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11477216 | There is airspace opacity in the right mid and lower lung. There may also be additional opacity in the retrocardiac region silhouetting the descending thoracic aorta. The cardiomediastinal silhouette is stable. Surgical clips seen in the abdomen. | 52680618 | WET READ: ___ ___ ___ 5:59 PM Right greater than left airspace opacities concerning for pneumonia. Repeat after treatment suggested to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with hypoxia // eval for acute process TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Right greater than left airspace opacities concerning for pneumonia. Repeat after treatment suggested to document resolution. |
11477216 | The heart size is top normal to mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Elevation of the right hemidiaphragm is again noted. Lungs are mildly hypoinflated with crowding of bronchovascular structures, but no concerning focal consolidation. Surgical clips overlying the upper abdomen are seen on the lateral view. No displaced rib fractures are noted. | 55843847 | INDICATION: ___-year-old status post fall. COMPARISON: Chest radiograph, ___. TECHNIQUE: PA and lateral views of the chest were obtained. | Low lung volumes, but no acute cardiopulmonary process. |
11183547 | Heart size is top-normal with re- demonstration of prominent on in of the thoracic aortic arch corresponding to tortuous, dilated thoracic aorta on prior chest CTA. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 50105375 | EXAMINATION: Chest radiograph INDICATION: Cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___. CTA chest ___ and ___. | No acute cardiopulmonary abnormality. Re- demonstration of dilated, tortuous thoracic aorta. |
11183547 | AP upright and lateral chest radiograph demonstrates low lung volumes. No focal consolidation convincing for pneumonia is identified. A dilated and tortuous descending aorta as demonstrated on a CTA dated ___ is noted. There is no large pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality. | 58011426 | INDICATION: ___-year-old male with weakness. TECHNIQUE: AP and lateral COMPARISON: Chest radiograph dated ___. | No acute intrathoracic abnormality. |
11183547 | The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. The aorta is noted to be tortuous and unfolded. The cardiac silhouette is top normal to mildly enlarged. No pulmonary edema is seen. | 58714475 | INDICATION: History: ___M with weakness // ? pna TECHNIQUE: AP and lateral images of the chest. COMPARISON: None. | Aorta is noted to be tortuous and unfolded; underlying aortic dilatation is not excluded. No priors for comparisons. Findings could be further assessed on chest CT. No focal consolidation. |
11183547 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged with a dilated tortuous aorta. . The imaged upper abdomen is unremarkable. The bones are intact. | 53080675 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with altered mental status // Eval for acute process TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph from ___ and CTA chest from ___. | No acute cardiopulmonary process. Dilated tortuous aorta as seen previously. |
11183547 | Lungs are now clear. There is no evidence of cardiac decompensation. The aorta is generally large and calcified, little changed since ___. However the contour of the proximal descending portion, where there may be separation of intimal calcification from the aortic margin could be due to chronic dissection or ulceration with periaortic bleeding, and as such raises concern for acute changes. Heart size is normal. | 56867997 | EXAMINATION: Chest radiograph. Noted INDICATION: History: ___M with chest pain, mild crackles on the right please evaluate for pneumonia or edema // History: ___M with chest pain, mild crackles on the right please evaluate for pneumonia or edema TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Possible acute activity of chronic thoracic aortic dissection penetrating ulcer and local bleeding. |
11463144 | Elevation of the right hemidiaphragm is attributable to an enlarged polycystic liver, as seen on the previous CT. Heart size appears normal, slightly displaced to the left by the elevated right hemidiaphragm. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion pneumothorax is present. No acute osseous abnormality is visualized. | 53548741 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with hepatomegaly, tachycardia, infectious workup TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Outside hospital CT abdomen pelvis ___ | No acute cardiopulmonary abnormality. Elevation of the right hemidiaphragm is attributable to an enlarged polycystic liver as seen on previous CT. |
11616686 | New endotracheal tube terminates 5.6 cm from the carina, and nasogastric tube ends in the stomach. Progressive severe perihilar pulmonary opacification, likely edema, obscures the consolidation of the right lower lung. Mediastinum also appears more prominent at 8.7 cm, previously 8 cm. No significant pleural effusions or pneumothorax. | 59199497 | INDICATION: ___-year-old male with flash pulmonary edema, intubated. COMPARISON: ___ at 22:22. CHEST, AP | ET and NG tubes in standard position. Increasing pulmonary edema, concurrent aspiration pneumonia. Prominent appearance of mediastinum, likely secondary to volume overload; however edema could have substantial non-cardiac component, such as hypotension-induced alveolar damage. Please refer to subsequent CT for further details. |
11123900 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. | 53468318 | WET READ: ___ ___ ___ 7:11 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with chest pain // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11722967 | The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pulmonary edema. No pleural effusion is evident. Mediastinal and hilar contours are within normal limits. The heart size is top normal, though similar compared to prior examination. | 56293299 | HISTORY: ___-year-old male with worsening dyspnea on exertion. COMPARISON: Chest radiograph and CT from ___. FRONTAL AND LATERAL CHEST | No acute cardiopulmonary process. No pulmonary edema. |
11189718 | The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion, pulmonary edema, pneumothorax, or pneumonia. | 59662260 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with chest/back pain and ?decreased Breath sounds in the right base. History of asthma. Recently returned from trip to ___. // R/O PNA, effusion TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___ CTA chest with and without contrast from ___ | Normal radiographic examination of the chest. |
11334442 | Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. | 59458698 | INDICATION: Fevers, left lower lobe crackles, please evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___. | No acute cardiopulmonary process. |
