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11290284 | There is interval improvement in pulmonary vascular congestion. A double-lumen right internal jugular catheter is been inserted and terminates in the region of the lower superior vena cava. | 50242596 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY ___ year old woman with PCKD, thyroid cancer with mets, s/p resection, and chemo radiation. on dialysis // does this patient have signs of a previous TB infection does this patient have signs of a previous TB infection COMPARISON: ___ | Line placement as described. Vascular congestion appears improved. |
11290284 | Suture material indicate remote resection from the chronically hypovascular right upper lobe, which is unchanged from multiple prior studies. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits with unfolding of the thoracic aorta. The lung volumes are slightly decreased from the prior study. | 57223202 | INDICATION: Cough and dyspnea, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11290284 | Pulmonary edema has slight worsened when compared to the prior examination, with an upper lobe predominance. The upper lobe consolidation has also become more confluent, could be nondependent edema, pneumonia and pulmonary hemorrhage. There is worsening left upper lobe atelectasis. The cardiac silhouette remains enlarged. No pneumothorax. | 55946011 | INDICATION: ___ year old woman with ESRD , SOB // interval change TECHNIQUE: Chest PA and lateral | Interval worsening of the diffuse pulmonary edema There is worsening left atelectasis in the lingula. |
11290284 | Low lung volumes are unchanged compared to the prior study. A right-sided tunneled internal jugular dialysis catheter terminates in the mid SVC. No pneumothorax. The heart is not grossly enlarged. No pulmonary edema. No convincing evidence of pulmonary vascular congestion. No pleural effusion seen. No consolidation. | 50250444 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with HTN, hypothyroidism, asthma, and PKCD recently initated on HD and currently beeing treated for SSTI at maturing AV fistula access site now with tachypnea, respiratory distress // evaluate for volume overload, infiltrates TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process seen. |
11290284 | Heart size is unchanged, and within normal limits. The mediastinal and hilar contours are within normal limits. Postsurgical changes in the right upper lung field are re- demonstrated. The pulmonary vascularity is not engorged. There are no focal consolidations. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen. | 50908362 | HISTORY: Metastatic thyroid cancer with headache, dizziness, lightheadedness. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___, chest CTA ___. | No acute cardiopulmonary process. |
11540023 | Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. The cardiomediastinal and pulmonary structures are unremarkable. Blunting of the posterior costophrenic angle may represent a tiny pleural effusion, which is unchanged from prior studies. Diaphragms are flattened, compatible with chronic obstructive lung disease. The patient is status post median sternotomy and CABG. There is no pneumothorax or consolidation to suggest infection. There are mild degenerative changes of the thoracic spine. The heart size is top normal. | 56035472 | INDICATION: Hypotension, evaluate for infiltrate. COMPARISON: ___ and ___. | No acute cardiopulmonary process. |
11540023 | AP and lateral views of the chest. There are indistinct pulmonary vasculature suggesting pulmonary vascular congestion. More confluent bibasilar opacities are seen in part due to right greater than left pleural effusions with possible underlying atelectasis or consolidation. Cardiomediastinal silhouette is unchanged given differences in technique. Diffusely increased sclerosis of the bones is compatible with widespread metastatic disease. | 54709932 | HISTORY: ___-year-old male with hypoglycemia. History of prostate cancer. COMPARISON: ___. | Bilateral effusions, right greater than left with probable underlying atelectasis and possible consolidation. Pulmonary vascular congestion. Diffuse sclerosis of the bones compatible with metastatic disease. |
11512308 | 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. | 50575282 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever, cough // r/o PNA COMPARISON: None | No acute intrathoracic process. |
11549861 | The lung volumes are low, and there is no overt pulmonary edema, focal consolidation or pleural effusion. A left central venous line terminates within the upper SVC. The heart size is top-normal. Mediastinal contours are normal. | 55207524 | INDICATION: ___-year-old male with central venous line placed. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___ and ___. | No acute cardiopulmonary process. Left central venous line terminates in the upper SVC. |
11060631 | Lungs are grossly clear besides mild right basilar atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Again seen are multiple surgical clips in the region of the lower compatible with prior thyroidectomy. | 56523576 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with dry cough over the past month worsening this week // ? Pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___. | No definite acute cardiopulmonary process. |
11060631 | Lung volumes are low. The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. | 58316596 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11765816 | A portable supine radiograph of the chest demonstrates an endotracheal tube which terminates approximately 9 cm above the carina. This could be advanced 3-4 cm for more optimal positioning in the mid trachea. The orogastric tube is appropriately positioned within the stomach. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 56453582 | HISTORY: Evaluate position of endotracheal tube in a newly intubated patient. COMPARISON: Chest radiograph from ___. | Endotracheal tube could be advanced 3-4 cm for more optimal positioning. No acute cardiopulmonary process. |
11765816 | Frontal radiograph of the chest shows unchanged right internal jugular catheter, enteric tube, and endotracheal tube positioning. Compared to the prior radiograph, the lung volumes have decreased, accentuating the pulmonary vasculature and cardiac silhouette, however there is mild to moderate pulmonary edema with increased caliber of the right mediastinal border owing to venous engorgement. There has been interval improvement in the right pleural effusion with likely minimal bilateral pleural effusions with adjacent atelectasis. No focal consolidation is seen. | 57650482 | HISTORY: Status post anterior communicating artery aneurysm. Evaluate for interval change. COMPARISON: ___. | Mild to moderate pulmonary edema with decreased lung volumes. |
