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11438336
AP upright and lateral views of the chest were obtained. There is no focal consolidation, effusion, or pneumothorax. There is mild interstitial pulmonary edema with Kerley B lines and cephalization. Cardiomediastinal silhouette is stable with atherosclerotic calcification along the aortic knob. Bony structures appear intact with screws again noted in the left humeral head.
54937437
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Confusion and fever, assess for pneumonia.
Findings compatible with mild interstitial pulmonary edema.
11097895
The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac, mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
59783296
INDICATION: Upper abdominal pain, here to evaluate for pneumonia. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.
No acute cardiopulmonary process.
11244458
Mild cardiomegaly. 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.
57532162
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CP and palpitations, h/o pericarditis // eval pneumonia, ptx other acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
No acute cardiopulmonary abnormality.
11244458
No focal consolidation is seen. No pleural effusion or pneumothorax is seen. Mild enlargement of the cardiomediastinal silhouette is stable. No pulmonary edema is seen.
51450188
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain, palpitations // evaluate for ACS TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No significant interval change.
11244458
PA and lateral views of the chest show normal lung volumes without consolidation or nodule. There is no pleural effusion or pneumothorax. Heart size is mildly enlarged since ___, this enlargement might be due to recent pericarditis.
57275472
PATIENT HISTORY: ___-year-old woman with recent pneumonia and pericarditis, complaints of left thoracic pain with inspiration. Re-evaluation for pleural effusion. COMPARISON: Exam is compared to chest x-ray of ___.
Mild heart enlargement, likely related to recent pericarditis, no pleural effusion or signs of pneumonia.
11244458
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
58977667
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with right sided heaviness, tinnitus, headache, vision change // r/o ICA or vertebral artery dissection, ICH TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11244458
There is stable retrocardiac opacity that may reflect scarring/postsurgical change or atelectasis. The lungs and pleural spaces are otherwise clear without evidence of pneumothorax or pleural effusions. No focal consolidations are seen. The heart is within upper limits of normal in size. Mild degenerative change is present within the thoracic spine with some spurring. No acute fractures are seen.
52570151
PA AND LATERAL CHEST RADIOGRAPH CLINICAL INDICATION: ___-year-old female with chest pain and pericarditis and VATS for neurofibroma removal. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___.
No acute intrathoracic process.
11244458
The lungs are well-expanded. There is an elevated left hemi-diaphragm. There is a retrocardiac opacity which may represent atelectasis, but cannot exclude pneumonia or aspiration in the right clinical setting. No pleural effusion or pneumothorax is seen. There is mild to moderate cardiomegaly, similar prior exam. Left-sided subcutaneous gas may be related to recent VATS.
56417610
INDICATION: ___F with pain s/p lung bx // eval for ptx TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made with chest radiographs from ___ and ___.
Retrocardiac opacity which may represent atelectasis or post procedure changes, but cannot exclude pneumonia or aspiration in the right clinical setting
11244458
The lungs are clear. There is no pneumothorax. The heart size appears smaller on today's exam, and is now within normal limits. Mediastinal contours are stable. Left lateral chest wall postsurgical changes are also stable. Mild spinal degenerative changes are unchanged.
56581062
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p L VATS, excision of chest wall mass (neurofibroma in ___ with increased chest congestion and chills. Please eval for infectious process/fluid TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___.
Clear lungs with no evidence of pneumonia or pulmonary edema.
11896718
The heart size is normal. Mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. There is no free air under the diaphragms.
59297943
INDICATION: Epigastric pain, fever and pneumonia. COMPARISON: None. PA AND LATERAL VIEWS OF THE
No acute cardiopulmonary abnormality.
11459649
Endotracheal tube terminates 5.6 cm above the carina. Enteric catheter courses below the left diaphragm and out of view. There is mild cardiomegaly with left atrial predominance, and central pulmonary vasculature engorgement suggesting fluid overload. Linear opacifications are noted throughout both lungs, particularly on the right suggesting atelectasis. No pleural effusion or pneumothorax identified.
57426734
INDICATION: TPA running for a stroke, now with vomiting, change in mental status. Evaluate endotracheal tube placement. COMPARISON: No prior studies available for comparison.
Central pulmonary vascular congestion. Cardiomegaly. Endotracheal tube terminates 5.6 cm above the carina.
11433907
AP upright and lateral views of the chest provided. Port-A-Cath resides over the right chest wall with catheter tip in the region of the mid SVC. The lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
50151063
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with preop, recent diagnosis gastric adenocarcinoma. COMPARISON: ___ and ___ CT
No acute intrathoracic process. Port-A-Cath in appropriate position.
11433907
The left PICC tip has been retracted, now terminating in the region of the left axillary vein. Right-sided Port-A-Cath tip terminates in the mid SVC. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Moderate degenerative changes are noted in the thoracic spine.
55291319
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with recent PICC line placement 2 days ago, ?pulled out. // assess for PICC line placement TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ chest radiograph
Left PICC has been retracted with tip now terminating in the left axillary vein. No acute cardiopulmonary process.
11941484
PA and lateral views of the chest provided. There is mild left basal atelectasis. No convincing evidence for pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
53683962
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with exertional chest pain with dyspnea for several months. COMPARISON: NONE
Mild left basal atelectasis, otherwise unremarkable exam.
11224698
The cardiomediastinal and hilar contours are normal. The lung volumes are low. Again seen are bilateral interstitial and subpleural reticular opacities predominantly seen in the lung bases, consistent with usual interstitial pneumonia, may have slightly progressed since the earlier study of ___. Known small upper lobe pulmonary nodules are not visualized in this chest radiograph. No new masses, consolidation, pleural effusion or pneumothorax is seen. Multiple intact sternotomy wires and mediastinal surgical clips relate to prior CABG.
