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11077662 | The cardiac, mediastinal and hilar contours appear unchanged. Within the limitations of technique, the lungs appear clear aside from questionable vague increased posterior density suggesting minor atelectasis or crowding of bronchovascular structures. Evaluation is somewhat limited, however, by low lung volumes. | 57601984 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Hypoxia. Question pneumonia. COMPARISON: ___. TECHNIQUE: Chest, AP and lateral. | No definite evidence of acute cardiopulmonary disease. Low lung volumes. |
11905026 | Right basilar atelectasis and bilateral pleural effusion appear less prominent, which may be partially due to patient position. No new consolidation. No pneumothorax. Moderate cardiomegaly is unchanged. The mediastinal silhouette is unchanged. | 51909028 | INDICATION: One-liner: ___ year old woman PMH of breast cancer, pancreatic head adenocarcinoma s/p recent palliative resection (___) p/w decreased UOP found to have asymptomatic but severe hyponatremia. // any interval change in pleural effusion? TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___. | Slight improvement of right basilar atelectasis and bilateral pleural effusion, probably partially due to patient position. |
11905026 | There is a moderate right pleural effusion with overlying atelectasis. Right base opacity likely represents combination of pleural effusion and atelectasis, but underlying consolidation is not excluded. Possible trace left pleural effusion. Cardiac silhouette remains mildly enlarged. Mediastinal contours are stable and unremarkable. | 50323862 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recent Whipple, cough, fever // please eval pnuemonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Moderate right pleural effusion with overlying atelectasis. Right base opacity likely represents combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Possible trace left pleural effusion. |
11748036 | Chronic right-sided rib deformities noted. Mild pulmonary edema is seen. No large pleural effusion is seen although a small left pleural effusion is difficult to exclude. The cardiac silhouette is mildly enlarged. The aortic knob is calcified. No pneumothorax is seen. | 50856205 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with sob // pelm edema TECHNIQUE: Single frontal view of the chest COMPARISON: None | Mild pulmonary edema and mild enlargement of the cardiac silhouette. |
11748036 | There has been interval placement of an endotracheal tube that terminates at the carina, low in position. Recommend withdrawal by approximately 3 cm for more optimal positioning. Left-sided pacer device with leads partially imaged, grossly stable in position. The cardiac and mediastinal silhouettes are stable. There is mild to moderate pulmonary edema. Likely bibasilar atelectasis is seen. No large pleural effusion or pneumothorax. Partially imaged left humeral prosthesis. | 57400412 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with sp inbutation // ETT placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Interval placement of endotracheal tube terminates at the level of the carina, low in position. Recommend withdrawal by approximately 3 cm for more optimal positioning. Pulmonary edema. |
11501458 | Single frontal view of the chest demonstrates a trauma board overlying the thorax limiting underlying assessment. The ET tube extends to 4.6 cm above the carina. An enteric tube extends inferiorly out of view with side port below the GE junction, likely within the stomach. The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is upper lobe predominant left lung consolidation likely representing a combination of aspiration and pulmonary contusion. There is no evidence to suggest pneumothorax. Multiple bilateral rib fractures are better correlated with subsequent CT. | 57510841 | INDICATION: ___-year-old female status post cardiac arrest and drug overdose. COMPARISON: No prior study is available for comparison. | Appropriate positioning of ET tube and enteric tube. Upper lobe predominant left lung consolidation. Multiple bilateral rib fractures, better seen on subsequent CT. |
11129726 | No focal consolidation to suggest pneumonia is seen. There are small bilateral pleural effusions. There is vascular congestion. Moderate-to-severe cardiomegaly is present, with apparent enlargement of the left atrium. No pneumothorax is seen. A likely compression deformity at L2 appears grossly similar to prior exam. | 53267264 | INDICATION: Chest pain. TECHNIQUE: Two views of the chest. COMPARISON: Prior examinations dated ___ and ___. | Cardiomegaly with vascular congestion and small bilateral pleural effusions. |
11129726 | The cardiac silhouette is enlarged, there is a new moderate right and small left pleural effusion as well as mild pulmonary edema, worsened since ___. No pneumothorax. There is a left retrocardiac opacity which likely represents atelectasis. | 57484627 | INDICATION: ___-year-old woman with heart failure and pulmonary edema. TECHNIQUE: Single frontal radiograph of the chest was obtained. COMPARISON: Chest radiograph from ___ and from ___. | Moderate cardiomegaly and mild pulmonary edema. |
11953949 | The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 52886510 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
11976834 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. | 57428909 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea and chest pain // r/o acute infectious process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11976834 | ET tube terminates approximately 3.7 cm above the carina. Enteric tube extends below the diaphragm with the tip out of view of this film. Right-sided IJ terminates in the upper SVC. Right-sided PIC line terminates in the mid SVC. Overall, there has been slight interval worsening of the pre-existing parenchymal opacities with low lung volumes compared to the prior exam. Although the cardiomediastinal contours are exaggerated given the technique, mild cardiomegaly is persistent. | 55461236 | INDICATION: History of diffuse ground-glass opacities, intubated. Please evaluate for interval change. COMPARISONS: Chest radiographs dated back to ___ and chest CT from ___. TECHNIQUE: Single AP radiograph of the chest. | Slight interval worsening of the pre-existing parenchymal opacities compared to the prior exam from ___. Lines and tubes are in appropriate position. |
11030852 | The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear of consolidation. There is no pleural effusion or pneumothorax. | 50650002 | HISTORY: ___-year-old male with aphasia, now resolved. STUDY: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
11039058 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54092235 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 30 pack year smoking history and chronic cough // please evaluate for evidence of hyperinflation/masses TECHNIQUE: Chest PA and lateral COMPARISON: ___ she is going to be | No acute cardiopulmonary abnormality. |
11039058 | Cardiomediastinal shadow is normal. No hilar adenopathy. No pulmonary nodules or masses. No airspace consolidation. No pleural effusions. Tips in situ. | 55891822 | INDICATION: ___ year old man with smoking history and weight loss // please rule out malignancy TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No pneumonia. No pulmonary edema. No suspicious pulmonary nodules or masses. |