11522912 | A portable upright chest radiograph shows dense obscuration of the left diaphragm, which has been present since prior films over the past month and does not appear to have progressed. Some of this opacity may be related to left pleural fluid as evidenced by some blunting of the costophrenic angle. There is increasing obscuration of the right hemidiaphragm and while radiographically the changes could be related to a combination of atelectasis and fluid, new pneumonia cannot be excluded. Tracheostomy tube and nasogastric tube are in unchanged position in this patient with scoliosis. | 51337884 | PORTABLE CHEST RADIOGRAPH HISTORY: Recently placed tracheostomy, now with fever. Evaluate for pneumonia. | Obscuration of the left base appears unchanged over recent weeks, but opacity at the right lung base is increasing, question pneumonia. |
11522912 | Single AP view was reviewed. Overlying soft tissue obscures the lower chest. Apparent cardiomegaly is exacerbated by a right epicardial fat pad. Mediastinal and hilar contours are normal. There is subsegmental atelectasis, increased compared to the prior study. There is no pulmonary edema. No focal consolidation concerning for pneumonia is seen. | 55885592 | INDICATION: Cough, evaluate for cardiopulmonary process. | Increase in subsegmental atelectasis. No other acute process. |
11522912 | AP view of the chest provided. Large bilateral pleural effusions are again seen, unchanged since prior study. There is increased retrocardiac opacity, likely rotational however aspiration pneumonia cannot be excluded. Left upper lobe pneumonia is better seen on CT study from 1 day ago. Endotracheal tube is in appropriate position, approximately 5 cm above the carina. Nasogastric tube is seen coursing towards the stomach and out of view. | 54482789 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure, evaluate for pneumonia. COMPARISON: Chest radiograph from ___, most recently ___, in conjunction to neck CT from ___. | Unchanged large bilateral pleural effusions. Left upper lobe pneumonia better seen on recent CT. Retrocardiac opacity, likely rotational but cannot exclude aspiration pneumonia. |
11522912 | The moderate to large left pleural effusion has increased compared with ___, with left-sided atelectasis or collapse. Increased opacity in the left upper lobe is suspicious for pneumonia, though asymmetric edema is a possibility. New interstitial markings at the right base are compatible with increasing pulmonary vascular congestion and mild to moderate pulmonary edema. There is no pneumothorax. | 56268290 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with worsening hypoxia and secretions // ? atelectasis / pneumonia TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___. | New left upper lobe opacity is suspicious for pneumonia. Left pleural effusion has grown and is now moderate. Mild to moderate pulmonary edema. |
11522912 | The ET tube is 3.7 cm above the Carina. There is moderate cardiomegaly. There is bilateral pleural effusions which are moderate in size. There is pulmonary vascular redistribution. There is a left upper lobe and right mid lung hazy alveolar infiltrate that could be partially due to volume loss and alveolar edema but an underlying infectious infiltrate can't be excluded | 52854456 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man sp intubation // intubation TECHNIQUE: Portable chest COMPARISON: ___. | Increased pulmonary edema. An underlying infectious infiltrate can't be excluded. |
11522912 | AP upright and lateral chest radiograph demonstrates low lung volumes. Allowing for this, radiograph appears similar when compared to prior study dated ___. There is opacification of the left lung base compatible with pleural effusion and atelectasis. The heart is enlarged with mild pulmonary congestion. No pneumothorax is seen. | 50718282 | INDICATION: ___-year-old male with seizure. TECHNIQUE: Lateral and AP COMPARISON: Chest radiograph dated ___ | Left lower lobe pleural effusion and opacification thought likely sequela of atelectasis and/or aspiration, though early infectious process cannot entirely be excluded. Enlarged heart with mild congested pulmonary vessels. No overt pulmonary edema. |
11522912 | AP view of the chest provided. Compared to prior study, there is less pulmonary congestion. However, there is massive bibasilar consolidation, most likely due to substantial pleural effusion and atelectasis. The heart is enlarged. There is no pneumothorax. Endotracheal tube is in appropriate position. Enteric tube is seen coursing is towards the stomach and after review. | 53230252 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with quadriplegia and respiratory failure, evaluate for tube placement, interval change COMPARISON: Chest radiograph from ___. | Increasing bibasilar pleural effusion and atelectasis since yesterday's exam. |
11522912 | Portable semi-supine frontal view of the chest. A right internal jugular line ends in the mid SVC. The endotracheal tube terminates 3.5 cm above the carina. A transesophageal tube terminates in the stomach. There is right lower lobe atelectasis and a left retrocardiac opacity that appears unchanged since ___. No large pleural effusions or pneumothorax. Mild cardiomegaly is uncahnged since ___. | 55470266 | CLINICAL INDICATION: Pneumonia and respiratory failure. Evaluation for interval change. COMPARISON: Multiple prior chest radiographs, the most recent of ___. | Lines and tubes in appropriate position. Right lower lobe atelectasis. Retrocardiac opacity could represent pneumonia, aspiration or atelectasis. |
11522912 | The cardiomediastinal and hilar contours are stable with prominent epicardial fat pads. There is no pneumothorax. Opacity at the left lung base is again noted, which reflects a small pleural effusion and chronic consolidation. There is no overt pulmonary edema. | 55252289 | EXAMINATION: Chest x-ray INDICATION: ___M with seizure, CXR yesterday w concern for opacity pls re assess for pna. TECHNIQUE: AP upright view of the chest. COMPARISON: Chest radiograph ___, ___. | Chronic consolidation at the left lung base with small pleural effusion. No overt pulmonary edema. |
11522912 | The moderate left pleural effusion has decreased in size. Persistent but slightly improved opacification within the left upper lobe is concerning for pneumonia, though asymmetric edema or atelectasis are possible. There is probably a small to moderate right pleural effusion. Increased interstitial markings at the right base are compatible with pulmonary vascular congestion and mild pulmonary edema. There is no pneumothorax. | 55040240 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with LUL PNA, now decreased breath sounds of L lung // interval change TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___. | Interval decrease in left pleural effusion, still moderate in size. Slightly improved persistent opacification of the left upper lobe, which is concerning for pneumonia. Persistent mild to moderate pulmonary vascular congestion and pulmonary edema. |
11522912 | The heart is moderately enlarged, and there is no overt pulmonary edema, focal consolidation or pleural effusion. There is bibasilar atelectasis. | 55210159 | INDICATION: ___-year-old male with seizure, evaluate for pneumonia. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___ and ___ | No acute cardiopulmonary process. |