59178010
INDICATION: ___-year-old man with history of metastatic melanoma, to evaluate disease status. COMPARISON: Chest radiograph ___ and CT chest ___. PA AND LATERAL CHEST
Known interstitial lung disease, likely UIP. No new metastatic disease. Known small pulmonary nodules are not seen in this study. A CT chest can be performed to assess progression of both ILD and pulmonary nodules.
11224698
The lung volumes are low. As compared to the prior examination, there has been an interval increase in the degree of prominence of the interstitial markings, compatible with an acute on chronic process. There is no lobar consolidation, pleural effusion or pneumothorax identified. The patient is status post CABG and sternotomy wires are intact and well aligned. Chronic, mild cardiomegaly is present.
55243087
HISTORY: Dyspnea and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.
Increased prominence of interstitial markings, compatible with an acute process overlying the patient's known chronic pulmonary fibrosis, possibly secondary to vascular congestion versus an acute inflammatory process. A diffuse overlying infectious process is felt to be less likely. Status post CABG with chronic mild cardiomegaly.
11224698
Lung volumes are low, consistent with restrictive physiology in this patient with diffuse fibrotic lung disease. Peripheral and basilar predominant pulmonary fibrosis appear similar to the prior radiograph, and has been more fully characterized on CT of ___. A more confluent area of opacity is present posteriorly overlying the mid-to-lower thoracic spine and corresponds to a left infrahilar mass on prior CT. Based upon comparison of the scout radiograph with the scout from the prior CT scan, the mass appears to have enlarged since ___. Cardiomediastinal contours are stable in appearance in this patient status post previous median sternotomy and coronary artery bypass surgery.
55784146
PA AND LATERAL CHEST RADIOGRAPH, ___ COMPARISON: Chest radiograph ___.
Similar radiographic appearance of pulmonary fibrosis and large left infrahilar lung mass, the latter consistent with history of lung cancer. No definite superimposed infectious pneumonia, but CT may be helpful for more complete assessment in this patient with extensive baseline abnormalities. Mediastinal and hilar lymphadenopathy, which have been more fully evaluated by CT and PET CT.
11581456
Lung volumes are very low. Patchy infiltrates in the right and left upper lung are mostly unchanged from the prior study. These findings correlate to the multifocal ground-glass opacities seen on CT chest from two days prior, likely multifocal pneumonia or hemorrhage. A right internal jugular line is seen in the distal SVC, unchanged. NG tube has been removed. Cardiomediastinal silhouette is unchanged.
57762527
INDICATION: ___-year-old male with cirrhosis and SBP with chest x-ray concerning for septic emboli, question interval change. COMPARISONS: Portable radiograph from ___, CT chest without contrast from ___.
Patchy opacities in the upper lung zones correlate to multifocal ground-glass opacities seen on CT chest, likely infection versus hemorrhage and less likely septic emboli.
11581456
Lungs are low in volume but appear clear. Minimal linear bibasilar atelectasis is similar to that on the prior study. There is a small left pleural effusion. No pneumothorax. The heart is mildly enlarged with normal cardiomediastinal silhouette.
51177251
INDICATION: Malaise, assess for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Chest radiograph most recently ___.
Small left pleural effusion.
11581456
Both lungs are clear. There are no lung opacities of concern. Very minimal bibasilar opacity is probably attributed to suboptimal inspiratory effort and is likely bibasilar atelectasis. No lung opacities concerning for pneumonia. Left posterior costophrenic angle blunting is likely from combination of effusion and pleural thickening, unchanged since ___. Top normal heart size, mediastinal and hilar contours are unchanged since ___.
57730859
CHEST RADIOGRAPH INDICATION: Fluid overload and shortness of breath, to assess for the lung changes. TECHNIQUE: PA and lateral chest views were reviewed and compared with the prior chest radiograph from ___.
No pneumonia or pulmonary edema.
11581456
A Dobbhoff tube is within in the stomach. Right IJ central line terminates in the low SVC. Lung volumes are low and there is bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouettes are unchanged.
56322207
INDICATION: ___-year-old man with newly placed Dobbhoff tube. Verify Dobbhoff tube before for post-pyloric. COMPARISONS: Portable AP chest radiograph from ___.
New Dobbhoff tube within the stomach.
11581456
Heart size, mediastinal and hilar contours are normal. Lungs are clear. Small left pleural effusion is present and has decreased in size since the previous chest radiograph. There is no evidence of right pleural effusion or pneumothorax. No acute, displaced rib fracture is identified, but a portion of the lower right lateral rib cage has been excluded from the study and cannot be evaluated. Compression fracture at thoracolumbar junction, unchanged since prior study.
59706576
PA AND LATERAL CHEST RADIOGRAPH, ___ COMPARISON: Chest ___, ___.
No evidence of pneumonia or pleural abnormality in the right lung to account for the patient's symptoms. If a rib fracture is suspected clinically, dedicated rib radiographs may be considered. Small left pleural effusion, decreased since ___.
11049722
Dense left retrocardiac opacity may represent atelectasis, although infection should be considered in the appropriate clinical setting. No other focal consolidation. Diffuse reticular opacities likely represent interstitial pulmonary edema. Small bilateral pleural effusions. No pneumothorax. Heart size is top-normal. Atherosclerotic calcifications are noted throughout the thoracic and upper abdominal aorta on the lateral view.
59753712
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with worsening DOE with known aortic stenosis // Eval for pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Interstitial pulmonary edema with small bilateral pleural effusions. Dense left retrocardiac opacity may represent atelectasis or infection.
11863442
The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
55213450
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shoulder pain and acromioclavicular joint tenderness. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.
No evidence of acute cardiopulmonary disease.
11662539
Frontal and lateral chest radiographs were obtained. The right middle lobe and right lower lobe are collapsed, resulting in opacification at the right base and obscuration of the right hilus. The left lung is clear. A small left pleural effusion is present. The heart size is difficult to assess due to parenchymal abnormalities. There is no pneumothorax.
59850222
HISTORY: Patient is status post AV replacement, eval for pleural effusions. COMPARISON: ___.
