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11148536 | The lungs are clear without focal consolidation, effusion, or edema. Minimal left midlung atelectasis versus scar is again noted. Moderate cardiomegaly is again seen. Triple lead pacing device with leads in similar position, within the right ventricle, right atrium, and coronary sinus. No acute osseous abnormalities. | 55663412 | INDICATION: ___M with palpiatations // Evaluate for pulmonary edema and pacemaker lead placement TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Cardiomegaly without superimposed acute cardiopulmonary process. |
11148536 | There is stable cardiomegaly. 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. | 50688051 | EXAMINATION: Chest radiographs. INDICATION: History: ___M with chest pain, fatigue // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11231257 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 57728003 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // Eval for cardiopulmonary process TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11163750 | Increased linear streak opacities are seen in the retrocardiac region, representing atelectasis. The right lung is clear. Severe cardiomegaly is unchanged. No pneumothorax or pulmonary edema. | 54291411 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with fever and cough. // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___ CT chest without contrast from ___ | Retrocardiac atelectasis. No evidence of pneumonia. |
11163750 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Marked cardiomegaly persists. The aorta is tortuous and calcified. | 56547307 | INDICATION: ___-year-old female with episode of blood in her mouth. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Marked cardiomegaly, similar compared to prior, without evidence for acute pulmonary process. |
11163750 | Severe cardiomegaly is again seen. The lungs are clear without consolidation, effusion, or edema. Mild left basilar atelectasis is noted. No acute osseous abnormalities. | 50439943 | INDICATION: ___F with fall from standing // eval for traumatic injury TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Cardiomegaly without superimposed acute cardiopulmonary process. |
11163750 | The cardiac silhouette remains markedly enlarged, similar to prior. Again there is lingular atelectasis/scarring, linear. Persistent mild blunting of the right costophrenic angle. No new focal consolidation is seen. No large pleural effusion or pneumothorax. Mediastinal contours are stable with a calcified, tortuous aorta. | 59473051 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP and throat pain, worse with swallowing // ? PTX or PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No significant interval change, with persistent marked cardiomegaly |
11163750 | Low lung volumes are present. Heart size remains markedly enlarged. Atherosclerotic calcifications are noted diffusely within the aorta. Crowding of bronchovascular structures is present as result of low lung volumes. Streaky opacities in the lung bases likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes seen in the thoracic spine. | 56641709 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with altered mental status TECHNIQUE: Semi-upright AP view of the chest COMPARISON: ___ chest radiograph | Low lung volumes with probable bibasilar atelectasis. |
11382484 | Right-sided Port-A-Cath terminates within the SVC, unchanged. Heart size is normal. Mass adjacent to the aortic arch as well as bilateral pulmonary nodules are again demonstrated, and relatively unchanged, better assessed on the prior CT. Small left pleural effusion persists. Streaky opacity in the left lung base likely reflects atelectasis. Chain sutures are noted within the right lower lobe. Patchy opacity within the right lung base also appears relatively unchanged compared to the prior studies. No pneumothorax or right-sided pleural effusion is identified. There is no pulmonary vascular congestion. No acute osseous abnormalities are visualized. No free air is seen under the diaphragms. | 52951062 | HISTORY: Nausea and vomiting. TECHNIQUE: PA and lateral views of the chest. COMPARISON: CT torso ___ and chest radiograph ___. | Relatively similar appearance of the chest compared to the prior study with continued bibasilar patchy airspace opacities and small left pleural effusion. Multiple pulmonary nodules and mass adjacent to the aortic arch are unchanged. No free air is identified under the diaphragms. |
11186830 | PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. | 50386925 | HISTORY: Diabetic ketoacidosis COMPARISON: None | No acute cardiopulmonary process. |
11937592 | Frontal and lateral chest radiographs were obtained. There is persistent left basilar atelectasis with an associated small left pleural effusion. Streaky atelectasis in the right lower lung base is unchanged. No pneumothorax or pulmonary edema is seen. The cardiomediastinal contours are stable. | 52829012 | HISTORY: Patient is status post CABG, eval for effusion. COMPARISON: ___. | Unchanged bibasilar atelectasis and small left pleural effusion. |
11937592 | The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Minor hypertrophic changes are seen in the spine. | 53594456 | HISTORY: ___-year-old male with chest heaviness and shortness of breath. COMPARISON: None. | No acute cardiopulmonary process. |
11584927 | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 57051553 | INDICATION: ___-year-old man with a history of left periscapular discomfort who presents for evaluation of pneumothorax. COMPARISONS: Chest radiographs from ___, ___, ___, and ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute abnormalities identified. Specifically, no evidence of a pneumothorax. No abnormalities identified at the left periscapular area. |
11047388 | There are low lung volumes. Cardiomediastinal silhouette is within normal limits. Lungs are clear and there is no pleural effusion or pneumothorax. Possible minimally displaced fracture of the lateral aspect of the right clavicle. Remaining osseous structures appear intact. | 53981702 | WET READ: ___ ___ ___ 11:38 PM 1. Minimally displaced fracture of the lateral aspect of the right clavicle. 2. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with syncope // acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Possible minimally displaced fracture of the lateral aspect of the right clavicle. This could be clarified with dedicated shoulder radiographs. No acute cardiopulmonary process. |
