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11301108 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. | 59651978 | CHEST RADIOGRAPHS HISTORY: Episodic chest pain and palpitations. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11301108 | The heart size is within normal limits. The cardiomediastinal contours within normal limits and showed no abnormal contour irregularities. The lungs are clear. There is no pleural effusion or pneumothorax. | 55045543 | HISTORY: ___-year-old female with a history of syncope with a near syncopal episode today. STUDY: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
11934114 | Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable. | 52152296 | CHEST RADIOGRAPH TECHNIQUE: Upright single radiograph of the chest was compared with prior study from ___, with the most recent from ___. | Moderate right pleural effusion with adjacent lung atelectasis has improved since ___. |
11934114 | There is interval worsening of now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. There is no evidence of pneumothorax. There is associated bibasilar atelectasis with no focal opacities concerning for pneumonia. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. Note is made of multiple left-sided rib fractures that in retrospect can be demonstrated on radiographs from ___. | 57363067 | INDICATION: ___-year-old female with urosepsis and respiratory distress with new oxygen requirement. Evaluate for acute prior cardiopulmonary process. EXAMINATION: Multiple frontal chest radiographs. COMPARISONS: ___ and ___. | Worsened now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. Left-sided rib fractures in retrospect apparent since at least ___. |
11171243 | AP upright and lateral views of the chest were provided. No definite displaced rib fracture is seen. There is no pneumothorax or effusion. No focal consolidation or signs of edema. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. | 50003320 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Posterior right chest wall pain, question rib fracture. | No acute findings. If there is continued concern for rib fracture, consider a dedicated rib series to further assess. |
11865793 | Patient is known with right-sided aortic arch with an aneurysm of descending aorta. This is unchanged since ___. There is no new lung consolidation, no pleural effusion or pneumothorax. Left fifth rib fracture is healed. | 52724366 | PORTABLE AP CHEST X-RAY INDICATION: Patient with history of abdominal aortic repair, nonoperable thoracic aneurysm, emphysema, admitted for left hip fracture, new hypoxia. Evaluation for pulmonary edema, infiltrate. COMPARISON: Chest x-rays of ___. | There are no acute cardiopulmonary findings. Known right aortic arch with aneurysm of descending aorta. |
11077933 | The lungs are clear without focal consolidation, effusion, or edema. There is relative elevation of left hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 56862022 | INDICATION: ___M with back pain and abdominal pain. // Eval for any evidence of widened mediastinum TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11154538 | The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Mid thoracic dextroscoliosis is noted. | 58527720 | INDICATION: ___-year-old female with pleuritic chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | No acute cardiopulmonary process. |
11313784 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Previously seen left upper lobe pneumonia has resolved in the interval. | 50988443 | EXAM: CHEST FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: ___-year-old female with history of chest pain. COMPARISON: ___. | No acute cardiopulmonary process. |
11397046 | Lower lung volumes seen on the current exam. The lungs are clear of confluent consolidation or effusion. The cardiac silhouette is top normal and unchanged. High density material seen within the colon likely from recent CT scan. No acute osseous abnormalities identified. Mid thoracic dextroscoliosis again noted. | 56430867 | INDICATION: ___ year old woman with high grade fever, hypotension // Evaluate for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ and ___. | Lower lung volumes without focal consolidation. |
11397046 | The cardiac, mediastinal and hilar contours are probably unchanged allowing for differences in lung volumes, which are somewhat lower than on the prior study. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures appear within normal limits. | 56892784 | EXAMINATION: Chest radiographs. INDICATION: Connective tissue disorder, fever and chills. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11313639 | Lungs are clear despite low lung volumes. The cardiomediastinal silhouette is within normal limits. The cardiomediastinal silhouette is within normal limits. Mid left clavicular fracture is as seen on dedicated clavicle films. | 50190837 | INDICATION: ___M with shoulder pain. s/p mvc // acute process TECHNIQUE: AP and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. Mid left clavicular fracture. |
11558834 | Compared with the prior film, there has been interval improvement in the CHF/interstitial edema. Upper zone redistribution and slight vascular plethora remains visible . Again seen are small right-greater-than-left pleural effusions and underlying collapse and/or consolidation. | 52962086 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with alzheimers dementia and hip fracture, with hypoxemia due to pulmonary edema, s/p diuresis // please assess for interval change in pulmonary edema COMPARISON: Chest x-ray from ___ at 11:12 am | Interval improvement in CHF/interstitial edema. Residual vascular plethora present. |
11558834 | AP view of the chest provided. Compared to prior study, the degree of pulmonary edema is unchanged. There is however increased retrocardiac opacity, which likely reflects atelectasis +/- effusion, however in appropriate clinical setting developing pneumonia cannot be excluded. There is interval increase pleural fluid on the right. Moderate cardiomegaly is stable. | 58151835 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with tachypnea. // rule out pneumonia, aspiration COMPARISON: Chest radiograph from ___. | Unchanged severity of pulmonary edema. Increased right lower lung opacity, cannot exclude developing pneumonia in appropriate clinical setting. |
11073871 | PA and lateral chest radiograph demonstrates a heart top normal in size. Over pulmonary edema. Hilar and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Osseous structures are without an acute abnormality. | 55199271 | INDICATION: ___-year-old male with chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Heart size is top-normal. No evidence of pulmonary edema. |
11366981 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 52155372 | INDICATION: Nausea, vomiting, and diarrhea. COMPARISON: Chest radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
11366981 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50629158 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___m right sided rib pain, sob after motorcycle accident 1:30am today COMPARISON: ___ | No acute intrathoracic process. No definite fracture seen no if there is continued concern, dedicated rib series may be performed to further assess. |