11234592 | Interval removal of left chest tube. No pneumothorax. Median sternotomy wires are intact. Interval removal of a right internal jugular venous sheath. Right internal jugular venous catheter terminates at the cavoatrial junction. Endotracheal tube terminates 2.7 cm above the carina. Nasogastric tube extends below the diaphragm and into the stomach. Cardiomediastinal and hilar contours are unchanged. There is stable bibasilar atelectasis. There are stable, small, bilateral pleural effusions, left greater than right. | 56818154 | EXAMINATION: Portable AP chest radiograph. INDICATION: ___-year-old man status post chest tube removal. Evaluate for pneumothorax. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Multiple prior chest radiographs, most recent from ___ at 11:11. | Status post removal of left chest tube without evidence of pneumothorax. |
11234592 | The right PICC tip extends up into the neck and outside of the field of view, unchanged from the prior study. No other significant change is observed compared with the immediate prior study. The cardiomediastinal contour, including multiple sternotomy wires and prosthetic valves is unchanged. | 57153692 | INDICATION: ___ year old man with R PICC malpositioned, evaluate positioning following power flush. TECHNIQUE: Single portable semi-upright supine radiograph. COMPARISON: Prior chest radiographs dating back to ___ | Right PICC extending up into the neck should be repositioned. |
11234592 | Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. A right-sided PICC is seen, terminating in the proximal to mid SVC, slightly higher in position than on the prior study from ___. There is mild left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Minimal left base atelectasis is seen. | 57145991 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Patient with aortic valve abscess, also evaluate location of PICC line. COMPARISON: ___. | Right PICC terminates in the proximal to mid SVC without evidence of pneumothorax. Mild left base atelectasis. |
11234592 | A Swan-Ganz catheter ends in the region of the right main pulmonary artery. A cardiac valve is in unchanged position. Multiple surgical drains project over the mediastinum. Apparent right and left chest tubes are in unchanged position. An endotracheal tube ends in mid thoracic trachea. An apparent enteric tube is only able to be seen to the level of the distal esophagus likely due to technique. A right PICC ends in the region of the low SVC. Pulmonary edema has improved. Atelectasis is noted at the lung bases bilaterally. | 57653576 | EXAMINATION: Chest radiograph. INDICATION: ___ year old man with mech AVR bentall // eval for pneumothorax TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___ | Pulmonary edema has improved. No pneumothorax. |
11179313 | PA and lateral views of the chest provided. There is now 0 8 left chest wall pacer device with leads extending into the region of the right atrium and right ventricle. Overall, the heart size appears normal. There is a subtle retrocardiac opacity which is concerning for pneumonia. No large effusion or pneumothorax. Mediastinal contour appears unchanged. Bony structures are intact. | 51262556 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough and fever // r/o PNA COMPARISON: Prior study from ___. | Left lower lobe consolidation concerning for pneumonia. |
11179313 | The previously noted bronchopneumonic changes in the right upper lobe, right lower lobe and left lower lobe shows interval improvement. The heart size is normal. No pleural effusions. No pneumothorax. Dual lead pacemaker in situ. Spondylotic changes of the thoracic spine. . | 55963905 | INDICATION: ___ year old man with recent pneumonia // ? Interval change since hospital discharge TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to previous chest radiograph done ___. | Interval improvement in multifocal bronchopneumonia. |
11925563 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Breast implant in place. | 58512337 | EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11437634 | Single portable AP upright chest radiograph demonstrates interval placement of a chest tube within the right hemithorax which medially projects over the midline. Previously seen right pneumothorax is no longer appreciated. Lungs are hyperinflated with flattening of the hemidiaphragms suggestive of emphysematous changes. Cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormalities detected. There is no pleural effusion. | 56072473 | WET READ: ___ ___ ___ 10:18 PM Interval placement of right-sided chest tube with apparent resolution of right pneumothorax. Chest tube extends medially to the midline and appears to overlap the mediastinum on this single view. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with pneumothorax status post chest tube. COMPARISON: Radiograph dated same day, ___ approximately 1 hr prior. | Interval placement of right-sided chest tube with apparent resolution of right pneumothorax. Chest tube extends medially to the midline and appears to overlap the mediastinum on this single view. |
11437634 | Severe emphysema is again noted. A metallic fiducial marker in the right upper lobe from prior biopsy is present. There is no pneumothorax, pleural effusion, pulmonary edema, or consolidation. Known bilateral upper lobe nodules are better characterized on concurrently obtained CT. A cardiomediastinal silhouette is unremarkable. | 55383400 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with productive cough. // pna? TECHNIQUE: Chest PA and lateral COMPARISON: ___. The study is read in conjunction with concurrently obtained CT of the torso. | Severe emphysema. No evidence of pneumonia. |
11437634 | A small clip projects over the right upper lung. Lungs are hyperinflated and lucent related to underlying severe emphysema. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears stable and normal. Chronic left ribcage deformities noted. | 53805477 | WET READ: ___ ___ ___ 8:02 PM No acute cardiopulmonary abnormality. Emphysematous changes are re- demonstrated. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with chest pain TECHNIQUE: AP upright chest radiograph COMPARISON: Chest radiograph ___ and CT of the chest from ___ | Severe emphysema without superimposed acute process. |
11437634 | AP portable upright view of the chest. Lungs are clear though lucent and hyperinflated which likely reflect COPD. A tiny clip projects over the right upper lung. Scarring in the right lung apex appears slightly more conspicuous. No effusion or pneumothorax. No convincing evidence for pneumonia or edema. Cardiomediastinal silhouette is normal. Chronic left ribcage deformities noted. | 59696177 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with COPD p/w marked SOB // eval for consolidation COMPARISON: ___ | Emphysema with subtle increased opacity at the right lung apex which may represent scarring though difficult to exclude a developing pneumonia. Please correlate clinically and follow-up to resolution advised. |
