The aorta is tortuous and the heart is enlarged, however this is stable compared to the prior radiograph. There is no pleural effusion or pneumothorax. There are no acute osseous abnormalities. | 59016720 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough wheezes on exam // pls eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No evidence of pneumonia. Enlarged pulmonary arteries, suggesting pulmonary hypertension. |
11428592 | Lung volumes are low. Mild cardiomegaly with left ventricular predominance is re- demonstrated. Mediastinal and hilar contours are unchanged with prominence of the hila again noted bilaterally. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine. | 51225559 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F presenting with cough, rhinorrhea, and possible shingles rash. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 10:13 | Low lung volumes with probable bibasilar atelectasis. |
11428592 | There are low lung volumes that may be due to poor inspiratory effort. Suboptimal evaluation of the left lung base. There is opacification in this area but is likely due to overlying soft tissue edema. A small pleural effusion cannot be completely excluded. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is unremarkable. | 51920850 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 2:31 PM 1. Suboptimal evaluation of left lung base, likely due to overlying soft tissues. A small pleural effusion cannot be completely excluded. 2. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: Altered mental status. Evaluate for pneumonia. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Chest radiograph on ___. | Suboptimal evaluation of left lung base, likely due to overlying soft tissue. A small pleural effusion cannot be completely excluded. |
11610188 | PA and lateral views of the chest provided. Lungs are clear bilaterally. Multiple surgical clips are noted in the upper abdomen. There is an azygous fissure incidentally noted. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. | 57631667 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain. | No acute findings in the chest. |
11940664 | Faint right lung interstitial opacities and with stable prominence of the azygos vein are most likely due to pulmonary edema. A bandlike opacity projecting over the right mid lung corresponds to right middle lobe bronchiectasis and atelectasis. There is no pneumothorax or pleural effusion. Stable moderate cardiomegaly despite the projection is present. | 54021707 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with HTN, HLD, tobacco abuse here with STEMI // volume status TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: No prior radiograph available for comparison. Correlation made to imported chest CT dated ___. | New mild pulmonary edema. Chronic right middle lobe bronchiectasis and atelectasis. Stable moderate cardiomegaly. |
11940664 | A new right internal jugular central venous catheter terminates in the lower superior vena cava. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion on the right but there is a suggestion of a small pleural effusion on the left with increased, confluent but focal opacity obscuring the left heart border, probably within the lingula. | 54774222 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Central line placement. TECHNIQUE: Chest, AP semi-upright portable. COMPARISON: ___. | Central venous catheter terminating in the superior vena cava; no evidence of pneumothorax. Increased opacification in the left mid to lower lung, suggesting developing opacity, possibly pneumonia, in the lingula with small suspected pleural effusion. |
11821402 | Cardiac silhouette size is mildly enlarged but unchanged. The aorta is slightly tortuous but unchanged. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities identified. | 51785525 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with tachycardia and chest pressure TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11064674 | Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded with stable scarring, predominantly at the lung bases and the base of the right upper lobe. However, there is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. | 54770446 | INDICATION: Rising white cell count. Evaluate for infiltrate. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
11864911 | Frontal and lateral views of the chest were obtained. A right-sided PICC is seen, terminating in the low SVC. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50190936 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: PICC line placement. COMPARISON: None. | Right PICC terminating in the low SVC without evidence of pneumothorax. |
11145577 | Left chest wall triple lead pacing device is identified. Additional pacer leads seen along the right chest wall as well. There is mild pulmonary vascular congestion without overt pulmonary edema nor effusion. Cardiac silhouette is moderately enlarged. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities. | 51822285 | INDICATION: ___F with injury, h/o chf // r/o chf, fracture TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | Moderate cardiomegaly with pulmonary vascular congestion. |
11050633 | The cardiac, mediastinal and hilar contours appear unchanged. The heart is again at the upper limits of normal size. Lung volumes are low. The lungs appear clear. There are no pleural effusions or pneumothorax. Anterior flowing osteophytes are noted along the mid to lower thoracic spine. | 58601229 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11050633 | The cardiomediastinal and hilar contours are within normal limits. The lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax. Note is made of a rib deformity on the left, likely chronic. | 58142182 | HISTORY: Chest pain. Evaluate for acute process. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No radiographic evidence of an acute cardiopulmonary process. |
11050633 | AP and lateral views of the chest. The lungs are clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is noted. | 52589231 | HISTORY: ___-year-old male with chest pain. Question CHF. COMPARISON: ___. | No acute cardiopulmonary process. |
11920847 | Portable upright chest radiograph demonstrates interval increase in mild to moderate pulmonary edema. The cardiac silhouette remains markedly enlarged, there is central venous engorgement widening the mediastinum. A small to moderate left pleural effusion is slightly increased. There is no pneumothorax. | 53532077 | HISTORY: ___-year-old female with past medical history of congestive heart failure and C. difficile colitis, now complaining of shortness of breath. COMPARISON: ___. | Slight interval increase in mild to moderate pulmonary edema, with a small to moderate left pleural effusion. The cardiac silhouette remains enlarged. |
