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11342335
The heart is enlarged. There is upper zone redistribution and increased interstitial markings, as well as more confluent opacity at the left lung base, compatible with CHF. There is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. There is no gross pleural effusion, though small left effusion would be difficult to exclude. No pneumothorax detected.
58279977
INDICATION: ___-year-old female with shortness breath, evaluate for effusion or infectious process. TECHNIQUE: AP frontal chest radiograph was obtained. COMPARISON: Chest CT from ___ and chest radiograph from ___.
Cardiomegaly with CHF. Increased retrocardiac opacity consistent with left lower lobe collapse and/or consolidation.
11181943
The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Multiple surgical clips project over the chest wall bilaterally and the right axilla. Probable left breast implant is noted. No acute osseous abnormalities.
54574329
INDICATION: ___F with chest pain and upper back pain, as well as some URI symptoms // Please assess for pneumonia, pneumothorax TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11181943
Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Patient is status post bilateral mastectomies with multiple clips projecting over the anterior chest wall bilaterally. Clips in the axilla bilaterally indicate prior lymph node dissection. No acute osseous abnormality is detected.
57749127
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness, fever TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11181943
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is identified.
54591240
HISTORY: Chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11197782
The lungs are well expanded and show a bilateral lower lobe opacity which likely represents atelectasis. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Note is made of pneumomediastinum.
57448259
INDICATION: Crohn's disease, consider for Remicade. Evaluate for latent TB. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE
No acute intrathoracic process. Pneumomediastinum. These findings were communicated to ___, M.D. via telephone at 2:48 p.m. on ___ after discovery at 2:46 p.m. when the surgeon confirmed that the patient had recently had surgery.
11917055
Comparison is made to the previous study from ___. There is again seen a rounded 4.5 cm mass in the right middle lobe. This is stable. There are no signs for overt pulmonary edema. No other area suspicious for consolidation is seen. There is a left-sided pacemaker. There are no pneumothoraces.
52567277
STUDY: PA and lateral chest ___. CLINICAL HISTORY: ___-year-old man with neutropenia complaining of cough and pleuritic chest pain.
Prominent rounded mass in the right middle lobe, stable since the previous study.
11917055
Again visualized is a right lower lung mass adjacent to a fiduciary marker. There are no other lung parenchymal abnormalities. There is no pleural effusion. Note is made of sternotomy wires and two-lead pacer with leads terminating in the appropriate positions. The heart size is normal.
51210638
STUDY: PA and lateral chest x-ray. COMPARISON EXAM: PA and lateral chest x-ray ___. INDICATION: ___-year-old with right lower lobe lung mass, complaining of increased shortness of breath and dry cough.
Stable chest x-ray. Stat read was called to Dr. ___ by Dr. ___ at 12:05, at the time of discovery.
11046447
The lungs are clear with no evidence of a consolidation, effusions, or pneumothorax. Cardiomediastinal silhouette is normal. No free air is noted underneath the hemidiaphragms. No acute fractures are identified.
55324227
INDICATION: Evaluation of patient with abdominal pain. COMPARISON: None available.
No acute cardiopulmonary process.
11588078
There has been interval placement of a left internal jugular central venous catheter which terminates in the low SVC without evidence of pneumothorax. There is mild right basilar atelectasis. Otherwise, the lungs are clear. No large pleural effusion seen. The cardiac and mediastinal silhouettes are unremarkable.
56950212
EXAM: Chest, AP portable view. CLINICAL INFORMATION: Central line placement. COMPARISON: ___ at 10:48 from outside institution.
Interval placement of a left internal jugular central venous catheter without pneumothorax.
11588078
Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are symmetrically expanded and clear. A small right pleural effusion is possible. There is no pneumothorax. An irregular bony coalition between the posterior right ___ and 8th ribs likely corresponds to healed fractures. There is interval removal of the left internal jugular central venous catheter. Left-sided PICC terminates in the mid to lower SVC.
51205116
INDICATION: ___ year old woman with PICC line TECHNIQUE: A single portable AP upright view of the chest was obtained. COMPARISON: Chest radiograph from ___ and chest CT from ___
Left-sided PICC line is in the mid to lower SVC. Small right effusion.
11029640
No pneumonia. The lungs are clear except for a new plate-like atelectasis in the lingula. Left-sided PICC line in adequate position. Mediastinal and cardiac contour are normal. No pleural effusion. No pneumothorax. Mild degenerative changes in the dorsal and lumbar spine and degenerative change in the right acromioclavicular joint.
56903373
PA AND LATERAL CHEST X-RAY INDICATION: Cough for a week, inspiratory stridor. No change with treatment directed to bronchspasm COMPARISON: ___.
No pneumonia. No acute findings.
11029640
The previously described wedge-shaped opacity in the left lung is no longer present. New focal opacity with air bronchograms in the left lower lung just below the major fissure, concerning for pneumonia. The right lung is clear. No pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
50053079
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with previous possible pneumonia; follow-up x-ray to establish resolution. COMPARISON: Chest radiograph dated ___.
Interval resolution of the previous possible left lung pneumonia. New focal consolidation in the superior segment of the left lower lung concerning for pneumonia.