11437634 | The lungs are hyperinflated with flattening of the diaphragms and relative lucency of the lungs consistent with pulmonary emphysema. Fiducial marker is again seen in the right upper lobe. In the right mid lung, there is a 6 mm nodular opacity which represent a pulmonary nodule versus vascular structure. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Old left-sided rib deformities are again seen. | 56823270 | WET READ: ___ ___ ___ 9:30 PM Pulmonary emphysema. No evidence of pneumothorax. 6 mm nodular opacity in the right mid lung may be due to vascular structure although underlying pulmonary nodule is not excluded. Findings can be further assessed with non urgent chest CT. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sob, cp // ptx? TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Pulmonary emphysema. No evidence of pneumothorax. 6 mm nodular opacity in the right mid lung may be due to vascular structure although underlying pulmonary nodule is not excluded. Findings can be further assessed with non urgent chest CT. |
11437634 | There is a small to moderate right upper to mid hemi thorax pneumothorax. The cardiac and mediastinal silhouettes are stable in appearance and position as compared to ___, without evidence of tension. Patient's known right upper lobe spiculated nodule is seen, better assessed on CT, with fiducial marker adjacent. Additional smaller nodules seen on CT were better assessed on CT. Subtle opacity at the lateral right lung base may be artifactual or due to summation of shadows, it was not seen on prior CT from ___. No large pleural effusion. No pulmonary edema. Left-sided rib deformities again seen. | 53170801 | WET READ: ___ ___ ___ 4:24 PM Right-sided pneumothorax. Findings discussed with Dr. ___. The ED was aware immediately after the conclusion of the study. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ ___ 3:51 PM Right-sided pneumothorax. Dr. ___ has been paged. ___ ___. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with lung bx yesterday // ?ptx TECHNIQUE: Single frontal view of the chest COMPARISON: CT FROM ___ AND CHEST RADIOGRAPH FROM ___ | Right-sided pneumothorax. Findings discussed with Dr. ___. The ED was aware immediately after the conclusion of the study. |
11437634 | Right PICC terminates in mid SVC. Fiducial marker at the right upper lung is again noted adjacent to a cavitary right upper lobe lesion. Lungs are hyper inflated. There is no pneumothorax or large pleural effusion. Heterogeneous left retrocardiac opacification is new compared to ___. Nodular opacity in superior segment of left lower lobe has been more fully characterized on prior CTA chest from ___. Emphysema and scarring are again demonstrated Cardiomediastinal silhouette is normal size. Old healed fractures are noted in the left ribs. | 57119017 | INDICATION: ___ year old man with severe COPD, PNA, resp distress // Evaluate for acute interval change TECHNIQUE: Frontal view of the chest COMPARISON: Chest radiograph ___, CTA chest ___ | Left lower lobe opacity is concerning pneumonia or aspiration. Chronic severe pulmonary emphysema. Previously seen cavitary right apical lesion and superior segment left lower lobe nodular opacity have been more fully characterized on prior CTA. |
11437634 | Lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. | 50892422 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with copd // sob TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. COPD. |
11437634 | The lungs are hyperinflated as on prior. The degree of right apical opacity has increased since ___. Linear opacity extending from the right hilum superolaterally may be due to atelectasis or scarring and is new from prior. At the lateral aspect of the scarring/atelectasis is new subtle focal opacity. Right upper lobe fiducial marker is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Old left rib fractures are again noted. | 53098265 | WET READ: ___ ___ 5:35 PM More dense opacity at the right lung apex appears to have progressed since prior chest x-ray. Given extensive underlying emphysema, CT scan is suggested to further characterize as underlying mass lesion is possible. Additional subtle opacity at the right upper lung laterally which could be seen in the setting of pneumonia although additional follow-up of this region is suggested as well. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with dyspnea, recurrent pneumonia, COPD // pneumonia? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___. | More dense opacity at the right lung apex appears to have progressed since prior chest x-ray. Additional subtle opacity at the right upper lung laterally which could be seen in the setting of pneumonia although additional follow-up of this region is suggested as well. |
11437634 | The lungs are again hyperexpanded although clear. Cardiac size is unremarkable. Hilar contours and mediastinal silhouette are normal. There is no pleural effusion or pneumothorax. Old rib fractures bilaterally are again noted. | 54156881 | HISTORY: ___-year-old man with COPD, cough, wheezing, recent fevers, evaluate for pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of pneumonia. |
11437634 | The lungs remain hyperexpanded. There is no focal consolidation. The heart size is normal. Mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is re-demonstration of healed bilateral rib fractures. | 55102132 | INDICATION: Shortness of breath. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. |
11437634 | Lungs are severely hyperinflated, in keeping with underlying COPD. There is no focal consolidation, pleural effusion or pneumothorax. A fiducial marker is seen within the right upper lobe. Known pulmonary nodules are better assessed on the dedicated CT chest dated ___. Cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified. Old posterior left rib fractures are noted. | 52248929 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male with severe COPD, now presenting for evaluation of dyspnea and diffuse wheezing. Evaluation for evidence of pneumonia or pneumothorax. TECHNIQUE: Portable chest radiograph. COMPARISON: Portable chest radiograph ___, CT chest ___. | Hyperinflated lungs, without evidence of acute intrathoracic process. |
11437634 | 2 views were obtained of the chest. The location of the previously described opacities have not been provided. Within this limitation, the lungs appear hyperexpanded but clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. Old left upper rib irregularities may reflect fractures. | 58825290 | HISTORY: COPD and recent pneumonia, assess for resolution of prior opacities. COMPARISON: ___. | No acute intrathoracic process. |
11437634 | Heart size is normal with mild tortuosity of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are normal. Lungs are severely hyperinflated with lucent parenchyma and apparent prominent margination of the vasculature compatible with severe emphysema, unchanged from prior study. No focal consolidation is seen. Pleural surfaces are clear without effusion or pneumothorax. Bones are diffusely demineralized with contour irregularities on the left compatible with multiple old healed rib fractures. | 59648107 | EXAMINATION: Chest radiograph INDICATION: Chest pain and dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: ___ to ___. | No acute cardiopulmonary abnormality, specifically no pneumothorax. History of right apical nodule, better seen on CT. Severe emphysema. |
11437634 | Lungs are hyperinflated and hyperlucent due to known severe emphysema. There are subtle parenchymal opacities in the right apex, which may represent minimal bronchiolitis. There is otherwise no focal consolidation, pleural effusion or pneumothorax. Single fiducial marker is present in the right upper lobe. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. | 57503541 | WET READ: ___ ___ ___ 8:01 AM 1. Minimal right apical bronchiolitis. 2. Severe emphysema. WET READ VERSION #1 ___ ___ ___ 6:11 AM Severe emphysema, without acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male presenting with cough and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT without intravenous contrast ___ | Minimal right apical bronchiolitis. Severe emphysema. |
