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11009443 | There has been interval extubation and removal of right-sided central line. Right PICC terminates in the SVC. There are bilateral pleural effusions right greater than left, new compared to the prior radiograph. Lung volumes are low. Prosthetic aortic valve and sternotomy sutures are unchanged. EKG leads overlie the patient. Bony thorax unchanged. | 57593380 | INDICATION: ___ year old woman POD4 MVR // evaluate for effusion, TECHNIQUE: APsingle view COMPARISON: ___ | Worsening bilateral pleural effusions right greater than left with stable cardiomegaly. Lines and tubes as above. |
11707694 | NG tube has been advanced in distal stomach. ET tube is in adequate position 3.8 cm above the carina. Severe bilateral alveolar pulmonary edema has significantly improved. There are small bilateral pleural effusions with bibasilar atelectasis. There is no pneumothorax. | 53142859 | PORTABLE AP CHEST X-RAY INDICATION: Patient with NG tube placement, need to visualize tip. COMPARISON: Yesterday chest x-ray. | Tubes and lines are in adequate position. NG tube has been advanced in distal stomach. Severe pulmonary edema has significantly improved and is now mild-to-moderate. |
11707694 | Tracheostomy remains in satisfactory position and right PICC line ends in the MID SVC. Bilateral pleural effusions and moderate bibasilar atelectasis are unchanged from 2 days ago. The heart size is larger compared with 2 days ago and pulmonary vascular congestion has worsened since ___, similar in appearance to ___. No pneumothorax. | 57645241 | HISTORY: Status post aspiration with persistent white blood cell count, evaluate for pneumonia, effusion, pulmonary edema and atelectasis. COMPARISON: ___. | Increased heart size and worsening pulmonary vascular congestion since ___ consistent with cardiac decompensation. |
11707694 | Frontal and lateral views of the chest. No prior. Low lung volumes are seen. The lungs however are grossly clear. Cardiomediastinal silhouette is within normal limits. Osseous structures are notable for hypertrophic changes in the spine. Significantly distended loops of colon are seen in the upper abdomen. There is no free intraperitoneal air. | 58724001 | CHEST TWO VIEWS, ___. HISTORY: ___-year-old male with abdominal distention and history of sigmoid volvulus. Question pneumonia. | Distended loops of presumably colon in the upper abdomen, more completely evaluated on concurrent abdominal films. No free intraperitoneal air or acute cardiopulmonary process. |
11707694 | ET tube ends 3.1 cm above carina. NG tube has been changed and the new one is in the stomach. There is also a temperature probe in distal esophagus in unchanged position. Moderate pulmonary edema has almost resolved with residual bibasilar atelectatic bands. Small bibasilar pleural effusions are unchanged. Mediastinal and cardiac contours are normal. | 50454485 | PORTABLE AP CHEST X-RAY INDICATION: OG placement. COMPARISON: Chest x-rays from ___ to ___. | Tubes and lines are in adequate position. Decrease in pulmonary edema, with now only mild cardiac congestion and residual bibasilar atelectatic bands. |
11707694 | A single AP semi upright chest radiograph was obtained. Aeration of the left lung has significantly improved. Residual retrocardiac opacity obscures the left hemidiaphragm. There is a moderate effusion on the right. A right PICC tip of right-sided PICC line remains at the subclavian SVC junction. A new left-sided internal jugular line tip is in the upper SVC. Mild cardiomegaly is unchanged. | 59836405 | HISTORY: New left IJ. COMPARISON: ___ through ___. | Significantly improved aeration of the left lung with residual atelectasis in the left lower lobe. Small to moderate right pleural effusion . |
11707694 | ET tube ends 2.9 cm above the carina. NG tube is below the diaphragm. Bibasilar opacity has slightly increased on the right side. Pleural effusions are small if any. There is no pneumothorax. Left subclavian line ends in the upper SVC. | 58914339 | PORTABLE AP CHEST X-RAY INDICATION: Patient with cardiac arrest, ARDS. COMPARISON: Multiple chest x-rays from ___ to ___. | Tubes and lines are in adequate position. Bilateral lower lung opacities have slightly increased on the right side. |
11707694 | A single portable semi-erect chest radiograph was obtained. The left hemithorax is nearly completely opacified. There is a small amount of residual aerated left upper lobe. In addition there is a right lower lobe airspace opacity and small to moderate right effusion. The heart and mediastinum cannot be assessed. Aortic calcifications are again seen. A right-sided PICC line has been pulled back since ___. The tip is now at the subclavian SVC junction. A tracheostomy tube is in unchanged position. There are cholecystectomy clips . | 55809736 | HISTORY: Tachycardia. COMPARISON: ___ through ___. | Almost complete collapse of the left lung. Bibasilar opacities may represent infection. Right, and possibly left pleural effusions. |
11300581 | There is interval placement of a right pigtail catheter with tip at the right lung base. There has been interval improvement of the right-sided pleural effusion. There is still bibasilar atelectasis and possible left-sided pleural effusion. Port-A-Cath still remains in good position. The cardiomediastinal and hilar contours are stable. | 58422615 | STUDY: Portable AP chest radiograph. COMPARISON: PA and lateral chest x-ray ___ and ___. INDICATION: ___-year-old with right-sided pleural effusion. | New pigtail catheter with tip at the right lung base. Improved right pleural effusion. |
11300581 | A right port-a-cath ends in the high right atrium, as before. An enteric catheter courses below the level of the diaphragm, ending in the upper stomach, although the side hole is in the region of the gastroesophageal junction, not significantly changed. Lung volumes remain very low, slightly decreased compared to the prior study. In addition to the known bilateral chronic interstitial abnormality, there are increasing reticular opacities throughout both lungs, particularly when compared to the prior radiograph from ___, concerning for mild interstitial pulmonary edema versus an atypical infectious process. The heart size is normal. The mediastinal contours are normal. A small right pleural effusion is likely present, unchanged. There is no definite left pleural effusion. No pneumothorax. | 57749420 | INDICATION: Increasing O2 requirement and fever. Evaluate fluid status and check for acute intrathoracic process. COMPARISON: Chest radiographs dating back through ___, including the most recent study from ___. | Mild interstitial pulmonary edema versus atypical infectious process. Background chronic interstitial abnormality. Enteric catheter continues to end in the upper stomach with its sidehole at the level of the gastroesophageal junction. Advancement recommended. Small right pleural effusion, not significantly changed. Findings were discussed with Dr. ___ by Dr. ___ at 10:42 a.m. via telephone on the day of the study. |
