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11847300 | PA and lateral views of the chest demonstrate hyperinflated lungs and flattening of hemidiaphragms. There is no focal consolidation or pleural effusion. There is no pulmonary edema. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Large retrocardiac opacity, likely represents the patient's known hiatal hernia. There is relative paucity of gas within imaged upper abdomen. Visualized osseous structures appear intact. | 57056320 | INDICATION: Patient with history of hiatal hernia and recent volvulus, now presents with nausea and decreased p.o. tolerance. Patient is scheduled for planned repair tomorrow. Assess for hernia. COMPARISONS: None available. | Large retrocardiac opacity likely represents patient's known hiatal hernia. Hyperexpanded lungs and flattened hemidiaphrags likely signify underlying emphysema. |
11550263 | PA and lateral views of the chest are compared to previous exam from ___. The lungs are clear of consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. | 56787010 | CHEST, TWO VIEWS, ___ HISTORY: ___-year-old female with chest pain. | No acute cardiopulmonary process. |
11849484 | Bilateral perihilar patchy opacities may relate to pulmonary edema although multifocal infectious process is not excluded in the appropriate clinical setting. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Mediastinal contours are unremarkable. | 51091271 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with wheeze // eval heart and lungs TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | Bilateral perihilar patchy opacities may relate to pulmonary edema but infectious process is not excluded in the appropriate clinical setting. Enlarged cardiac silhouette. No pleural effusion seen. |
11690211 | There are relatively low lung volumes. Bilateral perihilar opacities are seen, right greater than left, with differential diagnosis including multifocal pneumonia, pulmonary edema, pulmonary hemorrhage. Right peritracheal and peribronchial/perihilar soft tissue opacity may be due to lymphadenopathy. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. Anchor screws project over the right humeral head from presumed prior rotator cuff repair. | 50993979 | WET READ: ___ ___ ___ 1:05 PM Relatively low lung volumes. Right greater than left bilateral pulmonary opacities with differential diagnosis including multifocal infection, fluid overload, pulmonary hemorrhage, underlying neoplastic process not excluded. Possible mediastinal and right hilar lymphadenopathy. No prior from comparison. Follow-up chest CT would provide further assessment. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dyspnea on exertion, mild cough // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Relatively low lung volumes. Right greater than left bilateral pulmonary opacities with differential diagnosis including multifocal infection, fluid overload, pulmonary hemorrhage, underlying neoplastic process not excluded. Possible mediastinal and right hilar lymphadenopathy. No prior from comparison. Follow-up chest CT would provide further assessment. |
11166655 | Lung volumes are low. Widened appearance of the superior mediastinum may be related to low lung volumes. There is no focal consolidation, pneumothorax, or pleural effusion. There is mild cardiomegaly, however this may be exaggerated due to technique and low lung volumes. | 53329897 | EXAMINATION: Portable chest radiograph INDICATION: History: ___M with shortness of breath and fever TECHNIQUE: AP upright view of the chest COMPARISON: None available | No evidence of pneumonia. Widened mediastinum which may be secondary to low lung volumes and repeat PA and lateral views with improved inspiration may be helpful for further assessment. |
11166655 | AP portable upright view of the chest. Lung volumes are somewhat low. Right IJ access dialysis catheter is new in the interval with its tip projecting over the expected level of the lower SVC. The lung volumes are low. The lungs appear clear without convincing signs of pneumonia or overt edema. No large effusions or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | 54584573 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hypoxia, hypotension. hx dialysis COMPARISON: ___ | Dialysis catheter positioned appropriately. No acute intrathoracic process. |
11166655 | Low lung volumes and lordotic view accentuate bronchovascular markings. The mediastinal contours are unchanged with smooth borders. The hila are unremarkable. Heart size is top normal. The lungs are clear. No pleural effusions or pneumothorax. | 58716397 | INDICATION: ___ year old man with widened mediastinum on CXR // Eval for widened mediastinum TECHNIQUE: AP and lateral COMPARISON: ___ | No substantial change, widened mediastinum is likely related to body habitus and vascular structures. |
11619788 | Lung volumes are low resulting in bronchovascular crowding. Linear opacities in the lung bases likely reflect atelectasis. There is no overt pulmonary edema. No large pleural effusions are identified. There is no confluent consolidation or pneumothorax. Calcifications of the aortic knob are again noted. Cardiomediastinal and hilar contours are within normal limits. | 58277756 | HISTORY: ___-year-old female with hypoxia COMPARISON: Chest radiograph from ___ AP AND LATERAL CHEST | Low lung volumes with bibasilar atelectasis |
11619788 | Semi-upright portable frontal chest radiograph demonstrates interval withdrawal of right-sided PICC line now terminating in the upper SVC. Cardiomediastinal and hilar contours are unremarkable. Stable platelike atelectasis in the bilateral lung bases. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. No osseous abnormality present. | 55041813 | INDICATION: Syncope, fatigue, evaluate for congestive heart failure or pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___. | Interval withdrawal of PICC line now terminating in the upper SVC. Otherwise, unchanged exam. No fluid overload or pneumonia. |
11619788 | A right approach PICC terminates in the upper SVC, unchanged from prior. There is no pneumothorax. Linear opacities within the left lung base are likely due to subsegmental atelectasis. No confluent consolidation is identified. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. | 50955531 | HISTORY: ___-year-old female with glioblastoma and thrombocytopenia. Assess PICC line position. COMPARISON: Chest radiograph from ___ PORTABLE FRONTAL CHEST | Right PICC terminating in the upper SVC, unchanged from prior. No pneumothorax. |
11619788 | A right PICC line has been retracted with the tip now terminating in the proximal right axillary vein. There is no pneumothorax. There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration. Small left pleural effusion is difficult to exclude. The cardiac silhouette is unchanged in size. The mediastinum appears unchanged from the prior chest radiograph of ___. | 52904178 | WET READ: ___ ___ ___ 3:24 PM 1. Right PICC retracted with the tip terminating in the proximal right axillary vein. 2. Bibasilar patchy airspace opacities new from the most recent prior study are concerning for developing pneumonia and raise the possibility of aspiration. ______________________________________________________________________________ FINAL REPORT HISTORY: History of glioblastoma multiforme now with cough and pancytopenia, here to evaluate for pneumonia. COMPARISON: Chest radiographs dated ___, ___, ___ and ___. TECHNIQUE: Portable upright AP radiograph of the chest. | Right PICC retracted with the tip terminating in the proximal right axillary vein. Bibasilar patchy airspace opacities new from the most recent prior study are concerning for developing pneumonia and raise the possibility of aspiration. |