11633635 | No focal consolidation is seen. Subcentimeter rounded calcification projecting over the right lower hemithorax may represent a calcified granuloma. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52778523 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain, sob // ? effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11822413 | 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. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | 58318386 | INDICATION: Productive cough for one month. COMPARISONS: None available. | No acute cardiopulmonary process. |
11954199 | The ET tube, right PICC line, and NG tube are unchanged. There are moderate bilateral pleural effusions that have increased in size. There is bilateral lower lobe volume loss/ infiltrate that is also worsened in appearance there is mild pulmonary vascular redistribution. | 56944496 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with increasing O2 requirement // ? cause of increased O2 requirement TECHNIQUE: Portable chest COMPARISON: ___ | Fluid overload. An underlying infectious infiltrate cannot be excluded. |
11954199 | An endotracheal tube terminates approximately 5.5 cm on the carina. An NG tube is seen coursing into the stomach and off the view of the film. The cardiac size is normal. There is no pleural effusion (note that the left costophrenic angle is excluded from the film), pulmonary edema, pneumothorax or evidence of pneumonia. | 57985403 | INDICATION: History: ___M intubated // eval ETT //History: ___M intubated TECHNIQUE: Single AP portable view of the chest. COMPARISON: None. | Support devices in appropriate position. |
11257115 | Interval improvement and but persistence of the left sided pleural effusion. Tiny right-sided pleural effusion, if present. No focal consolidation or frank pulmonary edema. No pneumothorax. Stable enlarged heart. Stable mildly tortuous descending aorta. Median sternotomy wires appear intact and unchanged in position. The two-lead cardiac device is unchanged with one lead ending in the right atrium and the other lead ending in the right ventricle. | 50873896 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with SOB, s/p AVR/CABG/pacer; evaluate for pleural effusions. COMPARISON: Portable chest radiograph dated ___. | Persistent but improved moderate left pleural effusion since ___. |
11257115 | Compared with the immediate prior study of ___, a left-sided dual-chamber pacemaker has been placed with leads in standard position. The moderate left pleural effusion has increased, now moderate to large and layering. There may be a small to moderate layering right pleural effusion.There is no focal consolidation, pneumothorax, or pulmonary edema. There is unchanged moderate to severe cardiomegaly. | 54490194 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p cabg mv repair and PPM // eval leads s/p ppm TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___ to ___. | New left-sided dual chamber pacemaker with leads in standard position. Increased moderate to large layering left pleural effusion Probable small to moderate right pleural effusion. |
11105985 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is mild pleural thickening, partly calcified, at each lung apex. There is no pleural effusion or pneumothorax. | 59774550 | HISTORY: Cough and fever. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph. | No evidence of acute cardiopulmonary abnormality. |
11762732 | There are areas of mid to lower lung atelectasis without definite focal consolidation. Slight blunting of the costophrenic angles may be due to trace pleural effusions and/or pleural thickening. No pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aorta is calcified and tortuous. There may be mild central pulmonary vascular congestion. There is mild anterior wedging of a mid thoracic vertebral body which on subsequent CT was found to be related to a Schmorl's node. | 53707449 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough and shortness of breath. COMPARISON: None. | Trace bilateral pleural effusions and/or pleural thickening. Scattered areas of atelectasis/scarring bilaterally without definite focal consolidation. Top normal to mildly enlarged cardiac silhouette. |
11151377 | The visualized lung fields are clear without any focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There are no signs of pneumomediastinum. | 56747505 | HISTORY: Chest pain status post endoscopy, evaluate for pneumomediastinum or pneumothorax. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
11247583 | The position of the AICD appears to be stable. Heart size is top normal. Trachea is midline and cardiomediastinal contours are unremarkable. The opacity within the left upper lobe corresponding to the primary lung malignancy is now more hazy and diffuse with corresponding loss of volume within the left upper lobe resulting in a slight upward shift of the left hilum. There is also an interval development of a left-sided moderate pleural effusion and compressive atelectasis. An overlying consolidation cannot be ruled out. There is a slight worsening of the small patchy infiltrates within the right base compared to the prior study. No evidence of pneumothorax. Bony structures appear to be intact and there does not seem to be any evidence of bone destruction in the proximity of the primary malignancy. | 54071718 | INDICATION: ___-year-old lady with stage IV non-small-cell lung cancer now with hypoxia and cough. Please evaluate for evidence of progression of disease or infection. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | Diffuse hazy changes of the known left upper opacity with volume loss. New moderate left-sided pleural effusion with evidence of compressive atelectasis. An overlying consolidation cannot be excluded. In the proper clinical context, pneumonia could be considered. |
11240116 | New ___ tube is seen traversing past the diaphragm into the stomach. Inflation of the associated balloon is seen below the diaphragm and pulled back towards the GE junction. Right central venous line is unchanged in position and ends at the mid SVC, and the endotracheal tube is in appropriate position. Low lung volumes continue to be seen, and bilateral parenchymal opacification is seen concerning for pulmonary edema. Lumbar surgical hardware is seen, and the osseous structures are grossly unremarkable. | 56183568 | HISTORY: ___-year-old male with liver failure, ___ tube placed, evaluate ___ tube placement. TECHNIQUE: Portable semi-erect frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | ___ tube has been placed with balloon inflated and pulled back toward the GE junction. |
11240116 | Extremely low lung volumes could account for opacification of the lung bases, greater on the right, due to atelectasis as well as mild engorgement of pulmonary vasculature. A small right pleural effusion cannot be excluded. No pneumothorax is detected, however there is a crescent of lucency in the left diaphragmatic region that I discussed with Dr ___ ___ said pneumoperitoneum is excluded clinically . The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. Partially imaged spinal fusion hardware is noted at the thoracolumbar junction. | 59173576 | INDICATION: Hypoxia and altered mental status, here to evaluate for pneumonia. COMPARISON: Chest radiograph last performed on ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest. | Bibasilar atelectasis. No likely pneumonia or edema. ___ (In Hospital, On Page), ___ and I discussed these findings at 8:30am, ___. |