11029640
The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
50317047
INDICATION: ___ year old woman with recurrent aspiration pneumonia. new aspiration event a few days ago, now with cough // assess for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary process.
11029640
Frontal and lateral views of the chest were obtained. The lungs are well expanded. A new right lower lobe opacity is likely a right lower lobe pneumonia given the provided history. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
58127430
INDICATION: ___-year-old woman with cough, wheeze and fever. COMPARISON: ___ and ___ and ___.
Right lower lobe pneumonia. Dr.___ was paged at 4:20pm and 4:55pm ___ without callback. An email with the findings was sent to Dr. ___ at 7:08pm ___.
11029640
PA and lateral views of the chest were obtained demonstrating clear and well-expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. Hypertrophic changes of the right AC joint may be indicative of AC joint arthropathy. No free air below the right hemidiaphragm.
55861228
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old with hyperglycemia and cough. Assess for pneumonia.
No acute intrathoracic process. Right AC joint arthropathy.
11029640
There is a wedge-shaped area of heterogeneous opacity at the left lung base that may be caused by an acute aspiration event,. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Incidental note is made of an old posterior right third rib fracture.
50042860
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with episode of possible aspiration, rhonchi bilaterally on exam // any evidence for pulmonary aspiration? TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___.
Wedge-shaped opacity in the left lung base may be due to an acute aspiration event but is not specific for this process. Short term radiographic followup is recommended.
11157141
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax.
53579438
CHEST RADIOGRAPHS HISTORY: Question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11157141
The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
56849605
INDICATION: ___-year-old female with seizure. Evaluate for evidence of aspiration. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs.
Unremarkable chest radiographic examination.
11941770
Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated with emphysematous changes again noted, most pronounced in the upper lobes. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
53211715
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: Array ___ ___ chest radiograph and ___ chest CT
No acute cardiopulmonary abnormality. Emphysema.
11941770
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are hyperinflated, which suggests COPD or small airways obstruction. No focal consolidation is identified. No pleural effusion or pneumothorax is seen.
56975907
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cirrhosis, possible liver transplant // pre-op. pna? Will be in ___ pre-op holding at 11:00pm, please plan on being there around 11:30pm Surg: ___ (liver transplant) TECHNIQUE: Portable PA view of the chest. COMPARISON: None.
Hyperinflated lungs, which suggests COPD or small airways obstruction. No evidence of pneumonia.
11036215
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
51930031
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with exertional dyspnea // infiltrate or edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11036215
An enteric tube likely terminates in the stomach. An endotracheal tube terminates 4.4 cm above the carina. A right internal jugular approach temporary pacing lead overlies the right ventricle, with no pneumothorax. The heart is upper limits of normal in size, and note is made of mild pulmonary vascular congestion. Lung volumes are low, which accentuates bronchovascular markings and the cardiac silhouette.
53274501
INDICATION: History: ___M with pacer placed // s/p temp pacer placement TECHNIQUE: AP RADIOGRAPH OF THE CHEST. COMPARISON: None
Temporary pacing lead terminates in right ventricle, with no evidence of pneumothorax. Pulmonary vascular congestion.
11420467
The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy bibasilar atelectasis is present. No focal consolidation, pleural effusion or pneumothorax is present. There is no free air detected under the diaphragms.
52519042
HISTORY: Abdominal pain after colonoscopy and polyp removal yesterday. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: None.
Bibasilar atelectasis. No subdiaphragmatic free air identified.
11720780
Single semi-upright AP portable view of the chest was obtained. Patchy left base retrocardiac opacity could be due to atelectasis or infection. Slight blunting of the left costophrenic angle is felt to most likely be due to overlying soft tissue. No large pleural effusion or pneumothorax. Cardiac silhouette is not enlarged. The aorta is tortuous.
57899342
EXAM: Chest, semi-erect AP portable view. CLINICAL INFORMATION: ___-year-old with history of left lower quadrant tenderness, diarrhea for a month, fever. COMPARISON: None.
Patchy left base retrocardiac opacity may represent atelectasis, although consolidation due to infection is not excluded.
11720780
Single frontal view of the chest was obtained. A new left internal jugular central catheter terminates in the mid SVC. The lungs are clear. No pneumothorax, focal consolidation, or pleural effusion. The heart size and cardiomediastinal contours are normal. Rightward deviation of the tracheal contour is chronic and consistent with a known left thyroid lobe goiter.
54486475
HISTORY: ___-year-old female status post left internal jugular line placement. COMPARISON: Chest radiograph of ___ at 22:57.
New left IJ central catheter terminates in the mid SVC. No pneumothorax.
11720780
A single AP radiograph of the chest was acquired. A right PICC ends in the low SVC, not significantly changed compared to the prior radiograph from ___, although this PICC has apparently been exchanged in the interim. There is minimal bilateral lower lung atelectasis/scarring. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
56271117
INDICATION: Existing left PICC. About to use line for chemotherapy. Assess for positioning. COMPARISON: Chest radiograph from ___.
Appropriate positioning of right PICC, ending in the low SVC. No acute cardiac or pulmonary process.