11835748 | There is subtle patchy right lower lobe opacity seen on the frontal and lateral views which could be due to pneumonia or possibly atelectasis. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. | 56376518 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with PMH of L IC stroke p/w intermittent chest pain and headache // ?acute cardio/pulmonary process? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | Patchy right lower lobe opacity raising concern for pneumonia in the appropriate clinical setting. |
11116316 | An endotracheal tube tip lies 3.1 cm above the carina. An enteric feeding tube courses below the diaphragm, out of field of view. A right internal jugular approach central venous catheter tip projects within the right atrium. There are persistent low lung volumes with worsening bibasilar atelectasis/partial collapse. There are no large pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating a left ventricular configuration of the heart. The heart is within the upper limits of normal in size. Pulmonary vascularity is not increased. An endovascular aortic graft is demonstrated projecting over the mid upper abdomen. | 57916742 | INDICATION: ___-year-old female status post endovascular aortic repair. Evaluate endotracheal tube position. EXAMINATION: Single frontal chest radiograph. COMPARISONS: ___. | Support hardware positioning as above with the right internal jugular tip projecting in the right atrium and unchanged position of the endotracheal tube. Worsening bibasilar atelectasis/collapse. |
11047011 | The lungs are hyperinflated. A linear opacity with some associated volume loss in the right upper lobe is unchanged from the prior radiograph. This likely scarring. No new opacity is identified to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. | 53950115 | INDICATION: Cough. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___. | Hyperexpanded lungs. No evidence of pneumonia. A linear opacity in the right upper lobe is likely scarring, though could be further assessed with a CT if clinically indicated. |
11463286 | PA and lateral views of the chest were compared to previous exam from ___. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are stable. | 54366373 | CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with chest pain. | No acute cardiopulmonary process. |
11833476 | There has been interval removal of the left-sided chest tube. Support lines and tubes are otherwise unchanged in position when compared to the prior study. No pneumothorax seen. There is pleural fluid seen tracking along the upper chest, multiple overlying rib fractures are seen. There are persistent bilateral diffuse airspace opacities consistent with pulmonary edema. Overall, appearances are grossly unchanged compared to the prior study. | 54867431 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p L CT removal // eval interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No pneumothorax seen, left apical pleural fluid. Unchanged diffuse pulmonary edema. |
11833476 | Compared to the prior study, there has been placement of a second left-sided chest drain. This results in a significant decrease in the left-sided pleural fluid however there is a small to moderate-sized left pneumothorax. Airspace opacity in the right lung has progressed in the apex but improved in the right lower lung. Appearances are concerning for liver pneumonia. Multiple rib fractures are seen along the left lateral chest, presumed to be postoperative. A left-sided subclavian catheter is unchanged in position compared to the prior study. An endotracheal tube terminates approximately 2.5 cm above the level of the carina. | 58779775 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p VATS // effusion, PTX, TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Interval improvement in the left-sided pleural effusion. Small to moderate size left pneumothorax. Consolidation in the right upper lobe suspicious for infection. |
11833476 | Support lines and tubes are unchanged in position when compared to the prior study. Multiple left-sided rib fractures are noted. There is unchanged left apical pleural fluid. No definite pneumothorax seen. The cardiomediastinal contour is unchanged compared to the prior study. Diffuse bilateral airspace opacities consistent with pulmonary edema. | 55637357 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left ___-10th rib fractures s/p left thoracotomy for lung decortication. // DHT placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph obtained earlier on the same date. | No significant interval change when compared to the prior study. |
11833476 | The OG tube terminates in the upper to mid stomach. The left-sided PICC terminates at the mid SVC. 2 chest tubes remain in place with no evidence of pneumothorax. Diffuse bilateral pulmonary opacifications consistent with pulmonary edema appear grossly unchanged from prior. The possibility of superimposed pneumonia is extremely difficult to exclude in this setting. Again seen are the previously described left rib fractures. | 51396613 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with OG tube // eval OG tube placement TECHNIQUE: Single frontal view of the chest COMPARISON: Portable chest x-ray ___ CT chest with contrast ___ | The OG tube terminates in the upper to mid stomach. Study is otherwise grossly unchanged. |
11833476 | Support lines and tubes are unchanged in appearance compared to the prior study. Subtle lucencies are adjacent the mediastinum are likely artifactual due to a combination of atelectasis and pulmonary edema. Patchy bilateral airspace opacities are noted, there has been improvement in aeration of the right upper lobe with a more focal area of consolidation in the right lower lobe. The given the rapidly changing appearance, this likely reflects pulmonary edema. The previously demonstrated left pneumothorax is less clearly seen on today's study. Multiple rib fractures noted. | 56030911 | WET READ: ___ ___ 9:39 AM 1. New subtle mild pneumomediastinum. 2. Stable mild wide mediastinum dating back to ___. 3. New right lower lobe heterogeneous opacity is nonspecific and can be seen in setting of atelectasis, pulmonary hemorrhage, asymmetric pulmonary edema, or developing pneumonia/aspiration pneumonia. The findings were discussed by Dr. ___ with Dr. ___ on the ___ ___ at 9:37 AM, 5 minutes after discovery of the findings. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p VATS // interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: CT chest ___ and chest radiograph ___ | Findings consistent with pulmonary edema, infection cannot be excluded. |
