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11797247 | Compared with earlier the same day, a pigtail catheter has been placed at the left lung base, in addition to the pre-existing left base chest tube. Diffuse opacity of the left lung has increased in density -- question due to increased layering fluid in (both views are supposedly upright) versus an additional superimposed process. Left lower lobe collapse and/or consolidation and blunting of left costophrenic angle are again seen. Previously seen small left base hydro pneumothorax is not appreciated at present. No pneumothorax is identified. There is patchy opacity in the right upper zone, including in triangular opacity which appears to lie immediately above the expected location of the minor fissure,, with suggestion of slight upward bowing of the minor fissure. The cardiomediastinal silhouette is probably unchanged allowing for differences in positioning and remains grossly midline. | 55973982 | WET READ: ___ ___ ___ 10:34 AM Interval placement of a left-sided pigtail catheter, in addition to an existing left PICC line and left chest tube. There is now increased opacification of the left hemithorax. The previously described left basilar hydropneumothorax is not well appreciated on today's examination. Multifocal atelectasis in the right lung is new. WET READ VERSION #1 ___ ___ ___ 8:25 PM Interval placement of a left-sided pigtail catheter, in addition to an existing left PICC line and left chest tube. There is now increased opacification of the left hemithorax. The previously described left basilar hydropneumothorax is not well appreciated on today's examination. Multifocal atelectasis in the right lung is new. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new drain placed on L // please confirm L drain placement COMPARISON: Chest x-ray from ___, targeted review of chest CT from ___. | Interval placement of left pigtail catheter. No pneumothorax detected. Interval increase in degree of opacity diffusely in the left lung. Question increased pleura effusion versus superimposed process, such as asymmetric CHF. Left lower lobe collapse and/or consolidation, unchanged. New predominately triangular opacity in the right upper zone. There is slight upward bowing of the minor fissure and this likely represents atelectasis. |
11797247 | AP view of the chest provided. Again seen is near complete opacification of the left hemithorax, associated with contralateral mediastinal shift, not significantly changed since prior study. Right lung is still clear. | 59699457 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man sp DC chest tube with post pull bleeding. Pressure tamponad externally, concern for continued bleeding interntally. Please perform at 15:50 // evaluation of possible expanding Hemothorax COMPARISON: Chest radiograph from 40 minutes ago. | No significant change since prior study from 40 minutes ago. |
11797247 | AP view of the chest provided. Left-sided chest tubes and left subclavian line have been removed. There is now near complete homogeneous opacification of the left hemithorax, associated with rightward mediastinal shift, concerning for reaccumulation of fluid. Right lung is essentially clear. Right sided subclavian line terminates in the cavoatrial junction. | 52495349 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p pull of chest tube, bleeding, evaluation for intra-thoracic bleeding COMPARISON: Chest radiograph from ___. | Reaccumulation of fluid in left hemithorax after chest tube removal. |
11797247 | Compared to the prior study, the ET tubes/ catheters at the left lung base are similar in appearance and there is continued diffuse opacity through the left lung. The left chest tube is slightly less curved on this examination. Opacity at the left base, consistent with left lower lobe collapse and/or consolidation and probable component of left pleural effusion is also unchanged. Triangular opacity in the right mid zone laterally is essentially unchanged, as well. Left subclavian PICC line, with tip over distal SVC, again noted. No pneumothorax detected. | 53742823 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with dyspnea // evidence of effusion, pna COMPARISON: Chest x-ray from ___ at 18:46 | Doubt significant interval change compared with ___. |
11797247 | AP view of the chest provided. Nasogastric tube is seen terminating in the stomach. Chest tube is in unchanged position. Endotracheal tube is approximately 5 cm above the carina. Otherwise, compared to prior study, there is little change with respect to left hemithorax opacification. Right lung is clear. | 52635477 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p OG tube placement // OG tube placement COMPARISON: Chest radiograph from ___. | Nasogastric tube in appropriate position. |
11797247 | There is increasing left-sided pleural effusion with opacification of the left hemithorax. There is a loculated component along the lateral chest wall. There is increased retrocardiac density which may reflect atelectasis. There may be a trace apical pneumothorax. The right hemithorax is clear. Osseous structures are notable for a comminuted proximal left clavicle fracture. | 56945697 | INDICATION: Trauma with persistent oxygen requirement TECHNIQUE: Frontal chest radiograph COMPARISON: ___ | Increasing left-sided pleural effusion with loculated component about the lateral chest wall. Hemothorax is not excluded. If further evaluation is required, consider CT. Left lower lobe atelectasis. Comminuted left proximal clavicle fracture. Perhaps trace left apical pneumothorax. |
11483477 | 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. | 51348866 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // ? PNA, pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute intrathoracic process. |
11263589 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well expanded and clear. There is no pneumothorax, vascular congestion, or pleural effusion. | 55786213 | INDICATION: ___-year-old male with lightheadedness and shortness breath. Question pneumothorax or other acute process. COMPARISON: None available. | No acute cardiopulmonary process. |
11572460 | There is a right pleural effusion with right lower lobe atelectasis. Left lung is clear. There is no pneumothorax. Cardiac size appears enlarged but this may be due to technique and positioning. ET tube positioned 3.7 cm above the carina. NG tube extends beyond the diaphragm into the stomach. | 59004392 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with right MCA CVA // intubated, interval changes TECHNIQUE: Single frontal view of the chest COMPARISON: None | Right pleural effusion with right lower lobe atelectasis |
11572460 | Endotracheal tube terminates 4.7 cm above the carina. Enteric tube courses below the diaphragm, out of the field of view. There is a small to moderate right and trace left pleural effusion, with overlying atelectasis. The cardiac silhouette is mild to moderately enlarged. Mediastinal contours unremarkable. No pneumothorax is seen. No overt pulmonary edema. | 51849973 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with stroke. Intubated and sedated // Confirm ETT and OG tube TECHNIQUE: Single frontal view of the chest COMPARISON: None. | Small moderate right and trace left pleural effusions with overlying atelectasis. Underlying aspiration not excluded. Mild to moderate enlargement of the cardiac silhouette. |
