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11714071 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small linear opacity lateral to the left heart border is most consistent with atelectasis. The cardiomediastinal silhouette is normal. | 55993901 | INDICATION: Generalized weakness. COMPARISONS: Chest radiograph, ___. CT abdomen and pelvis, ___. | Left basilar atelectasis; no definite evidence of pneumonia. |
11714071 | There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal contours are unremarkable. Cholecystectomy clips are noted. | 57087145 | INDICATION: Malaise, evaluate for infiltrate. COMPARISONS: Chest radiograph ___. AP AND LATERAL VIEWS OF THE | No acute intrathoracic process. |
11714071 | The mediastinal, pleural and pulmonary structures are unremarkable. The cardiac silhouette is unchanged and normal. There is no focal infiltrate to suggest pneumonia. No pleural effusion or pneumothorax is seen. There are degenerative changes of the thoracic spine marked by disc space narrowing and endplate sclerosis. AN IVC filter and abdominal clips are noted. | 56455078 | INDICATION: Chest pain, evaluate for infiltrate or pneumonia. COMPARISONS: Chest radiograph, ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11714071 | AP upright and lateral views of the chest provided. Lung volumes are low with mild interstitial edema noted. No large effusion is seen. Heart size is top-normal. Mediastinal contour is normal. No pneumothorax or large effusion. Bony structures are intact. | 54967201 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with cp // ?pna COMPARISON: ___. | Mild cardiomegaly with mild interstitial edema. |
11714071 | Dual -chamber pacemaker lead tips are in the right atrium and right ventricle, unchanged since prior examination. Lungs are clear except for a patchy left retrocardiac opacity obscuring the medial left hemidiaphragm and a portion of the descending thoracic aortic interface. No pleural effusion or pneumothorax. Moderate cardiomegaly is stable. Mediastinal contour and hila are otherwise unremarkable. | 58423594 | WET READ: ___ ___ ___ 9:47 AM 1. Retrocardiac opacity, worrisome for pneumonia or aspiration pneumonia. 2. 3 mm right lower lobe pulmonary nodule. 3. Mild vascular congestion. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with weakness. Assess for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. | Patchy left retrocardiac opacity could potentially represent an early focus of pneumonia, localized aspiration or atelectasis. |
11714071 | Mild cardiac enlargement is unchanged. The aorta remains tortuous and diffusely calcified. Hilar contours are unremarkable. Mild pulmonary vascular prominence is unchanged. Lungs are clear with no focal consolidation. No pleural effusion or pneumothorax is seen. Cholecystectomy clips along with an inferior vena cava filter are partially imaged within the upper abdomen. There are no acute osseous abnormalities. | 59951008 | HISTORY: Shortness of breath, low oxygen saturation. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. | No acute cardiopulmonary abnormality. |
11714071 | Frontal and lateral views of the chest. Heart size is top normal and mediastinal contours are stable. Small left lung base opacity is most likely atelectasis, though infection is not entirely excluded. No pleural effusion or pneumothorax. | 56134271 | HISTORY: ___-year-old female with back pain and nausea. COMPARISON: ___. | Small left base opacity is most likely atelectasis, though infection cannot be excluded in the appropriate clinical setting. |
11714071 | AP and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 58332309 | HISTORY: Malaise, nausea, vomiting. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
11714071 | Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. There is a nonspecific chronic interstitial abnormality of uncertain clinical significance. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures identified. | 58940436 | WET READ: ___ ___ ___ 5:00 AM 1. Mild interstitial pulmonary edema. 2. No pneumothorax. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with right sided chest pain // r/o ptx TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___. | No acute cardiopulmonary process. |
11714071 | No focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac silhouette is top-normal. The aorta is mildly tortuous. There is evidence of an IVC filter in the imaged upper to mid abdomen, although not well evaluated. No displaced fracture is seen. | 59991794 | HISTORY: Bilateral mid back pain worse with deep inspiration. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11714071 | Moderate cardiomegaly stable. Dual-chamber pacemaker leads are unchanged. Since the prior radiograph ___ ___ there has been increase in interstitial markings bilaterally, indicative of pulmonary edema. There is no pleural effusion or pneumothorax. No focal consolidation to suggest pneumonia. | 57645282 | WET READ: ___ ___ ___ 2:41 AM Mild pulmonary edema, with no pleural effusions or focal consolidation. Stable moderate cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with malaise // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild interstitial pulmonary edema, with no pleural effusions or focal consolidation. Stable moderate cardiomegaly. |
11714071 | The lungs are clear. No confluent opacity is identified. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. Aortic knob calcifications are again noted. Surgical clips are redemonstrated in the right upper quadrant. IVC filter projects over the thoracolumbar spine. | 57066081 | HISTORY: ___-year-old female with chest pain. COMPARISON: Chest radiograph from ___. FRONTAL AND LATERAL CHEST | No acute cardiopulmonary process. |
11022210 | Left lower lobe consolidation is worrisome for pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. | 52195759 | WET READ: ___ ___ ___ 12:04 PM Left lower lobe consolidation worrisome for pneumonia ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, cough // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Left lower lobe pneumonia. |
11283698 | The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. | 52912032 | WET READ: ___ ___ ___ 12:35 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old woman with cough and congestion, here to evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11138766 | 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. | 53793134 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath for 1 week TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11160330 | The heart appears mildly enlarged and increased in size. There is mild unfolding of the thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. | 55710218 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Mild cardiomegaly. No evidence of acute disease. |
11016966 | Heart is persistently mildly enlarged, with left ventricular configuration, and the aorta is tortuous. Lungs are clear. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57594039 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, chest pain, ?pneumonia // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No radiographic evidence of pneumonia. |
11725472 | The lungs are clear without pleural effusion, focal consolidation or pneumothorax. Minimal prominence of the right hilus is projectional. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac and mediastinal silhouettes are within normal limits. No acute, displaced rib fractures are detected. | 54966213 | INDICATION: Cough and rib pain, here to evaluate for pneumonia or rib fracture. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. No acute, displaced rib fracture seen. If high concern, dedicated rib series or CT is more sensitive. |