11172358 | Multiple healing bilateral rib fractures are present have been more fully detailed on CT of ___. There remains no evidence of pneumothorax. Cardiomediastinal contours are stable. Bilateral nonspecific patchy infrahilar opacities have improved in the interval. Nonspecific peripheral opacities are present in both mid lung regions, and note is made of a small right pleural effusion. | 54518001 | WET READ: ___ ___ ___ 8:17 AM No radiographic evidence of pneumonia. WET READ VERSION #1 ___ ___ ___ 8:52 PM No radiographic evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with apml and flu, ? pneumonia // ? secondary pneumolnia TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Healing bilateral rib fractures. The nonspecific mid and lower lung opacities could potentially be due to pneumonia. CT may be helpful for more complete characterization of lung findings if warranted clinically. |
11172358 | No evidence of acute cardiopulmonary disease. Right subclavian PICC line extends to the right atrium. It would have to be pulled back about 3-4 cm if the desired position of the tip is at or above the cavoatrial junction. | 54900563 | INDICATION: ___ year old woman with APL with coughing and inspiratory crackles on exam // eval for possible PNA? TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No unfavorable change, no acute cardiopulmonary process within the limitations of chest radiograph. |
11510549 | Left-sided AICD device is re- demonstrated with leads in the right atrium and right ventricle, unchanged. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Lung volumes are low with minimal retrocardiac atelectasis noted. No pleural effusion, pulmonary edema or pneumothorax is seen. There are no acute osseous abnormalities. | 50929491 | HISTORY: Ventricular tachycardia, AICD defibrillation. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. Unchanged position of the AICD leads. |
11510549 | AP and portable view of the chest. There is new diffuse hazy opacities in lungs bilaterally and also increase in fullness of the hila bilaterally, which may represent new pulmonary vascular congestion. No pleural effusions. No pneumothorax. A small retrocardiac opacity appears to be slightly increased in size, may represent atelectasis or pneumonia. A left-sided ICD is in appropriate position. | 59141449 | INDICATION: CHF, AFib, ICD, new stroke, increased white blood cell count, evaluate for pneumonia. COMPARISON: ___. | Slight increase in mild pulmonary vascular congestion. Retrocardiac opacity is slightly increased in size and may represent atelectasis or possibly early pneumonia. |
11868033 | Frontal and lateral views of the chest demonstrate low lung volumes. Retrocardiac consolidation is seen on the lateral view projecting over spine. Hilar and mediastinal silhouettes are unchanged. Tortuous descending aorta is noted. Aortic arch calcifications are seen. Moderate cardiomegaly is stable. Mild pulmonary vascular congestion is present. Eventration of the right hemidiaphragm is unchanged. | 54959170 | INDICATION: Patient with cough and chills. COMPARISONS: Chest radiograph of ___. | Left lung base consolidation may represent atelectasis or infection in the appropriate clinical setting. |
11296412 | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema. | 54773887 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with c/o Palpitations and dizziness // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11653896 | There is elevation of the left hemidiaphragm with mild left basilar atelectasis. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is incompletely evaluated due to silhouetting of the left heart border. There is tortuosity of the thoracic aorta. No acute osseous abnormality is detected. | 57221521 | WET READ: ___ ___ ___ 5:09 PM Elevation of the left hemidiaphragm of uncertain etiology with mild left basilar atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with DOE 1 month. EKG with STE // acute process TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None. | Elevation of the left hemidiaphragm of uncertain etiology with mild left basilar atelectasis. |
11720968 | Complete opacification of the left hemi thorax is re- demonstrated. On the previous CT examination, this finding appears to be due to the presence of a large pleural effusion combined with multiple pleural masses and pleural thickening. There is mild rightward shift of mediastinal structures. Right sided PICC tip terminates in the right atrium. The right lung demonstrates atelectatic changes in the lung base. Pulmonary vasculature is normal. No pneumothorax is present, and no right-sided pleural effusion is demonstrated. | 58131726 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fever TECHNIQUE: AP portable view of the chest COMPARISON: CT chest from outside institution ___ and chest radiograph ___ | Complete opacification of the left hemi thorax due to the presence of a large pleural effusion, pleural thickening, and multiple pleural masses, better depicted on previous CT. Mild right basilar atelectasis. No radiographic evidence of pneumonia. |
11673931 | Lung volumes remain low. Small the moderate bilateral effusions, larger on the right are again noted. There is more dense opacity in the retrocardiac region. Mild pulmonary edema may be slightly worse compared to prior. Median sternotomy wires and cardiomegaly are unchanged. No acute osseous abnormalities. | 52744946 | INDICATION: ___F with dyspnea // eval for edema TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Persistent small to moderate bilateral pleural effusions, larger on the right. Superimposed retrocardiac opacity is noted, potentially in part due to atelectasis although infection at either base would be difficult to exclude. Mild pulmonary edema. |
11673931 | A right internal jugular catheter is unchanged in position. Previous median sternotomy sutures again noted. Bilateral pleural effusions appear similar. Persistent left lower lobe atelectasis. Bilateral hazy airspace opacities may reflect mild pulmonary edema. No pneumothorax seen. | 56852066 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CAD s/p CABG with hypotension and concern pneumonia // Eval for pneumonia, volume overload TECHNIQUE: Portable semi-erect frontal chest radiograph COMPARISON: Chest radiograph obtained earlier on the same date. | Bilateral diffuse airspace opacities may reflect mild pulmonary edema. |
11673931 | Since 1 day prior, no significant changes are appreciated. Moderate cardiomegaly and mild pulmonary edema are unchanged. Pleural effusions are small, if any. Lungs are otherwise clear without focal consolidations. No pneumothorax. | 52105369 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old female with PMH HLD, DM p/w NSTEMI, transferred for CABG evaluation, now with hypotension. // Any abnormalities TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ | Unchanged moderate cardiomegaly and mild pulmonary edema. |
11673931 | Allowing for technical differences, no definite interval change. Again seen is cardiomegaly with sternotomy wires and prosthetic valve ; diffuse vascular plethora, vascular blurring an probable alveolar edema, bibasilar effusions and underlying collapse and/or consolidation. Left IJ central line tip again seen over the distal SVC. No pneumothorax detected. | 52827812 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ACS w/CP // Eval for interval change COMPARISON: ___ AT 05:04 | Doubt significant interval change. |
