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11126801 | AP single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding similar study of ___ with patient in semi-upright position. Patient remains intubated, the ETT in unchanged position terminating some 4 cm above the level of the carina. An NG tube exists as before and reaches well below the diaphragm. Unchanged position of previously described right subclavian central venous line. Mediastinal shift towards the right exists and results in reduced pulmonary volume of the right hemithorax. Comparison of the portable frontal view suggests that the amount of pleural effusion of the right side has increased again as now a 1 cm wide dense layer inside the right lateral chest wall is seen. There is no evidence of pneumothorax on either side. | 50718154 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with recent pneumonia, intubated, unresponsive, off sedation with recurrent fever, evaluate for infiltrate. Assess for interval change. | No significant interval change on these portable chest examinations during the latest one day observation interval. |
11126801 | PORTABLE SUPINE CHEST RADIOGRAPH (2 EXPOSURES): An endotracheal tube is in satisfactory position, 4 cm above the carina. An enteric tube courses along the esophagus and terminates just distal to the gastroesophageal junction. The gastric side port is located within the esophagus. There is a large consolidation of the right upper lobe, consistent with pneumonia. Additionally, there is volume loss of the right lower lobe with elevation of the right hemidiaphragm. There are probable small bilateral pleural effusions. There is evidence of mild pulmonary edema. No pneumothorax. Heart size is mildly enlarged. There is apparent widening of the mediastinum. Calcifications are seen within the aortic arch. | 53283411 | WET READ: ___ ___ ___ 10:34 AM 1. Apparent widening of the mediastinum for which further evaluation with a chest CT with contrast is recommended. 2. Right upper lobe pneumonia. 3. The enteric tube could be advanced 8 cm for positioning of the side port within the stomach. ______________________________________________________________________________ FINAL REPORT HISTORY: Respiratory distress with possible pneumonia in an intubated. Evaluate for tube placement. COMPARISON: Outside hospital chest radiograph at 4:22 today. | Widening of the mediastinum for which further evaluation with a chest CT with contrast or comparison to prior studies is recommended. Right upper lobe pneumonia. Mild pulmonary edema. The enteric tube could be advanced 8 cm for positioning of the side port within the stomach. These findings were discussed with Dr. ___ by Dr. ___ at 10:28 on ___ via telephone at the time of discovery. |
11126801 | The ET tube is unchanged with tip ending at 5 cm from carina. The NG tube ends below diaphragm, but not fully visualized. The opacification in right upper lobe is mildly reduced, but still with air bronchogram. Right basilar atelectasis and bilateral pleural effusion are stable. There is central vascular engorgement with mild pulmonary edema, but cardiac size is unchanged. Aortosclerosis. There is no pneumothorax. | 54591308 | PATIENT HISTORY: ___-year-old man with history of testicular cancer, atrial fibrillation, CVA, presents with multifocal pneumonia and intubated. INDICATION: Interval change, line placement. TECHNIQUE: Portable chest x-ray in single AP view and semi-erect position. COMPARISON: Exam is compared to ___. | slightly reduced opacification in the right upper lobe in patient with pneumonia. The right base atelectasis is stable. There is bilateral pleural effusion. Heart size is normal, but there is mild vascular congestion. |
11770872 | The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the thoracic aorta with dense atherosclerotic calcifications. Surgical clips project over the right chest wall. No acute osseous abnormalities. | 52050268 | INDICATION: ___F w/facial droop please eval for mediastinal widening // ___F w/facial droop please eval for mediastinal widening TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___ at 13:32. | No acute cardiopulmonary process. |
11457142 | The lungs are clear. Cardiac silhouette is normal in size. No pleural effusion or pneumothorax. No rib fractures identified on these non dedicated views. | 52850423 | HISTORY: 11th rib pain on the right. Cough. COMPARISON: None FINDINGS: PA AND LATERAL VIEWS OF | No evidence of acute cardiopulmonary process. |
11603925 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 51012214 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
11040153 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The previously seen left pleural effusion has resolved. Multiple left-sided rib fractures are better visualized on CT torso from ___ but are similar in appearance to the radiograph from ___. Displaced fractures involving the third, fourth, fifth posterior ribs and the sixth lateral ribs with sharp-edged fragments pointing into the soft tissues. are unchanged. Again seen is a left scapular fracture similar in appearance to the prior radiograph. | 50868933 | INDICATION: ___-year-old woman with multiple rib fractures. Please evaluate for fractures. COMPARISONS: PA and lateral chest radiographs from ___ and CT torso with contrast from ___. TECHNIQUE: PA and lateral chest radiographs are provided. | Multiple left-sided segmental rib fractures, similar in appearance to the prior radiograph without evidence of healing. Unchanged appearance of left scapular fracture. No parenchymal abnormalities. |
11040153 | The left subclavian line has been repositioned and pulled back : it is now in a good position in the superior vena cava. Endotracheal tube and TNG in adequate position. The left pleural tube is in the same position with the side hole outside of the chest wall. No pneumothorax, no pleural effusion. Band of atelectasis in the left lower lobe. Multiple rib fractures and left scapular fracture. | 52161602 | INDICATION: Evaluation for line placement. Comparison : ___ at 11:00 a.m. | All the tubes and lines are in adequate position. No complication. |
11040153 | Lungs are better expanded compared to the previous study. Left heart border is partially obscured by a moderate sized pleural effusion. Although the size of the effusion appears to be have slightly improved, inspiratory differences, make an accurate assessment difficult. Although the presence of infilterates/consoldiation overlying the effusion can never be excluded, no infilterates are noted. Multiple left-sided rib fracture are again noted. No pneumothorax. | 56867229 | INDICATION: ___-year-old lady with multiple rib fractures and increased WBC, evaluate for interval change. COMPARISONS: ___. TECHNIQUE: PA and lateral chest radiographs. | No significant changes compared to the prior study. |
11040153 | The left subclavian line is in adequate position in the mid superior vena cava. Stability of the alveolar opacities which are more prominent at the right lower lobe and in the perhilar left lung. This is worse than the exam of ___. Stability of the mild left pleural effusion and the retrocardiac opacities. Unchanged left rib fracture and left scapula fracture. | 57150593 | AP CHEST X-RAY COMPARISON: Chest x-ray of ___. INDICATION: MVC, polytrauma. | Stability of the bilateral alveolar opacities since yesterday, but they are deteriorating if we compare to the exam of ___ : it could be compatible with an atypical pulmonary edema but we cannot exclude a superimposed infection or aspiration. |
