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11229078 | Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | 50306949 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fevers, malaise, body aches TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11040719 | Cervical collar projects over the neck and lung apices. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. | 52922904 | INDICATION: ___-year-old female status post motor vehicle collision. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. |
11044484 | There is mild pulmonary vascular congestion and borderline pulmonary edema. No pleural effusion or pneumothorax is seen. Heart size is moderate to severely enlarged, unchanged compared to prior study from ___. Patient is post aortic valve replacement and mitral valve clipping. Median sternotomy wires are intact. | 50215123 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with MR, TR, and bradycardia // Patient with mild SOB and slight hypoxia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild pulmonary vascular congestion, borderline pulmonary edema, and moderate-to-severe cardiomegaly. |
11044484 | Massive cardiomegaly is unchanged. Lung volumes are low. There is mild pulmonary edema. Streaky retrocardiac opacity likely represents atelectasis. No definite focal consolidation seen. No pneumothorax or large pleural effusion. Sternotomy wires are intact. Prosthetic aortic valve is unchanged. Atherosclerotic calcifications are noted of the aortic arch. | 53191960 | INDICATION: ___F with cough, evaluate for pneumonia or CHF. COMPARISON: Comparison is made to chest radiographs dating back to ___ as well as chest CTA from ___ TECHNIQUE Portable upright view of the chest. | Massive cardiomegaly with mild pulmonary edema. |
11044484 | Moderate cardiomegaly, unchanged. The patient status post aortic valve replacement. Small bilateral pleural effusions. Mild pulmonary edema. No focal consolidation. | 52725777 | WET READ: ___ ___ ___ 1:13 PM Possibly mild pulmonary edema. Moderate cardiomegaly is unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with bradycardia and dyspnea, baseline CHF, MVr, bovine AVR // eval ? edema, effusion TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___. | Mild pulmonary edema and small effusions. Moderate cardiomegaly is unchanged. |
11044484 | The ETT terminates 4 cm above the carina. Sternotomy wires are intact and appropriately aligned. The patient is status post aortic valve replacement and mitral valve clipping. There is a NG tube, which courses below the diaphragm, although the tip is not visualized on these images. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51963119 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with MitraClip procedure today now intubated for LV air retention post-procedure. Please confirm ETT placement. // eval ETT placement -- PATIENT MUST STAY FLAT TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___. | Appropriate positioning of the ETT and NG tube. |
11792232 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardio mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. | 57717955 | HISTORY: Palpitations and dyspnea, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11792232 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. | 50052532 | HISTORY: Left-sided tingling and leukocytosis. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views. | No acute intrathoracic process. |
11077309 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | 54243447 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with new a fib // acute procerss TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11607985 | Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 59471763 | HISTORY: ___-year-old man presenting with chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiograph from ___. CT torso from ___. | Normal radiographs of the chest. |
11664200 | Minimal right base atelectasis is seen. There is no focal consolidation. Remainder the lungs is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 54141185 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and fever // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11278050 | The patient is status post dual-chamber pacemaker placement with the leads terminating in the right atrium and right ventricle. No pneumothorax, mediastinal widening, or pleural effusions are seen. The patient had a TAVR, and the cardiac silhouette is smaller. Previous pulmonary vascular congestion and mild edema have resolved since ___. The upper lungs are clear. Bibasilar pulmonary fibrosis is still present. The hila and pleura are normal. | 56381997 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man s/p dual chamber PPM implant // check for lead position and pnx. Post pacemaker D/C chest xray- please place in 7:___:15 AM time slot. TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___. | Patient is status post dual-chamber pacemaker placement leads terminating in the right atrium and right ventricle. No complications. Pulmonary edema has resolved. Mild bibasilar pulmonary fibrosis. |
11278050 | Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion. Coarse interstitial opacities are present at both lung bases. Asymmetrical area of increased opacity in right superior mediastinal region may reflect distended vessels accentuated by apical lordotic projection. Possible small bilateral pleural effusions. | 56890545 | WET READ: ___ ___ ___ 8:00 AM Increased opacity at the bilateral bases may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. WET READ VERSION #1 ___ ___ ___ 12:02 AM Increased opacity at the bilateral bases may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with with chest pain // rule out pna, eval for hardware COMPARISON: None available. | Bibasilar interstitial opacities may represent a basilar distribution of interstitial edema. However, the coarseness of the interstitial opacities raises the possibility of a coexisting more fibrotic lung disease. Asymmetrical opacity adjacent to right superior mediastinal contour as described. |
11258377 | The lung volumes are low. There is a dense left retrocardiac opacity compatible with atelectasis and/or consolidation. Linear atelectasis is also noted in the right lower lobe. No significant pulmonary edema. There is cardiomegaly as before with aortic knuckle calcification. Left upper chest wall pacemaker with pacer wires remain in unchanged position. Endotracheal tube tip terminates 3.5 cm above the carina and is in unchanged position. Enteric tube traverses below the diaphragm with tip terminating in the stomach. EKG leads overlie the chest wall. There is diffuse demineralization as before. | 53446748 | INDICATION: ___ year old woman with EF = ___% intubated for ex-lap, remains intubated postop s/p volume resuscitation for ischemic bowel // question pulmonary edema TECHNIQUE: Portable semi erect radiograph of the chest COMPARISON: Chest radiograph dated ___ | Unchanged dense left retrocardiac opacity compatible with atelectasis and/ or consolidation associated with a small left pleural effusion. Linear atelectasis in the right lower lobe. No pulmonary edema. Lines and tubes as above. |
11258377 | Interval placement of a right internal jugular central venous catheter that terminates in the right atrium. Unchanged enteric tube with tip gastric body. Unchanged left chest defibrillator with electrodes in expected and unaltered positions. Low lung volumes. Heart size is normal and unchanged. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Background of emphysema. There is bibasilar atelectasis. Apparent blunting of the left costophrenic angle is likely secondary to prominent epicardial fat as no pleural effusion was seen on CT of the abdomen and pelvis from earlier this morning. No pneumothorax is seen. There are no acute osseous abnormalities. Post vertebroplasty changes. Multilevel degenerative changes of the visualized thoracolumbar spine. | 50191845 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with IJ placement. Evaluate placement. TECHNIQUE: Single portable supine AP chest radiograph COMPARISON: Same date ___ | Interval placement of a right internal jugular central venous catheter with tip in the right atrium. |