11720780
There is a possible small left pleural effusion not significantly changed from the prior radiograph and decreased in size since the prior CT. Alternatively, it may represent mild pleural thickening. There is no right pleural effusion. There is no consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal and unchanged. A right PICC terminates in the low SVC.
55868430
INDICATION: B-cell lymphoma. Evaluate pleural effusions. COMPARISONS: Chest radiograph ___. Chest radiograph ___. CT chest ___.
Stable mild blunting of the left costophrenic angle which could be due to a small left pleural effusion or mild pleural thickening.
11220174
The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax, pulmonary edema, or pneumonia.
58338979
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with A-fib, HTN and chronic amiodarone use. Shortness of breath on exertion. // Assess for amiodarone lung toxicity. Also patient has chronic lower cervical pain, assess for any evidence of prior fracture. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___, ___
No evidence of amiodarone toxicity or acute cardiopulmonary process.
11220174
Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. Linear atelectasis at the left lung base is seen. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is upper limits of normal size. The mediastinal silhouette and hilar contours are normal.
56140867
INDICATION: Chest pain. COMPARISON: ___.
No pneumonia, edema or effusion.
11749570
PA and lateral views of the chest were obtained. On the first of three images, there is poorly defined opacity at the right hilum/infrahilar level which has no corresponding abnormality on the lateral view. Findings are concerning for a mass. No pleural effusion or pneumothorax is seen. Heart size is normal. Mediastinal contour is normal. No bony abnormalities are seen.
54410917
WET READ: ___ ___ ___ 7:32 PM Right hilar opacity -- ?? mass - rec CT. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Shoulder pain radiating to the chest, assess acute intrathoracic process.
Right hilar opacity concerning for mass. CT advised. Posted/flagged to ED dashboard at time of this dictation.
11829756
Chest, PA and lateral. There is a possible small left pleural effusion and there are bilateral lower lobe opacities. The lungs are otherwise clear. The heart size is top normal or slightly enlarged. Probable background hyperinflation. No CHF. There is no pneumothorax.
51087533
INDICATION: Dyspnea on exertion for one week, with recent exacerbation and elevated BNP. COMPARISON: None available.
Bibasilar opacities, likely atelectasis. An early infiltrate would be difficult to exclude. Possible small left pleural effusion.
11053472
The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
55923278
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough and fever. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process, specifically no focal consolidation concerning for pneumonia.
11041787
A left chest wall pacemaker is seen with 2 leads in appropriate position. The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. The lungs are hyperinflated. Opacities seen at the base of the right lung are concerning for infection. There is no pneumothorax or pleural effusion identified. Of note, this examination is read in conjunction with the CT performed at 18:23 on ___
57927148
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with xfer from OSH for midgut volvulus per CT, images being uploaded, ?PNA on CXR wish to confirm // eval for ? PNA, obvious free air TECHNIQUE: Chest PA and lateral COMPARISON: Reference CT from ___.
Right basilar opacities consistent with pneumonia. No large effusion or pneumothorax.
11624190
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
53351683
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with pain // PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11502232
The patient is status post median sternotomy, and a prosthetic aortic valve is noted. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Compression deformities of the mid-thoracic spine are noted. Increased AP diameter of the chest may reflect COPD.
51322400
INDICATION: ___-year-old male with palpitations, atrial fibrillation and shortness of breath. Evaluate for infectious process. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: CT from ___.
No acute cardiopulmonary process.
11566088
Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
51534959
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain. COMPARISON: ___.
No acute cardiopulmonary process.
11434826
PA and lateral views of the chest were obtained. A vague opacity is seen in the left lower lung which could represent a very early pneumonia. Retrocardiac opacity is also noted which is most compatible with a hiatal hernia. No large pleural effusions are seen. Cardiomediastinal silhouette is stable. No definite signs of CHF, though subtle Kerley B lines may indicate an element of mild interstitial edema. Bony structures are intact.
55304747
CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: ___-year-old male with exertional chest pain, dyspnea, question pneumonia.
Hiatal hernia, subtle opacity in the left lower lung, question early pneumonia. Mild interstitial edema.
11489146
Small apical residual pneumothorax appreciated on ___ has completely resolved. Minimal irregularity in the right lung apex is probably scarring. Otherwise, lungs are clear. No effusions. The heart size is normal. The mediastinal and hilar contours are unremarkable.
52930259
CHEST RADIOGRAPH INDICATION: Spontaneous pneumothorax to look for interval changes. TECHNIQUE: PA and lateral chest views were reviewed in comparison with prior chest radiographs, with the most recent from ___.
Since ___, small residual right apical pneumothorax has resolved.
11489146
As compared to prior chest radiograph from ___, there has been interval removal of a right pigtail catheter and placement of two right chest tubes which appear in adequate position. A small right apical pneumothorax is still identified. The left lung is clear. Cardiomediastinal and hilar contours are within normal limits. Mediastinum is midline. There are no pleural effusions, pulmonary edema or focal consolidations concerning for pneumonia.
54615273
INDICATION: ___-year-old male patient with recurrent pneumothorax. Study requested for evaluation of the lungs and chest tube placement. COMPARISON: Prior chest radiograph from ___, at 5:45. TECHNIQUE: Portable AP chest radiograph.
