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11548527 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Bony structures appear intact, although this study is limited for assessment of osseous structures. Cholecystectomy clips are noted in the right upper quadrant of the abdomen. | 59875528 | INDICATION: Patient with altered mental status. Evaluate for acute cardiopulmonary process. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs. | No evidence of acute cardiopulmonary process. |
11548527 | PA and lateral chest radiograph is provided. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal and has been slowly increasing in size since ___. Clips are present in the right upper quadrant. | 55041032 | INDICATION: History of chest pressure and cough for one week. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. Slowly progressive mild cardiomegaly. |
11548527 | The heart size remains top normal which is unchanged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Cholecystectomy clips are again demonstrated in the right upper quadrant of the abdomen. | 58749223 | HISTORY: Weakness and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11548527 | The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. | 58423000 | INDICATION: ___-year-old woman with shortness of breath and orthopnea and leg swelling. COMPARISON: Chest radiograph, ___. PA AND LATERAL CHEST | No acute cardiopulmonary pathology. |
11864065 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | 51044846 | INDICATION: ___-year-old female with anemia, chest pain and dyspnea. Please evaluate for acute cardiopulmonary process. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None. | No acute cardiopulmonary process. |
11130681 | PA and lateral views of the chest were obtained. There is mild left basilar atelectasis, otherwise the lungs are clear bilaterally with no evidence of CHF. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no displaced rib fractures. No other bony abnormalities. There is no free air below the right hemidiaphragm. | 56225477 | HISTORY: Evaluation for rib fractures in a ___-year-old man who is status post motor vehicle accident with pain in the right anterior chest. COMPARISON: None. | No acute intrathoracic process. No displaced rib fractures. If there is strong clinical concern for rib fractures recommend rib series radiographs. |
11460668 | 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. | 50063946 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with altered mental status // eval for ICH, pneumonia COMPARISON: None | No acute intrathoracic process. |
11823386 | Heart size and cardiomediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax. The right lung is more lucent compared to the left, of uncertain etiology. Chronic right rib fractures. | 58738242 | INDICATION: History: ___M with fall // ? pna COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. | No focal consolidation. No evidence of acute trauma. Hyperlucent right lung, of uncertain clinical significance. This could be further evaluated with a nonemergent CT. |
11096180 | The heart size is normal. Aorta is mildly unfolded and demonstrates scattered calcifications. The hilar contours are normal. Pulmonary vascularity is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild S-shaped scoliosis of the thoracic spine is present. | 59978205 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11096180 | Lungs are clear. Cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is again noted. Thoracic S shaped scoliosis and right shoulder arthroplasty are noted. | 51152079 | INDICATION: ___F with hx CAD, chest pain x 12 hrs, 324 ASA taken PTA // r/o acute CP process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11819384 | PA and lateral views of the chest provided. Previously noted right chest tube is been removed. Cardiomegaly is again seen. A small right pleural effusion persists. Left effusion has diminished. Mediastinal contour is stable. No pneumothorax. Mild interstitial edema is present. Bony structures are intact. | 56267771 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with increased leg swelling // eval for pulm edema COMPARISON: ___. | Interval removal of right chest tube. Small residual effusions. Mild interstitial edema. Stable cardiomegaly. |
11819384 | Small to moderate by the pleural effusions are again demonstrated. These obscure the lung bases. The cardiac silhouette is prominent but may be exaggerated by AP technique. Mediastinal structures appear stable. The bony thorax is grossly intact. | 56309744 | EXAMINATION: CHEST (PORTABLE AP) CLINICAL HISTORY ___ year old woman with presumed HCAP who has persistent O2 requirement // pneumonia vs heart failure pneumonia vs heart failure COMPARISON: ___ | Small to moderate bilateral pleural effusions. Basilar consolidation cannot be excluded. Prominent cardiac silhouette. |
11819384 | PA and lateral views of the chest demonstrate bilateral pleural effusions, decreased in size compared to the prior radiographs, with persistent moderate cardiomegaly. There is no pneumothorax, overt pulmonary edema, or focal consolidation concerning for pneumonia. No subdiaphragmatic free air is noted. | 57025383 | HISTORY: Abdominal pain with nausea and vomiting. COMPARISON: Comparison is made to radiographs of the chest from ___. The study is read in conjunction with concurrently obtained CT of the abdomen and pelvis. | Bilateral pleural effusions and stable moderate cardiomegaly. No subdiaphragmatic free air. |
11819384 | Moderate right effusion is similar to prior. Moderate left effusion is slightly larger compared to prior. There is no pneumothorax. Cardiomegaly is mild. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 58118640 | WET READ: ___ ___ ___ 10:58 PM 1. No enteric tube is identified. 2. Right greater than left bibasilar pleural effusions are similar to the prior study. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ y/o F w/ dysphagia // placement of dobhoff COMPARISON: Chest radiographs ___ | No radioopaque feeding tube imaged. Left effusion is slightly larger than 5 days prior. |
11819384 | When compared to prior, there has been no significant interval change. Moderate right and small left pleural effusions are again noted with probable right basilar atelectasis. There is no pulmonary edema. Moderate cardiac enlargement is again noted. No acute osseous abnormalities. | 55919741 | INDICATION: ___F with s/p fall with c-spine fx // eval for infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No significant interval change. Persistent bilateral pleural effusions, larger on the right. |
11011024 | Very shallow inspiration. Strand of atelectasis at right costophrenic angle. Large left breast shadow, patient position partially compromises evaluation. Mild elevation right hemidiaphragm, new since prior exam. Remainder normal | 53824495 | INDICATION: History: ___F with FTT // eval for pulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ | Shallow inspiration. Minimal right basilar atelectasis. Mild elevation right hemidiaphragm |