11885267 | An endotracheal tube ends in the lower thoracic trachea. There is hyperinflation of the lungs. Extensive airspace opacities are worse at the right lung base and right midlung. A pleural plaque or calcification is noted in the lateral right midlung. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. The heart size is mildly increased and there is engorgement of the pulmonary vasculature. The hila are enlarged right greater than left. | 52410484 | WET READ: ___ ___ ___ 6:34 AM 1. An endotracheal tube ends in the lower thoracic trachea. 2. The lungs are hyperinflated and airspace opacities are worse in the right lung base and right midlung. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with ett pls eval *** WARNING *** Multiple patients with same last name! // History: ___F with ett pls eval TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___ | An endotracheal tube ends in the lower thoracic trachea. The lungs are hyperinflated and airspace opacities are worse in the right lung base and right midlung. There is mild fluid overload. The hila are enlarged, right greater than left. CT is recommended if one is not available for comparison. |
11433898 | The patient is status post mitral valve replacement. A dual-lead pacemaker/ICD device appears unchanged, with leads terminating in the right atrium and ventricle, respectively. The heart is again enlarged. The main pulmonary artery contour is likewise enlarged, as seen previously. There is dense new opacification of the left mid to lower lung, probably including the left lower lobe and lingula, with a pleural effusion of substantial size, moderate and possibly large. In addition, there is a moderate predominantly central interstitial abnormality with hazy perihilar opacification, consistent with moderate pulmonary edema. There is no pneumothorax or clear evidence for pleural effusion on the right. | 57043884 | CHEST RADIOGRAPHS HISTORY: Hypoxia. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | Dense left basilar opacification with pleural effusion. Differential considerations include atelectasis associated with a substantial pleural effusion versus pneumonia. Findings suggesting moderate pulmonary vascular congestion. |
11315217 | PA and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. Cardiomediastinal contours are normal. | 53454501 | INDICATION: Leukocytosis, question infiltrate. COMPARISON: None available. | No acute cardiopulmonary process. |
11589948 | Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacemaker is again seen with leads unchanged in position, extending to the expected location to the right atrium and right ventricle. Slight blunting of the right costophrenic angle, which may be due to a trace pleural effusion. No focal consolidation or pneumothorax is seen. The cardiac silhouette remains top normal. The aorta is calcified. | 55758489 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of lethargy. COMPARISON: ___. | Slight blunting of the right costophrenic angle may be due to a trace pleural effusion. |
11589948 | Heart size remains moderately enlarged with marked mitral annular calcifications again noted. Left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle is unchanged. The mediastinal and hilar contours are stable. There is calcification of the thoracic aorta diffusely. Mild pulmonary edema persists. Small left pleural effusion appears new compared to the previous exam. Patchy opacity within the retrocardiac region likely reflects atelectasis. No pneumothorax is identified. There is diffuse demineralization of the osseous structures. | 51413045 | HISTORY: Generalized weakness. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild pulmonary edema, similar to the prior exam, and new small left pleural effusion. Retrocardiac opacity likely reflects atelectasis. |
11591394 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59642489 | FINAL ADDENDUM ADDENDUM Additional informaton has been obtained from CareWeb Clinical Lookup since the approval of the original report. Reason for exam should also state wheezing and cough. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with ?pna // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11409059 | Right middle lobe opacity obscures the cardiac border. The interstitial markings are diffusely prominent. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. | 57441305 | CLINICAL INDICATION: Cough and dyspnea. Evaluate for pneumonia. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE | Diffuse interstitial abnormality, more prominence in the right middle lobe pneumonia. Differential includes PCP and atypical infection. |
11107570 | Scoliosis and rotation somewhat limits evaluation. S-shaped curvature of the thoracolumbar spine is again noted. There are trace bilateral trace pleural effusion, Bibasilar opacities are new since ___ and may represent edema versus an infectious etiology. There is no pneumothorax. Cardiomediastinal silhouette is unchanged from ___. | 58563292 | WET READ: ___ ___ ___ 7:17 AM No acute intrathoracic abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with abdominal pain, high fever // pneumonia? TECHNIQUE: Supine frontal view of the chest COMPARISON: Chest radiograph ___ | Trace bilateral pleural effusions are new since chest radiograph ___. Bibasilar opacities are new and may represent edema versus an infectious process. |
11155072 | Frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. A right upper extremity PICC tip is unchanged in position in the mid SVC. The pulmonary vasculature is normal. | 52067078 | HISTORY: ___-year-old male postop day 2 status post I&D for brain abscess with fevers, question source of fever. COMPARISON: ___. | No acute chest abnormality. |
11685699 | A right-sided PICC is in place with tip in upper SVC in unchanged position. Visualization of the Dobbhoff tube is difficult due to limited beam penetration, however, the tube is visualized to course below the diaphragm with tip terminating in the expected location of the gastric body. Lung volumes are decreased in comparison with the previous examination with increase in bibasilar atelectasis. A small right-sided pleural effusion is unchanged. No pneumothorax. Osseous structures unchanged. Trace left pleural effusion is unchanged. | 52900389 | INDICATION: Pancreatitis, question Dobbhoff placement. COMPARISON: ___. TECHNIQUE: Single AP portable upright chest. | Dobbhoff tube has been advanced and is now located in the expected region of the gastric body. PICC in unchanged position. Stable right pleural effusion. Slight increase in bibasilar atelectasis. Trace left pleural effusion unchanged. |
11685699 | A lower lobe opacity is visualized consistent with patient's moderate right pleural effusion with adjacent atelectasis. Otherwise, the lungs are without any other focal consolidations, or pneumothorax. Right PICC line is visualized with the tip in the right axilla. Cardiomediastinal silhouette is within normal limits. There appears tortuous. | 51236816 | INDICATION: Evaluation of patient status post fever. COMPARISON: CT abdomen and pelvis from same date. | Known right pleural effusion with adjacent atelectasis with no focal consolidations otherwise identified. Right PICC line tip in right axilla. Re-positioning is recommended. |