11240116 | The enteric tube appears to terminate in the distal esophagus, proximal stomach and must be advanced. The lung volumes are low. The cardiomediastinal and hilar contours are stable. In addition to a spread background of fine reticular abnormality, right greater than left, which appears slightly worse compared to the prior exam, there appears to be interval worsening of the mid right lung and left perihilar focal consolidations. No pneumothorax is identified. There is a small right pleural effusion. The visualized osseous structures are unremarkable. | 54160228 | INDICATION: History of alcoholic cirrhosis with increased oxygen requirement and rales on exam. Rule out pneumonia. COMPARISONS: Chest radiographs dating back to ___. TECHNIQUE: Single AP portable exam of the chest. | The enteric tube appears to terminate in the distal esophagus and must be advanced. Interval worsening of a right mid lung focal consolidation and left perihilar focal consolidation compared to the prior exam. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 1:___ ___m. on the day of the exam. |
11240116 | A new Dobbhoff tube terminates in the stomach. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. In addition to a spread background fine reticular abnormality, greater on the left than right, which appears similar to somewhat increased, a newfocal consolidation is present in the right mid lung. There is no definite pleural effusion or pneumothorax. | 51993286 | CHEST RADIOGRAPH. HISTORY: Liver failure. Dobbhoff placement, assessment requested. COMPARISONS: ___. TECHNIQUE: Chest, AP view. | New nasogastric tube with weighted tip, terminating in the stomach. New consolidation developing in the right lung. Persistent and increased diffuse interstitial abnormality most suggestive of moderate pulmonary vascular congestion. |
11556098 | Heart size is top normal. Aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities demonstrated. There are mild degenerative changes in the thoracic spine. Cholecystectomy clips is seen in the right upper quadrant. | 55993046 | HISTORY: Motor vehicle collision, upper extremity pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest CT ___. | No acute cardiopulmonary abnormality. |
11755366 | Compared to the most recent prior radiographs, the left pleural effusion with adjacent atelectasis has improved; however, the right pleural effusion is now larger with associated atelectasis. Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. There is no evidence of pulmonary vascular congestion. The aorta is stably torturous and sternal wires are in unchanged position. No pneumothorax. | 58351050 | HISTORY: Recent cardiothoracic surgery question. COMPARISON: ___. | Increase in right pleural effusion with associated atelectasis since ___. Improved aeration of left lower lung with decreased left pleural effusion. |
11992881 | Assessment is limited by patient rotation and positioning. Heart size is mildly enlarged with a left ventricular predominance. The aorta is diffusely calcified. Mediastinal and hilar contours are grossly unchanged. Pulmonary vasculature is not engorged. Patchy left basilar opacity may reflect atelectasis though infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is present. Calcification projecting over the to right apex is unchanged. Extensive degenerative changes are again demonstrated in the right shoulder. | 50036088 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hip dislocation // pre-op TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ | Limited study. Left basilar patchy opacity, likely atelectasis, but infection is not excluded in the correct clinical setting. |
11332829 | PA and lateral views of the chest were obtained. Midline sternotomy wires, dual-lead left chest wall pacer are stable from prior exam. The lungs appear clear bilaterally. There is minimal blunting along the left CP angle best seen on lateral view which could indicate a small pleural effusion. There is no pulmonary edema, signs of pneumonia, or pneumothorax. Cardiomediastinal silhouette appears grossly stable. The degree of hilar engorgement appears stable. No definite signs of interstitial or alveolar edema. Atherosclerotic calcification along the aortic knob noted. Bony structures appear stable. Old right mid cage posterior rib deformity again noted. | 51478353 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Increasing shortness of breath, assess for pulmonary edema. | Mild pulmonary vascular congestion with tiny left pleural effusion. |
11332829 | A pacemaker and its wires are in proper position with the leads in the right atrium and right ventricle. Stable moderate enlargement of the cardiac silhouette is unchanged. Small new bilateral pleural effusions are present. There is mild engorgement of the pulmonary vasculature, but no definite interstitial edema. There is no consolidation or pneumothorax. A healed rib fracture is present in the right posterior seventh rib. | 54821160 | INDICATION: New shortness of breath. Evaluate for CHF. COMPARISONS: Chest radiograph, ___. | New small bilateral pleural effusions. No pulmonary edema. Stable moderate cardiomegaly. Results were communicated with Dr. ___ at 11 a.m. on ___ via telephone by Dr. ___. |
11332829 | Frontal and lateral views of the chest are obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. Status post median sternotomy and CABG. There are low lung volumes, which accentuate the bronchovascular markings. Given this, there is mild pulmonary vascular congestion. No focal consolidation or pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. Old fracture deformity of the posterior right seventh rib is again seen. Slight opacity in this region was seen since ___, and likely relates to osseous deformity. Underlying pulmonary nodular opacity cannot be entirely excluded, if this is clinically relevant, given patient age, further evaluation with chest CT could be obtained. | 56264307 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: A ___-year-old female with history of angina. COMPARISON: From ___. | Low lung volumes and mild pulmonary vascular congestion. Old posterior right seventh rib fracture deformity with slight opacity projecting over this location, likely relating to the osseous deformity; however, underlying pulmonary nodule cannot be entirely excluded and if clinically relevant, given patient's age, patient's chest CT could be obtained for further evaluation. |
11332829 | The lungs are low in volume and show a confluent opacity in the left lower lobe. The cardiac silhouette is enlarged. The mediastinal silhouette is unremarkable. There is mild interstitial opacities bilaterally which could be related to low lung volumes. A left-sided pacer terminates with its leads in the right atrium and right ventricle, unchanged. Sternal wires are intact. | 59902962 | INDICATION: ___-year-old woman with cough, question infiltrate. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | Possible left lower lobe opacity could represent an early pneumonia. Mild interstitial edema. |
11840969 | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Moderate cardiomegaly is stable. There is mild right basilar atelectasis. Median sternotomy wires are noted. | 58944485 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fever and cough // ? pneumonia TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___. | No evidence of acute cardiopulmonary process. Stable moderate cardiomegaly. |