Small residual right apical pneumothorax.
11489146
Large right-sided pneumothorax is present with atelectasis of the right lung, and leftward shift of mediastinal structures compatible with tension. Additionally, a trace amount of fluid is noted within the right pleural space. Cardiac, mediastinal and hilar contours are otherwise unremarkable. Left lung demonstrates minimal streaky opacity in the left lung base likely reflecting atelectasis. No acute osseous abnormality is seen.
53411507
INDICATION: Chest pain and shortness of breath after heavy lifting. COMPARISON: ___. PA AND LATERAL VIEWS OF THE
Large right-sided hydropneumothorax with leftward shift of mediastinal structures compatible with tension. Findings called by phone to Dr. ___ at 4:18 p.m. on ___.
11489146
PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The previously persisting postoperative pleural densities have markedly improved, the diaphragm now in almost normal position with a small blunting density obscuring the lateral right pleural sinus, but not extending significantly in the posterior area. Mild degree of pleural space thickening (less than 2 mm) remains along the right lateral chest wall and extends in the apical area. A vertically oriented density exists in the apical area of the right upper lobe and most likely represents scar formations after the apical blebectomy. No residual pneumothorax can be identified. Heart size is normal, and mediastinal structures are unremarkable. Left-sided hemithorax appears quite normal.
58220014
TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient, status post right-sided VATS pleurodesis. Evaluate for interval change and remaining pneumothorax.
Further resolution of postoperative pleural changes, no residual pneumothorax. No new pulmonary or cardiovascular abnormalities.
11489146
Single portable view of the chest demonstrates a new right pigtail catheter at the right base. A residual apical pneumothorax, small in size, remains. The majority of the lung has re-expanded. Mediastinum has shifted back towards the right. No pleural effusion, pulmonary edema or focal consolidations concerning for pneumonia.
54580741
HISTORY: ___-year-old male with right-sided pneumothorax, status post pigtail placement. COMPARISON: ___.
Status post right pigtail catheter placement with small residual apical pneumothorax.
11489146
A small residual right pneumothorax is unchanged without any evidence of tension. A right pigtail catheter is in place. There is no focal consolidation or pleural effusion. The left lung is clear. Cardiomediastinal silhouette is normal. No acute skeletal abnormalities.
51977686
INDICATION: ___-year-old man with spontaneous right pneumothorax, pigtail in now to waterseal, evaluate for interval change. COMPARISONS: AP radiograph from ___ and PA and lateral radiographs from ___.
Unchanged small residual right pneumothorax.
11489146
A frontal and lateral view of the chest demonstrates no recurrent pneumothorax. There remains a small right pleural effusion, decreased in size from ___. There is scarring and sutures noted at the right apex. There is mild hyperinflation of the lungs which are otherwise clear. The cardiomediastinal and hilar contours are unremarkable.
51511885
HISTORY: Spontaneous pneumothorax x2 with episodic sharp pain at the superior posterior port sites on the right, assess for recurrent pneumothorax. COMPARISON: Chest radiographs from ___ through ___.
No recurrent pneumothorax. Small right pleural effusion. Findings were discussed with Dr. ___ by Dr. ___ ___ the telephone on ___ at 11:45, ___ min after they were made.
11489146
After removal of the right pleural pigtail catheter mild-to-moderate right apical pneumothorax has increased with a maximum width up to 2.5 cm. There are no findings of tension pneumothorax. Lungs are clear. Heart size is normal, mediastinal and hilar contours are unremarkable. There is no pleural abnormality.
51006999
CHEST RADIOGRAPH INDICATION: Right pleural pigtail catheter has been removed. To look for changes in the pneumothorax. TECHNIQUE: Erect PA and lateral chest views were reviewed in comparison with prior chest radiograph from ___.
Following removal of right pleural pigtail catheter, small-to-moderate right apical pneumothorax has increased. Dr. ___ communicated the findings with nurse ___, ___ ___ by phone on ___ at 2:25 p.m. during the chest x-ray review.
11489146
There has been interval placement of a right pleural pigtail catheter with interval re-expansion of the atelectatic right lung and decreased size of the right pneumothorax with a small residual pneumothorax remaining. It is approximately 5 mm in width. Previously noted signs of tension have resolved, as the mediastinum now is in normal position and no longer pushed leftward. The cardiac size is normal. There is a small amount of linear atelectasis at the right base. There is no evidence of consolidation or re-expansion edema. No large pleural effusion is noted.
53093091
INDICATION: Evaluate pneumothorax after pigtail catheter placement. COMPARISONS: Chest radiograph ___ at ___.
Interval placement of right pleural pigtail catheter with small residual right pneumothorax and resolution of previously noted tension. Right basilar atelectasis.
11732026
The patient is status post previous median sternotomy and coronary bypass surgery. Heart is normal in size. Pacing device remains in place with leads unchanged in position. A new poorly defined area of consolidation has developed in the left lower lobe posteriorly. No definite pleural effusion.
58370873
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with SOB, rhonchi, history of CHF and recent pneumonia // ? CHF vs pneumonia COMPARISON: ___
Left lower lobe consolidation, which may reflect history of recent pneumonia. Followup chest radiograph is recommended in 4 weeks to document complete resolution.