11685699 | There is opacity in the right lower lobe consistent with pneumonia. No pleural effusion or pneumothorax. Heart is mildly enlarged and there is evidence of vascular engorgement. Mediastinal and hilar contours are unchanged. | 54548237 | WET READ: ___ ___ ___ 11:09 PM 1. Right lower lobe consolidation consistent with pneumonia. Followup radiographs in ___ weeks are recommended to document resolution. 2. Mild cardiomegaly with vascular engorgement. ______________________________________________________________________________ FINAL REPORT INDICATION: Chest pain. Evaluate for acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___. | Right lower lobe consolidation consistent with pneumonia. Followup radiographs in ___ weeks are recommended to document resolution. Mild cardiomegaly with vascular engorgement. |
11685699 | There is a moderate right-sided pleural effusion, as seen on the recent CT, with associated parenchymal opacity, most suggestive of atelectasis. The pleural effusion is similar to the recent prior CT but possibly decreased somewhat since the prior radiographs, although a possible difference in patient orientation is a confounding factor regarding the comparison. The left lung remains clear. A PICC line terminates at the cavoatrial junction. | 56877964 | CHEST RADIOGRAPHS HISTORY: Fever. Question pneumonia. COMPARISONS: ___ and more recent CT of the abdomen from the prior day. TECHNIQUE: Chest, AP upright and lateral. | Persistent right-sided pleural effusion, possibly decreased. PICC line terminating at the cavoatrial junction. Although pneumonia cannot be excluded, findings on the CT from the prior day were suggestive of atelectasis. Superimposed infection is difficult to exclude, however. |
11685699 | Redemonstrated is airspace consolidation within the right middle and lower lobes, largely unchanged from prior examination dated ___. The upper lungs are grossly clear bilaterally. The heart remains mildly enlarged with mild central pulmonary vascular congestion. No large pleural effusion or pneumothorax is identified. | 55092147 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with CP // evidence of effusion or PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Unchanged appearance of a right middle/right lower lobe airspace opacity compatible with pneumonia, although rounded atelectaasis is a possibility. Mild cardiomegaly and central pulmonary vascular congestion. |
11685699 | A single portable radiograph of the chest was acquired. A linear horizontal artifact extends across the lower portion of this image. The inferior-most portion of the left costophrenic angle is excluded from this radiograph. The lungs are well expanded. There is minimal bibasilar atelectasis. The lungs are otherwise clear. The heart size is normal. Tortuosity of the thoracic aorta is redemonstrated. There are no definite pleural effusions. No pneumothorax is seen. | 50268448 | INDICATION: AAA, status post bypass, now with chest and abdominal pain. Evaluate for acute process. COMPARISON: Chest radiograph from ___. | No evidence of acute cardiopulmonary process. |
11634883 | S-shaped rotary thoracolumbar scoliosis is re-demonstrated. The cardiac silhouette is normal in size. The aorta remains tortuous. The pulmonary vascularity is normal, and the hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 51210479 | INDICATION: Shortness of breath and palpitations. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11355855 | PA and lateral chest radiographs were provided. A right PICC terminates in the lower SVC. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bones are intact. Sutures and clips are seen in the left upper quadrant. | 57146163 | INDICATION: ___-year-old woman with right upper extremity PICC associated DVT and chronic abdominal pain, now with chest pain. Rule out pneumonia or effusions. COMPARISON: Chest radiograph from ___. CTA chest from ___. | No acute cardiopulmonary process. Right PICC in the low SVC. |
11355855 | Frontal and lateral views of the chest demonstrate a right upper extremity PICC terminating in the superior vena cava, unchanged. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. Clips are seen within the left upper quadrant from a prior splenectomy. The bones are unremarkable. | 58365295 | HISTORY: Evaluate PICC placement. COMPARISON: CT a chest ___ and chest radiograph ___. | No acute cardiopulmonary process. |
11355855 | An orogastric tube courses below the diaphragm. The tip is likely just distal to GE junction. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 57719708 | WET READ: ___ ___ ___ 9:48 AM Orograstric tube courses below the diaphragm, the tip is just distal to the GE junction. Advancing the tube further could be considered if placement is desired within the gastric fundus. ______________________________________________________________________________ FINAL REPORT HISTORY: NG tube placement. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph. | Orograstric tube courses below the diaphragm, the tip is just distal to the GE junction. Advancing the tube further could be considered if placement is desired within the gastric fundus. |
11355855 | Please note that the left lung base and costophrenic angle are excluded from the field of view. Right internal jugular central venous catheter tip terminates in the low SVC. No large pneumothorax is detected on this supine exam. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No large pleural effusion is present. | 53975645 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F status post R IJ line placement TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___ chest radiograph | Right internal jugular central venous catheter tip terminates in the low SVC. No large pneumothorax identified on this supine exam. |
11355855 | PA and lateral views of the chest provided. Right upper extremity PICC line again seen with its tip extending into the region of the mid SVC. G-tube projects over the upper abdomen. Lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. | 52490399 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fevers // Eval for infiltrate, PICC tip COMPARISON: ___ | No acute findings. PICC line positioned appropriately. Gastrostomy tube noted. |
11355855 | The right-sided PICC line is again seen with the tip in the proximal SVC. Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable | 59431356 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PICC-associated DVT // Correct/stable PICC placement? TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormalities. PICC line tip in similar location compared to prior |
11355855 | Frontal and lateral chest radiographs demonstrate a right PICC with the tip in the mid to upper SVC. The cardiomediastinal silhouette is normal and the lungs are clear, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 58149422 | INDICATION: Check PICC line placement. COMPARISON: Fluoroscopic spot images from PICC line placement on ___. | Right approach PICC with the tip in the upper SVC. |
11355855 | Right PICC tip terminates in the SVC. Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Linear opacity within the left lung base likely reflect subsegmental atelectasis. Remainder of the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. Several clips are noted within the left upper quadrant of the abdomen. | 56226188 | HISTORY: Malfunctioning PICC line. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Right PICC tip in the SVC. No acute cardiopulmonary abnormality. |
11355855 | Nasogastric tube terminates in the stomach with side port above the expected location of the gastroesophageal junction. A right internal jugular central venous catheter terminates in the mid SVC, unchanged. Lungs are well expanded and clear without evidence of pneumonia, pulmonary edema, pleural effusion, or pneumothorax. Mediastinal contours, hila, and cardiac silhouette are normal. Surgical clips in the upper abdomen are unchanged. | 53169227 | INDICATION: ___ year old woman with NGT, advanced last night. // eval advanced feeding tube. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph from ___ | Nasogastric tube terminates in the stomach with side port above the expected location of the gastroesophageal junction. Advancement by 7-10 cm would place the side port securely in stomach. |