11300581 | AP and lateral chest radiographs were provided. Again seen are diffuse coarse interstitial opacities affecting both lung fields compatible with interstitial lung disease, essentially unchanged from the most recent prior radiograph. Right subpleural opacity likely represents chronic pleural effusion. A right Port-A-Cath catheter tip terminates at the cavoatrial junction. Cardiomediastinal silhouette is stable. Contrast is seen within the stomach. The bones are intact. | 54228991 | INDICATION: ___-year-old with fever and shortness of breath. Rule out pneumonia, CHF. COMPARISON: Multiple prior chest radiographs, most recently from ___. CT chest from ___. | Extensive bilateral intersitial opacities, essentially unchanged from the prior study. Small recurrent right pleural effusion or scarring. |
11300581 | Single frontal view of the chest was obtained. Large-bore right-sided central catheter terminates in the right atrium. Widespread heterogeneous opacification of both lungs is not appreciably changed since ___, and represents a combination of pulmonary fibrosis, edema, and small bilateral effusions. No pneumothorax. Cardiomegaly, exaggerated by low lung volumes, remains moderate. | 52724946 | HISTORY: ___-year-old female with bleomycin induced pulmonary toxicity, volume overload, and acute shortness of breath. COMPARISON: Multiple prior chest radiographs, most recently of ___. | No appreciable change in diffuse heterogeneous opacification of both lungs, representing combination of pulmonary fibrosis, edema, and effusions. No pneumothorax. |
11300581 | AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The findings are stable. Thus moderate cardiomegaly is seen. As before, bilateral pleural effusions blunt the lateral pleural sinuses and obscure major portions of the diaphragms. In comparison with the previous study, the pleural effusion on the right side has increased as much as this reaches now the apical area. Bilaterally existing pulmonary patchy infiltrates as before. | 50462167 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with hypoxemia, evaluate for pulmonary edema, ? fluid overload, ? infection. | Grossly stable chest findings possibly some increased right-sided pleural effusion. The portable chest examination cannot be expected to give more detailed differential diagnostic results. |
11300581 | There has been an increase in the bibasilar opacities consistent with atelectasis and pleural effusions. Additionally, right upper lobe and left upper lobe parenchymal opacities continue to exist and are compatible with pulmonary edema. A right-sided subclavian line terminates in the right atrium. | 50481251 | HISTORY: ___-year-old woman with history of Hodgkin's lymphoma, pulmonary fibrosis, EBV viremia and recent drainage of a large right pleural effusion. Now recent hypoxic respiratory distress insult, intermittently tachypneic. Please evaluate for interval change. COMPARISON: ___. TECHNIQUE: Single AP portable chest radiograph. | Worsening bibasilar consolidations consistent with effusion and atelectasis Also stable bilateral upper lobe pulmonary opacities consistent with edema. |
11300581 | An accessed double-lumen chest port is present with its tip in the superior right atrium. The heart size is within normal limits, as are the mediastinal contours. The lung volumes are low and patchy reticular opacities are present throughout. Compared to the prior radiograph, the extent and distribution of the interstitial markings has decreased; however, there is still a small pleural effusion on the right, tracking up into the major fissure. There is no pneumothorax. Below the diaphragm, a prominent gastric bubble is present. | 53146107 | HISTORY: ___-year-old female with Hodgkin's lymphoma as well as obstructive interstitial lung disease, now with productive cough. STUDY: PA and lateral chest radiograph. COMPARISON: ___. | Diffuse reticular/interstitial lung markings reflective of an underlying interstitial lung disease with probable improvement of pulmonary edema; continued small right pleural effusion; distended stomach. |
11300581 | Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding, although aeration and persistent bibasilar atelectasis are improved from ___. Right chest wall air has resolved. A right intravenous catheter ends in the lower SVC with a port needle in place. There may be a small right pleural effusion. No pneumothorax. | 52700470 | INDICATION: ___-year-old woman status post right VATS lung biopsy. COMPARISON: ___, ___, ___, CT ___. | Improved lung aeration with persistent bibasilar atelectasis. Possible small right effusion. |
11300581 | Chronic diffuse interstitial lung changes are present. Blunting of the right costophrenic angle is compatible with a pleural effusion. No new consolidation is identified. No pneumothorax. Cardiomediastinal contours are stable. Right central line terminates in the right atrium. | 51858407 | HISTORY: ___-year-old female with cough. Evaluate for infiltrate. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Chronic interstitial lung disease with stable small right pleural effusion. No new consolidation identified. |
11300581 | Right-sided Port-A-Cath tip terminates in the proximal right atrium, unchanged. Lung volumes are low. Small right pleural effusion appears relatively unchanged compared to the prior exam. There are diffuse coarse interstitial markings within both lungs compatible with known chronic interstitial lung disease. There is likely mild pulmonary vascular engorgement. No pneumothorax is identified. Right basilar opacification is unchanged, and could reflect a combination of atelectasis and chronic interstitial lung disease. | 59525865 | HISTORY: Left upper quadrant pain, known systemic CMV with shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | No significant interval change from prior. Diffuse coarse interstitial markings compatible with chronic interstitial lung disease. Small right pleural effusion. Mild pulmonary vascular congestion. |
11300581 | In comparison with the study of ___, there is little overall change. Again there are diffuse bilateral coarse reticular opacifications consistent with the pulmonary fibrosis. Continued low lung volumes. The overall appearance of the heart and lungs is essentially unchanged. The mediastinal lucency at the left of the trachea has virtually cleared, reflecting either improved pneumomediastinum or less air within the normal esophagus. | 51420579 | HISTORY: Pulmonary fibrosis with exacerbation. | Little overall change in the severe interstitial fibrosis. |
11300581 | Portable AP chest radiographs are obtained with the patient in upright position during both inspiration and expiration. Right chest tube is stable. Cardiomediastinal contours are unchanged. Lung volumes are significantly decreased but unchanged compared to the prior study. Persistent bilateral areas of atelectasis. No pneumothorax. Inspiratory and expiratory films show no significant difference in the intensity of the subcutaneous air which would be suggestive of a leak. | 53490494 | INDICATION: ___-year-old woman with bleeding from recent chest tube site, inspiratory/expiratory films to look for an air leak. COMPARISON: ___. | No significant changes compared to the prior study. |