11126363 | Compared with prior radiographs on ___, there is no significant change. There are low lung volumes, we the moderate right-sided pleural effusion, fluid in the minor fissure, and right basilar atelectasis.There is no new focal consolidation. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged. A right PICC terminates in the mid SVC. | 55463946 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with cirrhosis, controlled hiv, new fever // evaluate for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | No significant change in overall lung volumes, moderate right-sided pleural effusion and right basilar atelectasis. No new focal consolidation. |
11126363 | PA and lateral views of the chest provided. Lung volumes are low somewhat limiting assessment. There is obliquity of the lateral view also limits evaluation. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Trace pleural fluid tracks along the right fissural planes. Cardiomediastinal silhouette is normal. Bony structures are intact. | 50923594 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever // ? pneumonia COMPARISON: ___. | Limited exam with trace right pleural fluid. |
11126363 | Lung volumes are low. A moderate right pleural effusion is causing a moderate amount of atelectasis at the right lung base. The heart size is normal. The osseous structures are unremarkable. | 58018671 | WET READ: ___ ___ ___ 6:00 AM Moderate right pleural effusion with associated atelectasis. The lungs are otherwise clear. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with liver dz and edema, pls eval cxr for pulm edema and ruq for liver vasculature patency // History: ___M with liver dz and edema, pls eval cxr for pulm edema and ruq for liver vasculature patency TECHNIQUE: Chest PA and lateral COMPARISON: None | Moderate right pleural effusion, consistent with hepatic hydrothorax. The lungs are otherwise clear. |
11685894 | Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Biapical pleural scarring is present. No focal consolidation, pleural effusion or pneumothorax is seen. Subsegmental atelectasis in the left lung base is noted. No acute osseous abnormalities are identified. Clips are seen projecting over the upper lumbar spine on the lateral view. | 54532838 | HISTORY: Seizures. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11854304 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Ill-defined opacities in right mid lung zone are longstanding, and likely represent scarring, better seen on CT chest of ___. The hilar and mediastinal silhouettes are unchanged. Tortuosity of the descending aorta is noted. Heart is top normal. There is no pulmonary edema. | 51906659 | INDICATION: Patient with nausea and weakness since yesterday. Assess for pneumonia. COMPARISONS: Chest radiographs of ___. CT chest of ___. | No evidence of acute cardiopulmonary process. Ill-defined opacities in the right mid lung zone are longstanding and likely represent areas of scarring, better seen on CT exam of ___. |
11229277 | There is a left chest Port-A-Cath with distal tip overlying the cavoatrial junction. The cardiomediastinal silhouettes are within normal limits. The hila are unremarkable. There is no evidence of pulmonary vascular congestion. There is diffuse reticulonodular interstitial opacity worst at the lung bases, and better evaluated on prior CT torso. Given tree-in-___ appearance on that examination, findings are concerning for multifocal infection, including but not limited to mycobacterium organisms including tuberculosis, and fungal pneumonia. | 50111444 | INDICATION: ___-year-old man with a perforated viscus, dyspnea on exertion, O2 requirement, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: 1. CT torso ___. 2. Chest x-ray ___. | Diffuse reticulonodular interstitial opacities are worst at the lung bases. Given appearance on recent CT torso, findings concerning for severe aspiration or multifocal infection, including but not limited to endobronchial spread of pneumonia, mycobacterium organisms including tuberculosis, and fungal pneumonia. |
11041866 | Lungs are low in volume giving the appearance of bronchovascular crowding. Linear left basal likely atelectasis is seen, early consolidation not excluded. No pleural effusion or pneumothorax is identified. The heart is top normal in size with tortuous contour of the ascending aorta. There is prominence of the ascending aorta without priors for comparison, underlying ascending aortic aneurysm is not excluded. Findings could be further eval on f/u chest CT I+ | 50357567 | WET READ: ___ ___ ___ 4:44 PM Linear left basal likely atelectasis is seen, early consolidation not excluded. Prominence of the ascending aorta w/out priors for comparison, underlying ascending aortic aneurysm not excluded. Findings could be further eval on f/u chest CT I+ ______________________________________________________________________________ FINAL REPORT HISTORY: Cough and mild crackles on exam. Assess for acute process. TECHNIQUE: AP upright and lateral radiographs of the chest. COMPARISON: None. | Linear left basal likely atelectasis is seen, early consolidation not excluded. Prominence of the ascending aorta without priors for comparison, underlying ascending aortic aneurysm not excluded and could be further evaluated for on follow-up chest CT. |
11041866 | The lungs are clear. Mediastinal and cardiac contours are mildly enlarged. There is no pleural effusion or pneumothorax. | 50994027 | PORTABLE AP CHEST X-RAY INDICATION: Patient with dementia, COPD, chronic smoker; rule out pneumonia. COMPARISON: None. | There is no evidence of pneumonia. |
11486239 | Two right-sided chest tubes are in unchanged position, one oriented vertically and one oriented towards the base. Opacification at the right base is unchanged, consistent with prior surgery and a small amount of residual pleural fluid. Stable subcutaneous emphysema is present in the right upper abdominal wall. There is no definite pneumothorax. A small left pleural effusion and atelectasis is unchanged. There is no new consolidation. The cardiomediastinal silhouette is stable. The aorta is tortuous. A right PICC terminates in the mid SVC and is unchanged. | 50009958 | INDICATION: History of hemothorax status post VATS. Evaluate for reaccumulation of fluid. COMPARISON: Chest radiograph ___ and multiple chest radiographs dating to ___. CT chest ___. | Unchanged appearance of two right-sided chest tubes and mild opacification at the right base. No evidence of reaccumulation. |
11486239 | The heart size, mediastinal, and hilar contours are normal. There is suggestion of increased opacification in the bilateral lung bases, which appears interstitial. This could simply be a manifestation of chronic pulmonary disease or elevated pulmonary venous pressure. However, in the appropriate clinical setting, pneumonia is considered. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable. | 58397531 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old man with fever, prod cough. ?RLL pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___. | Increased opacification of the bilateral lung bases appears interstitial and could be a manifestation of elevated pulmonary venous pressure or chronic pulmonary disease. However, in the appropriate clinical setting, pneumonia is considered. |