11437634 | Heart size is normal. Mediastinal contours are unchanged. Hilar contours are within normal limits. Pulmonary vasculature is not engorged. Severe emphysema and lung hyperinflation are re- demonstrated. Again demonstrated about a fiducial marker within the right upper. No additional new focal consolidation, pleural effusion or pneumothorax is present. Multiple remote left-sided rib fractures are again noted. | 55219429 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pleuritic chest pain status post fall, recent history of COPD TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___, chest radiograph ___ | Severe emphysema. Right upper lobe focal opacity about a fiducial marker appears unchanged from the prior chest radiograph and may reflect an area of ongoing infection. Continued followup radiographs after completion of treatment is recommended to ensure resolution of this finding. |
11437634 | Right PICC terminates in mid SVC. Lungs are hyperinflated. Fiducial marker is noted in the right upper lung with associated right upper lung volume loss. Increased interstitial markings at the left lower lung is unchanged and likely related to emphysema. Cardiomediastinal silhouette is normal size. There is no pneumothorax or pleural effusion. Multiple old healed fractures are in bilateral ribs. | 53065403 | INDICATION: ___ year old man with severe COPD, chronic pancreatitis s/p Whipple, RUL lesion c/f malignancy vs infection now worsening dyspnea. // RUL interval changes, pulmonary edema? TECHNIQUE: Frontal view of the chest COMPARISON: ___ | No notable interval change. No evidence of pulmonary edema. Chronic pulmonary emphysema. |
11437634 | AP portable upright view of the chest. Lungs remain clear and hyperinflated. No new consolidation, effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Chronic left ribcage in clavicle deformity again seen. A clip projects over the right upper lung. | 59074581 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with sob, tachycardic sudden onset // r/o acute process COMPARISON: Prior exam performed earlier today. | No change from prior. |
11012399 | PA and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region of the right atrium and right ventricle. The lungs appear clear bilaterally. 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. | 50044624 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with intermittent chest pressure, sob // eval for consolidation COMPARISON: ___. | No acute intrathoracic process. |
11012399 | No focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema is seen. The heart size is top normal. Mediastinal contours are normal. No bony abnormality is detected. | 52155791 | HISTORY: Obesity, sleep apnea, chest pain and shortness of breath. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None. | No acute cardiopulmonary process. |
11012399 | Left chest wall transvenous pacing leads and in the right atrium and right ventricle. Moderate cardiomegaly is unchanged. Also unchanged is mild tortuosity of the descending thoracic aorta. There is no pleural effusion or pneumothorax. No definite focal consolidation. There is mild vascular congestion. | 53402437 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old man with dyspnea and chest pressure. TECHNIQUE: AP and lateral COMPARISON: Chest radiograph ___ and ___. | No definite focal consolidation. Mild vascular congestion. Cardiomegaly. |
11558369 | Since the prior CXR, there has been interval resolution of right-sided pulmonary edema. The right lung is otherwise free of focal consolidations, large pleural effusions or pneumothorax. Within the left lung, there is extensive atelectasis at the lung base. The two chest tubes are unchanged in position. The moderate/large left loculated pleural effusion is not significantly changed compared to ___. Tiny hydropneumothoraces noticed in the left lung apex. No acute osseous abnormalities. | 56375312 | EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old man with pneumonia s/p VATS decortication // f/u TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Unchanged moderate to large left loculated pleural effusion, with small loculated apicolateral hydropneumothorax. |
11558369 | There has been no significant interval change and the loculated moderate left hydropneumothorax. The left costophrenic angle has been excluded from the field of view. The right lung remains clear. The cardiomediastinal contour is stable. | 57862191 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male for pneumonia followup. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___ and dating back to ___. | No significant interval change in moderate loculated left hydropneumothorax. Clear right lung. |
11558369 | Since the prior CXR on ___, the lungs are better aerated. The small to moderate left effusion appears better, but this may be partially due to erect positioning. There is still significant retrocardiac atelectasis. No new areas of consolidation. Right lung is essentially clear. No pneumothorax. Stable cardiomediastinal silhouette. | 57848518 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with left empyema s/p left VATS total decortication // assess for interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ | Slight interval improvement in left effusion, though this may be partially due to positioning. |
11558369 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a retrocardiac opacity which obscures the left hemidiaphragm concerning for pneumonia. There is no evidence of pneumothorax. Small left pleural effusion is noted. Large ___.8-cm (craniocaudal) left-sided pleural based lateral opacity may represent a loculated pleural effusion. | 57091846 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever and cough // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: None. | Left lower lobe pneumonia with small left pleural effusion. Lateral left-sided pleural based lesion may represent a loculated pleural effusion. Recommend CT for further evaluation. |
11558369 | No focal consolidation is seen. There is blunting of the left costophrenic angle on the frontal view, not well appreciated on the lateral view which may be due to pleural thickening or atelectasis, however, very trace pleural effusion is not entirely excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | 57271272 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with req pre op CXR // pre-op TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Slight blunting of the left costophrenic angle may be due to pleural thickening or atelectasis, very trace pleural effusion not excluded, although not substantiated on the lateral view. |
11558369 | AP portable upright view of the chest. Two left thoracostomy tubes are unchanged in position. There is no pneumothorax. The lung volumes are lower in comparison to the ___ study. Mild central pulmonary vascular congestion is unchanged. A small left pleural effusion remains stable. | 55886213 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left empyema sp decort // ptx COMPARISON: Chest radiograph from ___. | Left pneumothorax no longer detected. Unchanged left pleural effusion. Stable central pulmonary vascular congestion. |