11300581 | The image quality is somewhat limited by motion artifact during image acquisition. Right-sided dual-lumen central venous catheter is again noted, with the tip in the region of the cavoatrial junction. Diffuse alveolar opacities are seen bilaterally, which appears slightly worse than on the prior examination. It is difficult to assess for significant pleural effusion, but layering effusions are likely present. Cardiac silhouette is somewhat indistinct given technique, though probably unchanged. | 51082471 | PORTABLE CHEST RADIOGRAPH CLINICAL HISTORY: Pulmonary fibrosis with right-sided pleural effusion and distant history of Hodgkin's lymphoma, with acute mental status changes and tachypnea. Please evaluate for reaccumulation of right pleural effusion or other acute interval change. | Slight worsening of pulmonary edema compared to the prior radiograph from 3 days previous. Overall morphology is very similar to the torso CT examination performed earlier on the same day. |
11018735 | No significant interval change since previous radiograph. The cardiac silhouette continues to be enlarged, and a dilated tortuous aorta is seen consistent with previously mentioned aortic aneurysm. ET tube is stable item and in appropriate position. Nasogastric tube passes the diaphragm and ends in the stomach. The side port seems to be at the level of the diaphragm near the GE junction. | 51172680 | HISTORY: ___-year-old with subdural hemorrhage and subarachnoid hemorrhage. Evaluate for NG tube in stomach. TECHNIQUE: Portable AP chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | NG tube ends in the stomach with side port near the GE junction. Recommend further advancement of the NG tube. |
11018735 | There has been interval appearance of bilateral pleural effusions and associated bibasilar atelectasis. Interval increase in vascular congestion is seen. The cardiac silhouette continues to be enlarged, and a very dilated thoracic aorta is seen. ET tube is in stable and appropriate position, and the gastric tube ends in the body of the stomach. | 53475776 | HISTORY: ___-year-old woman with subarachnoid hemorrhage and subdural hemorrhage, intubated. Assess for any lung abnormalities. Rule out pneumonia. TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Interval appearance of bilateral pleural effusions and bibasilar atelectasis. Increase in pulmonary vascular congestion. |
11018735 | The lungs are hyperinflated. The aorta is enlarged and tortuous with calcifications, not significantly changed from a prior study. Moderate cardiomegaly, but no pulmonary edema. Osteopenia of the thoracic spine with decrease of height of multiple vertebral bodies unchanged from previous exam. | 52600098 | INDICATION: ___-year-old with productive cough. TECHNIQUE: Frontal and lateral radiograph of the chest. COMPARISON: Chest radiograph from ___ and CT of the chest from ___. | No change from ___. No acute process including no evidence of pneumonia. |
11018735 | There is no definite focal consolidation or pneumothorax. Haziness at the right base most likely represents atelectasis; however, infectious process cannot be completely excluded. There is prominence of the central pulmonary vasculature with upper zone redistribution, which is mostly unchanged from the prior exams and likely due to chronic CHF. The heart is enlarged, but unchanged from the prior exam. The aorta is tortuous with calcifications at the arch. | 54126503 | INDICATION: ___-year-old woman with hypertension, hyperlipidemia, significant tobacco, presenting with acute on chronic shortness of breath, decreased breath sounds at the bases, evaluate for pulmonary edema, consolidation or effusion. COMPARISONS: AP radiograph from ___. PA and lateral radiographs from ___. | Haziness at the right base most likely atelectasis; however, infectious process cannot be entirely excluded. Please refer to subsequent CT for further details. |
11018735 | PA and lateral chest radiographs are provided. Hazy opacity at the right base is unchanged from the prior radiographs and is most likely atelectasis. There is no definite focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged and notable for mild cardiomegaly and a tortuous dilated aorta. The hemidiaphragms are flattened with hyperexpansion consistent with known history of COPD. There are no acute fractures and wedge deformities of multiple thoracic vertebral bodies are unchanged. Embolization coils in the right upper quadrant and abdominal aortic stent graft are noted. | 58755147 | INDICATION: ___-year-old woman with COPD, cardiac risk factors with acute right-sided chest pain. Question COPD exacerbation versus cardiac arrest. COMPARISONS: Multiple prior radiographs, most recently from ___. CTA chest from ___. | Hazy opacity at the right base is unchanged and is likely atelectasis. Findings consistent with COPD. |
11018735 | The lungs are hyperinflated. There is a focal opacity overlying the right lower lobe, which may be representative of a developing pneumonia in the proper clinical setting. There is also a small right pleural effusion. Otherwise, the remainder of the lungs are clear. The heart is severely enlarged, slightly increased in comparison to prior studies. The aorta appears large and tortuous, with calcifications, not significantly changed in comparison to prior study. Diffuse osteopenia of the thoracic spine is again noted. Decreased loss of height of multiple vertebral bodies as previously, stable. | 58179894 | INDICATION: COPD with worsening shortness of breath. COMPARISON: Chest radiograph from ___. | Right lower lobe opacity with a small right pleural effusion. These findings are likely representative of pneumonia in the proper clinical setting. Severe cardiomegaly, increased in comparison to the prior study. |
11305621 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are intact. | 58845823 | INDICATION: 7-day fever, cough, question evidence of pneumonia. COMPARISONS: PA and lateral chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs were provided. | No acute cardiopulmonary process. |
11225415 | Heart size is normal. The aorta is unfolded and diffusely calcified. Lungs are clear. Pulmonary vascularity is normal. Mediastinal and hilar contours are otherwise unremarkable. Scarring within the lung apices is present. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 50988133 | HISTORY: 5 hours of crushing chest pain yesterday. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11610140 | Mild pulmonary edema has slightly worsened since last exam. There is also increased density at the right lung base which could represent asymmetric pulmonary edema, atelectasis or even early pneumonia. There is no pneumothorax. Mediastinal and cardiac contours are normal. Right-sided PICC line ends in lower SVC. NG tube has been removed. | 59972138 | PORTABLE AP CHEST X-RAY INDICATION: Patient with alcoholic hepatitis and hypoxia, evaluate pulmonary edema. COMPARISON: ___ to ___. | Worsening of mild pulmonary edema. New right lower lung opacity could reflect either atelectasis, dependent edema, pleural effusion or even early pneumonia. Re-evaluation is recommended after treatment for edema with repeat chest radiograph. The results have been discussed with the medical team at 11:20 a.m. |