11040153 | There is no marked interval change of lungs when compared to the prior study. Once again seen are linear opacities in the left lung, which may be related to the overlying multiple rib fractures, or may represent some focal atelectasis. There is a left chest tube in place, but the side port lies just outside of the rib cage. An endotracheal tube is properly positioned. A nasogastric tube has been withdrawn and now lies with the side port just at the gastroesophageal junction. There is no pneumothorax or pleural effusion. The right lung is clear. Pulmonary vascularity is normal. A left scapular fracture and right second rib fracture are once again seen. | 57066093 | INDICATION: Evaluate for interval change in a patient with thoracic trauma. COMPARISON: Chest radiograph from ___ and CT of the torso from ___. | No interval change in the cardiopulmonary system. The left chest tube lies with the side port outside of the rib cage and should be advanced by 2 cm. The nasogastric tube should also be advanced by 2 cm to ensure that the side port lies within the stomach. |
11501294 | The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. | 57209069 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11535902 | The lungs are hyperinflated but clear. There is no pneumothorax. The heart and mediastinum are not enlarged, and likely displaced by a moderate hiatal hernia. Moderate levoscoliosis of the thoracic spine has increased since ___, along with extensive spinal degenerative changes. Age-indeterminate compression deformities of at least two lower thoracic vertebrae are suspected. | 56180797 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with osteoporosis and witnessed aspiration. Evaluate for pneumonitis versus pneumonia. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Plain radiograph dated ___. Correlation also made to CT abdomen/pelvis dated ___. | Clear lungs without evidence of aspiration or pneumonia. Increased moderate levoscoliosis of the lower thoracic spine as compared to ___ with suspicion of multiple age-indeterminate compression fractures. A dedicated spine series may be performed for further evaluation if clinically warranted. |
11847448 | PA and lateral views of the chest are obtained. There is no focal consolidation, effusion, or pneumothorax. Mild pulmonary interstitial prominence is seen, which could reflect mild edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. There is no free air below the right hemidiaphragm. | 56198219 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for pneumonia or CHF. | Mild pulmonary interstitial edema. |
11364274 | Relatively low lung volumes. Left basilar opacity is seen which may be due to infection or aspiration. There is a right base opacity to a lesser extent, which may in part be due to overlap of vascular structures; however, additional site of consolidation may be present. Cardiac and mediastinal silhouettes are unremarkable. No large pleural effusion or evidence of pneumothorax is seen. | 55552118 | EXAM: Chest, single AP portable view. CLINICAL INFORMATION: Altered mental status. COMPARISON: ___. | Patchy left basilar opacity raises concern for consolidation, which may be due to aspiration or infection. |
11364274 | The heart size is top normal. The hilar and mediastinal contours are within normal limits. The lung volumes are low, resulting in bronchovascular crowding. Coarse bibasilar interstitial opacities may represent new consolidations or aspiration pneumonitis. There is mild bronchial wall thickening in the central regions. There is no pneumothorax. A small right pleural effusion is present. | 53774447 | INDICATION: Increased agitation. COMPARISON: Radiograph available from ___. FRONTAL CHEST | Coarse bibasilar opacities may reflect aspiration or infection. |
11364274 | The lung volumes are low. The cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures. Patchy ill-defined opacity at the lung bases may reflect atelectasis, but aspiration or infection is not excluded. There is no pneumothorax or pleural effusion. No acute osseous abnormality is seen. S-shaped scoliosis of the thoracolumbar spine is present. Old left-sided rib fractures are unchanged. | 51915921 | INDICATION: Cough. COMPARISON: ___. SEMI-UPRIGHT AP VIEW OF THE | Low lung volumes. Patchy opacities at the lung bases may reflect atelectasis, though infection or aspiration is not excluded. |
11091044 | Small left apical pneumothorax persists since chest tube removal, appears to have increased slightly since chest radiograph earlier on the same day. Improved lung volumes bilaterally. Right base atelectasis has improved. Linear atelectasis seen in the left base with retrocardiac opacification which may be a combination of pleural fluid and volume loss. The cardiac and mediastinal silhouettes are unremarkable. | 57518543 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with left PTX // R/O PTX post CT removal. Please do around 2PM TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___ 05:37. | Small left apical pneumothorax, appears increased compared to chest radiograph performed earlier on the same day. Retrocardiac opacity may be combination of pleural fluid and volume loss. |
11091044 | Left chest tube in place. There is a small left apical pneumothorax. Left base opacity is likely due to combination of small pleural effusion and atelectasis. The right lung is clear. No right pleural effusion or focal consolidation is seen. Cardiac and mediastinal silhouettes are stable. | 55801364 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with s/p chest tube placement. // repeat after chest tube placement. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ at 15:45 | Small left apical pneumothorax with left chest tube in place. Left base opacity likely due to combination of small pleural effusion and atelectasis. |
11180749 | PA and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. | 51666891 | CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with fevers to 104 and weakness. | No acute cardiopulmonary process. |
11332225 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms. | 57683626 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with abd pain and back pain s/p ___ EGD // Please take upright. ?free air TECHNIQUE: Single frontal view of the chest COMPARISON: None | No acute cardiopulmonary process. No evidence of free air beneath the diaphragms. |
11840403 | The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. | 53582706 | INDICATION: ___M with syncope // evaluate for cardiomegaly TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11888387 | Frontal and lateral views of the chest were obtained. There are low lung volumes, which accentuate the bronchovascular markings. Given this, there are bilateral perihilar opacities, which may be due to edema, although infectious process is not excluded. No large pleural effusion is seen. The cardiac silhouette is top normal. A dual-lead left-sided pacemaker is seen with the leads extending to the expected positions of the right atrium and right ventricle. | 59913210 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Fever, shortness of breath. COMPARISON: ___. | Low lung volumes with bilateral perihilar opacity which could relate to edema, however, infection may be present. |