11486239 | Single AP upright portable view of the chest was obtained. There are bilateral pleural effusions with overlying atelectasis. Additional patchy bilateral lower lobe opacities, particularly on the right may be due to underlying consolidation, which may be due to infection and/or consolidation. Accurate assessment of the cardiac silhouette is suboptimal due to the bibasilar opacities. Mediastinum is unremarkable. The patient is rotated to the left. No pneumothorax is seen. | 59219703 | EXAM: Chest single AP upright portable view. CLINICAL INFORMATION: AFib with RVR, shortness of breath. COMPARISON: ___. | Bilateral pleural effusions with overlying atelectasis. Additional bibasilar opacities, particularly at the right mid-to-lower lung may be due to infection and/or aspiration. |
11598186 | PA and lateral views of the chest provided. 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. | 58685263 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, SOB // eval for PTX COMPARISON: None | No acute intrathoracic process. |
11516775 | Lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is normal. There is no free intraperitoneal air. No acute osseous abnormalities. | 59501634 | INDICATION: ___F with epigastric pain, h/o nephrolithiasis. s/p cholecystitis // assess for nephrolithiasis TECHNIQUE: Single frontal view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11777678 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Very mild dextroscoliosis the T-spine noted. No free air below the right hemidiaphragm is seen. | 50273772 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with 1d sob, cp // eval ptx COMPARISON: None | No acute intrathoracic process. |
11608914 | The lungs are clear. Heart size is mildly enlarged, unchanged. The aorta remains tortuous. The mediastinal, hilar contours, and pleural surfaces are otherwise unremarkable. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are seen. | 57684286 | WET READ: ___ ___ 11:15 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with chest pain radiating to shoulders and back. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___. | No acute cardiopulmonary process. |
11608914 | The lung volumes are low which accentuate the bronchovascular markings and cardiac silhouette. Minimal bibasal atelectasis. No acute pneumonia, pleural effusions or pneumothorax. | 54955881 | INDICATION: ___/M s/p right TKA with rising WBC // ?pneumonia vs atelectasis TECHNIQUE: Chest PA and lateral COMPARISON: No prior | No acute pneumonia, pleural effusions or pneumothorax. |
11608914 | Frontal and lateral chest radiographs demonstrate a mildly enlarged heart and improved lung volumes compared to prior chest radiograph. The convex lateral contour of the right mediastinal margin reflects the dilated ascending aorta. No focal consolidation to suggest pneumonia. There is a small left pleural effusion. No pneumothorax is seen. The visualized upper abdomen is unremarkable. | 59741471 | INDICATION: Evaluate for pneumonia in a patient with fever after operation. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No focal consolidation to suggest pneumonia. Small left pleural effusion. |
11727404 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. There is no pulmonary edema. | 51459652 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with paresthesias left arm, ?rotator cuff injury, thoracic outlet syndrome, spinal stenosis // ?cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11063944 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Calcified granuloma within the right lower lobe is unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 53398956 | HISTORY: Chest heaviness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph and ___ chest CT. | No acute cardiopulmonary process. |
11544655 | Insertion of a right-sided pigtail catheter. No pneumothorax. Minimal interval decrease in the moderate right-sided pleural effusion. Given for differences in technique the left pleural effusion has not significantly changed. There is basal atelectasis. No interstitial edema. Moderate cardiomegaly. | 59554394 | INDICATION: ___ year old woman with r pleural effusion sp pigtail // Pneumothorax? COMPARISON: ___ | No pneumothorax after right pigtail catheter insertion. Slight interval decrease in the right-sided moderate effusion. |
11544655 | In comparison to the prior radiograph on ___, there has been interval worsening of the substantial right pleural effusion. Aerated portion of the right lung apex is clear. A small pleural effusion is also present on the left, unchanged. There are bibasilar consolidations which most likely represent compressive atelectasis, although infection cannot be excluded in the appropriate clinical setting. No pneumothorax bilaterally. Right IJ catheter sheath has been removed. No acute osseous abnormalities identified. There are compression deformities involving several thoracic vertebra, which appear unchanged compared to the prior radiograph on ___. Otherwise no acute osseous abnormalities identified. | 51205808 | WET READ: ___ ___ ___ 2:09 AM 1. Interval worsening of post antral right-sided pleural effusion. Unchanged small left pleural effusion. 2. Several thoracic vertebral compression deformities, unchanged from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with a history of mitral valve clipping, presenting from outside hospital for evaluation of worsening shortness of breath x3 days. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest radiograph ___ | Interval worsening of right-sided pleural effusion. Unchanged small left pleural effusion. Several thoracic vertebral compression deformities, unchanged from ___. |
11544655 | In the interval since the prior study the right internal jugular catheter has been withdrawn, the tip is now in the proximal to mid SVC. No pneumothorax seen. There is persistent hyperinflation of the lung but with bilateral pleural effusions versus scarring, larger on the right than the left. This is unchanged compared to the earlier study. There is associated atelectasis in the right middle and lower lobes. Compared to the preoperative study there is increased airspace opacity in the right upper lung. A clip is seen projecting over the calcified mitral valve annulus. Heart size is unchanged compared to the prior study, moderately enlarged. | 55883170 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with RIJ replaced // line R IJ adjustment TECHNIQUE: Portable AP chest radiograph COMPARISON: Chest radiographs ___ and ___ | The right internal jugular catheter now terminates in the mid SVC. |