11715476 | There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. No intra-abdominal free air is identified under the diaphragm. | 56109095 | INDICATION: History: ___F with kidney/pancreas xplant w/ severe epig pain, rebound, tactile fever // eval ? perforation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
11142607 | Cardiac, mediastinal, and hilar contours are normal. Lungs are clear. Pulmonary vasculature normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities. | 58770935 | HISTORY: Shortness of breath. TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11545313 | Portable semi-upright radiograph of the chest demonstrates title lung volumes, which results in bronchovascular crowding. Increased interstitial markings and haziness of the hila is concerning for moderate interstitial pulmonary edema. There is a probable small left pleural effusion. The heart remains enlarged. No pneumothorax. | 58946155 | WET READ: ___ ___ 10:41 AM 1. Moderate interstitial pulmonary edema and probable small left pleural effusion. 2. Pneumonia cannot be excluded. Recommend close interval follow-up. WET READ VERSION #1 ___ ___ 4:38 AM Moderate interstitial pulmonary edema and probable small left pleural effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with code stroke // chf, pna TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___. | Moderate interstitial pulmonary edema and probable small left pleural effusion. Pneumonia cannot be excluded. Recommend close interval follow-up. |
11545313 | Cardiomegaly is moderate and unchanged. There is improved aeration of the lung bases compared with prior. No signs of pneumonia, pleural effusion, CHF, or pneumothorax. Mediastinal contour is stable with atherosclerotic calcifications again noted along the aortic knob. Bony structures are intact. No free air below the right hemidiaphragm. Clips are again noted in the upper abdomen. | 54865880 | HISTORY: ___-year-old female with increasing short of breath, chest pain for 2 days. TECHNIQUE: PA and lateral views of the chest were provided. COMPARISON: ___. PROCEDURE: | No acute intrathoracic process. Stable moderate cardiomegaly. |
11545313 | Cardiomegaly is similar to the prior study. There is moderate pulmonary vascular congestion and pulmonary edema. There is blunting of the left hemidiaphragm suggesting a small effusion. There is a small right pleural effusion. There is no pneumothorax or focal consolidation. | 51249585 | WET READ: ___ ___ 12:33 PM 1. Moderate pulmonary edema with small bilateral pleural effusions. 2. Stable cardiomegaly. 3. No focal consolidation or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with weakness, evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to ___. | Moderate pulmonary edema with small bilateral pleural effusions. Stable cardiomegaly. No focal consolidation or pneumothorax. |
11545313 | Moderate cardiomegaly is unchanged. The mediastinal contour appears similar with diffuse atherosclerotic calcification of the aorta noted. Mild pulmonary edema is minimally improved from the prior study. There are small bilateral pleural effusions with left basilar patchy opacity, likely atelectasis. No pneumothorax is identified. Multiple clips are seen within the right upper abdomen. The osseous structures are diffusely demineralized with moderate multilevel degenerative changes. | 59904294 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with shortness of breath. History of congestive heart failure TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph | Mild pulmonary edema and small bilateral pleural effusions with left basilar atelectasis. |
11545313 | The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is moderate to moderately severe cardiomegaly, with a calcified unfolded aorta. There is upper zone redistribution, without other evidence of CHF. No frank consolidation or gross effusion is detected. Atelectasis in the lower lobe posteriorly is similar to the prior film. Possible minimal blunting of the costophrenic angles posteriorly, unchanged. The bones appear markedly demineralized. Surgical clips noted in the upper abdomen. | 51108810 | INDICATION: History: ___F with dizziness // head ct- ? Sdh cxr- ? pna TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiographs from ___. | COPD, cardiomegaly, and slight upper zone redistribution. No focal infiltrate detected to suggest pneumonia. |
11545313 | AP upright and lateral views of the chest were provided. The heart remains moderately enlarged. The lungs are clear. No evidence of pneumonia or CHF. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm. | 52655378 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Dizziness, weakness, question pneumonia. | Cardiomegaly, unchanged. No superimposed acute process. |
11545313 | PA and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly. The cardiomediastinal and hilar contours are normal. | 52561187 | INDICATION: Cough, evaluate for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. Mild cardiomegaly. |
11545313 | The heart is again mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bones appear demineralized. | 59139362 | CHEST RADIOGRAPHS HISTORY: Cough. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary process. |
11013572 | Low lung volumes are present. Heart size is accentuated as a result, appearing mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Apart from minimal atelectasis at the lung bases, lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Mild anterior wedging of the T11 and T12 vertebral bodies is re- demonstrated, as seen on the recent MR of the thoracic spine. | 53741749 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with supraventricular tachycardia, upper respiratory tract infection TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___, MR thoracic spine ___. | No acute cardiopulmonary abnormality. |
11560123 | The heart is mildly enlarged, not significantly changed since prior examination. The mediastinal and hilar contours are normal. There is no focal consolidation, large pleural effusion or pneumothorax. | 52200472 | HISTORY: Confusion. Evaluate for pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
11560123 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged. Pulmonary vasculature is within normal limits. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified. | 58886051 | HISTORY: Hypertensive urgency. Evaluate for mediastinal widening. COMPARISON: No relevant comparisons available. | Mild cardiomegaly. No acute cardiopulmonary abnormality. |