11840969 | AP upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. Cardiomegaly is mild. Lung volumes are low. No effusion or overt CHF. No pneumothorax. Bony structures are intact. | 54068017 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Fall on ___, weakness on Plavix, question pulmonary edema. | No overt edema or other acute intrathoracic process. |
11533366 | Bilateral lung opacities have completely resolved. Right upper lobe lobectomy with radiation changes and juxtaphrenic peak sign are unchanged. Mediastinal and cardiac contours are stable. Bilateral humeral prostheses. Left-sided PICC line ends in axillary region. | 55999282 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with CHF, asthma, CKD, tracheobronchomalacia, history tracheal cancer, recently in ICU for pulmonary edema, followup. COMPARISON: Chest x-ray from ___ to ___. Chest CT of ___. | Bilateral lung opacities have completely resolved since ___. Left-sided PICC line ends in axillary region. |
11533366 | Single frontal view of the chest was obtained. There is persistent elevation of the right hemidiaphragm in this patient status post right upper lobe lobectomy. The left lung is clear. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Partially imaged right humeral prosthesis is seen. | 56510901 | EXAM: Chest, single frontal view. CLINICAL INFORMATION: Tachycardia, rule out CHF. COMPARISON: ___. | No acute cardiopulmonary process. |
11533366 | Low lung volumes are present. The patient's chin obscures evaluation of the lung apices. There is evidence of volume loss in the right lung with elevation and tenting of the right hemidiaphragm. Postsurgical changes from prior right upper lobectomy are again noted. There is crowding of the bronchovascular structures, and fluffy opacification about the perihilar regions, more so on the right, may suggest mild pulmonary vascular engorgement or an infectious process. Previously noted diffuse hazy opacification in the right lung has improved. There is continued mild cardiomegaly. The mediastinal contours are unchanged. There is no large pleural effusion or pneumothorax. Partially imaged is a right humeral head prosthesis. | 56521239 | HISTORY: Abdominal pain, nausea, vomiting. History of lung and breast cancer as well as radiation esophagitis. TECHNIQUE: Upright AP view of the chest. COMPARISON: Chest radiograph ___ and chest CT ___. | Limited study. Postsurgical changes in the right lung following right upper lobectomy. Perihilar fluffy opacities, right greater than left, may reflect mild pulmonary vascular engorgement but an infectious process or aspiration cannot be excluded. Consider repeat PA and lateral chest radiographs when the patient can take a deeper inspiration. |
11533366 | Lung volumes are low but improved compared to prior. Note is made of an accessory fissure; elevated right hemidiaphragm persists. No focal consolidation or pneumothorax is detected on this view. Right pleural effusion has improved. Heart size is enlarged and unchanged. The aorta is calcified and tortuous. There has been interval removal of right PICC and left hemodialysis catheter. No pulmonary edema is detected. Right humeral replacement hardware is partially imaged. | 55089939 | INDICATION: ___-year-old female with shortness of breath and wheezing. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. | Cardiomegaly and low lung volumes. Improved aeration and dec'd right pleural effusion compared to prior. |
11533366 | Single portable view of the chest. Appearance of the right lung is unchanged with surgical chain sutures adjacent to the hilum underlying fibrotic changes in overall right hemithorax volume loss suggestive of prior lobectomy. Although the left lung is partially obscured due to overlying oxygenation mask and cardiac leads, there are multifocal regions of consolidation throughout the lung. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications again seen at the aortic arch. Bilateral shoulder arthroplasties are identified. | 59909608 | HISTORY: ___-year-old female with dyspnea. COMPARISON: Chest x-ray and CT from ___ as well as chest x-ray from ___. | Multifocal regions of consolidation in the left lung was concerning for infection. Continued follow up will be necessary to document resolution given patient's history of multiple malignancies. |
11533366 | AP and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are unchanged. Elevation of the right hemidiaphragm is again noted with post-surgical changes in the right chest from prior right upper lobectomy. Low lung volumes are again appreciated. Slight increase in interstitial markings may indicate an element of pulmonary vascular congestion. Right shoulder replacement is noted. | 55936841 | INDICATION: Fall, acute mental status change with crackles on lung exam. COMPARISON: Chest radiograph ___, chest CT ___. | Low lung volumes with increased interstitial markings which may indicate mild pulmonary vascular congestion. |
11533366 | There are low lung volumes. The cardiac, mediastinal, and hilar contours appear unchanged, with the heart size within normal limits. The aortic knob remains calcified. The pulmonary vascularity is not engorged. Linear opacities in both upper lobes reflect areas of scarring as demonstrated on the prior CT. No new focal areas of consolidation are present. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Left humeral head prosthesis is partially imaged. | 59490802 | INDICATION: Green productive sputum. COMPARISON: ___ chest radiograph and chest CTA. UPRIGHT AP AND LATERAL VIEWS OF THE | No new areas of consolidation to suggest pneumonia. Bilateral upper lobe linear opacities compatible with areas of scarring. |
11533366 | Post-surgical changes in the right hilus and mildly elevated right hemidiaphragm following right upper lobectomy is unchanged. Mild atelectasis in the right middle lobe is new. No opacities concerning for pneumonia. There is no pleural effusion. Heart size is normal. Mediastinal contours are unchanged. | 59176094 | CHEST RADIOGRAPH TECHNIQUE: PA and lateral radiographs of chest were reviewed in comparison to prior radiographs from ___ to ___. | Mild atelectasis in the middle lobe, new since ___. Stable changes in the right hemithorax following right upper lobectomy. |
11533366 | Frontal and lateral views of the chest demonstrate normal cardiac size. The thoracic aorta is minimally tortuous with arch calcifications. There are stable right hilar post-surgical changes of upper lobectomy and elevation of the right hemidiaphragm. There are areas of subsegmental atelectasis in the left and right mid lung. No confluent consolidation to suggest pneumonia. No pleural effusions. Patient is status post bilateral shoulder arthroplasties. | 59118944 | INDICATION: ___-year-old female with altered mental status. Question pneumonia. COMPARISON: ___. | Low lung volumes and multifocal subsegmental atelectasis, without definite evidence of pneumonia. Stable post-surgical changes in the right lung. |
11533366 | Evaluation of this radiograph is somewhat limited due to overlying soft tissues. Lung volumes are low, with unchanged moderate right hemidiaphragm elevation. There is possible mild cardiomegaly, unchanged. There are no definite pleural effusions. No pneumothorax. There have been bilateral shoulder hemiarthroplasties. | 53604386 | INDICATION: ___ year old woman with CHF, AF on coumadin, RA, COPD presenting worsening edema and DOE with crackles on exam. // Please evaluate for pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Essentially clear lungs. Low lung volumes and overlying soft tissue make it difficult to evaluate for mild pulmonary edema. Unchanged extent of possible mild cardiomegaly. |