11260983 | Lungs are well expanded. An eventration of the right hemidiaphragm is better seen in the lateral view. Also in the lateral view, there is a triangular opacity obscuring the posterior right costophrenic sulcus and silhouetting out the posterior margin of the right hemidiaphragm which corresponds to a fat containing Bochdalek hernia better characterized in prior chest CT. Linear opacities along the left lung base are compatible with subsegmental atelectasis. Otherwise, no other focal parenchymal opacities are identified. There is no pleural effusion or pneumothorax. Degenerative changes of the thoracic spine with calcification of the anterior longitudinal ligament are present. Cardiac size is normal. The cardiomediastinal and hilar contours are unremarkable. | 55461629 | INDICATION: Patient with weakness. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recent ___ and chest CT from ___. TECHNIQUE: AP and lateral chest radiographs. | No evidence of acute cardiopulmonary process. Eventration of the right hemidiaphragm and posterior right-sided Bochdalek's hernia are better characterized in prior chest CT. Left basilar atelectasis. |
11260983 | The lungs are clear without focal consolidation. Lungs are hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient has known bilateral Bochdalek hernias, better assessed on CT. | 59923808 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain, r side, ? new R chest wall mass? // chest pain eval TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. No significant interval change. If clinical concern for right chest wall mass remains, CT is more sensitive. |
11260983 | PA and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. Mild interstitial prominence is chronic, and unchanged. Previously demonstrated bilateral fat-containing Bochdalek hernias are better assessed on prior CT of the chest. The heart is mildly enlarged. Otherwise, the cardiomediastinal silhouette is unremarkable. Multilevel degenerative changes are noted throughout the thoracic spine, with calcification of the anterior longitudinal ligament. | 51437632 | HISTORY: ___-year-old man with lightheadedness and weakness. Evaluation for pneumonia. COMPARISON: Comparison is made to radiographs of the chest from ___. This study is read in conjunction with CT of the chest from ___. | No acute cardiopulmonary process. Bilateral fat-containing Bochdalek hernias, mild cardiomegaly, and chronic interstitial prominence are unchanged. |
11796891 | A frontal view of the chest was obtained portably. Low lung volumes result in bronchovascular crowding. Mild opacity at the right lung base probably represents crowding of vessels but may represent aspiration or infection in the appropriate clinical setting. A 1 cm opacity at right upper lung. The cardiac silhouette is upper limits of normal size, allowing for patient position and technique. Mediastinal silhouette and hilar contours are within normal limits. Rounded opacity in the retrocardiac region is suggestive of a hiatal hernia. Surgical clips project over the right neck. | 54528262 | CLINICAL HISTORY: ___-year-old man with elevated INR and subdural hemorrhage. COMPARISON: No relevant comparisons available. | Right basilar opacity is probably crowding of vessels, but may represent aspiration or infection in the appropriate clinical setting. 1 cm opacity projects over right upper lung, likely asymmetric degenerative changes; however, repeat PA/lateral views with apical lordodic view as well suggested to exclude lung lesion. |
11796891 | Multiple surgical clips are seen along the right neck consistent with prior thyroidectomy and lymph node dissection. The heart appears somewhat enlarged but this is likely technical due to the projection and low lung volumes. The aorta is tortuous and shows a calcified wall, as before. Lung volumes are low however there is no focal consolidation, pleural effusion or pneumothorax. No fractures are identified. | 55672376 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with fall while intoxicated and facial injuries // aspiration evidence? TECHNIQUE: AP view of the chest COMPARISON: Multiple chest radiographs the most recent on ___ from an outside institution. | Low lung volumes. No focal consolidation, pleural effusion or pneumothorax. Mild pulmonary vascular congestion. Of note, this study is not particularly sensitive for the detection of rib fractures. Consider marking focal findings and obtaining dedicated rib radiographs if clinically indicated. |
11521548 | PA and lateral views of the chest were provided. Since the most recent study dated ___, there has been increase in the right pleural effusion despite the presence of a Pleurx catheter which projects over the right lower lung. There is small amount of residual aeration in the right upper lobe. There is an air-fluid level at the right lung apex which likely represents a small hydropneumothorax given findings on prior CT scan. The heart size is difficult to assess. Bony structures appear grossly intact. | 51499776 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___ and ___. CLINICAL HISTORY: Pleurx catheter with malignant effusion, assess size, patient with history of lung cancer. | Large right pleural effusion with small right apical hydropneumothorax. Pleurx catheter appears to extend into the right lower chest. |
11521548 | They frontal chest radiograph demonstrates a right chest tube. The right loculated pleural effusion is increased. There is also increased consolidation of the right lung, which could represent superimposed pneumonia. No pneumothorax is identified. There is no left pleural effusion. The cardiomediastinal silhouette is obscured, but appears similar to prior radiographs. | 56346241 | HISTORY: Shortness of breath, tachypnea, hypoxemia. Evaluate for pneumothorax or worsening effusion. COMPARISON: Chest radiographs from ___, ___, and ___, as well as CTA chest from ___. | Increased right loculated pleural effusion, with increased consolidation of the right lung which could represent superimposed pneumonia. No pneumothorax. |
11372027 | AP upright and lateral views of the chest provided. Dialysis catheter is in unchanged position with its tip in the lower SVC. Cardiomegaly again noted with pulmonary vascular congestion and mild interstitial edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is stable. Bony structures are intact. | 52463335 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with shortness of breath, discharged yesterday from ED with diagnosis of viral syndrome COMPARISON: Prior study from ___. | Stable cardiomegaly, hilar congestion and mild interstitial edema. Dialysis catheter in unchanged position. |
11372027 | Allowing for technique, no definite infiltrate is identified. Compared to the prior film, there is increase in the degree of upper zone redistribution and vascular plethora, suggesting mild fluid overload. Otherwise, no significant change is detected. No definite interstitial edema and no alveolar edema is seen. No effusions. Probable atelectasis in the lower lobe posteriorly, ? on the right, but this does not appear substantially changed. Again noted is hyperinflation consistent with COPD and moderately severe cardiomegaly. Including prominence of the contour of the main pulmonary artery. Known vertebral body compression deformities 0 less well visualized on the current film due to technical differences. | 55654654 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain, chills // Any pneumonia? COMPARISON: Chest x-ray from ___ | Increased upper zone redistribution and vascular plethora compared with ___, consistent with mild fluid overload/early CHF. Probable right lower lobe atelectasis, unchanged. No new infiltrate identified. |
11372027 | Cardiac and mediastinal silhouettes are stable. There is slight increase in left base patchy opacity, and underlying infection or aspiration is not excluded. There is an old fracture of the posterolateral left sixth rib with additional prior left-sided rib fractures difficult to exclude. No overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. | 57011771 | EXAM: CHEST, SINGLE FRONTAL VIEW. CLINICAL INFORMATION: Cough, respiratory rate of 40. COMPARISON: ___. | Subtle left base opacity could be due to infectious process. |