11549821 | The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Degenerative changes are present in the spine, primarily in the form of small anterior osteophytes. No subdiaphragmatic free air is present. | 54578210 | HISTORY: ___-year-old male with chest pain. STUDY: PA and lateral chest radiograph. COMPARISON: ___ chest radiograph and ___ chest CTA. | No acute cardiopulmonary process. |
11549821 | Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Mild pulmonary vascular congestion without edema. | 53943392 | HISTORY: ___-year-old man with history of congestive heart failure, presenting with shortness of breath. Evaluate for pulmonary edema. COMPARISON: Chest radiograph from ___. | No evidence of decompensated congestive heart failure. Mild pulmonary vascular congestion. |
11862315 | The lungs are hyperexpanded petechial in the upper zones. There are coarse interstitial markings in the right lower lung more so than the left likely reflecting component of chronic lung disease. Heart is mildly enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. | 59548861 | INDICATION: History: ___M with crackles at bases // ?pna, pulm edema TECHNIQUE: Upright PA and lateral chest COMPARISON: None available | Hyperexpanded lungs with coarsened markings at the lung bases, right greater than left, likely reflecting COPD and chronic lung disease. No definite evidence of pneumonia. |
11053913 | The right costophrenic angle is excluded from these radiographs. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 53503744 | INDICATION: Chest pain, evaluate for acute cardiopulmonary process. COMPARISON: None. | No acute cardiac or pulmonary process. |
11135908 | The heart size and mediastinal contours are normal. Slight elevation of right hilum is noted, without change from the prior study. Previously present right upper lobe consolidation has resolved. The lungs are currently clear, and there are no pleural effusions or acute skeletal findings. | 50289780 | PA AND LATERAL CHEST X-RAY COMPARISON: ___. | No evidence of pneumonia. |
11817853 | The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Median sternotomy wires appear intact and aligned. No acute fractures are identified. | 56340999 | INDICATION: Cough and fever. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11817853 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a streaky opacity projecting over the left mid lung, probably in the lingula, which is suggestive of atelectasis, but which could potentially represent an early focus of pneumonia. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the thoracic spine. | 54045357 | CHEST RADIOGRAPHS HISTORY: Question septic emboli or pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Streaky left mid lung opacity, probably in the lingula, which could be seen with minor atelectasis, although early pneumonia is also a possibility in the appropriate clinical setting. |
11280493 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no overt pulmonary edema. | 51363789 | HISTORY: Overdose and low oxygen saturation. TECHNIQUE: AP upright portable view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11981582 | Cardiac, mediastinal, and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No displaced rib fractures are identified. | 54772845 | HISTORY: Right upper quadrant abdominal pain, prior contusion to the right lower chest. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11322005 | Heart size is mildly enlarged. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 56459143 | HISTORY: Right ankle reduction post fracture, preoperative assessment. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11116576 | 2 views were obtained of the chest. Thin sliver of intraperitoneal air under the right hemidiaphragm is consistent with recent surgery. The lungs are otherwise clear without pleural effusion or pneumothorax. Linear right basilar atelectasis is noted. The heart is normal in size with normal mediastinal and hilar contours. Dextroscoliosis noted. | 55394292 | HISTORY: Abdominal pain after surgery, assess for abnormality. COMPARISON: ___. | Expected postsurgical free intraperitoneal air without acute intrathoracic process. |
11663663 | Small to moderate right pleural effusion has minimally decreased compared to prior. There is somewhat improved aeration at the right lung base with persistent right lower lobe opacity. No new consolidation, left pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. | 58302703 | HISTORY: ___-year-old male with schizoaffective disorder and recent pneumonia and pleural effusion. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Persistent right pleural effusion. Persistent right lower lobe opacity. Clinical correlation for signs of continued or recurrent infection is recommended; CT could be performed for further evaluation as clinically indicated. Findings and recommendations were reported to the radiology communication dashboard on ___. |
11663663 | There is a right lower lung consolidation and adjacent moderate pleural effusion with pleural effusion appearing increased. No pneumothorax is seen. The left lung field appears clear with minimal basilar atelectasis, likely related to low lung volumes. Heart and mediastinal contours are within normal limits; aortic calcifications are noted. Dextroconvex thoracic scoliosis appears unchanged compared to prior. | 50219589 | INDICATION: ___-year-old male with lethargy. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Right lower lung consolidation and pleural effusion, concerning for pneumonia. These findings were reported to Dr. ___ by Dr. ___ by telephone at 1:45 p.m. on ___ at the time of discovery of these findings. |
11663663 | AP and lateral views of the chest were obtained with patient positioned upright. There is a small right pleural effusion with right basilar consolidation which could represent atelectasis or pneumonia. There is left basilar atelectasis. Low lung volumes. Heart is top normal in size. No pneumothorax. Mediastinal contour appears normal. No free air below the right hemidiaphragm. | 53633946 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Altered mental status, assess for acute intrathoracic process. | Bibasilar atelectasis, right pleural effusion with lower lung consolidation could represent pneumonia versus atelectasis. |
11291839 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 54179330 | INDICATION: ___-year-old male with syncope. Please evaluate for acute process. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE | No acute intrathoracic process. |