11533366 | Patient had a prior history of right upper lobe lobectomy and radiation therapy. There is no new lung consolidation. Mediastinal and cardiac contours are unchanged. | 55822174 | PA AND LATERAL CHEST X-RAY INDICATION: History of COPD, asthma, to rule out pneumonia. COMPARISON: ___ to ___. | There is no evidence of pneumonia. |
11533366 | Marked volume loss in the right lung is related to previous right upper lobe resection and radiation therapy as demonstrated on prior CT chest of ___. Cardiac silhouette is upper limits of normal in size. Pulmonary vascularity is within normal limits allowing for relatively low lung volumes. No focal areas of consolidation are present within the lungs, and there are no definite pleural effusions. Scarring along the right hemidiaphragm contour appears unchanged as well as right apical thickening, likely related to previous lung cancer treatment. | 53574322 | AP AND LATERAL CHEST OF ___. COMPARISON: ___ radiograph. | No radiographic evidence of pneumonia. |
11533366 | Endotracheal tube ends 3.5 cm above carina. Right jugular line ends in cavoatrial junction. Stability of the apical density in this patient with prior history of right bilobectomy. Mediastinal and cardiac contours are unchanged. No pneumothorax. Unchanged mild volume overload. | 53576839 | PORTABLE AP CHEST X-RAY INDICATION: ET tube placement. Patient with acute liver failure and renal failure. COMPARISON: ___. | There is no significant change since the previous exam. ET tube is in adequate position. |
11533366 | Elevation of the right hemidiaphragm with tenting and changes compatible with right thoracic volume loss are again noted. Biapical pleural thickening is again noted on the right greater than the left. Bibasilar small foci of peribronchial opacification are stable on the right and slightly increased on the left from the most recent prior study and new from prior studies of ___. No large pleural effusion or pneumothorax is detected. The cardiomediastinal silhouette appears stable. The trachea is midline. Bilateral shoulder replacements are again noted. | 51443775 | INDICATION: History of COPD and bronchitis, admitted with influenza, now with concern for secondary pneumonia. COMPARISON: Chest radiographs, last performed on ___. TECHNIQUE: Portable upright frontal radiograph of the chest. | Several small peribronchial bibasilar opacities, stable on the right and slightly increased on the left from ___ but new from ___, could represent pneumonia in the appropriate clinical context. |
11533366 | The distal end of the NG tube is not included in this exam. The endotracheal tube is too low only at 8 mm above the carina. It should be pulled back around 3 cm. The right subclavian line ends in the mid SVC. The patient has a history of prior right upper lobe and middle lobe lobectomy. The increased density in the right apex is unchanged but still increased compared to the exam of ___. This could be concerning for recurrence as said in the previous exam. It is unchanged since the exam of yesterday. There are stable mild opacities in the left lung base. There is no pneumothorax and no significant pleural effusion. | 54078317 | PORTABLE AP CHEST X-RAY. INDICATION: Patient with lung and tracheal cancer, here for nausea, vomiting, pneumonia, assess the NG tube. COMPARISON: ___. | The end of the NG tube is not included in this exam. The endotracheal tube is too low and can be pulled back around 3 cm. The rest of the exam is unchanged. The medical team at the ICU has been verbally contacted for the results at 9:45. The exam was done at 9:18 a.m. |
11533366 | Study is limited due to patient rotation. Heart size is normal. The aortic knob is calcified. There is no overt pulmonary edema, but crowding of bronchovascular structures is noted. Linear and ill-defined opacities within the left upper and mid lung fields are re- demonstrated, better assessed on the recent chest CT, and may reflect residual inflammation or infection. Postsurgical changes of the right lung with evidence of volume loss with tenting of the right hemidiaphragm and linear opacities in the right upper lung field compatible with prior radiation fibrosis are re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. Bilateral shoulder arthroplasties are visualized. | 54706010 | HISTORY: Congestive heart failure, shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | Limited exam. Postsurgical and post treatment changes in the right lung, similar compared to the prior exam. Linear and ill-defined in opacities in the left upper and mid lung fields are re- demonstrated, likely the residua of prior infection or inflammation. |
11533366 | AP and lateral views of the chest show bilateral humeral head prostheses. Patient is status post right upper lobe resection. The right lung volumes are again low. Cardiac size is top normal. Lungs otherwise clear with no focal consolidation, pleural effusion, or pneumothorax. | 54805871 | HISTORY: Altered mental status, nausea, vomiting, abdominal pain. COMPARISON: ___. | Status post right upper lobe resection with stable volume loss in the right lung. No other cardiopulmonary abnormality. |
11533366 | Cardiomediastinal silhouette including cardiomegaly is unchanged. Calcifications are again noted in the aortic arch. Low lung volumes persist. Blunting of the left costophrenic sulcus could be due to atelectasis or a small effusion. Linear opacity at the left base is most compatible with atelectasis. The lungs are clear. There is no pneumothorax. | 57923140 | INDICATION: ___ year old woman with dyspnea TECHNIQUE: A single portable AP view of the chest was obtained. COMPARISON: Multiple prior chest radiographs, most recently ___. | Persistent low lung volumes and basilar atelectasis. |
11533366 | Comparison is made to ___. The ET tube is 3.6 cm from the carina. There is cardiomegaly. There has been improvement in the bilateral pulmonary opacities that likely represent pulmonary edema. The opacification in the right lung apex and at the right lung base extending into the minor fissure are consistent with pleural effusion and these are stable. A right-sided central venous line is identified with its tip in the distal SVC. NG tube is noted to pass into the stomach. The tip is not depicted on this film. | 58986601 | CHEST PORTABLE INDICATION: ___-year-old woman with acute liver and renal failure, possible HCAP edema, consolidation, evaluate for tube placement. CHEST | Improvement in patchy consolidation in both lungs. This may represent resolution of pulmonary edema. Pleural effusions in the right hemithorax are unchanged. |
11533366 | Frontal and lateral views of the chest. Exam is limited secondary to extremely low lung volumes. Right hemidiaphragm is elevated as on prior. Postoperative changes of possible right upper lobectomy are again seen. Left lung is grossly clear. There is no effusion. The cardiomediastinal silhouette is unchanged. Bilateral shoulder arthroplasties are noted. No displaced fractures identified on this nondedicated exam. | 58946886 | HISTORY: ___-year-old female status post fall on Coumadin. Left costal margin pain. COMPARISON: ___. | No definite acute cardiopulmonary process. |