11522912 | Lung volumes are low, and there is no focal consolidation, pleural effusion or pulmonary edema. The heart continues to be moderately enlarged. | 52953287 | INDICATION: ___-year-old male with seizure, quadriplegia. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___, ___, ___ and ___. | No acute cardiopulmonary process. |
11522912 | Evaluation on the lateral radiograph is extremely limited due to patient positioning. There is suboptimal positioning on the frontal view as well. Within these limitations, this difficult to exclude a left basilar consolidation. The right lung is relatively well aerated without pleural effusion. No pneumothorax is detected. The cardiac silhouette is enlarged but stable. The mediastinal contours are prominent in part related to poor patient positioning but likely within normal limits and unchanged. A small left-sided pleural effusion is suspected. | 58082087 | HISTORY: Recent seizure activity, here to evaluate for pneumonia. COMPARISON: Chest radiographs dated ___ and ___. Technique: PA and lateral radiographs of the chest. | Difficult to exclude a left basilar consolidation on this limited examination. Probable small left-sided pleural effusion. Short-term follow-up radiographs may be helpful if clinically indicated. |
11522912 | AP view of the chest provided. There is near total opacification of the left lung, with residual right upper lobe aeration. There is no contralateral shift of mediastinal structures. Altogether, these findings are concerning for partially collapsed left lung that is most likely due to mucus plugging. There is additional moderate amount of layering pleural effusion on the left. Compared to prior study, the right juxta-hilar region opacity appears much worse, likely reflective of atelectasis however aspiration pneumonia is also certainly a possibility. There is a small to moderate amount of pleural effusion on the right. | 53969880 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with quadriplegia with worsening dyspnea and somewhat decreased BS on the L // eval for PNA or collapse COMPARISON: Chest raiograph from ___ | Partial left lung opacification, concerning for subtotal left lung collapse that is most likely due to mucus plugging. Worsen right juxta-hilar opacity, likely atelectasis however aspiration pneumonia cannot be excluded. Bilateral pleural effusions, left worse than right. |
11522912 | AP upright and lateral views of the chest were provided. A left upper extremity PICC line is seen with its tip extending to the upper SVC region. The previously noted tracheostomy is no longer visualized. There is improved aeration at the right and left lung base without definite signs of pleural effusion. Mild bibasilar atelectasis is noted. Cardiomediastinal silhouette appears grossly stable with mild cardiomegaly noted. Lung bases are somewhat limited in overall evaluation due to overlap with overlying soft tissues on the frontal projection. No definite retrocardiac consolidation is seen in the lateral projection, though evaluation is somewhat limited. | 58561300 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest CT from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: ___-year-old man with quadriplegia, presenting with altered mental status, assess for signs of pneumonia. | Mild cardiomegaly. Probable bibasilar atelectasis with interval resolution of bilateral pleural effusions. PICC line tip in the upper SVC. |
11522912 | ET tube, NG tube, left subclavian line are similar to the prior study. The top of an IVC filter is noted. The cardiomediastinal silhouette is grossly unchanged. Again seen is left lower lobe collapse and/or consolidation, probably with a small effusion. This appears slightly worse than on ___. However, opacity about the left hilum slightly improved. Patchy opacity at the right base is similar to the prior film. A small right effusion is likely present and could be slightly increased. There is upper zone redistribution and vascular blurring, consistent with mild CHF, slightly more pronounced than on the prior film. | 57707488 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with resp failure // PNA? COMPARISON: Chest x-ray from ___ at 353 | Mild CHF, slightly worse compared with ___. Left lower lobe collapse and/or consolidation and small left effusion, probably slightly worse. The differential includes a pneumonic infiltrate. Equivocal slight increase in small right pleural effusion. Right base atelectasis is similar to prior. |
11522912 | New NG tube has been placed with side hole in mid gastric cavity, the tip is not visualized. ET tube ends at 4.4 cm from carina bifurcation. Right IJ catheter ends in lower SVC with bibasilar opacification due to combination of atelectasis and left basilar effusion, but not right pleural effusion. There is no pneumothorax. Heart size is stable to mildly enlarge. | 50295748 | PATIENT HISTORY: ___ years old man with new OG tube placement. COMPARISON: Exam is compared to chest x-ray of ___. | Correct position of NG tube without complication. Persistent basilar opacity for atelectasis and left base pleural effusion. |
11522912 | Single supine portable view of the chest. Endotracheal tube seen with tip 4 cm from the carina. Right IJ central venous line is seen in the mid SVC. There is no visualized pneumothorax based on this supine film. There is pulmonary vascular engorgement. Retrocardiac opacity is again seen. Elsewhere the lungs are clear of focal consolidation. Cardiomediastinal silhouette is unchanged. | 50293600 | HISTORY: ___-year-old male with intubation. COMPARISON: ___ and portable chest from earlier the same day. | ET and right IJ lines as above. Retrocardiac opacity in part due to scarring with underlying atelectasis noting infection/aspiration are possible. |
11522912 | Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild upper zone vascular redistribution without overt pulmonary edema, a finding which appears chronic. Patchy opacities in the lung bases also persist, and likely reflect chronic bronchiectasis with atelectasis although aspiration is not excluded. No pneumothorax is identified though assessment is slightly limited due to the patient's neck and soft tissues of the chin projecting over these regions. No pleural effusion is identified. No acute osseous abnormality is detected. | 56325461 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea TECHNIQUE: Semi-upright AP view of the chest COMPARISON: ___ chest radiograph | Chronic patchy bibasilar opacities, likely reflecting a combination of bronchiectasis and atelectasis, but aspiration is not completely excluded. Unchanged moderate cardiomegaly with persistent upper zone vascular redistribution suggestive of elevated pulmonary venous pressures. |