11900074 | PA lateral and images of the chest. The lung volumes are low. There is mildly increased opacity in the right medial lung base, which may represent atelectasis but is concerning for pneumonia or aspiration in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 55001128 | HISTORY: Alcohol intoxication, O2 sat ___%. COMPARISON: Comparison is made with chest radiographs from ___. | Opacity in the right medial lung base, possibly representing atelectasis but aspiration or possibly pneumonia in the appropriate clinical setting. |
11900074 | Overlying trauma board limits assessment. Endotracheal tube tip is at the carina. Orogastric tube tip is within the stomach. The heart size is normal. The mediastinal and hilar contours are unremarkable. Focal opacity within the right lung base may reflect an area of infection or aspiration. Patchy opacity is also demonstrated in the left lung base. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities otherwise demonstrated. Remote left rib fracture is seen. | 59121398 | HISTORY: Seizure, intubated. TECHNIQUE: Supine AP view of the chest. COMPARISON: None. | Endotracheal tube is at the carina and should be withdrawn by at least 3 cm. This was discussed with ___, MD at 2:55pm, ___. Orogastric tube tip is within the stomach. Bibasilar opacities may reflect aspiration or infection. |
11152036 | Stability since ___ of right upper lobe pneumonia and mediastinal mild widening. If we compare to ___, the consolidation is denser. The left lung is unremarkable. Right mild pleural effusion is stable. There is no pneumothorax. Mediastinal drain is unchanged. Cardiac contour is within normal limits. | 53589805 | PORTABLE AP CHEST X-RAY INDICATION: Patient with gastric cancer and mediastinitis, evaluation for change. COMPARISON: Chest x-ray ___ and CT scan ___. | There is no significant change since ___; however, the right upper lobe consolidation is denser since ___. |
11152036 | The cardiomediastinal contours are stable in appearance compared to a scout image from a preprocedural PET-CT dated ___. New linear opacities have developed in both lung bases, likely due to atelectasis although coexisting aspiration is possible in the appropriate clinical setting. Known subcentimeter lung nodules were seen to better detail on recent PET-CT. No evidence of pleural effusion or pneumothorax. | 50895140 | PORTABLE CHEST X-___ ___ ___ COMPARISON: ___ chest x-___. | No radiographic evidence of mediastinal widening to suggest hematoma. However, if clinical suspicion persists, CT may be helpful for more complete evaluation if warranted clinically. |
11152036 | Bedside upright AP radiograph of the chest demonstrates clear lungs. There is no pneumothorax or pleural effusion. There is no evidence of pneumomediastinum. The hilar and cardiomediastinal contours are normal. Pulmonary vascular markings are normal. | 51827817 | INDICATION: Chest pain in patient status post mediastinal biopsy. Evaluate for complication. COMPARISONS: None available. | Normal radiograph of the chest without evidence of pneumothorax, pneumomediastinum, or other immediate post-procedural complication. |
11162159 | The patient is status post sternotomy and aortic valve replacement. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 58646305 | CHEST RADIOGRAPHS HISTORY: Double vision. Question stroke. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11696583 | In comparison to the most recent prior study, the inspiratory lung volumes are improved. The lungs are clear without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is enlarged but stable. The thoracic aorta is widened and tortuous, which accentuates the prominence of the mediastinum. The mediastinal contours are stable compared to the prior ___ study. The trachea is slightly deviated to the right by the aortic knob. Prominence of the right hilum is unchanged and likely represents vessels. Surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy. There is exaggerated thoracic kyphosis with multilevel mild-to-moderate degenerative changes of the thoracic spine. | 58424000 | INDICATION: Preoperative evaluation of the chest prior to cataract surgery, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. Stable cardiomegaly. |
11696583 | The cardiac, mediastinal, and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. There has been no significant change. | 55610812 | CHEST RADIOGRAPH HISTORY: Confusion. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | No evidence of acute disease. |
11698212 | 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. Bony structures are unremarkable. | 54248609 | CHEST RADIOGRAPHS HISTORY: Chest pain, elevated white blood cell count. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11698212 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 51411519 | INDICATION: ___-year-old female with cough and fever. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs. | Unremarkable chest radiographic examination. |
11395424 | Semi-upright portable view of the chest demonstrates interval placement of the Dobbhoff tube, which terminates in the stomach. Right PIC catheter tip now projects over mid SVC. Low lung volumes accentuate bronchovascular markings. There is perihilar vascular congestion. No appreciable pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. | 57354717 | INDICATION: Altered mental status, status post Dobbhoff placement. COMPARISONS: ___. | Dobbhoff tube terminates in the stomach. |
11395424 | Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Apart from minimal atelectasis in the retrocardiac region, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 59265936 | HISTORY: Intracranial hemorrhage. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11961015 | Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is no free air under the diaphragm. | 59879615 | INDICATION: Chest pain after endoscopy. Evaluate for free air. COMPARISON: None. | No acute cardiac or pulmonary process. No free air under the diaphragm. |
11486895 | There is relatively elevated right hemidiaphragm. Linear right basilar opacities may be secondary to atelectasis. A 1.2 cm left mid lung nodular opacity is noted projecting over the posterior left seventh rib. The lungs are otherwise clear, there is no effusion. Moderate cardiomegaly is noted. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy. | 56268927 | WET READ: ___ ___ ___ 12:11 PM Linear right basilar opacities potentially due to atelectasis. Focal nodular opacity in the left mid lung for which a nonurgent dedicated chest CT is suggested, unless older exams available to document stability. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with sob // eval for PNA TECHNIQUE: Frontal and lateral views the chest. COMPARISON: None. | Linear right basilar opacities potentially due to atelectasis. Focal nodular opacity in the left mid lung for which a nonurgent dedicated chest CT is suggested, unless older exams available to document stability. |
11361814 | Bilateral chest tubes remain in place. There is no pneumothorax. Small bilateral pleural effusions with bibasilar atelectasis have slightly increased. Increased retrocardiac airspace opacification at the left base may be due to new aspiration or infection. | 59245171 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p sympathectomy with bilateral chest tubes // eval for penumothorax TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | No pneumothorax. Increased bibasilar atelectasis. Left basilar aspiration or infection cannot be excluded. |