11526218 | There is a new right infrahilar opacity, concerning for right middle lobe pneumonia. There is mild pulmonary vascular congestion, though no overt interstitial edema. There is no pneumothorax. Mediastinal and hilar contours are within normal limits. The heart size is normal. There is no pleural effusion. Flattening of the hemidiaphragms and increased AP diameter of the chest is consistent with chronic obstructive pulmonary disease. Linear hyperdensity over the left mid chest may reflect something outside of the patient as this is only seen on the frontal projection. | 52417671 | INDICATION: ___-year-old female with cough COMPARISON: Chest radiograph from ___ AP AND LATERAL CHEST | Probable right middle lobe pneumonia |
11526218 | Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Small aortic valve calcifications are unchanged. Hyperinflation of the lungs is consistent with known emphysema. No focal consolidation, pleural effusion, or pneumothorax. | 59496561 | HISTORY: ___-year-old female with history of smoking, COPD, and cough. COMPARISON: Chest CT of ___. Chest radiograph of ___. | No focal consolidation. Lung hyperexpansion, consistent with known emphysema. |
11210848 | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 51447235 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with C/O WEAKNESS // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11729752 | There is a large left lower lobe consolidation consistent with pneumonia. Subtle right basilar consolidation is difficult to exclude. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. | 53624683 | HISTORY: Cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Large left lower lobe consolidation consistent with pneumonia. Additional focus of infection at the right lung base is not excluded. Recommend followup to resolution. |
11425722 | The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 52304752 | INDICATION: ___M with chest pain, palpitations, fatigue // r/o acute intrathoracic process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11865051 | Compared with prior radiographs on ___, there has been interval improvement in edema. There is persistent patchy opacity at the right lung base. Small bilateral pleural effusions are stable to mildly improved. No pneumothorax. Mild cardiomegaly is stable. Pacemaker wires are stable in position. | 55433764 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with sCHF, PPM, Afib with respiratory distress // interval change, pulmonary edema TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___ | Improvement in pulmonary edema and stable to slightly improved small bilateral pleural effusions. Persistent right lower lobe opacity likely represents pneumonia. |
11428991 | 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. | 50169353 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain after motor vehicle collision COMPARISON: None | No acute intrathoracic process. |
11494804 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine. 3 biliary stents are seen in the right upper quadrant of the abdomen along with several adjacent fiducial markers. No acute osseous abnormality is present. | 52725256 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever, cholangiocarcinoma TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11494804 | The lungs are clear. The cardiomediastinal silhouette is normal. Biliary stents are noted in the right upper quadrant. No acute osseous abnormalities identified. | 54020262 | INDICATION: ___M with hypotension // eval for acute process TECHNIQUE: Single portable view of the chest. COMPARISON: ___ | No acute cardiopulmonary process. |
11494804 | The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Biliary stents and surgical clips are seen in the right upper quadrant. | 59922077 | WET READ: ___ ___ ___ 11:12 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever, fatigue. Question pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior chest radiograph from ___. | No acute cardiopulmonary process. |
11494804 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. DISH-related changes of the mid T-spine noted. | 54408633 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___ CLINICAL HISTORY: Cholangiocarcinoma, fever, on chemotherapy, question pneumonia. | No signs of pneumonia or other acute intrathoracic process. |
11494804 | 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. CBD stent is partially imaged in the upper abdomen. | 56623444 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever, h/o cholangiocarcinoma // pna? COMPARISON: ___ and ___. | No acute intrathoracic process. |
11494804 | PA and lateral images of the chest. The right PICC terminates in the superior cavoatrial junction. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 53379010 | WET READ: ___ ___ ___ 5:41 AM Right PICC terminates at the ___. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Cholangiocarcinoma and fevers. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Right PICC terminates in the superior cavoatrial junction. No acute cardiopulmonary process. |
11494804 | A right-sided PICC line terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. Although the left costophrenic sulcus is partly excluded, it appears effaced, so a trace pleural effusion is possible on that side. Metallic biliary stents project over the left upper quadrant. | 50519508 | CHEST RADIOGRAPH HISTORY: PICC line placement. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | PICC line terminating in the superior vena cava. No findings suggestive of pneumonia. |
11494804 | Prior right PICC is no longer seen. There are small bilateral pleural effusions. Low lung volumes are seen with crowding of the bronchovascular markings however there is no superimposed consolidation. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine. Multiple presumably biliary stents are identified as well as surgical clips in the abdomen. | 50477897 | INDICATION: ___M with fever, tachy // PNA? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Small bilateral pleural effusions. No superimposed consolidation. |
11494804 | There has been interval placement of a right internal jugular central venous catheter, terminating at the cavoatrial junction, without evidence of pneumothorax. Lung volumes remain low and are without focal consolidation. Previously seen right midline is no longer seen and may have been removed in the interval. Cardiac and mediastinal silhouettes are stable. Right upper quadrant biliary stents are noted. | 55558656 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fevers, s/p central line placement // Please confirm placement of central line TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 07:26 | Interval placement a right internal jugular central venous catheter terminating at the cavoatrial junction without evidence of pneumothorax. |