11155471 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax or pleural effusion. No fracture. Limited assessment of the abdomen is unremarkable. | 58343154 | WET READ: ___ ___ ___ 5:32 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with episode of sharp pain in posterior chest wall // r/o CP process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11039391 | The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 57785500 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ 6:46 AM INDICATION: Perforated uterus from IUD, evaluate for acute intrathoracic process. COMPARISON: None. | No acute cardiac or pulmonary process. ______________________________________________________________________________ FINAL REPORT |
11983426 | Lung volumes are low, but there is no focal consolidation. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. | 53967335 | INDICATION: ___-year-old female with chest pain. COMPARISON: ___. CHEST, PA AND | No acute cardiopulmonary process. |
11475402 | One portable frontal view of the chest. The lungs are clear. There is no consolidation, pneumothorax, or pleural effusion. The cardiac, mediastinal, and hilar contours are normal. There is no pulmonary vascular congestion. | 53935202 | INDICATION: Small subdural hematoma, question of pneumothorax or pneumonia. COMPARISON: None available. | Normal radiographic examination of the chest. No pneumothorax or no evidence of pneumonia. |
11064691 | Heart size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are slightly low. Streaky opacities are demonstrated the lung bases. There appears to be slight blunting of the costophrenic angles bilaterally, suggestive of tiny pleural effusions. No pneumothorax is identified. There are moderate degenerative changes seen in the thoracic spine. No displaced fracture is identified. | 51197787 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with right sided rib pain status post fall TECHNIQUE: Chest PA and lateral COMPARISON: None. | Bibasilar atelectasis. Probable trace bilateral pleural effusions. No displaced fractures are clearly visualized. |
11064691 | Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is no confluent consolidation. No obvious effusion or pneumothorax on this film with exclusion of the left costophrenic angle. Cardiomediastinal silhouette is stable. | 58560742 | INDICATION: ___M s/p fall, confusion // ? intrathoracic path TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11064691 | The ET tube is 3.1 cm the carina. Enteric tube courses to at least the level of the GE junction and then beyond the field of view. Left subclavian central venous catheter is in the mid SVC. There is no pneumothorax. Lung volumes are low with significant bibasilar atelectasis especially at the left lower lobe. Right basilar opacification is slightly improved. Moderate cardiomegaly is unchanged. Mild pulmonary edema is improved. | 59805766 | INDICATION: ___ year old man with SDH, intubated // eval intrapulmonary process TECHNIQUE: Portable semi-upright AP chest COMPARISON: Radiographs of the chest ___, ___, ___ and ___ | Persistently low lung volumes with bibasilar atelectasis, left greater than right. Right basilar opacity which could reflect aspiration or pneumonia has shown interval improvement. Mild pulmonary edema is improved. |
11733989 | The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. There is no pulmonary edema. The mediastinal and hilar contours are unremarkable. | 54429970 | INDICATION: Asthma exacerbation. Evaluate for an acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11482687 | A right-sided Port-A-Cath appears intact and terminates within the right atrium. Lung volumes are low leading to crowding of the bronchovascular structures. There is borderline pulmonary vascular congestion and right basilar atelectasis. There is no lobar consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. | 54084188 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with problems with chemo infusion/port // please evaluate port site TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Right Port-A-Cath terminating in the upper right atrium. Borderline mild vascular congestion. |
11877234 | There has been slight interval withdrawal of the right-sided PICC as compared to prior examination with the tip now terminating 1.2 cm cranial to the carina at the level of the proximal-to-mid SVC. A left-sided ICD with a single right ventricular lead is unchanged in position compared to prior examination. Severe cardiomegaly is unchanged. Mediastinal and hilar contours are stable. Lungs are clear without focal consolidation. There are likely small bilateral pleural effusions. There is no pneumothorax. | 50538917 | HISTORY: Recent PICC placement with concern for displacement. COMPARISON: PICC line placement ___. TECHNIQUE: PA and lateral chest radiographs, two views. | Slight withdrawal of a right-sided PICC, now terminating in the proximal to mid SVC remaining in acceptable position. Trace bilateral pleural effusions. |
11877234 | There is stable enlarged cardiac silhouette without signs of pulmonary edema or pulmonary vascular congestion. There is poor definition of one hemidiaphragm suggestive of pleural thickening or pleural effusion. The lungs are otherwise clear. There is no pneumothorax. Dual-lead pacer is again seen with lead terminating in expected position at the right ventricle. | 57797258 | STUDY: PA and lateral chest x-ray. COMPARISON EXAM: PA and lateral chest x-ray ___. INDICATION: ___-year-old with signs and symptoms of CHF exacerbation. | Enlarged cardiac silhouette without signs of pulmonary edema or vascular congestion consistent with either cardiomyopathy or pericardial effusion. Poor definition of one hemidiaphragm suggestive of pleural thickening or pleural effusion. |
11877234 | Frontal and lateral views of the chest. Right PICC is seen with tip in the mid SVC. Left chest wall single lead pacing device is again seen. Cardiac silhouette is enlarged but stable. The lungs are clear of consolidation or effusion. Hypertrophic changes noted in the spine. | 53372551 | HISTORY: ___-year-old male with possible PICC malposition. COMPARISON: ___. | Right PICC with tip in the mid SVC. |
11877234 | PA and lateral views of the chest are provided. AICD is unchanged. The PICC line appears somewhat retracted with tip now residing in the upper SVC. Old right clavicular deformity noted. The heart is mildly enlarged. Lungs are clear. | 52400933 | CHEST RADIOGRAPH PERFORMED ON ___. Comparison made with a prior study from ___. CLINICAL HISTORY: PICC line, status post partial retraction, assess position. | Tip of the PICC line resides in the upper SVC. Otherwise, no change. |
11877234 | Frontal and lateral views of the chest were obtained. The cardiac silhouette remains moderately to severely enlarged. No pleural effusion or definite focal consolidation is seen. There is minimal interstitial edema. Right-sided PICC is again seen, distal aspect not well seen, likely due to overlying left-sided AICD lead. Single-lead left AICD is seen with lead grossly similar in position. No evidence of pneumothorax is seen. The aortic knob is again calcified. | 59227454 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Shortness of breath, nausea. COMPARISON: ___. | Moderate-to-severe enlargement of the cardiac silhouette with minimal interstitial edema. |