11411141
There is a patchy opacity in the right lower lobe also visible on the lateral projection that is concerning for pneumonia. There is a small right pleural effusion. No pneumothorax is identified The cardiomediastinal silhouette is mildly enlarged. The imaged upper abdomen is unremarkable.
52926518
WET READ: ___ ___ ___ 1:49 PM Small right pleural effusion and mild cardiomegaly, otherwise no acute process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea, chest pain last night // r/o pna, r/o CHF TECHNIQUE: Chest PA and lateral COMPARISON: CT chest from ___
Patchy opacity in the right lower lobe concerning for pneumonia. Small right pleural effusion.
11591785
The cardiac, mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the left hemidiaphragm compared to the prior examination with mild distention of the colon at the splenic flexure projecting immediately beneath the left hemidiaphragm, although not abnormal. Patchy opacity along the left hemidiaphragm appears compatible most likely with atelectasis that might be expected with elevation of the diaphragm. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
57902543
CHEST RADIOGRAPHS HISTORY: Shortness of breath and cough. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.
No definite evidence of acute cardiopulmonary disease. New elevation of the left hemidiaphragm with patchy opacity at the left lung base, probably due to atelectasis.
11152298
The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
58373774
INDICATION: ___-year-old female with tachycardia. Evaluate for acute cardiopulmonary process. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph.
No acute intrathoracic process.
11389860
Lung volumes are slightly low were compared to prior. There is faint right basilar opacity on the frontal view an seen anteriorly on the lateral view as well. The lungs are otherwise clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Multiple surgical clips project over the bilateral chest wall. No acute osseous abnormalities.
57937835
INDICATION: ___F with total body pain // eval for infiltrate/edema TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.
Faint right basilar opacity, potentially atelectasis given lower lung volumes, infection not excluded.
11389860
PA and lateral views of the chest provided. Tiny surgical clips project over the chest wall. 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.
54180554
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with onc fever, no focal sxs // eval ? infiltrate COMPARISON: ___ and ___.
No acute intrathoracic process.
11389860
PA and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pleural effusion, pneumothorax or focal consolidation.
51121609
HISTORY: Hemoptysis and cough. COMPARISON: Comparison is made to radiographs of the chest from ___.
No acute cardiopulmonary process.
11389860
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. Mild degenerative changes are similar along the lower thoracic spine.
52440626
EXAMINATION: Chest radiographs. INDICATION: Cough and dyspnea. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease. Hyperinflation.
11090630
Low lung volumes. There is mild interstitial pulmonary edema. Bibasilar atelectasis. No focal consolidations. Mild enlargement of the cardiomediastinal silhouette, which may be projectional. No pleural effusion. No pneumothorax.
54914491
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with tachypnea, fever // ? pna TECHNIQUE: Single AP radiograph of the chest. COMPARISON: None.
Low lung volumes with mild interstitial pulmonary edema. No focal consolidations to suggest pneumonia.
11927057
The lungs are well expanded bilaterally with no areas of focal consolidation, mass lesions, pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.
56563568
INDICATION: ___-year-old female with upper respiratory symptoms. COMPARISON: PA and lateral chest radiograph ___. TECHNIQUE: PA and lateral chest radiographs.
Normal chest radiograph. No evidence of malignancy or infection.
11898140
Patchy retrocardiac opacification appears similar to the prior examination. Mild hazy opacities can be seen in both lungs, but predominantly in the right mid lung, where cuffed airways are visible.
55197916
CHEST RADIOGRAPH HISTORY: Desaturation and aspiration. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.
Diffuse mild opacification, somewhat more prominent on the right than left, which could be seen with aspiration, among other possible causes, including pulmonary edema.
11180953
The left pleural effusion has decreased in size with persistent left lower lobe atelectasis and associated elevation of the left hemidiaphgram. Patient is status post median sternotomy and CABG. No pneumothorax is identified. A stable small right pleural effusion is again seen. The cardiac size remains top normal.
55817435
HISTORY: Status post thoracentesis for pleural effusion, question pneumothorax or change in pleural effusion. COMPARISON: ___. TECHNIQUE: Single portable view of the chest.
Interval small decrease in the left pleural effusion with left lower lobe atelectasis. Stable small right pleural effusion.
11180953
Frontal and lateral radiographs of the chest demonstrate a moderate-sized left pleural effusion which is slightly increased since ___ ___. No right pleural effusion is seen. There is atelectasis adjacent to the pleural effusion at the left base. Otherwise, the lungs are clear. The cardiac and mediastinal contours are unchanged since prior study. Intact median sternotomy wires are noted. No pneumothorax is seen.
52282014
HISTORY: Status post CABG on ___ with pleural effusions, status post left thoracentesis on ___. Evaluate pleural effusion. COMPARISON: ___.
Moderate left pleural effusion which has increased since ___ ___. No right pleural effusion.