11673931 | There are low lung volumes. Median sternotomy wires and mediastinal surgical clips are again identified. There is stable enlargement of the cardiomediastinal silhouettes. Again seen is mild pulmonary vascular congestion. There is no focal lung consolidation. There is interval decrease in the size of the now small left pleural effusion. There may be a small right pleural effusion. There is likely bibasilar atelectasis. There is no pneumothorax. | 51639134 | INDICATION: ___F with chest pain // eval for mediastinal widening TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___. | Interval decrease in size of now small left pleural effusion. Probable small right pleural effusion. Stable mild pulmonary vascular congestion. Stable enlargement of the cardiac silhouette. No interval change in the mediastinal contour. |
11673931 | The patient is status post sternotomy, with apparent prosthetic valve. A left IJ central line tip overlies the distal SVC. No pneumothorax is detected. There is cardiomegaly, similar to the prior film. There is upper zone redistribution and diffuse vascular plethora, slightly more pronounced than on the prior film. There is increased retrocardiac density, consistent with left lower Lat left lower lobe collapse and/or consolidation, similar to the prior film. As before, the possibility of a left-sided effusion cannot be excluded. On the right, there is opacity at the right lung base, suggestive of a right pleural effusion with underlying collapse and/or consolidation, also overall similar to the prior film. A pigtail catheter overlies the right mid abdomen. | 57788827 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: CAD s/p CABG and MVR on ___, sCHF (EF ___%) who presented ___ with N/V/headache/dizziness, found to be in shock. Suspected septic initially, s/p percutaneous cholecystostomy with concern for possible gallbladder source and also concern due to left saphenous vein also with superficial infection. ICU course complicated by PEA arrest x10 min on ___ without clear precipitant. Patient extubated and stable in MICU and called out to the floor on ___ now with hypotension // concern HCAP, fluid status change COMPARISON: Chest x-ray from ___ at 04:34 | Vascular plethora with interstitial and probable early alveolar edema, slightly more pronounced than on the prior film. Cardiomegaly with right and question left pleural effusion and underlying collapse and/or consolidation, similar to the prior study. No pneumothorax detected. |
11673931 | Prior median sternotomy and MVR. Right-sided PICC in the upper atrium. Moderate left pleural effusion has minimally increased. Very small right-sided pleural effusion. Increasing mild pulmonary edema. Significant retrocardiac opacity has not changed. Minimal right basilar opacity also unchanged. | 58069609 | INDICATION: ___ year old woman with s/p CABG, MVr // follow-up effusions COMPARISON: ___ | Moderate left and very small right pleural effusion have slightly increased and increasing mild pulmonary edema. |
11673931 | Low lung volumes with minimal basilar opacities. Very mild peribronchial cuffing, suggest mild pulmonary over load. Small left pleural effusion. No pneumothorax. Cardiomediastinal contours are unremarkable. | 59201803 | INDICATION: ___ year old woman with NSTEMI // Please assess for pulmonary edema COMPARISON: No prior | Small left pleural effusion and mild pulmonary volume overload. |
11673931 | Previous median sternotomy sutures are unchanged in position when compared to the prior study. Lung volumes remain low. There are bilateral pleural effusions with associated atelectasis. Superimposed infection cannot be excluded. Persistent left lower lobe atelectasis. Pulmonary vascular congestion is similar in degree when compared the prior study. Moderately severe cardiomegaly is unchanged. No pneumothorax seen. | 57814184 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new hypotension, very diminished breath sounds on the left side. // evaluate for any evidence of Pneumothorax TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
11043981 | Portable upright chest radiograph demonstrates chronic elevation of the left hemidiaphragm, which now appears more indistinct as a result of small pleural effusions. Changes of CABG, and mediastinal surgical clips are again noted. The pulmonary vasculature appears mildly engorged. | 50950493 | HISTORY: ___-year-old male with diminished breath sounds to the left base, question effusion. COMPARISON: ___. | Chronic elevation of the left hemidiaphragm, with new small pleural effusions and mild pulmonary edema. |
11043981 | Chronic elevation of the left hemidiaphragm is redemonstrated. There is mild interval increase of layering left pleural effusion. A small right pleural effusion is also present. Increased interstitial markings and upper vascular redistribution are seen. No convincing signs of pneumonia. Cardiac contour cannot be assessed due to obscuration of the left heart border but appears stable. Sternotomy wires and mediastinal clips are redemonstrated. Degenerative changes of the right shoulder are also seen. | 55225608 | HISTORY: Patient with shortness of breath. Evaluate for pulmonary edema or any other acute cardiopulmonary process. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: Portable upright chest radiograph. | Interstitial edema and increased left sided pleural effusion suggest heart failure. |
11554445 | Right IJ central venous catheter is unchanged with tip projecting over the cavoatrial junction. Multiple median sternotomy wires are re- demonstrated. Since the prior study, the enteric and endotracheal tubes have been removed. Additionally, the midline mediastinal drain has been removed. There are low lung volumes. The cardiomediastinal silhouette is stable. The hila are within normal limits. Left basilar atelectasis is minimally improved. There may be a trace left pleural effusion. There is no right pleural effusion. There is no focal lung consolidation, or pulmonary edema. There is no pneumothorax. | 56495839 | INDICATION: ___-year-old man status post aortic valve replacement and removal of a chest tube, rule out pneumothorax. TECHNIQUE: AP chest radiograph. COMPARISON: Chest x-ray ___ at 18:15. | No evidence of pneumothorax status post chest tube removal. Unchanged low lung volumes and left basilar atelectasis. No new focal lung consolidation. |
11554445 | The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 56509929 | INDICATION: ___M with presyncope // eval for widened mediastinum TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11554445 | Right PICC line terminates over medial left clavicle head. Sternotomy with AVR. Right IJ central line tip in the low SVC. Shallow inspiration. There are tiny bilateral pleural effusions, similar. Minimal bibasilar atelectasis. No pneumothorax. Normal heart size, pulmonary vascularity. Minimal retrosternal air, consistent with recent surgery. | 51237157 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with s/p AVR // eval postop changes TECHNIQUE: Chest two views COMPARISON: ___ | Tiny pleural effusions, minimal basilar atelectasis. Right PICC line tip terminates over left clavicular head, should be repositioned. |