11372027 | The heart appears mildly enlarged. The aorta is partly calcified and mildly unfolded. Patchy opacity projecting over the lingular area suggests minor residual scarring or atelectasis, but decreased. There are no pleural effusions or pneumothorax. Mild losses among mid and lower thoracic vertebral body heights appear unchanged. A contour abnormality of the left posterolateral fifth rib appears old and unchanged suggesting a prior fracture. | 58646264 | CHEST RADIOGRAPHS HISTORY: Chest pain after motor vehicle collision. COMPARISONS: Prior chest radiographs from ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute injury. |
11372027 | Frontal lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. The cardiomediastinal and hilar contours are at the patient's approximately baseline. There is slight indistinctness of the hila bilaterally, and some cephalization of the pulmonary vasculature, consistent with mild interstitial edema. There is no pneumothorax, pleural effusion, or focal consolidation. There is a probable fat pad adjacent to the cardiac apex. | 59565343 | HISTORY: Abdominal pain shortness of breath. Evaluate for pneumonia. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | Slight indistinctness of the hila bilaterally with cephalization of pulmonary vasculature, consistent with mild interstitial edema. No evidence of pneumonia. |
11372027 | Right chest wall dual lumen central venous catheter is noted. There is pulmonary vascular congestion without overt edema or focal consolidation. There is no effusion. Cardiomediastinal silhouette is stable given differences in positioning. Atherosclerotic calcifications again noted at the aortic arch. No acute osseous abnormalities. Mild height loss of mid thoracic vertebral bodies are unchanged. | 56004452 | INDICATION: ___F with SOB // ?PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. ___. | Cardiomegaly and mild pulmonary vascular congestion without focal consolidation. |
11372027 | Since ___, small bilateral pleural effusions, right greater than left, are new and mild pulmonary vascular congestion and interstitial edema are increased. The hemodialysis catheter is again seen in the right atrium. Stable appearance of cardiomegaly. No pneumothorax. | 54720747 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with sepsis and HD line in place // ? interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiograph from ___, ___, ___, ___ | Small bilateral pleural effusions right greater than left are new and mild pulmonary vascular congestion interstitial edema are unchanged since ___. |
11372027 | Dual lumen central venous catheter tip terminates in the proximal right atrium. Lung volumes are low. Heart size remains mild to moderately enlarged. The aorta is tortuous. Mild pulmonary edema persists with unchanged mediastinal and hilar contours. Linear opacities in the lung bases likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is present, though assessment of the lung apices is obscured by the patient's chin and soft tissues of the neck projecting over these areas. Remote fracture of the left posterior fifth rib is re- demonstrated. | 54094665 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypotension, tachycardia TECHNIQUE: Upright AP view of the chest COMPARISON: ___ | Mild pulmonary edema and bibasilar atelectasis. |
11372027 | The lung volumes lead to crowding of the bronchovascular structures. Moderate to severe cardiomegaly is unchanged, as is moderate central pulmonary vascular congestion and interstitial edema. Small bilateral pleural effusions with adjacent atelectasis is noted. The upper lungs are grossly clear. There is no pneumothorax. There is wedging of a few thoracic vertebral bodies. | 59533108 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with CHF, liver cirrhosis. // History: ___F with CHF, liver cirrhosis. ? pulm edema, PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Moderate to severe cardiomegaly with moderate pulmonary edema and small bilateral pleural effusions. |
11372027 | The lungs are well expanded. There is interval increase in interstitial markings and prominence of the pulmonary vasculature, suggestive of mild pulmonary edema. Linear atelectasis in the lateral left lung is unchanged since ___. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. | 50504892 | INDICATION: History: ___F with generalized weakness // R/O pna TECHNIQUE: AP lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Interval increase in interstitial markings and prominence of the pulmonary vasculature, suggestive of mild pulmonary edema. |
11372027 | The cardiac, mediastinal and hilar contours appear stable. Although less striking than before, indistinct prominent pulmonary vasculature suggests mild vascular congestion, decreased. No focal opacification is seen. There is no pleural effusion or pneumothorax. A prior left posterolateral sixth rib fracture appears unchanged. | 56062039 | CHEST RADIOGRAPHS HISTORY: Tachycardia. COMPARISONS: ___. TECHNIQUE: Chest, AP portable. | Findings suggesting mild vascular congestion although less striking than before. |
11372027 | AP upright and lateral views of the chest provided. Dialysis catheter resides over the right chest wall with right IJ insertion and catheter tip in the low SVC near the cavoatrial junction. The heart remains mildly enlarged. There is hilar engorgement with mild interstitial pulmonary edema. No large effusion is seen. There is mild basal atelectasis. No pneumothorax. Aortic calcification again noted with unchanged mediastinal contour. Mild wedging is seen at multiple levels of the mid thoracic spine, grossly unchanged from the prior exam dated ___. | 51138134 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with chest pain/dyspnea COMPARISON: ___ and ___. | Findings consistent with fluid overload. |
11372027 | Redemonstrated is a right internal jugular central venous line, with the tip terminating in the proximal right atrium. There is no focal consolidation, pleural effusion, or pneumothorax. The heart is moderately enlarged. Prominent hilar opacity is stable likely reflecting engorged hilar vessels, although lymphadenopathy can't be entirely excluded. There is mild perihilar and interstitial edema, not significantly changed from ___. Calcifications are noted involving the aortic arch. | 59185395 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with hypotension s/p dialysis // r/o pna, pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Moderate cardiomegaly and mild interstitial and perihilar edema. |
11372027 | The heart is mildly enlarged. The aortic arch is partly calcified. There is no pleural effusion or pneumothorax. Patchy linear opacities in the left mid-to-lower lung suggest minor atelectasis. There is no pleural effusion or pneumothorax. New sclerosis associated with the right posterior sixth rib suggests a fracture that is subacute or older without displacement. Mild compression deformities along the visualized thoracolumbar spine appear unchanged. The bones are probably demineralized. | 59289710 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11372027 | PA and lateral chest radiographs are provided. There is a hazy opacity at the right lung base which may be normal, however, early infection cannot be excluded. There is no pleural effusion or pneumothorax. The heart is enlarged. Imaged upper abdomen is unremarkable. Again seen is compression deformity of a lower thoracic vertebral body as seen on the chest CT. | 54773538 | INDICATION: ___-year-old female with midsternal chest pain x 2 weeks. Rule out pneumonia. COMPARISONS: Chest radiograph from ___ and CT chest from ___. | Hazy opacity at right base may be normal or may represent a subtle early infection. Routine oblique views can be obtained for further clarification. |
11372027 | The patient is intubated. The tip of the endotracheal tube terminates approximately 2 cm above the level the carina. A nasoenteric tube is in-situ, the tip is not visualized lies below the left hemidiaphragm. A tunneled right internal jugular dialysis catheter terminates in the right atrium. A right internal jugular vascular access catheter terminates in the SVC. There are persistent bilateral opacities predominately perihilar distribution consistent pulmonary edema. Prominence of the pulmonary vasculature persists. Unchanged left lower lobe atelectasis. An apparent opacity in the left upper lobe is also unchanged compared to the prior study but new compared earlier studies. This is not clearly seen to be on the patient's skin and would be better evaluated with a CT of the chest. | 52475530 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cirrhosis, sepsis s/p CVL placement. // Interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Stable appearances of pulmonary vascular congestion and pulmonary edema. An apparent more confluent masslike opacity is seen in the left upper lobe, attention on follow-up studies recommended. Alternatively this may be further evaluated with a CT chest. |