11533366 | There is stable appearance of right lung volume loss with elevation of the right hemidiaphragm status post right upper lobe lobectomy. New increased opacity is seen in the left mid lung. No pleural effusion or pneumothorax. No change in heart size or mediastinal contours. | 58729297 | INDICATION: Postoperative fever. COMPARISON: ___. | New opacity in the left mid lung concerning for pneumonia. |
11533366 | PA and lateral views of the chest were provided. Elevated right hemidiaphragm is unchanged. The lungs remain clear. The heart size is difficult to assess but appears grossly stable. The mediastinal contour is unchanged. Bony structures are intact, with left shoulder replacement again seen. | 51260701 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough and shortness of breath, question pneumonia. | No acute findings in the chest. |
11533366 | Single portable supine chest radiograph was provided. Lung volumes are low. There is continued elevation of the right hemidiaphragm. Previously seen opacities in the right and left upper lung fields are no longer visualized. There is no definite evidence of focal consolidation or pneumothorax. There may be small bilateral pleural effusions. Cardiomediastinal silhouette is unchanged. A right humeral prosthesis is noted. | 58036198 | INDICATION: CHF, COPD, diffuse crackles, hypoxia. Evaluate for effusion or pneumonia. COMPARISON: Chest radiograph from ___ and CT torso from ___. | No evidence of pneumonia or CHF. |
11533366 | AP and lateral views of the chest. There is a new left lower lobe consolidation. There is also some right basilar opacity seen anteriorly on the lateral view. Superiorly, the lungs are unchanged. Tenting of the right hemidiaphragm is again seen. Probable changes from right-sided lobectomy is unchanged. Bilateral shoulder arthroplasties are seen. | 57372315 | WET READ: ___ ___ ___ 11:45 PM Bibasilar opacities which would be compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with COPD and bronchitis presents for shortness of breath and cough. Question pneumonia. COMPARISON: ___. | Bibasilar opacities which would be compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution. |
11533366 | The lung volumes are again low. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is similar moderate to severe relative elevation of the right hemidiaphragm compared to the left. Compared to the prior radiographs there is increased widespread opacification of the right upper lobe which is also more prominent than on the more recent of the two chest CT studies. This appearance is concerning for pneumonia superimposed on chronic scarring. There is no pleural effusion or pneumothorax. The patient is status post bilateral shoulder replacements. | 59376254 | CHEST RADIOGRAPHS HISTORY: Malaise, wheezing and low-grade fever. COMPARISONS: Chest radiographs are available from ___ and more recent chest CT studies from ___ and ___. TECHNIQUE: Chest, PA and lateral view. | New opacification of the right upper lobe worrisome for pneumonia superimposed on more chronic changes. |
11985307 | Endotracheal tube tip is at the level of the carina, approaching the right mainstem bronchus. Enteric tube tip courses below the left hemidiaphragm, through the stomach, and off the inferior borders of the film. Mild cardiomegaly is re- demonstrated. Diffuse atherosclerotic calcifications are seen within the aorta. Mild pulmonary edema is present with perihilar haziness and vascular indistinctness. There are small bilateral pleural effusions, larger on the right. Hazy opacity in the right mid lung field and right lung base could reflect atelectasis though infection is not excluded. There is no pneumothorax. Chronic deformities of the proximal humeri are re- demonstrated with absence of the humeral heads. | 59500612 | WET READ: ___ ___ ___ 9:13 PM Endotracheal tube tip at the level of the carina, approaching the right mainstem bronchus, and should be withdrawn by approximately 4 cm. Enteric tube in standard position. Mild pulmonary edema and small bilateral pleural effusions, larger on the right. Hazy right basilar and mid lung field opacity could reflect atelectasis but infection is not excluded. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___ | Endotracheal tube tip at the level of the carina, approaching the right mainstem bronchus, and should be withdrawn by approximately 4 cm. Enteric tube in standard position. Mild pulmonary edema and small bilateral pleural effusions, larger on the right. Hazy right basilar and mid lung field opacity could reflect atelectasis but infection is not excluded. |
11656390 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Old right rib fractures are present. | 51027753 | INDICATION: Cough and emesis. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
11656390 | Lungs are clear. Fullness in the aortopulmonic window fo the mediastinum is unchanged since ___, and does not warrant further investigation. The cardiomediastinal and hilar contours are otherwise normal. There are no pleural effusions, pneumothorax, or pneumomediastinum. No free air is seen under the diaphragm. Old healed right posterior eighth rib fracture is present. | 55118994 | INDICATION: ___-year-old male with alcohol intoxication and epigastric pain. COMPARISON: ___. CHEST, PA AND | No acute cardiopulmonary process. No pneumoperitoneum |
11710101 | The lungs are well expanded. The right lung is clear. A new retrocardiac opacity is noted in the frontal view and confirmed in the lateral view. Small bilateral pleural effusions are also present. Cardiomediastinal and hilar contours are unremarkable. There is no evidence of pneumothorax. | 54026583 | INDICATION: ___-year-old male with CLL and neutropenia, admitted for port placement, presenting with low-grade fever. Evaluate for evidence of pneumonia. COMPARISON: PA and lateral chest radiographs on ___ and ___. TECHNIQUE: PA and lateral chest radiographs. | New retrocardiac opacity suggests left lower lobe pneumonia. Follow up in ___ weeks recommended to assess for resolution after treatment. |
11660148 | Again seen is a mm rounded calcified structure projecting over the posterior left lower hemi thorax consistent with a calcified granuloma. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The the cardiac silhouette is top-normal. No pulmonary edema is seen. No radiopaque foreign body identified. | 57829124 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with feeling of foreign body in throat // eval for foreign body TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. No radiopaque foreign body identified. |
11660148 | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. A left lower lobe granuloma is unchanged from the prior study. | 55371134 | WET READ: ___ ___ ___ 4:28 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with orthopnea, evaluate for pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___. | No evidence of acute cardiopulmonary process. |
11435551 | Frontal and lateral views of the chest were obtained. There is minimal right mid lung atelectasis/scarring. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. | 51024279 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of seizure. COMPARISON: ___. | No acute cardiopulmonary process. |