11551014 | Frontal and 2 lateral views of the chest. On the frontal exam, the lungs are clear. On 1 of the 2 lateral exams there is increased opacity projecting near the posterior costophrenic sulci which clears on the ___ lateral view and is likely due to atelectasis. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. | 50198931 | HISTORY: ___-year-old male with slurred speech and vomiting. Question pneumonia. COMPARISON: ___. | No definite acute cardiopulmonary process. |
11551014 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinal and hilar contours are stable. There is no overt pulmonary edema. | 56871055 | HISTORY: Recent craniotomy with fevers. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No significant interval change. No acute cardiopulmonary process. |
11551014 | The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. Nipple shadows are visible bilaterally. Opacity projecting over posterior lower lungs on the lateral view is probably due to stable atelectasis in the medial right lower lobe, as seen previously. There is no pleural effusion or pneumothorax. | 55555022 | CHEST RADIOGRAPHS HISTORY: Metastatic renal cell carcinoma, presenting with fever. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11382055 | AP and lateral views of the chest. Relatively low lung volumes are noted. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. Mild height loss in the upper lumbar spine vertebral bodies better seen on lumbar spine films. No displaced rib fractures identified. | 55954979 | HISTORY: ___-year-old female with mechanical fall from standing with back pain. COMPARISON: None listed. | No definite acute cardiopulmonary process. |
11881853 | Right chest Port-A-Cath tip extends to the right atrium. A gastric tube extends into the stomach. Focal consolidation in the medial left lower lung zone likely corresponds to the previously described left lower lobe pneumonia. New patchy opacities at the right lung base may also reflect foci of infection. No pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits. Calcification of the aortic arch is noted. | 52002780 | INDICATION: ___ year old woman with metastatic GB cancer admitted as OSH transfer for LLL PNA on CT. No CT report here. // ?PNA LLL TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | New bibasilar opacities likely reflect the provided clinical history of left lower lobe pneumonia. |
11881853 | New ill-defined opacities in the right upper lobe represent aspiration/pneumonia. There is no evident pneumothorax. NG tube tip is in the stomach the side port is at the EG junction should be advanced for more standard position. There is mild vascular congestion. Left lower lobe aeration has improved. Port a cath tip is at the cavoatrial junction. Several catheters project in the upper abdomen. Cardiomediastinal contours are unchanged | 58112723 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman POP day 3 of repair of duodenal perforation, omental patch; unable to wean from oxygen // Atelectasis, pneumonia, pulmonary edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Right upper lobe aspiration/pneumonia NG tube tip is in the stomach the side port is at the EG junction should be advanced for more standard position Mild vascular congestion |
11881853 | Portable semi-upright radiograph of the chest demonstrates a right-sided infusion port, with the tip terminating in the upper right atrium. Inspiratory volumes are slightly low. Cardio mediastinal silhouette is probably unchanged. Suspect mild cardiomegaly, with a calcified tortuous aorta. There is bilateral hilar prominence. Possible mild peribronchial cuffing is noted and the minor fissure is slightly thickened. There is mild prominence of interstitial markings at both bases. There is patchy opacity at both lung bases medially. There is no definite pleural effusion. No pneumothorax or obvious subdiaphragmatic air detected. Right upper quadrant surgical clips noted. Previously described (CT) described small pulmonary nodules that are not well depicted radiographically. | 55145405 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with peritonitis // free air? . Review of OMR indicates history of gallbladder cancer. TECHNIQUE: Portable chest x-ray. COMPARISON: Targeted review of CT chest dated ___ | Mild cardiomegaly is probably unchanged. Mild prominence of interstitial markings and minimal patchy opacity at both lung bases, of indeterminate acuity. This could reflect chronic changes, mild superimposed asymmetric CHF, or an early inflammatory process. No gross free air detected beneath the diaphragm. (Subsequent abdominal CT identified trace pneumoperitoneum -- please see separate report of that study.) |
11881853 | Cardiomediastinal contours are unchanged. Right chest port tip in proximal right atrium. NG tube appropriately positioned in the stomach. Right middle and lower lung opacities minimally improved compared to previous study. There is no pneumothorax or pleural effusion. | 53521193 | EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 2 EXAMS INDICATION: ___ year old woman with aspiration s/p NG tube placement. // Please evaluate NG tube. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiographs ___ performed earlier on the same day | NG tube appropriately positioned in the stomach. Right middle and lower lung opacities are minimally improved compared to most recent chest radiograph on ___ 07:28 |
11084812 | Examination is suboptimal due to underexposure. Again seen is diffuse mild interstitial pulmonary abnormality. No focal consolidation. Mild enlargement of the cardiac shadow is stable. There are no pleural effusions or pneumothorax. | 56205931 | INDICATION: ___-year-old female with shortness of breath. COMPARISON: Chest radiograph from ___ and CTA chest from ___. CHEST, PA AND | Chronic interstitial pulmonary disease, better evaluated on prior CT. Mild cardiomegaly. No acute cardiopulmonary process. |
11084812 | The lungs are well expanded, show mild interstitial opacities with more confluent left lower lobe opacities. The cardiac silhouette is mildly enlarged. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Evaluation is limited due to poor photon penetration. | 55142486 | INDICATION: ___-year-old female with CHF, presents with shortness of breath and weakness. COMPARISONS: Chest radiograph from ___. TWO VIEWS OF THE | Mild to moderate pulmonary edema. |
11084812 | Study is limited due to poor penetration. Right-sided Port-A-Cath tip again resides within the proximal right atrium. The mediastinal and hilar contours are unchanged. There is no pulmonary edema, focal consolidation or pleural effusion. No pneumothorax is identified. No acute osseous abnormalities are seen. | 53844476 | INDICATION: Cough and chest pain. COMPARISON: ___. TECHNIQUE: Upright AP and lateral views of the chest. | Limited study, but no acute cardiopulmonary abnormality identified. |
11084812 | AP upright portable chest radiograph was provided. A right chest wall Port-A-Cath is again seen with its tip residing at the level of the low SVC. Study is underpenetrated thus limiting evaluation. Allowing for this, no definite signs of pneumonia or overt CHF. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. The bony structures appear intact. | 57712539 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old female with shortness of breath, question pneumonia or edema. | Limited exam due to underpenetrated technique. No overt signs of pneumonia or CHF. |