11735463 | PA and lateral views of the chest were provided. A right chest wall Port-A-Cath is again seen with its tip residing in the mid SVC. There has been interval resolution of the nodular opacities previously seen in the left lower lung and right mid lung. No new consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. Residual contrast is noted within bowel loops in the upper abdomen. No free air below the right hemidiaphragm. | 58940469 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: Prior exam from ___. CLINICAL HISTORY: Low-grade temperature to 100.9, history of gastric cancer, question pneumonia. | Interval resolution of pneumonia. No current signs of pneumonia. |
11735463 | AP portable view of the chest demonstrates nasoenteric tube coursing in the esophagus and terminating within proximal jejunal loops. There are low lung volumes. No pleural effusion, focal consolidation or pneumothorax. Left lower lobe consolidation demonstrates near-complete resolution. Jejunostomy tube is in place. Contrast material within the renal collecting systems related to recent CT. Port-A-Cath tip projects over cavoatrial junction. | 56200424 | INDICATION: NG tube placement. COMPARISONS: ___. | Appropriately positioned nasoenteric tube. |
11735463 | A Port-A-Cath terminates in the upper superior vena cava. The cardiac, mediastinal, and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear, although it would be difficult to exclude small nodules with radiography. Bony structures are unremarkable. | 53084837 | CHEST RADIOGRAPHS HISTORY: Cancer and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11735463 | PA and lateral views of the chest. Right chest wall Port-A-Cath again seen with tip in the upper SVC. When compared to prior, there has been interval development of bibasilar opacities more conspicuous on the right than on the left. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Percutaneously placed tube seen in the left upper quadrant. | 59946075 | HISTORY: ___-year-old female with history of gastric cancer presents with fever. COMPARISON: ___. | Multifocal right greater than left regions of consolidation compatible with pneumonia. |
11735463 | The cardiomediastinal and hilar contours are within normal limits. Port-A-Cath catheter is seen on the right terminating at the upper SVC, not significantly changed from prior chest examination. There is increased focal opacity at the right middle and upper lung fields, concerning for pneumonia. There is also an area of increased opacity at the lingula. There is no pleural effusion or pneumothorax. | 51296409 | WET READ: ___ ___ 3:15 PM Increased focal opacitiies at the right upper and mid lung fields, concerning for pneumonia. Short interval followup is recommended after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT HISTORY: Fever. Rule out pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | Increased focal opacity at the right upper and mid lung fields, concerning for pneumonia with possible involvement of the lingula. Short interval followup is recommended after treatment to document resolution. |
11104709 | AP upright and lateral views of the chest provided. In this patient with known metastatic disease of the chest, there is essentially no change in the large masses that occupying the left lower lobe and left upper lobe compared with a prior study from earlier this month. The right lung remains clear. A small left effusion is difficult to exclude. No right effusion seen. Cardiomediastinal silhouette is stable. Bony structures intact. | 51366664 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CT torso from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Profound weakness, question pneumonia. | Left lung lesions, better assessed on prior CT, compatible with metastasis without definite interval change. |
11104709 | A left hilar and left infrahilar opacity corresponds to known lesions seen on CT examination of ___. No new focal consolidation is seen to suggest pneumonia. No pleural effusion or pneumothorax is present. The heart size is normal. There is mild tortuosity of the aorta. | 53258541 | INDICATION: History of metastatic melanoma, now with difficulty swallowing solids and liquids. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent CT of the torso dated ___ and most recent radiographs of the chest dated ___. | Known left perihilar as seen on prior CT examination. Other smaller lesions seen by CT are not well appreciated on this examination. No evidence of acute superimposed intrathoracic process. |
11769254 | AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained 4 hours earlier during the same day. The findings are completely unchanged with a 2-3 cm wide apical pneumothorax on the right side. Also, some local chest wall emphysema is seen in the right lower neck and shoulder area, also unchanged. No new pulmonary or cardiovascular abnormalities identified. | 53245153 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with right-sided pleurodesis and chest tube, Pleurex status post chest tube removal this morning, found to have pneumothorax on prior examination. Please perform follow-up at 4 p.m. on ___. | Stable appearance of previously identified apical pneumothorax for the last 4 hours. |
11769254 | The previously seen small apical pneumothorax is unchanged in size from the prior exam. Subcutaneous air is still present. Bibasilar atelectasis and a large hiatal hernia are unchanged in appearance. There is no new consolidation. There is no edema or pleural effusion. The cardiomediastinal silhouette is normal. | 52420428 | INDICATION: Status post pleurodesis with Pleurx placement. Chest tube removed. Evaluate for change in pneumothorax. COMPARISONS: Chest radiograph, ___. Chest radiograph, ___. | Stable small apical pneumothorax. Unchanged bibasilar atelectasis. |
11769254 | Better seen on a recent comparison chest CT, there are numerous soft tissue nodules throughout the lungs bilaterally, worse on the right, compatible with metastases. The largest of these is located adjacent to the right heart border, in the area of heterogeneous opacity on the current chest radiograph. Increase opacity at the right lung base is in part due to known metastatic disease, however, superimposed infection would be difficult to exclude in light of the lack of recent prior chest radiographs. The heart is normal in size and there is no pneumothorax. Large hiatal hernia is again seen. | 57859350 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever on chemotherapy. Evaluate for infection. TECHNIQUE: Chest PA and lateral COMPARISON: CT of the chest from ___ | Numerous pulmonary metastases obscure the right lower lung field, and superimposed infection cannot be excluded. |
11769254 | In comparison to the prior radiograph, there is a little change in the haziness at the right lower lobe, a combination of atelectasis and scarring as well as the numerous pulmonary metastases better seen on the chest CT. Numerous rounded opacities of the right upper lobe compatible with metastases. There is no focal consolidation to suggest pneumonia. There is no significant pleural effusion. The heart size remains within normal limits. A hiatal hernia is again noted. | 54387855 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with diarrhea, vomiting // PNA? TECHNIQUE: Chest PA and Lateral COMPARISON: ___ | No acute cardiopulmonary process. Numerous pulmonary metastases better seen on the prior chest CT. |
11189676 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is stable and top-normal to mildly enlarged. The aorta is calcified and tortuous. There is no overt pulmonary edema. No displaced fracture is seen. | 51021902 | HISTORY: Chest pain. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11189676 | AP and lateral views of the chest were obtained. The heart size is top normal. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Stable multilevel degenerative changes of the thoracic spine are noted. | 57090883 | HISTORY: Left-sided heaviness. COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. |