11544655 | There has been interval placement of a Swan-Ganz catheter. The tip is in the right pulmonary artery, the edge of the mediastinum is difficult to evaluate due to the moderately large pleural effusion, however based on the relationship to the more proximal portion of the Swan-Ganz catheter, this is likely in appropriate position. There is a moderately large right pleural effusion, unchanged compared to the prior study. There is associated compressive atelectasis. Small left pleural effusion versus pleural scarring. The lungs are otherwise clear except note mild hyperinflation. Mitral valve calcification and a mitral valve clip are seen. | 58475901 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with MVR s/p PA catheter place,eng // PA. Catheter placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Swan-Ganz catheter, the tip positioned in the right pulmonary artery. It is difficult to assess how out into the pulmonary artery this is positioned as the mediastinal contours are obscured by a moderately large pleural effusion. |
11544655 | Right moderate pleural effusion is worsened from ___. Bibasilar atelectasis is stable. Top normal cardiac size persists with mild pulmonary edema. There is no pneumothorax. There are atherosclerotic calcifications within the aortic arch. There is a calcified mitral annulus with a hugely dilated left atrium. Mediastinal borders are normal and hilar structures are normal. | 57843114 | INDICATION: ___ year old woman with dCHF and hypervolemia. // Please eval for e/o pulmonary edema/vascular congestion. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | M oderate right pleural effusion is larger in size from ___. Top normal cardiac size with mild pulmonary edema consistent with cardiac decompensation which is stable from ___. Calcified mitral annulus with a hugely dilated left atrium. |
11544655 | Interval improvement of the interstitial pulmonary edema, with near resolution. Right-sided pleural effusion has decreased with persistent fluid in the right lower lung with adjacent peripheral lucency. This can represent a loculated small basal pneumothorax or fluid along the minor fissure with adjacent lung. Left pleural effusion is stable. Moderate to severe cardiomegaly is persistent. | 58484456 | INDICATION: ___ year old woman with CHF exacerbation, Right sided pleural effusion // increased pulmonary edema noted, would like to assess for improvement with diuresis TECHNIQUE: Portable COMPARISON: ___ | Interval improvement of the interstitial pulmonary edema, with near resolution. Right-sided pleural effusion has decreased with persistent fluid in the right lower lung with adjacent peripheral lucency. This can represent a loculated small basal pneumothorax or fluid along the minor fissure with adjacent lung. |
11171199 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. Blunting of the left costophrenic sulcus on the frontal view suggests a trace left pleural effusion. No pneumothorax is seen. No displaced rib fractures are identified. | 58341648 | HISTORY: Right rib pain after fall. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | Small left pleural effusion. No displaced rib fractures are noted. If there is continued clinical concern for a rib fracture, then a dedicated rib series is recommended. |
11339006 | Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. A tracheostomy tube is in expected position. Right-sided PICC line ends at the cava atrial junction. A nasogastric tube ends in the stomach. | 50082707 | INDICATION: ___ year old woman with NGT placement // NGT position TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ and ___. | Nasogastric tube ends in the stomach. |
11339006 | There is a tracheostomy in place. An esophageal tube passes into the stomach, its inferior course not imaged. A right subclavian dual-lumen catheter terminates at the cavoatrial junction. A right-sided PIC line also terminates at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 57575722 | CHEST RADIOGRAPH HISTORY: PIC line placement. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright. | PIC line terminating at the cavoatrial junction. No evidence of acute disease. |
11191729 | Supine portable view of the chest demonstrates ET tube terminating 4.6 cm above the carina. There is no pneumothorax. NG tube terminates in the stomach. There is near-complete opacification of the right hemithorax, which corresponds to areas of consolidations and small-to-moderate left pleural effusion. There is relative sparing of the upper lungs. opacities are also noted in the left lower lobe. There is no left pleural effusion. Heart size is difficult to assess due to adjacent opacities. Port-A-Cath tip projects over proximal right atrium. Multiple surgical clips are seen in the left axilla and left lateral chest wall. Partially imaged upper abdomen is unremarkable. | 58849522 | INDICATION: Patient with history of metastatic breast cancer to lung and brain, now with hypoxia. Assess for ET tube placement. COMPARISONS: Chest radiograph of ___ and CT chest from the same date from an outside hospital. | ET tube is appropriately positioned. Near-complete opacification of the right lung, corresponding to areas of consolidations and small-to-moderate right pleural effusion, better seen on CT chest of the same date. Additional opacities in the left lung base. The above findings are compatible with multifocal infection, which are new since ___ exam. |
11191729 | There is a stable right hilar opacity, which raises the suspicion for malignant disease. Post-surgical changes are noted in the left axilla. Otherwise, the lungs are without new focal consolidations, effusions, or pneumothoraces. No acute fractures are identified. | 53393708 | INDICATION: Fall with history of breast cancer. COMPARISON: Outside hospital chest CT from ___. | Right hilar opacity raises suspicion for malignant disease. No acute cardiopulmonary process otherwise identified. |
11191729 | There is an endotracheal tube approximately 4 cm from the carina. An orogastric tube is present with the tip below the left hemidiaphragm with the tip out of field-of-view. A right Port-A-Cath is present with its tip near the atriocaval junction. Again there is near-complete opacification of the right lung, not significantly changed from the prior exam. This is due to combination of pleural effusion and consolidation. At the left base, the opacity has increased in size, which is most consistent with a worsening pneumonia. The left upper lung zone remains clear. There is no evidence of pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged, and normal. | 54422407 | INDICATION: Known pneumonia. Evaluate for change. COMPARISONS: Chest radiograph ___ at 5:03. Chest radiograph ___. Chest CT ___. | Worsening left lower lobe pneumonia. Stable near-complete opacification of the right lung, from a combination of pneumonia and pleural effusion. Stable position of multiple lines and tubes. |
11191729 | In comparison to the prior exam, there is no significant change. The patient is rotated. Again, there is near-complete opacification of the right lung, due to a combination of consolidations and pleural effusion, as better evaluated on the concurrent CT of the chest. There is an opacity at the left base, which is more apparent due to rotation, but likely unchanged from the prior exam. The left upper lobe remains well aerated. An endotracheal tube is present approximately 4 cm from the carina. An orogastric tube courses below the diaphragm with the tip out of the field of view. The right Port-A-Cath is in unchanged position with the tip near the atriocaval junction. There is no pneumothorax. The cardiomediastinal silhouette is not well evaluated. | 57090261 | INDICATION: Worsening hypoxia. COMPARISON: Chest radiograph ___ at 23:26. Chest CT ___ obtained at an outside hospital. | No significant change in the near-complete opacification of the right lung from a combination of pneumonia and pleural effusion. Stable left basilar opacity. |