11610140 | New right PICC tip terminates in the mid to low SVC. Heart size and mediastinal contours are within normal limits. The lungs demonstrate diffuse ground-glass opacities, slightly worse the right than the left. There is no large pleural effusion or pneumothorax. | 53339365 | HISTORY: ___-year-old female with hypoxia and hemoptysis. STUDY: PORTABLE AP UPRIGHT CHEST RADIOGRAPH. COMPARISON: ___. | Lung opacities, in the setting of hemoptysis are most compatible with pulmonary hemorrhage. |
11610140 | A right PICC tip terminates at the cavoatrial junction. There has been interval placement of a Dobbhoff tube that coils within the stomach, but the tip traverses back up the esophagus and sits in the mid-to-upper esophagus. There is no pneumothorax or pneumomediastinum. Pulmonary vascular engorgement is unchanged. The heart size is at the upper limits of normal. | 55174848 | HISTORY: ___-year-old female with Dobbhoff tube placed. STUDY: Portable AP upright chest radiograph. COMPARISON: ___. | Dobbhoff tube coiled back upon itself into the esophagus. Findings were discussed with ___, the ordering clinician at 16:47 on ___, by ___ over the phone, approximately 10 minutes after discovery. |
11610140 | The endotracheal tube is now in a more satisfactory position, at 3.3 cm from the carinal angle. The opacifications within both right and left lung are essentially unchanged since the prior chest x-ray. | 51887162 | CLINICAL HISTORY: Cirrhosis, hemoptysis. Evaluate for interval change. | Endotracheal tube in improved position. Lung opacities, unchanged. |
11610140 | As compared to prior chest radiograph from ___, the tip of the Dobhoff catheter now projects over the pylorus. A right-sided PICC line remains in unchanged position, in the lower SVC. There are low lung volumes which accentuate the cardiac silhouette and bronchovascular structures. Residual contrast is noted within bowel. | 55218778 | INDICATION: ___-year-old female patient with NG tube placement. Study requested for evaluation of tube position. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable chest AP radiograph. | Dobhoff tube tip at pylorus. |
11610140 | ET tube ends 3.5 cm above the carina. NG tube is in the stomach or below. Bilateral widespread lung opacities, presumed to be alveolar hemorrhage are continuing to improve. Pleural effusions are small if any. Right-sided PICC line ends at cavoatrial junction. There is a right jugular sheath ending in upper SVC. There is no pneumothorax. Mediastinal and cardiac contours are normal. | 58375012 | PORTABLE AP CHEST X-RAY INDICATION: Patient intubated, interval change? COMPARISON: ___ to ___. | Bilateral severe widespread lung opacities, presumed to be alveolar hemorrhage are continuing to improve. Tube and lines are in adequate position. |
11761176 | The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Subpleural thickening at each lung apex appears unchanged. Otherwise the lungs appear clear. | 56770363 | CHEST RADIOGRAPH HISTORY: New left hemiparesis. Question infection. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | No evidence of acute cardiopulmonary disease. |
11190216 | No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. | 57643366 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dizziness and weakness concerning ? stroke. // patient with chest tightness TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Mild cardiomegaly. No definite focal consolidation to suggest pneumonia. |
11241636 | The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change. | 53232715 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11145445 | Frontal and lateral views of the chest demonstrate normal lung volumes. The left lung base opacities most likely represent atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdominal visceral organs are unremarkable. | 58678132 | INDICATION: The patient with fevers. Assess for pneumonia. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
11440498 | Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. No pneumothorax is present. The heart size is mildly enlarged with a left ventricular configuration. The aortic knob is calcified. Pulmonary vascularity is not engorged. Multiple nodular opacities are seen in both lungs, most pronounced within the right upper lobe measuring up to 10 mm, concerning for metastatic disease. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality is seen. The patient appears to be status post right mastectomy. | 50723076 | INDICATION: Failure to thrive. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE | Multiple nodular opacities in both lungs concerning for metastatic disease. |
11188341 | The lungs are well inflated. No CHF, focal infiltrate, effusion, or pneumothorax is detected. Right paratracheal soft tissues could represent vascular structures in someone of this age. Slight leftward displacement of the trachea is noted. While this could be positional, it raises the possibility of displacement by the thyroid. The heart is at the upper limits of normal in size. The aorta is unfolded. The right hemidiaphragm is slightly elevated. No free air is seen beneath the diaphragm. Mild to moderate multilevel degenerative changes are noted in the thoracic spine. | 51973792 | INDICATION: History: ___F with pleuritic chest / flank pain // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute pulmonary process detected. Possible leftward displacement of the trachea. If real, this raises the question of displacement by an enlarged right thyroid. Prominent right paratracheal soft tissues may be related to this or could be related to ectatic vessels in someone of this age. |
11817939 | The patient is rotated to the right and there are low lung volumes. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. There is no pneumothorax. There may be mild vascular congestion. No definite lobar consolidation is identified. Multi-level degenerative changes are seen along the spine. The cardiac silhouette is enlarged. | 51773700 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness // Pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Low lung volumes and patient rotation limit the examination. Given this, there may be mild pulmonary vascular congestion. No definite lobar consolidation seen. Cardiomegaly. |
11688793 | PA and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities. | 56335823 | INDICATION: ___-year-old female with sudden onset substernal chest pain, question pneumothorax. COMPARISONS: None. | No acute cardiopulmonary process. |