11494804 | There has been little change since the prior study. Lung volumes are low and heart mediastinum are stable. No pleural effusions, focal consolidation, or pneumothorax. The right midline tip projects over the right humerus and terminates at the level of the axillary vein, unchanged. | 56129346 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with bile duct CA, hypotension, fevers. Evaluate for pneumonia. TECHNIQUE: Single AP view of the chest. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11089745 | The heart size is normal. The aorta is mildly tortuous. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No focal consolidation is identified. No acute osseous abnormalities are present. | 57814691 | HISTORY: Cough, shortness of breath, low-grade fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11329425 | There is mild cardiomegaly and thoracic aortic calcifications but no pulmonary edema. There is mild right basilar atelectasis and degenerative changes of the thoracic spine (DISH). There is no pleural effusion or pneumonia and no evidence of pneumothorax. | 51160950 | WET READ: ___ ___ ___ 5:32 PM NO acute process. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old with dysphagia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___. | No acute cardiothoracic process. |
11694393 | A new NG tube is seen with the tip in the mid esophagus. A left Port-A-Cath is in unchanged position with the tip in the low SVC. The left hemidiaphragm is elevated, which is new from the prior exam in ___. Dilated loops of bowel are noted, although better evaluated on the abdominal radiographs. The lungs are essentially clear without consolidation, pulmonary edema, pleural effusion, or pneumothorax. Old fractures of the right seventh rib and left clavicle are unchanged. | 57154206 | INDICATION: Evaluate NG tube placement. COMPARISONS: Chest radiograph ___. | NG tube in the mid esophagus. Mild elevation of the left hemidiaphragm. Results were discussed with Dr. ___ at 1:50 p.m. on ___ via telephone by Dr. ___ at the time the findings were discovered. |
11694393 | AP and lateral views of the chest: The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. Atelectsis is noted at the left lung base. A left-sided MediPort terminates in the right atrium. The heart size is normal. The mediastinal contours are unremarkable. Old fractures of the right 7th rib and left clavicle are unchanged. | 51526942 | HISTORY: Dyspnea and presyncope, evaluate for infiltrate. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
11457486 | AP portable semi-upright view of the chest. Right central venous line ends at the superior cavoatrial junction. The heart size is mildly enlarged. There are aortic knob calcifications. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Tortuous aorta. | 59254942 | INDICATION: Evaluate central venous line placement. COMPARISON: Chest radiograph on ___ at 13:54. | Right central venous line ends at or just below the superior cavoatrial junction. |
11975330 | Compared to chest radiographs from ___, there is little overall change. Lung volumes remain low. The right hemidiaphragm is persistently elevated. Mild cardiomegaly is stable compared to prior study. Mediastinal and hilar contours are stable. There is no focal consolidation, pleural effusion or pneumothorax. Several healed right rib fractures are noted. | 53323917 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with infectious work-up*** WARNING *** Multiple patients with same last name! // Eval PNA TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___. | No acute intrathoracic process. |
11975330 | There is stable elevation of the right hemidiaphragm. The heart is enlarged, as before. The mediastinal hilar contours are within normal limits. The lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax. Multiple healed rib fractures are again seen. | 50040351 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Past medical history of hypertension, presenting with new onset of atrial fibrillation. Question acute cardiopulmonary process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11975330 | PA and lateral chest radiograph demonstrate low lung volumes. Relative to prior radiograph dated ___, there has been little interval changes. The right hemidiaphragm appears elevated. The heart is enlarged though stable when compared to prior study. Hilar and mediastinal contours are within normal limits. Lungs demonstrate no focal opacity convincing for pneumonia. Several healed right rib fractures are noted. No acute osseous abnormality is detected. There is no pneumothorax or pleural effusion. | 56843011 | INDICATION: ___-year-old female with diminished right breath sounds. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___. | No acute intrathoracic abnormality. |
11653256 | The left lower lobe opacity consistent with a pneumonia is unchanged. Calcified granulomas are noted in the right upper lobe. Again seen is an enlarged left hilum for which follow-up imaging is recommended after treatment of the pneumonia.No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58649019 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with aspiration event post colonoscopy with hypoxemia // eval for interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Stable left lower lobe pneumonia. |
11653256 | Multifocal regions of consolidation are noted, most extensive in the left lower lung and in the retrocardiac region. Less conspicuous right perihilar opacities are also seen. Findings are compatible with pneumonia in the proper clinical setting. There is no large effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities. | 55772863 | INDICATION: ___F with hyoxia // eval for consolidation TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | Multi focal regions of consolidation predominately in the left lung compatible with infection in the proper clinical setting. Repeat after treatment suggested to document resolution. |
11579043 | New left lower lobe opacities are new since yesterday abdominal CT. Right lung mass is unchanged measuring 8.3 cm. Right-sided Port-A-Cath ends in upper SVC. The mediastinal and cardiac contours are within normal limits. There is no pneumothorax. | 51048093 | PORTABLE AP CHEST X-RAY INDICATION: Patient with non-small cell carcinoma with brain metastasis, white count and tachycardia, rule out pneumonia. COMPARISON: Abdominal CT done yesterday and chest x-ray of ___. | Left lower lobe opacities are new since abdominal CT scan done yesterday. Considering the fast appearance of these opacities, an aspiration is more likely than pneumonia. Dr. ___ has been verbally contacted for the results. |