11558369 | AP portable upright view of the chest. A tiny left apical pneumothorax is present. Two thoracostomy tubes are present. The heart size is top normal. There is central pulmonary vascular congestion, with no appreciable edema. A left basilar opacity likely reflects a combination of atelectasis and a small left pleural effusion. | 52407062 | WET READ: ___ ___ 11:02 AM Small apical left-sided pneumothorax with 2 left sided chest tubes in adequate position. Blunting of the left costophrenic angle and diffuse opacity of the left lower lung could relate to atelectasis and pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left empyema sp decort // ptx COMPARISON: Chest CT from ___. | Tiny left apical pneumothorax. Mild pulmonary vascular congestion. No overt edema. Small left pleural effusion with adjacent atelectasis. |
11811044 | PA and lateral views of the chest provided. A PICC line is seen extending from the right arm through the right subclavian vein into the mid SVC region. Perihilar opacities, left greater than right are again noted compatible with known atypical mycobacterial infection. There is also mild left basal opacity which is not significantly progressed. No large effusion or pneumothorax. The cardiomediastinal silhouette appears unchanged. Bony structures appear intact. | 59413204 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with PICC in place fro MAC pna, with fever and tachycardia x48 hrs COMPARISON: ___ and ___. | PICC line appears positioned appropriately. Perihilar opacities again noted not significantly changed most consistent with reported history of atypical mycobacterial infection. |
11595084 | Heart size is normal. Aortic knob demonstrates minimal atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is not engorged. Chronic interstitial opacities are re- demonstrated in the lung bases, likely reflective of paraseptal emphysema as seen on the prior CT torso. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 54286005 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, CT torso ___ | No radiographic evidence for pneumonia. |
11595084 | The cardiac and mediastinal silhouettes appear within normal limits. Mild vascular calcifications are seen at the aortic arch. There no focal pulmonary opacities, pleural effusions, or evidence pneumothorax. Osseous structures appear unremarkable. | 58562565 | INDICATION: Cough and chest pain, shortness of breath. Evaluate for infiltrate. TECHNIQUE: Chest PA and lateral. COMPARISON: ___. | No evidence acute cardiopulmonary disease. No appreciable interval change compared to ___. |
11070186 | EKG leads overlie the upper chest. The heart is not enlarged. There is no CHF, focal infiltrate or effusion. No pneumothorax detected on this lordotic view. Mild increased retrocardiac density could reflect some left lower lobe atelectasis. Minimal atelectasis noted in the right cardiophrenic region. No free air seen beneath the diaphragm. On the current view, small amount a gas is seen in the expected site of the gastric fundus. Otherwise, there is a relative paucity of abdominal gas. | 58716125 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with acute abdomen // UPRIGHT, please evaluate for free air TECHNIQUE: Portable AP view of the chest, with lordotic positioning. The image is not labeled as as an upright film, of uncertain significance. COMPARISON: None. | Possible left lower lobe atelectasis. Minimal right cardiophrenic angle atelectasis. Otherwise, doubt acute pulmonary process. No free air seen beneath the diaphragm, though is difficult to confirm that this view was obtained standing. Relative paucity of gas seen in the visualized upper portion of the abdomen. |
11456666 | 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 present. Cervical spine fusion hardware is incompletely imaged. There are no acute osseous abnormalities. | 59638246 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath, cough, fever. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11539276 | PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. There is mild anterior wedging of a lower thoracic vertebral body, likely chronic in nature. A spinal stimulator is noted. The remainder of the bones are intact. | 54114446 | INDICATION: ___-year-old male with fever and back pain. Evaluate for COPD or infiltrate. COMPARISONS: None. | No acute cardiopulmonary process. |
11412387 | The endotracheal tube ends 5.3 cm above the carina. The orogastric tube ends off of the radiograph. The lung volumes are low and there is bibasilar atelectasis. There is no large pleural effusion or pneumothorax. Mild enlargement of the cardiac silhouette is likely positional. The aorta is unfolded. | 54634126 | INDICATION: ___F with RA s/p intubation. Evaluate endotracheal tube placement. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None. | The endotracheal tube ends 5 cm above the carina and could be advanced 1 cm for optimal positioning. Low lung volumes and bibasilar atelectasis. |
11775555 | 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. Bony structures appear within normal limits. | 54223962 | CHEST RADIOGRAPHS HISTORY: Left-sided chest pain radiating to the back. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11116370 | There are moderate right and small left pleural effusions. PULMONARY EDEMA IS MILD. RIGHT LOWER LOBE IS SEVERELY ATELECTATIC. . The hilar and UPPER cardiomediastinal contours are normal. There is no pneumothorax. . There is a right PICC terminating at the cavoatrial junction. | 57969817 | WET READ: ___ ___ ___ 4:30 AM Right PICC terminates at the cavoatrial junction. Moderate right pleural effusion without comparison studies to assess chronicity. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman currently being treated for urosepsis with IV antibiotics via PICC, transferred from rehab facility for concerning lesions on left. The patient has no respiratory symptoms, is afebrile, and is without leukocytosis. Evaluate PICC positioning. COMPARISON: None available. | Right PICC terminates at the cavoatrial junction. CONGESTIVE HEART FAILURE RESPONSIBLE FOR MILD PULMONARY EDEMA, MODERATE TO LARGE RIGHT AND SMALL LEFT PLEURAL EFFUSIONS |
11404727 | AP semi upright and lateral views of the chest provided. Surgical clips project over the right lung base as on prior. There are small bilateral pleural effusions with associated lower lung atelectasis, not significantly changed from the prior exam. The cardiomediastinal silhouette appears stable. There is no overt edema. There is probable emphysema. Bony structures are intact. | 56753346 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with weakness anemia // ? pna COMPARISON: ___. | Small bilateral pleural effusions with lower lung atelectasis and probable background emphysema. Mild cardiomegaly. |
11404727 | There are surgical clips and volume loss in the right lower hemithorax with flattening and a meniscoid appearance to the pleural surfaces suggesting smooth scarring, pleural effusion, or both. Similar findings are present at the left lung base, but to some extent less striking, suggesting a small pleural effusion with minor atelectasis. Mild subpleural scarring is noted at the right lung apex. | 50274057 | EXAMINATION: Chest radiograph. INDICATION: Hypoxia and cough. COMPARISON: None. TECHNIQUE: Chest, portable AP upright. | Suspected pleural effusions of small size with atelectasis or scarring at the lung bases. Given background abnormalities and post-surgical changes associated with the right lower hemithorax, however, if available, direct comparison to prior radiographs is suggested. |