11833476 | Support lines and tubes are unchanged in appearance when compared to the prior study. Multiple left-sided rib fractures are again noted. There is persistent pleural fluid tracking along the left lateral chest wall. 2 left-sided chest drains are unchanged in appearance. No pneumothorax seen. There is prominence of pulmonary vasculature with diffuse bilateral airspace opacities consistent with pulmonary edema. Left lower lobe atelectasis. | 55752405 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left rib fractures s/p left decortication and chest tubes with acute hypoxia, intubated // eval acute cardiopulmonary disease TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
11243115 | 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. | 58136154 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11126593 | A left-sided single lead pacemaker with a right ventricular lead is in unchanged position. There is mild pulmonary edema. There are small bilateral pleural effusions, right worse than left. The heart is mildly enlarged. There is no pneumothorax. There is no focal consolidation concerning for pneumonia. Vague opacity adjacent to the pacemaker mentioned on the prior chest radiograph is likely still present and somewhat obscured secondary to increased vascular congestion. | 50326194 | EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with ? fluid overload // evidence of fluid overload evidence of fluid overload TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___. | Mild pulmonary edema and bilateral small pleural effusions. Vague opacity seen on prior chest radiograph is likely still present and somewhat obscured secondary to increased vascular congestion. As was previously recommended, this can be evaluated with a CT on a nonemergent basis upon resolution of acute symptoms. |
11126593 | Lungs are low in volume. Metallic density projecting over the right hemithorax is unchanged. Cardiomediastinal silhouette is unchanged allowing for portable technique and low lung volumes. No evidence of edema or focal consolidation is seen. | 59943781 | INDICATION: ___-year-old man with palpitations, assess for pneumonia or fluid overload. COMPARISONS: ___. | No acute intrathoracic process. |
11126593 | The nodular area of density seen on the prior radiograph is faintly visualized on today's study. This may represent developing infiltrate versus a lung nodule. CT scan for baseline assessment would be helpful. The rest of the lung fields are grossly clear. The cardiac silhouette and mediastinum is within normal limits. | 52963740 | STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with atrial fibrillation status post fall with delirium. Lung nodule seen on the AP view. | Faint density in the left mid lung zone, corresponding to the nodular density seen on the prior study. This may represent developing infiltrate or a pulmonary nodule. If there is high concern, a CT scan could be performed for further assessment. |
11126593 | Single lead left-sided pacer is again seen with lead extending the expected position of the right ventricle, stable. The cardiac and mediastinal silhouettes are stable. There are relatively low lung volumes. Patchy airspace opacity in the lateral left mid lung could be due to infection or pulmonary contusion. No overlying rib fracture is seen, although CT is more sensitive. There is no pleural effusion or pneumothorax. | 57647620 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with a fib on coumadin and unwitnessed fall vs syncope, with cough productive of phelgm // ? infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Patchy airspace opacity(ies) projecting over the left mid lung may be due to infection/pneumonia however, pulmonary contusion not excluded in the appropriate clinical setting. |
11126593 | A single-lead pacemaker device appears unchanged with its lead again terminating in the right ventricle. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including cardiomegaly. Small pleural effusions are again suspected, but if anything, perhaps decreased. Fissures remain mildly thickened, but less so. Pulmonary vasculature is prominent and hazy again suggesting mild vascular congestion. | 53434581 | EXAMINATION: Chest radiographs. INDICATION: Multiple medical comorbidities with presenting with auditory hallucinations. COMPARISON: ___ 4. TECHNIQUE: Chest, AP and lateral. | Findings suggesting mild vascular congestion. |
11126593 | A left apical pneumothorax is not significantly changed though remains small. A left chest pacemaker with a single right ventricular lead is unchanged. The lung volumes remain somewhat low, though are improved compared with prior. There is a probable small right pleural effusion with bibasilar atelectasis. The pulmonary vasculature is normal. The cardiac silhouette and mediastinal contours are unchanged. | 55458121 | HISTORY: ___-year-old male with atrial fibrillation status post pacemaker placement with pneumothorax. Evaluate for change. COMPARISON: ___, ___. | Residual small left apical pneumothorax. |
11126593 | Previous left-sided pneumothorax is not readily apparent. Left chest pacemaker with right ventricular lead is unchanged. Lung volumes are slightly low; however, no opacities concerning for infectious processes are noted. Vague opacity in the left lung just medial to the pacer pack is stable. This non-resolving opacity should be evaluated with a CT on a non-emergent basis. Cardiomediastinal silhouette is mildly enlarged. No obvious pleural effusions. | 58801640 | ___-year-old man with altered mental status, question pneumonia. COMPARISON: ___. SINGLE AP PORTABLE VIEW OF THE | 1) No acute intrathoracic process. Resolved pneumothorax. 2) Vague opacity in the left lung just medial to the pacer pack is stable. This non-resolving opacity should be evaluated with a CT on a non-emergent basis. |
11546285 | The cardiac silhouette is normal. Mediastinal contour is unremarkable. Extensively tortuous ectatic thoracic aorta is unchanged from CT torso of ___. No focal consolidation, pleural effusion or pneumothorax is noted. Mild scarring atelectasis is noted at the left lung base. There is a small hiatal hernia. | 52566029 | INDICATION: ___-year-old woman status post lung biopsy today evaluate for pneumothorax. COMPARISON: CT Torso, ___; CT intervention ___. PA AND LATERAL CHEST | No evidence of pneumothorax. Small hiatal hernia. |
11307425 | Single frontal view of the chest was obtained. There is mild vascular congestion. Mild bibasilar atelectasis is seen. It is difficult to exclude a left pleural effusion and the left costophrenic angle is not fully included on the image. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No pneumothorax is seen. | 56769572 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: CVA. COMPARISON: None. | Vascular congestion. Difficult to exclude small left pleural effusion. |
11923146 | Increasing opacification of the right lower and middle lobes is a combination of worsening effusion and atelectasis. Right pleural effusion is moderate. Increasing retrocardiac opacities can be worsening left lower lobe atelectasis. No pneumothorax. Heart size is normal. | 50665270 | INDICATION: ___ year old man with portal vein thrombosis, recent IR liver aspiration, previously noted R pleural effusion. // Progression of R pleural effusion. TECHNIQUE: Portable COMPARISON: ___ | Increasing right effusion which is moderate with adjacent atelectasis. Increasing moderate to severe left lower lobe atelectasis. |