11112231 | Lungs are hyperinflated with biapical hyperlucency, flattening of the diaphragm, add widening of the retrosternal clear space. Heart size is top normal. The aorta is tortuous and unfolded. There are no pleural effusions or pneumothorax. Moderate S-shaped scoliosis is present. | 52273424 | INDICATION: ___-year-old female with palpitations. No prior examinations for comparison. CHEST, PA AND | Chronic obstructive airways disease. |
11198679 | Frontal and lateral views of the chest were obtained. There is a large area of right upper lobe opacity worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. | 56263144 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Diabetic, tachycardia, evaluate for pneumonia. COMPARISON: None. | Right upper lobe pneumonia. |
11143450 | 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. | 54318166 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // Eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11666315 | Frontal and lateral views of the chest demonstrate low lung volumes. Mild interstitial pulmonary abnormality persists. No pleural effusion. No focal consolidation. Mild to moderate cardiomegaly is stable. Thoracic aorta is tortuous. Bones are demineralized. Remote left rib fracture is noted. Sternotomy wires are intact. Surgical clips project over cardiac silhouette. Tracheostomy tube appears appropriately positioned. | 57519357 | INDICATION: Patient with swollen right hand and metabolic disturbances. COMPARISONS: ___. | Persistent mild interstitial abnormality and mild cardiomegaly are chronic. |
11666315 | While there is mild cardiomegaly. The patient is status post CABG with sternal wires and mediastinal clips. The right hemidiaphragm is mildly elevated and there is crowding at the right base. It is unclear if the opacity in this region is due to volume loss or infiltrate. The left lung is clear. There is mild pulmonary vascular redistribution. | 56962113 | HISTORY: Anoxic brain injury with fever. COMPARISON: ___ ___. | Opacity at the right base could be due to volume loss or early infiltrate. |
11666315 | Tracheostomy tube is seen coursing into the midline, overlying the trachea. The patient is status post median sternotomy and CABG. There has been a center resolution of previously seen perihilar opacities. There are bibasilar opacities which could be due to aspiration, infection, and/or atelectasis. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. There are extensive vascular calcifications. | 51794755 | HISTORY: Trach TECHNIQUE: Still AP upright portable view of the chest. COMPARISON: ___. | Interval essential resolution of previously seen perihilar opacities. Patchy bibasilar opacities may be due to infection, aspiration, and/or atelectasis. |
11666315 | AP and lateral views of the chest. Tracheostomy tube is identified in place, tip approximately 2 cm from the carina. Relatively low lung volumes are seen. Left basilar streaky opacity is seen. This could potentially be due to atelectasis although infection or aspiration is also possible. Elsewhere the lungs are clear of consolidation. There is no effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormality detected. | 58420648 | HISTORY: ___-year-old male with tracheostomy and mucous plugging and cough. Question pneumonia. COMPARISON: None. | Streaky left basilar opacity, potentially atelectasis noting infection or aspiration is not excluded. |
11666315 | Single frontal view of the chest. Left subclavian central line terminates in the mid SVC. Median sternotomy wires and mediastinal surgical clips are noted. There is an opacity at the right lung base, at least part of which looks like is due to pleural fluid tracking along the fissure. Medially, the opacity may represent focal atelectasis, but cannot rule out pneumonia or aspiration in the right clinical setting. The lungs are otherwise clear. There is no left pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is unremarkable. | 56238871 | HISTORY: Hypotension concerning for pneumonia. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___. | Right lung base opacity, which may represent atelectasis but cannot exclude pneumonia versus aspiration in the right clinical setting. Small right pleural effusion. |
11666315 | The patient is status post median sternotomy and CABG. Tracheostomy tube remains in unchanged position. Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unchanged. Lung volumes are reduced compared to the previous exam. New alveolar opacities are demonstrated within the left upper and lower lung fields as well as a patchy opacity within the right lung base. No pleural effusion, pulmonary vascular congestion, or pneumothorax is identified. Remote fracture of the left 2nd rib is again seen. There are vascular calcifications noted. | 51970217 | HISTORY: Shortness of breath. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | New alveolar opacities within the left upper land ower lung fields concerning for pneumonia. Patchy right basilar opacity could reflect an reflect additional site of infection or atelectasis. |
11666315 | Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There are persistent opacities in the bilateral bases, most likely atelectasis, but aspiration or pneumonia cannot be excluded. There has been interval improvement in the degree of interstitial pulmonary edema, which is now almost completely resolved. Moderate cardiomegaly is unchanged. The superior mediastinum remains enlarged, likely secondary to tortuous vessels. Tracheostomy tube ends 4.3 cm from the carina. Note is made of multiple very dilated loops of bowel in the upper abdomen. | 58348425 | HISTORY: ___-year-old man status post CABG, here with cellulitis, now with fever and tachycardia. Evaluate for pneumonia. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | Persistent opacities in the bilateral bases, most likely atelectasis, but aspiration or pneumonia cannot be excluded. Note is made of multiple very dilated loops of bowel in the upper abdomen. |
11666315 | No focal consolidation, pleural effusion, or pneumothorax is seen. Mild interstitial abnormality persists. Heart and mediastinal contours are stable. Lung volumes are slightly low. Aortic calcification is again noted. Tracheostomy appears similarly positioned. Median sternotomy wires appear intact. Mediastinal clips suggest prior CABG. A clip is also seen in the region of the gastroesophageal junction, unchanged. | 52659877 | HISTORY: ___-year-old male with productive cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Persistent mild interstitial abnormality. No new focal consolidation. |
11666315 | Single frontal view of the chest. A tracheostomy is seen in adequate position. Bibasilar opacities are seen, which may represent atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. There is moderate right pleural effusion. The left costophrenic angle is not included on this exam, but no left pleural effusion is seen. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. | 52451916 | HISTORY: Tracheostomy, worsening tachypnea. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Bibasilar opacities and right pleural effusion. Findings may represent atelectasis, but cannot exclude pneumonia or aspiration in the right clinical setting. |