Right middle lobe and right lower lobe collapse. Findings were communicated with ___, nurse for the patient, by Dr.___ ___ telephone at time of discovery at 11:15 a.m. on ___.
11606670
The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
53522147
INDICATION: Cough for one month. Evaluate for atypical pneumonia. COMPARISON: Chest radiograph ___. CT chest ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.
No evidence of acute cardiopulmonary abnormality.
11165613
The endotracheal tube is low lying, terminating 1.7 cm from the carina. An enteric tube is noted with tip in the stomach. Heart size is normal. The aortic knob is calcified. The mediastinal contours are unremarkable. There is no pulmonary edema demonstrated. Streaky bibasilar airspace opacities are concerning for aspiration or pneumonia. No pleural effusion or pneumothorax is seen. Remote fracture of the left humeral surgical neck is demonstrated. Remote bilateral rib fractures also are noted. Partially imaged is fusion hardware within the lumbar spine. Embolization coils are noted within the left upper quadrant of the abdomen.
54988635
HISTORY: Hypoxia, now intubated. TECHNIQUE: Supine AP view of the chest. COMPARISON: None. The patient is currently listed as EU critical.
Bibasilar airspace opacities could reflect aspiration or pneumonia. Low lying endotracheal tube. Enteric tube within the stomach.
11165613
Interstitial opacities in the lung bases appear similar compared to prior examination and correspond with areas of interstitial thickening and fibrosis seen on prior CT. No confluent consolidation is identified. There is no overt pulmonary edema or large effusions. Cardiomediastinal and hilar contours are within normal limits. Severe deformities of the bilateral shoulders appear chronic. Multiple subacute left-sided rib fractures are newly identified, though of indeterminate age.
52009457
HISTORY: ___-year-old male with altered mental status and fever. COMPARISON: Chest radiograph from ___ and CT torso from ___. PORTABLE AP SEMI-ERECT
No acute cardiopulmonary process.
11683664
Focal 6 mm calcified/sclerotic focus projecting over the left upper hemithorax, projecting over the medial left clavicle as well as the posterior medial left fifth rib, may represent a bone island at osseous or a calcified granuloma. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
54095476
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with coough // PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11734091
AP portable view of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. There is no mediastinal widening.
57288184
INDICATION: Attempted Port-A-Cath placement. Evaluate for pneumothorax. COMPARISON: ___.
No pneumothorax. No acute findings. Findings were discussed with Dr. ___ by Dr. ___ at 10 o'clock a.m. on ___ by telephone.
11074828
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 displaced rib fractures seen. No free air below the right hemidiaphragm is seen.
51693824
FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state mild upper chest pain. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with MVC // r/o rib fx, mvc COMPARISON: None
No acute intrathoracic process. If there is further concern for rib fracture dedicated rib series may be performed.
11084244
The cardiomediastinal and hilar contours are stable, with a mildly tortuous thoracic aorta. The lung volumes are low, with resultant prominent bronchovascular markings. No consolidation, pleural effusion, or pneumothorax is detected. Intervertebral disc height reduction is seen at single lower thoracic level.
54597123
INDICATION: ___-year-old woman with difficulty ambulating, evaluate for pneumonia. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST
No acute cardiopulmonary pathology.
11309943
PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.
57960613
INDICATION: Cough and shortness of breath. Diagnosed with pneumonia approximately one month ago. COMPARISON: ___.
No acute cardiopulmonary process.
11816835
Upright AP And lateral views of the chest provided. Right middle lobe collapse is noted, new from prior. Otherwise lungs are clear. Heart size appears grossly stable. Mediastinal contour is normal. Bony structures are intact.
52695930
EXAMINATION: CHEST (upright AP AND LAT) INDICATION: ___F with prod cough and SOB x 1 week // ? pna COMPARISON: Prior exam from ___.
Right middle lobe collapse. Followup to resolution.
11906175
Lung volumes are relatively low. Lungs are clear except for a patchy right infrahilar opacity. Heart size, mediastinal and hilar contours are normal. There are no acute, displaced fractures evident on this chest radiograph, but lower ribs are incompletely evaluated due to overlapping soft tissue structures.
55255939
WET READ: ___ ___ ___ 7:50 PM Low lung volumes. No focal consolidation. ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST X-RAY, DATED ___ COMPARISON: ___, radiographs.
Low lung volumes. Patchy right infrahilar opacity, which may represent focal atelectasis or early pneumonia. Follow up CXR may be helpful in this regard.
11337088
Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
50685981
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11410666
Opacities are seen in the right lower lobe, concerning for pneumonia. The left lung is clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusions, or pulmonary edema.
50827560
EXAMINATION: Chest radiograph INDICATION: ___ year old man with cough and fever // pna TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___
Right lower lobe pneumonia.
11825167
PA and lateral views of the chest were obtained. The heart is normal size and cardiomediastinal contour is stable. Lungs are clear. There is no pleural effusion or pneumothorax. No pulmonary edema.
53045712
INDICATION: ___-year-old man with cough, evaluate for pneumonia. COMPARISON: ___.
No evidence of pneumonia.
11825167
Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
51191342
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever and cough TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11825167
The heart size is normal. The mediastinal and hilar contours are unremarkable. Ill-defined multifocal opacities are noted throughout the right lung concerning for pneumonia. The left lung appears clear. Minimal blunting of the right costophrenic sulcus suggests a small pleural effusion. No pneumothorax is identified. There are mild degenerative changes in the thoracic spine.
56691137
HISTORY: Weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
Findings concerning for multifocal pneumonia in the right lung. Probable small right pleural effusion.
11825167
The lungs are well expanded. There are no focal opacities. Cuffed airways suggest inflammation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
51168307
INDICATION: History: ___M with cough and rhonchi // RLL pna TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___.
No evidence of pneumonia. Suspected inflammatory changes among airways.