11180953
Compared with the most recent radiograph performed approximately 24 hours prior to this exam, there is no significant change in degree of bilateral pleural effusion, with a small right-sided pleural effusion and a moderate-to-large left pleural effusion with associated left lower lobe atelectasis. No focal parenchymal opacities are seen in the aerated part of the lungs. There is no widening of the upper mediastinum. Assessment of cardiac size cannot be performed due to obscuration of the left heart border. Sternotomy wires are intact. Mediastinal surgical clips are from recent CABG.
56566321
INDICATION: Patient with pleural effusion after recent cardiac surgery. Evaluate for interval changes. COMPARISON: Multiple prior chest radiographs spanning from ___ to ___. The ___ film was a pre-operative assessment. TECHNIQUE: PA and lateral chest radiographs.
No significant interval change in burden of bilateral pleural effusions, left worse than right, compared with exam performed 24 hours prior. Associated left basilar atelectasis is present, infection not excluded.
11180953
Single frontal radiograph of the chest demonstrates interval left chest tube removal with no evidence of pneumothorax. Additionally, there has been interval extubation and as a consequence, reduced lung volumes accentuating the cardiac silhouette and causing crowding of the vasculature. The right internal jugular catheter is unchanged. No focal consolidation is identified.
50621244
HISTORY: Status post CABG. Evaluate for pneumothorax after chest tube removal. COMPARISON: ___.
Interval removal of endotracheal tube, enteric tube, and left chest tube with no evidence of pneumothorax.
11647826
Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
50759144
HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11844144
The patient is status post median sternotomy and right-sided pacer placement with leads terminating in the right atrium and right ventricle. Low lung volumes are present. Heart size is mildly enlarged and accentuated by the low lung volumes. Convexity at the right cardiophrenic angle could reflect a hiatal hernia. Hilar contours are unremarkable. Crowding of the bronchovascular structures is present with probable mild pulmonary vascular congestion. Patchy opacities in the lung bases may reflect areas of atelectasis but infection or aspiration cannot be excluded. No acute osseous abnormality is detected.
50610566
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, wheeze, poor historian TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None.
Low lung volumes with bibasilar patchy opacities, potentially atelectasis. Infection or aspiration cannot be excluded. Convexity at the right cardiophrenic angle could potentially reflect a small hiatal hernia.
11844144
AP view of the chest provided. Lung volumes are low. There is pulmonary vascular congestion with mild edema. The cardiac silhouette is stably enlarged. Of note, at the cervicothoracic junction, there is symmetric narrowing of the trachea, which was also seen on prior studies and is likely chronic. Dual pacemaker lead is seen terminating in the right atrium and right ventricle.
55929479
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with OSA, now post viral stridorous symptoms COMPARISON: Chest radiograph from ___.
Pulmonary vascular congestion with mild edema. No pneumonia.
11470961
Heart size is mildly enlarged. The aorta is tortuous with atherosclerotic calcifications noted at the arch. Pulmonary vasculature is not engorged. Focal opacity is seen within the right lower lobe concerning for pneumonia. There is likely a small right pleural effusion. Left lung demonstrates streaky atelectasis at the left lung base but no additional sites of focal consolidation. No pneumothorax or left-sided pleural effusion is demonstrated. There are no acute osseous abnormalities.
57444391
EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with hypoxia and sob TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
Right lower lobe pneumonia with possible trace right pleural effusion. Follow up radiographs after treatment are recommended to ensure resolution of this finding.
11287042
Interval resolution of the right subpulmonic effusion. Mild elevation of the left hemidiaphragm, most likely secondary to bowel distention and interposition of bowel between the spleen and left hemidiaphragm. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette. No sub-diaphragmatic intra-abdominal free air.
50043121
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with a pleural effusion. COMPARISON: Chest radiograph dated ___.
Interval resolution of the right subpulmonic pleural effusion. No acute cardiopulmonary process.
11287042
PA and lateral views of the chest provided. A small right pleural effusion is noted not significantly changed from the prior PET-CT allowing for differences in modality. Otherwise, lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
50657073
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with right pleural effusion seen on CT cervical spine, assess for interval change. COMPARISON: PET-CT dated ___.
Small right pleural effusion, not significantly changed from prior PET-CT.
11287042
The lungs are clear. A small right pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. There is no pneumothorax.
54197597
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with lymphoma, s/p right thoracentesis // pneumothorax? TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.
Clear lungs with no evidence of pneumothorax. Stable small right pleural effusion.
11287042
PA and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
56969632
WET READ: ___ ___ ___ 8:05 PM Left lower lobe pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with febrile neutropenia, cough, lymphoma. COMPARISON: Multiple prior chest radiographs ranging from ___ through ___ as well as a CT chest from ___.
Left lower lobe pneumonia.
11464775
The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
56175063
HISTORY: ___-year-old male with two syncopal episodes at the ___ ___ today. STUDY: PA and lateral chest radiograph. COMPARISON: None.
No acute cardiopulmonary process.
11992576
Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
51669864
EXAMINATION: Chest radiograph INDICATION: ___-year-old man with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.
No evidence of pneumonia.
11764279
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax in the right hemi thorax; the medial aspect of the left hemi thorax is partially obscured by the cardiac silhouette. Right shoulder hardware, small bore drainage catheter in the right upper quadrant. Aorta is heavily calcified and the arch, but not dilated.