11084812 | Lung volumes are low. There is bilateral hilar prominence with upper vascular re-distribution and diffuse interstitial thickening, but no focal opacities. Heart size is mildly enlarged although AP views are not tailored for accurate assessment of cardiac size. There is no pleural effusion or pneumothorax. | 58820371 | INDICATION: ___-year-old female with polymyositis, congestive heart failure, presenting with productive cough, edema, weakness. Evaluate for infiltrate or fluid overload. COMPARISON: ___. TECHNIQUE: AP and lateral chest radiographs. | Findings compatible with mild pulmonary edema. |
11084812 | No focal consolidation is seen. No large pleural effusion or pneumothorax is seen P The cardiac and mediastinal silhouettes are stable. Right-sided Port-A-Cath terminates the cavoatrial junction. | 53045446 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with shortness of breath // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11084812 | The study is limited due to patient body habitus. The lungs appear reasonably well expanded without definite focal consolidation. There is no pleural effusion or pneumothorax. The heart remains mildly enlarged with unchanged cardiomediastinal contours. | 58704876 | INDICATION: ___-year-old with tachycardia, dyspnea, assess for edema. COMPARISONS: ___. | Limited study without acute intrathoracic process. |
11084812 | Study is limited due to patient body habitus. Diffuse interstitial opacity appears similar compared to prior. No new focal consolidation or pneumothorax is detected. Heart size is top normal and unchanged. | 53042432 | INDICATION: ___-year-old female with history of heart failure and interstitial lung disease, now with fever and cough. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Diffuse interstitial abnormality, similar compared to prior. |
11084812 | Stable cardiomegaly is seen, and mild pulmonary edema is seen. No pleural effusions, focal consolidations or pneumothorax is seen. | 59881180 | HISTORY: ___-year-old woman with prior history of heart failure, now with worsening dyspnea, weight gain, started on diuretics. Evaluate interval change. TECHNIQUE: Portable AP semi upright film of the chest was obtained. COMPARISON: Chest radiograph from ___. | Stable cardiomegaly with mild pulmonary congestion. |
11084812 | Single portable view of the chest. When compared to prior, there has been no significant interval change. Exam is limited secondary to patient body habitus. Increased interstitial markings are unchanged and may represent changes from patient's known underlying lung disease. There is no definite new large consolidation. Costophrenic angles are obscured, especially on the left which is likely due to overlying soft tissues. Cardiomediastinal silhouette is unchanged. | 58665467 | HISTORY: ___-year-old female with dyspnea. Per prior CT chest report, patient also has history of sarcoidosis. COMPARISON: Chest CT from ___. Chest x-ray from ___. | No definite acute cardiopulmonary process. |
11084812 | The heart is moderately enlarged, slightly increased in caliber since ___. The pulmonary vessels are engorged, and there is mild interstitial edema with a trace left pleural effusion. There is no pneumothorax or focal consolidation. Bibasilar atelectasis is improved since the prior radiograph. | 53379413 | INDICATION: Tachycardia. COMPARISON: Chest radiographs available from ___ through ___. FRONTAL AND LATERAL CHEST | Moderate cardiomegaly, slightly increased in caliber since ___. Central pulmonary vascular congestion with mild edema and trace left pleural effusion. |
11084812 | Assessment is limited due to poor positioning and underpenetration secondary to body habitus. Allowing for these limitations: There is no focal pulmonary opacity. The conspicuous interstitial pattern is felt to be related to superimposition of tissue due to patient's body habitus. The cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. | 56927795 | INDICATION: ___-year-old female with dyspnea and chest pain. Evaluate for evidence of pneumonia or edema. COMPARISONS: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: PA and lateral chest radiographs. | No evidence of acute cardiopulmonary process in this limited examination. |
11084812 | Re-demonstrated is unchanged moderate interstitial pulmonary edema superimposed upon patient's underlying chronic lung disease. Overall increased density of the lung bases is likely secondary to attenuation artifact due to the patient's body habitus. No confluent consolidation is identified. There is no pneumothorax. Cardiomediastinal and hilar contours remain mildly enlarged, though unchanged from prior. | 52969928 | HISTORY: ___-year-old female with history of interstitial lung disease (possible sarcoidosis on prior chest CT) and congestive heart failure, now presenting with shortness of breath and cough. COMPARISON: Portable chest radiograph from ___ and CTA of the chest from ___. PORTABLE SEMI-ERECT FRONTAL CHEST | Persistent moderate interstitial pulmonary edema. |
11999982 | Heart size is mildly enlarged, but the patient is rotated. No pleural effusions, pneumothorax, or focal consolidation concerning for pneumonia. | 50370759 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with leg swelling and sob. Evaluate for heart failure. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
11791660 | The lungs are well expanded and clear. No evidence of focal consolidation, pneumothorax, or pleural effusions. Cardiomediastinal and hilar silhouettes are unremarkable. | 59274846 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hx PTX p/w r sided chest pain worsending over 1 day. Please assess for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, and ___. | No evidence of pneumothorax or other acute cardiopulmonary process. |
11928413 | AP upright and lateral views of the chest provided. Left chest wall pacer AICD noted with single pacer lead extending into the region of the right ventricle. Clips in the left axilla noted. There is sternal plate and screw fixation. Low lung volumes limits assessment. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Mild edema difficult to exclude. The heart and mediastinal contours appear unchanged. Atherosclerotic calcification at the aortic knob noted. Degenerative changes at the shoulders are unchanged. | 56347708 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with AMS, hypotension // eval for consolidation COMPARISON: Prior study from ___. | Possible mild congestion. No convincing evidence for pneumonia. |
11928413 | The lung volumes remain low with interval improvement in bilateral perihilar and lower lobe opacities. No pleural effusion or pneumothorax. Left sided PICC terminates at the cavoatrial junction. Unchanged appearance of hardware projecting over the spine in the region of the mid thorax. There has been interval removal of a right-sided central line, enteric tube and endotracheal tube. | 58263165 | INDICATION: ___ year old man with sys HF, pna, hypoxic respiratoy failure and multifocal pneumonia s/p Abx and diuresis. ?interval change // effusions / infiltrate TECHNIQUE: APsingle view COMPARISON: ___ | Persistent low lung volumes with improving perihilar and bibasilar atelectasis and/or consolidation. No pleural effusion or pneumothorax. |