11554445 | The tip of the endotracheal tube projects 4.3 cm from the carina. A feeding tube projects over the gastric body. The tip of a right internal jugular central venous catheter projects over the cavoatrial junction. Several mediastinal drains are noted. Low bilateral lung volumes. A retrocardiac opacity likely reflects postsurgical atelectasis. No pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged. | 51181258 | INDICATION: ___ year old man s/p AVR // eval for atelectasis s/p bronch TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | Persisting retrocardiac opacity, likely reflecting postsurgical atelectasis. No significant interval change since the prior examination. |
11124983 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Again noted is an azygous lobe. The cardiomediastinal silhouette is normal. | 51629156 | INDICATION: Pleuritic chest pain. Evaluate for pneumothorax. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process; specifically, no evidence of pneumothorax. |
11668655 | The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. | 53395313 | INDICATION: Patient with tobacco use, weight loss, evaluation for mediastinal lymph node, mediastinal mass. COMPARISON: ___. | There are no significant cardiopulmonary findings. |
11177533 | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There may be subtle, slight interstitial edema. | 55633399 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with L3 burst fracture. here for pre-op workup // ? pneumonia or acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No focal consolidation to suggest pneumonia. Possible subtle, slight interstitial edema. |
11974442 | PA and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53449513 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fatigue, cough. COMPARISON: Subsequent CT of the abdomen and pelvis. | No acute intrathoracic process. |
11398755 | The lungs are clear without any focal opacities, pleural effusions or pneumothorax. The mediastinal and cardiac silhouette is unremarkable. The visualized osseous structures are unremarkable. | 53909142 | CHEST RADIOGRAPH FROM ___ HISTORY: Cough, fevers, evaluate for pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No acute cardiopulmonary process. |
11290777 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 56426966 | FINAL ADDENDUM ADDENDUM Due to technical issues, a dictated report from another patient was assigned to this clip number. Unfortunately the erroneous report could not be deleted. Please disregard the original dictation. The actual report is as follows: INDICATION: Cough. COMPARISON: None. TECHNIQUE: Frontal and lateral chest radiographs. | No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT |
11673752 | ET tube tip is approximately 3 cm from the carina. Enteric tube tip in seen at the gastric fundus. The lungs are grossly clear within limitation of overlying external wires and devices. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 55994918 | INDICATION: ___F intubated // eval ETT position TECHNIQUE: Single portable view of the chest. COMPARISON: Chest x-ray performed at an outside institution earlier the same day at 18:16. | ET and enteric tubes in appropriate position. |
11739453 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 51804819 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hemoptysis // r/o r/o infiltrate. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11859945 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Right apical scarring is noted, likely from post-treatment changes. The heart is enlarged. The mediastinal contours are normal. Clips project over the right breast. | 50756244 | INDICATION: ___-year-old female with atrial fibrillation, hypertension and coronary artery disease presenting with weakness and fatigue. Evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: CT from ___ and chest radiograph from ___. | No acute cardiopulmonary process. Cardiomegaly. |
11859945 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs without focal consolidation, pleural effusion, or pneumothorax. Right apical scarring is again noted, likely on the basis of radiation therapy in the setting of previous right mastectomy. The visualized upper abdomen is unremarkable. | 54601178 | INDICATION: Evaluate for infiltrate in a patient with weakness and dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___. | No acute cardiopulmonary process. |
11617451 | There is re- demonstration of bilateral lower lung, right greater than left, opacities and small bilateral effusions. These findings are only slightly improved since the radiograph from 8 days prior, and are compatible with dependent edema or superimposed pneumonia. No change in the tracheostomy and right subclavian line positions. No pneumothorax. There has been interval removal of a right IJ line. A small bone island in the right proximal humerus is again seen. | 54464137 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with brocncospasm and cough. Evaluate placement of trach. and assess for PNA. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___. | Right greater the left, bilateral lower lung opacities. Findings are compatible with dependent edema, however superimposed infection is not excluded. These are only mildly improved since the chest radiograph of 8 days prior. |
11617451 | Patient is rotated somewhat to the right. Tracheostomy tube is again seen. There is a small to moderate right pleural effusion with overlying atelectasis. Right base opacity may be due to combination of pleural effusion and atelectasis however, overlying consolidation is not excluded. The left lung is grossly clear. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 54490438 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with s/p fall // infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Small moderate right pleural effusion. Overlying right base opacity due to combination of pleural effusion and atelectasis however underlying pneumonia or aspiration may also be present. |
11617451 | An endotracheal tube is low lying ending approximately 2.1 cm above the carina. It can be retracted by approximately 1-2 cm for more optimal positioning. A nasoenteric tube enters the stomach. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is left basilar atelectasis. There is no acute osseous abnormality. | 54220834 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with intracranial hemorrhage evaluate for endotracheal tube placement TECHNIQUE: Portable chest radiograph. COMPARISON: None available. | Endotracheal tube low lying can be retracted approximately 1-2 cm for more optimal positioning. |