11877234 | The lungs are hyperinflated. There are bibasilar opacities with blunting of the posterior and lateral costophrenic angles, new since prior. The cardiac silhouette is enlarged as on prior. Left chest wall single lead single lead pacing device and right PICC are noted. Atherosclerotic calcifications of the aortic arch. Compression deformity in the lower thoracic/ upper lumbar region was present on prior. | 57900132 | INDICATION: ___M with chest pain // acute process? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Cardiomegaly with mild pulmonary edema and small bilateral effusions. |
11877234 | Right-sided PICC has migrated proximally and terminates in the right subclavian vein, high in position. Single lead left AICD is seen, unchanged position. Severe cardiomegaly is again seen. The mediastinal contours are stable. Aortic knob calcification is again seen. Blunting of the left costophrenic angle is worrisome for a small left pleural effusion with overlying atelectasis. Previously seen right pleural effusion has decreased in the interval with possible trace remaining. No evidence of pneumothorax is seen. | 59141196 | WET READ: ___ ___ ___ 4:38 PM Right PICC has migrated proximally since the prior exam, now terminating in the region of the right subclavian vein, high in position. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with PICC line that appears dislodged per home ___ aide pls eval placement // History: ___M with PICC line that appears dislodged per home ___ aide pls eval placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Right PICC has migrated proximally since the prior exam, now terminating in the region of the right subclavian vein, high in position. Persistent cardiomegaly. Small left pleural effusion. Interval decrease in right pleural effusion with possible trace remaining. |
11877234 | Frontal and lateral views of the chest were obtained. A right-sided PICC is seen, terminating at the region of the proximal SVC. Single-lead left-sided AICD is stable in position. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is at least one compression deformity at the lower thoracic spine, grossly similar to prior. | 55570797 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: General weakness. COMPARISON: ___. | Persistent enlargement of the cardiac silhouette. No overt pulmonary edema or focal consolidation. |
11877234 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The lungs are hyperinflated, consistent with a history of COPD. Enlargement of the cardiac silouhette is stable. Atherosclerotic calcifications are noted in the aortic arch. An implanted AICD is unchanged in position. A compression deformity in the lower thoracic spine is also unchanged in appearance. No new compression deformities are noted. | 56384134 | INDICATION: Chest pain and shortness of breath. COMPARISONS: Chest radiograph ___. | No acute cardiopulmonary process. Stable hyperinflation, consistent with COPD. |
11659116 | PA and lateral views of the chest. The left pleural catheter has been removed. Left loculated pleural effusion and adjacent atelectasis with slight elevation of the left hemidiaphragm is unchanged. The right lung is clear and there is no right pleural effusion. The mediastinal contours are normal. No pneumothorax. No evidence of pneumonia. | 55770832 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 5:23 PM Unchanged left loculated pleural effusion with adjacent atelectasis. ______________________________________________________________________________ FINAL REPORT INDICATION: Status post VATS decortication, check for interval change. COMPARISON: Chest radiograph on ___. | Unchanged left loculated pleural effusion with adjacent atelectasis. |
11659116 | A left upper lobe nodule measuring up to 12 mm is stable since at least ___, which at that time was evaluated by PET-CT. Since the prior examination, there has been interval development of a moderate to large left pleural effusion and left basilar consolidation. In addition, there is right basilar atelectasis. There is no pneumothorax. The cardiomediastinal and hilar contours are obscured by parenchymal and pleural abnormality, though are grossly similar since ___. | 58379781 | INDICATION: ___-year-old male with pain after hitting chest. PA AND LATERAL CHEST RADIOGRAPHS COMPARISONS: ___. | Interval development of a moderate to large layering left pleural effusion ___ ___ in setting of trauma raises the possibility of hemothorax. Chest CT can be considered as clinically indicated for further characterization. Stable ___-mm pulmonary nodule demonstrated within the left upper lobe. Findings were discussed with Dr. ___ at 14:26 on ___. |
11659116 | Overall, there is little change in a loculated large left pleural effusion since ___ with associated rightward mediastinal shift. A left basilar pigtail catheter has been placed projecting over the left base. There is no evidence of pneumothorax. There is no large right effusion or pneumothorax, with a trace effusion not excluded. There is mild vascular congestion. There is dense left basilar consolidation, likely atelectasis, and effusion. | 51403158 | INDICATION: ___-year-old male with left loculated effusion status post pigtail placement. Evaluate for pneumothorax. EXAMINATION: SINGLE FRONTAL CHEST RADIOGRAPH. COMPARISONS: ___, ___ dating back to ___. | Stable appearance of a loculated effusion after left basilar pigtail placement on the left. No evidence of pneumothorax. In comparison to prior Chest CT, the largest area of fluid is demonstrated superolaterally in relation to the pigtail catheter, with the catheter probably external to this region. |
11659116 | Since ___ there has been marked improvement in a known large left loculated effusion though there is a persistent small-to-moderate loculated effusion demonstrated along the lateral aspect of the left hemithorax. Two apical left-sided chest tubes and a left basilar chest tube remain in unchanged position. There is no evidence of large pneumothorax with minimal lucency demonstrated along the left basilar chest tube. There is persistent left retrocardiac opacification and improvement in right basilar atelectasis. There are no new focally occurring opacities concerning for pneumonia. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. Pulmonary vascularity is not increased. | 52606206 | INDICATION: ___-year-old male status post left VATS decortication for empyema. Evaluate for interval change. EXAMINATION: PA and lateral chest radiographs. COMPARISONS: ___, ___ and ___. | Little change since ___ though with persistent small-to-moderate loculated pleural fluid demonstrated along the lateral aspect of the left hemithorax. |
11659116 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Left upper lobe calcified nodule is better appreciated on the chest CT obtained on the same the later, as well as left lower lobe rounded atelectasis. Cardiomegaly is unchanged from ___ images from CT chest ___. Cardiomediastinal silhouette is unchanged from ___. Tortuosity of the thoracic aorta is again noted. Sternotomy wires and aortic valve prosthesis is noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50277187 | WET READ: ___ ___ ___ 4:38 AM 1. No evidence of a wide mediastinum. 2. Cardiomegaly is unchanged from CT chest ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with syncope, hx cardiac arrest, PEs. // wide mediastinum? COMPARISON: None | No evidence of a wide mediastinum. Cardiomegaly is unchanged from CT chest ___. |