11361814 | 2 pleural tubes overlying the right and left hemithorax are seen. No large pneumothorax is identified. Subcutaneous gas is noted in the left axilla consistent with recent chest tube placement. Lung volumes are markedly low. Bibasilar opacities suggest atelectasis and are likely related to low lung volumes. Cardiomediastinal and hilar contours are mildly enlarged on this AP projection. Suture anchors are seen projected over the left humerus. | 53788471 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p b/l symphathectomy // eval for post operative PTX, drain placement TECHNIQUE: AP view of the chest. COMPARISON: None. | No pneumothorax. Mild subcutaneous air seen along the left chest wall consistent with recent procedure. Bibasilar opacities suggest atelectasis and may be related to low lung volumes. |
11752085 | Redemonstrated is known chronic interstitial lung disease which is seen bilaterally. As compared to the prior examination dated ___, there is relatively increased asymmetrical airspace opacity within the left lower lobe, which may represent a superimposed pneumonia. The right lung and left upper lung are clear of consolidation. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. | 57381236 | EXAMINATION: Chest radiographs. INDICATION: ___F with c/o cough with SOB // ? PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Chronic findings of known interstitial lung disease with superimposed consolidation in the left lower lobe, raising the possibility of pneumonia. |
11752085 | Bilateral interstitial lung disease with honeycombing likely represents progression of underlying disease. No evidence of superimposed pneumonia. Given preservation of lung volumes and that the progression of interstitial fibrosis is mild on chest radiographs, this is compatible with a fibrotic form of NSIP rather than UIP. The heart size is normal. No pneumothorax, pleural effusion, or pulmonary edema. | 51571515 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with cough and fever x 4 days, bilateral crackles. H/o interstitial lung disease. // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___ CT chest without contrast from ___ | Mild progression of interstitial fibrotic disease with honeycombing. No evidence of superimposed pneumonia. Given preservation of lung volumes and that the progression of interstitial fibrosis is mild on chest radiographs, this is compatible with a fibrotic form of NSIP rather than UIP. |
11101315 | AP upright and lateral views of the chest provided. There is mild left basal atelectasis. No convincing evidence for pneumonia. No congestion or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Partially imaged right humeral head prosthesis noted. No free air below the right hemidiaphragm is seen. | 55817317 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old man with chest pain and leukocytosis COMPARISON: None | Mild left basal atelectasis, otherwise unremarkable. |
11285537 | The heart is mildly enlarged, and allowing for differences in technique, likely is slightly increased compared to the prior study. The aorta remains tortuous. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. The lungs are hyperinflated. Emphysematous change is redemonstrated. Consolidative opacity in the left lower lobe is concerning for pneumonia. Right lung is grossly clear. There is likely a trace left pleural effusion. No pneumothorax is demonstrated. | 51745213 | INDICATION: Hypoxia and shortness of breath. COMPARISON: ___ chest radiograph and ___ chest CT. TECHNIQUE: Upright AP view of the chest. | Left lower lobe consolidative opacity concerning for pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding. Probable small left pleural effusion. |
11648170 | Single frontal view of the chest redemonstrates low tip position of left PICC with tip likely in the upper right atrium, but similar as compared to prior exam. The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is new pleural effusion and retrocardiac consolidation, which could represent atelectasis and/or consolidation, certainly could represent pneumonia in the appropriate clinical setting. The upper left lung and right lung are well aerated. There is no pneumothorax, florid pulmonary edema, or right pleural effusion. | 52497293 | INDICATION: ___-year-old female with altered mental status. Question pneumonia. COMPARISON: ___. | New left pleural effusion with basal atelectasis and/or consolidation, in the appropriate clinical setting could represent pneumonia. |
11648170 | All the monitoring devices are unchanged and in standard position. The right lung is more opacified, mainly for increased pulmonary edema and increased right base pleural effusion. However focal pneumonia in the RUL cannot be excluded. The left base pleural effusion is overall stable. The left hilus is still prominent. Heart size is mildly enlarged. There is no pneumothorax. | 56292756 | PATIENT HISTORY: ___-year-old woman with encephalopathy, intubated. INDICATION: Evaluation for interval changes. TECHNIQUE: Portable AP single-view chest x-ray in semi-erect position. COMPARISON: Exam is compared to chest x-ray of ___. | Increased pulmonary edema especially on the right with increased right base pleural effusion. Persistent left base pleural effusion. |
11648170 | The ET tube and right IJ line are unchanged. The left pleural effusion is still moderate in size, but is slightly smaller than on the prior study. There continues to be dense opacity in the perihilar regions bilaterally in the retrocardiac region with infiltrate/volume loss in both lower lungs. There is pulmonary vascular redistribution. | 50572682 | WET READ: ___ ___ ___ 7:07 PM Stable moderate left pleural effusion with adjacent atelectasis. Vascular congestion and interstitial interstitial opacities likely reflect re-expansion pulmonary edema. ______________________________________________________________________________ FINAL REPORT CHEST ON ___ HISTORY: Left-sided pleural effusion. | Slight decrease in left effusions with continued CHF. An underlying infectious infiltrate cannot be excluded. |
11648170 | As seen previously, there is a left pleural effusion which is not significantly changed. There is subjacent consolidation which could reflect some pneumonia or atelectasis. The right lung remains clear. No pneumothorax is seen. The bony structures appear intact. | 54959082 | HISTORY: ___-year-old female with altered mental status, evaluate for pneumonia. COMPARISON: ___. | No significant change from prior exam with left pleural effusion and left basilar consolidation again noted. Followup to resolution is advised. |
11648170 | Portable AP upright chest radiograph was provided. There is pleural effusion with associated lower lobe opacity, likely representing atelectasis or pneumonia. The right lung remains clear. The cardiomediastinal silhouette appears grossly stable, though suboptimally assessed on this AP portable radiograph. The bony structures are intact. | 55065558 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Lethargy, assess for pneumonia. | Persistent left effusion with left basal consolidation which could represent atelectasis or pneumonia. Limited exam due to rotation and portable technique. |