11583220 | There is small left pleural effusion. Displaced fractures are identified at left fourth and fifth ribs laterally. There is associated pleural thickening focally. There is no consolidation or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | 55457553 | INDICATION: ___ year old woman with pleural effusion // eval EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: None available. | Left pleural effusion is small. Displaced fractures at left fourth and fifth ribs are identified. |
11047741 | Abandoned pacer leads are again seen overlying the left chest wall. The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours appear within normal limits. Mild cardiomegaly is unchanged from prior. Median sternotomy wires appear grossly intact. There is no subdiaphragmatic free air. | 57341355 | HISTORY: ___-year-old female with weakness and abdominal distention. COMPARISON: Chest radiograph from ___. FRONTAL AND LATERAL CHEST | No acute cardiopulmonary process. No free air. |
11047741 | Overall, there is little interval change in comparison to prior study from ___. Cardiomediastinal silhouette remains mild to moderately enlarged. There is indistinctness of the pulmonary vasculature suggestive of mild pulmonary edema. Bilateral small pleural effusions with adjacent airspace atelectasis are likely present. Post-surgical changes are noted with wiring overlying the left hemithorax and median sternotomy wires. A left subclavian catheter is noted with the tip at the junction of the left brachiocephalic and superior vena cava. Previously noted right-sided PICC line has since been removed. | 58164003 | INDICATION: Evaluation of patient with dyspnea. COMPARISON: Multiple prior chest radiographs including the most recent from ___. | Heart failure with moderate cardiomegaly, mild pulmonary edema, and small bilateral pleural effusions. Left subclavian line with the catheter tip at the junction of the left brachiocephalic and superior vena cava. |
11047741 | Cardiac silhouette enlargement is likely stable allowing for differences in technique. There is mild pulmonary edema. Bibasilar opacities could reflect atelectasis and pleural effusion, though aspiration or infection have a similar appearance. Median sternotomy wires and abandoned epicardial leads are unchanged. | 53185627 | INDICATION: History: ___F with cva L sided deficits // code stroke TECHNIQUE: Portable frontal radiograph of the chest COMPARISON: ___ | Stable cardiac enlargement with mild pulmonary edema. |
11047741 | Tracheostomy tube and sternal wires are noted. The right PICC now terminates in the mid SVC. The cardiac silhouette is enlarged. There is pulmonary vascular congestion. There is right pleural effusion and probable left pleural effusion. | 57726011 | EXAMINATION: Chest radiographs INDICATION: History: ___F with tachypnea, trached // Eval for PNA TECHNIQUE: Portable upright COMPARISON: Comparison is made with chest radiographs from ___, ___, and ___ | Pulmonary vascular congestion and bilateral pleural effusions, similar to prior exam. Cardiomegaly, similar to prior exam. |
11047741 | Moderate cardiomegaly is unchanged. There are small bilateral pleural effusions. Elevation of the left hemidiaphragm is new from ___. Right lung is grossly clear. There is mild interstitial edema. Median sternotomy wires are intact. Postsurgical catheter overlies the left hemithorax. Multiple lower thoracic compression deformities are new from ___. There are severe degenerative changes of the right acromioclavicular joint. | 59319406 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with weakness in 4 extremities x 2 weeks with subjective unilateral numbness. TECHNIQUE: AP and lateral COMPARISON: Chest radiograph ___. | Mild interstitial edema and small bilateral pleural effusions. Elevation of the left hemidiaphragm, new from ___. Unchanged moderate cardiomegaly. Lower thoracic spine compression deformities new from ___, otherwise age indeterminate. |
11047741 | PA and lateral views of the chest are obtained. A cluster of abandoned pacing leads are noted in the left chest wall. Midline sternotomy wires are again noted, with mediastinal clips. The heart size is moderately enlarged. No large pleural effusion or pneumothorax is seen. No definite signs of pneumonia. Mediastinal contour is unremarkable. Bony structures appear grossly intact. Degenerative right AC joint arthropathy noted. | 52535715 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Weakness, assess pneumonia. | Cardiomegaly, no signs of CHF or pneumonia. |
11047741 | The lung volumes remain low, with bibasilar atelectasis. The heart is mildly enlarged, but unchanged compared to the prior study. There is no large pleural effusion or pneumothorax. Changes related to prior CABG procedure are again noted. Midline tracheostomy tube is unchanged in position. Multiple vascular calcifications project over the left upper quadrant of the abdomen. | 57810658 | EXAMINATION: CHEST RADIOGRAPHS. INDICATION: History: ___F with hypotension // pna? ptx? TECHNIQUE: Single portable radiograph the chest was obtained. COMPARISON: Chest radiographs: ___ at 17:22. | Low lung volumes and bibasilar atelectasis persist, along with mild cardiomegaly. No pneumothorax or new consolidation to suggest pneumonia. |
11047741 | Patient is status post median sternotomy, CABG, with epicardial pacing leads noted projecting over the left heart border. Severe cardiomegaly is relatively unchanged compared to the previous study. Atherosclerotic calcifications are noted at the aortic knob. There is mild pulmonary vascular congestion, unchanged. Small pleural effusions are likely similar. There is no pneumothorax. No focal consolidation is present. No acute osseous abnormality is present. | 58892610 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with weakness, cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Mild pulmonary vascular congestion and small bilateral pleural effusions, relatively unchanged from previous study. No focal consolidation. |
11047741 | Somewhat streaky right basilar opacity is noted. Small bilateral pleural effusions persist, not definitely changed given differences in positioning. Cardiomediastinal silhouette is stable. Median sternotomy wires, mediastinal clips, and abandoned epicardial leads are again noted. | 51184950 | INDICATION: ___F with s/p aspiration? // eval for pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ at 09:00. | Persistent small pleural effusions. Streaky right basilar opacity may be atelectasis although aspiration or infection would be difficult to exclude. No new confluent consolidation. |
