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11150404 | PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. | 51238224 | HISTORY: ___-year-old male with upper respiratory tract infection like symptoms including cough. Question pneumonia. COMPARISON: None. | No acute cardiopulmonary process. |
11714518 | AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. On the present examination, a new right-sided chest tube is seen apparently introduced in the right lateral chest wall at the level of the fifth or sixth intercostal space. This tube points towards the superior mediastinal structures where it curves backwards into caudal direction. No pneumothorax can be identified on either side with patient in upright position. Comparison with the previous chest examination, the right-sided hilar structure appears more prominent. It is pointed out, however, that the patient underwent four CT examinations during the examination interval, the latest dated ___. | 57353834 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient status post VATS, mediastinal biopsy. Evaluate for post-interventional changes. | Chest tube in place, no evidence of pneumothorax. |
11714518 | Following removal of a right-sided chest tube, a very small right apical pneumothorax is noted and appears slightly smaller than on the prior study. Large right hilar mass appears similar to the prior radiograph. Nonspecific opacities in right upper lobe also appear relatively similar. Small bilateral pleural effusions are apparently new. | 51903780 | PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph. | Very small right apical pneumothorax following removal of right-sided chest tube. Large right juxtahilar mass in keeping with malignancy. New small bilateral pleural effusions. |
11494054 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 53902597 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with chest pain // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
11383406 | The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 52178029 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with type 1 dm increase blood glucose and likely dka, evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. Clear lungs. |
11580750 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. During the interval, the previously existing right internal jugular approach central venous line has been removed. No pneumothorax has developed. The heart size remains unchanged and is within normal limits. No pulmonary vascular congestion is present, and the lateral and posterior pleural sinuses are free of any fluid accumulation. A local perihilar infiltrate that has been noted on the previous study has cleared and presently there is no remaining pulmonary parenchymal abnormality. | 59737471 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with history of pneumonia, now being admitted for autologous transplant, evaluate for resolution of infiltrate. | Resolution of previously identified left-sided perihilar infiltrate in patient undergoing chemotherapy. |
11877319 | NG tube tip is in the proximal stomach with the proximal port at the GE junction. This should be advanced slightly. only the upper abdomen is on the images: it demonstrates transverse colon mildly distended up to 7 cm with stool seen within the transverse colon. | 50528340 | HISTORY: Abdominal pain. COMPARISON: ___. | NG tube slightly too high. Ileus. |
11877319 | The cardiac silhouette is mildly enlarged with tortuosity of the thoracic aorta. The hilar contours are unremarkable. The lungs are mildly hyperinflated, but are otherwise clear without focal consolidation. Pleural surfaces are clear without effusion or pneumothorax. | 57628566 | HISTORY: Fever and cough. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views. | No acute cardiopulmonary abnormality. Mild hyperinflation. |
11877319 | There is increased retrocardiac opacity with air bronchograms new from ___, with additional subsegmental linear atelectasis at the left base. The cardiac silhouette remains top normal, the mediastinal contours are normal. There is no pneumothorax or significant effusion. | 56105642 | HISTORY: ___-year-old male with pneumonia. COMPARISON: ___. | New retrocardiac opacity which is concerning for pneumonia, and could be better evaluated with dedicated upright and lateral chest radiographs. |
11877319 | Mild cardiomegaly is stable. Prominence of the pulmonary vasculature is unchanged. No evidence of pneumonia, pleural effusion, or pneumothorax. No pulmonary edema. | 55210058 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with productive cough and shortness of breath// evaluate for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No pneumonia or pulmonary edema. Stable mild cardiomegaly. |
11877319 | Portable AP upright chest radiograph is obtained. The patient's chin partially obscures the lung apices. The lungs appear clear without focal consolidation, effusion, or definite signs of pneumothorax. Cardiomediastinal silhouette appears normal. The imaged osseous structures appear intact. No definite signs of free air below the right hemidiaphragm. | 54744900 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old man with MR, fevers and cough and shortness of breath. Assess for pneumonia. | No acute intrathoracic process. |
11877319 | Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Mild pulmonary vascular congestion is re- demonstrated. Lungs remain hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax noted. No acute osseous abnormalities detected. | 54990827 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with cough and fever TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Mild pulmonary vascular congestion without focal consolidation to suggest pneumonia. |
11877319 | The heart size is mildly enlarged, unchanged. Mediastinal contours are stable with mild tortuosity of the thoracic aorta again demonstrated. The pulmonary vasculature is not engorged. Right upper lobe focal consolidative opacity is new, most compatible with pneumonia. Patchy left lower lobe opacity could reflect a second area of infection. No pleural effusion or pneumothorax is seen. No free air is seen under the diaphragms. | 55771381 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ACS, COPD/asthma, ileostomy, nausea, vomiting, diarrhea, fever, tachycardia, tachypnea TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Right upper lobe pneumonia. Second patchy opacity in the left lower lobe could reflect an additional site of infection. Follow up radiographs after treatment are recommended to ensure resolution of these findings. |
11877319 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. There has been interval resolution of the left lower lobe opacity. Heart and mediastinal contours are stable. | 55987392 | INDICATION: ___-year-old male with cough. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. |
11877319 | Mild cardiomegaly. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. | 54640811 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with chest pain // Eval for pna TECHNIQUE: Portable AP view of the chest. COMPARISON: Multiple chest radiographs most recent on ___ | No acute cardiopulmonary abnormality. No pneumonia. |