11648170 | There is mild enlargement of cardiac silhouette. The mediastinal contours are unchanged. There is mild pulmonary edema. Small left pleural effusion is noted, decreased in size compared to the previous exam. Retrocardiac opacity likely reflects compressive atelectasis. No pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine as well as involving the acromioclavicular joints. | 53754195 | HISTORY: Dyspnea. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild pulmonary edema and small left pleural effusion, the latter of which is improved compared to the prior study. Retrocardiac opacity likely reflects compressive atelectasis but infection is not excluded. |
11648170 | The ET tube and right IJ line are unchanged. There has been interval decrease in the left pleural effusion which is still moderate; however, aerated lung cannot be seen in the left upper lung. There continues to be dense retrocardiac opacity and areas of alveolar infiltrate in the left mid lung and right lower lung. There is pulmonary vascular redistribution compatible with fluid overload. The heart size is moderately enlarged. | 51593726 | HISTORY: Pleural effusion. REFERENCE EXAM: ___. | Decreased left pleural effusion. |
11648170 | There are bilateral pleural effusions, right greater than left. There is pulmonary vascular redistribution and alveolar infiltrate. Left-sided PICC line is unchanged.No pneumothorax. | 52256683 | WET READ: ___ ___ ___ 7:33 PM no evidence of ptx. cont right effusion. decreased left. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Left-sided thoracentesis. COMPARISON: ___ | CHF with decreased left effusion. |
11648170 | An enteric tube has been removed in the interim. A left pleural effusion has decreased from prior, now moderate. Obscuration of the right heart border is new on this exam. There is no pneumothorax or right pleural effusion. There is central vascular congestion without overt evidence for pulmonary edema. The heart is moderately enlarged but unchanged. The mediastinal contours are grossly unremarkable. | 52391671 | HISTORY: Anemia, evaluate for pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___, ___ and ___. | New obscuration of the right heart border may reflect atelectasis, although, aspiration or pneumonia cannot be excluded. Decrease in size of a moderate left pleural effusion with overlying atelectasis. These findings were discussed with Dr. ___ by Dr. ___ at 3:52 a.m. on ___ by telephone at time of discovery. |
11648170 | A consolidative opacity in the right upper lobe is increased compared to the prior radiograph from ___, consistent with pneumonia on recent CT from ___. There is mild interstitial pulmonary edema, not significantly changed. A moderate left pleural effusion is increased. Dense left retrocardiac atelectasis is again seen. There is also subsegmental right lower lung atelectasis. The heart size is difficult to assess but is likely mildly enlarged. The mediastinal contours are not significantly changed. There is no pneumothorax. | 58927862 | INDICATION: NASH cirrhosis with right upper lung consolidation. Assess for interval change. COMPARISON: Chest radiograph from ___. CT torso from ___. | Slight increase in right upper lung consolidative opacity, consistent with pneumonia. Increased moderate left pleural effusion with persistent dense left retrocardiac and minimal right lower lung atelectasis. Mild interstitial pulmonary edema, not significantly changed. |
11648170 | The cardiac silhouette size is unchanged, and mildly enlarged. The mediastinal contour is stable. There is mild pulmonary vascular congestion, not significantly changed in the interval. A moderate to large left pleural effusion is also relatively unchanged. No focal consolidation or pneumothorax is identified. | 50365482 | HISTORY: Altered mental status. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Mild pulmonary vascular congestion and moderate to large left pleural effusion, relatively unchanged from the previous exams. |
11648170 | As compared to prior chest radiograph from ___, left pleural effusion remains unchanged with associated lower lobe opacity likely representing atelectasis or pneumonia. There are increased opacities at the right lung base, which likely represent atelectasis. The heart appears enlarged. There is mild pulmonary edema. Irregularity at the left humerus likely reflects the sequelae of prior injury. | 56535330 | HISTORY: Altered mental status and anemia. History of NASH, cirrhosis and varices. Evaluate for pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: AP semi-upright portable chest radiographs. | Unchanged left pleural effusion with associated lower lobe opacity could reflect atelectasis or pneumonia. Mild pulmonary edema. |
11756199 | Supine AP portable view of the chest was obtained. Underlying trauma board partially obscures the view. Given this, the visualized lung fields show no evidence of focal consolidation. No large pleural effusion or evidence of pneumothorax is seen. The very superior lung apices may not be fully included on the image. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen, although again the superior lung apices may be excluded from the image. | 52818035 | EXAM: Chest, supine AP portable view. CLINICAL INFORMATION: ___-year-old male with history of MVC, head struck. COMPARISON: ___. | Superior lung apices may not be fully included on the image. Otherwise, no evidence of acute intrathoracic process. |
11691495 | The lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No displaced rib fracture is identified. | 55572425 | INDICATION: Pleuritic chest pain posteriorly between the scapulas. HIV is well controlled. COMPARISON: ___, ___. FRONTAL AND LATERAL | No pneumonia or pneumothorax. |
11691495 | Heart size is top 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. | 55849044 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, please evaluate for mediastinal widening, occult pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11070495 | PA and lateral views of the chest were obtained. An irregular consolidation is again noted in the left upper lobe, similar to slightly more conspicuous from prior exam. The lungs are hyperinflated with widened AP diameter of the chest, possibly reflecting COPD. The heart is moderately enlarged. No signs of CHF. Atherosclerotic calcification along the aortic knob noted. Bony structures appear intact. | 59868424 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Altered mental status and cough. Assess for pneumonia. | Poorly-defined opacity in the left upper lobe, for which nonemergent chest CT is recommended to further assess. Moderate cardiomegaly without signs of failure. Hyperinflated lungs, which could be reflective of underlying COPD. |
11070495 | AP upright and lateral views of the chest provided. Cardiomegaly is again noted with small bilateral pleural effusions, left greater than right. There is hilar congestion and mild interstitial pulmonary edema. There is stable calcified opacity projecting over the left upper lung which is unchanged over several prior chest radiographs dating back to ___, possibly representing an area calcified scarring. Aortic calcification noted. Bony structures intact. | 56627002 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with anemia // r/o acute process COMPARISON: Prior chest radiographs from ___ as well as ___. | Mild edema, cardiomegaly, small bilateral effusions. |