11047741 | Compared to prior, the upper lobes are clear without evidence of pulmonary edema. Mild decreased cardiomediastinal silhouette is likely due to positioning. Small right pleural effusion and right basal atelectasis are unchanged compared to prior. There is stable appearance of retrocardiac opacity, likely combination of left basal atelectasis and small pleural effusion. Monitoring and support lines are unchanged in position, including esophageal probe coiling in the cervical esophagus with its tip in the oropharynx since ___. On the mediastinal anatomy wires are aligned is intact. Abandoned pacer leads project over the left lung. | 54474316 | EXAMINATION: Semi-upright portable chest radiograph INDICATION: ___ year old woman with heart failure, intubated s/p arrest // Interval change? TECHNIQUE: Semi-upright portable chest radiograph COMPARISON: Chest radiograph from ___ | Esophageal probe with its tip in the oropharynx. Stable bilateral minimal basal atelectasis and small pleural effusions. |
11047741 | Again seen bibasilar atelectasis. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Status post median sternotomy and CABG. Midline tracheostomy tube again seen. Interval removal of a right internal jugular central venous catheter. No pulmonary edema. | 58943485 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with SOB // evidence of pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Re- demonstrated basilar atelectasis. No new focal consolidation to suggest pneumonia. Persistent cardiomegaly. |
11047741 | Compared with chest radiograph from ___, poor aeration of the left lung base continues. Mild right lower lobe atelectasis is unchanged. Tracheostomy tube and right IJ line unchanged in standard placements. There is no focal consolidation, effusion or pneumothorax. There is no vascular engorgement or pulmonary edema. Moderate cardiomegaly continues to improve since ___. | 59189784 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CAD, dCHF, MCA stroke s/p PA arrest // fluid status; ? new consolidation, concern aspiration TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___. | No evidence of cardiac decompensation. No evidence of aspiration or pneumonia. Persistent moderate left lower lobe atelectasis and mild right lower lobe atelectasis. Moderate cardiomegaly has been improving since ___. |
11601011 | Lung volumes are low, with exaggeration of bronchovascular markings. There is suggestion of a left retrocardiac opacity, which could represent atelectasis or pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities identified. A catheter is seen projecting over the upper abdomen on the lateral view, consistent with patient's ventriculoperitoneal shunt | 55081652 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever // Eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph ___ | Left lower lobe opacity, may represent atelectasis or pneumonia. |
11601011 | The heart size is normal. No features of cardiac decompensation. No airspace consolidation. No suspicious pulmonary nodules or masses. No effusions. No pneumothorax. The VP shunt is again seen projecting over the central mediastinum and appears unchanged. No subdiaphragmatic free air. No sinister bony lesion. | 51625501 | INDICATION: ___ year old man with chest pain with inspiration. // Pt with wheezing looking for possible pna TECHNIQUE: Chest PA COMPARISON: Comparison is made with previous chest x-ray done ___. | No interval change. No features of a lower respiratory tract infection. |
11601011 | Relatively low lung volumes are noted. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Catheters project over the anterior subcutaneous soft tissues as well as the right upper quadrant for which clinical correlation is suggested. Prior left PICC is not clearly delineated. | 59603568 | INDICATION: ___M with n/v, dry heaves, severe flank pain // eval ? free air, pneumonediastinum TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. Catheters projecting over the anterior chest wall for which clinical correlation is suggested. |
11601011 | Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. VP shunt projects over the chest. | 55684682 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with sepsis, spina bifida // r/o pna TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: Chest radiograph dated ___. | No acute intrathoracic process. |
11601011 | Right PICC tip terminates in the distal right brachiocephalic vein, unchanged. Lung volumes are low. Cardiac and mediastinal contours are unchanged with the heart size appearing mildly enlarged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized. A VP shunt catheter is seen within the anterior right chest wall. | 58298253 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with brachial PICC line occlusion - IV therapy requested CXR to confirm placement // check PICC line placement TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ PICC placement | Right PICC tip terminating in the distal right brachiocephalic vein, unchanged. |
11601011 | Portable semi-upright radiograph of the chest demonstrates very low lung volumes. The cardiac silhouette is enlarged, and likely exaggerated due to technique. A right-sided PICC line is noted, terminating in the distal right brachiocephalic vein. Again noted is a ventriculoperitoneal shunt. There is no definite pleural effusion or pneumothorax. | 52032556 | EXAMINATION: DX CHEST 2 VIEW PICC LINE PLACEMENT INDICATION: ___M with picc line not working // picc line placement TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___, ___ | Unchanged position of right-sided PICC, terminating in the distal right brachiocephalic vein. |
11147531 | The cardiac, mediastinal and hilar contours appear stable. There is persistent volume loss in the right hemithorax with band-like opacity in the right lower lung, a fiducial marker, and similar effacement of the right costophrenic sulcus. However, the appearance is very similar to the prior study. Although a persistent pleural effusion is difficult to exclude on the right, there is no evidence for one on the left. | 50602701 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath. History of lung cancer. Question pneumothorax. COMPARISON: ___ and ___. TECHNIQUE: Chest, portable AP upright. | Stable appearance of the chest. |
11147531 | The post operative changes at right lung base is similar to ___. There is diffuse emphysematous changes of bilateral lungs. Cardio mediastinal silhouette is within normal size limits. There is no pleural effusion or pneumothorax. Compared to ___, there is no notable change. | 55616949 | INDICATION: ?CHF, WORSENING DYSPNEA ___ year old woman with lung cancer, diabetes; worsenning dyspnea // ?CHF EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest Radiograph ___ | No notable change compared to ___. |
11000743 | The lungs are now clear. Right upper lobe opacity has completely resolved. There is only minimal bibasilar atelectasis. Right jugular line ends in upper SVC. Mediastinal and cardiac contours are normal. No significant pleural effusions or pneumothorax. | 54049026 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with known aspiration pneumonia, presents with worsening of hypoxia, worsening of pneumonia? pleural effusion. COMPARISON: ___. | There is no new consolidation. Right lower lobe opacity has completely resolved. |