11923146 | 1.7 x 0.9 cm opacity projecting over the right upper to mid lung between the posterior right fifth and sixth ribs, is nonspecific, could represent overlap of structures versus a pulmonary nodule. Small bilateral pleural effusions are seen. The cardiac and mediastinal silhouettes are unremarkable. The pneumothorax is seen. There is no pulmonary edema. | 58820402 | WET READ: ___ ___ ___ 4:34 PM 1.7 x 0.9 cm subtle opacity projecting over the right upper to mid lung, as above, nonspecific, could represent overlap of structures versus a pulmonary nodule. Recommend chest CT for further assessment. Small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fatigue // Evaluate for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | 1.7 x 0.9 cm subtle opacity projecting over the right upper to mid lung, as above, nonspecific, could represent overlap of structures versus a pulmonary nodule. Recommend chest CT for further assessment. Small bilateral pleural effusions. |
11956456 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 51368343 | INDICATION: ___-year-old male with presyncope, diaphoresis. Evaluate for acute cardiopulmonary process. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph. | Normal chest radiographic examination. |
11916232 | PA and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected. | 52819503 | HISTORY: ___-year-old female with wheezing and cough. COMPARISON: None. | No acute cardiopulmonary process. |
11017127 | Left chest wall pacing device is again seen with leads in stable position. Calcific density projecting over the posterior right fourth rib compatible with bone island is unchanged. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities. | 51947758 | INDICATION: ___M hx of heart block s/p pacer, with fever, productive cough // Presence of infiltrates, volume status TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11017127 | Cardiac conduction device is contiguous with leads which projects over the right atrium, right ventricle and left chest wall. Moderate cardiomegaly is unchanged. Mild elevation of left hemidiaphragm is unchanged. An opacity at the right lung base is new from prior. | 59432181 | WET READ: ___ ___ 8:09 AM New opacity at the right lung base may represent pneumonia or asymmetric pulmonary edema in the appropriate clinical setting. WET READ VERSION #1 ___ ___ ___ 6:27 AM New opacity at the right lung base may represent pneumonia in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with cough // acute process TECHNIQUE: AP and lateral views. COMPARISON: Chest radiograph ___. | New opacity at the right lung base may represent pneumonia or asymmetric pulmonary edema in the appropriate clinical setting. |
11017127 | PA and lateral views of the chest provided. Left chest wall pacer again noted with leads extending to the region of the right atrium and right ventricle. There is elevation of the left hemidiaphragm, new from prior with opacity in the left lower lung which likely represents atelectasis given the associated volume loss though difficult to exclude a pneumonia in this region. Right lung is clear. Cardiomediastinal silhouette is unchanged. Bony structures appear intact. | 58181169 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough x several days // r/o infiltrate COMPARISON: Prior exam from ___ | Left basal opacity likely atelectasis though difficult to exclude pneumonia. |
11265970 | The patient is status post mitral valve replacement surgery. The heart is again mild to moderately enlarged. Unfolding appears similar along the thoracic aorta. The cardiac, mediastinal and hilar contours are more generally stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 51586562 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11594083 | Lung volumes are low, without focal consolidation. The cardiomediastinal silhouette is normal. No significant pleural effusions or pneumothorax. | 50051107 | INDICATION: ___-year-old female with dystonia. No prior examinations for comparison. CHEST, | No acute cardiopulmonary process. |
11726573 | Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. No acute rib fracture is seen. Partially imaged upper abdomen is unremarkable. | 50289111 | INDICATION: Chest pain. Patient is status post motor vehicle accident. Assess for rib fractures. | No evidence of acute rib fracture. ___ obtain dedicated rib series, if clinically indicated. No pneumothorax. |
11496687 | A focus of linear density along the expected location of the minor fissure may represent scarring or atelectasis. Tubular left lower lobe density emanating from the hilum may represent a dilated bronchus with mucoid impaction. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is within normal limits. The pulmonary arteries are borderline enlarged, suggestive of pulmonary arterial hypertension. | 52249799 | HISTORY: ___-year-old male with asthma, now with fever and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available. | Left lower lobe mucoid impaction. Evidence of pulmonary arterial hypertension. Updated findings were reported to ___ by ___ by telephone at 2:50 p.m. on ___ after attending radiologist review. |
11863815 | Single supine view of the chest. The right costophrenic angle and the lateral chest wall is not included on this exam. Where seen, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No visualized displaced fractures identified. These findings are all within limitation of overlying trauma board. | 56905923 | HISTORY: ___-year-old male status post MVC. COMPARISON: None. | No definite acute cardiopulmonary process within the limitations as detailed above. |
11356345 | 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. | 50926471 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with left shoulder pain status post pedestrian struck TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
11658100 | There is worsening low lung volumes with increasing left lower lobe consolidation and atelectasis. Right lung atelectasis, consolidation and effusions are seen again, largely unchanged. There is stable cardiomegaly with no evidence of vascular congestion or pulmonary edema. Pleural surfaces are unremarkable. Sternal wires remain unchanged in position with no evidence of sternal dehiscence. Tricuspid valve prosthesis is seen, unchanged in position. A left-sided PICC is seen appropriately positioned, terminating within the low SVC. | 50164500 | WET READ: ___ ___ ___ 11:18 PM Multiple cavitary lesions appear unchanged from prior CXR from ___ and are consistent with septic emboli. Bibasilar consolidation, L>R, appears stable - likely a combination of pneumonia and small bilateral pleural effusions. Prosthetic valve noted. Median sternotomy wires intact. No significant change from recent prior. ___ p_________________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old female status post endocarditis status post tricuspid valve replacement and mitral valve repair. COMPARISON: AP portable upright chest radiograph, ___. TECHNIQUE: AP and lateral chest radiographs. | Worsening left lower lobe consolidation and atelectasis. Stable cardiomegaly with no evidence of failure. |