11825167
The lung volumes are low, resulting in crowding of bronchovascular structures and apparent prominence of the mediastinum. There is pulmonary vascular congestion without overt pulmonary edema. Heart size is normal. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia.
59917137
INDICATION: Chest and back pain with shortness of breath. Evaluate for cardiomegaly, pneumonia or evidence for widened mediastinum. TECHNIQUE: Frontal view the chest. COMPARISON: Chest radiographs ___ and ___.
Low lung volumes with pulmonary vascular congestion.
11825167
The cardiomediastinal and hilar contours are within normal limits. As compared to prior examination, streaky perihilar opacities of increased which could reflect acute airways inflammation (bronchitis). There is no focal consolidation, pleural effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm is seen.
57293488
EXAMINATION: CHEST RADIOGRAPH INDICATION: ___M with cough. R/O pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.
Findings concerning for bronchitis as described above.
11825167
Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No focal consolidation seen. No pneumothorax seen. There are mild multilevel degenerative changes throughout the thoracic spine surgical hardware in the cervical spine is incompletely visualized.
53759732
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain + cough. // infection? TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___
No acute cardiopulmonary process seen.
11825167
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Mild degenerative changes are noted in the thoracic spine.
58778173
INDICATION: Chest pain. Evaluate for an acute process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.
No acute cardiopulmonary process.
11690524
PA and lateral views of the chest were obtained. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact. No definite signs of displaced rib fracture. No free air below the right hemidiaphragm.
53575412
CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Pain in the lower central chest after being kicked earlier today, assess for traumatic injury.
No sign of acute injury.
11629328
PA and lateral views of the chest were provided. There is slight elevation of the left hemidiaphragm. There is left mid and lower lung atelectasis, plate-like and likely compressive. The right lung is clear. No definite signs of pneumonia or CHF. There is a metallic density projecting over the posterior soft tissues in the mid back, possibly representing a foreign body measuring 1.5 x 1.0 x 1.1 cm. Faint aortic calcifications are present. The imaged osseous structures are intact.
56053382
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for pneumonia or CHF.
No acute intrathoracic process. Mild left hemidiaphragmatic elevation with associated left lower lung atelectasis. Apparent foreign body in the soft tissues of the mid back appears metallic, measuring 1.5 x 1.0 x 1.1 cm. Correlate for prior injury in this region.
11053635
Again seen is a right hilar mass, grossly unchanged prior exam on ___. There is mild increased atelectasis seen adjacent to this mass. There is no new focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable.
56893580
WET READ: ___ ___ ___ 7:21 AM Known right hilar mass is stable since prior exam on ___ with interval increased in mild adjacent atelectasis. There is no new focal consolidation. WET READ VERSION #1 ___ ___ ___ 4:11 AM Known right hilar mass is stable since prior exam on ___. There is no new focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with sob. Lung mass // Pneumonia? Bronchial plugging? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___
Known right hilar mass is stable since prior exam on ___ with interval increased in mild adjacent atelectasis. There is no new focal consolidation.
11114454
The heart is not enlarged. The cardiomediastinal silhouette is within normal limits. No CHF, focal infiltrate, effusion, or pneumothorax is detected. The osseous structures about the chest are grossly unremarkable. No free air seen beneath the diaphragm. Possible slight asymmetry of the breast shadows, though this could be an artifact due to positioning. Small linear density overlying the left lateral upper abdomen is not fully characterized, but could represent a surgical clip.
55054122
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with central chest pain, SOB, cough, chills. H/o Asthma. Lungs clear to auscultation. // PNA, or other process to explain cough and CP? COMPARISON: None.
No acute pulmonary process identified. No pneumonic infiltrate detected.
11036602
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. Bony structures appear within normal limits.
56175225
CHEST RADIOGRAPHS HISTORY: Left rib pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
No evidence of injury. Hyperinflation.
11745820
PA and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
59339667
HISTORY: ___-year-old male with chest pain. COMPARISON: None.
No acute cardiopulmonary process.
11745820
PA and lateral chest radiograph demonstrate clear lungs bilaterally. There is no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No air under the right hemidiaphragm is identified.
55088955
INDICATION: History: ___M with cough // r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___
No opacity convincing for pneumonia.
11745820
Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
52488555
HISTORY: Cough. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views.
No acute cardiopulmonary abnormality.
11745820
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy opacities are seen within the left lower lobe which could reflect a subtle or early pneumonia. Right lung is clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
58552562
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with history of chest pain, cough, smoker 2 packs per day TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph
Subtle patchy opacity within the left lower lobe could reflect an early or developing pneumonia in the correct clinical setting.
11745820
No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
55223351
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough // Eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11485400
Streaky bibasilar opacities most likely represent atelectasis. There is otherwise no focal consolidation, pleural effusion or pneumothorax. Heart size is mildly enlarged. Thoracic aorta is partially calcified. Median sternotomy wires are intact. ICD biventricular pacing device is in standard position. .
56947543
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male with chest pain. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Bibasilar linear atelectasis. No acute cardiopulmonary process.
11587714
Frontal supine portable radiograph of the chest demonstrates an ET tube ending 7 cm above the carina at the level of the thoracic inlet. Low lung volumes and supine positioning accentuates mild enlargement of the cardiac silhouette. Mild pulmonary vascular congestion. No pleural effusion, pneumothorax or focal consolidation.
53483073
HISTORY: Found down and intubated. ET tube placement. COMPARISON: None available.
ET tube ends 7 cm above the carina and could be advanced for more secure positioning. Dilitation of the aortic knob could be secondary to aneurysm. Cardiomegaly and mild pulmonary vascular congestion. Telephone notification to Dr ___ by Dr ___ at 7:55 on ___.
11140481
A right-sided Port-A-Cath terminates at the superior cavoatrial junction. The heart is normal in size. Left hilum remain slightly prominent. The right hilum is within normal limits. There is no focal consolidation, pleural effusion or pneumothorax identified. Streaky bibasilar opacities are suggestive of atelectasis.