11269082 | Low lung volumes are noted. The lungs are clear without effusion, consolidation or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. No free air seen below the diaphragm. | 53269360 | INDICATION: ___F with RUQ abdominal pain, worse with inspiration // ? PTX, gallstones TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11600594 | PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted as well as valve replacement. There is mild persistent bibasilar atelectasis. A tiny left pleural effusion is present. The heart appears top normal in size. The mediastinal contour is prominent though stable. There is no pneumothorax. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53476609 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with dyspnea/chest pain s/p CABG, AVR // eval for RUL PNA COMPARISON: ___. | Mild cardiomegaly with basilar atelectasis and small left pleural effusion. |
11600594 | Lung volumes are extremely low, accentuating the cardiac silhouette and pulmonary vasculature. Heart size is top normal with prominent tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Bony structures are grossly intact. | 50174015 | HISTORY: Right posterior thoracic pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views. | No acute cardiopulmonary abnormality. |
11198668 | A portable frontal chest radiograph demonstrates an endotracheal tube terminating 2.5 cm from the carina. The enteric tube terminates within the stomach, but the side port is in the distal esophagus. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 52554565 | INDICATION: Evaluate endotracheal tube placement in a patient intubated after seizure. COMPARISON: None. | Endotracheal tube terminating 2.5 cm from the trachea. Enteric tube terminating in the stomach, but with the side-port in the distal esophagus. If being used to administer fluids or medication, advancement of approximately 6-7 cm is advised. |
11052935 | The lungs are hyperexpanded and show hyperlucency of the upper lobes consistent with known emphysema. Asymmetric density is noted in the left lower lobe. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 57214202 | INDICATION: ___-year-old male with shortness of breath and fever. COMPARISON: Chest radiograph from ___. ONE VIEW OF THE | Moderate COPD. Probable left lower lobe pneumonia. |
11052935 | The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Hyperinflation of lungs with emphysematous changes , most pronounced within the lung apices is again demonstrated. Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists. Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular engorgement. Scarring within the left upper lobe is stable. There is no pneumothorax. Multilevel degenerative changes of the thoracic spine are redemonstrated. | 53884408 | INDICATION: Recent diagnosis of pneumonia, worsening symptoms. COMPARISON: Chest CT ___, PET-CT ___, chest radiograph ___. PA AND LATERAL VIEWS OF THE | Slight interval improvement in ill-defined patchy opacity within the right lower lobe likely representing pneumonia. Patchy opacity in the left lower lobe may be reflective of atelectasis, though infection in this region also cannot be excluded, but appears relatively unchanged compared to the prior study. |
11052935 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs appear hyperexpanded, in keeping with known emphysema. Previously seen left lower lobe opacity has resolved on the frontal view but may persist on lateral view obscuring the posterior costophrenic angle, which could represent a component of residual infection and/or atelectasis. There is trace basilar atelectasis on the right. There is no large effusion. Eventration is seen on the right, unchanged. | 51137224 | INDICATION: ___-year-old male with shortness of breath and cough. Question pneumonia. COMPARISON: ___. | Bibasilar dependent atelectasis. Persistent probable left lower lobe posterior opacity which could represent atelectasis or a component of residual infection, to be clinically correlated. Followup after treatment recommending to document resolution. |
11052935 | Residual stellate left upper lobe opacity is most compatible with scarring. Left mid lung granuloma is unchanged. Otherwise, the lungs remain hyperexpanded compatible with chronic obstructive pulmonary disease without new opacity. There is no pleural effusion or pneumothorax. The heart is normal in size and cardiomediastinal contours. | 53792271 | INDICATION: ___-year-old with a history of left upper lobe opacity treated for pneumonia, assess for change. COMPARISONS: ___ and CT ___. | Residual left upper lobe stellate opacity may reflect scarring after pneumonia. However, followup radiograph in ___ weeks is recommended. Findings were entered in the radiology department's online record for notification of critical results on ___. |
11052935 | There is increased opacification in the left lung base with obscuration of the left hemidiaphragm when compared to ___. Again noted is hyperinflation and flattening of the diaphragms suggesting emphysema. The cardiomediastinal silhouette is within normal limits. | 56129930 | INDICATION: COPD exacerbation and possible left lower lobe pneumonia. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: ___. | Left lower lobe pneumonia, more apparent than on ___. |
11052935 | AP portable upright chest radiograph was provided. The lungs are hyperinflated with upper lobe lucency compatible with emphysema. No focal consolidation, effusion, or pneumothorax seen. Cardiomediastinal silhouette is normal. Bony structures are intact. | 58831403 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CTA chest from ___ and chest radiograph also from ___. CLINICAL HISTORY: Chest pain. | Severe emphysema without superimposed consolidation. |
11052935 | PA and lateral chest radiographs were provided. There is a subtle opacity in the right lower lobe that is concerning for early pneumonia. There is linear scarring in the left upper lobe from area of prior pneumonia that has resolved. The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There is no free air under the right hemidiaphragm. There are no acute osseous lesions. | 51882937 | INDICATION: ___-year-old man with one week of shortness of breath and productive cough, rule out cardiopulmonary process. COMPARISONS: PA and lateral chest radiographs from ___. | Possible early right lower lobe pneumonia. Left upper lobe scarring from prior pneumonia. Findings consistent with COPD. |