11658100 | Since the prior radiograph, the right chest tube has been removed. There is no residual pneumothorax. A right PICC ends in the mid right subclavian vein. A right internal jugular central venous catheter ends in the upper SVC. It appears kinked at the most proximal end, which may be external to the patient. A left subclavian central line ends in the low SVC. A left chest tube is present. Sternal wires are intact. The moderate right pleural effusion has increased in size. A small left pleural effusion is stable. Multiple bilateral opacities and cavitary nodules reflect the patient's known septic emboli. Possible mild edema may be present, but is difficult to determine with the multifocal opacifications. It is unchanged from the prior exam. The cardiomediastinal silhouette is unchanged with the expected postoperative appearance. | 51823608 | INDICATION: Status post mitral valve and tricuspid valve replacement. Evaluate for pneumothorax after right chest tube was removed. COMPARISONS: Chest radiograph ___. Chest radiograph ___. Chest radiograph ___. | No pneumothorax. Increased size in moderate right pleural effusion. Stable small left pleural effusion. Multiple unchanged septic emboli. |
11658100 | Single frontal view of the chest demonstrates multiple EKG leads projecting over the thorax limiting underlying assessment. The lung volumes are low accentuating a prominent cardiac silhouette which is likely accentuated by AP technique. There are left greater than right bilateral pleural effusions. Retrocardiac opacity likely represents consolidation admixed with compressive atelectasis upon correlation with prior CT. Scattered perihilar right greater than left opacities on correlation with preceding CT represent multifocal consolidation and cavitary sequela of septic emboli. There is no pneumothorax. Median sternotomy wires are in place. | 58859600 | INDICATION: ___-year-old female with heart block, MVR and TVR. Question pneumothorax. COMPARISON: CT dated ___. | No evidence of pneumothorax. Widespread bilateral consolidations and cavitary septic embolic lesions are better correlated on preceding CT dated ___. Bilateral pleural effusions. |
11658100 | Moderate to severe cardiomegaly is stable. Pacer leads tips are in standard position in the right atrium and through the coronary sinus. Moderate pulmonary edema has improved. There is no pneumothorax. Small bilateral effusions larger on the right side have decreased. Sternal wires are aligned | 54728106 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with atrial lead revision // pneumothorax and lead placement TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Improved pulmonary edema and pleural effusions |
11658100 | Endotracheal tube is 4.3 cm above the carina though likely further given the patient's kyphotic positioning. Nasogastric tube terminates in the proximal stomach. Right-sided Pleurx catheter is noted with persistent small left greater than right pleural effusions. Multifocal cavitary and non-cavitary sites of consolidation are seen with unchanged opacification of right upper lobe and left lower lobe compatible with ongoing infectious process. | 57327511 | INDICATION: Endocarditis and respiratory failure, assess for interval change. TECHNIQUE: Semi-upright portable radiograph of the chest. COMPARISONS: Chest radiograph from one day prior. | ET tube more than 4 cm above carina and above the clavicles. Given the patient's positioning the tube likely could be advanced 2cm for improved seating. Unchanged multifocal consolidations and small bilateral pleural effusions. |
11658100 | The left pectoral dual-lead pacemaker is unchanged. Sternotomy wires are intact and aligned. The patient has had prior tricuspid valve replacement and mitral valve repair. Mild pulmonary edema is unchanged, moderate cardiomegaly, and small bilateral pleural effusions, right greater than left, are unchanged. There is no pneumothorax. | 54039388 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with history of Mitral regurgitation. Assess for effusion // effusion, CHF TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___. | No significant interval change in mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly. |
11658100 | Frontal and lateral radiographs of the chest show a left pectoral dual-chamber permanent pacemaker with two leads terminating in the right atrium and along the left ventricle. The course of the lead is unremarkable without evidence of pneumothorax. The patient is status post median sternotomy and mitral valve replacement with wires appearing intact. The cardiac silhouette is moderately enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged. The lungs show diffuse multifocal opacities predominantly in the left lung base and right perihilar region which are not significantly changed from ___ and may represent residual multifocal infection or scarring. A lucent area in the left mid lung raises the possibility of a pneumatocele. A small right pleural effusion is unchanged from ___. No pulmonary vascular congestion or edema is present. | 56811558 | INDICATION: ___-year-old female with new permanent pacemaker and left ventricular lead via the coronary sinus, here to evaluate lead position. COMPARISON: Chest radiograph, last performed on ___. | Left pectoral pacemaker with two leads terminating in the right atrium and along the left ventricle. No pneumothorax. Persistent diffuse multifocal residual pneumonia or scarring. Stable small right pleural effusion. Stable moderate cardiomegaly. |
11658100 | Patient has a known dual-chamber pacemaker. The atrial and ventricular leads are unchanged in position since ___. The right pleural effusion is slightly larger with associated minor fissural thickening. No changes in the left lung. Known scarring of the right lung base. The heart is enlarged. No acute osseous abnormalities. | 57234557 | EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old woman s/p LV lead revision. ? lead has moved since yesterday // ___ year old woman s/p LV lead revision. ? lead has moved since yesterday TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph on ___ | No change in position of the left ventricular lead since ___. |
11967231 | Frontal and lateral views of the chest were obtained. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. | 56123055 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Breast cancer, on chemotherapy, now shortness of breath, cough, febrile COMPARISON: None. | No definite acute cardiopulmonary process. Please note that CT is more sensitive for subtle pulmonary opacities. |
11901556 | A dual-lead pacemaker/ICD device has leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild degenerative changes affect the mid lumbar thoracic spine. | 51734325 | EXAMINATION: Chest radiographs. INDICATION: Nausea, blurry vision, and dizziness. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute disease. |
11901556 | The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. A dual lead left chest wall pacemaker is noted with leads terminating in the right atrium and right ventricle as expected. | 54357713 | INDICATION: ___F with TIA // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. |
11528295 | PA and lateral views of the chest were obtained. Cardiomediastinal silhouette is within normal limits. Low volume lungs are clear. There is no pleural effusion or pneumothorax. | 59148178 | INDICATION: ___-year-old woman with reproducible chest pain. COMPARISON: None. | Low lung volumes. No acute intrathoracic abnormality. |