11877319 | The Dobbhoff tube is coiled in the stomach. The tip points towards the fundus of the stomach. A right midline PICC is noted. Aeration of the left lower lobe is significantly improved with some residual atelectasis. The remaining lung fields are clear. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. | 55508737 | INDICATION: New Dobbhoff, confirm position. COMPARISON: Chest radiograph ___. TECHNIQUE: Semi-upright portable AP radiograph of the chest. | Dobbhoff tube is coiled in the stomach with the tip pointing towards the fundus. The right PICC is in midline position. Significant improvement in aeration of the left base with some residual atelectasis. |
11877319 | Previous right upper lobe pneumonia has resolved leaving a small focus of linear scarring. The lungs are now clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Generalized osteopenia and mild thoracic spine kyphosis are unchanged. | 55030181 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old, s/p inpt pna ___ ___ // f/u pna for resolution TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___. | Resolved right upper lobe pneumonia. |
11872537 | There is a small new opacity in the left lower lobe, suspicious for consolidation, possibly pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size. | 51756475 | INDICATION: History: ___F with cough, malaise // ? acute cardiopulm process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | There is a small new opacity in the left lower lobe, suspicious for consolidation, possibly pneumonia. |
11362383 | The patient is status post right mastectomy. Superior paramediastinal opacities likely related to prior radiation changes. Heart size is normal. The mediastinal and hilar contours otherwise are unremarkable. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Calcification is noted projecting over the anterior chest on the lateral view, not clearly localized on the frontal view of unclear etiology, possibly a pleural plaque as these were reported on the prior chest CT. No acute osseous abnormality is identified. Numerous clips are seen within the upper abdomen. | 53073125 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Report of CT of the chest from Atrius dated ___. Images are not available for direct review. | Superior paramediastinal hazy opacities likely relate to prior radiation therapy for Hodgkin disease. No acute cardiopulmonary abnormality otherwise demonstrated. |
11034117 | 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. | 57178723 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11181460 | The cardiac, mediastinal and hilar contours appear stable. Areas of pre-existing scarring, again most prominent in the right upper and left mid lungs, appear stable. Aeration at the left lung base has improved somewhat, however. There is no pleural effusion or pneumothorax. The heart is enlarged. The aorta is tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. | 51880897 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Worsening dyspnea and leg swelling. History of COPD. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___. | Stable multifocal areas of scarring. No evidence of acute cardiopulmonary disease. |
11181460 | Moderate cardiomegaly is stable. There is mild pulmonary vascular congestion. Again seen is mediastinal fat and pleural thickening at the left lung base. There is no pneumonia or atelectasis. There is no pneumothorax. | 50908629 | WET READ: ___ ___ ___ 5:15 PM No significant change from the prior study of ___ at 00:38. Persistent mild cardiomegaly and pulmonary vascular congestion. Persistent opacity at the left base blunting the costophrenic sulcus may reflect a combination of pleural effusion and atelectasis. Underlying consolidation such as in the setting of pneumonia cannot be completely excluded in the proper clinical setting. WET READ VERSION #___ ___ ___ ___ 2:58 PM No significant change from the prior study of ___ at 00:38. Persistent mild cardiomegaly and pulmonary vascular congestion. Persistent opacity at the left base blunting the costophrenic sulcus may reflect a combination of pleural effusion and atelectasis. Underlying consolidation such as in the setting of pneumonia cannot be completely excluded in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hx of COPD, prior CXR showed possible PNA vs atelectasis // Any evidence of pneumonia? TECHNIQUE: Single frontal view of the chest COMPARISON: Chest PA and lateral ___ CT chest without contrast ___ | Mediastinal fat and pleural thickening at the left lung base. No evidence of pneumonia or atelectasis. |
11181460 | Lung volumes are large for patient's age. The left basilar opacity is most likely mediastinal fat as seen on CT chest ___. No evidence of pneumonia. There are atherosclerotic calcifications within the aortic arch. Dilated pulmonary vessels in the right upper lung without evidence of pulmonary edema. Mild cardiomegaly with no pleural effusion. Cardiomediastinal borders are normal. Hilar structures are normal. | 57723838 | INDICATION: ___ year old woman with COPD, CHF, diabetes choked on breakfast // Asperiation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 06:25 | Left basilar opacity is most likely mediastinal fat, as seen on from CT chest ___. No evidence of pneumonia. |
11181460 | Frontal and lateral radiographs of the chest shows surgical clips projecting over the lower neck alongside the trachea consistent with prior surgery. The cardiac silhouette is moderately enlarged but unchanged. The thoracic aorta is large and markedly tortuous with heavy calcification of the aortic knob. The mediastinal and hilar contours are within normal limits and unchanged without drooping of the hila. The lungs are hyperinflated and lucent consistent with COPD. Biapical pleural thickening is unchanged. Chronic branching opacities are redemonstrated in the right suprahilar lung which has been stable over multiple prior studies dating back to ___, which likely represents bronchial wall thickening or bronchiectasis. Linear opacities in the left lung base are also chronic and likely represent atelectasis or scarring. No pleural effusion, pneumothorax or focal consolidation concerning for pneumonia is detected. | 51594560 | INDICATION: ___-year-old female with history of COPD and obstructive sleep apnea on CPAP, now with cough, here to evaluate for pneumonia. COMPARISON: Chest radiograph, last performed on ___. | No focal consolidation concerning for pneumonia. Findings consistent with COPD/emphysema. Chronic right suprahilar bronchial wall thickening or bronchiectasis. Chronic left basilar atelectasis or scarring. |
11181460 | Frontal and lateral views of the chest. There is diffuse interstitial abnormality with distortion suggesting underlying the fibrotic changes similar to prior. There is however no focal consolidation or effusion. The cardiomediastinal silhouette is stable. Surgical clips project over the neck. No acute osseous abnormality detected. | 57546378 | HISTORY: ___-year-old female with shortness of breath. COMPARISON: ___. | No definite acute cardiopulmonary process. |