11443483 | Vertical tubing coursing from the right neck to the mid abdomen , extending beyond the confines of the film. This could represent a VP shunt. Clinical correlation requested. Heart size at the upper limits of normal or slightly enlarged. Aorta is calcified and tortuous. There is upper zone redistribution and mild vascular plethora, but no overt CHF. possibility of diffusely increased interstitial markings cannot be entirely excluded, though the appearance is similar to outside scanned-in radiographs from ___. No focal infiltrate or gross effusion is identified. The | 55803779 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with subacute in mental status p/w cough // ?PNA COMPARISON: None. | Upper zone redistribution and mild vascular plethora could reflect mild CHF. Given diffusely increased interstitial markings, the possibility of an interstitial process cannot be entirely excluded, but the appearance is similar to ___. No focal pneumonic infiltrate or effusion. Apparent VP shunt. |
11006152 | A right PICC line has been placed, with tip projecting over the right brachiocephalic vein. There is stable cardiomegaly and intact sternal wires. No focal consolidation, pleural effusion, or pneumothorax identified. | 52790854 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old man with osteomyelitis on home antibiotics, PICC line displacement. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, and ___. | Interval placement of a right PICC line, which projects over the right brachiocephalic vein. |
11175776 | Endotracheal tube tip is slightly low lying, terminating approximately 2.4 cm from the carina. Cardiac, mediastinal and hilar contours are normal. Opacity in the left lung base likely reflective of atelectasis. No large pleural effusion or pneumothorax is demonstrated on this supine exam. There is no pulmonary vascular congestion. No acute osseous abnormalities are detected. | 53784964 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with confirm ETT placement head bleed STATUS POST intubation and transfer TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Slightly low lying endotracheal tube, with tip terminating approximately 2.4 cm from the carina. Atelectasis in the left lung base. |
11175776 | Lines and tubes are unchanged in position. The cardiomediastinal silhouette is stable. There is a new patchy opacity at the right lung base which may reflect aspiration or a developing infiltrate. There is no congestive heart failure or pneumothorax. | 55037496 | INDICATION: Left-sided intraparenchymal hemorrhage question interval change TECHNIQUE: Frontal chest radiograph COMPARISON: ___ | Right basilar opacity reflecting aspiration or pneumonia. |
11175776 | Enteric tube is in appropriate position. Endotracheal tube terminates approximately 2.5 cm above the level the carina. No pleural effusion or pneumothorax is seen. There appears to be mild right infrahilar bronchial thickening. Subtle opacity at the medial right lower lung may be due to overlap of vascular structures and atelectasis however, developing consolidation possibly due to infection or pneumonia and could be present. Attention at followup. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. | 55487894 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w/ IPH and now w/ fevers // ? interval change TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Subtle opacity at the medial right lung base, more conspicuous as compared the prior study, may be due to overlap of vascular structures and atelectasis, however, underlying consolidation due to infection or aspiration could be present. Recommend attention at followup. |
11406836 | 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. | 51635099 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with productive cough, fever // r/o pneumonia COMPARISON: ___. | No acute intrathoracic process. |
11406836 | There is persistent marked tracheal deviation to the right by the known left thyroid mass. The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. | 53326573 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath and wheeze. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Persistent rightward tracheal deviation due to left lobe thyroid enlargement. Otherwise, clear lungs. |
11389352 | Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is no vascular congestion or pulmonary edema. Mediastinal hilar contours are normal. Heart size is normal. | 59055450 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Edema, shortness of breath. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. | No acute intrathoracic process. |
11960177 | Left-sided pacer device is noted with leads terminate in the right atrium and right ventricle. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is not engorged. Lungs appear clear. No focal consolidation, pleural effusion or pneumothorax is present. Previously noted pulmonary nodules seen on chest CT are not clearly assessed on the current chest radiograph. Mild compression deformity involving the superior aspect of the L1 vertebral body appears new in the interval with the L2 vertebral body superior endplate compression deformity appearing unchanged. | 57664357 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pre-syncope TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___, chest radiograph ___ | No acute cardiopulmonary abnormality. Interval development of mild compression deformity involving the superior aspect of the L1 vertebral body. Unchanged superior endplate compression deformity of the L2 vertebral body. |
11702253 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pneumomediastinum is seen. At the very inferior aspect of the image, a partially imaged screw is seen, better depicted on abdomen radiograph. | 50228852 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female history of swallowed screw, evaluate for location/perforation. COMPARISON: ___. | Partially imaged screw seen in the mid abdomen at the inferior aspect of the image; please see abdomen radiograph. No acute cardiopulmonary process. |
11577197 | Assessment of the chest is somewhat limited by patient positioning, low lung volumes, and the patient's chin and neck obscuring the left apex. The cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are grossly unchanged. Crowding of bronchovascular structures is due to low lung volumes without overt pulmonary edema. Patchy retrocardiac opacity likely reflects atelectasis, however infection is not excluded in the correct clinical setting. No pleural effusion or large pneumothorax is identified. A percutaneous gastrostomy catheter projects over the left upper quadrant of the abdomen. | 50646243 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with lethargy, cough TECHNIQUE: Semi-upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Limited examination. Patchy retrocardiac opacity may reflect atelectasis however infection is not excluded in the correct clinical setting. |
11577197 | Lung volumes are low. Assessment of the left apex is obscured by the patient's neck projecting over this area. Moderate enlargement of the cardiac silhouette with a left ventricular predominance is again noted. Aortic knob calcifications are present. The mediastinal and hilar contours are similar. Crowding of bronchovascular structures is present with possible mild pulmonary vascular congestion. Patchy opacities in the lung bases are re- demonstrated. No large pleural effusion or pneumothorax is identified. Percutaneous gastrostomy catheter is seen in the left upper quadrant of the abdomen. | 54443396 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with altered mental status TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | Limited study with low lung volumes. Possible mild pulmonary vascular congestion. Patchy opacities in lung bases may reflect atelectasis, but infection cannot be excluded in the correct clinical setting. |