53683584
WET READ: ___ ___ ___ 2:22 AM No focal consolidation, pleural effusion or pneumothorax. As before, the left hilus has a somewhat lobulated contour. Consider non urgent chest CT for evaluation of this area when clinically appropriate. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sz // ?PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___
No focal consolidation, pleural effusion or pneumothorax. Prominent left hilum, probably due to prominent vascular structures given lack of change since ___. Consider non urgent chest CT for evaluation of this area if clinically warranted.
11754067
Heart size is normal. The aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Clips are again noted projecting over the left breast. Fusion hardware with vertebral cage device is again noted at the thoracolumbar junction.
56404338
INDICATION: History: ___F with chronic depression, worsening, headache TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___
No acute cardiopulmonary abnormality.
11754067
There has been interval placement of a nasogastric tube which appears to course below the diaphragm with the tip out of view of this film, however with the sideport in the body of the stomach. The lungs are mildly hyperinflated. Streaky left basilar opacity is unchanged compared to the prior exam and likely secondary to atelectasis. The cardiomediastinal contours are normal. Atherosclerotic calcifications are noted at the aortic arch. Lower thoracic upper lumbar vertebral hardware is unchanged in position.
52454723
INDICATION: History of NG tube placement. Please evaluate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Portable AP radiograph of the chest.
Interval placement of a nasogastric tube which extends below the diaphragm with the tip out of view, but the sideport is in the body of the stomach.
11089408
The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is normal, and the mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. There is no focal consolidation or pneumothorax. Minimal retrocardiac atelectasis is seen. On the lateral view, there appears to be blunting of the costophrenic angle posteriorly on the right suggestive of a small effusion. There are no acute osseous abnormalities. Degenerative changes of the thoracic spine are present.
55625719
HISTORY: Elevated BNP and shortness of breath. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___ chest radiograph ___ chest CT.
Small right pleural effusion.
11064743
The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
50994822
INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE
No acute cardiopulmonary abnormality.
11733904
Tracheostomy site 4 cm above the level of carina is appropriately positioned. Right subclavian tip is in mid SVC. Interval removal of chest tube. New small right apical pneumothorax without signs of tension. Interval increase in bilateral pleural effusions, right greater than left. Interval improvement in pulmonary edema. Stable mild bibasilar atelectasis. Subcutaneous emphysema is likely unchanged, however, was not fully imaged on prior study. Heart size and mediastinal contour are normal.
51074573
FINAL ADDENDUM ADDENDUM: Revision of the radiograph demonstrates presence of the free intraperitoneal air that was related to exploratory laparotomy. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male status post right chest tube removal. Assess for pneumothorax or hemothorax. COMPARISON: Chest radiograph ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph.
New small right apical pneumothorax without signs of tension. Mild interval increase in bilateral pleural effusions, right greater than left. Interval improvement in pulmonary edema. Results were conveyed via telephone to Dr. ___ by Dr. ___ on ___ at 11:30 a.m. within 5 minutes of observation of findings.
11733904
Bilateral chest tubes unchanged in position. NG tube enters in the stomach and out of view. ET tube is 5 cm above level of carina and is in appropriate position. Mild improved lung volumes with stable mild bibasilar atelectasis. Subtle increase in ill-defined opacity in the right lower lobe. No pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila otherwise are normal.
54080093
HISTORY: ___-year-old male with polytrauma and pneumothorax. Assess pneumothorax. COMPARISON: CT torso ___, chest radiograph ___, ___. TECHNIQUE: Single frontal portable chest radiograph.
Mild increase in right lower lobe opacity from lung re-expansion and atelectasis. No pneumothorax.
11733904
Compared to prior chest x-ray right PICC ends in lower SVC. The ET tube ends at 6 cm from carina, it can be pushed down 1 cm. The NG tube ends in stomach. Left base pleural drain is unchanged ending anteriorly-inferiorly. Lung volume is still low, but with increased lung bases opacification, both for increased atelectasis and small pleural effusion, especially on the right, where focal pneumonia cannot be excluded. There is no pneumothorax. Cardiomediastinal silhouette is normal.
55002246
HISTORY: ___ years old man with polytrauma and pneumothorax. Please evaluate pneumothorax. COMPARISON: Exam is compared to chest x-ray of ___.
Bibasilar atelectasis with small right pleural effusion.
11686629
PA and lateral chest radiographs were obtained and compared directly with the preceding exam of ___. There remains moderate cardiomegaly with a particularly pronounced left ventricular contour. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is irregular distribution of vessels and mild interstitial changes. However, there is no evidence of acute infiltrate or advanced edema. Regarding the osseous structures, there is mild degeneration of the vertebral bodies with kyphosis, but no vertebral body compression.
52587901
STUDY: PA and lateral chest x-ray. COMPARISON EXAM: PA and lateral chest x-ray ___. INDICATION: ___-year-old woman with cough and right lung wheeze.
Moderate cardiomegaly, but no other signs of congestive heart failure. No acute lung abnormalities.
11372157
No prior for comparison. Left-sided PICC with the tip in the low SVC/cavoatrial junction. Lungs are clear. Heart size is normal. No pleural effusion or pneumothorax.
59232216
INDICATION: ___ year old woman @ ___ with hyperemesis and PICC // eval correct PICC placement TECHNIQUE: Portable
Left PICC in the low SVC/cavoatrial junction
11919168
The heart size is normal. The cardiomediastinal silhouette and hilar contour is unremarkable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony change is identified.
50890646
HISTORY: Cough. TECHNIQUE: PA and lateral chest radiograph 3 views. COMPARISON: None available.
No acute intrathoracic process.
11563027
Since the prior radiograph, there has been interval placement of an enteric tube that is coiled within the distal esophagus. Lung volumes are extremely low. There is new platelike atelectasis at the right lung base. No evidence of pneumonia or pneumothorax. Note that a portion of the right lateral chest wall and right costophrenic angle are out of view. No acute osseous abnormalities.