11579043 | Portable radiograph is obtained with patient in the upright position. Right Port-A-Cath terminates in the upper-mid SVC. There is a 7.7-cm well-circumscribed round mass projecting over the mid right lung, consistent with history of primary lung cancer. There is increased hazy opacification at the left base that is new compared to the prior study and could represent atelectasis or infiltrate. In the appropriate clinical context, this may represent a pneumonia in development. No pleural effusions. No pneumothorax. Cardiomediastinal silhouette is unchanged. | 50749066 | INDICATION: ___-year-old woman with lung cancer, ? infectious process. COMPARISON: ___. | Increased hazy opacification at the left base is consistent with atelectasis or developing pneumonia in the appropriate clinical context. 7.7-cm well-circumscribed round mass projecting over the right mid lung. |
11579043 | PA and lateral chest views were obtained with patient in upright position. Left lung base opacity appears decreased in extent since prior imaging. Otherwise, imaging appears unchanged from prior exam. Well-circumscribed round mass projecting over the mid right lung is again seen, consistent with primary lung cancer. Right Port-A-Cath again seen terminating in the upper mid SVC. | 57599022 | INDICATION: ___-year-old female with non-small cell lung cancer, now requiring assessment for interval change in a left lower lobe consolidation. COMPARISON: Comparison is made with abdominal radiographs from ___ and ___. | Improving left lung base opacity. |
11248781 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a nodular focus measuring up to 11 mm which projects along the left lower lung, possibly a nipple shadow but potentially a true pulmonary nodule of substantial size. Otherwise, the lungs appear clear. Bony structures are unremarkable. | 50461037 | WET READ: ___ ___ 5:54 PM No evidence of acute disease. Nodular focus in the left lower hemithorax, nipple shadow versus true pulmonary nodule of substantial size; suggest PA view with nipple markers when appropriate. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Chest pain and productive cough. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Nodular focus projecting over the left lower lung, possibly a nipple shadow. When clinically appropriate, a repeat PA view with nipple markers is recommended to assess further. A true pulmonary nodule of substantial size is an additional possibility, however, which should be excluded. |
11008606 | Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is evident. | 56022908 | INDICATION: Right lateral chest pain. Evaluate for infiltrate or pneumothorax. COMPARISON: No prior studies available for comparison. | No acute intrathoracic process. |
11372485 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. | 57848340 | INDICATION: History: ___F with chest pain pls eval for pna vs edema // History: ___F with chest pain pls eval for pna vs edema TECHNIQUE: Chest PA and lateral COMPARISON: None available | No acute intrathoracic abnormality. |
11021917 | The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 54672868 | INDICATION: Chest pain. COMPARISON: None. | No acute cardiac or pulmonary findings. |
11185907 | Lungs are hyperexpanded reflecting underlying COPD. Small right and moderate possibly loculated left pleural effusions are stable. Multilevel displaced left lateral rib fractures are unchanged. Right mid lung pulmonary nodule again noted. Small right and possible tiny left apical pneumothoraces are unchanged. | 55263008 | INDICATION: ___ year old woman with L ptx // post pull TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs since ___, most recently ___. CT of the chest from ___. | Small right and possible tiny left apical pneumothoraces. Small right and moderate possibly loculated left pleural effusions. |
11185907 | Chest x-ray from ___ at 11:39 and targeted review of chest CT from ___. Again seen are multiple left-sided rib fractures and a pigtail catheter at the left lung base. There is a small left effusion with minimal atelectasis at the left base. There is a small to moderate size pneumothorax seen at the left lung base against the lower left chest wall and, on lateral view, seen anteriorly. Minimal lucency along the left mediastinum could also be due to the pneumothorax. The mediastinum remains midline, unchanged in configuration. On the right, there is a small effusion, with minimal right basilar atelectasis. There is relative lucency along the right chest laterally. Unless there is reason to suspect a right-sided pneumothorax, there is most likely represents artifact due to overlying soft tissue contours. Upper zone redistribution, but no overt CHF. There is background hyperinflation, consistent with COPD. Of note, there is a 4.1 mm nodule in the right mid/lower zone laterally, which corresponds to the nodule described on the ___ CT scan for which repeat chest CT in ___ months is recommended. | 56796239 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest tube // interval change COMPARISON: Chest x-ray from ___ at 11:39 and targeted review of chest CT from ___. | Pigtail catheter at left lung base, with small pleural effusion, minimal basilar atelectasis, and small to moderate-size pneumothorax. The effusion appears slightly larger. As the bulk of the pneumothorax is seen only on the lateral view, comparison to the most recent prior study is limited. Left-sided rib fractures again noted. Small right pleural effusion and minimal atelectasis at right base, unchanged. Lucency at right lateral lung base. Unless there is reason to suspect a right-sided pneumothorax, this most likely represents artifact due to overlying soft tissue contours. If there is concern for right-sided pneumothorax, then an additional frontal view obtained at end- expiration of the respiratory cycle could help for further assessment. Pulmonary nodule in the right mid/lower right lung, also seen on the recent CT scan. As suggested on the chest CT report, repeat chest CT in ___ months is recommended. Background COPD. |
11185907 | As compared to chest radiograph from ___, left hydro pneumothorax has increased with tiny apical pneumothorax and moderate amount loculated basilar fluid which could be hematoma. Persistent left lower lobe collapse is unchanged. The lungs remain hyperinflated. Multiple displaced left-sided rib fractures related to known trauma. Heart size has slightly increased and should have attention on follow up. | 54762990 | INDICATION: ___ year old woman with C1 fx w/ L rib fxs // s/p L CT pull, intrval change TECHNIQUE: Portable | Compared to ___, left hydro pneumothorax has increased with tiny apical pneumothorax and moderate amount loculated basilar fluid which could be hematoma. |