11577197 | Shallow inspiration accentuates heart size, pulmonary vascularity. Pulmonary vascularity has improved. Improved bilateral perihilar opacities, improving pneumonitis versus improving edema. Improved right basilar atelectasis. Increased retrocardiac opacity, atelectasis versus infiltrate. Small right pleural effusion is new. Probable small left pleural effusion, stable. | 59507886 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pna, CHF // eval for pna vs pulmonary edema TECHNIQUE: Chest single view COMPARISON: ___ 18:05 | Improving perihilar opacities. More prominent retrocardiac opacity, atelectasis likely; consider pneumonitis in appropriate clinical setting. |
11577197 | Lung volumes are increased. There is interval improvement in pulmonary vascular congestion. Interstitial markings remain mildly prominent. The right hemidiaphragm is elevated, as before. The heart remains enlarged. The aorta is calcified. | 51167945 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: Improvement in patchy opacities s/p Lasix? TECHNIQUE: ___ | Interval improvement in pulmonary vascular congestion. |
11577197 | AP portable semi upright view of the chest. There has been interval advancement of the feeding tube now descending into the upper abdomen though the tip is excluded from view. Lung volumes are low limiting evaluation. Opacity in the right lung appear slightly increased from the prior exam though this may in part reflect patient position. There is also mild left basal opacity which could reflect atelectasis. The cardiomediastinal silhouette appears grossly unchanged though difficult to interpret. Bony structures are intact. | 57229898 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with recurrent asp pna, p/w 4 days cough, lethargy // eval for consolidation COMPARISON: Prior exam from ___. | Persistent opacity in the right lung and mild at the left lung base could reflect ongoing aspiration related pneumonia. |
11577197 | NG tube is coiled in the oropharynx. Left jugular line terminates at the left brachiocephalic vein. Bibasilar opacities a and small bilateral pleural effusions are similar to prior. Cardiomediastinal silhouette is unchanged. | 58245254 | INDICATION: ___ year old man with NGT // NGT EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | NG tube is coiled in the oropharynx. |
11577197 | Right PICC is identified however the tip is not clearly delineated, it is seen to on the level of the subclavian vein. Left lung apex is obscured by patient's chin. Linear left basilar opacity is likely atelectasis. There is no large confluent consolidation within limitation of low lung volumes. Cardiomediastinal silhouette is within normal limits. | 52533210 | INDICATION: ___M with lethargy // PNA? TECHNIQUE: Two portable views of the chest. COMPARISON: ___. | No definite acute cardiopulmonary process. |
11577197 | Enteric tube terminates in the left upper quadrant. Lungs demonstrate scattered interstitial opacities indicative of edema. Heterogeneous opacities at the lung bases bilaterally likely represent atelectasis. Heart size is mildly enlarged, as before. No pneumothorax or pleural effusion. | 58515548 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with frequent aspiration events, altered mental status. Evaluate for pneumonia. TECHNIQUE: AP and lateral chest radiographs COMPARISON: ___ | Satisfactory position enteric tube. Underinflated lungs with bibasilar atelectasis, but no convincing evidence of pneumonia. |
11577197 | Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. There are bibasalar opacities, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. And small left pleural effusion. The cardiac silhouette is not enlarged. There is no pneumothorax. | 59360233 | WET READ: ___ ___ 10:45 AM 1. Bibasalar opacities, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting 2. Small left pleural effusion. WET READ VERSION #1 ___ ___ 4:33 AM Bibasilar atelectasis, and small left pleural effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with epigastric pain, nonverbal, pls assess for pna and fludi overload // History: ___M with epigastric pain, nonverbal, pls assess for pna and fludi overload TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated CT of the abdomen pelvis dated ___. | Bibasalar opacities, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting Small left pleural effusion. |
11577197 | AP portable semi upright view of the chest. Patient's chin obscures the superior mediastinum and left lung apex. Lung volumes are low with bibasilar atelectasis and bronchovascular crowding. Allowing for technical limitations, there is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax is identified. Cardiomediastinal silhouette appears grossly unremarkable. | 50252095 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cough // pna? COMPARISON: Prior exam is dated ___. Prior CT abdomen pelvis from ___ | Lower lung atelectasis without definite signs of pneumonia. Limited exam. |
11577197 | Study is limited by patient rotation and low lung volumes. Cardiac silhouette size remains moderately enlarged. Dense atherosclerotic calcifications are noted at the aortic knob. Mediastinal contours appear grossly unchanged. There is new mild to moderate pulmonary edema with perihilar haziness and vascular indistinctness. Retrocardiac opacification could reflect atelectasis combined with a small left pleural effusion, though pneumonia is not excluded in the correct clinical setting. Patchy opacity within the right lung base may also reflect an additional area of atelectasis. | 51343209 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with lethargy, fever TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | Limited study due to low lung volumes and patient rotation. Interval development of mild to moderate pulmonary edema. Bibasilar patchy atelectasis with possible small left pleural effusion, though infection is not excluded. |
11577197 | Low lung volumes. Stable enlargement of the cardiomediastinal silhouette. Vascular congestion without overt pulmonary edema. Opacification at the left lung base may represent atelectasis, however a developing pneumonia is a consideration. | 51287642 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with cough // ?pna TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___. | Opacification at the left lung base, which may represent pneumonia, however underlying pneumonia cannot be excluded. |
11577197 | The newly placed feeding tube terminates in the stomach. Lung volumes are low, contributing to vascular crowding. However, persistent peribronchial cuffing suggests mild pulmonary edema, unchanged. The heart and mediastinum are magnified by the projection. The patient's chin obscures the left lung apex, precluding evaluation for pneumothorax on this side. There is no right pneumothorax. | 52401826 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with dysphagia and hx of brain stem stroke with aspiration // Please evaluate for dobhoff tube placement - 2 step TECHNIQUE: 2 portable AP radiographs of the chest. COMPARISON: ___ and dating back to ___. | New Dobbhoff tube terminates in the stomach. No other significant interval change. |
11577197 | Low lung volumes persists. Mild enlargement of the cardiac silhouette is again noted. The aorta is calcified. Mediastinal and hilar contours are unchanged. Crowding of the bronchovascular structures is re- demonstrated without overt pulmonary edema. Linear and patchy bibasilar airspace opacities likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Please note that assessment of the extreme lung apices is obscured due to the patient's neck and soft tissues of this region obscuring this area. Degenerative changes are noted in the glenohumeral joints. Irregularity of the left scapula was not clearly noted on the prior study, and clinical correlation with any tenderness in this region is suggested. | 55621980 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with multiple comorbidities, recently treated for pneumonia, presenting with altered mental status TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Chest radiograph ___ | Bibasilar atelectasis without focal consolidation. Irregularity of the left scapula, not apparent on the prior study. Clinical correlation with any tenderness in this region is recommended, and consider dedicated left shoulder radiographs for further assessment. |