11181460 | There is a persistent opacity at the left lung base which likely reflects atelectasis, as seen on prior chest CT. There is persistent mild cardiomegaly. No pneumothorax is identified. Calcifications of the aortic arch and descending aorta are again noted. Rounded opacity projecting over the right apex is likely external to the patient. | 59893237 | INDICATION: ___F with shortness of breath and cough, evaluate for pneumonia. TECHNIQUE: Single AP view of the chest was obtained. COMPARISON: Chest radiograph from ___ and CT chest from ___ | Opacity at the left lung base which likely reflects atelectasis, unchanged since CT chest from ___. |
11181460 | The lateral view is severely limited secondary to motion artifact. Opacification of the left lower lung and blunting of the left costophrenic angle may reflect a combination of pleural effusion, edema, and atelectasis; however are underlying superinfection cannot be excluded depending on the clinical scenario. The remaining lungs, other than mild atelectasis in the right lung base is overall unchanged. Pulmonary vascular congestion is overall unchanged. Mild cardiomegaly is again noted. Extensive calcifications of the thoracic aorta is similar the prior exam. Bilateral apical pleural thickening is unchanged. There is mild atelectasis in the right lung base as well. No pneumothorax. Surgical clips projecting over the midline neck are unchanged. Cortical irregularity of the lateral left ___ and perhaps 7th ribs, concerning for fracture in the setting of trauma. Anterior compression fracture with wedging of a mid thoracic vertebral body appears slightly worse from the prior exam, although difficult to be certain given the poor lateral view. | 59683996 | EXAMINATION: Chest radiograph INDICATION: History: ___F with chest pain s/p fall // fx? ptx? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ and ___. | No pneumothorax. Left lower lung opacity is of difficult to evaluate, possibly oblique reflecting a combination of effusion, atelectasis, and/or superimposed pneumonia - a repeat lateral radiograph view could be performed to further evaluate. Possible left sixth and seventh lateral rib fractures. Correlate with clinical assessment. Dedicated rib radiograph is recommended if there is concern of a rib fracture. Midthoracic vertebral body compression fracture appears somewhat worse from the prior exam. |
11181460 | Interval placement of endotracheal tube terminating 4.4 cm above the level of the carina. Enteric tube courses below the diaphragm, terminating in the left upper quadrant. There is persistent left base opacity. The cardiac and mediastinal silhouettes are stable, with the aortic knob appearing mildly dilated, also seen on priors. Hilar contours are stable. | 59942452 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with copd exac now intubated // eval ett tube placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 15:02 | Endotracheal tube terminates 4.4 cm above the level of the carina. Enteric tube courses below the diaphragm, terminating in the left upper quadrant. Remainder of the chest findings are essentially unchanged. |
11181460 | Moderate cardiomegaly is unchanged compared to the prior study. The aorta remains tortuous and diffusely calcified. Lungs are hyperinflated, with streaky opacities in the right upper lobe as well as in both lung bases. These may be reflective of atelectasis, and appear relatively similar when compared to the prior exam. No pleural effusion or pneumothorax is present. There are multiple clips within the neck. | 53744922 | INDICATION: Lightheaded and dizziness. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Streaky opacities at the lung bases and right upper lobe, most likely reflective of atelectasis. |
11181460 | PA and lateral views of the chest were provided. Tiny clips project over the neck, likely related to prior thyroid surgery. Upper lobe lucency likely reflects underlying emphysema. Mild bibasilar atelectasis is noted without definite signs of pneumonia or effusion. There is no overt edema. Heart size appears grossly stable. Aorta is partially calcified and tortuous. Bony structures appear intact. | 57352901 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain, shortness of breath, assess for fluid overload. | Emphysema with lower lung atelectasis. No definite signs of pneumonia or CHF. |
11181460 | There is progression of the left basilar opacity silhouetting the hemidiaphragm. Vague right basilar opacity is also seen but unchanged and potentially atelectasis. Bilateral perihilar opacities are likely due to scarring as seen on prior CT. Moderate cardiac enlargement is again noted. Dense atherosclerotic calcifications are seen in the aorta as well as lower thoracic kyphoplasty changes. | 52635881 | INDICATION: ___F with tachynpea // shortness of breath TECHNIQUE: Single portable view of the chest. COMPARISON: ___ chest x-ray and chest CT from ___. | Increased retrocardiac opacity which could be due to combination of prominent fat and atelectasis as seen on prior chest CT although superimposed infection or effusion would be possible. |
11181460 | Cardiomegaly accompanied by upper zone vascular redistribution, but no overt evidence of pulmonary edema. Aorta is tortuous and calcified. Localized bronchiectasis is again demonstrated in the right upper lobe. Nonspecific linear scar or atelectasis is present in the left lower lobe. No definite pleural effusions. Bones are diffusely demineralized, consistent with the patient's advanced age. | 56927265 | PA AND LATERAL CHEST, ___ COMPARISON: ___. | Cardiomegaly and upper zone vascular redistribution, without evidence of overt pulmonary edema. |
11181460 | There are unchanged areas of scarring most prominently in the right upper and left mid lung. No focal consolidation is identified. There is mild pulmonary vascular congestion without overt edema. The cardiomediastinal silhouette is unchanged. There is persistent tortuosity of the thoracic aorta, which is diffusely calcified. There is no pneumothorax. A small left pleural effusion is likely present. Bilateral apical pleural scarring is symmetric. | 54266865 | INDICATION: ___F with asthma, presents with shortness of breath. Evaluate for consolidation. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___ | No focal consolidation. Mild pulmonary vascular congestion. Likely small left pleural effusion. |
11181460 | Left basilar opacity is unchanged since ___. Mild cardiomegaly is stable. Aortic knob is calcified. Mild pulmonary vascular congestion is stable over multiple prior studies. No pleural effusion or pneumothorax. | 59386358 | INDICATION: ___-year-old woman with wheezing and shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No new finding since ___ to explain the patient's wheezing and shortness of breath. Mild pulmonary vascular congestion and mild cardiomegaly are stable. |