11928413 | The previously seen right IJ line has been removed. No pneumothorax is detected. Again seen is a left-sided single lead pacemaker (transvenous right ventricular pacer defibrillator) with lead over the right ventricle. Lordotic positioning. Again seen are low inspiratory volumes. Stable prominence of the cardiomediastinal silhouette, with fixation hardware again noted -- this appearance is likely accentuated by AP technique, low volumes, lordotic positioning. There is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation, overall similar to the prior study. Patchy right perihilar opacity is are also similar, possibly slightly more pronounced. Equivocal vascular engorgement. No gross effusion. | 52539494 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with tachypnea/labored breathing, saturating well, afebrile, known CHF // ?CHF exacerbation vs pneumonia COMPARISON: Chest x-ray dated ___ at 05:21 | Overall, the appearance is quite similar to the ___ chest x-ray. CHF difficult to assess, but probably not worse compared with the prior film. No gross effusions, though small effusions could very well be present. Left lower lobe collapse and/or pneumonic consolidation is grossly unchanged. Opacity seen in the right perihilar region is of uncertain etiology --___ atelectasis, but an infectious infiltrate cannot be entirely excluded. This appearance is also similar, possibly minimally worse, compared to the prior study. |
11928413 | An endotracheal tube terminates 4.7 cm above the carinal. A right internal jugular catheter is stable in position in the distal SVC. And enteric tube descends below the field of view. Lung volumes are markedly low, which may accentuate bronchovascular markings. Given that, bilateral pulmonary opacities are increased (right much greater than left) from the prior examination most consistent with infection or moderate pulmonary edema. There is no evidence of pneumothorax. Pleural effusions are presumed but are not large. Cardiomediastinal and hilar contours are stable. | 58652734 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure s/p intubation // ?edema TECHNIQUE: AP view of the chest COMPARISON: Multiple prior radiographs the most recent on ___ | Low lung volumes. Opacities, which predominantly involve the right lung are increased from the prior examination a may represent infection or asymmetrical pulmonary edema. |
11928413 | Comparison is made to prior study from ___. Lung fields are grossly clear without pulmonary edema, focal consolidation, or pleural effusions. Heart size is within normal limits and improved when compared to the prior study where there was low lung volume. There are also degenerative changes of the lumbar spine. | 59665807 | STUDY: PA and lateral chest ___. CLINICAL HISTORY: Patient with septic shock and dyspnea. | Improved aeration without signs for acute cardiopulmonary process. |
11928413 | There is interval placement of a single lead left-sided AICD with lead extending to the expected position of the right ventricle. There has also been placement of a right internal jugular central venous catheter, terminating in the the low SVC. No pneumothorax is seen. There are relatively low lung volumes. Blunting of the costophrenic angles best seen on the lateral view is consistent with small bilateral pleural effusions. Sternal hardware is again seen. | 50363478 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with p/w BLE foot wounds; // eval for port placement TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Low lung volumes and small bilateral pleural effusions. Interval placement of right internal jugular central venous catheter terminates in the low SVC without evidence of pneumothorax. |
11928413 | Lung volumes remain low. Even allowing for this, the heart is enlarged. A single lead cardiac device is unchanged in position as is a sternal plate. There is prominence of the bilateral hila with prominence of the pulmonary vasculature consistent with pulmonary vascular congestion and mild pulmonary edema. Left lower lobe atelectasis. No pleural effusion seen. No pneumothorax. | 54183914 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CAD, PVD, s/p L AKA and new change in MS, trop 0.___ // Assess cardiac contour, acute intrathoracic process. TECHNIQUE: Portable AP chest radiographs COMPARISON: Chest radiograph ___ | Pulmonary vascular congestion and mild pulmonary edema. Unchanged cardiomegaly. |
11928413 | Endotracheal tube ends 2.2 cm from the carina. Enteric tube ends off the imaged portion. Low lung volumes crowd the pulmonary vasculature. There is likely mild pulmonary edema. No large pleural effusions or pneumothorax. | 56801311 | INDICATION: Evaluate NG tube placement. COMPARISON: Chest radiograph on ___. | Enteric tube ends off the inferior portion of the image, it at least reaches the lower part of the stomach. There is likely mild pulmonary edema. |
11928413 | The endotracheal tube in the low trachea approximately 2 cm from the carina. A nasogastric tube can be traced to the mid chest, but cannot be traced further. The lung volumes are low. There is vascular engorgement and diffuse bilateral interstitial opacities, most consistent with moderate pulmonary edema. There is no definite pleural effusion. There is no pneumothorax. The mediastinal contour is widened, which may be due to technique, although acute aortic dissection is a consideration. The heart size is mildly enlarged. | 50163313 | INDICATION: Evaluate after intubation. COMPARISONS: None. TECHNIQUE: A single AP supine view of the chest was obtained. | Moderate pulmonary edema and mild cardiomegaly. Widened mediastinum, which may be due to technique, although acute aortic dissection is a consideration. Satisfactory position of the endotracheal tube. The nasogastric tube cannot be traced below the mid chest, due to technical limitations. If imaging confirmation is required, consider a repeat chest radiograph. Results were discussed with Dr. ___ at 8:50 AM on ___ via telephone by Dr. ___. |
11928413 | The left AICD and right internal jugular catheter are unchanged. New left lower lobe opacity has progressed since the prior examination. In this clinical setting could represent pneumonia/aspiration with adjacent pleural effusion. The right lung is relatively clear with low lung volumes. | 52559943 | INDICATION: ___ year old man with delirium // Lung infection? COMPARISON: ___ | New left lower lobe opacity has progressed since the prior examination. In this clinical setting could represent pneumonia/aspiration with adjacent pleural effusion. |
11928413 | Right central catheter tip is in the lower SVC. There is no pneumothorax. There are low lung volumes. Cardiomegaly and widened mediastinum are stable. New mild vascular congestion. Bibasilar atelectasis have minimally increased. If any there is a small right effusion. Left PICC tip is in the upper to mid SVC. There is a probably second catheter projecting in a right paramediastinal location, intravascular? Please correlate clinically Unchanged position of the sternal plate | 52787174 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new right HD line // eval for PTX and line tip TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No pneumothorax. Mild vascular congestion. |
11928413 | Lung volumes are low. There is no pulmonary edema, focal consolidation or pleural effusion. The heart is top-normal in size. The patient is status post median sternotomy. | 59256599 | WET READ: ___ ___ ___ 1:55 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with history of CABG and tachycardic and febrile. Please evaluate for edema and pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___. | No acute cardiopulmonary process. |