11355855 | PA and lateral chest radiographs were provided. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air under the hemidiaphragm. There are clips in the right upper quadrant and left upper quadrant. | 51883658 | INDICATION: History of gastric bypass, abdominal pain, assess for pneumoperitoneum. COMPARISONS: Chest radiograph from ___. | No acute cardiopulmonary process. No evidence of free air. |
11355855 | The right PICC again seen with tip in the upper SVC. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. PEG tube and surgical clips seen in the left upper quadrant | 54321978 | INDICATION: ___F with PICC line // PICC line? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11355855 | A right-sided PICC is seen coiled and with its tip in the right subclavian vein. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Focal opacity in the left mid lung is noted as well as linear left basilar opacity. No pleural effusion or pneumothorax is seen. PEG tube projects over the upper abdomen. | 54978489 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever // eval for PNA and eval PICC line TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs from ___ through ___ | Right-sided PICC is coiled with its tip seen in the region of the subclavian vein. Focal left mid lung opacity, potentially atelectasis noting that infection is also possible. |
11355855 | Lung volumes are normal, and free of focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. There is no evidence of subdiaphragmatic free air. No acute fractures identified. | 50223368 | WET READ: ___ ___ ___ 9:00 AM No evidence of subdiaphragmatic free air. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with SBO, peritoneal ABD // eval for subdiaphragmatic free air TECHNIQUE: Portable upright chest radiograph COMPARISON: Chest radiograph ___ | No evidence of subdiaphragmatic free air. |
11355855 | NG tube terminates with the side port at the gastroesophageal junction. The imaged portion of the lungs appear clear. Heart size is normal. There is gaseous distention of bowel but no overt dilatation. Surgical clips overlie the left and right upper quadrants and cutaneous ___ overlie the midline. | 52559357 | WET READ: ___ ___ ___ 9:26 AM NG tube terminates with its side port at the gastroesophageal junction and should be advanced by at least 5 cm for more appropriate position within the stomach. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with NGT placed // Evaluate NGT placement COMPARISON: ___ chest radiograph. TECHNIQUE: Single frontal view of the chest. | NG tube terminates with its side port at the gastroesophageal junction and should be advanced by at least 5 cm for more appropriate position within the stomach. |
11355855 | Left-sided PICC tip terminates at the confluence of the brachiocephalic veins/upper SVC. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is detected. Multiple clips are noted in the left upper quadrant of the abdomen. Right upper quadrant abdominal clips indicate prior cholecystectomy. | 56616493 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman TPN dependent with PICC in place TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ | Left PICC tip terminates at the confluence of the brachiocephalic vein/ upper SVC. No acute cardiopulmonary abnormality. |
11355855 | Lines and Tubes: Right PICC terminates in the SVC. Partially visualized is a G-tube balloon projecting over the left upper quadrant of the abdomen. Lungs: Well inflated and clear. Pleura: There is no pleural effusion or pneumothorax Mediastinum: There is no cardiomegaly. Mediastinal silhouette is within normal limits. Bony thorax: Unremarkable. | 52071880 | INDICATION: ___ year old woman with picc // PICC placement TECHNIQUE: APsingle view COMPARISON: ___ | Right-sided PICC terminates in the SVC, could be advanced by about 5 cm to be positioned at the cavoatrial junction. Well inflated clear lungs. |
11355855 | A right-sided PICC is seen, terminating in the proximal SVC, slightly withdrawn as compared to the prior study. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 52082273 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: PICC line. COMPARISON: ___. | Right PICC terminates in the proximal SVC, slightly withdrawn as compared to the prior study. |
11915711 | Severe dextroscoliosis of the thoracic spine distorts the mediastinum which is otherwise unremarkable. There is stable if not decreased size of the cardiac silhouette. Lungs are clear. The right pulmonary artery is enlarged. No pleural effusion or pneumothorax present. | 52207279 | INDICATION: Weakness, evaluate for pneumonia. COMPARISON: Comparison is made to outside hospital chest radiograph performed ___. | Persistent though decreased cardiomegaly. Mildly enlarged right pulmonary artery. Clear lungs. |
11782473 | The patient is status post median sternotomy. There are postsurgical changes in the left perihilar region and anterior mediastinum. There is additional streaky density in the lingula and left lung base consistent with subsegmental atelectasis and possibly a small area of consolidation in the posterior portion of the left lung base. In addition, the posterior costophrenic sulci are blunted. No pneumothorax is seen. The right lung is clear. Mediastinal structures are stable. The bony thorax appears intact. | 57821722 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY ___M s/p sternotomy and removal of germ cell tumor // ? PTX, effusion ? PTX, effusion COMPARISON: ___ | Postsurgical change in the mediastinum and the left perihilar region. Small area of density in the left lower lobe consistent with atelectasis or consolidation. Small pleural effusions. |
11782473 | The mediastinal drains are in satisfactory position. The right IJ catheter terminates in mid SVC. The sternotomy wires are intact without evidence of dehiscence. No pulmonary edema, pneumothorax, pleural effusion, or consolidation. The cardiomediastinal silhouette is mildly enlarged compared to prior, consistent with postoperative changes. | 56702633 | INDICATION: ___ year old man with anterior mediastinal germ cell tumor now s/p resection via median sternotomy. // evaluate tube position TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Normal postoperative changes. No pulmonary edema, pleural effusion, and pneumothorax. |
11782473 | The lungs are clear. There is no consolidation or edema. Previously seen left basilar opacity from exam 2 days prior has resolved. Trace left pleural effusion remains. Median sternotomy wires are intact. Mediastinal clips are again noted. No acute osseous abnormalities. | 58316424 | INDICATION: ___M with recent surgery now with nausea, vomiting // eval for pna, eval for sbo TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Trace residual left pleural effusion. Otherwise, no acute cardiopulmonary process. |