11001469 | The lungs show minimal bilateral dependent atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax. No evidence of free air. | 54076811 | ___-year-old female with abdominal pain, rule out free air. COMPARISON: ___. SINGLE PORTABLE UPRIGHT VIEW OF THE | No evidence of free air. |
11424857 | ___ tube tip near gastroduodenal junction. Right IJ introducer sheath stable. Stable right pleural effusion, right basilar atelectasis. Left PICC line. Minimal left basilar atelectasis. Endotracheal tube is not fully seen. Shallow inspiration | 52612346 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ongoing variceal bleed now requiring ___. // please evaluate position ___ ___. TECHNIQUE: Chest single view COMPARISON: ___ 21:14 | ___ tube tip near gastroduodenal junction |
11424857 | Interval increase in large right pleural effusion. Consolidation adjacent to the right heart border with smooth linear contours is consistent with right middle and lower lobe atelectasis better seen on recent CT. Cardiac size is normal. There is no pneumothorax. | 50604299 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cirrhosis with rising Cr and cough // Evaluation for PNA TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___, chest CT ___ | Worsening large right pleural effusion with associated atelectasis of the right middle and lower lobe better seen on recent CT . No evidence of pneumonia. |
11424857 | Lung volumes are relatively low. Apparent elevation of the right hemidiaphragm with peaking laterally suggests a subpulmonic effusion. The lungs are otherwise clear. There is no left effusion. Cardiac silhouette appears enlarged but not well assessed due to silhouetting on the right. | 51683875 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/sob, please eval for occult pna, pulm edema // ___M w/sob, please eval for occult pna, pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: None. | There is apparent elevation of the right hemidiaphragm, likely due to a subpulmonic effusion. |
11839016 | Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Chain sutures are noted projecting over the right mid lung, unchanged compared to prior examination. Otherwise, lungs are clear. No pleural effusion or pneumothorax. | 54004366 | INDICATION: Flu-like symptoms, evaluate for acute process. COMPARISON: Comparison is made to chest radiograph performed on ___. | No acute intrathoracic process. |
11839016 | Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Chain sutures are noted projecting over the right mid lung, unchanged compared to prior examination. Ill-defined opacity in the right lower lobe may reflect early pneumonia in this clinical setting. Blunting of the right costophrenic angle, without evidence of effusion on the lateral. No pneumothorax. | 54336396 | INDICATION: ___ year old woman with cough and fever, ?RML crackles. // Eval for infiltrate. Page ___ with results ASAP. Thanks! TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Ill-defined opacity in the right lower lobe may reflect early pneumonia in this clinical setting. |
11452828 | Heart size is mildly enlarged. Calcified hilar and mediastinal lymph nodes are compatible with prior granulomas disease. The aorta remains tortuous. Mediastinal and hilar contours are unchanged. Chain sutures are noted within the right apex and right base laterally. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. Pulmonary vasculature is not engorged. No acute osseous abnormality is visualized. The enteric tube has been removed in the interval. | 53066282 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, confusion TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11452828 | Heart size is mildly enlarged. The aorta remains tortuous. Calcified bilateral hilar mediastinal lymph nodes are re- demonstrated compatible prior granulomatous disease. Pulmonary vasculature is not engorged. Bibasilar linear and patchy opacities may reflect areas of atelectasis. Chain sutures are noted in the right lung base compatible prior wedge resection. There is marked gaseous distention of colonic loops of bowel within the left upper quadrant resulting in left diaphragmatic elevation and atelectasis in the left lung base no pneumothorax is present. There are no acute osseous abnormalities detected. | 54072405 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with tachypnea TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___ | Bibasilar patchy and linear opacities, potentially atelectasis, but aspiration or infection cannot be excluded. Left diaphragmatic elevation due to marked gaseous distention of colonic loops of bowel in the left upper quadrant of the abdomen. Clinical correlation with abdominal examination is recommended, and consider further assessment with abdominal radiograph or CT of the abdomen if necessary. |
11452828 | Compare to prior, there has been interval advancement of the enteric tube with its tip terminating in the upper stomach. There is no significant interval change. Lateral aspect of the left lower hemi thorax is excluded from the examination but the other pleural surfaces are normal. Lungs are clear. Borderline cardiomegaly unchanged. Incidental note is made of large lymph node calcifications in the mediastinum and right hilus. | 53470559 | EXAMINATION: Portable semi-erect chest radiograph INDICATION: ___ year old man with s/p exp. lap, ___'s, dobhoff in esophagus, tube advanced 10 cm // check placement of Dobhoff tube, low CXR TECHNIQUE: Portable semi-erect chest radiograph COMPARISON: Radiograph from ___ at 08:15 | Feeding tube in the upper stomach. |
11487858 | The lungs are well inflated and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Metallic hardware projects over the lower cervical and thoracic spine. | 51760758 | INDICATION: ___ year old man with fluctuating mental status, LP lumbar spine surgery. R/O infection // ___ year old man with fluctuating mental status, LP lumbar spine surgery. R/O infection TECHNIQUE: Chest PA COMPARISON: None | Well inflated clear lungs. No pleural effusion or pneumothorax. |
11752309 | 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. | 58999224 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with L sided exertional chest pain, L arm tingling COMPARISON: ___ | No acute intrathoracic process. |
11721606 | Single portable AP chest radiograph demonstrates streaky bibasilar opacities thought to reflect atelectasis. Lungs appear hyperinflated. Right cardiophrenic opacity corresponds to prominent fat pad as demonstrated on CT dated ___. Cardiomediastinal and hilar contours are within normal limits. There is no large pleural effusion or pneumothorax. | 51680685 | INDICATION: ___ yo F with altered mental status // eval for PNA COMPARISON: Radiograph dated ___ | Streaky bibasilar linear opacities thought likely atelectasis. |
11604799 | PA and lateral views of the chest provided. Right upper extremity access PICC line is seen with its tip in the mid SVC region. Lungs are clear. 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. | 57979455 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with PICC from OSH // eval PICC position COMPARISON: None | No acute intrathoracic process. PICC line positioned appropriately. |