11666315 | The patient is status post median sternotomy and CABG. Low lung volumes are present. The heart size remains mildly enlarged. Mediastinal and hilar contours are stable. There is crowding of the bronchovascular structures. Patchy opacities in the lung bases may reflect atelectasis though aspiration or infection cannot be excluded. No pleural effusion or pneumothorax is seen. There is diffuse gaseous distention of bowel loops as well as the stomach within the upper abdomen. Diffuse demineralization of the osseous structures is noted with degenerative changes identified in both glenohumeral joints. | 59538789 | HISTORY: Dyspnea. TECHNIQUE: Upright AP view of the chest. COMPARISON: Chest radiograph ___. | Low lung volumes. Patchy opacities in the lung bases could reflect atelectasis though infection or aspiration are not excluded. Diffuse gaseous distention of the stomach and bowel loops within the imaged upper abdomen. |
11666315 | The patient is status post median sternotomy and CABG. Tracheostomy tube tip is in unchanged position. The patient is status post median sternotomy and CABG. The heart is moderately enlarged. Mediastinal contours are unchanged. There is mild interstitial pulmonary edema which is worse compared to previous exam. Furthermore, there are more focal patchy opacities within the right upper lung field as well as within both lung bases. No large pleural effusion or pneumothorax is present. A percutaneous enteric tube is partially imaged in the upper abdomen. Moderate vascular calcifications are present. | 52044954 | HISTORY: Tracheostomy with shortness of breath and chest pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild interstitial pulmonary edema and more focal opacities in the right upper lung field as well as both lung bases which may reflect areas of aspiration or multifocal pneumonia. |
11666315 | There are hazy alveolar infiltrates most marked in the right lower lobe and left upper lobe there is pulmonary vascular redistribution. There is dense retrocardiac opacity. There are bilateral pleural effusions left greater than right. Tracheostomy tube and left-sided PICC catheter are unchanged. | 59551907 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with sepsis, pneumonia and chronic ventilatory needs // evaluate for interval change TECHNIQUE: Portable chest COMPARISON: ___. | CHF, similar to prior |
11666315 | Single portable chest radiograph is severely limited given patient motion. As per technician note, the patient had great difficulty with positioning and following instructions. Within this limitation, the heart is mildly enlarged. There are perihilar opacifications which likely represent severe but improved pulmonary edema, though superimposed pneumonia is not excluded. Likely small bilateral pleural effusions. Severe degenerative changes at the right glenohumeral joint. | 55846009 | INDICATION: Dyspnea, decreased breath sounds, evaluate for pneumonia. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___. | Severely limited examination. Mild cardiomegaly. Persistent but decreased perihilar opacification consistent with pulmonary edema. Given degree of severity of edema cannot exclude superimposed pneumonia. Bilateral small pleural effusions. |
11403616 | The patient is status post median sternotomy and CABG. Posterior rod and screw fixation hardware in the lower cervical spine is again noted. The heart size is at the upper limits of normal. The mediastinal and hilar contours are within normal limits. The lungs demonstrate bibasilar airspace opacities. There is currently no pleural effusion or pneumothorax. An old posterlateral rib fracture is present in the left upper rib cage. | 56926431 | HISTORY: ___-year-old male with weakness and cough. STUDY: PA and lateral chest radiograph. COMPARISON: ___. | Bibasilar opacities, likely atelectasis. Aspiration or pneumonia cannot be completely excluded. |
11956125 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart is normal in size and does not show any configurational abnormality. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on the frontal view. Skeletal structures of the thorax remain within normal limits. | 51588563 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with diabetes mellitus type 2, prolonged cough with upper respiratory infection that improved and now worsened again. Evaluate for pneumonia. | No evidence of cardiac enlargement, pulmonary congestion, or acute infiltrates. Chest findings remain normal and have not undergone any significant interval change since a previous examination of ___. |
11440644 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There are probably bilateral calcified hilar lymph nodes . Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50521495 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with atypical R sided chest discomfort post URI. // acute parenchymal abnormalities COMPARISON: None | No acute intrathoracic process. |
11709822 | Endotracheal tube is low lying, terminating at the level the carina. Enteric tube tip courses below the left hemidiaphragm and into the stomach, off the inferior borders of the film. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities in lung bases may reflect atelectasis. No large pleural effusion or pneumothorax is demonstrated on this supine view. No acute osseous abnormalities detected. | 52526439 | WET READ: ___ ___ 2:05 PM Endotracheal tube tip at the level of the carina. Recommend withdrawal by at least 5 cm. Enteric tube in standard position. Bibasilar atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SDH, intubated transfer // evaluate for tube placement TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Endotracheal tube tip at the level of the carina. Recommend withdrawal by at least 5 cm. Enteric tube in standard position. Bibasilar atelectasis. |
11062918 | There is a new mass-like appearance to the left hilum worrisome for underlying neoplasm and in addition the left upper mediastinal contours are newly thickened and lobular which raises concern for coinciding lymphadenopathy. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. | 58484165 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | Findings worrisome for new left perihilar mass as well as mediastinal lymphadenopathy. Chest CT is recommended. |
11062918 | AP upright and lateral views of the chest provided. Right lung is clear. There is volume loss in the left lung with perihilar opacity which could reflect patient's known malignancy. Difficult to exclude a superimposed pneumonia. No large effusion or pneumothorax is seen. The overall cardio mediastinal silhouette appears grossly stable from the prior CT allowing for differences in modality. | 51429466 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with fever and cough, non-small-cell lung cancer // Eval for pneumonia COMPARISON: Chest CT from ___ | Left perihilar opacity could represent patient's known malignancy though a superimposed pneumonia difficult to exclude. |