11928413 | The lung volumes remain low. The mild interstitial pulmonary edema and moderate cardiomegaly have not significantly changed. No significant pleural effusions or pneumothorax. Single lead defibrillator is stable. | 55556041 | INDICATION: ___ year old man with CAD s/p bypass, with acute chest pain and dyspnea, new O2 req, diaphoresis // acute change COMPARISON: ___ | No significant interval change in the mild interstitial edema |
11928413 | There has been interval removal of an endotracheal tube and enteric tube. Lung volumes remain low and crowd the pulmonary vascular structures. Cardiac silhouette appears stably enlarged. Bilateral interstitial opacities are noted and likely represent mild pulmonary edema. However, an underlying infectious process cannot be excluded. No focal consolidation is identified. | 57257861 | HISTORY: Fever and bacteria in sputum. COMPARISON: Multiple prior studies with the most recent chest radiograph from ___. | Low lung volumes with bilateral interstitial opacities likely representing mild pulmonary edema. No focal consolidation is identified. A dedicated PA and Lateral Chest Radiograph is recommended when the patient can tolerate. |
11295324 | 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. | 59859801 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with oral herpes who appears sick with temp ___. TECHNIQUE: Portable upright AP view of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
11690969 | The patient is status post tricuspid valve annuloplasty with midline sternotomy wires visualized. Calcifications are seen along the aortic arch. There are increased perihilar and bibasilar opacities with ___ B lines compatible with mild pulmonary edema. Prominence of bibasilar opacities likely due to underlying emphysema. There is no focal area of increased consolidation. There is no pleural effusion or pneumothorax. The visualized osseous structures are grossly unremarkable. | 51014645 | WET READ: ___ ___ ___ 10:04 AM Mild pulmonary edema. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Shortness of breath. COMPARISON: Chest radiograph ___. TECHNIQUE: Portable frontal chest radiograph, single view. | Mild pulmonary edema in the background of underlying emphysema. |
11690969 | Mild cardiomegaly is a stable. The aorta is tortuous. The lungs are hyperinflated. Bibasilar opacities have almost completely resolved. Bilateral effusions are small, decreased from prior. There is no pneumothorax. Sternal wires are aligned. There are mild degenerative changes in the thoracic spine. Patient is status post CABG. There is dense calcification of the mitral annulus | 53887075 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with f/u pna, ongoing fatigue // r/o pna, lesion TECHNIQUE: Chest PA and lateral COMPARISON: ___ | COPD Almost complete resolution of bibasilar consolidation |
11690969 | PA and lateral views of the chest. Tricuspid valve annuloplasty and sternotomy wires are seen. There are aortic knob and mitral annular calcifications. There are descending thoracic aortic calcifications. Mediastinal clips are stable. Cardiomediastinal and hilar contours are normal. No pleural effusion or pneumothorax. No focal consolidation. | 59985255 | INDICATION: History of mitral regurgitation, status post repair. Unexplained weight loss. COMPARISON: None available. | Dense mitral annular calcifications. Tricuspid vavuloplasty with symmetric lucencies that may be part of the device. |
11810353 | Frontal and lateral chest radiograph demonstrates well expanded lungs. There is no focal consolidation. No appreciable pleural effusion is identified. There is mild cardiomegaly without pulmonary edema. No pneumothorax. | 52160503 | HISTORY: ___-year-old female with dyspnea on exertion. COMPARISON: CTA dated ___. | No radiographic findings to explain dyspnea on exertion. |
11810353 | The heart is again mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Cholecystectomy clips project over the right upper quadrant. | 57931343 | CHEST RADIOGRAPHS HISTORY: Back pain and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11597048 | PA and lateral views of the chest provided. No free air seen below the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. | 50198694 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with epigastric pain // evaluate for free air under diaphragm COMPARISON: Prior CT abdomen pelvis dated ___. | No acute intrathoracic process. No evidence of pneumoperitoneum. |
11496131 | Frontal and lateral radiographs of the chest show a left pectoral dual-lead pacemaker with leads terminating in the right atrium and right ventricle. The course of the leads is unremarkable without evidence of complications and no appreciable pneumothorax. Small bilateral pleural effusions with associated bibasilar atelectasis are present on the left greater than the right. No focal consolidation is seen. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The patient is status post median sternotomy and mitral valve replacement with intact sternotomy wires. | 59562511 | INDICATION: ___-year-old male with new ICD, here to evaluate lead placement. COMPARISON: No prior studies available. | Left pectoral pacemaker/defibrillator with two leads terminating in the right atrium and right ventricle. Small bilateral pleural effusions and bibasilar atelectasis on the left greater than the right. Borderline cardiomegaly. |
11496131 | The cardiomediastinal silhouette is at the upper limits of normal. Pulmonary vascular congestion is prsent as well as asymmetrical perihilar opacities, right greater than left, with confluent adjacent infrahilar opacity on the right. Left retrocardiac region is densely opacified. Moderate left and small right pleural effusions. Endotracheal tube is in the mid trachea. Enteric tube with the tip in the stomach. Two-lead pacemaker appears in place. Mitral valve prosthesis and sternotomy wires are noted. | 53552314 | INDICATION: Evaluation of patient with sepsis, status post intubation. COMPARISON: Chest CT from the same day. | Perihilar edema with asymmetrical edema on the right versus coexisting pneumonia. Follow up radiographs may be helpful in this regard. Left lower lobe collapse with moderate left pleural effusion. Small right pleural effusion. |
11956852 | There are low inspiratory volumes. The patient is status post sternotomy, with multiple surgical clips. Mild prominence of the cardiomediastinal silhouette is stable. There is minimal patchy opacity at the left base, which is similar to the earlier film and may represent atelectasis and/or and postoperative changes. Minimal blunting of the left costophrenic angle noted. No gross effusion. There is upper zone redistribution with mild vascular blurring, also similar to the prior film, allowing for technique. Right hemidiaphragm is again noted to be elevated. | 56500105 | HISTORY: Redo AVR evaluate for effusions. TECHNIQUE: Single AP view. COMPARISON: Chest x-ray from ___. | Mild vascular plethora and minimal patchy opacity at left base unchanged. No gross effusion. |
11956852 | Again seen is a left axillary pacermaker defibrillator with leads terminating in the right atrium and the right ventricle as expected. Moderate cardiomegaly and post-CABG changes are again seen. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema or focal consolidation concerning for pneumonia. There is no pneumothorax. | 58914111 | INDICATION: Dual-lead pacemaker placement. COMPARISON: Chest radiograph ___, and ___. | Unchanged pacemaker position. No acute abnormality. |
11956852 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette has a normal post-operative appearance. The heart is mildly enlarged. Mediastinal clips and sternal wires are present. | 55241431 | INDICATION: Status post aortic valve replacement. Evaluate post-operatively. COMPARISONS: Chest radiograph from ___. Chest radiograph from ___. | Expected post-operative appearance of the cardiomediastinal silhouette with mild cardiomegaly. No evidence of pulmonary edema. |