11171757 | Lungs are clear of confluent consolidation, large effusion, or edema. The cardiomediastinal silhouette is stable with tortuosity of the descending thoracic aorta accentuated by patient rotation to the right. Degenerative changes noted at the shoulders. | 55333565 | INDICATION: ___F with likely delirium/ confusion // ? pneumonia TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11367185 | A portable frontal chest radiograph demonstrates a left chest pacemaker with the leads overlying the right atrium and ventricle, a right jugular central catheter with the tip in the mid SVC, and a nasogastric tube which extends at least into the stomach. The endotracheal tube tip is 2.8 cm above the carina. The cardiomediastinal silhouette is normal. There is a moderate right pleural effusion. The lungs are otherwise clear. There is no pneumothorax. | 58526823 | HISTORY: Pneumothorax status post intubation. Evaluate for pneumothorax. COMPARISON: None. | No pneumothorax. Moderate right pleural effusion. Endotracheal tube is 2.8 cm above the carina and should be drawn back ___.5 cm. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___. |
11367185 | A portable frontal chest radiograph demonstrates a right pigtail catheter within the right pleural fluid collection which is likely unchanged in size, allowing for changes in patient position. The remainder of the exam is unchanged, including retrocardiac atelectasis. The cardiomediastinal silhouette is similar in appearance. There is no pneumothorax. | 59369079 | HISTORY: Follow up of pleural effusion. COMPARISON: Multiple chest radiographs dating back to ___, the most recent on ___. | Unchanged chest radiograph demonstrating a moderate right pleural effusion. |
11367185 | A portable frontal chest radiograph again demonstrates an incompletely imaged left chest pacemaker with the single lead overlying the right ventricle. An endotracheal tube in proper position. The right jugular catheter projects over the right mediastinum, but is secondary to patient rotation and confirmed to be in the vein on subsequent CT. There is no pneumothorax. The remainder is unchanged, demonstrating a moderate right pleural effusion. | 52286854 | WET READ: ___ ___ 11:53 PM No pneumothorax. Patient rotation causes the right internal jugular central venous catheter tip to project over the mid upper mediastinum; a subsequent chest CT confirms its intravenous location. Overall, no significant change compared with the study from approximately 5 hr ago. ______________________________________________________________________________ FINAL REPORT HISTORY: Respiratory failure and possible left pneumothorax seen on previous chest radiograph. Evaluate for left pneumothorax. COMPARISON: Multiple chest radiographs and CT chest, all from ___. | No pneumothorax. Previous reference to a left pneumothorax is explained by likely misinterpretation of skin folds, and is confirmed by subsequent CT chest. Otherwise unchanged chest radiograph, demonstrating a moderate right pleural effusion. |
11049412 | As compared to ___, low lung volumes with worsening multifocal linear opacities, with more confluent opacities in the right upper lobe and lingula. There is also crowding of the bronchovascular structures. mild cardiomegaly. No pleural effusions. Right-sided internal jugular catheter in similar position. | 53928891 | INDICATION: ___ year old woman with fulminant liver failure to receive liver transplant today // Assess for cardiopulmonary processes Surg: ___ (liver transplant) | Interval worsening of the multifocal opacities, which may reflect worsening multifocal pneumonia or asymmetrical pulmonary edema. |
11559632 | The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. | 54919091 | INDICATION: ___ year old man with confusion // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: No prior | No acute cardiopulmonary process. |
11062354 | ___. History: Chest pain, low grade fevers. Findings: PA and lateral view of the chest, no prior. There is subtle left basilar opacity, potentially atelectasis, however, infiltrate is not excluded. In addition, there is a 7-mm nodular opacity projecting in the suprahilar region on the left. Elsewhere, the lungs are grossly clear, costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. | 57763605 | CHEST, TWO | Left basilar atelectasis versus infiltrate. Possible left suprahilar nodule. These findings can be followed up on the upcoming chest CT, which has been ordered. |
11790339 | The ET tube is in the right mainstem bronchus. At the time and dictated this report the severity been repositioned. | 52689981 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ICH, intermittent desaturations // interval change TECHNIQUE: Portable chest COMPARISON: ___. | Right mainstem bronchus intubation. |
11790339 | Portable semiupright frontal radiograph of the chest. The tracheostomy tube is in expected position. Lung volumes are low with bibasilar atelectasis and likely small pleural effusions. No pneumothorax. Mild enlargement of the cardiac silhouette. The upper abdomen demonstrates gastrostomy tube in the left upper quadrant. Air is seen outlining loops of bowel on the right upper quadrant consistent with free air. Additionally pneumatosis is noted in several loops of bowel in the right upper quadrant. All of these findings were seen on outside hospital CT. | 52057398 | HISTORY: Question free air. COMPARISON: CT torso from ___ at 22:54. | Free air and pneumatosis in the upper abdomen as confirmed by outside hospital CT. Per surgical admission note, the Surgical service is aware of these findings |
11790339 | A portable view of the chest demonstrates the and ETT ending 3.8 cm from the carina. An NG tube is unchanged in position. Compared to prior, there are worsening hazy bibasilar opacities which likely reflect layering pleural effusions. The cardiomediastinal and hilar contours are grossly unchanged. There is no pneumothorax. | 57723350 | HISTORY: Thalamic hemorrhage, reintubated on ___ for hypoxia, evaluate interval change. COMPARISON: Chest radiographs from ___ through ___. | Slight worsening of bibasilar opacities which likely represent layering pleural effusions. Otherwise, no change. |
11132535 | Lung volumes are low. The heart appears at least borderline enlarged. Within the limitations of technique, the mediastinal and hilar contours are probably within normal limits. Opacification is fairly confluent over the lateral left lower lung suggesting pneumonia, or potentially aspiration in the appropriate setting; otherwise, lungs appear clear. There is no definite pleural effusion or pneumothorax. | 50364332 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Hypoxia after recent colonoscopy procedure. History of congestive heart failure and COPD. TECHNIQUE: Chest, portable AP upright. COMPARISON: None. | Focal opacity in the left lower lung suggesting pneumonia, potentially aspiration in the appropriate setting. |