11181460 | AP upright and lateral views of the chest provided. Clips are noted in the low neck as on prior. Cardiomegaly is noted with stable appearance from prior. The aorta is tortuous, unfolded, and calcified. Mild cephalization is noted. Lungs are hyperinflated. No convincing signs of pneumonia. Bony structures are intact. | 55165189 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with SOB COMPARISON: None | Mild cardiomegaly, mild edema. |
11181460 | Mildly hyperinflated lungs with chronic stable vascular distortion with areas of lucency suggestive of chronic obstructive airways disease. No change in right upper lobe and bibasilar scarring since ___. Stable mild bibasilar atelectasis. No pneumothorax, pleural effusion or pulmonary edema. Heart size and mediastinal contour are normal. Aortic arch calcifications and tortuous aorta is seen. | 54254468 | HISTORY: Female with COPD, status post recent admission for acute respiratory failure with continued wheezes on exam as well as pedal edema. Assess for effusions, pulmonary edema or pneumonia. COMPARISON: Chest radiograph ___; ___; ___. TECHNIQUE: Frontal and larger chest radiographs. | No radiographic evidence of pulmonary edema, focal pneumonia or pleural effusions. |
11181460 | Left PICC line terminates in the mid SVC. Multiple surgical clips project over the neck. The heart is mildly enlarged although obscured along its left border. Left basilar opacity likely reflects a combination of small pleural effusion and atelectasis. There are scattered interstitial opacities and architectural distortion suggesting some component of underlying interstitial process. Relative increased opacity at the right upper lung. The mediastinal and hilar contours are unremarkable. The aortic arch and descending thoracic aorta are heavily calcified. | 50172733 | WET READ: ___ ___ ___ 2:05 PM 1. Left basilar opacity likely combination of small pleural effusion and atelectasis, pneumonia not excluded. 2. Interstitial abnormalities with probable component of chronic underlying interstitial process with possible superimposed acute infection in the right upper lung. 3. Mild cardiomegaly. Consider PA and lateral for further characterization. WET READ VERSION #___ ___ ___ ___ 1:37 PM 1. Left basilar opacity likely combination of small pleural effusion and atelectasis, pneumonia not excluded. 2. Interstitial abnormalities with probable component of emphysema. 3. Mild cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with respiratory failure eval for pneumonia, effusion TECHNIQUE: Portable semi-upright AP chest COMPARISON: None | Left basilar opacity likely combination of small pleural effusion and atelectasis, pneumonia not excluded. Interstitial abnormalities with probable component of chronic underlying interstitial process with possible superimposed acute infection in the right upper lung. Mild cardiomegaly. |
11181460 | The heart size remains mild to moderately enlarged. The aorta is tortuous and diffusely calcified. Calcified mediastinal and hilar lymph nodes are compatible prior granulomatous disease. Enlargement of the pulmonary artery is compatible with underlying pulmonary arterial hypertension, unchanged. The lungs are hyperinflated with lucencies in the lung apices compatible with emphysema. Again demonstrated within the right upper lung field are linear opacities compatible with scarring. Streaky linear opacities at lung bases are relatively unchanged, and also likely reflect scarring. No focal consolidation to suggest pneumonia is present. The pulmonary vascularity is not engorged. There is no pleural effusion or pneumothorax. Biapical pleural scarring is again noted. There are no acute osseous abnormalities. | 52860518 | HISTORY: Dyspnea on exertion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ and ___. Chest CT ___ chest CTA ___. | No significant interval change from the prior study. No acute cardiopulmonary abnormality. Emphysema with chronic scarring in the lung bases and right upper lobe. Evidence of prior granulomatous disease. |
11181460 | The lungs are grossly clear without consolidation noting that the left lung apex is obscured by patient's face. Opacity at the left lung base laterally is compatible with prominent fat pad seen on prior CT. Chronic underlying parenchymal changes are noted, particularly noted at the right upper lung. Cardiomediastinal silhouette is unchanged. Enlarged pulmonary arteries are again noted as well as dense atherosclerotic calcification in the thoracic aorta which is tortuous. | 55382638 | INDICATION: ___F with dyspnea // eval for pna TECHNIQUE: Single portable view of the chest. COMPARISON: ___ chest x-ray and ___ torso CT. | No definite acute cardiopulmonary process. |
11181460 | An endotracheal tube terminates 5.7 cm above the carina, in adequate position. A enteric tube is seen coursing below the diaphragm, tip terminates in the gastric fundus. There is mild enlargement of the cardiac silhouette. There is calcification in the aortic knob. Asymmetric opacity of right upper lung, could relate to scarring. There is mild pulmonary edema. There is no pneumothorax. Surgical clips are seen overlying the neck. | 52988869 | HISTORY: Intubated. Evaluate ET tube placement. COMPARISON: None available. TECHNIQUE: Portable AP chest radiograph. | Endotracheal tube terminates 5.7 cm above the carina, in adequate position. Mild pulmonary edema and cardiomegaly. |
11181460 | PA and lateral views of the chest provided. Tiny clips are noted projecting over the neck. Streaky left basal opacity may reflect atelectasis though difficult to exclude an early pneumonia in the correct clinical setting. The right lung is clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable with a markedly unfolded and calcified thoracic aorta. The imaged bony structures are intact. | 54503125 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, shortness of breath // eval for acute process COMPARISON: ___ and ___. | Left basal opacity likely atelectasis though difficult to exclude a very early pneumonia. Markedly unfolded thoracic aorta. |
11181460 | Portable semi-erect AP view of the chest was reviewed. Compared to the prior study, there is increased engorgement of the pulmonary vessels, particulary in the the upper lobes, and the mediastinal veins. Moderate cardiomegaly is unchanged. The lungs are clear and there is no pulmonary edema. | 54766289 | INDICATION: Evaluation for infiltrates in a patient with hypoxic respiratory failure. COMPARISON: Multiple chest radiographs, the most recent of ___. | New biventricular heart failure and/or volume overload. The lungs are clear without evidence of pneumonia or pulmonary edema. |
11181460 | AP and lateral views of the chest. When compared to prior exam, there has been no significant interval change. Chronic lung changes are seen with streaky biapical opacities with retraction of the hila suggestive of scarring. There are also streaky linear opacities at the lung bases which have not significantly changed. There is no definite new region of consolidation or effusion. Cardiac silhouette is enlarged but stable. Enlarged pulmonary arteries are again noted. No acute osseous abnormality detected noting significant osteopenia. | 56451331 | HISTORY: ___-year-old female with history of COPD, lupus and prior TB who presents for shortness of breath and weakness. COMPARISON: ___. | Chronic lung changes without definite acute cardiopulmonary process. |