57685341
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman s/p NG tube placement // Confirm NG tube placement COMPARISON: Outside hospital chest x-ray on ___
Interval placement of an enteric tube is coiled within the distal esophagus. New platelike atelectasis at right lung base.
11141075
New right-sided pacemaker has single lead in right ventricle. There is no pneumothorax or pleural effusion. The lung volumes are low. There is no pneumothorax or pleural effusion. Right upper lobe lobectomy was done for an unknown reason and periosteal reossification of fifth rib has increased since ___.
51229687
WET READ: ___ ___ ___ 7:02 PM R chest wall pacer, with a single right ventricular lead in place. No pneumothorax. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with pacemaker placement today. Rule out pneumothorax. COMPARISON: Multiple chest x-rays from ___ to ___.
There is no complication after pacemaker lead placement.
11141075
Low lung volumes are noted on current exam. Increased interstitial markings are seen throughout the lungs which could be due to chronic underlying interstitial process. Patient status post prior right upper lobectomy. Increased opacity projecting over the right lung apex is unchanged from prior and is likely in part post surgical in nature. Nodular right mid lung opacity is unchanged dating back to ___. There are more conspicuous bibasilar opacities laterally. The cardiomediastinal silhouette is unchanged. Right chest wall single lead pacing device is noted. Prior right thoracotomy changes are seen.
51941007
INDICATION: ___F with AMS // r/o infection TECHNIQUE: 2 AP views of the chest. COMPARISON: ___ chest x-ray. ___ chest x-ray and chest CT.
Low lung volumes. Bibasilar opacities could be secondary to atelectasis although infection would be possible. Consider PA and lateral to further characterize if patient is amenable
11458977
The lung volumes are normal. Mild cardiomegaly. Mild pulmonary vascular congestion. There is a tubular lucency extending from the right hilum an abruptly terminating at the level of the clavicle which likely represents a dilated brachiocephalic vein. There is mild tortuosity of thoracic aorta. The pleural surfaces are normal.
51152639
INDICATION: ___ year old woman with dyspnea // interval change in effusions, ?pna TECHNIQUE: Chest PA and lateral COMPARISON: None
No acute cardiopulmonary process.
11332558
Lung volumes remain persistently low. There is mild enlargement of the cardiac silhouette. The aorta is diffusely calcified. The mediastinal contour is otherwise unchanged. Mild pulmonary vascular congestion is present, increased since the previous examination. Persistent elevation of the right hemidiaphragm has been present since the CT in ___, however, a moderate right pleural effusion is noted, somewhat increased compared to that seen previously. There is continued atelectasis within the right lung base. No left-sided pleural effusion is present. There is no pneumothorax. Numerous clips are demonstrated in the left axilla. There are moderate multilevel degenerative changes seen in the thoracic spine.
57703827
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ at 15:46 from outside institution, chest radiograph ___, CT torso ___
Interval worsening of mild pulmonary vascular congestion. Moderate right pleural effusion appears increased from ___ superimposed on chronic elevation of the right hemidiaphragm with associated right basilar atelectasis.
11517525
Extensive bilateral opacities are noted, with near complete opacification of the entire right lung, better delineated on dedicated chest CT and suspicious for a multifocal infectious process. There is a small right pleural effusion as well as a moderate left pleural effusion. Known hilar and mediastinal lymphadenopathy is again noted. There is no pneumothorax. No acute fractures identified.
54076440
HISTORY: Sarcoidosis with respiratory distress. COMPARISON: Chest CTA from the same day.
Extensive bilateral opacities, greater on the right, and suggestive of a multifocal infectious process and better delineated on dedicated chest CTA from same day. Extensive hilar and mediastinal lymphadenopathy is noted and may be reactive disease overlying known Sarcoidosis.
11895636
Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There are prominent interstitial markings. No focal consolidation or pleural effusion. Hilar and mediastinal silhouettes are unchanged. The descending aorta is tortuous. Heart size is normal. Port-A-Cath tip projects over cavoatrial junction. Calcified granuloma in the left upper lung.
52114429
INDICATION: Syncope. Assess for acute process. COMPARISONS: ___.
No acute cardiopulmonary process.
11895636
There is no visualization of a PICC line or any unexpected foreign body on this radiograph. Right chest port remains in good position, terminating in the mid SVC. The cardiomediastinal and hilar contours are normal. The lungs are hyperinflated but clear. There is no pulmonary edema, pleural effusion or pneumothorax.
55054713
STUDY: PA and lateral chest x-ray. COMPARISON EXAM: AP view of the chest, ___. INDICATION: ___-year-old with PICC line manipulation.
No visualization of the PICC line in the thorax or axilla. Stat read was called to Dr. ___ by Dr. ___ at 12:45 p.m. at time of discovery by telephone.
11006544
There is a widespread interstitial abnormality that is increased and suggestive of moderate interstitial pulmonary edema. There are apparently substantial degenerative changes of the shoulder, but not well evaluated here. There is similar moderate relative elevation of the right hemidiaphragm compared to the left due to an anterior eventration. Cholecystectomy clips project over the right upper quadrant. There is exaggerated kyphosis and similar degenerative changes at the thoracolumbar junction.
55197867
CHEST RADIOGRAPHS HISTORY: Left shoulder pain. Question pneumothorax or pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
Findings suggesting moderate interstitial pulmonary edema.
11735741
Patient is status post median sternotomy and aortic valve replacement. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectasis is noted in the left lower lobe. No focal consolidation or pneumothorax is present. Minimal blunting of the costophrenic sulci posteriorly on the lateral view suggests trace bilateral pleural effusions. No acute osseous abnormality is present.
52668620
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever, cough TECHNIQUE: Chest PA and lateral COMPARISON: MRI 8 chest ___
Trace bilateral pleural effusions without focal consolidation to suggest pneumonia.