11283583 | Portable frontal radiograph of the chest demonstrates a left PICC line ending in the mid SVC. The left brachiocephalic stent is in unchanged position. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. | 52519368 | INDICATION: PICC placement. COMPARISON: ___. | Left PICC ends in the mid SVC. |
11533828 | 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. Bone island within the right anterior sixth rib is unchanged. | 52074428 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with neurologic symptoms TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11656048 | Single AP view of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal consolidation. Surgical clips are noted in the left axilla. | 53762183 | HISTORY: Chest pain. Evaluation for infection or CHF. COMPARISON: Comparison is made to radiographs of the chest from ___. | No acute cardiopulmonary process. |
11656048 | The lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable. No displaced rib fracture. | 54568343 | WET READ: ___ ___ ___ 10:29 PM 1. No acute cardiopulmonary process. Specifically, no pulmonary edema 2. No displaced rib fracture. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with chest pain. Assess for pulmonary edema or fracture. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, and ___, ___. | No acute cardiopulmonary process. Specifically, no pulmonary edema No displaced rib fracture. |
11471975 | The lungs are well expanded clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable. Calcified anterior mediastinal lymph nodes are unchanged. | 50428896 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M with ascites and DOE. Evaluate for fluid balance, pna, atelectasis. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph from ___, ___. | No acute cardiopulmonary process. |
11471975 | 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. Calcified densities in the anterior mediastinum most likely represent calcified lymph nodes, and are unchanged. | 52703645 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recent treated LLL pneumonia // F/u for cure -- LLL pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary abnormality. Stable, calcified densities in the anterior mediastinum most likely represent calcified lymph nodes related to prior granulomatous exposure. |
11496341 | Right-sided Port-A-Cath is seen with catheter terminating in the low SVC, without evidence of pneumothorax. No focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 55080573 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with active chemo SOB, cough // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ and ___ | No acute cardiopulmonary process. |
11084973 | PA and lateral views of the chest provided. Lungs are hyperinflated. 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. | 50291911 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with SOB // eval for PNA COMPARISON: ___ | No acute intrathoracic process. Hyperinflated lungs. |
11084973 | Subtle left base opacity is felt to most likely be due to atelectasis rather than infection. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 51434990 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with HTN, IDDM, and anemia presenting with cough, dizziness, and SOB // evidence of infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle left base opacity is felt to more likely be due to atelectasis but infection. |
11593376 | Lung volumes are low. The cardiomediastinal silhouette is unchanged since the prior examination. There is no pleural effusion or large pneumothorax. No definite consolidation is identified. | 55945879 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with lethargy, back pain, hypoxia // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute intrathoracic abnormality. |
11593376 | Lung volumes are improved compared the prior study. The trachea is central. The cardiomediastinal contour is unchanged. The heart is not grossly enlarged. No pleural effusion, consolidation or pneumothorax seen. The visualized bony structures are unremarkable in appearance. | 59183221 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with dementia // PNA? TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process seen. |
11593376 | The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 56591388 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Progressive personality change and altered mental status. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11882188 | Frontal and lateral views of the chest were obtained. There is minimal right base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. Mediastinal and hilar contours are unremarkable. Thoracic scoliosis is noted. | 59720960 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of fever. COMPARISON: ___. | No acute cardiopulmonary process. |
11882188 | Portable AP upright chest radiograph provided. There has been placement of a left upper extremity PICC line with its tip located in the mid SVC region. Cardiomediastinal silhouette is stable. No pneumothorax or effusion. No focal consolidation or signs of pulmonary edema. Partially visualized catheter in the right upper quadrant as well as an IVC filter. Bony structures appear intact. | 53847743 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: PICC line placement, assess position. | Appropriately positioned left upper extremity PICC line. Otherwise, no acute findings. |
11882188 | AP upright and lateral views of the chest were obtained. Subtle left lower lobe opacity, which could represent a very early pneumonia. Otherwise, the lungs appear clear. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears stable. Bony structures appear intact. Partially imaged tubing in the bilateral upper abdomen likely reflect nephrostomy tubes. | 58841081 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough and URI symptoms, history of pancreatic cancer, assess for pneumonia. | Subtle opacity in the left lower lobe could represent a very early pneumonia. |
11861978 | Interval enlargement of the cardiac silhouette, distention of azygous vein, and engorgement of pulmonary vessels as compared to baseline scout image from ___. Bilateral asymmetrically distributed alveolar opacities are present in the mid and lower lungs, worse on the right than the left, and most confluent in the right middle lobe with resultant obscuration of the right heart border. Probable bilateral pleural effusions, but no visible pneumothorax. | 55916698 | PORTABLE CHEST ___, ___ COMPARISON: Scout image from a chest CTA of ___. CLINICAL HISTORY: Recently postpartum with shortness of breath and chest pain. | Bilateral asymmetrical airspace disease, which may reflect asymmetrical cardiogenic pulmonary edema from postpartum cardiomyopathy or from a pre-existing cardiac condition. Differential diagnosis for diffuse airspace opacities in the early post-partum period also includes amniotic fluid embolism, aspiration pneumonia, and widespread infectious pneumonia. Correlation with cardiac echo may be helpful for initial further evaluation if warranted clinically. |