11000743 | A single portable AP upright chest radiograph was obtained. A new right internal jugular line terminates in the upper SVC/SVCbrachiocephalic junction. Indistinctness of the hilar vasculature has minimally increased since 8:50 am. A thin line at the right apex may represent a small pneumothorax. There is no consolidation or effusion. Cardiac and mediastinal contours are normal. | 53682915 | HISTORY: ___-year-old man with new right IJ central line. COMPARISON: 8:50 am, same day | Possible small right-sided pneumothorax after right IJ line placement. Recommend short term follow-up. Mild central pulmonary vascular congestion. These findings were discovered at 14:30 and discussed with Dr ___, by Dr. ___, the covering MD who was immediately paged. |
11000743 | Two frontal radiographs were obtained. Lung volumes are low. There is no focal consolidation, large effusion, or pneumothorax. There are no abnormal cardiac or mediastinal contours. Basilar atelectasis is noted. | 50195997 | HISTORY: ___-year-old man with rhonchi. COMPARISON: ___, ___. | Low lung volumes. Basilar atelectasis is noted. |
11000743 | The lateral view is suboptimal due to low lung volumes and patient motion. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is seen. There is mild interstitial edema. | 59226621 | FINAL ADDENDUM Preliminary findings were discussed with Dr. ___ by Dr. ___ by phone at 2:22 p.m. on ___. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with cough and congestion in the setting of recent pneumonia. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in an upright position. Due to altered mental status, frontal radiograph was obtained AP. | Suboptimal lateral view as above. Given this, low lung volumes. Mild interstitial edema. |
11151130 | AP upright and lateral views of the chest provided. Bilateral pleural effusions are present, right greater than left, moderate in overall size. There is also likely compressive lower lobe atelectasis. There may be mild interstitial pulmonary edema. The cardiomediastinal contour is stable. No pneumothorax. Bony structures are intact. | 57070959 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with recent hx PNA, incr O2 requirement // Acute process COMPARISON: ___ | Mild edema, mild to moderate bilateral pleural effusions. |
11151130 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Ascending aorta remains prominent. Aortic arch calcifications are noted. Descending aorta is tortuous. Heart is normal in size. There is no pulmonary edema. | 58688066 | INDICATION: Patient with shortness of breath. Assess for CHF. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
11151130 | Cardiac size is top-normal. Tortuous aorta is unchanged. Small bilateral effusions have almost completely resolved. The lungs are hyper inflated. There is no evidence of pulmonary edema or consolidations. There is no pneumothorax. There are mild degenerative changes in the thoracic spine and kyphosis | 59785680 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough and fever // r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No evidence of pneumonia or pulmonary edema |
11896347 | The lungs are clear. No pleural abnormalities. The cardiac silhouettes is normal. Mildly enlarged bilateral pulmonary arteries. | 54363816 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with positive PPD // ?active TB TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process and no evidence of active or prior tuberculosis. |
11896347 | A right-sided PICC is seen terminating in the the very proximal SVC without evidence of pneumothorax. 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. | 52172826 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dCHF p/w dyspnea on exertion, ___ edema // evaluate for signs of heart failure TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. No pulmonary edema. |
11896347 | The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 50045453 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath. COMPARISON: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11321914 | Right Port catheter line ends at the proximal right atrium. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a small right pleural effusion and no pneumothorax. | 50882875 | INDICATION: Patient with question pneumonia. She is ___-year-old with weakness. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___. | Small right pleural effusion. |
11321914 | Port-A-Cath unchanged residing in the right chest wall with catheter tip extending to the cavoatrial junction. The lung volumes are markedly low which limits the evaluation. There is subtle bibasilar opacity which could represent pneumonia though given the low lung volumes, bronchovascular crowding atelectasis may also contribute to this appearance. A tiny right effusion is likely present. No pneumothorax. Overall cardiomediastinal silhouette is stable. Bony structures are intact. | 57436469 | HISTORY: ___-year-old female with colon cancer, presents with chills and decreased breath sounds on the right assess for pneumonia. TECHNIQUE: AP upright portable chest radiograph. COMPARISON: Prior exam ___. PROCEDURE: | Possible vague opacities in the lower lungs could represent pneumonia. Probable tiny right effusion. Given the low lung volumes evaluation is limited. Consider repeat study with improved inspiratory effort. |
11626056 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 55870072 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with productive cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No focal consolidation concerning for pneumonia. |
11551113 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are also stable and unremarkable. | 56412316 | HISTORY: Fever, cough. COMPARISON: ___. | No acute cardiopulmonary process. |
11483010 | Moderate enlargement of the cardiac silhouette is re- demonstrated. The aorta is markedly tortuous, and mediastinal and hilar contours are similar. Pulmonary arteries remain enlarged suggestive of underlying pulmonary arterial hypertension. Pulmonary vasculature is not engorged. Lungs are hyperinflated with emphysema again noted, most pronounced in the upper lobes. Prominence of the left superior mediastinum with mild rightward deviation of the trachea is compatible with known enlargement of the left thyroid lobe. Patchy opacities are noted within both lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Left-sided Bochdalek's hernia is again unchanged. | 55734594 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness and confusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | Mild bibasilar opacities, likely atelectasis, but no focal consolidation. |