11815244 | No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette borderline in size.. Evidence of DISH is seen along the thoracic spine. | 58090635 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and shortness of breath // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11117006 | The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly and tortuosity of the descending thoracic aorta. No acute osseous abnormalities. | 50596407 | INDICATION: ___F with an episode of chest pain and shooting pains yesterday, now resolved. Please evaluate for cardiopulmonary change // ___F with an episode of chest pain and shooting pains yesterday, now resolved. Please evaluate for cardiopulmonary change TECHNIQUE: PA and lateral views of the chest. COMPARISON: Correlation made to chest CT from ___. | No acute cardiopulmonary process. |
11222142 | Frontal and lateral chest radiographs demonstrate moderate cardiomegaly with prominence of the central bronchovascular structures likely due to low lung volumes. Prior radiographs demonstratee left lower lobe anf lingular bronchiectasis. Today's examination demonstrates relative increased opacification in these regions concerning for pneumonia. No pleural effusion or pneumothorax evident. | 59500905 | INDICATION: Shortness of breath, evaluate for pneumonia. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___. | Mild-to-moderate cardiomegaly. Increased opacification in areas of known bronchiectasis in left lower lobe and lingula concerning for pneumonia. Recommend further evaluation with conventional radiographs. |
11613862 | There are low lung volumes. Linear left base opacity seen on the frontal view, not substantially on the lateral view, most likely presents atelectasis. No definite focal consolidation to suggest pneumonia is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. | 56636682 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // Evaluate for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Linear left base opacity more likely represents atelectasis than pneumonia, seen only on the frontal view, not substantiated on the lateral view. |
11613862 | PA and lateral views of the chest provided. Lung volumes are low. Mild right hemidiaphragmatic elevation is unchanged. Vague opacity in the left lower lung could in part reflect bronchovascular crowding, difficult to exclude a very early pneumonia. Upper lungs are well aerated. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. No radiopaque foreign body. The trachea is midline. | 54741532 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with difficulty breathing // ? infectious process COMPARISON: CT neck performed today. CT abdomen pelvis from ___. | Vague opacity in the left lower lung likely reflect bronchovascular crowding, difficult to exclude an early pneumonia in the correct clinical setting. |
11232900 | There is minimal right basilar atelectasis. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. | 59551239 | INDICATION: Tachycardia and fever. COMPARISON: None available. | No acute cardiopulmonary process. |
11761571 | Patchy right lower lobe opacity is worrisome for pneumonia or aspiration. Blunting of the posterior right costophrenic angle may be due to a trace pleural effusion. No left pleural effusion is seen. The cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. Skin fold noted overlying the right hemi thorax. Midline tracheostomy tube is noted. Vascular stenting is noted at the thoracic inlet. | 57613342 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with syncope episode // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Patchy right lower lobe opacity raises concern for infection or aspiration. |
11761571 | The left chest tube has been removed. There is no pneumothorax. The right pleural effusion has increased. There is a small left effusion, relatively unchanged. The cardiac and mediastinal contours are stable. A right PICC ends in the mid SVC. | 51879221 | INDICATION: ___ year old man status post chest tube removal. TECHNIQUE: Frontal view of the chest. COMPARISON: ___. | Interval removal of a left chest tube. No pneumothorax. Increased right pleural effusion. |
11761571 | The patient has been extubated. New left retrocardiac opacity likely atelectasis is associated with inferior displacement of the left hilum. There is also a new right retrocardiac opacity. Small bilateral effusions are also new. | 59923523 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p tracheal resection TECHNIQUE: PA and lateral COMPARISON: Radiographs dating back to ___ | New left retrocardiac opacity is likely due to substantial left lower lobe atelectasis but coexisting pneumonia is possible in the appropriate clinical setting. |
11761571 | The trachea is midline; in the neck the airway may taper proximally. The lungs are relatively clear bilaterally, the mediastinum is normal limits. Heart is normal size. No pneumothorax is seen. | 52473802 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p tracheal resection for recurrent medullary thyroid carcinoma involving the right lateral trachea, // check interval change check interval change TECHNIQUE: PA and lateral. COMPARISON: ___ | Upper trachea was normal neck CT done ___. If referable clinical findings have developed subsequently, CT would be needed to assess possible tapering of tracheal airway in the neck. |
11761571 | There is a new focal opacity at the left lung base confirmed with a spine sign on the lateral view worrisome for infection. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Vascular stents noted at the thoracic inlet on the right as well as a tracheostomy tube which is in stable position. Surgical clips project over the right chest wall. No acute osseous abnormalities identified. | 58619072 | INDICATION: ___M with fever, weakness // Eval for PNA TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___. | Left lower lobe opacity worrisome for infection or potentially aspiration. Followup after treatment is suggested to document resolution. |
11761571 | Compared with prior radiographs on ___, there has been interval collapse of the left upper lobe, worrisome for a mucous plug in the known narrowed left bronchial stent. The endotracheal tube terminates 2.5 cm above the carina. There is a left chest tube with no pneumothorax. Upper mediastinal and right neck vascular stents are again seen. There Are surgical clips in the right axilla. | 58481311 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p right VATS LN biopsy // eval for PTX TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs CT on ___ | Left upper lobe collapse, worrisome for mucous plugging in the narrowed left bronchial stent. |
11761571 | AP portable upright view of the chest. Midline sternotomy wires noted. Tracheostomy tube projects over the superior mediastinum. Clips project over the chest wall. Retrocardiac streaky opacity with left pleural effusion, small again noted. Right lung appears clear though the right CP angle is excluded. Heart and mediastinal contours are unchanged and normal. Bony structures are grossly intact. | 56200687 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hemoptysis // eval infiltrate COMPARISON: ___ | Retrocardiac opacity unchanged likely represents atelectasis or scarring, though difficult to exclude a subtle pneumonia. Small left pleural effusion. |
11761571 | There is an opacity at the left upper lung increasing from prior. Tracheostomy tube terminates 2 cm above the carina. Right PICC line is in the lower SVC. A chest drain is seen terminating at the right lung base. Bilateral pleural effusions are unchanged. A stent is seen in the right common carotid. There is minimally improved mild to moderate pulmonary edema. Cardiomediastinal silhouette is unchanged. | 59995004 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w. recurrent medullary thyroid carcinoma s/p en block cervical tracheal resection c/b respiratory distress requiring re-intubation, s/p anastamotic repair and trach w/ PEG tube post op c/b right carotid artery rupture and massive bleeding s/p r. carotid stenting x2, now s/p pec flap and repeat carotid artery bleed and stenting with reconstruction of tracheostomy. // interval changes? interval changes? TECHNIQUE: Frontal chest radiograph COMPARISON: ___ | Bilateral pleural effusions unchanged. There is minimally improved mild to moderate pulmonary edema. |