11493576 | 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. | 51269137 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain and syncope TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11512369 | An endotracheal tube terminates 2.8 cm above the carina. An enteric tube passes below the diaphragm, outside the field of view. There is retrocardiac linear atelectasis at the left lung base. Lung volumes are low with associated crowding of the bronchovascular structures. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Surgical clips projecting over the with right upper quadrant are presumably related to cholecystectomy. A radiopaque pin projecting over the left lung apex is likely external to the patient. | 55063138 | WET READ: ___ ___ ___ 3:41 PM An endotracheal tube terminates 2.8 cm above the carina. A radiopaque pin projecting over the left lung apex is presumably external to the patient. WET READ VERSION #___ ___ ___ ___ 3:04 PM An endotracheal tube terminates 2.8 cm above the carina. Aside from linear atelectasis at the left lung base, lungs are unremarkable. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable AP chest radiograph INDICATION: ___F with endotracheal tube placement TECHNIQUE: Portable supine AP chest COMPARISON: None. Patient is currently listed as EU critical. | An endotracheal tube terminates 2.8 cm above the carina. A radiopaque pin projecting over the left lung apex is presumably external to the patient. |
11095636 | PA and lateral chest radiographs were provided. The right internal jugular central line terminates at the cavoatrial junction. There is no focal consolidation or pneumothorax. Left pleural effusion is unchanged since the prior exam. Right basilar atelectasis has improved. Cardiomediastinal silhouette is unchanged. | 53345354 | INDICATION: History of CABG, pre-discharge evaluation, followup effusion. COMPARISONS: Chest radiograph from ___. | Stable left pleural effusion. |
11423426 | The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax. No acute osseous abnormalities are seen. | 58684396 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11051914 | The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 50364589 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough for 1 week, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11351165 | The patient is status post median sternotomy, and multiple mediastinal surgical clips likely reflect prior bypass surgery. Coronary artery stents are also seen. The lungs are well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is seen, and the cardiac silhouette is normal in size. The mediastinal and hilar contours are normal. No acute osseous abnormality is seen. | 51370186 | INDICATION: ___-year-old female with chest pain. Evaluate for infectious process. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11351165 | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable, however if there is concern for a rib fracture, a dedicated rib-series with a BB-marker marking the site of pain would be advisable. | 58674603 | INDICATION: History of low high-speed MVC. Please evaluate for acute process. COMPARISONS: Multiple chest radiographs dated back to ___, most recently ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute intrathoracic abnormality is identified. No definite fracture is identified, however if there is further concern for a rib fracture, a dedicated rib-series with a BB-marker marking the site of pain would be advisable. |
11110923 | 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. | 56562258 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with HIV presenting with 2 days of productive cough and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11110923 | Left upper lobe opacity suggests pneumonia in the given clinical history. Retrocardiac opacity is most likely atelectasis from lack of full inspiration. No pulmonary edema, pleural effusion or pneumothorax. The heart size, hila, and pleura are normal. | 53874390 | WET READ: ___ ___ ___ 10:38 AM Left upper lobe pneumonia. Follow-up chest x-ray after treatment to ensure resolution. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LATERAL) INDICATION: ___-year-old man presenting with cough and fever. TECHNIQUE: PA and lateral radiograph views of the chest were obtained. COMPARISON: No prior imaging is available in PACS. | Left upper lobe pneumonia. Follow-up chest x-ray after treatment to ensure resolution. |
11420353 | Low lung volumes account for minimal atelectasis. There is a small left pleural effusion. No focal opacities concerning for pneumonia. Cardiac silhouette is normal in size. No obvious pneumothorax. | 51026322 | HISTORY: ___-year-old male with hypotension. Evaluate for pulmonary edema. COMPARISON: None. TECHNIQUE: Single portable view of the chest. | No evidence of pulmonary edema. Small left pleural effusion. |
11420353 | There has been interval placement of a Dobbhoff tube with the tip terminating in the mid gastric body. There is otherwise mildly improved aeration of the right lung. There is otherwise no significant interval change compared to prior study. | 50380182 | HISTORY: Status post Dobbhoff tube placement. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph. | Adequate placement of a Dobbhoff tube with tip terminating in the mid gastric body. |
11420353 | There is no significant change compared to prior examination with redemonstration of large bilateral pleural effusions unchanged in size given patient positioning, with associated compressive atelectasis. A left PICC line is unchanged in position at the upper SVC. There is no pneumothorax. | 58719565 | HISTORY: Shortness of breath and bilateral pleural effusions. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph. | No significant change in appearance of the large bilateral pleural effusions. |
11420353 | Please note that the upper portion of the chest has been excluded from this exam. There has been interval removal of the prior endogastric tube and replacement with a Dobbhoff feeding tube with tip of the Dobbhoff tube projects over the gastric antrum. The visualized portion of the lungs demonstrates low volumes with bibasilar atelectasis, more prominent on the left than the right. Gas-distended loops of bowel are present within the abdomen but none are dilated. | 56079543 | HISTORY: ___-year-old male with new nasogastric feeding tube placed. STUDY: Portable AP supine lower chest/upper abdominal radiograph. COMPARISON: ___. | Feeding tube tip within the stomach. |
11420353 | There are large bilateral pleural effusions, ill-defined vasculature, an alveolar infiltrate that is worsened compared to the study from 2 days prior. The left-sided PICC line is unchanged | 51545139 | HISTORY: Shortness of breath. COMPARISON: ___. | Worsened CHF. An underlying infectious infiltrate can't be excluded. |