11292424 | Consolidation within the left lower lobe concerning for pneumonia. Mild interstitial pulmonary edema. No additional focal consolidations. Stable enlargement of the cardiomediastinal silhouette. No large pleural effusion. No pneumothorax. | 51140827 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, cough // infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Left lower lobe consolidation concerning for pneumonia. Mild interstitial pulmonary edema with stable cardiomegaly. |
11292424 | The lung volumes are low with secondary widening of the cardiomediastinal silhouette and vascular congestion. There is no pleural effusion and no pneumothorax. There is mild cardiomegaly and mild pulmonary edema. | 59487738 | WET READ: ___ ___ ___ 5:40 PM Mild CMG and vascular congestion. No edema. No PNA. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with cough. Please assess for pneumonia. TECHNIQUE: Single frontal radiograph of the chest was obtained. COMPARISON: Chest radiograph from ___ and from ___. | Mild cardiomegaly and mild pulmonary edema. Repeat CXR after diuresis is recommended to assess. |
11292424 | There has been interval increase in moderate-to-severe pulmonary edema. Cardiac silhouette is enlarged. Mediastinal contours are stable. Given low lung volumes and lack of lateral views, it is difficult to exclude small pleural effusions. No pneumothorax. | 53790866 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: ___-year-old female with history of acute onset shortness of breath/crackles, left greater than right, question CHF. COMPARISON: ___. | Interval increase in marked pulmonary edema. Cardiomegaly. |
11292424 | There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar opacities most likely represent atelectasis. Cardiomediastinal silhouette is within normal limits. There is some indistinctness of pulmonary vessels, which could reflect elevation of pulmonary venous pressure. Of incidental note is a calcification in the left lower neck, consistent with thyroid adenoma. | 55212785 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with a history of diabetes and COPD, presenting for evaluation of shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
11292424 | Frontal and lateral views of the chest were obtained. Since ___, there is increased pulmonary vascular congestion with ___ B lines suggestive of interstitial pulmonary edema. Mild cardiomegaly is unchanged. Heterogenous opacity at the right cardiophrenic sulcus can be explained by edema. There is no pleural effusion or pneumothorax. The mediastinal silhouette is unchanged. | 57868691 | CLINICAL HISTORY: ___-year-old woman with onset of dyspnea and cough this evening. Evaluate for pneumonia or fluid overload. COMPARISON: Multiple chest radiographs dating back to ___, most recently ___. | Findings compatible with moderate congestive heart failure. Follow is recommended after treatment to evaluate for underlying pneumonia. Preliminary finding of "CHF and right middle lobe pneumonia" was discussed with Dr. ___ by phone at 5:05am ___. The change in the final read was discussed with Dr. ___ by phone at 8:37am ___. |
11292424 | The cardiac silhouette continues to be moderately enlarged. Low lung volumes accentuate the pulmonary vasculature. There are no overt signs of pulmonary edema or pleural effusion. There are no focal opacities or pneumothorax. The mediastinal contours are normal. | 59492083 | HISTORY: Weakness status post dialysis. Evaluate for infection. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11292424 | Frontal and lateral radiographs the chest demonstrate bibasilar atelectasis. There is no pneumothorax, pleural effusion, or focal consolidation. The cardiomediastinal and hilar contours are unchanged. | 51265913 | HISTORY: Fever. Evaluate for pneumonia. COMPARISON: Multiple prior radiographs of chest dated ___ through ___. | Bibasilar atelectasis, however superimposed infection cannot be excluded. |
11292424 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is enlarged, mediastinal silhouette assessment demonstrate prominence of the main pulmonary artery, both unchanged since ___. Mild upper zone re- distribution of the pulmonary vasculature is present but there is no overt pulmonary edema. A calcification in the low left correlates with a calcified thyroid nodule seen on prior CT. | 50735085 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with epigastric pain, diaphoresis // Acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___ | Pulmonary vascular congestion, with no overt pulmonary edema. |
11292424 | Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There are increased streaky opacities at the bilateral bases which likely represent atelectasis, however superimposed infection cannot be excluded. Perihilar prominence of vessels suggests pulmonary vascular engorgement. There is no pleural effusion or pneumothorax. | 50123787 | HISTORY: Fever. Evaluate for pneumonia. COMPARISON: Multiple prior radiographs the chest dated ___ through ___. | Increased streaky opacities at the bilateral bases which likely represent atelectasis, however superimposed infection cannot be excluded. Perihilar prominence of vessels suggests pulmonary vascular engorgement. |
11292424 | Low inspiratory lung volumes are unchanged from the preceding radiograph. There is mildly improved but persistent bilateral moderate pulmonary edema and pulmonary vascular congestion from ___. The costophrenic angles are visualized without appreciable pleural effusion. No large pneumothorax or focal consolidation is present. The cardiac silhouette is enlarged but stable. Mediastinal and hilar contours are unchanged. | 54283790 | INDICATION: ___-year-old female with end-stage renal disease, on dialysis, now with pulmonary edema, here to evaluate for interval changes. COMPARISON: Chest radiographs, last performed on ___. PORTABLE FRONTAL CHEST | Mildly improved moderate pulmonary edema from ___ consistent with decreased fluid overload. |
11292424 | Bibasilar opacities, predominately affecting the base of the right lung are suggestive of worsening pneumonia, markedly increased from ___. Lung volumes are somewhat low which accentuates bronchovascular markings. The heart is minimally enlarged. The aorta is tortuous. No pneumothorax or large pleural effusion. Mild pulmonary vascular engorgement and interstitial edema. | 56134134 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with rll pneumonia with worsening hypoxemia // ? flash pulm edema TECHNIQUE: AP view of the chest COMPARISON: Multiple priors most recent on ___ | Increasing bibasilar opacities, right greater than left are suggestive of worsening pneumonia. Mild pulmonary vascular engorgement and edema. |