11863733 | Compared to the most recent prior examination done at 07:14, an enteric tube and endotracheal tube are stable in position. There is improved aeration in the mid and upper right lung status post bronchoscopy. Residual multifocal opacities are likely a combination of multifocal pneumonia an atelectasis with adjacent moderate, multiloculated right pleural effusion. A left retrocardiac opacity is slightly improved. There is no pneumothorax. | 52465932 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with pneumonia s/p bronch // evaluate for change post bronchoscopy TECHNIQUE: Chest PA and lateral COMPARISON: Radiographs on ___ | Improved aeration in the mid and upper right lung status post bronchoscopy. No evidence of pneumothorax. |
11863733 | Compared to the most recent prior examination there has been interval placement of a right-sided internal jugular venous catheter which terminates in the mid to distal SVC. No other significant change from the prior exam. No pneumothorax | 52044727 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with RIJ CVL // evaluate CVL placement TECHNIQUE: AP view of the chest COMPARISON: Radiographs on ___ the most recent at 08:14 | Interval placement of a right-sided internal jugular venous catheter with no pneumothorax. |
11863733 | There is interval placement of a right-sided pigtail catheter that projects over the right lower zone. Right internal jugular line has been removed. Stable position of right PICC terminating at the cavoatrial junction. Endotracheal tube terminates 5.4 cm above the Carina. Enteric tube courses below the diaphragm, distal tip not visualized. EKG leads overlie the chest wall. Effusion and bibasilar opacities. No pneumothorax. Cardiomediastinal silhouette is stable. Bony thorax unchanged. | 52034681 | INDICATION: ___ year old woman with pigtail catheter in place // ?interval changes TECHNIQUE: APsingle view COMPARISON: ___ | Interval placement of a right-sided chest tube with no pneumothorax. Lines and tubes as above. Rest of the findings are stable. |
11863733 | An endotracheal tube terminates 5 cm above the carina. An enteric tube terminates in the region of the stomach. There is near-complete opacification of the right hemi thorax with few air bronchograms seen in the mid right lung, likely due to a combination of collapse and effusion. There is no evidence of pneumothorax. A dense retrocardiac opacity could re- related to atelectasis or an area of infection. The cardiomediastinal and hilar contours are within normal limits. | 51401035 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new ETT, hypoxemic resp failure // evalf ___ ET position TECHNIQUE: Single AP view of the chest COMPARISON: Outside chest radiograph on ___ at 01:20 | Near complete opacification of the right hemi thorax, likely due to a combination of collapse and effusion, superimposed upon preexisting pneumonic consolidation. |
11863733 | A portable supine frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea, enteric tube descending below the diaphragm in off the inferior edge of the image, right PICC terminating in the low SVC, and a right pigtail catheter overlying the right base. Lung volumes are slightly lower compared to prior chest radiograph, with increased prominence of the cardiac silhouette and bronchovascular crowding. A loculated right pleural collection is similar to the prior chest radiograph. No new focal consolidation or pneumothorax is identified. The visualized upper abdomen is unremarkable. | 56626022 | INDICATION: Evaluate for interval change in a pleural effusion, in a patient with influenza and MRSA pneumonia, and an empyema status post chest tube placement. COMPARISON: Chest radiographs from ___, ___, ___, ___. | Unchanged chest radiograph and the size of the loculated right pleural collection, allowing for differences in lung volumes. |
11863733 | A portable frontal chest radiograph again demonstrates a left PICC terminating in the mid to low SVC and a right chest pigtail catheter. There has been interval removal of an enteric tube. Lung volumes are low, with increased prominence of the cardiac silhouette and bronchovascular crowding. Even allowing for this, here is mild cardiac enlargement. A right pleural effusion appears similar, moderate in volume. There is associated atelectasis, as well as atelectasis in the left base. No focal consolidation or pneumothorax is identified. The visualized upper abdomen is unremarkable. | 58690137 | INDICATION: Evaluate for interval change and chest tube placement, in a patient with respiratory distress, now intubated. COMPARISON: Chest radiographs from ___, ___, ___. | Unchanged moderate right pleural effusion. |
11863733 | A portable frontal chest radiograph demonstrates interval placement of an enteric tube, which terminates within the stomach. A left PICC again terminates in the low SVC. There has been interval removal of the right chest pigtail catheter. The bilateral lung apices are incompletely imaged, but the exam appears grossly unchanged, with a right pleural thickening and possible effusion with associated atelectasis. The cardiomediastinal silhouette remains mildly enlarged. There is no focal consolidation. The visualized upper abdomen is unremarkable. | 54138669 | INDICATION: Evaluate position of an enteric tube. COMPARISON: Chest radiographs from approximately 6 hours prior on the same day, as well as ___ and ___. | Interval placement of an enteric tube, which terminates within the stomach. |
11863733 | Lines and Tubes: ET tube, enteric tube, right chest tube, right PICC remain unchanged in position. Lungs: Persistent, unchanged haziness in both lungs. Pleura: Persistent, unchanged right pleural effusion. No pneumothorax. Mediastinum: Unchanged cardiomegaly and widening of the upper and mid mediastinum with prominence of hilar vessels. Bony thorax: No interval change. | 54681044 | INDICATION: ___ year old woman with MRSA pneumonia // eval for interval change TECHNIQUE: APsingle view COMPARISON: ___ | No interval change compared to ___. |
11863733 | A right-sided PICC terminates in the distal SVC, unchanged. The tip of an enteric tube projects over the proximal stomach. Right sided pigtail catheter has been removed. Lung volumes are somewhat low which accentuates the prominence of the cardiac silhouette and bronchovascular markings. The heart is moderately enlarged, but stable. Right basal opacity is similar in extent to the prior radiographs on ___ and is concerning for an area of focal pneumonia. There may be a small right effusion. Retrocardiac opacity suggests atelectasis. | 50517524 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with known MRSA PNA/empyema/abscess, s/p chest tubes, please assess interval change // interval change? TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___ | Low lung volumes. Persistent opacity primarily at the right base and scattered opacities throughout the right lung are consistent with pneumonia, not significantly increased from the prior examination done on ___. Enteric tube in the proximal stomach and could be advanced 3- 4 cm. |