11128372 | Lung volumes are reduced with consolidation on the left base air bronchograms for left lower lobe collapse. There is left pleural effusion. There is no pneumothorax. The heart size is still enlarged. There is new spinal hardware. Moderate bowel air distension. | 55145038 | HISTORY: ___ year old man with h/o small PTX and tachypnea. COMPARISON: Exam is compared to ___. | Left base consolidation with air bronchograms for LLL collapse Left basilar pleural effusion |
11198021 | PA and lateral views of the chest provided. Mild left basilar atelectasis is noted. Lungs are otherwise clear. No signs of effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures appear intact. | 56837016 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever, rule out pneumonia. | Mild left basal atelectasis. Otherwise, normal. |
11612602 | A Port-A-Cath catheter terminates in the right atrium. The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Bilateral percutaneous transhepatic biliary drainage catheters project over the upper abdomen. | 51544874 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with fever, recent urinary and biliary stents // CXR: eval for PNARenal: eval for obstructionRUQUS: eval for biliary dilatation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11612602 | Right chest wall port is again seen. Lungs remain clear. The cardiomediastinal silhouette is stable. Catheters projecting over the upper abdomen are again noted with additional catheters now seen. | 53870355 | INDICATION: ___M with chest pain // chest pain TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11612602 | A right-sided Port-A-Cath is seen terminating at the cavoatrial junction/ right atrium. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable. | 58686165 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with weakness // eval for PNA TECHNIQUE: Single frontal view of the chest COMPARISON: No prior chest radiographs available for comparison. Reference made to chest CT from ___ | No acute cardiopulmonary process. Small pulmonary nodules noted on prior CT are better assessed on CT, which is more sensitive. |
11928036 | 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. | 54261726 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with acute on chronic chest pain // ? acute cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11807924 | A coarsely calcified left lower lobe granuloma is again noted. The lungs are otherwise clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Metallic surgical clips presumably from prior cholecystectomy project over the right upper quadrant. | 51245592 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman h/o asthma with cough and dyspnea. Evaluate for infiltrate. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___ and dating back to ___. | No acute pulmonary disease. |
11807924 | PA and lateral images of the chest demonstrate well-expanded lungs, which are clear. There is again seen a left mid zone granuloma identified on previous imaging. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable. | 53239739 | INDICATION: ___-year-old female with history of asthma, now with dyspnea, wheezing, and back pain. COMPARISON: Comparison is made with chest radiographs from ___. | Unremarkable chest radiograph with chronic granuloma again seen. |
11856669 | Lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, or pneumonia. An azygos lobe is incidentally noted. | 50765997 | HISTORY: Cough. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute cardiopulmonary process. |
11384227 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. There is mild S-shaped scoliosis of the thoracic spine. | 54884961 | WET READ: ___ ___ ___ 3:24 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with CP // pna? TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary abnormality. |
11443415 | Lungs are clear with the exception of a opacity in the left hemithorax, correlating to a partially calcified scar on the CT from ___. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 56458010 | ___-year-old female with abdominal pain. COMPARISON: CT of the chest from ___ as well as CT of the chest from ___. PA AND LATERAL VIEWS OF THE | No evidence of acute cardiopulmonary process. |
11710342 | Single erect AP portable view of the chest was obtained. There is blunting of the left costophrenic angle suggesting a small pleural effusion with overlying atelectasis. The right lung is clear. The cardiac silhouette is enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen. There is no evidence of pneumothorax. Minimal biapical pleural thickening is seen. | 56990587 | EXAM: Chest, single erect AP portable view. CLINICAL INFORMATION: ___-year-old female with stuttering chest pain. COMPARISON: ___. | Blunting of the left costophrenic angle suggests a small pleural effusion with overlying atelectasis, new since the prior study. Enlarged cardiac silhouette. No pulmonary edema. |
11975794 | PA and lateral views of the chest provided. Subtle consolidation is seen in the right medial lung base. Otherwise the lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. DISH related changes of the T-spine noted. No free air below the right hemidiaphragm is seen. | 53527110 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sob, fevers // eval pna COMPARISON: None | Subtle consolidation in the right medial lung base. Please refer to subsequent CTA chest for further details. |
11324641 | 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. | 59163645 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. Similar mild cardiomegaly. |
11324641 | PA and lateral views the chest provided demonstrate no focal consolidation, large effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contour is unremarkable. Bony structures are intact. No free air below the right hemidiaphragm. | 54140478 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with intermittent chest pain/dizziness. COMPARISON: Mild cardiomegaly, otherwise normal. | Mild cardiomegaly, otherwise normal. |
11677218 | There is a questionable small nodule versus vessel on-end in the right lung apex measuring approximately 3 mm. Lungs are otherwise well expanded, without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are unremarkable. | 52623739 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of Stage IIIB melanoma on interferon. Rule out melanoma recurrence. TECHNIQUE: Chest PA and lateral COMPARISON: No prior chest radiographs. Outside hospital PET-CT of ___. | Questionable small 3 mm nodule versus vessel-on-end in the right lung apex. Given the patient's clinical history, chest CT is recommended for further evaluation. |
11315261 | 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. Elevation of the left hemidiaphragm is noted. | 51029604 | WET READ: ___ ___ ___ 9:08 AM 1. No acute intrathoracic process. 2. Elevation of the left hemidiaphragm which is likely secondary to either prior injury or phrenic palsy. If there is desire to document diaphragmatic function, ultrasound or fluoroscopic study can be considered. WET READ VERSION #___ ___ ___ ___ 1:01 AM No acute intrathoracic process. WET READ VERSION #___ ___ ___ ___ 8:56 AM 1. No acute intrathoracic process. 2. Elevation of the left hemidiaphragm which is likely secondary to either prior injury or phrenic injury. If there is desire to document diaphragmatic function, ultrasound or fluoroscopic study can be considered. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with recent cath, scheduled CABG, lightheadedness, dizziness, chest pain // ?cpd COMPARISON: None | No acute intrathoracic process. Elevation of the left hemidiaphragm which is likely secondary to either prior injury or phrenic NERVE DYSFUNCTION. If there is desire to document diaphragmatic function, ultrasound or fluoroscopic study can be considered. |