11673775 | Compared with the immediate prior study, lung volumes are significantly lower causing bibasilar atelectasis and bronchovascular crowding. Allowing for differences in lung volumes, left lung base airspace opacities are likely unchanged. The cardiomediastinal silhouette is stable. | 50882770 | INDICATION: ___ year old man with NSTEMI and pneumonia evaluate progression of PNA TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dating back to ___, most recently ___. | Low lung volumes causing bronchovascular crowding and atelectasis. Allowing for this difference, left lung base very sparse opacities are likely unchanged. |
11673775 | Heart size is normal. Atherosclerotic calcifications are noted within the thoracic aorta. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lung base is concerning for pneumonia. Minimal atelectasis is seen in the right lung base. Right lung is clear. No pleural effusion or pneumothorax is seen. Moderate to severe degenerative changes of the thoracic spine are present. | 58803474 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Patchy left basilar opacity concerning for pneumonia. |
11644462 | Lung volumes are normal. Heterogeneous area of opacity in the left lower lobe can either represent asymmetric pulmonary edema or early pneumonia. There is asymmetric right greater than left pulmonary fibrosis with traction bronchiectasis, predominantly in the right upper lobe. Trace, if any, bilateral pleural effusions. Opacities at the bilateral lung with tenting of the bilateral hemidiaphragms suggest mild atelectasis. No pneumothorax. Mild tortuosity of the thoracic aorta. Otherwise, mediastinal hilar contours are normal. Heart size is normal. | 53984438 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with new crackles both bases // ? fluid TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: None provided. | Heterogeneous area of opacity in the left lower lobe can either represent asymmetric pulmonary edema or early pneumonia. If possible, old radiographs should be obtained and uploaded to PACS for comparison. Asymmetric right greater than left pulmonary fibrosis with traction bronchiectasis, predominantly in the right upper lobe. Trace bilateral pleural effusions. Mild bibasilar atelectasis. |
11299409 | The lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. | 57329427 | INDICATION: ___-year-old male with palpitations and chest pain. COMPARISONS: None. TWO VIEWS OF THE | No acute intrathoracic process. |
11144781 | PA and lateral views of the chest were obtained. There is plate-like bibasilar atelectasis. A single-lead pacer projects over the left chest wall with lead tip extending to the right ventricle region. The heart size is top normal. There is no effusion or pneumothorax. No definite signs of pneumothorax or pulmonary edema. Mediastinal contour is reflective of an unfolded thoracic aorta. Aortic knob calcifications are present. The imaged osseous structures are intact. | 58750431 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Near syncope, assess for cardiomegaly or pneumonia. | No signs of pneumonia or CHF. Bibasilar plate-like atelectasis. |
11912741 | Low lung volumes, old right-sided rib fractures. There is no focal lung consolidation. Possible small right pleural effusion. The cardiomediastinal shilhouette is normal. No pneumothorax. | 52097984 | FINAL ADDENDUM ADDENDUM: A left-sided PICC line is visualized, terminating with the tip in the mid SVC. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old with seizure. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Outside hospital chest radiograph from ___. | No acute cardiothoracic process. |
11959803 | Cardiomediastinal contours are normal. There are large bilateral pleural effusions right greater than left associated with adjacent atelectasis. The osseous structures are unremarkable | 54787767 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recoverinyg from acute pancreatitis, quite bil breath sounds, some extremity edema // assess for presence/extent of pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: None. | Large bilateral pleural effusions associated with adjacent atelectasis |
11945463 | Mild scoliosis again noted. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58345271 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with DOE // ? lesion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process or lesion noted. |
11359829 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. | 56377629 | INDICATION: Status post mechanical fall. COMPARISONS: None. | No acute cardiopulmonary process. |
11253327 | PA and lateral views of the chest were obtained. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. On the frontal radiograph, there is a radiopaque density projecting over the mid neck region which is likely external to the patient. | 51265009 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: With a prior study from ___. CLINICAL HISTORY: Leukocytosis and right-sided numbness, question infectious process in the chest. | No signs of pneumonia or CHF. |
11817840 | Single portable view of the chest. Endotracheal tube tip is approximately 5.1 cm from the Carina. Enteric tube is seen within the esophagus however folded in the region of the lower esophagus and extends with its tip overlying the pharynx. Increased interstitial markings seen throughout the lungs and streaky right basilar opacities identified. Cardiomediastinal silhouettes within normal limits for technique. | 59931528 | INDICATION: ___F with intubated // eval tube TECHNIQUE: Portable chest COMPARISON: Lateral chest film from ___ at 3:34 om | Enteric tube 5.1 cm from the carina. Folded enteric tube in the esophagus for which repositioning is suggested. Additional film had already been obtained at time of this dictation. |
11150127 | Single AP upright portable view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No evidence of free air is seen beneath the diaphragms. | 51438465 | EXAM: Chest, single frontal view. CLINICAL INFORMATION: AIDS, abdominal pain, recent instrumentation, evaluate for free air. COMPARISON: ___. | No acute cardiopulmonary process. No evidence of free air beneath the diaphragms. |
11150127 | PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. | 50201736 | HISTORY: ___-year-old female with cough. COMPARISON: ___. | No acute cardiopulmonary process. |
11593650 | The lungs are somewhat hyperinflated but clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. | 52091927 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with intermittent right upper quadrant abdominal pain, abnormal LFTs and normal right upper quadrant ultrasound. COMPARISON: None available. | No acute cardiopulmonary process. |