11152718 | Chronic left lower lobe atelectasis and left pleural effusion persist, unchanged compared to prior studies. The left upper lobe and right lung are clear. Nipple shadow projects over the right lung base. The cardiomediastinal silhouette is unchanged. Aortic arch calcifications are again noted. There is no pneumothorax or pulmonary edema. Resorption of the distal clavicles bilaterally is unchanged compared to prior. | 53118006 | WET READ: ___ ___ ___ 7:30 PM No new consolidation worrisome for pneumonia. Left lower lobe atelectasis and left pleural effusion are unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs. INDICATION: History: ___F with weakness // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs: ___, ___. CTA chest: ___. | No new consolidation worrisome for pneumonia. Left lower lobe atelectasis and left pleural effusion are unchanged. |
11152718 | The central venous catheter has been removed. A moderate left pleural effusion with associated left basilar atelectasis appears relatively unchanged. The cardiac mediastinal contours are similar with atherosclerotic calcifications noted at the aortic knob. There is no pulmonary vascular congestion, new focal consolidation, new right pleural effusion, or pneumothorax. Mild S-shaped scoliosis of the thoracic spine is again noted. | 55263647 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fevers and recent transplant TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No substantial interval change in appearance of moderate left pleural effusion with associated left basilar atelectasis. |
11152718 | PA and lateral chest radiograph demonstrate a large left pleural effusion. Relative to prior examination dated ___, heart size is decreased. The left heart border is obscured making assessment of heart size difficult. There is no overt pulmonary edema. The visualized lungs are without a focal opacity convincing for pneumonia. There is no pneumothorax. Osseous structures are without an acute abnormality. | 53328315 | INDICATION: ___-year-old female with weakness and cough. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___. | Large left pleural effusion. Relative to prior examination dated ___, cardiac size appears decreased. |
11152718 | PA and lateral chest radiographs demonstrate mild cardiomegaly and increased interstitial markings, including thickening of the interlobular septa. There may be a small pleural effusion on the left. There is no pneumothorax. The heart is mildly enlarged. | 57146439 | INDICATION: Shortness of breath, missed peritoneal dialysis treatment. Evaluate for fluid overload. COMPARISON: ___. | Mild interstitial pulmonary edema. |
11152718 | There has been slight interval worsening of a now moderate left pleural effusion with adjacent atelectasis. The right lung and upper left lung are clear without focal consolidation, pneumothorax, or frank pulmonary edema. A right-sided hemodialysis catheter is seen with its tip terminating in the lower SVC. The cardiomediastinal silhouette appears unchanged. No bony abnormality is detected. | 58404043 | HISTORY: ESRD, preoperative examination prior to transplant. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___. | Interval worsening of a now moderate right pleural effusion adjacent atelectasis. Otherwise, no evidence of focal consolidation, pneumothorax, or pulmonary edema. |
11152718 | PA and lateral chest radiograph demonstrates a moderate left sided layering pleural effusion with opacification of the left hemidiaphragm. No focal opacity is identified within the lungs. When compared to prior radiograph dated ___, the left-sided of pleural fusion appears increased in size. No frank pulmonary edema is identified. The cardiomediastinal silhouette appears stable when compared to prior study. No acute osseous abnormality is identified. | 55330211 | INDICATION: ___-year-old female with chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Worsening of moderate left-sided pleural effusion seen on prior examination dated ___. No focal consolidation concerning for pneumonia seen. The cardiomediastinal and hilar contours appear stable. |
11152718 | There is a new right IJ line with tip in the SVC. Moderate left effusion with volume loss/ infiltrate in the left lower lung is again visualized. There is some patchy areas of volume loss in the right lung as well. There is no pneumothorax. | 50550123 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ESRD ___ FSGS and secondary hyperparathyroidism s/p ___ parathyroidectomy s/p deceased donor renal transplant and left pleural effusion. // Assess for change in left pleural effusion. TECHNIQUE: Portable chest COMPARISON: ___. | No change in left effusion. |
11152718 | Left pleural effusion with overlying atelectasis are similar to possibly slightly increased as compared to the prior study. The appearance of the right lung is similar as compared to the prior study. No right pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. | 59582013 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // ?pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Overall little change since the prior study with left-sided pleural effusion possibly slightly increased compared to prior |
11152718 | Moderate to large left pleural effusion is similar to prior. The right lung is clear. There is no pneumothorax. The cardiomediastinal silhouette is normal where seen. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50447592 | WET READ: ___ ___ 5:53 PM Unchanged moderate to large left pleural effusion. No focal consolidation or pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman here for potential kidney transplant // any acute disease COMPARISON: ___ | Moderate to large left pleural effusion is similar to prior. |
11152718 | Cardiomediastinal silhouette and hilar contours are unremarkable. There is a small-to-moderate left subpulmonic effusion with adjacent atelectasis. The left upper lung zone and the right lung are clear. There is no pneumothorax. | 54228809 | HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views. | Small-to-moderate left-sided pleural effusion, new since prior study. |
11325169 | Compared with the immediate prior study moderate bibasilar layering pleural effusions have substantially increased. A superimposed infectious process at the left lung base is possible in the proper clinical setting. There is mild edema. No pneumothorax. A tunneled right IJ central venous catheter tip terminates in the right atrium. A left pectoral single-chamber pacemaker lead projects in unchanged location. | 50079647 | WET READ: ___ ___ 9:32 PM 1. Substantial interval increase in moderate bibasilar layering pleural effusions and mild edema. 2. Superimposed infectious process in the left lung base is possible in the proper clinical setting. WET READ VERSION #1 ___ ___ ___ 9:19 PM 1. Substantial interval increase in moderate bibasilar layering pleural effusions. 2. Superimposed infectious process in the left lung base is possible in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with SOB, evaluate for pneumonia or CHF. TECHNIQUE: Single upright portable frontal view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to ___. | Substantial interval increase in moderate bibasilar layering pleural effusions and mild edema. Superimposed infectious process in the left lung base is possible in the proper clinical setting. |
11325169 | The heart is mild-to-moderately enlarged. There is a patchy right basilar opacity, most likely in the right lower lobe, although relatively vague. There is no pleural effusion or pneumothorax. | 51743513 | WET READ: ___ ___ ___ 3:10 PM Vague right lower lobe opacity worrisome for pneumonia in the appropriate setting versus perhaps atelectasis or scarring. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH HISTORY: Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, portable semi-AP upright. | Findings concerning for pneumonia in the appropriate setting versus potentially atelectasis or scarring in the right lower lobe. |