11292424 | PA and lateral views of the chest provided. New increased opacity in the right lung base is suspicious for developing pneumonia and less likely atelectasis. Cardiomedistinal and hilar contours are unchanged, specifically prominence of main pulmonary artery is unchanged. There are no pleural effusions. | 54347620 | WET READ: ___ ___ ___ 5:02 PM Possible developing right lower lobe pneumonia. WET READ VERSION #1 ___ ___ 3:16 PM Possible developing right lung base pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, weakness // ?pna COMPARISON: Chest radiograph ___ | Possible developing right lower lobe pneumonia. |
11292424 | There are bilateral predominantly basilar airspace opacities right greater than left, mildly less severe when compared to ___. Heart size is enlarged. The aorta is tortuous. There is no pleural effusion or pneumothorax. A calcified structure adjacent to the upper left trachea corresponds to a calcified thyroid nodule on prior CT scan. | 54848352 | EXAMINATION: Chest radiograph. INDICATION: ___F with ESRD on hemodialysis, CAD s/p PCI, IDDM, HTN, presenting with acute onset SOB, evaluate for volume overload. TECHNIQUE: AP and lateral view of the chest. COMPARISON: Comparison is made to chest radiograph ___ and chest CT ___ | Bilateral predominantly basilar opacities right greater than left, differentials include multifocal pneumonia or pulmonary edema. |
11294021 | The heart continues to be severely enlarged. There is pulmonary vascular redistribution and patchy areas of alveolar infiltrate bilaterally. There are bilateral pleural effusions. There is opacity at both lower lungs consistent volume loss/infiltrate/effusion. Left subclavian line tip is downward pointing in the proximal SVC. The feeding tube tip is at least in the stomach. | 58954263 | HISTORY: Subdural hematoma and aspiration pneumonia. COMPARISON: ___. | worsened CHF. Underlying infectious infiltrate can't be excluded |
11294021 | Semi-upright portable view of the chest demonstrates Dobbhoff tube terminating in the stomach. The left PIC catheter tip projects over right brachiocephalic vein. Lung volumes are low, which accentuate bronchovascular markings. Perihilar vascular congestion and mild pulmonary edema is minimally improved since prior. No pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. The heart is moderately enlarged. | 52929784 | INDICATION: Patient with history of subdural hematoma and seizures, assess for aspiration. COMPARISONS: ___ and ___. | Persistent mild pulmonary edema. No definite evidence of aspiration. |
11653727 | Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms suggesting chronic obstructive pulmonary disease. There is bibasilar atelectasis. No new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. | 58818149 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: CHF with increased dyspnea. COMPARISON: ___. | No significant interval change. |
11653727 | The cardiomediastinal and hilar contours are stable with calcification of the aortic knob. There is no pleural effusion or pneumothorax. There is scarring at the left lung base, which is unchanged compared to the radiograph from ___. Again demonstrated are severe upper lobe predominant emphysematous changes. There is no focal consolidation concerning for pneumonia. | 55400409 | INDICATION: Cough, increased sputum production, dyspnea on exertion. COMPARISON: Chest radiograph ___, CT chest ___. | No pneumonia or other acute abnormality. Dr. ___ ___ these results with Dr. ___ at 4:22 p.m. on ___, 20 minutes after the time of discovery via telephone. |
11653727 | The lungs are hyperinflated with flattening of the diaphragms. In comparison to prior studies, there is an increase in the already prominent interstitial markings, most predominantly affecting the lung bases. Upper lungs remain more lucent, compatible with emphysema. No pneumothorax. Heart is mildly enlarged and increased from ___. Mediastinal and hilar contours are unremarkable. | 57254763 | INDICATION: Syncope and cough. Evaluate for a focal consolidation. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. | Mild pulmonary edema superimposed on chronic lung disease and emphysema. |
11653727 | AP and lateral radiographs of the chest demonstrate clear lungs with severe emphysematous changes in the upper lobes, unchanged from the prior examination. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced fracture is seen. | 57456334 | HISTORY: Fall. Rule out fracture. COMPARISON: Chest radiograph from ___. | No displaced fracture identified. However this is not a sensitive test for subtle nondisplaced rib fractures. If there is continued clinical concern, a dedicated rib series with a skin marker at the location of the patient's pain is recommended. No acute cardiopulmonary process. Emphysema. |
11653727 | Single portable AP upright chest radiograph demonstrates hyperinflated lungs and flattening of the diaphragms. Prominent interstitial markings are noted at bilateral lung bases which when compared to prior study dated ___ is largely unchanged. No focal consolidation convincing for pneumonia is seen. Heart is within upper limits of normal in size. There is no evidence of pulmonary edema. There is no pneumothorax or large pleural effusion. | 58792464 | INDICATION: ___ year old male with shortness of breath. TECHNIQUE: Single portable AP upright. COMPARISON: Chest radiograph dated ___. | Findings suggestive of emphysema with prominent interstitial markings at bilateral lung bases largely unchanged compared to prior study dated ___. No evidence convinced for an acute infectious process. |
11653727 | The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. The lungs appear clear within the limitations of technique. There is no pleural effusion or pneumothorax. Lucency in the upper lungs is consistent with fairly severe emphysema. Lucencies overlying the left chest suggest soft tissue contours | 50753629 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Congestive heart failure. Question volume status. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright views. | Emphysema. No evidence of acute disease. |
11134071 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 50658805 | INDICATION: Lumbar tenderness. No comparison studies available. FRONTAL CHEST | No acute intrathoracic process. |
11867852 | Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 52334805 | HISTORY: Altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11811720 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lung volumes are low but are otherwise clear. There is no pleural effusion or pneumothorax. No free air seen below the diaphragm. | 58343388 | HISTORY: Fevers and vomiting. COMPARISON: None available. TECHNIQUE: AP and lateral chest radiograph, three views. | No acute intrathoracic abnormality. |