56343605
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chills. // r/o PNA COMPARISON: Chest radiographs from___
Grossly normal radiographic examination of the chest. Conventional lateral views would better assess the left lower chest, to determine if there is either atelectasis or posteriorly layering pleural effusion lobe.
11764279
Patient is rotated. Frontal and lateral chest radiograph demonstrates hypoinflated lungs with bilateral lower lobe atelectasis and crowding of vasculature. Linear platelike atelectasis within the right mid lung is noted. Rounded opacity within the lower lungs is present. Heterogeneous opacity within the right lower lobe is most consistent with atelectasis. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are otherwise unremarkable. Limited assessment of the upper abdomen is notable for a partially visualized catheter within the left upper quadrant
55170692
WET READ: ___ ___ ___ 2:15 AM 1. Rounded opacity within lower lungs is worrisome for focal pneumonia. Recommend followup chest radiograph in 6 weeks once clinically stable to assess for resolution. 2. Hypoinflated lungs with bilateral lower lobe atelectasis and linear atelectasis in right mid lung. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Shortness of breath and fever. Assess for pneumonia. COMPARISON: Chest radiograph1 ___, ___, ___.
Rounded opacity within lower lungs is worrisome for focal pneumonia. Recommend followup chest radiograph in 6 weeks once clinically stable to assess for resolution. Hypoinflated lungs with bilateral lower lobe atelectasis and linear atelectasis in right mid lung.
11764279
A right PICC line terminates in the low SVC. A biliary drain projects over the right upper quadrant. The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection. There is no evidence of gastric distention.
55387492
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with metastatic neuroendocrine carcinoma with increased oxygen demand and epigastric pain. Evaluate for possible gastric distension. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___.
No evidence of gastric distention. Clear lungs. Lines and tubes in satisfactory position.
11764279
A right PICC terminates at the cavoatrial junction. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A pigtail catheter within the right upper abdomen and a right humeral prosthesis are incompletely visualized. Reported edema along the left supraclavicular region is not well appreciated radiographically. There is no soft tissue emphysema.
58846904
INDICATION: Left supraclavicular edema and pain. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal lateral chest radiographs.
No acute intrathoracic process. No subcutaneous or soft tissue gas.
11768345
The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
54510841
PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough since a week, basilar crackle. Rule out pneumonia. COMPARISON: ___ to ___.
There is no evidence of pneumonia.
11768345
The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The included osseous structures are grossly normal.
51375261
INDICATION: ___ year old woman with pleuritic type of CP. // ?pleural effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ through ___
No acute cardiopulmonary abnormality. No pleural effusion.
11519392
The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
51589756
HISTORY: History weakness, fevers, chills. Please evaluate for acute intrathoracic abnormalities. COMPARISON: None. TECHNIQUE: Frontal and lateral radiographs of the chest.
No acute intrathoracic abnormalities identified.
11611967
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
57410112
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with AMS, weakness, falls // PNA? stroke? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11260982
The heart size is normal. The aorta remains tortuous but unchanged. The mediastinal hilar contours are otherwise within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities detected.
59087758
HISTORY: Hypertension and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11383297
PA and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pleural effusion or pulmonary edema. No focal opacity is identified within the lungs.
56684670
HISTORY: Preoperative evaluation for pneumonia or evidence of congestive heart failure. COMPARISON: None available.
No acute cardiopulmonary process.
11704962
Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
54301267
HISTORY: ___-year-old male with dyspnea on exertion. COMPARISON: None.
No acute cardiopulmonary process.
11801202
Normal heart size, mediastinal and hilar contours. There is mild peribronchiolar cuffing. No focal consolidation, pleural effusion or pneumothorax.
52671479
INDICATION: History: ___M with shortness of breath // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available
Mild peribronchiolar cuffing which can be seen in the setting of small airways disease. No evidence of pneumonia.
11122196
Bilateral lower lobe atelectasis has improved. No interstitial edema. Moderately enlarged cardiac silhouette is similar to before. There is no pleural effusion or pneumothorax.
54737271
INDICATION: ___F w/ PVD s/p non-healed TMA (___) w/ RLE gangrene s/p R BKA // assess abnormalities
Bilateral lower lobe atelectasis has improved.
11122196
The heart is mildly enlarged. Indistinctness of the pulmonary vasculature and peribronchial cuffing is compatible with mild pulmonary edema. Linear opacities at the right lung base could reflect atelectasis although in the correct clinical setting pneumonia is possible.
50918923
INDICATION: ___F with cough and fever // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: ___
Mild pulmonary edema Linear opacities in the right lower lung could reflect atelectasis ; although, in the correct clinical setting pneumonia is possible.
11122196
Single AP supine portable chest radiograph provided demonstrates interval placement of a left IJ central venous catheter with which is seen terminating in the upper SVC. Lung volumes are low with bibasilar atelectasis. Mild hilar congestion appears increased. Mediastinal prominence likely reflect supine portable technique.
59006321
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with L IJ CVL pls eval placement COMPARISON: Prior study performed earlier today.
Appropriately positioned left IJ central venous catheter. Increasing bibasilar atelectasis and hilar congestion.