11782473 | Interval removal of 2 chest tubes, without evidence of pneumothorax. Persistent left perihilar and retrocardiac opacities are not significantly changed compared to previous. No large pleural effusions. Stable appearance of sternotomy wires. The cardiopericardial silhouette is within normal limits. | 55318525 | EXAMINATION: Chest x-ray INDICATION: ___ year old man with mediastinal seminoma s/p sternotomy, excision mass // post-pull film removal L thorax ___ x2, evaluate ptx/htx or other intrathoracic acute process TECHNIQUE: Portable AP upright chest COMPARISON: X-ray from ___ at 05:57 | Interval removal of chest tubes without evidence of pneumothorax. Reviewed with Dr. ___. |
11782473 | There is an abnormal mediastinal convex contour centered at the AP window, better seen on the lateral view in the anterior mediastinum, corresponding with previously-seen mediastinal mass. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart size normal. | 52923780 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with pleuritic pain and mediastinal germ cell tumor. Evaluate for chest or pleural lesion. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: CT chest from ___. | Anterior mediastinal mass, better assessed on prior CT. |
11782473 | Heart size is normal. Anterior mediastinal mass obscuring the aortic arch and AP window on the frontal view with prominence of the right lower mediastinal contour appears grossly unchanged. Hilar contours are similar. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. | 59807312 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with lymphoma here with fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Unchanged anterior mediastinal mass. No new focal consolidation to suggest pneumonia |
11505821 | There has been placement of a left-sided chest tube, which terminates at the left lung apex. Heterogeneous appearance of the left lung base is slightly improved and there is been considerable could improvement in the layering left pleural effusion, nearly resolved.There persists a small to moderate right pneumothorax. Otherwise the right lung is clear. Cardiomediastinal silhouette is stable. | 54033180 | WET READ: ___ ___ 8:49 AM 1. Status post placement of left-sided chest tube with near complete resolution of left-sided hemothorax. 2. Unchanged small to moderate right pneumothorax. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ 3:34 AM 1. Status post placement of left-sided chest tube with near complete resolution of left-sided hemothorax. Heterogeneous appearance of the left lung base is slightly improved. 2. Unchanged small to moderate right pneumothorax. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new chest tube. Evaluate chest tube placement. TECHNIQUE: Portable supine chest radiograph COMPARISON: Chest radiograph from 2 hr prior | Status post placement of left-sided chest tube with near complete resolution of left-sided hemothorax. Unchanged small to moderate right pneumothorax. |
11505821 | The cardiomediastinal and hilar contours are stable and within normal limits. The aorta is tortuous as before. There are very small pleural effusions, left greater than right. There is no appreciable pneumothorax. Bilateral pulmonary opacities are improved from the prior examination. Opacity at the left base may represent atelectasis or scarring. | 56626630 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p mechanical falls w/ hemoPTX on L and PTX on R requiring chest tube/pig tail placement, respectively // eval for interval change, small PTX at discharge TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___ | Bilateral airspace opacities are improved from the prior examination done ___. Very small bilateral pleural effusions. No appreciable pneumothorax. |
11505821 | There are bilateral pneumothoraces, which are small to moderate in size. On the left, there are multiple rib fractures, some appearing displaced, with a large amount of gas in the adjacent soft tissues extending from the base of the left neck to the left upper abdomen. Heterogeneous opacification of the left lung base is concerning for pulmonary contusion. A moderate-sized layering left pleural effusion, which on the concurrent outside hospital CT demonstrates intermediate density, likely representing blood. Cardiomediastinal silhouette is normal. Modestly calcified aortic knob is noted. The right lung is clear. | 51622688 | WET READ: ___ ___ 9:57 AM 1. Bilateral pneumothoraces, small to moderate. 2. Multiple left-sided rib fractures, some appearing displaced. 3. Significant gas in the soft tissues of the left thorax. 4. Layering moderate sized left pleural effusion, representing hemothorax on the concurrent outside hospital CT. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with left-sided pneumothorax. Evaluate for pneumothorax. TECHNIQUE: Portable supine chest radiograph COMPARISON: Outside hospital CT from the same day. | Bilateral pneumothoraces, small to moderate. Multiple left-sided rib fractures, some appearing displaced. Significant gas in the soft tissues of the left thorax. Layering moderate sized left pleural effusion, representing hemothorax on the concurrent outside hospital CT. |
11423061 | Supine frontal view of the lungs demonstrate low lung volumes. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. Streaky atelectasis is seen at the left lung base. Moderate cardiomegaly and pulmonary edema are unchanged. The mediastinal contours are unchanged. There is no displaced rib fracture. | 50141626 | HISTORY: Status post fall, evaluate for rib fractures or pneumonia. COMPARISON: Chest radiographs from ___ to ___. | Unchanged moderate cardiomegaly and mild pulmonary edema. No displaced rib fractures. If there is focal tenderness and concern for a fracture persists, dedicated rib views with markers would be of utility. |
11423061 | Low lung volumes limit assessment of the lung bases. Patchy ill-defined opacities within the lung bases, more so on the left, may reflect areas of aspiration, infection, or possibly atelectasis. The heart size is normal. The aorta appears tortuous. There is no pulmonary edema, pleural effusion or pneumothorax. | 51779043 | HISTORY: Chest pain. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | Low lung volumes limit assessment of the lung bases. Bibasilar airspace opacities may reflect aspiration, infection, or possibly atelectasis. Consider repeat PA and lateral views with improved inspiratory effort for further assessment of the lung bases. |
11577761 | PA and lateral views of the chest. There is mild cardiomegaly. The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. | 53200644 | INDICATION: Altered mental status, evaluate for pneumonia. COMPARISON: CT chest on ___. | No acute cardiopulmonary process. Mild cardiomegaly. |
11577761 | PA and lateral radiographs of the chest demonstrate clear lungs. Mild cardiomegaly is chronic. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Multiple surgical ___ can be seen in the right axilla and along the back. No displaced fractures are seen. | 54625487 | INDICATION: Chest tenderness after fall, evaluate for fracture. No localizing information could be obtained from the requisition or the___ medical record. No skin marker is present to indicate the site of tenderness. COMPARISON: Chest radiographs from ___ to ___. | No displaced rib or other fractures seen. |
11209386 | PA and lateral views of the chest. The lungs are clear. There is no significant effusion nor pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Lower cervical anterior fixation hardware is new since prior. | 52326237 | HISTORY: ___-year-old male with chest pain. COMPARISON: ___. | No acute cardiopulmonary process. |