11955101
PA and lateral views of the chest. The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced rib fractures identified.
58878885
HISTORY: ___-year-old male with right rib pain status post fall. COMPARISON: None.
No acute cardiopulmonary process, no rib fractures seen on this nondedicated examination.
11321986
There is new airspace opacity involving the right upper lobe when compared to ___. This is superimposed on the bilateral basal and peripheral interstitial lung disease. In review of multiple prior radiographs, the patient appears to rapidly go in and out of congestive heart failure. Moderate cardiomegaly persists. No pneumothorax. Sternal wires remain intact and aligned
52359797
INDICATION: ___ year old man with CML-1, ILD, T2DM, PFO, CAD s/p CABG, and CHF with hypoxia // R/o acute process COMPARISON: ___
Worsening asymmetric right-sided pulmonary edema superimposed on background interstitial lung disease.
11321986
There is diffusely increased interstitial markings bilaterally with peripheral and lower lung predominance, overall slightly improved compared to 1 day prior. Pattern of involvement is similar to prior chest CT, which showed NSIP. Cardiac silhouette is mildly enlarged, similar to prior.
59427777
INDICATION: ___ year old man with probable CMML with hypoxia and CT concnerning for acute inflammatory process vs. infection. Now on steroids. // Eval for interval change. EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral view COMPARISON: Chest radiograph ___, CT chest ___
Bilateral opacities in the lower lungs are slightly improved compared to prior.
11321986
Frontal and lateral views of the chest were obtained. Mild cardiomegaly is unchanged. Cardiomediastinal contours are stable. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Sternotomy wires are intact.
53091499
HISTORY: ___-year-old male with cough and abnormal lung exam. Rule out right lower lobe infiltrate. COMPARISON: Multiple prior chest radiographs, most recently ___.
Unchanged mild cardiomegaly. No pneumonia.
11321986
Allowing for differences technique cardiomediastinal silhouette is unchanged. Bilateral parenchymal opacities right more than left have slightly progressed as compared to the examination and given the short time interval and asymmetry are likely due superimposed edema. There is no large effusion or pneumothorax.
58499253
INDICATION: ___ year old man with hx of DM, PVD, ILD and new diagnosis of CMML with hypoxia. // ?Change since last CXR TECHNIQUE: Portable AP upright view of the chest COMPARISON: ___
Progression of bilateral hazy opacities likely represents increased edema on a background of interstitial lung disease.
11321986
Patient is status post median sternotomy and CABG. Moderate to severe enlargement of the heart size is re- demonstrated, unchanged. Mediastinal contour is similar with central venous congestion again noted. Hazy opacities are noted involving the perihilar regions and lung bases bilaterally in a relatively symmetric fashion, perhaps slightly worse in the left mid lung field compared to the previous radiograph. No pneumothorax is present. No large pleural effusion is identified. There are no acute osseous abnormalities.
51462660
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with history of CHF, hypoxia TECHNIQUE: Portable upright AP view of the chest COMPARISON: CT chest ___, chest radiograph ___.
Bilateral hazy opacity involving the perihilar regions and lung bases, perhaps slightly worse in the left mid lung field compared to the prior study. Findings may reflect mild pulmonary edema superimposed on a background of chronic interstitial lung disease which was better assessed on the prior CT chest. No large pleural effusion.
11121168
AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. The heart size is within normal limits. The thoracic aorta is moderately widened and elongated but no significant interval change has occurred since the next preceding chest examination of ___. The pulmonary vasculature is not congested. No signs of acute infiltrate are present, and the lateral pleural sinuses are free. As shown already on the preceding examination, difference in translucency of the lung bases is explained by the patient's status post left-sided mastectomy.
59446481
TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with hypoxia and low oxygen saturation status post surgery.
No evidence of new pulmonary or cardiovascular abnormality as seen on portable single AP chest view examination.
11121168
Compared with prior radiographs on ___, there is mediastinal venous engorgement, and mild pulmonary edema. Overall lung volumes are low, with left lower lobe atelectasis, similar to prior. There is no new focal consolidation or pneumothorax. There are no large pleural effusions. The heart is not grossly enlarged, but appear slightly increased from prior.
59135242
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with h/o CAD admitted to SICU on POD #1 (distal pancreatectomy, splenectomy) for dyspnea, increasing O2 requirement, and new EKG changes. No PE on CTA; significant atelectasis and moderate pleural effusions. Trop elevated, continued STE, with developing reciprocal changes. // assess for interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___
Mediastinal venous engorgement, and mild pulmonary edema.
11121168
Normal cardiomediastinal silhouette. Linear opacities at the left apex may represent increasing radiation fibrosis. No pneumonia. No pulmonary edema. No pleural effusion. No pneumothorax.
50292616
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
No evidence of pneumonia. Increasing linear opacities at the left apex, which may be due to radiation fibrosis
11121168
As compared to ___, mild pulmonary vascular congestion with small bilateral pleural effusions. Bibasal opacities are atelectasis. Mild cardiomegaly and tortuosity of the aorta with heavy calcifications. No pneumothorax.
54119742
INDICATION: ___ year old woman POD ___ s/p robot-assisted pancreatectomy and splenectomy now with increased O2 demand // please evaluate for possible pulmonary edema/effusion, atelectasis
Mild pulmonary vascular congestion, bibasal atelectasis and small bilateral pleural effusions.
11057357
A dual lead left-sided pacemaker is seen with leads terminating in the right atrium and right ventricle, expected locations. The cardiac silhouette is again mild to moderately enlarged. The hilar and mediastinal contours are within normal limits. There is mild tortuosity of the descending aorta. The lungs are hyperinflated and there is some flattening of the diaphragms which may relate to COPD. There is no new focal consolidation, pleural effusion or pneumothorax.
52346206
HISTORY: Shortness of breath. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.
No acute cardiopulmonary process.