11659116 | The heart and mediastinal contours are stable. There is elevation of the left hemidiaphragm with the gastric bubble projecting within it. Left basal atelectasis is present with small left pleural effusion. There is no pneumothorax. | 51216841 | HISTORY: ___-year-old male with recent left pleural effusion, status post decortication of pleural space. STUDY: PA and lateral chest radiograph. COMPARISON: ___. | Elevated left hemidiaphragm with small left pleural effusion and associated atelectasis. |
11659116 | Since ___, there are no new interval changes in the lungs. Left-sided chest tubes are unchanged in position. Following thoracocentesis of left loculated pleural effusion, mild to moderate residual left pleural fluid has remained unchanged since ___. Left lower lung atelectasis is similar in appearance. Minimal right lower lung atelectasis is no different as compared to the prior radiograph. Cardiomediastinal contours are stable. | 53844365 | TECHNIQUE: Portable upright radiograph of chest was reviewed in comparison with multiple prior radiographs through ___ with the most recent from ___. | Very insignificant change since ___. Mild-to-moderate left pleural effusion following thoracocentesis and substantial left lower lung atelectasis persists. |
11659116 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding available PA and lateral chest examination ___ ___. There is now status post sternotomy (not present on the preceding examination six months ago). The heart size is at the upper limit of normal variation. Cardiac contour is somewhat obscured by extrapericardial apical fat pad on the left side and additional pleural and parenchymal thickenings suggestive of old scar formations. The lateral view discloses the presence of the metallic components of a porcine aortic valve prosthesis in place. There is a mild prominence of the left ventricular contour but no significant left atrial enlargement can be identified. There is no evidence of new acute pulmonary parenchymal infiltrates and the right and left-sided lateral as well as posterior pleural sinuses are free from any major fluid accumulation. Skeletal structures of the thorax grossly unremarkable. Similar as seen on the preceding chest examination, a nodular density projects on the frontal view in the left upper lobe area overlying the posterolateral contour of the left-sided sixth rib. This nodular density existed already on the preceding examination and has not undergone any change in size. Had been evaluated on previous chest CT of ___, at which time they were considered to be stable and indicating benign etiology. | 56426539 | TYPE OF EXAMINATION: CHEST, PA AND LATERAL. INDICATION: ___-year-old male patient with AIDS, history of left-sided empyema in ___. Having nonproductive cough and feeling of a friction rub on the left side. Any pulmonary pathology, especially on the left side. | In comparison with the next preceding preoperative chest examination ___ ___, the patient has undergone sternotomy and aortic valve replacement. The heart size has not changed significantly, and no pulmonary congestion has developed. Prominent extrapericardial apical fat pad and linear scar formations on the left base existed already prior to operation and have not changed significantly. No evidence of acute pulmonary processes. |
11659116 | PA and lateral views of the chest were obtained demonstrating interval increase in opacity obscuring the left mid and lower lung which is smoothly marginated with a convex contour along its superior extent likely due to a bulging fissure. Given this shape, the opacity likely reflects consolidation with possible loculated pleural fluid. The right lung remains clear. No pneumothorax is seen. Heart size cannot be assessed due to adjacent opacity. Mediastinal contour appears grossly stable. Bony structures are intact. | 50842142 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ and ___. CLINICAL HISTORY: Known pleural effusion, assess interval change. | Interval increase in left mid and lower lung consolidation with possible loculared edffusion. Recommend followup to resolution. |
11659116 | Loculated left pleural effusion has decreased in size with only a small residual effusion remaining. Adjacent atelectasis in the left lower lobe and lingula has also improved. Small nodular opacity persists at the level of the third left anterior rib, has previously been shown to be stable since ___, favoring either a granuloma or hamartoma. A sub-cm nodule is also demonstrated at the junction of the right third anterior and right seventh posterior ribs, consistent with a benign granuloma on prior chest CT. No pleural effusion or acute skeletal findings. | 59049619 | PA AND LATERAL CHEST ___: COMPARISON: ___ chest x-ray. | Decrease in loculated left pleural effusion as well as improved aeration at left lung base. Benign bilateral upper lobe lung nodules. |
11634635 | Upright PA and lateral views of the chest demonstrate no evidence of pulmonary edema. The cardiac silhouette size is normal and there is no pleural effusion. No pneumothorax is seen. Mediastinal and pulmonary structures are unremarkable. Degenerative changes are seen within the bilateral acromioclavicular joint as well as of the thoracic spine. | 54948276 | INDICATION: Presyncope, evaluate for fluid. COMPARISON: None. | No acute intrathoracic process. |
11091273 | The heart is normal in size. The aorta is calcified and tortuous. Otherwise, the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine. The bones appear demineralized. | 55659693 | CHEST RADIOGRAPHS HISTORY: Baseline dementia with decreased oral intake, weakness and cough. COMPARISONS: None. TECHNIQUE: Chest, AP and lateral. | No evidence of acute disease. |
11748476 | Extensive mediastinal and bilateral hilar lymphadenopathy is not appreciably changed since the most recent radiograph of ___, and has been present as far back as ___. This is in keeping with the known history of sarcoidosis. There are no new parenchymal abnormalities to suggest fibrosis. The lungs are clear. There is no pleural effusion or pneumothorax. Bones and soft tissues are unremarkable. | 58550933 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with history of sarcoidosis recent honeycombing noted on bone density, hx sarcoidosis. Evaluate for change/abnormality. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___. | Stable mediastinal and bilateral hilar lymphadenopathy is in keeping with the known history of sarcoidosis. There is no radiographic evidence of new fibrosis. |
11628337 | The heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Scarring within the lung apices is stable. There is mild pulmonary vascular congestion but no overt pulmonary edema is demonstrated. More focal linear opacities within the lung bases likely reflect areas of scarring or atelectasis. No pleural effusion or pneumothorax is demonstrated. Diffuse demineralization the osseous structures is present. | 54886802 | HISTORY: Cough, weakness, chills. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild pulmonary vascular engorgement and bibasilar atelectasis versus scarring. |