11185907 | Again seen is background COPD and hyperinflation. Multiple left-sided rib fractures are again noted. The previously seen pigtail catheter has been removed. Probable small pneumothorax seen anteriorly on the lateral view. A very small left effusion is again noted. The small right pleural effusion persists. No definite right-sided pneumothorax detected, though the lucency at the right lung base remains visible. A thin curvilinear density at the right lung apex is noted, but does not clearly represent a pneumothorax. Cardiomediastinal silhouette is unchanged. Again seen is upper zone redistribution, without overt CHF. Minimal subsegmental atelectasis and/or scarring at both bases again noted. Nodular density at the right mid/lower zone laterally is again noted. | 50152426 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F mech fall 4 steps at 5AM +HS -___ w/ possible C1 lateral mass fx and L rib fxs ___ w/ L tension PTX s/p L CT placement // -dc'ed chest tube ?pneumo,Please do at 1:30 am COMPARISON: Chest from ___ | Interval removal of left pigtail catheter. Small residual pneumothorax, with small fluid levels, is noted. No definite right-sided pneumothorax. Please see comment above. Attention to this area on followup films is requested. Upper zone redistribution, without overt CHF, unchanged. Small right greater left effusions again noted, without significant change Right lower lung nodule again noted. Please see separate report of ___ CT scan, recommending repeat chest CT in ___ months to evaluate this nodule. |
11185907 | There is no significant change from radiograph earlier this morning. Small left apical pneumothorax is stable. Small left pleural effusion increased from ___. Left chest tube, multiple rib fractures, and subcutaneous emphysema are unchanged. Mediastinal contours and hila are normal. Retrocardiac opacity could represent atelectasis or pneumonia. | 52861038 | INDICATION: ___ year old woman with new desat, sob with chest tube to water seal, placed back to suction // Please assess for pneumothorax TECHNIQUE: Portable upright AP chest radiograph. COMPARISON: Chest radiographs since ___, most recently ___ at 07:36. | Stable small left apical pneumothorax. Retrocardiac opacity could represent atelectasis or pneumonia. Small left pleural effusion increased from ___, correlation with chest tube output is recommended to exclude active hemorrhage. |
11185907 | Lungs are hyperexpanded reflecting underlying COPD. Moderate bilateral pleural effusions are slightly increased on the left. Multilevel displaced left lateral rib fractures are unchanged. Right mid lung pulmonary nodule again noted. Small right apical pneumothorax is stable. No left pneumothorax. | 50389550 | INDICATION: ___ year old woman with rib fractures s/p chest tube removal now with SOB // please evaluate for pneumothorax or effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs since ___, most recently ___ at 01:34. CT of the chest from ___. | Small right apical pneumothorax is stable. Moderate bilateral pleural effusions, slightly increased on the left. |
11185907 | The right lung is hyper expanded and clear. Increased opacification in the left lung base is slightly improved. Small left apical pneumothorax is stable. There is no significant pleural effusion. Left chest tube, displaced left rib fractures, and subcutaneous emphysema in the left chest wall are unchanged. | 50532228 | INDICATION: ___ year old woman with rib fx and with left chest tube, recently put to waterseal // pls r/o PTX TECHNIQUE: Portable upright AP chest radiograph. COMPARISON: Chest radiographs since ___. CT torso from ___. | Stable small left apical pneumothorax. Left lung opacification may represent resolving resolving pulmonary hemorrhage, soft tissue contusion, or early pneumonia. |
11185907 | Compared to earlier same day, a residual left pneumothorax is seen anteriorly, with additional small areas of lucency about the upper left lung and left lung base. However, the left pneumothorax appears significantly smaller compared with earlier the same day. The small left pleural effusion is essentially unchanged. Area of relative lucency at the right lung base is again noted, question artifact. As before, pneumothorax is considered less likely, but if it remains a clinical concern, then additional imaging with low inspiratory volume films could be obtained. Again seen is the pigtail catheter at the left lung base and multiple left-sided rib fractures. No CHF and no new focal consolidation is identified. The small right pleural effusion is unchanged. The right lung nodule remains visible. | 51365754 | WET READ: ___ ___ ___ 8:49 PM Unchanged appearance of left basilar pneumothorax, small effusions, and multiple displaced rib fractures. WET READ VERSION #1 ___ ___ ___ 8:18 PM Unchanged appearance of left basilar pneumothorax, small effusions, and multiple displaced rib fractures. WET READ VERSION #2 ___ ___ ___ 8:45 PM Unchanged appearance of left basilar pneumothorax, small effusions, and multiple displaced rib fractures. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with left ptx chest tube to water seal // interval change COMPARISON: Chest x-ray from ___ at 09:32 | The left pneumothorax remains present, but is smaller. Lucency at right lung base again noted - please see comment above. |
11953038 | Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 52375468 | HISTORY: Patient with history of bilateral pneumonia in ___, now with similar symptoms, evaluate for pneumonia. COMPARISON: ___. | No radiographic evidence for acute cardiopulmonary process. |
11286562 | The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal. | 55286023 | INDICATION: ___-year-old man with cough, positive PPD. | No acute cardiopulmonary process. |
11866223 | Lung volumes are low but unchanged since previous exam. The lungs are clear without focal opacities to suggest pneumonia. Mild cardiomegaly is unchanged. Mediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. | 53994916 | HISTORY: Fever and elevated CRP; no evidence of spinal infection on MRI after lumbar surgery in ___. Evaluate for infiltrate. TECHNIQUE: AP and lateral chest. COMPARISON: Chest radiograph: ___. | Mild cardiomegaly is unchanged since previous exam. There are no new focal airspace opacities to suggest pneumonia. |
11590638 | Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 54372364 | INDICATION: Chest pain. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. |
11590638 | The lungs are clear. No focal consolidation, effusion or pneumothorax is seen. No signs of congestion or edema. The cardiomediastinal silhouette is normal. The bilateral hila are unremarkable. Imaged bony structures are intact. No free air below the right hemidiaphragm. | 50680768 | WET READ: ___ ___ ___ 6:42 PM No acute cardiopulmonary process. Unremarkable chest radiograph. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST X-RAY INDICATION: ___-year-old man with chest pain. TECHNIQUE: PA and lateral views. COMPARISON: ___. | No acute cardiopulmonary process. |