11079165 | PA and lateral views of the chest. There is no free subdiaphragmatic air. No focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly is exaggerated by low lung volume. Right paratracheal mediastinum is full, likely a combination of mediastinal fat and dilated systemic veins. | 54092908 | INDICATION: Abdominal pain, question of free air. COMPARISON: None available. | Mild cardiomegaly. No free subdiaphragmatic gas. |
11184533 | A single portable frontal radiograph of the chest was acquired. As before, there is a pigtail catheter ending at the left lung base, not significantly changed. A moderate left pleural effusion is not significantly changed. Consolidation at the left lung base is similar in appearance to the prior radiographs from earlier today, likely compressive atelectasis, although infection in this region is not excluded. Increased heterogeneous opacities at the right lung base are thought to be related to bronchovascular crowding in the setting of slightly lower lung volumes on the present study. The heart size is difficult to assess but is not significantly changed. The mediastinal contours are also unchanged. There is no evidence of pneumothorax. | 59547750 | INDICATION: Chylous effusion, status post chest tube on the left. Continuing to have chest pain. Evaluate for interval change. COMPARISON: Chest radiograph from ___ at 11:43 a.m. | No significant interval change in moderate left pleural effusion or consolidation at the left lung base that is thought to represent atelectasis, although infection in this region is not excluded. No significant interval change in position of left basilar pigtail catheter. |
11184533 | Chest tube remains overlying the right lower lung. The right apical pneumothorax has resolved. Multiple right posterior rib fractures are better visualized than on prior radiograph. Left basilar atelectasis is unchanged from prior. Unchanged cardiomediastinal silhouette. | 55266172 | HISTORY: Change in chest tubes positioned evaluate change in pneumothorax. COMPARISON: ___. | Resolution of right apical pneumothorax since 4 hours prior. |
11184533 | A right chest tube is in place. Side hole is at the chest wall. There is a small right apical pneumothorax. The lungs are otherwise clear without focal consolidation or pleural effusion. There is minimal atelectasis at the left base. Known right rib fractures are not clearly identified. | 58664104 | INDICATION: Right pneumothorax status post chest tube at outside hospital. Evaluate for chest tube placement and status of pneumothorax. COMPARISONS: None. TECHNIQUE: Single portable radiograph of the chest was provided. | Small right apical pneumothorax. |
11184533 | PA and lateral views of the chest were reviewed and compared to the prior study. Lung volumes have improved since ___ and the lungs are clear. Elevation of the left hemidiaphragm is unchanged since ___, small bilateral pleural effusions are also unchanged. There is prominence of the ascending aorta. The heart size is normal. Multiple nondisplaced right posterior rib fractures and humeral head orthopedic hardware are unchanged. | 55576052 | INDICATION: Assessment for interval change in left-sided chylothorax in a patient status post drainage. COMPARISON: Multiple chest radiographs, the most recent of ___. | Lung volumes have improved since ___. Small bilateral pleural effusions are unchanged since ___. |
11184533 | New left moderate pleural effusion with compressive atelectasis is of unknown origin. There was no rib fracture on this side on previous CT. Subcutaneous air on the right side has reaccumulated with probable tiny pneumothorax measuring at most 2 mm. A slightly displaced posterior ___ rib fractures are unchanged. | 50950348 | PA AND LATERAL CHEST X-RAY INDICATION: Rib fractures, evaluation. COMPARISON: Chest x-rays of ___ and chest CT of ___. | New left moderate pleural effusion is of unknown origin. There was no rib fracture on this side on the chest CT. Multiple known rib fractures on the right side. Subcutaneous air has reaccumulated and there is probable tiny pneumothorax. Dr. ___ has been paged. |
11184533 | Large left pleural effusion has increased in size compared to ___. Underlying consolidation most likely represents atelectasis. No pneumothorax is detected. The right lung appears clear. Multiple right rib fractures are again noted. Right humeral head hardware is seen. | 58392418 | HISTORY: ___-year-old male status post left thoracentesis with concern for chylothorax. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Increased large left pleural effusion. |
11184533 | No residual right pneumothorax is seen after chest tube removal. The cardiomediastinal and hilar contours are stable. Small-to-moderate left pleural effusion is stable with minimal left basilar atelectasis. Posterior rib fractures involving seventh through ninth ribs are unchanged. | 53163919 | INDICATION: ___-year-old male status post MVC and right pneumothorax, status post right chest tube removal. COMPARISON: Chest radiograph done earlier today at 9:58 a.m. PA AND LATERAL CHEST | No residual right pneumothorax after chest tube removal. |
11184533 | Right chest tube remains in unchanged position. No pneumothorax is present. Unchanged left basilar atelectasis. Stable cardiomediastinal silhouette. No pleural effusion. | 58844945 | HISTORY: Right pneumothorax after chest tube to water seal. COMPARISON: ___ at 209. | No significant change in from 7 hours prior, with no residual pneumothorax. |
11303048 | Technically limited study. The patient is rotated. A left chest wall Port-A-Cath ends at the cavoatrial junction. There is a right basilar opacity with shift of the mediastinum to the right. There is also a left basilar opacity. There is no pneumothorax. Heart size is enlarged. | 52580122 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with concern for pneumonia on outside hospital chest radiograph. TECHNIQUE: Portable view of the chest. COMPARISON: None available. | Findings consistent with right lower lobe collapse. Left basilar opacity which likely represents a combination of atelectasis and effusion. |
11343907 | ET tube ends 2.4 cm above carina. Right-sided PICC line and jugular line are in unchanged position in distal dilated superior vena cava. NG tube is below the diaphragm. Patient is known with severe cardiomegaly with dilated atriums and mitral valve repair. Mild new cardiac congestion is better seen in left upper lobe. Small bilateral pleural effusion with atelectasis is unchanged. | 56475579 | INDICATION: Interval change. COMPARISON: Multiple chest x-rays from ___ to ___. | Tubes and lines are in adequate position. Severe cardiomegaly is stable. Mild cardiac congestion is new. |
11343907 | Single portable view of the chest is compared to previous exam from ___. Compared to prior, there has been interval resolution of the pulmonary edema. There is no visualized pleural effusion. Massive cardiomegaly appears grossly stable as well as mitral valve replacement and median sternotomy wires. Osseous and soft tissue structures are unremarkable. | 58918824 | PORTABLE CHEST, ___ HISTORY: ___-year-old female with GI bleed, question pneumonia or CHF. | Interval resolution of previously seen pulmonary edema. Stable massive cardiomegaly. |