11325169 | PA and lateral views of the chest provided. Dialysis catheter is unchanged in position as is a single lead AICD. Cardiomegaly persists though in the interval there is development of mild pulmonary vascular congestion. Bilateral pleural effusions have mostly resolved in the interval. No pneumothorax. Bony structures are intact. | 50558254 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with history of CHF and increased SOB COMPARISON: ___ | Stable cardiomegaly and mild pulmonary vascular congestion. |
11325169 | PA and lateral views of the chest provided. There is interstitial edema which is new from prior exam with probable tiny bilateral pleural effusions. The heart is within normal limits of size. Mediastinal contour is normal. No pneumothorax is seen. Bony structures are intact. | 57056934 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Dyspnea, question acute intrathoracic process. | Mild interstitial edema with tiny bilateral pleural effusions. |
11325169 | Study essentially unchanged from prior. Endotracheal tube is appropriately positioned terminating no less than 6 cm from the carina. Bilateral pulmonary edema is unchanged. | 54352697 | INDICATION: ___-year-old female status post kidney transplant. Study is to evaluate for placement of endotracheal tube. COMPARISON: Semi-erect AP radiograph of the chest taken earlier the same day. TECHNIQUE: Semi-erect portable chest radiograph. | Unchanged bilateral pulmonary edema. Endotracheal tube appropriately positioned. |
11325169 | Severe cardiomegaly is stable. Pacer lead tip is in the right ventricle. HD catheter is in standard position. There is no pneumothorax. Small bilateral effusions with adjacent atelectasis and mild pulmonary edema has improved | 57870228 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ESRD d/t t1DM, Afib, sCHF, with new diagnosis of colon cancer, with desaturation overnight // eval for edema, infiltrate, volume overloadPlease do at ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Improved pulmonary edema and bilateral effusions |
11325169 | There is mild cardiomegaly. The mediastinal and hilar contours are within normal limits. As compared to prior chest examination, there has been interval removal of right-sided central venous catheter. Residual patchy opacity at the right lung base likely relates to resolving consolidation, with the previously noted right upper lobe opacity completely resolved. No new focal consolidations are identified. The left lung is clear. There is no pneumothorax. Tiny bilateral pleural effusions are smaller than on the prior study. | 57654597 | HISTORY: Weakness, dyspnea. Rule out acute cardiopulmonary disease. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. TECHNIQUE: PA and lateral chest radiographs. | Continued resolving pneumonia. No new focal consolidations identified. Decreased size of tiny bilateral pleural effusions. |
11325169 | A single lead left a ICD is unchanged in position. Moderate cardiomegaly is unchanged. Bilateral increased interstitial markings is more prominent since ___ consistent with mild-to-moderate edema. The left hemidiaphragm borders are less evident on today's exam with blunting of the left costophrenic angle. Bilateral pleural effusions are small. There is lower lobe atelectasis. | 50760950 | EXAMINATION: Chest radiograph INDICATION: ___F with CHF p/w orthopnea, DOE // eval for edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from an outside facility dated ___ and up loaded onto PACs. Chest radiograph dated ___. | Mild to moderate edema, slightly increased from ___. Small bilateral pleural effusions. Opacity in the left lower lobe could reflect superimposed pneumonia. Correlate clinically. |
11325169 | Single lead ICD terminates near the cardiac apex. No pneumothorax. Heart size and mediastinum are stable. No pleural effusion. Lungs clear. | 50441889 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with CM s/p single chamber ICD // Lead position TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Single lead ICD terminating at the cardiac apex. No pneumothorax. |
11325169 | There is extensive bilateral pulmonary edema with alveolar opacification and cardiomegaly. There is a small quantity of pleural effusion bilaterally. There is no pneumothorax. A right-sided IJ line is seen appropriately positioned within the mid SVC. Endotracheal tube is seen terminating 6 cm from the carina. NG tube is appropriately positioned, entering the stomach and terminates out of view. | 51219281 | INDICATION: ___-year-old female status post kidney transplant. COMPARISON: Portable supine chest radiograph, ___. TECHNIQUE: Portable semi-erect AP radiograph of the chest. | Extensive bilateral pulmonary edema, most likely cardiogenic in nature. |
11325169 | The trans subclavian right ventricular pacer defibrillator lead is continuous from the left pectoral generator. Mild to moderate pulmonary edema and mild to moderate cardiomegaly have progressed since ___. New consolidation at the base of the right lung could be either asymmetric edema or concurrent pneumonia. Small bilateral pleural effusions are stable. Moderate cardiomegaly has progressed | 56851366 | EXAMINATION: PA and lateral chest radiograph. INDICATION: History: ___F with CHF and crackles on lung exam // Pulmonary edema? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Moderate pulmonary edema moderate cardiomegaly increased since ___. Right lower lobe asymmetric edema or concurrent pneumonia. Followup advised. |
11325169 | Single lead left-sided AICD is stable in position. The cardiac silhouette is mild to moderately enlarged. No pleural effusion or pneumothorax is seen. Increased vascular markings suggest moderate pulmonary vascular congestion with mild interstitial edema. Mediastinal contours are unremarkable. | 51906458 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dysppnea // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Pulmonary vascular congestion with with minimal interstitial edema. Cardiomegaly. |
11325169 | There is prominence of the pulmonary interstitium with increased opacity in both lower lobes. This likely represents mild pulmonary edema with asymmetric involvement of the lower lobes; however aspiration or aspiration pneumonia cannot be excluded. The heart is mildly enlarged. There are small bilateral pleural effusions. No pneumothorax present. The visualized upper abdomen is unremarkable. | 59929898 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea // edema? TECHNIQUE: Portable AP Chest radiograph. COMPARISON: Multiple prior radiographs most recently ___ | Cardiomegaly with interstitial edema. More confluent bibasilar opacities could reflect dependent distribution of edema or a coexisting process such as aspiration or infectious pneumonia. Short-term followup radiographs after diuresis may be helpful in this regard. Small bilateral pleural effusions. |
11914783 | PA and lateral views of the chest provided. The lungs are hyperinflated suggesting emphysema with lower lung atelectasis. No large effusion or pneumothorax is seen. No convincing evidence for pneumonia. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm. A metallic structure overlies the left breast. | 58025749 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with SOB // r/o acute process COMPARISON: None | Emphysema with basilar atelectasis. No convincing signs of edema or pneumonia. |
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