11056115 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No acute osseous abnormalities are present. | 56859391 | INDICATION: ___-year-old female with dyspnea and cough. Evaluate for evidence of pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph. | Unremarkable chest radiographic examination. |
11390955 | Cardiomediastinal silhouette is umremarkable. There are no pleural effusions or pneumothoraces. Lungs are essentially clear with the exception of minimal linear atelectasis at the right lung base. Bones are intact. | 50340778 | CLINICAL HISTORY: ___-year-old male with SAH. Question acute process. COMPARISON: None. | No acute intrathoracic process. |
11717924 | PA and lateral views of the chest provided. Lung volumes are low on the frontal projection though allowing for this, there is no definite sign of pneumonia or CHF. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. | 58815659 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough, question pneumonia. | No definite signs of pneumonia. |
11855255 | The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no pleural effusion or pneumothorax. The lungs are clear. | 58426924 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with agitation and leukocytosis TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute intra thoracic abnormalities. |
11365743 | 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. | 50614300 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea // eval PNA TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11670510 | No focal consolidation is seen. There may be a couple punctate scattered calcified granulomas. No pleural effusion or pneumothorax is seen. Mediastinal contours are unremarkable. The cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen. | 59783533 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with EtOH intox, SI, w/ low grade fever and SpO2 ___% // ?pneumonia vs. aspiration pneumonitis given fever/hypoxemia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Top-normal to mildly enlarged cardiac silhouette without pulmonary edema or focal consolidation. |
11317871 | The patient is status post median sternotomy with multiple mediastinal clips again noted. The heart remains mildly enlarged. The mediastinal contours are stable, with mild tortuosity of the thoracic aorta again noted. There are mild atherosclerotic calcifications at the aortic knob. New ill-defined opacity are demonstrated within both upper lobes, as well as worsening opacity within the left mid lung field, findings concerning for a multifocal infectious process. Additionally, there is mild pulmonary edema, which may be minimally worse compared to the prior study. Small bilateral pleural effusions, right greater than left, are not substantially changed from the prior exam. Persistent bibasilar airspace opacities are relatively similar from the prior exam, and could reflect areas of atelectasis. | 59441712 | HISTORY: Recent ASD repair with hypoxemia and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | New ill-defined areas of opacification in both upper lobes and left mid lung field, concerning for a multifocal infectious process. Mild pulmonary edema appears slightly worse in the interval, with persistent small bilateral pleural effusions. Bibasilar airspace opacities are relatively unchanged, and likely reflect atelectasis. |
11317871 | PA and lateral views of the chest were provided. Midline sternotomy wires are again noted as well as mediastinal clips. There is opacity at the right lung base likely residing in the right middle and lower lobes as seen previously concerning for pneumonia. There is also retrocardiac opacity, which is slightly diminished from prior exam, which may also represent another site of pneumonia. No pneumothorax. Cardiomediastinal silhouette is stable. | 54421793 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Acute change in personality with question pneumonia. | Persistent opacities in the right and left lower lungs concerning for pneumonia. Probable associated small right pleural effusion. |
11317871 | The previously demonstrated peripheral opacity in the right mid lung has now resolved. No new areas of consolidation are seen. Previous median sternotomy noted. The cardiomediastinal contour is unchanged compared to the prior study. No pneumothorax or pleural effusion seen. There is a mild scoliotic curve convex to the right in the thoracic spine, this limits assessment of the vertebral bodies. | 59772390 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with prior PNA // assess for resolution infiltrates TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process seen. |
11317871 | PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Cardiomediastinal silhouette is stable. There is very subtle neo peripheral hazy opacity in the right mid lung which in the correct clinical setting could represent a very early pneumonia. Otherwise the lungs are clear. No pleural effusion or pneumothorax is seen. Bony structures are intact. | 56591987 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with congested cough since ___ // ?pneumonia COMPARISON: ___ | Subtle opacity in the periphery of the right mid lung a which could represent a very early pneumonia in the correct clinical setting. |
11317871 | Right convex thoracic scoliosis is re- demonstrated along with sternal suture wires and mediastinal clips, consistent with prior CABG. Mild cardiac enlargement with prominence of the apex, is unchanged. There is diffuse prominence of the pulmonary interstitial markings, but no focal consolidation is appreciated and there is no pleural effusion or pneumothorax. Osseous structures appear unchanged. | 51444616 | INDICATION: History: ___F with cough, short of breath // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Diffuse prominence of the pulmonary interstitial markings for which atypical infection cannot be excluded, but no evidence of focal consolidation. |
11317871 | Frontal and lateral views of the chest were obtained. The lungs are mildly hyperinflated, suggestive of COPD. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The heart is of normal size with normal cardiomediastinal contours. No radiopaque foreign body. Thoracolumbar dextroscoliosis is S-shaped. | 52149592 | INDICATION: ___-year-old smoker with cough. Rule out infiltrates. COMPARISONS: None. | Mild hyperinflation of the lungs, suggestive of COPD. |
11289635 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air. Clips project over the left chest, potentially in the overlying breast. | 51593016 | INDICATION: ___F with chest pain, nausea/vomiting // Eval for pneumothorax TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11175459 | 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. | 55192574 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest tightness with inspiration // eval for cardiac process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11431083 | Lung volumes remain increased. Heart is normal in size and the aorta is tortuous. A 2.9 cm opacity in the right apex with associated volume loss is unchanged and attributed to scarring from previous radiation therapy. A patchy opacity at the left base is new. There is no pleural effusion or acute skeletal abnormality. | 56815341 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, fever 102 // assess for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___ | New patchy left basilar opacity is suspicious for early pneumonia in the setting of acute infectious symptoms. Given the focal nature of the opacity, follow-up chest x-rays are recommended in 8 weeks after completion of therapy to ensure resolution and to exclude the possibility of a lung neoplasm mimicking an infectious process. |