11333253 | PA and lateral views of the chest provided. Dense consolidation is noted in the left lower lobe compatible with pneumonia. Elsewhere, the lungs are clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 58914002 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with 2 weeks of fever, productive cough, malaise // ? pneumonia COMPARISON: None | Left lower lobe pneumonia. |
11211680 | PA and lateral chest radiographs. Aside from linear atelectasis in the left upper lobe, the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 55733149 | INDICATION: Asthma and decreased breath sounds in the left lower lobe. Evaluation for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. Findings discussed by Dr. ___ with Dr. ___ by phone at 1:30 p.m. on ___. |
11211680 | Frontal and lateral views of the chest. The lungs remain clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. | 55572543 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with chest pain, dyspnea. COMPARISON: ___. | No acute cardiopulmonary process. |
11211680 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well aerated without pneumothorax, vascular congestion, or pleural effusion. | 55801459 | INDICATION: ___-year-old female with cough. Question pneumonia. COMPARISON: ___. | No acute cardiopulmonary process such as pneumonia. |
11211680 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56957355 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with severe asthma, current flare, some diminished breath sounds on the left. // r/o PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest PA and lateral ___. | No evidence of pneumonia. No acute cardiopulmonary process. |
11211680 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bones are intact. | 53690573 | EXAMINATION: PA and lateral chest radiograph. INDICATION: ___ year old woman with RA, asthma, with cough x 1 week // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | No acute cardiopulmonary process. |
11122975 | There has been interval dramatic improvement in the left pleural effusion and associated atelectasis. The right pleural effusion and atelectasis are stable. There is no pneumothorax. There is mild cardiomegaly. The mediastinal and hilar contours are stable. | 52250179 | STUDY: Portable AP chest radiograph. COMPARISON EXAM: Portable chest radiograph, ___. INDICATION: ___-year-old status post left thoracentesis. | No pneumothorax. Right pleural effusion and atelectasis. |
11122975 | There are stable bilateral large pleural effusions, left worse than right, with associated atelectasis. PICC line remains with tip in the mid SVC. Heart size cannot be evaluated. The mediastinal and hilar contours are stable. | 54338247 | STUDY: Portable AP chest radiograph. COMPARISON EXAM: Portable AP chest radiograph ___; ___; ___; ___. INDICATION: ___-year-old woman status post cardiac surgery. Evaluate pleural effusions. | Stable bilateral pleural effusions. |
11122975 | Frontal and lateral views of the chest. There is persistent left basilar opacity compatible with an effusion. There is probable underlying atelectasis noting superimposed infection cannot be excluded. Blunting of the right posterior costophrenic angle is compatible with trace right-sided effusion. The right lung and left upper lung remain clear. Prosthetic valves are again noted. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures noting a mid thoracic wedge deformity. | 52546639 | HISTORY: ___-year-old female with syncope, possible pneumonia. COMPARISON: Chest x-rays from ___ | Persistent left-sided pleural effusion not significantly changed with probable underlying atelectasis. Component of infection cannot be excluded. |
11172653 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 57202012 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with Lower GI bleed // Eval for infiltrate TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. |
11703096 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are unchanged with widening of the right AC joint which could reflect prior trauma. | 54977114 | INDICATION: ___-year-old female with chest pain. Question cardiomegaly. COMPARISON: ___ and ___. TECHNIQUE: PA and lateral chest radiographs were provided. | No acute cardiopulmonary process. |
11201366 | 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. | 56747051 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with hemoptysis // Pneumonia? COMPARISON: NONE | No acute intrathoracic process. |
11089978 | PA and lateral views of the chest provided. Lung volumes are low, though no definite consolidation, effusion, pneumothorax seen. The cardiomediastinal silhouette appears normal. Bony structures appear intact. No free air below the right hemidiaphragm. | 58446816 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Seizure, question pneumonia. | No acute findings in the chest. |
11579438 | Bilateral lower lung opacities are seen, as seen on concomitant CT abdomen. Lung volumes are low. Heart size is mildly enlarged. There may be trace right pleural effusion. | 54618396 | INDICATION: ___-year-old male with hypoxia. COMPARISON: Outside hospital chest radiographs dated ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Bilateral lower lung opacities, which may represent pneumonia. Continued radiographic follow up is recommended. |
11579438 | There has been interval progression of previously visualized retrocardiac opacity which silhouettes the left hemidiaphragm and may be suggestive of pneumonia in this region. Furthermore, there is now a new opacity silhouetting the right heart border suggestive of right middle lobe pneumonia. Otherwise, there is no evidence of pneumothorax. While evaluation of the cardiomediastinal silhouette is limited due to silhouetting by opacities, the visualized cardiomediastinal silhouette appears stable. There is no evidence of pneumothorax. | 51870020 | INDICATION: Evaluation of patient with hypoxia. COMPARISON: Chest radiograph from ___. | There is a new right middle lobe opacity suggestive of middle lobe pneumonia. Furthermore, there has been progression of the previously visualized retrocardiac opacity which silhouettes the left hemidiaphragm and is suggestive of left lower lobe pneumonia. In the proper clinical setting, the combination of these findings may be representative of multifocal pneumonia. |
11901535 | Improved inspiratory effort in lung volumes. Previously seen opacification of the right middle lobe has resolved and can be treated pneumonia. No new or consolidation. No pulmonary edema. Heart size is normal. No pleural effusion. | 54387981 | INDICATION: ___ year old woman with recent pneumonia, treated and improved // Follow up of abnormal CXR ___ when she had pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Interval resolution of pneumonia. |
11901535 | There is opacification within the lower lung field visualized on the lateral, representing a lower lobe pneumonia. Pulmonary vasculature is normal. The heart is top-normal in size. No pleural effusion. No pneumothorax. | 58174535 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ILI with SpO2 ___% ra // evaluate for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None. | Opacification within the lower lung field, representing a lower lobe pneumonia. |