11628337 | The lungs remain hyperinflated. There is mild to moderate pulmonary edema. Small bilateral pleural effusions are seen. The cardiac silhouette remains markedly enlarged. Mediastinal contours are prominent but stable. No pleural effusion or pneumothorax is seen. | 54873844 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // eval infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Persistent cardiomegaly, small bilateral pleural effusions and mild to moderate pulmonary edema. |
11628337 | The heart is severely enlarged. There is mild pulmonary vascular congestion and small bilateral pleural effusions. Mediastinal silhouette is unchanged. No focal consolidation is identified. No pneumothorax. | 54202779 | WET READ: ___ ___ 3:41 PM Mild pulmonary vascular congestion with small bilateral pleural effusions. WET READ VERSION #1 ___ ___ 12:21 PM Mild to moderate pulmonary edema with small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cough // acute process TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___, ___ | Mild pulmonary vascular congestion with small bilateral pleural effusions. |
11080959 | PA and lateral views of the chest provided. Multiple surgical clips are seen overlying the right chest and axilla. Lung volumes are low. Subtle perihilar opacities raise potential concern for an early atypical pneumonia. No lobar consolidation, large effusion or pneumothorax. The heart size is normal. Mediastinal contours unremarkable. No acute bony injury/abnormality. No free air below the right hemidiaphragm. | 54528415 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and malaise // r/o infiltrate COMPARISON: None | Streaky perihilar opacities raise concern for atypical pneumonia. |
11242663 | The lungs are clear. Left upper lobe lung nodule described in the neck CT is not seen on plain film. Mediastinal and cardiac contours are within normal limits. There is no pneumothorax or pleural effusion. | 58504941 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with recent strep infection. CT neck in ED showed a right upper lobe lung nodule, inflammatory or infectious, has slight nonproductive cough, persistence of nodule. COMPARISON: ___. | There is no pneumonia. Left upper lobe lung nodule described on neck CT is not visible in this x-ray. |
11242663 | 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. | 57294607 | CHEST RADIOGRAPH HISTORY: Fever and chills. COMPARISONS: None. TECHNIQUE: Chest, AP upright. | No evidence of acute disease. |
11724488 | Frontal and lateral views of the chest. No prior. Opacity at the left cardiophrenic angle would be compatible with a pericardial fat pad, especially given appearance on the lateral. Lungs are clear and costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Degenerative changes noted at the acromioclavicular joints and hypertrophic changes are seen in the spine. | 55960369 | CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with right upper quadrant pain and crackles at the bases. Question pneumonia or atelectasis. | No acute cardiopulmonary process. No focal consolidation. |
11724488 | 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. No evidence of free air is seen beneath the diaphragm. Degenerative changes are again seen along the spine. | 57834148 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of severe right upper quadrant pain, known gallbladder disease, now with worsening diffuse abdominal pain, question free air. COMPARISON: ___. | No acute cardiopulmonary process. No evidence of free air beneath the diaphragm. |
11300564 | The patient is status post median sternotomy and anterior chest wall resection with metallic implants again noted bridging the sternal region. The right clavicle has been resected. Multiple clips are also seen within the right chest wall. Heart size is normal. Mediastinal and hilar contours are unremarkable. Elevation of the right hemidiaphragm is new compared to ___, and there is a trace left pleural effusion. The pulmonary vasculature normal. No focal consolidation concerning for pneumonia is present. Scarring within the right upper lobe is re- demonstrated along with a few foci of calcifications. No pneumothorax or pleural effusion is present. Destruction of the 1st ribs bilaterally is again seen. | 57874313 | HISTORY: Increasing basal cell carcinoma with resection and continuing disease. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT performed earlier the same day and chest radiograph ___. | Postsurgical changes from prior sternal and chest wall resection. Elevation of the right hemidiaphragm, new compared to ___. Trace right pleural effusion. |
11229536 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm. | 57813125 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___ y/o female with sudden intermittent shortness of breath, question pneumothorax. | No acute findings, specifically no evidence of pneumothorax. |
11575857 | Study is lordotic in projection. The tracheal stent is unchanged in position. There is now a new right lower lobe bronchus stent, which appears expanded. Other than bibasilar atelectasis, the lungs are free of focal consolidations, pleural effusions or pneumothorax. Minimal calcification of the aortic arch. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 51090050 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with RLL obstruction s/p stent placement // ptx TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___ | Interval placement of a right lower lobe bronchus stent. No pneumothorax. |
11575857 | Tracheal stent is unchanged in appearance and position. The lungs are hyperinflated and there is a large right lower lobe consolidation concerning for pneumonia. Additionally, the lower pole of the right hilus appears fuller from the prior study and could represent another area of consolidation. There is also a cluster of small, irregular opacities at the base of the left lung status also concerning for infection. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax. | 50305656 | HISTORY: Hemoptysis. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___. | Large right lower lobe consolidation concerning for pneumonia. Dr. ___ ___ these ___ Dr. ___ by telephone ___ min after discovery, at the time of dictation. |
11575857 | A tracheostomy tube remains in place. There is new right-sided volume loss with apparent elevation of the right hemidiaphragm, which is likely secondary to lower lobe atelectasis. Superimposed bibasilar opacities are unchanged. There is no pneumothorax. The heart and mediastinum are within normal limits. | 51818676 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with tracheal stenosis and RLL endobronchial stenosis // Evaluate RLL s/p alleviation of obstruction. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | Right lower lobe opacity is likely due to atelectasis. Superimposed aspiration or infection cannot be excluded an short-term followup radiographs may be helpful in this regard. |