11772470 | The heart is mildly enlarged. Haziness at the left cardiac border is secondary to prominent epicardial fat seen on the ___ CT examination. The aorta is mildly tortuous. There is no pneumothorax, focal consolidation, or pleural effusion. A tiny hiatal hernia seen on the ___ CT examination is not visualized on the radiograph. | 52141840 | INDICATION: ___-year-old female with regurgitation. COMPARISON: CT available from ___. FRONTAL AND LATERAL CHEST | No radiographic evidence of hiatal hernia, however, small one is seen on the ___ CT examination. No acute intrathoracic process. |
11775679 | Heart size remains mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58669273 | HISTORY: Hypertension, posterior neck pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11775679 | The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly. Surgical clips seen in the lower neck on the left. | 52043144 | INDICATION: ___M with palpitations // Acute cardiopulmonary disease TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11775679 | PA and lateral views of the chest were obtained. Lung volumes are low. Heart size is top normal. No focal consolidation, effusion, pneumothorax seen. No signs of CHF. Mediastinal contour is unremarkable. Bony structures are intact. No free air below the right hemidiaphragm. | 56001452 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for cardiomegaly. | No acute intrathoracic process. |
11098312 | The heart size is mildly enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are within normal limits otherwise. Pulmonary vasculature is normal. Linear opacities within the left lung base likely reflect subsegmental atelectasis or scarring. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Eventration of the right hemidiaphragm is noted. There is mild loss of height anteriorly of a mid thoracic vertebral body. | 56376153 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11066560 | Right-sided Port-A-Cath tip terminates in the mid SVC. Lung volumes are low. Heart size is. The aorta is mildly tortuous. Mediastinal and hilar contours unremarkable. There is no pulmonary vascular congestion. Patchy ill-defined opacity within the right lung base likely reflects atelectasis. 17 mm nodular opacity projecting over the left mid lung field is demonstrated. There is no pleural effusion or pneumothorax. | 59510883 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with syncope after chemo session, dehydration TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | Low lung volumes with patchy right basilar opacity which likely reflects atelectasis. 17 mm nodular opacity projecting over left mid lung field. Correlation with any previous cross-sectional imaging is recommended. If there has been no CT performed of the chest, then this should be further assessed with a non emergent chest CT. |
11066560 | Lung volumes are increased with decreased right basilar atelectasis. No pneumonia or pulmonary edema. A nodular opacity in the left midlung measures 17 mm, unchanged from ___ radiograph, not within the field of view of CT of the abdomen and pelvis from ___. Mediastinal contours, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax. The left hemidiaphragm is elevated, increased from ___. A right Port-A-Cath terminates in the low SVC, unchanged. | 59727592 | INDICATION: ___ year old man with h/o colorectal cancer with liver mets on chemotherapy who presents with confusion, fever and abdominal pain following chemotherapy. // evaluate for interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: Chest radiograph from ___. CT of the abdomen and pelvis from ___. | Left hemidiaphragm is elevated. No other significant change. 17 mm left midlung nodular opacity is stable from ___. Given history of colorectal cancer, metastasis is a possibility and further evaluation could be obtained with chest CT, if clinically relevant. |
11485288 | In comparison earlier same-day chest x-ray, the left upper extremity PICC has been repositioned, tip now projecting over the mid SVC. Re-identified are multiple mediastinal surgical clips. The cardiomediastinal silhouette is unchanged. There is no new focal lung consolidation. There is no pneumothorax or sizable pleural effusion. | 55450176 | WET READ: ___ ___ 2:35 PM Left arm PICC repositioned, tip now in the mid-SVC. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with myleofibrosis, PICC previously malpositioned, ? appropriate PICC position. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___. | Interval repositioning of left arm PICC with tip now in the mid SVC. No new acute cardiopulmonary process. |
11485288 | There is mild pulmonary vascular congestion and minimal associated interstitial pulmonary edema. Small bilateral pleural effusions have increased compared with the prior study. Postsurgical changes in the left hemithorax are stable from prior studies. Suture anchors are noted within the right humeral head. The left PICC tip terminates in the left subclavian vein, likely withdrawn when compared with the prior study is no distal fragments are identified to suggest lying fracture. | 50103322 | INDICATION: ___ year old woman with cough and fever, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___. | Mild pulmonary vascular congestion with minimal associated interstitial pulmonary edema. Interval increase in bilateral small pleural effusions. Left PICC terminates in the subclavian vein, likely withdrawn compared with the prior study. |
11485288 | Left PICC line tip in the upper SVC. Heart size at the upper limits are normal. Increased pulmonary vascularity, more apparent. More prominent interstitial markings, basilar opacities, may represent edema or infection. New trace pleural effusion. Postoperative change left chest. Postoperative change right shoulder. | 52180549 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with myelofibrosis here with fever // Eval PNA TECHNIQUE: Chest two views COMPARISON: ___ | Increased pulmonary vascularity. More prominent interstitial markings, basilar opacities, may represent edema or infection. New trace pleural effusion. |
11652641 | The lungs are well expanded and clear. The aorta is heavily calcified and heart is top-normal in size. No evidence of pneumonia, pulmonary edema, or pleural effusions. A calcified right breast implant and thoracic scoliosis is unchanged in appearance from ___. | 56222229 | INDICATION: ___ year old woman with smoking hx and hyponatremia. // Any neoplastic process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___. | No evidence of primary lung malignancy within the limits of conventional chest radiography. |
11337676 | Heart size is top-normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. Clips in the right upper quadrant indicate prior cholecystectomy. No additional radiopaque foreign bodies are seen. | 57102182 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain, sensation of foreign body TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. No radiopaque foreign body identified apart from cholecystectomy clips in the right upper quadrant of the abdomen. |