11052935 | Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Small focal opacity projects over the lateral right lower hemithorax, may represent overlapping structures, but further evaluation is recommended with shallow obliques to assess for possible pulmonary nodule. Heart size is normal. Mediastinal silhouette and hilar contours are normal. | 55372843 | INDICATION: Cough and sputum. COMPARISON: CT ___, chest radiograph ___. | No acute intrathoracic process. Small focal opacity projects over the lateral right lower hemithorax. Shallow obliques off the frontal view are recommended for further evaluation. Findings and recommendations discussed with Dr. ___ (covering for Dr. ___, ___ by phone at ___:___pm ___. |
11052935 | Single portable view of the chest. The lungs are hyperinflated but clear of consolidation. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. | 57171514 | HISTORY: ___-year-old male with shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
11052935 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. The lungs are hyperinflated with severe emphysema. Punctate calcified granulomas are seen within the lung bases. Linear opacities in the lung bases likely reflect scarring or subsegmental atelectasis. Residual patchy opacity within the left upper lobe likely reflects scarring, as seen on the prior chest CT. No new consolidation, pleural effusion or pneumothorax is identified. Scarring within the lung apices is again noted. There is diffuse demineralization of the osseous structures. | 57502393 | HISTORY: Near-syncope. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and chest CT ___. | No acute cardiopulmonary abnormality. Severe emphysema. Residual left upper lobe opacity likely reflects scarring, as seen on the prior chest CT, with bibasilar linear opacities either reflecting subsegmental atelectasis or scarring. |
11052935 | Single portable view of the chest is compared to previous exam from ___. As on prior, the lungs are hyperinflated with parenchymal changes suggestive of emphysema, particularly at the left lung apex. Increased interstitial markings are identified at the left lung base. Elsewhere, the lungs are grossly clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Linear patchy at the right lung base is compatible with atelectasis versus scarring. | 59503672 | PORTABLE CHEST, ___ HISTORY: ___-year-old woman with shortness of breath. Question pneumonia. | Increased interstitial markings at the left lung base, potentially due to chronic changes; however, in the proper clinical setting, component of infection is also possible. Two views of the chest may help further characterize. |
11418206 | Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. | 55771589 | WET READ: ___ ___ ___ 4:27 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain // evaluate with acute process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11912950 | The lungs are moderately well inflated with left greater than right subsegmental atelectasis. Small bilateral layering pleural effusions are noted. There is no pulmonary edema. Cardiomegaly is as before. No pneumothorax. There has been interval removal of the right-sided central venous catheter. Sternotomy sutures are noted in place. Diffuse demineralization is unchanged. | 54481978 | INDICATION: ___ year old man with tiss AVR // predischarge eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | Moderately well inflated lungs with bilateral small layering pleural effusions and bibasilar linear atelectasis. No pneumothorax. Unchanged cardiomegaly. |
11912950 | Interval removal of ET tube, NG tube, chest tube and mediastinal drains, and right IJ catheter. Median sternotomy wires intact. Right IJ sheath still ends in the upper SVC. Normal unchanged postoperative appearance of cardiomediastinal silhouette with resolution of pneumopericardium. Decreased retrocardiac atelectasis. No pneumothorax or large pleural effusions. Tortuous aorta. | 57781395 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with s/p AVR, CTs d/c'd // evaluate for pneumothorax TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ | Mild retrocardiac atelectasis decreased compared to ___. |
11912950 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. Aorta is unfolded. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 57680635 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain COMPARISON: None | No acute intrathoracic process. |
11376915 | Lung volumes are low with worsening atalectasis at the right base and mild rightward shift of the heart. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pneumothorax. NG tube terminates in the stomach. | 51285782 | INDICATION: Status post NG tube placement. COMPARISON: CT of the torso ___. TECHNIQUE: Portable supine AP chest. | NG tube terminates in the stomach. Worsening atalectasis at the right base. |
11376915 | New ET tube terminates 2.1 cm from the carina. Enteric tube remains in the stomach. Lung volumes are low. Opacities in the right lung likely reflect known pulmonary contusions. The heart is slightly larger than on the prior studies and there may be mild early pulmonary edema. The mediastinal and hilar contours are normal. There is no large pleural effusion or pneumothorax. | 55117959 | INDICATION: ET tube placement. COMPARISON: Chest radiograph ___ and CT torso ___. TECHNIQUE: Portable supine AP chest. | ET tube 2.1 cm from the carina. Contusions of the right lung. Minimal increased heart size and early mild pulmonary edema may reflect fluid resuscitation. |
11883405 | There are hazy bibasilar opacities on the frontal view which are thought to be technical and due to overlying soft tissues. The lungs are clear without obvious consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities. Lower thoracic intervertebral disc appears narrowed, potentially degenerative or congenital. | 57571527 | INDICATION: ___F with abdominal pain and then syncope vs seizure 3 minutes. Please evaluate for aortic aneurysm TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11017644 | Lungs are mildly hyperinflated, with biapical hyperlucency, but no focal consolidation. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. Old healed rib fractures are noted in the fourth and seventh through ninth posterior ribs. | 56703488 | INDICATION: ___-year-old female with history of mesenteric ischemia, pleuritic pain. COMPARISON: ___. CHEST, PA AND | COPD. No acute cardiopulmonary process. |
11017644 | The lungs remain relatively hyperinflated, but clear. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified and slightly tortuous. Multiple old right-sided rib fractures are again seen. | 54932313 | HISTORY: Vomiting and abdominal pain. TECHNIQUE: Single AP frontal view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11364022 | In comparison with chest radiograph from ___, bilateral multifocal opacities have substantially cleared with some residual opacity in right middle lobe. There is no new focal consolidation, pleural effusion or pneumothorax. There is no pulmonary vascular engorgement or edema. Mediastinal and hilar contours are normal. Mild cardiomegaly has improved and the heart is currently normal in size. | 54609439 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recent multifocal pneumonia and respiratory failure. // Resolution of pneumonia TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. | Resolving multifocal pneumonia with residual opacity in the right middle lobe. |