11590638 | 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. | 59574005 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with Left anterior chest discomfort radiating down left arm COMPARISON: ___. | No acute intrathoracic process. |
11086980 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities. Mild degenerative changes are seen in the thoracic spine. | 57502678 | HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11086980 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Degenerative changes are noted within the thoracic spine with a large anterior osteophyte seen in the lower thoracic spine. | 55581784 | HISTORY: Churg-___ disease, worsening fatigue. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph and chest CT ___. | No acute cardiopulmonary process. Please note that the previously described airways disease on chest CT is not evident on the current radiograph. |
11086980 | PA and lateral views of the chest are provided. There has been no significant change from prior with clear bilateral lungs and no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. | 50251823 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ chest x-ray and CT chest. CLINICAL HISTORY: Hemoptysis, question pneumonia. | No acute findings, no change from prior. |
11086980 | The heart size is normal. Mediastinal and hilar contours are unremarkable and unchanged. Lungs are clear and mildly hyperinflated. No focal consolidation is identified. Minimal blunting of the left costophrenic angle on the posterior view may suggest a trace left pleural effusion. No right-sided pleural effusion is demonstrated, and there is no pneumothorax. No acute osseous abnormalities are present. | 56358400 | HISTORY: Homogeneous and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Blunting of the costophrenic angle posteriorly on the left suggesting a trace pleural effusion. No pneumonia. |
11474229 | Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. A mild S-shaped scoliosis of the thoracolumbar spine is unchanged with aortic tortuosity. The hilar contours are normal. No upper abdominal or osseous abnormality is identified. | 55387450 | CLINICAL HISTORY: ___-year-old woman with chest pain and shortness of breath. COMPARISON: ___. | No pneumonia, edema or pneumothorax. |
11474229 | The lungs are hyperinflated. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Mild scoliosis of the thoracolumbar spine is unchanged. The thoracic aorta is tortuous. | 57371624 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with chest pain, low grade fever, rule out infection. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___. | No acute cardiopulmonary process. |
11266771 | The heart appears mildly enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 57513635 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest and left shoulder pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | Mild cardiomegaly. No evidence of acute cardiopulmonary disease. |
11356872 | Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of a subcutaneous insertable cardiac monitor. Unremarkable appearance of the superior trachea. Chronic left lateral rib fractures are noted as well as vertebroplasty changes in the upper lumbar spine. | 57078274 | WET READ: ___ ___ 10:56 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with chest pain // Question consolidation, pulmonary edema, thyromegaly TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11522379 | 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. | 53696097 | WET READ: ___ ___ ___ 7:50 AM Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. No focal lung consolidation. Nodular opacities in the right hilar region likely represent vessels on end. WET READ VERSION #1 ___ ___ ___ 6:15 PM Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. No focal lung consolidation. Nodular opacities in the right hilar region likely represent vessels on end. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ulcerative colitis - r/o TB // ___ year old woman with ulcerative colitis - r/o TB TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11784202 | Right-sided Port-A-Cath tip terminates in the mid SVC. Spinal stimulator device is again noted with tip projecting over the midline lower thoracic spine. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. | 55138179 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with acute chest pain, tachycardia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11784202 | The lungs are relatively well-expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. A right chest wall Port-A-Cath terminates in the low SVC. A partially visualized spinal catheter is noted. | 59228538 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with chest pain // eval for infiltrate TECHNIQUE: PA and lateral chest radiographs. COMPARISON: CT torso: ___, obtained concurrently. . | No acute cardiopulmonary process. |
11784202 | Portable frontal radiograph of the chest shows a right chest wall port. The catheter tip in the low portion of the SVC. Notably, at the junction of the first rib and clavicle, there is a kink in the catheter. Mild pulmonary vascular congestion with no pulmonary edema. Heart size is top normal. No pleural abnormality is detected. | 58565962 | HISTORY: Nonfunctioning port. Evaluate for port migration. COMPARISON: ___. | Kink in the mid clavicular line along the course of the right subclavian catheter. These findings were relayed to Dr. ___ by Dr. ___, ___ telephone, at 9:45 a.m., on ___. |
11677801 | There are slightly low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. The patient is status post CABG. There is no pneumothorax, pleural effusion, or consolidation. | 55333325 | WET READ: ___ ___ ___ 9:53 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___, ___, and ___. | No acute cardiopulmonary process. |
11677801 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact. Coronary artery stent is identified. No acute osseous abnormalities. | 51830387 | INDICATION: ___M with chest pain // Eval for acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11677801 | Patient is status post median sternotomy and CABG. The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Apart from subsegmental bibasilar atelectasis, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are visualized. | 52006999 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11638384 | A dual lead left chest wall pacemaker is present. The tip of the right internal jugular central venous catheter projects over the upper right atrium. Interval decrease in the diffuse bilateral airspace opacities. No pneumothorax or pleural effusion. The size of the cardiomediastinal silhouette is within normal limits. | 58661524 | INDICATION: ___ year old woman with AML. // Interval change. Has the edema, infiltrate cleared? TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Interval decrease in extent, but persistence of diffuse bilateral patchy airspace opacities. No new focal consolidation. |