11431975 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50626678 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with pleuritic back pain // ? ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11707588 | A moderate right pleural effusion and overlying atelectasis is unchanged. A tiny right apical pneumothorax is present. A moderate hiatal hernia is similar. Retrocardiac opacity is better aerated. | 52427298 | INDICATION: ___-year-old woman with recurrent pleural effusions. COMPARISONS: ___ and ___. | Persistent appearance of moderate right pleural effusion and dependent atelectasis. Trace right apical pneumothorax. |
11707588 | A moderate right pleural effusion remains after thoracentesis. No pneumothorax is present. Retrocardiac opacity is associated with mild tenting of the left hemidiaphragm is suggestive of volume loss. No additional consolidation is identified. Moderate cardiomegaly is identified. | 50293862 | INDICATION: ___-year-old woman with recurrent right effusion status post thoracentesis of 300 cc of fluid. COMPARISON: ___. | Moderate persistent right effusion after thoracentesis. Retrocardiac opacity associated with tenting of the left hemidiaphragm suggests volume loss such as in a focal atelectasis. Consolidation cannot be excluded. |
11707588 | Frontal and lateral views of the chest demonstrate an unchanged moderate-sized hiatal hernia. The lungs are well expanded and clear, with interval decrease in size of a now small right pleural effusion with residual right lower lung atelectasis and/or scar. The cardiac silhouette and mediastinal contours are unchanged. | 56551081 | HISTORY: ___-year-old with breast cancer and right pleural effusion, question pleural abnormality. COMPARISON: ___. | Interval decrease in now small right pleural effusion with adjacent atelectasis and/or scar. Moderate hiatal hernia may explain the patient's chest pain. |
11004622 | The lungs are clear. Cardiomediastinal silhouette is stable. Coronary artery stents are identified. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified. | 52378924 | INDICATION: ___F with altered mental status // Acute process? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11610212 | Right lower lobe pneumonia has resolved with only residual scarring at the location. Left lung is unremarkable. Mediastinal and cardiac contours are normal in this patient with an oxygen cannulation in the trachea. There is no pneumothorax. | 51741521 | PA AND LATERAL CHEST X-RAY INDICATION: Followup pneumonia. COMPARISON: ___ to ___. | Right lower lobe pneumonia has completely resolved with only minimal residual scarring. |
11610212 | Right lower lobe pneumonia is unchanged. There is, however, small new blunting of the costodiaphragmatic angle and loculation in the right major fissure. There is no pneumothorax. | 58861505 | PORTABLE AP CHEST X-RAY INDICATION: Patient with pneumonia, interval change. COMPARISON: ___. | Unchanged right lower lobe pneumonia. New small pleural effusions. |
11610212 | There is interval near resolution of the right lower lobe opacification. However, there is continued prominence of the right hilum which appears to correspond with lymphadenopathy evident on the ___ CT. No new opacification is evident. Cardiomediastinal contours are unremarkable. No pleural effusion or pneumothorax evident. No osseous abnormality present. | 58418282 | INDICATION: Lobar pneumonia status post hospitalization. Please evaluate for resolution of pneumonia one month later. COMPARISON: Comparison is made with chest radiograph performed ___ and CTA chest performed ___. | Persistent but markedly improved right lower lung opacification with continued prominence of the right hilum. Recommend continued follow-up radiograph in one month to ensure resolution of above findings. |
11610212 | A tracheostomy appears unchanged. The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. A large consolidation involves posterior portions of the right lower lobe, most suggestive of lobar pneumonia. Bony structures are unremarkable. | 57536555 | CHEST RADIOGRAPHS HISTORY: Cough, sputum, and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Extensive right lower lobe opacity suggesting lobar pneumonia. However, follow-up radiographs are recommended within eight weeks in order to ensure resolution. |
11564555 | 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. | 52753359 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever // evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11131026 | Cardiac silhouette size is mildly enlarged with prominent epicardial fat pads. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Assessment of the lung apices is somewhat obscured by the patient's chin and soft tissues projecting over these regions. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Moderate multilevel degenerative changes are seen within the thoracic spine. | 59203388 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea on exertion x 2 weeks, difficulty with gait x several weeks, status post multiple falls with headstrike // Evidence of volume overload, infiltrate, or effusion, evidence of intracranial hermorrhage or acute abnormality, hydrocephalus TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___ | No acute cardiopulmonary abnormality. |
11131026 | Lung volumes are low. The lungs are clear. Mediastinal contours, hila, and mild cardiomegaly are stable. No pleural effusion. | 59301796 | INDICATION: ___ year old man with metastatic RCC p/w N/V // eval for possible esophageal distention TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. CT of chest from ___. | No evidence of acute cardiopulmonary process or esophageal distension. |
11131026 | There has been no change in the position of the right PICC line which still projects cranially over the right side of the neck. No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. | 59741822 | INDICATION: ___ year old man with R PICC malpositioned // R PICC repo attempt, ___ ___ ___ TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from ___h___ | No change in the malpositioned right PICC line, still extending cranially along the right neck. |
11131026 | Lung volumes are low. Cardiomegaly is likely mild-to-moderate. There is mild pulmonary edema. There is a small left pleural effusion. More focal opacity in the retrocardiac region may be related to low volumes and atelectasis, however pneumonia cannot be excluded. | 54014077 | WET READ: ___ ___ ___ 9:40 PM Mild pulmonary edema. More focal opacity in the retrocardiac region may represent a combination of edema and atelectasis, however in the appropriate clinical setting pneumonia cannot be excluded. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with sob // PNA? TECHNIQUE: AP and lateral views. COMPARISON: Radiograph ___. | Low lung volumes with suspected superimposed pulmonary edema. More focal opacity in the retrocardiac region may represent a combination of edema and atelectasis, however in the appropriate clinical setting pneumonia cannot be excluded. |
11521738 | The heart is at the upper limits of normal size. The mediastinal and hilar contours are unremarkable. There is coarsened appearance of lung markings bilaterally with cuffed airways, probably due to airway inflammation and likely chronic, but there is no focal opacification aside from streaky lingular opacity which suggests minor atelectasis. There is no pleural effusion or pneumothorax. A mild superior endplate compression deformity of mid-to-upper thoracic vertebral body is likely chronic. | 54881286 | CHEST RADIOGRAPHS HISTORY: Pain after fall and syncope. COMPARISONS: None. TECHNIQUE: Chest, supine AP and lateral views. | No evidence of recent injury or acute cardiopulmonary process. |