11483010 | Subtly increased density at the lung bases bilaterally on frontal view only likely represents atelectasis or early edema. No pleural effusion or pneumothorax is seen. Heart size is mildly enlarged. The aorta is tortuous. Biapical pleural scarring is seen. Density projecting posterior to the spine inferiorly on lateral view likely corresponds to subpleural fat, as seen on CT from ___. No acute rib fracture is detected, but the sensitivity of routine radiography for rib fractures is low. | 52895815 | HISTORY: ___-year-old male status post fall. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Mild cardiomegaly with bibasilar edema versus atelectasis. Repeat radiograph with improved inspiration may helpful to distinguish these entities. Discussed with ___ by ___ by phone at 8:57 a.m. on ___ after attending radiologist review. |
11483010 | The heart is mildly enlarged. Moderate unfolding is noted along the thoracic aorta, as before. The cardiac, mediastinal and hilar contours appear unchanged. Similar to the prior examination, there are patchy opacities in each lower lung, more extensive on the right than left, probably due to patchy atelectasis or scarring. Aeration is somewhat improved on each side. Subpleural scarring is unchanged at each lung apex. A Bochdalek hernia on the left is unchanged in contour. Mild degenerative changes are similar along the thoracic spine. | 52538056 | CHEST RADIOGRAPHS HISTORY: Emesis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Improved aeration at the lung bases, but with persistent patchy opacification, particularly at the right lung base. |
11262894 | Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Bibasalar atelectasis is unchanged. The left-sided pleural effusion has increased slightly over the interval. The cardiomediastinal and hilar contours are unchanged. No pneumothorax. A right-sided internal jugular central venous line ends in the cavoatrial junction. The left-sided Port-A-Cath ends in the proximal right atrium. The endotracheal tube ends 6 cm from the carina. In nasogastric tube courses into the stomach and out of the field of view. | 51218648 | INDICATION: ___ year old man s/p Whipple // interval changes TECHNIQUE: Portable chest x-ray. COMPARISON: Prior radiographs of the chest dated ___ through ___. | Slight increase in left pleural effusion. Stable bibasalar atelectasis. The endotracheal tube ends 6 cm from the carina, which is acceptable if the patient's chin is in the neutral or elevated position, but is too high if the chin is low. |
11262894 | New right-sided central venous catheter seen with tip projecting over the lower SVC. There is no other change. There is no pneumothorax. Left pleural effusion is again noted with adjacent atelectasis. | 59980258 | INDICATION: ___M with IJ // line placement TECHNIQUE: Single portable view of the chest. COMPARISON: ___ at 10:31. | New right-sided central venous catheter with tip over the lower SVC. No pneumothorax. |
11262894 | Cardiac silhouette size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. A small left pleural effusion is new since the prior CT with associated left lower lobe atelectasis. The right lung is clear. No focal consolidation or pneumothorax is present. Previously noted pulmonary nodules on CT are not clearly visualized on the current radiograph. There are mild degenerative changes noted in the thoracic spine. | 50151690 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with lower extremity edema, history of congestive heart failure// Please eval for pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___ | Interval development of small left pleural effusion with associated left basilar atelectasis. |
11262894 | Moderate left pleural effusion appears marginally smaller when compared to prior. Prior left base pigtail catheter is no longer visualized. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits atherosclerotic calcifications are noted at the aortic arch. | 54581351 | INDICATION: ___M with dyspnea, h/o infection // ? acute cardipulm process TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Persistent moderate left pleural effusion. No superimposed acute process. |
11262894 | Retrocardiac consolidation on the left is new compared to yesterday's study. Bilateral central venous catheters and endotracheal tube appears in unchanged positions. Taking into account the lower degree of inspiration on the current study there is probably no significant central pulmonary vascular congestion. | 52318935 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p Whipple // interval changes, pulmonary edema TECHNIQUE: Plain film COMPARISON: ___ | New left retrocardiac consolidation which could be atelectasis or pneumonia, consider aspiration pneumonia. |
11262894 | Moderate left pleural effusion with overlying atelectasis is seen, underlying consolidation is not excluded. Trace right pleural effusion is difficult to exclude. Otherwise, the right lung is grossly clear. The cardiac silhouette is top-normal. The aorta is calcified and tortuous. A left-sided Port-A-Cath terminates in the region of the low SVC/cavoatrial junction. | 52398524 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. |
11573778 | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. | 51000662 | EXAMINATION: Chest radiograph. INDICATION: ___F with sudden onset chest pain, tachycardia, dyspnea and dizziness for several minutes earlier today. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11433235 | The cardiac, mediastinal and hilar contours are normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55953764 | INDICATION: Productive cough. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. |
11412668 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Middle retrocardiac streaky opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected. | 58786593 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11062044 | The lungs are clear. Cardiac silhouette is normal. Hilar contours are unremarkable. No pleural effusion or pneumothorax. Trachea is midline. | 56936361 | HISTORY: ___-year-old man with long history of smoking. Now with night sweats. Looking for malignancy. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | Unremarkable chest x-ray without evidence of detectable lymphadenopathy or mass. |
11062044 | Compared with the prior chest radiograph, increased opacification in the retrocardiac region is worrisome for developing left lower lobe pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. | 53560266 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with copd, acute cough and increased SOB. Evaluate for pneumonia or CHF. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Increased retrocardiac opacification, concerning for developing left lower lobe pneumonia. |
11062044 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. | 55836076 | INDICATION: ___M with recent unwitnessed fall and amnesia // ? pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
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