11122196
Ill-defined airspace opacity in the right lower lobe medially appears slightly more apparent since ___, this could represent worsening airspace opacity. The left lung is relatively clear. No significant effusions or pneumothorax. The heart size is stable and the left lung is clear
58881163
INDICATION: ___ year old woman with R TMA wound infection, now with cough // evaluation pneumnia COMPARISON: ___
Ill-defined opacity in the right lower lobe can reflect atelectasis or pneumonia in the appropriate clinical setting.
11122196
Low lung volumes are noted with secondary crowding of the bronchovascular markings. The lungs are otherwise clear without consolidation or large effusion. Cardiomediastinal silhouette is stable. Hypertrophic changes noted in the spine.
52001816
INDICATION: ___F with o2 req, hypotension, pls eval pna vs pulm edema TECHNIQUE: 2 portable views of the chest. COMPARISON: ___.
No definite acute cardiopulmonary process.
11307110
The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
59830152
INDICATION: History of cough, fever. Please evaluate for pneumonia. COMPARISONS: Chest radiographs dated back to ___, most recently from ___. TECHNIQUE: PA and lateral radiographs of the chest.
No acute intrathoracic abnormalities identified.
11307110
AP upright and lateral views of the chest are provided. The lungs are clear and well expanded. No free air below the right hemidiaphragm. The cardiomediastinal silhouette appears normal. Bony structures are intact. No pneumothorax or pleural effusion.
50536846
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Head strike and abdominal pain, question traumatic injury, chest pain.
No acute findings in the chest.
11307110
PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures demonstrate no acute abnormalities.
52745247
HISTORY: ___-year-old female with chest pain. COMPARISON: ___.
No acute cardiopulmonary process.
11594544
An endotracheal tube tip terminates at the thoracic inlet, approximately 5.2 cm from the carina. An orogastric tube tip and side port are both below the diaphragm, within the stomach. The patient is status post median sternotomy and CABG. Mild to moderate cardiomegaly is demonstrated. Aortic knob calcifications are present. Diffuse alveolar opacities are noted in both lungs, most reflective of moderate to severe pulmonary edema. There are likely trace bilateral pleural effusions. No pneumothorax is seen. Retrocardiac opacity could reflect atelectasis, though aspiration or infection cannot be excluded. There are no acute osseous abnormalities.
51548112
HISTORY: Intubated in field. TECHNIQUE: Portable supine AP view of the chest. COMPARISON: None.
Standard positioning of the endotracheal and orogastric tubes. Moderate to severe pulmonary edema with probable small bilateral pleural effusions. Retrocardiac opacity may reflect compressive atelectasis though infection or aspiration cannot be excluded.
11594544
Heart size is top normal with redemonstration of post-surgical mediastinal contour. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
56510419
HISTORY: CHF with palpitations. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views.
No acute cardiopulmonary abnormality.
11594544
Single upright portable view of the chest demonstrates interval improvement in asymmetric right pulmonary edema, which is now moderate in severity. The heart size is top normal, and median sternotomy wires are noted. No focal consolidation concerning for pneumonia is identified and there is no pneumothorax. Likely small bilateral pleural effusions are present.
54940792
HISTORY: ___-year-old female with CHF. COMPARISON: Comparison is made to radiographs of the chest from two hours prior at___.
Interval improvement in asymmetric right pulmonary edema, now moderate in severity.
11594544
Portable AP single view semi-erect chest x-ray shows interval improvement of bilateral pulmonary edema, now minimal, but still more severe to the right. Bilateral bibasilar pleural effusion is minimal' Left base opacity is likely atelectasis. NG and ET tubes have been removed. Heart size is still mildly enlarged in patient with history of cardiac surgery as denoted by sternal wires. There is no pneumothorax.
57691782
PATIENT HISTORY: ___-year-old woman with fever, assess for pneumonia. COMPARISON: Exam is compared to chest x-ray, ___.
Improvement of bilateral pulmonary edema, now minimal. Persistent bibasilar small pleural effusion and left lower lobe atelectasis.
11984439
PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
59542444
HISTORY: ___-year-old female with chest pain and pressure radiating to left arm, now resolved. COMPARISON: ___.
No acute cardiopulmonary process.
11933271
Patient is status post median sternotomy and CABG. Heart size remains moderately enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged and unremarkable. No pulmonary edema is present. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Hypertrophic changes are noted in the thoracic spine.
52670099
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough and chest tightness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No acute cardiopulmonary abnormality.
11651245
The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
50847687
INDICATION: Cough and pleuritic chest pain. Evaluate for cardiopulmonary process, focus left lung field. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiographs of the chest.
No acute cardiopulmonary abnormality is detected.
11072213
Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits. There is no evidence of pneumoperitoneum. Non-dilated gas filled loops of bowel may be indicative of a mild ileus.
52092452
INDICATION: Diffuse abdominal pain. COMPARISON: Chest radiograph ___.
No acute cardiopulmonary process. No pneumoperitoneum.
11072213
The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations, pneumothoraces or pleural effusions.
53462603
INDICATION: History of right lower rib pain. Rule out pneumothorax. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest.
No acute cardiopulmonary abnormalities.