11652443 | There is no focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is enlarged but unchanged. | 50735805 | INDICATION: ___ year old woman with CAD, CHF, has DOE // r/o CHF, ptx, pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No radiographic evidence of acute cardiopulmonary disease. |
11652443 | The lungs are mildly hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. The heart is top-normal in size and likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable. | 55957570 | WET READ: ___ ___ 7:04 PM No acute cardiopulmonary process. WET READ VERSION #1 ___ ___ 6:40 PM Right lower lobe opacity is most consistent with atelectasis. Clinical correlation is recommended to assess for superimposed infection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with chest pain/sob. Assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11776386 | There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable. | 54739247 | INDICATION: Back pain. Evaluation for traumatic injury. COMPARISON: Chest radiograph, ___. | No acute cardiopulmonary process. |
11616360 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 52409862 | HISTORY: Hypotension, elevated lactate. Evaluate for pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Single frontal portable chest radiograph. | No acute cardiopulmonary process. |
11111102 | Supine portable AP single chest radiograph demonstrates an endotracheal tube approximately 4 cm above the level of the carina in appropriate position. An enteric tube descends along the expected course of the esophagus, terminating in the right upper quadrant. A temperature probe is identified. Lung windows demonstrates bilateral patchy ill-defined opacities which may reflect a component of aspiration or alternatively, in the appropriate clinical setting, contusions. Patient is rotated. Allowing for this, the cardiomediastinal and hilar contours appear within normal limits. No large pleural effusion is identified. Allowing for suboptimal technique, no pneumothorax is identified. Osseous structures are without acute abnormality. | 53374259 | INDICATION: ___-year-old male post arrest status post intubation. COMPARISON: None available. | Status post endotracheal tube placement, in appropriate position. Bilateral patchy opacities which may reflect a component of aspiration. |
11111102 | 2 views were obtained of the chest. The lungs are relatively well expanded. The patient is rotated. There is no focal consolidation or large pleural effusion though small pleural effusions would be difficult to exclude particularly on the left given the patient's positioning. Heart is normal in size with tortuous aortic contour. Retrocardiac opacity and prominent air column in the upper chest and neck may reflect distended esophagus. | 59778034 | HISTORY: Altered mental status and failure to thrive. COMPARISON: None. | No acute intrathoracic process. Possible distended esophagus which could be evaluated with upper GI if indicated. Changes from the preliminary interpretation were emailed to the ED QA nurses ___ ___. |
11620358 | PA and lateral views the chest. When compared to prior, there has been no significant interval change. The lungs are clear without focal consolidation effusion, or pulmonary edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. | 55277447 | EXAMINATION: Chest two views INDICATION: ___M with dyspnea // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary process. |
11620358 | Subtle opacity at the left lung may be due to atelectasis although subtle infection is not excluded in the appropriate clinical setting. There is persistent apparent blunting of the right costophrenic angle on the frontal view, chronic. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. Vertebral body heights are grossly stable in appearance. No displaced fracture is identified. | 56612414 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fall, syncope, landed on ground, on coumadin // ? traumatic injuries or signs of infection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle left base opacity may be due to combination of atelectasis and epicardial fat, however, subtle consolidation is not excluded in the appropriate clinical setting. No displaced fracture seen. |
11620358 | Cardiomediastinal silhouette is unchanged. Apparent blunting at the right lateral costophrenic angle is due to pleural fat as seen on ___ CTA. There is no concerning parenchymal consolidation. There is no evidence for rib fracture, however dedicated rib series is more sensitive. There is no evidence of pneumothorax. Mild elevation of right hemidiaphragm is grossly stable. | 50851273 | WET READ: ___ ___ 1:10 PM No evidence of fracture, however dedicated rib series more sensitive. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M status post fall with mechanical fall, tripping over sidewall, landing on the left side, left rib pain question rib fracture. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. CTA chest dated ___. | No evidence of fracture, however dedicated rib series is more sensitive. No acute cardiopulmonary process. |
11662779 | Lung volumes are slightly low, with minimal bibasilar atelectasis, greater on the left. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. No subdiaphragmatic free air is noted. | 52211978 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with melena. // R/O Perforation TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes. No acute cardiopulmonary process. No free air. |
11744137 | No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is at the upper limits of normal. | 53217613 | INDICATION: ___ year old man having craniotomy tomorrow // pre-op eval Surg: ___ (craniotomy ) TECHNIQUE: AP portable chest radiograph COMPARISON: CT chest dated ___ | No radiographic evidence of acute cardiopulmonary disease. |
11870195 | The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 52643472 | EXAMINATION: Chest radiographs. INDICATION: ___M with chest pain, cough // eval for acute process, attn to PNA TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
11546538 | Portable AP upright chest radiograph obtained. Lung volumes are low with bronchovascular crowding, likely accounting for the subtle lower lung opacities. There is no definite sign of pneumonia or CHF. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours appear normal. Bony structures are intact. | 50690718 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Severe agitation. Assess for pneumonia. | No signs of pneumonia. Limited exam due to low lung volumes. |