11811720 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54374292 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain. | No acute intrathoracic process. |
11811720 | The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits. There is no pneumomediastinum or pneumoperitoneum. Gaseous distention of small bowel loops is noted. | 54811632 | INDICATION: Recent hospitalization for gastroenteritis and probable ___ tear from vomiting, now with continued epigastric pain. COMPARISON: Chest radiograph ___. | No acute cardiothoracic process. No pneumoperitoneum. |
11174811 | Single AP supine portable view of the chest was obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. | 54865968 | EXAM: Chest, single AP supine portable view. CLINICAL INFORMATION: ___-year-old female with history of fall. COMPARISON: None. | No acute cardiopulmonary process. |
11896676 | Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Minimal right basilar patchy opacity may reflect atelectasis. There are mild multilevel degenerative changes in the thoracic spine. No acute osseous abnormality is identified. | 51022985 | EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with fall head strike TECHNIQUE: Chest PA and lateral COMPARISON: Upright AP and lateral views of the chest | No acute cardiopulmonary abnormality. |
11092156 | The endotracheal tube terminates 3.3 cm above the carina. Unchanged NG tube and left PICC line, which ends at the superior cavoatrial junction. There is an esophageal device ending at the thoracic inlet. Since the prior radiograph, the cardiomediastinal silhouette has enlarged with a new small right pleural effusion, engorgement of the pulmonary vasculature, and worsened consolidation in the left lower lobe. This could be due to atelectasis or pneumonia. | 57225938 | EXAMINATION: Chest (portable AP) INDICATION: ___ year old man with cerebellar stroke. Eval intrathoracic process. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___, ___, ___, and ___. | Interval enlargement of the cardiac mediastinal silhouette and small right pleural effusion. Worsened consolidation of the left lower lobe, which could be due to atelectasis or pneumonia. Esophageal device ends at the thoracic inlet. |
11092156 | The endotracheal tube terminates 4 cm above the carina. No change in the left subclavian PICC line and NG tube. Previously described left retrocardiac opacity has improved. Small left pleural effusion is likely unchanged, despite differences in patient positioning. The lungs are otherwise clear without pneumothorax or focal consolidation. | 52239402 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with severe cerebellar stroke, intubated and sedated. Eval ETT status. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs from ___, ___, and ___. | Endotracheal tube terminates 4 cm above the carina. Interval improvement in the left retrocardiac opacity, with persistent small left pleural effusion. |
11092156 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The descending thoracic aorta is tortuous The cardiomediastinal silhouette is otherwise within normal limits. | 59657566 | EXAMINATION: Chest radiograph. INDICATION: ___M with AMS // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Reference chest radiographs dated ___ at 14:05. | No evidence of acute cardiopulmonary process. |
11676216 | Frontal and lateral views of the chest demonstrate normal lung volumes. No focal consolidation, pleural effusion or pneumothorax is seen. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. | 50100324 | INDICATION: Patient with syncopal episode. COMPARISONS: None available. | No evidence of acute cardiopulmonary process. |
11331949 | 2 chest drains are now in-situ in the right lung. There is improved aeration of the right lung base although there is residual pleural fluid, the configuration suggests this is likely loculated. Airspace opacity in the right lung base likely reflects atelectasis but consolidation cannot be excluded. No pneumothorax seen. The left lung appears grossly clear. | 59256813 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with loculated empyema s/p 2 chest tubes // patient w/ new chest tube TECHNIQUE: Portable AP chest radiograph. COMPARISON: CT chest ___ | Improved aeration of the right lung base with decreased pleural fluid however there are residual, likely loculated, pleural effusions. |
11285815 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 50145059 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11286630 | There is a tortuous thoracic aorta. Otherwise, the cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 50362032 | INDICATION: ___F with pleuritic chest pain, evaluate for pneumonia, pneumothorax, mass. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
11079785 | Note is again made of basilar-predominant linear opacities consistent with patient's known interstitial lung disease. There is no new airspace opacity concerning for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. The mediastinal contours are within normal limits and unchanged. Trachea is midline. The visualized upper abdomen is unremarkable. There is a deformity at the right lateral eighth rib, which is unchanged from the prior study and may represent prior fracture. | 52515006 | INDICATION: Fever and cough for the past two days ago, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute findings in basilar-predominant interstitial lung disease. |
11079785 | Decreased lung volumes are redemonstrated. The cardiac, mediastinal and hilar contours are unchanged. Coarse interstitial opacities in a basal predominant pattern are compatible with the patient's underlying chronic interstitial lung disease, previously characterized as fibrotic NSIP related to scleroderma on prior CT. These fibrotic changes limit assessment of the underlying lung parenchyma, but no new areas of opacification are present to suggest pneumonia. The pulmonary vascularity does not appear engorged. No pleural effusion or pneumothorax is identified, and no acute osseous abnormality is seen. | 51217446 | INDICATION: Buttock pain, vomiting and fever. COMPARISON: ___ chest radiograph and ___ chest CT. PA AND LATERAL VIEWS OF THE | Chronic interstitial lung disease compatible with fibrotic NSIP as characterized on the prior chest CT, without new areas of parenchymal opacification identified to suggest pneumonia. |
11079785 | PA and lateral views of the chest demonstrate basilar-predominent linear opacities consistent with patient's known interstitial lung disease. There is increased opacity at the left base and left hilus concerning for acute infectious/inflammatory process on top of the patient's chronic interstitial lung disease. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. Mediastinal contours are within normal limits and unchanged. The trachea is midline. There is a deformity of the right lateral 8th rib which is unchanged from the prior study consistent healed rib fracture. | 58908973 | HISTORY: Fever and weakness evaluate for pneumonia. COMPARISON: Chest radiograph from ___. | Increased opacity at the left base and left hilus concerning for an acute infectious/inflammatory process on top of patient's known interstitial lung disease. Telephone notification to Dr. ___ by Dr. ___ at 22:30 on ___ |