11775902 | Lung volumes are low. Heart size is accentuated as a result and appears mildly enlarged. The mediastinal and hilar contours are within normal limits. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. Patchy opacities are seen in the lung bases which may reflect areas of atelectasis. No acute osseous abnormality is detected. Mild degenerative changes are noted in the imaged thoracolumbar spine. | 52793783 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with with mild cognitive decline presents with dizziness concerning for new intracranial bleed vs infectious process TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Low lung volumes with bibasilar patchy opacities at the lung bases likely reflective of atelectasis. Infection cannot be completely excluded, however, and consider a follow-up PA and lateral view of the chest with improved inspiratory when the patient is able to do so. |
11533625 | The lungs are low in volume but clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. An old mid thoracic vertebral body compression fracture is unchanged. | 51235539 | INDICATION: ___-year-old woman with shortness of breath, rule out pleural edema, mediastinal widening or pneumonia. COMPARISON: CT of the chest from ___ and chest radiograph from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11087752 | Heart size is normal. Mediastinal silhouette and hilar contours are unremarkable. Increased reticulation at the lung bases is suggestive of mild edema. Ovoid opacities in bilateral lower lung fields have no lateral correlate and likely represent nipple shadow. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. | 53992651 | HISTORY: Asymptomatic hypoxia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views. | Bibasilar reticulation is most suggestive of mild pulmonary edema though chronic interstitial lung disease remains a consideration. |
11070584 | Portable AP chest radiograph demonstrates low lung volumes, consistent with recent surgery. There is linear atelectasis in the mid right lung. There is no focal consolidation, large pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. | 54724123 | INDICATION: Recent carotid endarterectomy, now with leukocytosis. Concern for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
11371424 | AP portable semi upright view of the chest. There has been interval placement of a left chest tube with the tip of the left chest tube positioned medially in the left upper chest. There is no large residual pneumothorax. Scattered atelectasis in the left lung noted. Subcutaneous emphysema along the chest tube insertion site in the left chest wall noted. | 54520952 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: Chest tube placement, assess residual pneumothorax. COMPARISON: CT torso performed earlier today. | Interval placement of left chest tube. No large residual pneumothorax. |
11964069 | PA and lateral views of the chest provided. The 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. | 56831852 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with h/o panc/renal tx, on immunosuppression, p/w nausea/vomiting // ___M on immunosuppression, please eval for pna COMPARISON: ___. | No acute intrathoracic process. |
11964069 | Enlargement of the cardiac silhouette compared to previous chest radiographs is seen, and the pulmonary vasculature is increased. Bilateral pulmonary markings consistent with interstitial edema are also seen. No focal consolidation or pleural effusions are seen. | 56525888 | HISTORY: ___-year-old man with shortness of breath, evaluate for congestive heart failure. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___. | Increase in heart size and pulmonary vasculature consistent with congestive heart failure. |
11828910 | Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is identified. No radiopaque foreign body is present. There are no acute osseous abnormalities. No subdiaphragmatic free air is demonstrated. | 51973146 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with epigastric pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. No subdiaphragmatic free air. |
11438390 | Frontal and lateral views of the chest were reviewed. Moderate enlargement of the cardiac silhouette, due to increased heart size or pericardial effusion, has progressed over one The mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. No nondisplaced rib fractures are seen. Surgical clips are again seen in the right axilla. | 58695840 | HISTORY: Right upper back pain after fall. COMPARISON: Chest radiograph ___. | No pneumothorax or rib fractures. New cardiomegaly and/or pericardial effusion. |
11438390 | PA and lateral chest radiograph demonstrate clear lungs bilaterally. The heart is enlarged though similar in size relative to prior study dated ___. Mediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pneumothorax, or pleural effusion. Visualized osseous structures demonstrates no acute abnormality. | 50142039 | INDICATION: ___-year-old female with presyncope and shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___. | No acute intrathoracic abnormality. Chronic mild cardiomegaly. |
11289321 | The endotracheal tube terminates in the mid trachea. A nasogastric tube courses below the hemidiaphragm, distal tip not visualized. There is no new consolidation or pleural effusion. A rounded opacity at the lateral left lung base is most likely due to overlapping soft tissue shadows. The heart and mediastinum are magnified by the projection. | 53330501 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man post-op still intubated // Please confirm ET tube and NG tube placements TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___ and ___. | No significant interval change. |
11289321 | Endotracheal tube terminates 6.2 cm above the carina. NG tube terminates below the diaphragm. Heart size and cardiomediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax. The left costophrenic angle is excluded from this film. | 55408274 | INDICATION: ___M with intubation COMPARISON: None. TECHNIQUE: Single frontal view of the chest. | No pneumothorax. Endotracheal tube terminates 6.2 cm above the carina. |
11959807 | In comparison with the prior exam, the lung volumes are lower. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. | 53255070 | INDICATION: Left upper chest pain with movement. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. |
11047238 | Chest, portable. There is left lower lobe atelectasis. A more heterogeneous opacity in the right lower lobe with possible air-bronchograms is more suspicious for infection. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 56177088 | INDICATION: ___-year-old woman with shortness of breath and wheezing. Evaluate for pneumonia. COMPARISON: None available. | Heterogeneous opacity in the right lower lobe with air-bronchograms may represent early pneumonia or atelectasis. |
11047238 | Pneumoperitoneum reflects the previous day's cholecystectomy. Lung volumes are low. Linear opacities at the lung bases are likely atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Heart and mediastinal slight is likely exaggerated due to poor inspiration. Cholecystectomy clips are noted within the right upper quadrant. | 57770972 | INDICATION: History: ___F s/p recent abdominal surgery ___ now w/abdominal pain, vomiting, tachypnea // evaluate for pneumonia, acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Expected pneumoperitoneum and bibasilar atelectasis 1 day a after cholecystectomy. |
11313189 | PA and lateral views of the chest were obtained demonstrating clear lungs bilaterally. No focal consolidation, effusion, pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. | 52944683 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old man with dysphagia, question mass or other acute process. | No acute intrathoracic process. |