11057357
AP supine portable chest radiograph obtained. Interval placement of an endotracheal tube which is seen with its tip approximately 2.7 cm above the carina. There has also been placement of an orogastric tube with its tip coiled in the left upper abdomen. There is increased opacity in the upper lungs bilaterally, right greater than left, which given the interval change could reflect aspiration. Cardiomegaly is unchanged. AICD is also unchanged.
53156857
WET READ: ___ ___ ___ 7:20 PM ETT 3 cm from carina, retract 2 cm. Mod-severe cardiomegaly. Inc mild edema and venous congestion with cephalization of pulm vasculature. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior study from earlier today. CLINICAL HISTORY: Intubated, assess ET tube position.
ET and OG tubes positioned appropriately. Increased opacities in the upper lungs, right greater than left, question aspiration.
11057357
AP upright portable chest radiograph obtained. A dual-lead AICD projects over the left chest wall with lead tips extending into the right atrium and right ventricle as well as the tips extending along the epicardium at the level of the left atrium. There is mild pulmonary interstitial edema with cardiomegaly. No large pleural effusion is seen. No pneumothorax.
59579128
WET READ: ___ ___ ___ 7:16 PM Mod-severe cardiomegaly. Probable central venous congestion with cephalization of pulm vasculature. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Chest pain, shortness of breath, assess for pleural effusion.
Cardiomegaly with interstitial edema.
11057357
The heart is enlarged. A left-sided cardiac generator pack projects leads into the right atrium and ventricle. Since ___, the patient has been extubated and an orogastric tube removed. Bilateral upper zone opacities are improved. The hilar contours are within normal limits. There is no effusion, edema, or pneumothorax.
52788918
INDICATION: ___-year-old female with prior flash pulmonary edema. COMPARISON: Radiograph available from ___. FRONTAL CHEST
Improved bilateral upper zone opacities. No superimposed edema.
11057357
Left-sided AICD/ pacemaker device is noted with leads terminating in the regions of the right atrium and right ventricle. Epicardial leads are also seen terminating along the left heart border. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. The lungs are hyperinflated with flattening of the diaphragms as before, suggestive of COPD.
54351585
EXAMINATION: CHEST (PA AND LAT) INDICATION: Shortness of breath, cough TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11057357
PA and lateral views of the chest demonstrate unchanged position of a dual-lead left-sided pacemaker with leads terminating in the right atrium and right ventricle as well as epicardial leads on the left ventricle. The cardiac silhouette is unchanged since the prior study, with slight contour bulge underlying the epicardial leads on the left ventricle, possibly representing an aneurysm. No focal opacities identified within the lungs. There is no pleural effusion, pulmonary edema, or pneumothorax.
58250567
HISTORY: ___-year-old female with shortness of breath. Evaluation for cardiopulmonary process. COMPARISON: Comparison is made to radiographs of the chest from ___.
No acute cardiopulmonary process.
11057357
A pacemaker/ICD device appears unchanged. The heart is again moderately enlarged with a left ventricular configuration. The aorta is mildly tortuous. The cardiac, mediastinal and hilar contours appear unchanged. There is no definite pleural effusion. No pneumothorax is demonstrated. The lungs appear clear.
51316689
CHEST RADIOGRAPH HISTORY: Dyspnea and desaturation. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.
No evidence of acute disease.
11057357
Left chest wall pacer defibrillator has leads terminating in the right atrium and right ventricle as well as epicardial leads on the left ventricle. The lungs are slightly hyperexpanded with flattening of the hemidiaphragms similar to the prior study. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal airspace opacity to suggest pneumonia and no evidence of pulmonary edema.
54547730
INDICATION: Dyspnea and congestive heart failure. Evaluate for fluid overload. COMPARISON: Chest radiographs ___, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.
No acute cardiopulmonary abnormality. No evidence of pneumonia or pulmonary edema.
11760975
Frontal and lateral radiographs of the chest were acquired. There has been interval removal of both a Dobbhoff tube and left PICC. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
57957775
INDICATION: Epigastric pain. Assess for pneumonia. COMPARISON: Chest radiograph from ___.
No acute cardiac or pulmonary process.
11760975
Previous NG tube has been removed. New Dobbhoff tube ends in the mid esophagus. A left-sided CVL ends within the left brachiocephalic vein, unchanged. The lungs remain clear aside from linear atelectasis at the left lung base. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. Multiple midline abdominal skin ___ are present from recent surgery.
59562619
INDICATION: ___-year-old woman with newly placed feeding tube. Assess placement prior to sending to fluoroscopy. COMPARISON: ___. SINGLE PORTABLE VIEW OF THE
Newly placed Dobbhoff tube ends within the mid esophagus. The patient is scheduled to proceed to fluoroscopy for post-pyloric placement of the NG tube.
11118908
Endotracheal tube tip terminates approximately 3.5 cm from the carina. An enteric tube tip is within the stomach. Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Minimal patchy retrocardiac opacity likely reflects atelectasis. No focal consolidation, large pleural effusion or pneumothorax is identified on this supine exam. There are no displaced fractures visualized.
58379960
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with endotracheal tube placement TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical.
Standard positioning of the endotracheal and enteric tubes.
11009443
There has been interval removal of a Swan-Ganz catheter and endotracheal tube. An enteric tube has also been removed. A right internal jugular sheath remains in stable position. A right-sided PICC is also stable. An aortic valve projects over the heart. The cardiac silhouette is enlarged but stable in size from the prior examination. Moderate layering bilateral effusions are noted and are increased from the prior examination. No pneumothorax is seen. Moderate edema.
56394055
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p mech MVR, TV repair, ASD closure // eval for pneumothorax s/p CT removal TECHNIQUE: AP view of the chest COMPARISON: Prior radiographs most recent on ___
Interval removal of an endotracheal tube, enteric tube and Swan-Ganz catheter. Moderate layering effusions are seen, and are increased from the prior examination. Moderate pulmonary edema has increased.