11079785 | The lungs are mildly hypoinflated with crowding of vasculature. No pneumothorax. Persistent blunting of the right costophrenic angle. No left pleural effusion. Bibasilar reticular opacities are consistent with interstitial fibrosis, unchanged in appearance since prior examination. Heart size, mediastinal contour, and hila are unremarkable. | 55170321 | WET READ: ___ ___ ___ 8:41 AM 1. Chronic interstitial lung disease with basal predominance of interstitial lung markings. 2. No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with left sided chest pain and productive cough. Assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___. | Chronic severe restrictive pulmonary fibrosis. No evidence of pneumonia, cardiac decompensation or other acute abnormality. |
11079785 | Bilateral basal predominant linear opacities are consistent with patient's known interstitial lung disease without significant change, or in fact mild improvement from the prior study. No focal consolidation, pleural effusion or pneumothorax is seen. The heart is normal in size with normal mediastinal contours. | 52376256 | HISTORY: Cough and chest pain. TECHNIQUE: 2 views of the chest. COMPARISON: ___ | Chronic fibrotic lung disease without acute process. |
11079785 | Increased interstitial markings bilaterally, basal predominant, consistent with fibrosis/chronic lung disease, possibly slightly increased as compared to the prior study. Slight increased since the prior study may be due to overlying minimal edema or acute exacerbation on chronic disease. There is persistent blunting of the right costophrenic angle. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 59989758 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with 4 days of flu-like illness // any evidence of pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Basilar predominant increased interstitial markings bilaterally, this patient with chronic interstitial lung disease, appears slightly increased in the upper to mid lung zones which may be due to superimposed mild interstitial edema or acute exacerbation of chronic lung disease. No lobar consolidation. |
11079785 | Again noted are extensive bibasilar interstitial opacities in keeping with known fibrosis related to scleroderma. There is no new focal consolidation. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. | 56986418 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with postoperative fever. Evaluate for pneumonia. History of scleroderma and pulmonary fibrosis. TECHNIQUE: Chest PA and lateral COMPARISON: CT of the torso from ___ and chest radiograph from ___. | Unchanged appearance of bibasilar fibrosis with no new consolidation to suggest pneumonia. |
11079785 | Frontal and lateral views of the chest were obtained. Reticular opacity at the lung bases are again seen, in keeping with the patient's known interstitial lung disease. No definite new focal consolidation is seen. There is persistent blunting of the right costophrenic angle. Left hilar opacity appears slightly decreased as compared to the prior study. The cardiac and mediastinal silhouettes are stable. No pneumothorax. | 52566324 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: HIV, Crohn's, on Femara. Interstitial lung disease with worsening cough and fevers. COMPARISON: ___. | Interstitial lung disease without definite new focal consolidation. Persistent blunting of the right costophrenic angle. |
11079785 | Compared with the prior radiograph, no significant change in bilateral increased interstitial lung markings, basal predominant, consistent with fibrosis/ chronic lung disease. There is persistent blunting of the right costophrenic angle without large pleural effusion or pneumothorax. Cardiomediastinal silhouettes are unchanged. Slight increase in right basilar opacity may be due to overlying minimal edema or acute exacerbation on chronic disease. | 57420447 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough. Evaluate for pneumonia, masses. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___ and ___. Chest CT of ___. | Chronic interstitial lung disease, indicated by prominent basal predominant interstitial lung markings and fibrosis. Increased opacity at the right lung base may be due to acute exacerbation of the chronic process. Superimposed infection is not excluded. No evidence of pneumothorax. |
11821100 | The heart is mildly enlarged. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. Patchy opacity in the left costophrenic sulcus suggests minor atelectasis or scarring. Mild-to-moderate degenerative changes are present along the mid-to-lower thoracic spine. | 51620663 | CHEST RADIOGRAPHS HISTORY: Trauma. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of injury. |
11438336 | The heart is mildly enlarged. The aortic arch is calcified. The mediastinal and hilar contours do not appear significantly changed. The lungs are clear. There are no pleural effusions or pneumothorax. Post-traumatic changes are incompletely characterized in the proximal left humerus, but there is no suggestion of substantial change. | 54844120 | CHEST RADIOGRAPHS HISTORY: Generalized weakness. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | No evidence of acute disease. |
11438336 | A frontal semi-upright view of the chest was obtained portably. Increased perihilar opacities and Kerley B lines are compatible with pulmonary edema. The cardiac silhouette is enlarged, similar to prior studies. The right costophrenic sulcus is not well seen, possibly due to a small right pleural effusion. There is no left pleural effusion. No pneumothorax. Aortic knob calcifications are again seen. Hardware in the left humeral head, incompletely evaluated on this study. The left humeral head is not seated in the glenohumeral joint and appears more displaced than on ___ and definitely more displaced than on ___. Some of the difference may be due to differences in patient position. | 50222995 | CLINICAL HISTORY: ___-year-old woman with fever and altered mental status. Evaluate for pneumonia. COMPARISON: Chest radiograph ___ and ___. | Moderate pulmonary edema with possible small right pleural effusion. Consider repeat radiograph after diuresis to evaluate for underlying pneumonia. Increased left shoulder dislocation/displacement since ___ and ___, which may in part be due to technique. Dedicated shoulder radiographs could be obtained if clinically indicated. Discussed with Dr. ___ by phone at 8:10pm ___. |
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