11959467 | Endotracheal tube terminates 3.5 cm from the carina. Enteric tube and side port are within the stomach. Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Apparent widening of the superior mediastinal contour also is likely due to low lung volumes. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy and linear opacities in the lung bases likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. | 50042502 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubated TECHNIQUE: Portable supine AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Standard positioning of the endotracheal and enteric tubes. Low lung volumes with bibasilar atelectasis. |
11936058 | A Dobbhoff tube is redemonstrated coursing into the stomach, with tip off the inferior borders of the film. Heart size is normal. There are low lung volumes with mild crowding of the bronchovascular structures, and minimal bibasilar atelectasis. No overt pulmonary edema, pleural effusion or pneumothorax is present. Extensive degenerative changes of the right glenohumeral joint are noted. A cervical fusion device again visualized. | 58456268 | INDICATION: Alcoholic cirrhosis, Dobbhoff tube placement. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Mild bibasilar atelectasis, in the setting of low lung volumes. Dobbhoff tube appears to be within the stomach, though tip is not definitively noted on the study, projecting off the inferior borders of the film. |
11076669 | The lungs are well-expanded. A rounded contour in the anterior cardiophrenic recess seen only on the lateral view is probably a mediastinal fat collection or small Morgagni hernia. No additional focal opacity. No pleural effusion or pneumothorax. No pneumomediastinum. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. | 51074324 | WET READ: ___ ___ ___ 4:03 AM Rounded opacity within anterior aspect of right middle lobe only seen on lateral projection likely represents epicardial fat pad. Differential includes morgagni hernia given rounded appearance and less likely pneumonia. Comparison with previous radiographs would be helpful and clinical correlation is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with CP. Assess for pneumothorax or pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Rounded contour in the anterior cardiophrenic recess only seen on lateral projection is a mediastinal fat collection or small Morgagni hernia. . |
11288709 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a small eventration of the right hemidiaphragm. There is no pleural effusion or pneumothorax. No free air is demonstrated. The lungs appear clear. The bony structures are unremarkable aside from slight rightward convex curvature centered along the mid thoracic spine. | 54666676 | CHEST RADIOGRAPHS HISTORY: Epigastric pain and peptic ulcer disease, presenting with gastrointestinal bleeding. Question free air. COMPARISON: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease or free air. |
11098772 | The heart is normal in size. There are chunky calcified lymph nodes in the central mediastinum as well as two small calcified granulomas projecting over the left mid lung. A very small calcified granuloma is also noted at the left lung apex and there is potentially one or more tiny calcified nodules in the right upper lobe. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable. | 57045589 | CHEST RADIOGRAPH HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Small parenchymal granulomas and chunky calcified lymph nodes, suggesting prior granulomatous exposure. |
11664394 | PA and lateral views of the chest were obtained. Subtle patchy opacity is seen in the right upper lobe concerning for pneumonia. There is also subtle opacity at the left lung base, which may also represent an early pneumonia. No large effusions or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 50764256 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever and cough, chest pain, assess for pneumonia. | Right upper lobe pneumonia. Possible early pneumonia at the left lung base. |
11344441 | Bilateral pulmonary opacities are consistent with mild to moderate congestive heart failure. There is a left-sided pleural effusion and a smaller right sided effusion. Moderate size hiatal hernia is again demonstrated as well as a tortuous and calcified aorta. Lungs appear grossly intact. | 55177247 | CLINICAL HISTORY: ___-year-old female with epigastric pain, now with nighttime cough, rule out infiltrate. COMPARISON: Multiple priors, the most recently from ___. AP AND LATERAL VIEWS OF THE | Mild to moderate pulmonary edema. |
11344441 | Frontal and lateral chest radiographs show leftward rotation of the patient. Moderate interstitial edema and small bilateral pleural effusions are consistent with cardiac decompensation. Left lower lobe consolidation is incompletely evaluated due to patient positioning. Marked thoracic kyphosis results in increased AP diameter of the chest. There is no pneumothorax. Aortic arch and mitral annular calcifications are noted. | 56167035 | INDICATION: Abdominal pain. COMPARISONS: ___. | Moderate pulmonary edema representing cardiac decompensation. |
11344441 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is probably a hiatal hernia but not as well demonstrated on this examination. There is similar background coarsening of lung markings, but otherwise the lungs appear clear. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. Surgical clips project over the right upper quadrant. There is moderate rightward convex curvature centered along the thoracolumbar junction. The bones appear demineralized. Mild-to-moderate vertebral body height loss with a biconcave configuration along an upper lumbar vertebral body appears unchanged. Bones are difficult to evaluate, however, owing to marked demineralization. There is a lucency in the left scapula that probably represents an artifact or nutrient foramen. However, dedicated radiographs could be considered if symptoms, if any, refer to this area. | 56661167 | RADIOGRAPHS OF THE CHEST HISTORY: Status post fall. COMPARISONS: ___. TECHNIQUE: Chest, supine AP and lateral views. | No evidence of acute disease. Non-displaced lucency in the scapula neck, probably an artifact or nutrient foramen, although additional investigation could be considered if any symptoms or physical signs suggest the potential for trauma to the area. |
11344441 | PA and lateral chest radiographs were obtained. Moderate bilateral pleural effusions are similar in size since ___. Moderate to severe cardiomegaly is unchanged. Extensive mitral annular calcifications and aortic arch calcifications are unchanged. A partially fluid-filled hiatal hernia is stable. | 52585525 | HISTORY: Cough and wheezing. COMPARISON: Chest radiographs ___ through ___. Chest CT ___. | Stable appearance of severe cardiomegaly and bilateral pleural effusions since ___. Findings were discussed with Dr. ___ ___ telephone on ___. |
11070517 | 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. | 58460335 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with elevated wbc, psych admission TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11070517 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52906797 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with leukocytosis // Evaluate for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
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