11343907 | ET tube tip ends 2.6 cm above the carina. Right-sided PICC line and right internal jugular line are in unchanged position in the distal superior vena cava. An NG tube extends below the diaphragm. Unchanged appearance of severe cardiomegaly with bilateral atrial enlargement and mitral valve repair. No change in small bilateral pleural effusions with atelectasis. | 54227240 | HISTORY: Septic shock, intubated. Evaluate for interval change. COMPARISON: ___. | No interval change from yesterday, tubes and lines in adequate position. |
11343907 | ET tube had been pulled back and is now 2.7 cm above carina. Right-sided PICC line and new right subclavian line ends in the lower dilated superior vena cava. NG tube is in the stomach. Mild pulmonary congestion has completely resolved and small bilateral pleural effusions have improved. Severe cardiomegaly in this patient with prior sternotomy and mitral valve repair is most explained by dilation of both atrium. | 52846905 | PORTABLE AP CHEST X-RAY INDICATION: Patient with NG tube. COMPARISON: Multiple chest x-rays from ___ to ___, chest CT of ___. | Tubes and lines are in adequate position including the NG tube. Severe cardiomegaly is stable without sign of pulmonary edema. Small pleural effusion has improved. |
11343907 | Right subclavian catheter in unchanged satisfactory position. Mild increase in interstitial opacities likely due to new mild pulmonary edema. Otherwise, severe cardiomegaly, bilateral pleural effusions and chronic collapse of the left lower lobe are unchanged. No pneumothorax. | 57840509 | HISTORY: Septic arthritis status post washout, admitted to ICU after acute neurologic compromise and acute respiratory failure and found to have MSSA bacteremia. Has been stable on the floor but now hypotensive. Evaluate for evidence of infection or edema. COMPARISON: ___. | New mild pulmonary edema since ___. |
11373596 | The lungs are grossly clear given limitation of technique and patient body habitus. There is no effusion or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine. Surgical clips seen within the upper abdomen. | 53794348 | INDICATION: ___F with general malaise // r/o infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11834557 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 58261266 | CHEST RADIOGRAPH HISTORY: Dyspnea. COMPARISONS: None. TECHNIQUE: Chest, AP upright portable. | No evidence of acute cardiopulmonary disease. |
11171934 | Lung volumes are low, without consolidation or nodules. There is no pleural effusion. The cardiomediastinal silhouette is normal. | 56602271 | HISTORY: ___ years old man with fever. INDICATION: Pneumonia. TECHNIQUE: Portable chest x-ray in semi-upright position. COMPARISON: There is no prior chest x-ray for comparison at the time of dictation. | There is no sign of acute cardiopulmonary process. In particular, there is no sign of pneumonia. |
11851442 | AP and lateral views of the chest provided. Surgical clips denote prior left upper quadrant surgery. Interstitial pulmonary edema has resolved from ___. No pneumothorax. Hilar contours are normal. Moderate cardiomegaly is unchanged. | 50998800 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recent opacities, flu, now c/o chest pain when lying down // ? pericardial enlargement? resolution of opacities? COMPARISON: Chest radiograph ___ | Mild pulmonary edema and mild cardiomegaly have resolved since ___. |
11851442 | AP and lateral views of the chest. Bibasilar opacities again noted, potentially due to atelectasis. The lungs are otherwise clear without effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Surgical clips project over the left upper quadrant. No displaced fractures identified. Healing left lateral 10th rib fracture is identified. | 54452329 | HISTORY: ___-year-old female with multiple unwitnessed fall and confusion. COMPARISON: Chest x-ray from ___. | No definite acute cardiopulmonary process. If high clinical concern dedicated rib series can be performed. |
11851442 | The lungs are well expanded. There are bilateral diffuse increased interstitial opacities, with a reticular pattern, more pronounced in the mid and low lung fields, but no focal opacities. Cardiac size is top normal. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. | 56288013 | INDICATION: Patient with change in mental status and new onset of lower extremity edema. Evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal AP and lateral chest radiograph. | Findings compatible with interstitial pulmonary edema. No evidence of pneumonia. |
11851442 | Increased interstitial markings seen throughout the lungs bilaterally. There is no effusion. Cardiac silhouette is enlarged but similar compared to prior. No acute osseous abnormalities. | 50771707 | INDICATION: ___M with hypoxia, rhonchi // presence of infiltrate, effusion TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Diffuse bilateral interstitial opacities potentially due to pulmonary edema or atypical infection, to be correlated clinically. |
11643302 | Cardiac silhouette size is normal. Aortic knob is calcified. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 56257017 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sudden onset shortness of breath with left back pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11961723 | The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm. | 58151442 | INDICATION: ___M with chest pain radiating to back and axilla // Please evaluate for any widening mediastinum, any infectious process TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: CTA chest ___. | No acute cardiopulmonary process. |
11016198 | The heart size, mediastinal, and hilar contours are normal. A new opacity in the left lower lung is likely atelectasis. The lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax. | 59740810 | WET READ: ___ ___ ___ 9:31 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with pre op. Eval for PRE OP. TECHNIQUE: Chest AP and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11954132 | The lungs are hyperinflated in keeping with known history of emphysematous disease. There are no focal opacities concerning for pneumonia. Biapical pleuro-parenchymal scarring is present. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 55463312 | INDICATION: ___-year-old male with cough and history of COPD. Evaluate for pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | Hyperinflated lungs in keeping with history of emphysema. No evidence of pneumonia. |
11947272 | AP upright and lateral views of the chest were obtained. The lungs are clear without focal consolidation, effusion, or pneumothorax. Widened AP diameter of the chest could be indicative of underlying COPD. Heart and mediastinal contour appears normal. Atherosclerotic calcification along the aortic knob noted. The AP view is somewhat limited due to lordotic positioning. Bony structures appear intact. | 55333685 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with ___. CLINICAL HISTORY: Increased chest pain. | Hyperinflated lungs without definite sign of pneumonia or CHF. |
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