11831027 | 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. Mild to moderate multilevel degenerative changes are seen throughout the imaged thoracic spine. No subdiaphragmatic free air is present. | 58424626 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with epigastric, left upper quadrant abdominal pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. No subdiaphragmatic free air. |
11873528 | PA and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal contour and hilar configuration is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 55713273 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old woman with chest pain and shortness of breath for one week, question pneumonia. | No acute intrathoracic process. |
11873528 | 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. | 57909421 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest discomfort // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CTA chest ___ | No acute cardiopulmonary abnormality. |
11741292 | The cardiomediastinal silhouette is unremarkable. There is no pneumothorax. Lung volumes are low. There is no focal consolidation. | 52803454 | WET READ: ___ ___ ___ 6:30 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with fever, rigors. // assess for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary abnormality. |
11741292 | Interval placement of a right IJ line which ends in the low SVC. Cardiomediastinal silhouette is unremarkable. There is mild prominence of the pulmonary vasculature, unchanged. There is no pneumothorax. | 52894954 | WET READ: ___ ___ ___ 6:12 AM Interval placement of right central venous line which ends in the low SVC. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with sepsis s/p R IJ placement // IJ placement TECHNIQUE: Single AP view. COMPARISON: Chest radiograph from the same date | Interval placement of a right central venous line which ends in the low SVC. |
11432024 | Endotracheal tube is in place, in standard position 4.3 cm cranial to the carina. An upper enteric tube is in place with tip in the proximal stomach. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is collapse of the right upper lobe with slight rightward shift of the mediastinum. Bibasilar opacities likely reflect atelectasis. There is no large pleural effusion or pneumothorax. | 50236152 | HISTORY: Altered mental status, status post motorcycle accident. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph, single view. | Right upper lobe collapse. Endotracheal tube in standard position. |
11688781 | As compared to prior chest radiograph from ___, right Port-A-Cath tip remains in unchanged position at mid SVC. The heart is top normal in size. Mediastinal and hilar contours are within normal limits. Lungs are clear with no focal consolidation, pleural effusion or pneumothorax. Surgical clips are noted over the right breast. | 59209134 | INDICATION: ___-year-old female patient with port for Remicade infusions. Study requested for assessment of position. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | Unchanged position of right Port-A-Cath with tip terminating in mid SVC. |
11688781 | PA and lateral chest radiographs demonstrate a right Port-A-Cath terminating in the mid SVC. Surgical clips are noted over the right breast. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. | 54965698 | INDICATION: Currently on Remicade with cough. COMPARISONS: ___. | No acute cardiopulmonary process. An attempt was made to telephone results to the number provided. |
11735403 | Frontal and lateral views of the chest. There are streaky bibasilar opacities, potentially atelectasis. Superiorly, the lungs are clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. | 51475220 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old male with rash and shortness of breath. COMPARISON: None. | Bibasilar opacities potentially due to atelectasis. Otherwise, no acute cardiopulmonary process. |
11162468 | The lungs are well expanded and clear. The cardiac silhouette is enlarged. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. A left-sided pacer terminates with its leads in the right atrium and right ventricle. A right-sided dialysis catheter is noted in appropriate position. | 52260352 | INDICATION: ___-year-old female with hypoxia in the ED. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11162468 | AP upright portable view of the chest was obtained. Left-sided pacer device with leads unchanged in position. There is a large-bore right-sided catheter unchanged in position, terminating in the right atrium. The cardiac silhouette remains mildly enlarged. The mediastinal and hilar contours are stable. Subtle streaky opacity in the left retrocardiac region is again seen, although less confluent as compared to the prior study and may represent an underlying scarring. PA and lateral views may be helpful for further evaluation. | 59411963 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Malaise, hypoxia. COMPARISON: ___. | Streaky left base retrocardiac opacity appears somewhat improved compared to the prior study and most likely represents atelectasis/scarring. PA and lateral views may be helpful for further evaluation. Otherwise, no significant interval change. |
11162468 | A double lumen right central venous catheter terminating in the right atrium. A left-sided pacer device has three leads in stable position. Median sternotomy wires are midline and intact. The retrocardiac opacity on the lateral view is likely scarring. The cardiomediastinal silhouette, and hilar contours are normal. There is mild stable cardiomegaly. There is no pneumothorax or pleural effusion. | 58837400 | HISTORY: Evaluate for pneumonia. Patient with hypoxia. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Portable chest radiograph of same day and ___. | No acute intrathoracic process. Mild cardiomegaly is stable. |
11162468 | Bilateral new densities are seen in lower lung. Most of it is explained by small pleural effusion and atelectasis, but a superimposed infection cannot be excluded. There is no pulmonary edema. Left pectoral pacemaker is unchanged. Right hemodialysis catheter is in adequate position. There is no pneumothorax. | 51164121 | PA AND LATERAL CHEST X-RAY INDICATION: Pneumonia, patient with end-stage renal disease, on hemodialysis, amputation of fourth right digit, tachycardia, white count, malaise. COMPARISON: ___. | New bibasilar opacities are seen and mostly explained by small pleural effusion and atelectasis. A superimposed infection cannot be excluded in this patient and could be considered in appropriate clinical setting. Dr. ___ has been verbally contacted for the results. |
11951640 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected. | 51163578 | HISTORY: Right upper quadrant pleuritic pain, assess for right lower lobe infiltrate. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None. | No radiographic evidence for acute cardiopulmonary process. |
11951640 | As compared with the prior examination dated ___, there has been minimal interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are stable. | 57501480 | HISTORY: History of cholangiocarcinoma, now with progressive shortness of breath. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to radiographs dated ___. | No radiographic evidence for acute cardiopulmonary process. |