11277242 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52375395 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP // eval for cardiomegaly, ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11388124 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits. | 51139257 | CHEST RADIOGRAPHS HISTORY: Bilateral calf pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11380311 | A 1.6 cm oblong radiopaque structure projecting over the upper lateral right hemi thorax may be external to the patient or possibly a stent.Patchy left base retrocardiac opacity seen on the frontal view, not substantiated on the lateral view, may be due to atelectasis. No definite focal consolidation concerning for pneumonia is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable can't not widened as compared to prior studies. The mediastinum is stable since ___. There is mild pulmonary vascular congestion without overt pulmonary edema. | 54638889 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hx of ESRD s/p DDKT p/w acute stabbing L chest pain x 1 day. No cough, dyspnea. No back pain. // Please eval for dissection. Please eval for pna. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Mild pulmonary vascular congestion without overt pulmonary edema. Mediastinum stable since ___. |
11827598 | There is mild bronchial wall thickening. There is no pleural effusion, pneumothorax or focal airspace consolidation. The mediastinal contour, heart size and pleural structures are unremarkable. The osseous structures appear normal. | 57888970 | HISTORY: Cough, rule out pneumonia. COMPARISON: None. PA AND LATERAL VIEWS OF THE | Mild bronchial wall thickening. |
11869384 | Lung volumes are low causing exaggeration of the cardiac size as well as minimal bibasilar atelectasis. There is no evidence of pneumonia, pleural effusion, or frank pulmonary edema. | 52908264 | HISTORY: Malaria. Question pulmonary edema. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute cardiopulmonary process given low lung volumes. |
11741102 | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size, which may represent a possible non-hemodynamically significant pericardial effusion. | 50017800 | INDICATION: History: ___F with chest pain // ? process TECHNIQUE: PA and lateral images of the chest. COMPARISON: None. | Top-normal size of the cardiomediastinal silhouette, which may represent possible non-hemodynamically significant pericardial effusion. |
11154475 | Single frontal view of the chest was obtained. Endotracheal tube terminates 5.1 cm above the carina. Orogastric tube terminates in the stomach. Heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. | 58091779 | HISTORY: ___-year-old male with endotracheal tube. COMPARISON: ___ chest radiograph. | Endotracheal tube terminates 5.1 cm above the carina. |
11054202 | Frontal and lateral views of the chest were obtained. There are relatively low lung volumes with mild bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Multiple displaced left-sided rib fractures are seen, including the posterolateral left fourth and fifth ribs. Rib fractures are better assessed on dedicated rib series or CT. There is a rounded calcification measuring 5.3 x 5.0 cm projecting over the posterior left upper quadrant, which is nonspecific but could be within the spleen and represent a calcified hematoma or less likely could be within the stomach. Difficult to exclude a nondisplaced fracture of the distal clavicle. | 57002230 | WET READ: ___ ___ 9:22 PM at least 2 displaced left sided rib fractures (___ and 5th ribs) WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Motorcycle accident. COMPARISON: None. | There are at least two displaced left-sided rib fractures involving the posterolateral left fourth and fifth ribs without evidence of a pneumothorax. Difficult to exclude nondisplaced fracture of the distal left clavicle. Relatively low lung volumes with bibasilar atelectasis. 5.3 x 5.0 cm rounded calcification under the left hemidiaphragm in the posterior left upper quadrant is nonspecific, could represent a splenic lesion including a calcified hematoma, could be within the stomach, unlikely to be vascular. |
11263944 | Lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. | 51485051 | INDICATION: ___-year-old with dyspnea. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: None. | No acute cardiothoracic process. |
11753649 | The lungs are hyperexpanded and there is flattening of the hemidiaphragms, not significantly changed compared to ___. No focal consolidation concerning for pneumonia. Heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. | 56595466 | INDICATION: Failure to thrive. Evaluate for infection. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. Findings consistent with emphysema. |
11753649 | The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs are hyperinflated and lucent with flattened hemidiaphragms, compatible with severe COPD. However, no lobar consolidation is present and minimal bibasilar atelectasis is noted. Pulmonary nodules seen on prior CT are better evaluated on CT. No large pleural effusion or pneumothorax is present. | 54170256 | HISTORY: ___-year-old male with tachypnea. STUDY: AP upright chest radiograph. COMPARISON: ___. | Severe COPD but no evidence of pneumonia. |
11112781 | The cardiomediastinal silhouette is normal. The bilateral hilar structures are normal. The lungs are well expanded and clear. No pleural abnormalities. No pneumothorax. The visualized bones and soft tissues are normal. | 50144049 | INDICATION: ___-year-old female presenting with chronic cough. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Normal radiograph. No acute cardiopulmonary process. |
11495769 | Two views of the chest demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. No fracture is identified. The visualized upper abdomen is unremarkable. | 54478751 | INDICATION: Right anterior rib pain. COMPARISON: None available. | Normal chest radiograph, without evidence of fracture. |
11485146 | 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. | 53109952 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain, recent cough // ? Pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11126801 | All the monitoring devices are unchanged in standard position. Since prior chest x-ray, there is some improvement of the right upper lobe for reduced pleural effusion, but persists bibasilar pleural effusion and atelectasis with right mid field opacities. Heart size is still mildly enlarged. There is no pneumothorax. | 53407460 | PATIENT HISTORY: ___ years old man with hospital-acquired pneumonia, intubated, sepsis and anasarca, evaluate for interval changes. TECHNIQUE: Portable AP single-view chest x-ray in the semi-erect position. COMPARISON: Exam is compared to chest x-ray of ___. | Improved ventilation of the right upper lobe mainly for reduced pleural effusion. Persistent bibasilar atelectasis with pleural effusion and right mid lung opacities. |
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