11617629 | THERE IS MILD PULMONARY EDEMA. MORE CONFLUENT OPACITY AT THE RIGHT LUNG BASE MAY RELATE TO VASCULAR CONGESTION ALTHOUGH INFECTIOUS PROCESS OR ASPIRATION IS NOT EXCLUDED IN THE APPROPRIATE CLINICAL SETTING. MID LUNG ATELECTASIS/ SCARRING IS BEST SEEN ON THE LATERAL VIEW. NO PLEURAL EFFUSION OR PNEUMOTHORAX IS SEEN. THE CARDIAC SILHOUETTE IS TOP-NORMAL TO MILDLY ENLARGED. MEDIASTINAL CONTOURS ARE UNREMARKABLE. | 50385799 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hypotension and hypoxia // pulmonary edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | MILD PULMONARY EDEMA. MORE CONFLUENT OPACITY AT THE RIGHT LUNG BASE MAY RELATE TO VASCULAR CONGESTION, ALTHOUGH INFECTIOUS PROCESS OR ASPIRATION IS NOT EXCLUDED. |
11617629 | The tip of the balloon pump overlies the inferior edge of the aortic arch, slightly high. A right IJ Swan-Ganz catheter is present, tip over proximal right pulmonary artery. Heart size is unchanged. The vascular congestion and moderate pulmonary edema appears slightly worse in comparison to the prior exam. There is probable trace fluid at the right cardiophrenic angle. The extreme left costophrenic angle is excluded from the film. No gross effusion is seen on either side. | 52481021 | WET READ: ___ ___ ___ 10:43 AM The tip of the balloon pump is approximately 3.2 cm from the apex of the aortic arch. The Swan-Ganz catheter tip projects over the proximal right main pulmonary artery. The vascular congestion and moderate pulmonary edema appears slightly worse in comparison to the prior exam. The heart size is unchanged. Discussed with Dr. ___ at 20:40 a on ___. WET READ VERSION #1 ___ ___ 8:56 PM The tip of the balloon pump is approximately 3.2 cm from the apex of the aortic arch. The Swan-Ganz catheter tip projects over the proximal right main pulmonary artery. The vascular congestion and moderate pulmonary edema appears slightly worse in comparison to the prior exam. The heart size is unchanged. Discussed with Dr. ___ at 20:40 a on ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man in cardiogenic shock s/p aortic balloon pump placement. // Is balloon pump in appropriate position? COMPARISON: Chest x-ray from ___ at 08:18 | Aortic balloon pump overlying the inferior edge of the aortic arch, slightly high. Clinical correlation regarding possible retraction into the descending aorta is requested. Vascular congestion and moderate pulmonary edema, which appears slightly worse compared to earlier the same day. |
11617629 | In comparison to the chest radiograph obtained 1 day prior, mild pulmonary vascular congestion has increased. No pulmonary edema. Moderate to severe cardiomegaly is unchanged. Increased, now moderate right pleural effusion. Right pleural pigtail catheter appears unchanged in position. There may be bibasilar atelectasis, but no evidence to suggest pneumonia. The right IJ sheath terminates at the origin of the SVC, a right PICC terminates in the lower SVC, and a single pacemaker lead is unchanged in position and probably terminates in the right ventricle. | 55102047 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with acute decomp heart failure // central line positioning, e/o pulm edema TECHNIQUE: Portable chest radiograph COMPARISON: Portable chest radiograph dated ___ | Increased mild pulmonary vascular congestion, but no pulmonary edema. A right-sided PICC terminates in the lower SVC and a right IJ sheath terminates in near the origin of the SVC. |
11617629 | There is interval placement of an endotracheal tube terminating approximately 4.9 cm above the carina. A Swan-Ganz catheter terminates in the right main pulmonary artery, unchanged. The left pigtail pleural drain projecting over the left lateral base is also stable in position. Allowing for slightly increased lung volumes and differences in technique heart size has slightly decreased and the central vasculature is less prominent. Mild to moderate pulmonary edema has slightly improved. Small left pleural effusion has decreased. There is no pneumothorax. | 51667920 | INDICATION: ___ year old man with cardioegenic shock s/p intubation // intubation TECHNIQUE: Portable AP upright view of the chest COMPARISON: Multiple prior radiographs flow most recently ___ | Interval placement of an endotracheal tube in appropriate position. Improved mild-to-moderate diffuse pulmonary interstitial edema and decreased small left pleural effusion. |
11617629 | ETT in standard position. Right internal jugular venous catheter ends in the right atrium, unchanged. Consolidation in the right lower lung is less apparent from the exam only 3 hours earlier, suggesting some component of edema. Moderately enlarged heart is overall unchanged. No pneumothorax. No pleural effusion. | 56037717 | EXAMINATION: Portable AP chest radiograph. INDICATION: ___ year old man with septic shock vs. heart failure // Interval change? COMPARISON: Chest radiograph dated ___. | Interval improvement and pulmonary edema, now moderate. |
11617629 | In comparison to the chest radiograph obtained 1 day prior, there is an increased, small, right pleural effusion with increased right basilar atelectasis. No other significant changes are appreciated. Left basilar atelectasis is unchanged. Lungs are otherwise clear. Moderate cardiomegaly is unchanged. A right-sided IJ Swan catheter is unchanged and appropriately positioned. Median sternotomy wires appear midline and intact. | 52297504 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p heartware // eval for effusion TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ | Increased, small, right pleural effusion. Otherwise no significant changes. |
11617629 | Mild-to-moderate pulmonary edema persists and is probably overall similar compared to the earlier exam on ___ accounting for redistribution. Increased opacity in the right lower lung with some silhouetting of the right hemidiaphragm and right heart border is similar to the earlier exam on ___. The heart size is normal, overall unchanged. The mediastinum is not widened. Cardiac support devices projecting over the hemithorax are unchanged from the most recent exam. No pneumothorax. | 53048120 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with heart failure, hemoptysis and worsening respiratory distress. Evaluate for pneumonia, hemorrhage, or pulmonary edema. COMPARISON: Chest radiograph dated ___ at ___ and 938h. | Unchanged mild-to-moderate pulmonary edema. |
11617629 | As compared to chest radiograph from the same day, new right-sided internal jugular venous catheter with tip in the low SVC. Defibrillator and LVAD are in similar positioning. The lungs are otherwise unchanged in appearance. | 53550556 | INDICATION: ___ year old man s/p LVAD new tlc // check tlc placement | New right internal jugular venous catheter in the lower SVC. |
11617629 | Cardiac support devices projecting pneumothorax now have been removed. ETT in standard position. Right internal jugular venous catheter ends in the lower SVC. Pulmonary edema is moderate-to-severe and is overall unchanged when accounting for redistribution. The heart size is now normal. No pneumothorax. No definite pleural effusion. | 54818556 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with cardiogenic shock // Interval change? COMPARISON: Chest radiograph dated ___. | Interval change in distribution but not clearly in severity of moderate to severe edema with now normal heart size. |