11364022 | There is increased bilateral airspace opacities greater on the left than the right. The ETT ends 3.8 cm above the carina. An endotracheal tube is seen with the tip in the stomach but the side hole at the level of the GE junction. No large pleural effusion or pneumothorax. | 51061470 | WET READ: ___ ___ ___ 5:41 AM There is increased bilateral airspace opacities greater on the left than the right. The ETT ends 3.8 cm above the carina. An endotracheal tube is seen with the tip in the stomach but the side hole at the level of the GE junction. No large pleural effusion or pneumothorax. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with s/p intubated*** WARNING *** Multiple patients with same last name! // eval for tube TECHNIQUE: Portable supine frontal radiograph of the chest COMPARISON: Reference CT torso dated ___ and reference chest radiograph dated ___ | ET tube in satisfactory position NG tube with tip in the stomach but the side hole at the level of the GE junction. Worsening bilateral airspace opacities greater on the left than the right likely aspiration |
11364022 | There has been interval placement of a right internal jugular central venous catheter ending in the lower SVC. ETT and NG tube in unchanged position. The side hole of the NG tube remains at the GE junction. Otherwise stable appearance of bilateral airspace opacities. No large pneumothorax or pleural effusion | 54308918 | INDICATION: History: ___M with s/p RIJ*** WARNING *** Multiple patients with same last name! // s/p line TECHNIQUE: Portable supine frontal radiograph COMPARISON: ___ at 00:19 | Right internal jugular central venous catheter ending in the lower SVC. Otherwise no significant change from prior. |
11668093 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 57411332 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest CTA from ___. CLINICAL HISTORY: Status post colonoscopy with abdominal pain, assess for diverticulitis or perforation. | No acute findings in the chest. |
11773170 | The cardiac, mediastinal and hilar contours appear unchanged. Small quantities of subcutaneous emphysema are noted in soft tissues overlying the site of insertion of a chest tube into the left hemithorax. It has been pulled back somewhat but appropriately projects over the mid hemithorax, making a turn beyond the side holemarker. No detectable pneumothorax remains in the left hemithorax. Minimal opacification of the left lower lung is probably due to minor atelectasis. The right lung remains clear. There is no definite pleural effusion. Left-sided rib fractures are not well characterized. | 58589290 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Trauma and repositioning of chest tube. COMPARISON: Earlier on the same day. TECHNIQUE: Chest, portable AP supine. | Chest tube projecting over the left hemithorax. Small quantity of subcutaneous emphysema but no residual pneumothorax identified. |
11773170 | There has been interval placement of a left thoracostomy tube, with slight decrease in size of a known left pneumothorax. Subcutaneous gas overlies the tube entry site. The right long remains clear. The heart size is normal. The hilar and mediastinal contours within remain within normal limits. Multiple left-sided rib fractures are again demonstrated. | 59701537 | INDICATION: Left chest tube placement. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal chest radiograph. | Interval slight decrease in size of a left pneumothorax following placement of a left thoracostomy tube. |
11187293 | AP upright and lateral chest radiograph demonstrates hyperexpanded lungs. There is increased opacity projecting over the left lung base laterally with a configuration raising the possibility of extrapleural lesion. Lungs are otherwise clear without a focal consolidation convincing for pneumonia. Heart size is upper limits of normal. There is no evidence of pulmonary edema. No pleural effusion. There is no pneumothorax. Surgical clips project over the left upper outer chest. | 56648353 | WET READ: ___ ___ ___ 9:26 PM Hyperinflated lungs. Focal opacity at the left lung base laterally on the frontal view, potentially pleural-based. Correlation with older films to document stability suggested and if not possible, chest CT is advised for further evaluation on a nonurgent basis. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with new ataxia // ?acute abnormality, infection TECHNIQUE: AP and lateral COMPARISON: None | Hyperinflated lungs. Focal opacity at the left lung base laterally on the frontal view, potentially pleural-based. Correlation with older films to document stability suggested and if not possible, chest CT is advised for further evaluation on a nonurgent basis. |
11074035 | PA and lateral views of the chest provided demonstrate clear lungs without focal consolidation, effusion, or pneumothorax. The heart appears stable and normal in size. The aorta is mildly calcified along the knob. Bony structures are intact with slight diffuse demineralized. No free air below the right hemidiaphragm. Nipple shadows are noted bilaterally. | 56295432 | CHEST RADIOGRAPH PERFORMED ON ___. Comparison with a prior chest CT from ___. CLINICAL HISTORY: Subjective fevers, chills, malaise, question pneumonia. | No acute intrathoracic process. |
11074035 | PA and lateral chest radiographs demonstrate hyperexpanded but clear lungs. There is no pleural effusion or pneumothorax. Heart size is normal. The cardiac, hilar, and mediastinal contours are normal. | 59241633 | INDICATION: Generalized malaise. Evaluate for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
11588425 | The heart size is normal. The cardiomediastinal silhouette and hilar contour is stable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony abnormality is identified. | 59753616 | HISTORY: Fever and cough. TECHNIQUE: AP and lateral chest radiograph. 2 views. COMPARISON: Chest radiograph from ___, ___. | No acute intrathoracic process. |
11588425 | There is mild interstitial abnormality. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. The aorta is tortuous with calcifications. | 53078009 | HISTORY: ___-year-old female with fever and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Mild interstitial abnormality, which most likely represents mild edema. |
11144198 | Portable supine AP view of the chest provided. An endotracheal tube is seen with its tip approximately 12 mm above the carina. Retraction by 1-2 cm is advised for more optimal positioning. The NG tube courses into the left upper quadrant though it's tip is excluded from this field of view. Underlying trauma board is in place. Hilar prominence is noted which could represent central congestion. The lungs appear clear though volumes are low. The heart size appears normal. Mediastinal contour is unremarkable. No acute bony injury. | 58561558 | HISTORY: ___F with s/p arrest COMPARISON: None. | Endotracheal tube low in position. Please retract by 1-2 cm for more optimal positioning. NG tube positioned appropriately. Hilar prominence likely secondary to congestion. |