11976099 | AP upright and lateral views of the chest provided.Cardiomegaly is mild to moderate. There is hilar congestion with mild interstitial edema. Small bilateral pleural effusions are present. Basal atelectasis is noted without convincing evidence for pneumonia. No definite pneumothorax. Bony structures intact. | 54253407 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with dyspnea, hx of CHF // eval for edema, effusion COMPARISON: ___. | Cardiomegaly with hilar congestion, mild pulmonary edema, small pleural effusions and basal atelectasis. |
11976099 | Unchanged moderate cardiomegaly. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. There is congestion of the pulmonary vasculature, consistent with mild pulmonary edema. Bibasilar atelectasis. Small bilateral, right greater than left, pleural effusions. No pneumothorax is seen. There are no acute osseous abnormalities. | 53584597 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with dyspnea, weight gain, edema, CHF // ?pulmonary edema, ? pneumonia TECHNIQUE: Chest AP and lateral COMPARISON: ___ | Moderate cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. |
11976099 | Moderate to severe cardiomegaly is a stable. The pulmonary arteries appear enlarged. Bilateral effusions are small, associated with adjacent atelectasis. There is no evident pneumothorax. There are moderate degenerative changes in the thoracic spine. The lungs are hyperinflated | 53032299 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with shortness of breath // eval right infra hilar lung per radiology recs TECHNIQUE: Chest PA and lateral COMPARISON: Study performed 3 hours earlier | Cardiomegaly. Small bilateral pleural effusions with adjacent atelectasis in. Enlarged pulmonary arteries. Probably COPD |
11976099 | Moderate cardiomegaly is not substantially changed in the interval. The mediastinal contour appears similar with atherosclerotic calcification noted in the aortic knob. Mild pulmonary edema is not substantially changed compared to the previous examination. Linear opacities in the right mid lung field and right lung base likely reflect areas of atelectasis. Small bilateral pleural effusions are demonstrated with patchy opacities in both lung bases, potentially atelectasis. No pneumothorax is present. There are mild to moderate degenerative changes seen in the thoracic spine. | 58083428 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with cough, shortness of breath // ? Pneumonia vs fluid overload TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Moderate cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. Patchy opacities within the lung bases may reflect atelectasis but infection is not excluded. |
11976099 | Cardiomegaly is stable. The hilar contours are within normal limits. No pneumothorax. No pleural effusions. Subtle bibasilar opacities likely reflect atelectasis no evidence of pulmonary edema. | 50964435 | EXAMINATION: Chest radiograph INDICATION: ___/F s/p right TKA with O2 requirement and hx of ___ // evaluate pulmonary effusions; TECHNIQUE: AP and lateral views of the chest COMPARISON: Prior chest radiographs the most recent on ___ | Bibasilar atelectasis with no evidence of pulmonary edema. Cardiomegaly is stable. |
11723074 | 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. | 51284819 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with congested wheezy cough // ? pneumonia COMPARISON: None | No acute intrathoracic process. |
11688994 | The ET tube and NG tube have been removed. There is increased vascular plethora with more focal areas opacity in both lower lungs. Is unclear if this is an infectious infiltrate or due to pulmonary edema the right IJ Cordis is unchanged. | 55765225 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M IDDM vasculopath p/w sepsis due to necrotizing L thigh fascia s/p I D ___ // eval for volume overload - crackles on exam s/p significant volume resuscitation TECHNIQUE: Portable chest COMPARISON: ___ | Increased vascular plethora and increased bilateral lower lobe infiltrates. |
11688994 | There is mild pulmonary vascular congestion and pulmonary edema. Increased opacification adjacent to the right hilum may represent asymmetric edema or possibly early pneumonia. The heart is stably mildly enlarged. The endotracheal tube ends 6.1 cm from the carina. The enteric tube ends within the decompressed stomach, however the side port ends in the distal esophagus, this should be advanced 7 cm for optimal placement. A right IJ introduction sheath ends at the origin of the SVC. There is no pleural effusion or pneumothorax. | 52089163 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with fever // r/o pna TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs of___. | Mild pulmonary vascular congestion and pulmonary edema. Enteric tube side port within the distal esophagus, should be advanced 7 cm for optimal placement. Right hilar prominence may be secondary to volume overload, but in the proper clinical setting, a focal consolidation cannot be ruled out. |
11089487 | ET tube terminates approximately 3.4-cm above the carina. There is an enteric tube which extends below the diaphragm, with the tip out of view of this film. There is a large distended, gas-filled loop of bowel traversing horizontally across the upper abdomen, better evaluated on the prior CT. The heart size is normal. There is mild dilatation of the esophagus. Opacities are seen at the right upper lung and bases of the lungs bilaterally. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 54315457 | INDICATION: History of intubation. Please evaluate for ET tube placement. COMPARISONS: CT from ___. TECHNIQUE: Single frontal portable radiograph of the chest. | ET tube terminates approximately 3.4 cm above the carina. Opacities at the lung bases may be secondary to aspiration/pneumonia. Gas-filled distended loop of bowel traversing across the abdomen, is better evaluated on the dedicated CT of the abdomen. Enteric tube extends below the diaphragm with the tip out of view of this film. |
11094621 | Lung volumes are relatively low. Left basilar opacity is presumably secondary to atelectasis. Lungs are otherwise clear. There is no large effusion common pneumothorax or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 54065839 | INDICATION: ___M with CP // PNA? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No definite acute cardiopulmonary process. |
11085996 | PA and lateral views of the chest are provided. A left chest wall pacer is seen with lead tip extending into the region of the right atrium and right ventricle. Lungs are clear without focal consolidation, effusion, or pneumothorax. The heart size is normal. Aortic atherosclerosis is seen with an unfolded thoracic aorta. Bony structures are intact. | 50150061 | CHEST RADIOGRAPH PERFORMED ___ COMPARISON: None. CLINICAL HISTORY: Syncopal episode, assess for acute intrathoracic process. | No acute intrathoracic process. |
11847300 | An enteric feeding tube courses below the diaphragm out of field of view with the side port at the gastroesophageal junction. Left-sided chest wall emphysema is improved since one day prior. There is increased bilateral infrahilar opacification likely atelectasis and/or a component of pleural effusion. Lucencies projecting in the region of the left cardiac silhouette might be the residua of the prior hernia. | 54239870 | INDICATION: ___-year-old female status post hiatal hernia repair, now presenting with chest pain. SINGLE FRONTAL CHEST RADIOGRAPH COMPARISONS: ___ and ___. | Interval worsening of now moderate bibasilar atelectasis and/or component of pleural effusion. No evidence of focal pneumonia. |
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