11617629 | A small right pleural effusion with mild adjacent basilar atelectasis is seen. Moderate cardiomegaly is stable. Left pectoral pacemaker is unchanged with a transvenous lead seen in the right ventricle. No pneumothorax or pulmonary edema. A fiducial marker is seen adjacent to the known left upper lobe adenocarcinoma with expected surrounding post-radiation changes. | 56278211 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with systolic heart failure s/p LVAD recent RFA ablation for adenocarcinoma -LUL // hemoptysis TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___, ___, ___ CT chest with contrast from ___ | Small right pleural effusion with mild adjacent right basilar atelectasis. A fiducial marker is seen adjacent to the site of known left upper lobe adenocarcinoma with surrounding post-radiation changes. |
11617629 | In comparison to the chest radiographs obtained 1 day prior, there is increased, now mild, pulmonary edema. Moderate cardiomegaly is unchanged. Increased right lower lung opacities are likely a combination of pneumonia and dependent pulmonary edema. A right-sided pigtail catheter projects over the right dome of the diaphragm. No other focal consolidations are identified. No pneumothorax. The right-sided PICC terminates at the expected location of the superior cavoatrial junction. Median sternotomy wires are midline and intact. Single chamber cardiac pacemaker lead is unchanged in appearance. | 53177337 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with CHF awaiting lvad // any pulmonary edema TECHNIQUE: Portable chest COMPARISON: Portable chest radiographs dated ___ | Increased, now mild, pulmonary edema and a right lower lobe consolidation concerning for pneumonia. |
11617629 | Endotracheal tube, enteric tube, mediastinal drains, Swan-Ganz catheter, and left IJ sheath are in standard position. Heart size is normal. Interstitial edema is mild, slightly improved. No significant pleural effusion. | 54804229 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with acute blood loss anemia sp cardiac surgery. Evaluate for effusion. TECHNIQUE: Portable semi upright chest radiograph COMPARISON: Multiple priors | Mild interstitial edema, slightly improved. Stable support lines and tubes. No significant pneumothorax. |
11617629 | The patient has a known LVAD, unchanged in position compared to the prior study. A single lead pacemaker is also unchanged. A Swan-Ganz catheter is in-situ, the tip appears to be in the right main pulmonary artery. Even allowing for the projection, the heart is mildly enlarged. No definite pleural effusion seen. No pneumothorax seen. | 52473624 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with Heartware LVAD // follow up R effusion TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
11617629 | The Swan-___ catheter and bilateral pleural catheters are unchanged. Heart size is increased, either secondary to increased fluid overload or pericardial effusion. Pulmonary edema has worsened since the prior study, and there is no large pleural effusion or pneumothorax. | 55367405 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cardiogenic shock // interval change TECHNIQUE: Portable semi upright chest radiograph COMPARISON: Multiple priors | Worsened pulmonary edema and cardiomegaly, the latter which may be secondary to pericardial effusion or worsening overload. No pleural effusion. |
11617629 | There has been placement of a Swan-Ganz catheter and Impella device. Both are in satisfactory position. Heart size is enlarged as before. Mild interstitial edema has improved. No large pleural effusions. | 50609384 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cardiogenic shock s/p MI now with impella placement and swan // placement of PA catheter TECHNIQUE: Portable frontal chest radiograph COMPARISON: Multiple priors | Satisfactory position of Swan-Ganz catheter and Impella device. Mild interstitial edema improved since prior. |
11617629 | Median sternotomy wires intact and aligned. Right PICC terminates in the upper SVC. Stable, mild cardiomegaly. Interval insertion of right pigtail catheter with resolution of the right pleural effusion. No pneumothorax. Exam is otherwise unchanged from earlier this morning. | 55681599 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man status post CABG and MVR complicated by pleural effusion, now status post right pigtail catheter placement. Evaluate for pneumothorax. TECHNIQUE: AP portable chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___ at 10:31. | Interval insertion of right pigtail catheter with resolution of the right pleural effusion. No pneumothorax. |
11667512 | A left Port-A-Cath terminates in the mid SVC. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. | 59560522 | INDICATION: History of metastatic colon cancer. Evaluation for proper placement. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None. | Left Port-A-Cath terminates in the mid SVC. |
11667512 | AP upright and lateral views of the chest were obtained. A port overlies the left chest with the tip terminating in the mid SVC. There has been interval increase in right basal atelectasis with elevation of the hemidiaphragm. The left lung is clear. There is no effusion or pneumothorax. There is no evidence of CHF. Cardiomediastinal silhouette is normal. Bony structures appear intact. | 51529670 | INDICATION: Altered mental status, question pneumonia. COMPARISON: Chest x-ray from ___. | Interval increase in right basilar atelectasis. Unchanged appearance of port overlying the left chest with tip in the mid SVC. |
11148536 | Moderate cardiomegaly is unchanged. There is no frank pulmonary edema. There is no focal lung consolidation. Mediastinal contour is unchanged. There is no pneumothorax or pleural effusion. | 50085398 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with shortness of breath, had CXR yesterday without PNA, back with worsening SOB, evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No radiographic evidence of pneumonia. No overt pulmonary edema. |
11148536 | PA and lateral views of the chest provided. Cardiomegaly is mild with hilar congestion. No frank pulmonary edema. Note pleural effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 51144459 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with persistent cough and chest pain // Pneumonia? COMPARISON: None | Mild cardiomegaly with hilar congestion. |
11148536 | AP portable upright view of the chest. The heart is markedly enlarged. Pulmonary vascular congestion is noted without frank edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is normal. The imaged bony structures are intact. No free air below the right hemidiaphragm. | 53441455 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with chf, sob // eval for fluid overload COMPARISON: Prior study from ___ and ___. | Marked cardiomegaly with hilar congestion. |
11148536 | The heart is enlarged but stable. A left-sided pacing device remains in unchanged position, with 3 leads terminating in the right ventricle, right atrium and coronary sinus. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 53452402 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with CAD s/p stent placement presenting with chest pain and question of ICD firing // acute cardiopulmonary process. ICD component eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Stable cardiomegaly. No acute cardiopulmonary process. |
11148536 | Multiple structures overlie the chest. Given this, the cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No large pleural effusion is seen. No focal consolidation or pneumothorax is seen. | 50268362 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SOB // evidence of effusion TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Enlarged cardiac silhouette. No definite pleural effusion on this single frontal radiograph. |
Subsets and Splits