11010999 | Right pectoral infusion port terminates in low SVC. Minimal left lung base atelectasis is noted. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size. | 52078874 | INDICATION: History: ___F with mild cough, diminished right sided breath sounds // effusions, PNA TECHNIQUE: Chest PA and lateral COMPARISON: Intra operative spot view of the chest ___ | No radiographic evidence of pneumonia. |
11962319 | The heart is severely enlarged and is larger than on the prior study. There is pulmonary vascular redistribution with bilateral hazy alveolar infiltrate. There small bilateral effusions appear it is unclear if the pulmonary findings are all due to pulmonary edema or if there is an underlying infectious infiltrate. | 53542738 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yo M with PMHx of DDRT on ___ on immunosuppression, DM, dCHF, CVA with recent admission for urosepsis returns from rehab. Has cough. // Please evaluate for pneumonia, etiology of cough. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Marked worsening 2 the appearance of the lungs. It is unclear if this is all due to pulmonary edema or if an underlying infectious infiltrate is present. |
11087283 | Frontal and lateral chest radiograph demonstrates well inflated clear lungs. No pleural effusion or pneumothorax. Mild prominence of left hilus is noted. Heart size, mediastinal contour, and right hilus are unremarkable. Limited assessment of the upper abdomen is within normal limits. | 52313044 | WET READ: ___ ___ 7:06 AM Normal chest radiograph. No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Seizure. Assess for pneumonia. COMPARISON: None. | Mild prominence of left hilus. Recommend dedicated CT chest for further evaluation. No pneumonia. |
11977245 | The costophrenic angles are not fully included on the image. Right-sided Port-A-Cath is seen terminating in the low SVC without evidence of pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. Hilar contours are stable. No lobar consolidation is seen. There is no large pleural effusion. No pulmonary edema is seen. | 50427231 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hx of nasopharnyngeal Ca p/w AMS x3days and fevers, headache, and photophobia c/f meningitis. Also family notes productive cough. // Please eval for consolidation to complete full infectious work up. Thnx. TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No focal consolidation to suggest pneumonia. |
11977245 | Lung volumes are unchanged compared to the prior study. A right subclavian Port-A-Cath is unchanged in appearance. The cardiomediastinal contour is within normal limits. No consolidation, pneumothorax or pleural effusion seen. | 50477866 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with worsening AMS and prior CXR c/f opacity // Eval for PNA TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process seen. |
11977245 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is a cardiac stent in the LAD. A right-sided Port-A-Cath terminates in the mid ___ of the SVC, approximately 4.5 cm from the cavoatrial junction, unchanged. | 51619014 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with npc // surveillance for h/o nasopharyngeal cancer TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___ | No radiographic evidence of metastatic disease in the thorax. A right-sided Port-A-Cath is unchanged in position, terminating in the mid ___ of the SVC, approximately 4.5 cm in the cavoatrial junction. |
11341761 | The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 54173937 | HISTORY: Left clavicular pain for 1 week, worse with movement. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11456260 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. The trachea is slightly displaced to the right, could be positional or due to enlargement of the right lobe of the thyroid. | 50109450 | HISTORY: Chest pain. Evaluate for pneumonia. COMPARISON: Prior chest radiograph from ___ and neck CT from ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. Trachea is slightly displaced to the right, could be positional or due to enlargement of the right lobe of the thyroid. Correlation with physical exam recommended. |
11456260 | PA and lateral chest radiographs were obtained and limited by body habitus. There is no focal the lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. | 54581796 | HISTORY: CHF. COMPARISON: ___ and ___. | No acute cardiopulmonary process. |
11456260 | The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. | 53852699 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. Chest CTA ___. | No acute cardiopulmonary abnormality. |
11456260 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. | 54297763 | WET READ: ___ ___ ___ 4:13 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with MVC, persistent L chest wall pain and L shoulder pain // eval ? traumatic injury TECHNIQUE: Chest PA and lateral COMPARISON: CTA chest ___ and multiple priors. | No acute cardiopulmonary abnormality. |
11456260 | Lungs are clear without focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size normal. | 56464843 | WET READ: ___ ___ ___ 10:24 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // chest pain TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___. | No acute intrathoracic process. |
11456260 | Cardiac silhouette size is top normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. | 55470535 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // ? process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11426728 | Streaky left basilar opacity has resolved, and a PICC line has been removed. On this study, there is upper zone redistribution of indistinct pulmonary vascularity as well as a mild-to-moderate interstitial abnormality. Overall, findings are most suggestive of pulmonary edema. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. | 57503365 | CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright. | Findings suggesting mild-to-moderate pulmonary edema. |
11426728 | Cardiomediastinal silhouette and hilar contours are normal. Lung volumes are low but clear. There is no pleural effusion or pneumothorax. | 51428816 | INDICATION: Status post rectopexy and sigmoidectomy for rectal prolapse with post-op hypotension. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph. | No evidence of pulmonary edema. |
11426728 | Portable supine AP view of the chest was provided. The tip of the NG tube is seen in the left upper quadrant, appropriately positioned. The endotracheal tube has been removed. Lung volumes are low with mild left basilar plate-like atelectasis. Cardiomediastinal silhouette appears normal. | 58632533 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam dated ___. CLINICAL HISTORY: Newly placed NG tube, assess position. | Appropriately positioned NG tube. Interval extubation. |
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