11115156 | Frontal and lateral views of the chest were obtained. Patient is status post median sternotomy and CABG. Superior most wire is again seen to be fractured, as well as the fifth uppermost wire is also fractured, as was also present on the prior study. Minimal bibasilar atelectasis is seen. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. No overt pulmonary edema. | 51053666 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of chest pain. COMPARISON: ___. | Mild bibasilar atelectasis. Fractured sternal wires again seen. |
11688185 | Single semi-erect AP portable view of the chest was obtained. There are small bilateral pleural effusions with overlying atelectasis, left base consolidation cannot be excluded. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen. | 58557669 | EXAM: Chest single AP semi-erect portable view. CLINICAL INFORMATION: Stages of exacerbation. COMPARISON: ___. | Bilateral pleural effusions with overlying atelectasis. |
11688185 | New right-sided hemodialysis catheter ends in the atrium. The lung volumes are low with unchanged bibasilar atelectasis and pleural effusions. The heart contour is hard to assess with all those changes. There is no pneumothorax and no pulmonary edema. | 58223260 | WET READ: ___ ___ 7:40 PM Right HD catheter placement with tip in right atrium. Decreased lung volumes with small bilateral pleural effusions and underlying atelectasis or consolidation, unchanged. ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST X-RAY INDICATION: Patient with history of positive PPD, active TB? COMPARISON: ___ through ___. | New hemodialysis catheter is in adequate position without pneumothorax. Low lung volumes with unchanged bibasilar atelectasis and pleural effusion. |
11688185 | AP upright and lateral views of the chest are provided. There are small bilateral pleural effusions with associated bibasilar atelectasis. Please note, given the presence of atelectasis in the lower lungs, a subjacent pneumonia would be impossible to exclude in the correct clinical setting. The heart size cannot be assessed. The mediastinal contour appears unremarkable aside from the presence of aortic knob calcification. The bony structures are intact. No pneumothorax is seen. | 53711695 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Shortness of breath, question pneumonia. | Small bilateral pleural effusions with bibasilar opacities likely representing atelectasis, though pneumonia not entirely excluded. |
11960904 | Low lung volumes cause crowding of the bronchovascular structures. No interstitial edema. Moderate cardiomegaly. Small right-sided pleural effusion with linear atelectasis. No pneumothorax. | 57242308 | INDICATION: ___ year old man with CHF and cirrhosis // pulm edema COMPARISON: No prior for comparison | Small right-sided pleural effusion. |
11165483 | The patient is status post median sternotomy and CABG. The heart size remains moderately enlarged but unchanged. The aorta is tortuous and diffusely calcified. There is mild chronic interstitial abnormality, similar compared to the prior exam. Emphysematous changes are most pronounced within the right lung apex. Minimal blunting of the costophrenic sulci posteriorly on the lateral view likely reflects chronic pleural thickening. No overt pulmonary edema is present. Streaky bibasilar opacities likely reflect atelectasis. There is scarring within the lung apices. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes are seen within the thoracic spine. | 56717280 | HISTORY: Hypoglycemia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph, ___ chest CT. | Mild chronic interstitial abnormality suggestive of an underlying chronic interstitial lung disease and emphysema. No new focal consolidation identified. |
11579068 | There is apparent elevation of the right hemidiaphragm associated right basilar atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air. | 54481723 | WET READ: ___ ___ 6:03 PM Apparent elevation of the right hemidiaphragm, an appearance which can be seen in the setting of the subpulmonic effusion. Consider a lateral decubitus films for further characterization. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F w/ hx of etoh abuse presents with abd distention, pain, and jaundice // Eval for PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | Apparent elevation of the right hemidiaphragm, an appearance which can be seen in the setting of the subpulmonic effusion. Consider a lateral decubitus films for further characterization. |
11816641 | PA and lateral views of the chest were provided. The heart is moderately enlarged. There is a small right pleural effusion. Biapical pleural parenchymal scarring noted. Mediastinal contour is notable for an unfolded thoracic aorta. There is no pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm. | 56941915 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old woman with CHF, CAD, presents with inattention and incidental exam findings suggesting with lacunar stroke, question pneumonia. | Small right pleural effusion. Mild cardiomegaly. No definite signs of pneumonia or CHF. |
11816641 | Right-sided moderate pleural effusion has been drained and a pigtail projects in right costodiaphragmatic angle. There is no visible residual pleural effusion. There is no pneumothorax. Left moderate pleural effusion with atelectasis is unchanged. There is no pulmonary edema. Right-sided PICC line ends in mid SVC. | 56535544 | PORTABLE AP CHEST X-RAY INDICATION: The patient with moderate-to-large right pleural effusion, thoracocentesis, pigtail catheter, interval change in fluid status. COMPARISON: Multiple chest x-rays from ___ to ___ and CT torso ___. | There is no pneumothorax after drainage of right pleural effusion. |
11816641 | A right PICC line has been pulled back and now terminates in the low SVC. Moderate cardiomegaly and vascular congestion is unchanged. There is no frank pulmonary edema. The mediastinal contour is normal. Moderate bilateral pleural effusions with adjacent atelectasis are larger. Retrocardiac opacity is likely a combination of pleural effusion and atelectasis. There is no apical pneumothorax. | 57377158 | HISTORY: Tachypnea, pulmonary embolism while hospitalized, on heparin. Evaluate for infiltrate. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Chest radiograph ___. CTA chest ___. | Moderate bilateral pleural effusions with adjacent atelectasis are larger. Moderate cardiomegaly and mild vascular congestion are unchanged. |
Subsets and Splits