11612404 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine. Surgical clips project over the upper abdomen. | 54065533 | INDICATION: ___M with right radius fx, needs OR // Eval preop TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11690072 | 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 are unremarkable. | 58288782 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11929456 | 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. | 58396902 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cp // eval for ptx COMPARISON: None | No acute intrathoracic process. |
11387486 | 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. Aortic calcifications are moderate. | 59011843 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with leukocytosis // eval for pneumonia COMPARISON: None | No acute intrathoracic process. |
11061931 | Minimal atelectasis/scarring is noted in the lingula. Otherwise, lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette remains at the upper limits of normal and stable. Aortic knob calcifications are visualized. Multiple surgical clips are visualized in the left upper abdomen. Visualized osseous structures are unremarkable. | 50539060 | INDICATION: Evaluation of patient with malaise and immunosuppression. COMPARISON: Chest radiograph from ___. | No evidence of acute pulmonary process. |
11061931 | The right dialysis catheter is unchanged in position with the tip terminating in the low SVC. The inspiratory lung volumes are appropriate. Blunting of the left costophrenic angle is unchanged from the prior study consistent with a small left pleural effusion. No right pleural effusion is seen. There is no focal consolidation concerning for pneumonia or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are unchanged with calcification and tortuosity of the thoracic aorta. No acute osseous abnormality is detected. Surgical clips are re- demonstrated in the left upper abdomen. | 52584242 | WET READ: ___ ___ ___ 4:36 PM Small left pleural effusion unchanged from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old woman with c/o SOB with Hx multifocal pneumonia and acute-on-chronic diastolic heart failure ___ // ? PNA or CHF TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___. | Small left pleural effusion unchanged from ___. |
11061931 | PA and lateral views of the chest are provided. Several clips in the left upper abdomen are noted. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. | 52562798 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior CT chest from ___ and chest radiograph from ___ from outside hospital. CLINICAL HISTORY: Congestive heart failure with 10 days of weakness and shortness of breath. | No acute findings in the chest. |
11061931 | There is mild cardiomegaly right-sided PICC line is in good position. There is extensive linear atelectasis in the left mid zone. There is a equivocal opacity in the right lower lung zone which might represent a developing infection. | 57687353 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with small-vessel vasculitis, transferred from outside hospital for multifocal pneumonia and heart failure exacerbation // Evaluate for worsening infiltrates, PICC position TECHNIQUE: Portable AP film was obtained COMPARISON: ___ | PICC line is in good position. Linear changes in the left base probably reflect atelectasis. There is increased opacification of the right base which might represent infection. |
11243324 | There is a left apical pneumothorax that measures up to 1.4 cm from the thoracic cage, which has not changed significantly compared to the prior radiograph performed at an outside facility several hours earlier. No focal consolidation or pleural effusion. Cardiomediastinal silhouette is within normal limits. Again noted is an acute mildly displaced fracture of the left eighth rib. No other acute osseous abnormalities are identified. | 59786308 | WET READ: ___ ___ ___ 10:38 AM Acute mildly displaced left 8th rib fracture, with resulting 1.4 cm left apical pneumothorax. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F transferred from OSH for displaced rib fracture, small pneumothorax // eval pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Reference chest radiograph ___ | Acute mildly displaced left 8th rib fracture, with resulting 1.4 cm left apical pneumothorax. |
11516231 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Cortical irregularity along the mid clavicular shaft on the left likely represents an old fracture. No radiographic evidence of an acute fracture. | 51697822 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with s/p fall down flight of stairs. Laceration and hematoma on scalp // Fracture or hemorrhage? TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. If there is clinical concern for a rib fracture, dedicated rib series should be considered. |
11667559 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and somewhat hypoinflated lungs. There is mildly increased opacity in the left lung base, without definite correlating consolidation on lateral view. This may be atelectasis, but pneumonia cannot be excluded. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. | 55414035 | INDICATION: Evaluate for infiltrate in a patient with cough. COMPARISON: Chest radiograph from ___. | Increased opacity in the left lung base, which could be atelectasis, but pneumonia cannot be excluded. |
11457450 | Lungs are clear without focal consolidation. There is moderate emphysema particularly at the upper lobes. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. A right shoulder arthroplasty is unchanged. | 52118787 | INDICATION: ___ year old man with SOB, cough Is there interval development of a LLL PNA? TECHNIQUE: Single AP view of the chest. COMPARISON: Chest x-ray from ___ | No acute cardiopulmonary process. Emphysematous changes. |
11457450 | Compared with the prior radiograph, pulmonary arteries appear enlarged, with perihilar interstitial markings, compatible with pulmonary edema. The heart size is normal. There is no pneumothorax, large pleural effusion, or focal consolidation. Partially imaged right shoulder hardware is unchanged since the prior chest radiograph. | 55057591 | WET READ: ___ ___ 10:19 PM Interval development of mild pulmonary edema since ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with PMH of dCHF, COPD, p/w dyspnea, orthopnea. Please eval pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___. | Interval development of mild pulmonary edema since ___. |
11654007 | Frontal and lateral chest radiographs demonstrate stable appearance of left basilar opacity, likely to represent scar. The heart is normal, the mediastinal contours are normal. Surgical clips are noted in the region of the stomach fundus. | 55045409 | CLINICAL INFORMATION: ___-year-old male with syncope, evaluate for acute process. COMPARISON: ___. | No acute chest pathology. |
11477216 | Cardiomediastinal silhouette and hilar contours are unremarkable. Some increased vague density of the lower lung fields on lateral view could suggest bronchiectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. There is mild elevation of the right hemidiaphragm. Numerous surgical clips project over the upper abdomen. | 55471141 | HISTORY: Status post fall with chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views. | No acute cardiopulmonary abnormality. Mild elevation of the right hemidiaphragm. No overt traumatic findings though dedicated rib series may be helpful if there is focality. Possible suggestion of bronchiectasis in the lower lung fields. |
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