11761571 | Tracheostomy tube is in stable position. The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Upper mediastinal and right neck vascular stents are identified. Stents are also identified in the left mainstem bronchus. Surgical clips project over the right axilla. | 57253397 | INDICATION: ___M with dyspnea, cough // eval heart and lungs TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ PET-CT. | No acute cardiopulmonary process. |
11761571 | Since ___, a new G-tube is seen in the stomach. A new left lower lung opacity may be due to aspiration. Tracheostomy tube and vascular stents in the supra-aortic region are in unchanged position. Mild compressive atelectasis is noted. Heart size is normal. No pneumothorax. | 50300054 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with tracheal stenosis and t tube s/p g tube placement. Evaluate for pneumothorax or tracheal issues // rule out pneumothorax, evaluate trachea for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___, ___ | A new G-tube is seen in the stomach. No pneumothorax. A new left lower lung opacity may be due to aspiration |
11761571 | Re- demonstrated is a tracheostomy in unchanged location overlying the upper midline mediastinum near the thoracic inlet, unchanged in appearance since prior. A right sided vascular stent is unchanged in appearance and orientation. Right hilar mediastinal clips are unchanged. The cardiomediastinal silhouettes are stable. Known left hilar mass is not well appreciated on the current study. The right hilum is unremarkable. There is no focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 56696227 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hypoxia and weakness s/p tracheostomy, evaluate for pneumothorax, infiltrate, pneumonia. TECHNIQUE: AP chest radiograph. COMPARISON: 1. Chest x-ray ___. 2. Chest x-ray ___. | No focal lung consolidation. Stable appearance of mediastinal vascular stents and postsurgical clips. Known left hilar mass not well seen on current study. |
11761571 | Compared with the prior studies, the known left sided loculated pleural effusion is similar in appearance. However a retrocardiac opacity is again seen, for which infection is not excluded. Cardiomediastinal and hilar silhouettes are unchanged. The tracheostomy tube is also unchanged. Median sternotomy wires are intact. Hardware overlying the sternum is also unchanged. The pigtail catheter overlying the left upper abdominal quadrant is again noted. | 59195945 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with tracheostomy and increased mucus production. Evaluate for focal consolidation. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___. CTA chest of ___. | Retrocardiac opacity is similar in appearance to the studies of ___, but overlying infection is not excluded. Small left loculated effusion is unchanged in appearance. |
11761571 | The patient is status post tracheostomy, which appears in appropriate positioning. There is a right-sided PICC, which terminates in the mid SVC. The left-sided pigtail catheter is not visualized on today's exam. There is no pneumothorax. There is no pneumomediastinum. There are bilateral pleural effusions, right greater than left, with associated compressive atelectasis, not significantly changed in comparison to the prior. The right pleural effusion may be loculated. There are no new focal consolidations. There is mild pulmonary edema. The cardiomediastinal silhouette is stable. | 53633714 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p trach reconstruction, follow up imaging // ___ year old man s/p trach reconstruction, follow up imaging TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___. | Tracheostomy and right-sided PICC in appropriate positioning. Bilateral pleural effusions, not significantly changed compared to prior, with possible loculations on the right. Mild pulmonary edema. |
11761571 | Left bronchial stent and tracheostomy tube are unchanged. Right common carotid vascular sheath is unchanged. There is no definite concerning parenchymal consolidation. There is minimal bibasilar atelectasis. There is no pleural effusion or pneumothorax. Surgical clips are seen in the right upper lung. Cardiomediastinal silhouette is unremarkable. | 54605488 | WET READ: ___ ___ 1:06 PM No radiographic evidence for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with history of medullary thyroid carcinoma status post thyroidectomy complicated by recurrence with left mainstem bronchus involvement status post left mainstem bronchus balloon and stent placement. Presenting with shortness of breath and cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray dated ___. | No definite radiographic evidence for pneumonia. Minimal bibasilar atelectasis. |
11761571 | ET tube terminates 4.4 cm above the carina. Patient is postoperative, without pleural effusions pneumothorax or parenchymal consolidations. The cardiomediastinal silhouette is unremarkable. | 55208814 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with history of trach removal // acute resp distress s/p trach removal; intubated - eval for interval change acute resp distress s/p trach removal; intubated - eval for TECHNIQUE: Portable supine COMPARISON: Radiographs dating back to ___ | ET tube terminating 4.4 cm above the carina |
11761571 | The tracheostomy tube terminates in the low thoracic trachea. Median sternotomy wires are intact. Fusion hardware device projects over the sternum. A chest tube terminates at the left lung base. There is a small pleural effusion on the right, slightly decreased from ___. A small loculated left pleural effusion is stable in size. Streaky bibasilar atelectasis. No pneumothorax. Heart size is normal. Apparent vertical lucency along the right cardiac border is likely due to ___ band defect. No subdiaphragmatic free air. | 50525578 | EXAMINATION: Chest radiograph INDICATION: ___ year old man s/p complex carotid econstruction, tracheoplasty, T tube in place TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Bilateral pleural effusions, small on the right and loculated on the left. |
11761571 | Consolidation in the left lower lobe appears more conspicuous when compared to previous exam from ___. There is no new focal consolidation, the lungs are otherwise clear. Tracheostomy tube remains in place. The cardiomediastinal silhouette is within normal limits. Vascular stent seen over the neck. Right axillary/chest wall surgical clips are noted. | 51155146 | INDICATION: ___M with h/o thyroid CA, tracheostomy, SOB and dyspnea x 1 week // eval lung fields, pt w/tracheostomy TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ chest x-ray. ___ chest CT. | Persistent left lower lobe consolidation. |
11761571 | A portable semi-erect frontal chest radiograph again demonstrates intact sternal wires, mediastinal clips, and a right PICC which terminates in the low SVC. Heart size is normal. There is mild pulmonary edema, new compared to prior exam. Small bilateral pleural effusions are similar to slightly increased in size. A rounded area opacification along the right lateral hemi thorax may also represent loculated effusion, present dating back to ___. Retrocardiac opacity, likely due to atelectasis, is unchanged. Bibasilar atelectasis is greater on the left than right. There is no definite focal consolidation or pneumothorax. | 52759738 | INDICATION: Evaluate for effusion or atelectasis in a patient status post right neck fistula repair, tracheal reconstruction, and muscle flap presenting with new shortness of breath. COMPARISON: Chest radiographs from ___, ___, ___, ___. | Mild pulmonary edema. Small bilateral pleural effusions, similar to slightly increased size. A rounded area of opacification along the right lateral hemithorax may represent loculated effusion. A lateral view would be helpful if permitted by patient condition. Bibasilar atelectasis, left greater than right. |
11761571 | Compared with prior radiographs of ___, there is improvement in the right basilar opacity and volume loss which likely reflect atelectasis.There is no new focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. | 59837697 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with desaturations and T tube s/p multiple surgeries for recurrent thyroid ca // c/f worsening RLL opacity given hypoxia during day TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | Improvement in right basilar opacity, likely reflecting atelectasis. |
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