11420353 | Compared to prior examination, the left-sided pleural effusion has significantly improved status post thoracentesis with small remaining amount of fluid with associated left base atelectasis. Atelectasis is also noted in the right lung base. Lung volumes are low. Edema has significantly improved. There is no pneumothorax. | 57103225 | HISTORY: Left pleural effusion status post thoracentesis. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph, single view. | Significant improvement of left-sided effusion as well as of mild pulmonary edema with remnant low lung volumes and bibasilar atelectasis. |
11197198 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is trace right pleural fluid. No focal consolidation or pneumothorax is present. The visualized upper abdomen is unremarkable. | 52726920 | INDICATION: Evaluate for pneumonia in a patient with papillary thyroid cancer status post thyroidectomy, presenting with cough and sputum production. COMPARISON: None available. | Trace right pleural fluid. No focal consolidation. |
11877620 | The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There is mild to moderate S shaped rotatory scoliosis of the thoracic and upper lumbar spine. | 50967919 | WET READ: ___ ___ ___ 4:03 PM 1. No acute cardiopulmonary process. 2. Mild-to-moderate S-shaped thoracolumbar scoliosis. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with palpitations, ? preexcitation on EKG, evaluate for cardiomegaly or pleural effusions. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. Moderate S-shaped thoracolumbar scoliosis. |
11714071 | AP and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. There may be minimal interstitial edema. Cardiomediastinal and hilar contours are normal. | 55903879 | INDICATION: Diminished breath sounds in the left base, cough. COMPARISON: ___. | Possible minimal interstitial edema. No focal consolidation. |
11714071 | The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. An inferior vena cava filter is visualized. | 55205640 | CHEST RADIOGRAPHS HISTORY: Left chest pain radiating to the jaw. History of coronary artery disease. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11714071 | PA and lateral views of the chest were provided, demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. A scoliotic deformity is again noted. There is no free air below the right hemidiaphragm. | 56070864 | CHEST RADIOGRAPH COMPARISON: Prior study from ___ and ___. CLINICAL HISTORY: Nausea, vomiting, right lower quadrant pain, question pneumonia. | No signs of pneumonia. |
11714071 | Chronically increased interstitial markings again seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 52121844 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recent hospitalization for pneumonia presents with ongoing pain in her right middle back, reproducible with exam // ? worsening pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11714071 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 55039781 | INDICATION: ___-year-old woman with weakness and body pains, question pneumonia. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11714071 | The heart size remains mildly enlarged, and the mediastinal and hilar contours are stable with tortuosity of thoracic aorta again noted. Mild pulmonary vascular prominence is unchanged, but no overt pulmonary edema is seen. No focal consolidation, pleural effusion or pneumothorax is present. An inferior vena cava filter is partially imaged, and clips in the right upper quadrant denote prior cholecystectomy. Right acromioclavicular degenerative changes are noted. | 52512235 | INDICATION: Abdominal and back pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No radiographic evidence for pneumonia. |
11714071 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. IVC filter is in place. Multiple surgical clips project over right upper abdomen. | 50750212 | INDICATION: Chest pain and fever. COMPARISONS: Chest radiographs of ___ and ___. | No evidence of acute cardiopulmonary process. |
11714071 | The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pulmonary edema or pneumothorax. Scoliosis is noted, unchanged. IVC filter is seen projecting over the thoracolumbar spine. | 53036249 | ___-year-old woman with presyncope, feeling unwell, rule out acute process. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute intrathoracic process. |
11714071 | Frontal AP upright and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Opacity at the left base has improved since the prior study. Heart size is top normal, allowing for technique. The mediastinal silhouette and hilar contours are stable with mild aortic tortuosity. No upper abdominal or osseous abnormality is identified. | 51249587 | CLINICAL HISTORY: ___-year-old woman with nausea and bibasilar crackles. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. | No pneumonia, edema or effusion. |
11714071 | The heart is moderately enlarged, and there is moderate pulmonary edema with bilateral pleural effusions. No focal consolidation or pneumothorax is seen. There is a left cardiac device with its leads in stable position over the right atrium and ventricle. | 51208785 | INDICATION: ___-year-old female with one day of shortness of breath and history of congestive heart flare. Evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiographs from ___, ___ and ___. | Cardiomegaly, pulmonary edema and bilateral pleural effusions. |
11714071 | Frontal and lateral chest radiographs demonstrate stable cardiomediastinal contours. There is stable mild pulmonary vascular prominence. No clear sign of pneumonia. No pleural effusion or pneumothorax. No displaced rib fracture. | 50625285 | INDICATION: Right-sided chest pain and cough, recent fall, evaluate for pneumonia or rib fractures. COMPARISON: Comparison is made to chest radiograph performed ___. | No acute cardiopulmonary process. No displaced rib fractures. |
11714071 | AP upright and lateral views of the chest were provided. Within the upper abdomen partially imaged is an IVC filter. The lungs appear clear without focal consolidation effusion or pneumothorax. The heart and mediastinal contours appear normal. The imaged osseous structures appear intact. There is no free air below the right hemidiaphragm. | 54721970 | HISTORY: ___-year-old female with back pain, evaluate for rib fractures or pneumonia. COMPARISON: Prior exam is dated ___. | No acute intrathoracic process. |
11714071 | PA and lateral chest radiographs were obtained. There are subtle patchy opacities at the right lung base. The heart size top-normal and the mediastinal contours are stable. There is no pleural effusion or pneumothorax. | 58144649 | HISTORY: Patient with nausea, evaluate for pneumonia. COMPARISON: Numerous chest radiographs dating back to ___, most recently from ___. | Subtle right lung base opacity which may be due to atelectasis, however infection is not excluded in the appropriate clinical setting. |
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