11357137 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 54510631 | EXAMINATION: Chest radiograph INDICATION: Stroke. Evaluate for pneumonia. TECHNIQUE: Single portable frontal view of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11268251 | Heart size is normal and mediastinal contours are stable. Lung volumes are low but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No pneumoperitoneum. | 54471390 | INDICATION: ___F with recent bowel resection / anastamosis, vomiting // evaluate for abdominal free air COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest. | No pneumoperitoneum. Low lung volumes. |
11268251 | PA and lateral chest radiograph demonstrates stable heart size and mediastinal contours. No focal consolidation is identified. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality. | 58457970 | INDICATION: ___-year-old female with sudden onset of dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ as well as chest radiograph dated ___. | No acute intra thoracic abnormality. |
11608714 | The lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. No focal consolidations are seen. The heart is normal in size. There is no evidence of pneumoperitoneum and osseous structures are intact. | 58977755 | PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old female with palpitations. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: None. | No acute intrathoracic process. |
11922476 | PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. | 56075808 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Hyperventilation and wheezing, question acute intrathoracic process. | No acute intrathoracic process. |
11921191 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are seen in the left upper abdomen. There chronic degenerative change thoracic spine. | 55779697 | WET READ: ___ ___ ___ 10:47 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with sudden onset R shoulder and chest pain at ___, atraumatic. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest: PA and Lateral COMPARISON: ___. | No acute cardiopulmonary process. |
11921191 | There are minimal bibasilar opacities, likely representing minimal atelectasis. Otherwise, the lungs are without a focal consolidation. There is no effusion or pneumothorax. The heart remains borderline enlarged but stable. Surgical ___ are again noted overlying the left upper abdomen. Degenerative changes are again noted throughout the mid-thoracic spine. | 58955362 | HISTORY: Chest pain. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11921191 | The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes affect the lower thoracic spine. Surgical clips project over the medial left epigastric region. | 54291058 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain and shortness of breath. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11921191 | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal opacities concerning for pneumonia. There is no large pleural effusion. There is no evidence of a pneumothorax. S/p upper abdomen surgery. | 58548912 | INDICATION: History of chest pain, shortness of breath. Please evaluate. COMPARISONS: Chest radiograph from ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | No focal consolidations concerning for pneumonia identified. |
11433932 | 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. | 54295217 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/fever, please eval for occult PNA COMPARISON: None | No acute intrathoracic process. |
11184182 | AP portable upright chest radiograph provided. A Port-A-Cath resides over the right chest wall with catheter tip extending to the low SVC region. Overlying wires are present. Tiny clips project over the left chest wall. The lungs are clear without definite signs of pneumonia or CHF. The heart and mediastinal contours appear normal. No large effusion or pneumothorax is seen. The bony structures are intact. | 52505754 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam dated ___. CLINICAL HISTORY: VT with leukocytosis, assess pneumonia. | No signs of pneumonia or other acute findings. |
11184182 | A right Port-A-Cath is present with the tip in the low SVC. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips overlying the left lower hemithorax correspond to left chest wall clips, better characterized on the prior CT. They are unchanged. | 54424720 | INDICATION: Shortness of breath. Evaluate for pneumonia or effusion. Per the OMR, the patient has a history of cholangiocarcinoma. COMPARISONS: CT of the chest from ___. Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process; specifically, no evidence of pneumonia. |
11184182 | Single portable view of the chest shows mildly low lung volumes, accentuating the cardiopulmonary contours. Tiny clips project over the left lung base. The lungs are clear. Hilar and mediastinal contours are normal. No pleural abnormality is seen. Of note, right chest wall port is unchanged with the catheter tip terminating at the cavoatrial junction. | 50379457 | HISTORY: Shortness of breath and hypoxia. COMPARISON: ___. | No acute cardiopulmonary process. |
11184182 | Right-sided Port-A-Cath is seen terminating in the low SVC. There is minor basilar atelectasis. No focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. | 58462968 | FINAL ADDENDUM A very trace right pleural effusion is difficult to exclude. ______________________________________________________________________________ FINAL REPORT HISTORY: Progressive worsening shortness of breath, now febrile. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11151295 | The lungs are clear. Cardiomegaly is moderate. The aorta is tortuous. There is no pneumothorax or pleural effusion. | 53905865 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with lung masses, duodenitis, admitted with elevated LFTs, evaluation for lung mass, nodules. COMPARISON: None. | Except for moderate cardiomegaly, the rest of the exam is unremarkable. |
11151295 | Frontal radiograph of the chest demonstrates interval placement of endotracheal tube which terminates 5.5 cm above the level of the carina. There is also a new feeding tube which projects over the expected course of the esophagus and enters the stomach with side port below the gastroesophageal junction. The lung volumes are low, and could account for the relative increase in opacification of the right lower lung due to vascular crowding. The heart size is difficult to assess due to low lung volumes but is not significantly changed since the prior study. There is no pneumothorax or large pleural effusion. | 55201685 | INDICATION: ___-year-old man with questionable aspiration event. COMPARISON: Comparison is made to chest radiograph from ___. | Opacification of the right lower lung could be completely explained by low lung volumes causing vascular crowding. Endotracheal tube and feeding tube in standard position. |
11151295 | A new NG tube is present with the tip in the right mainstem bronchus. There is no evidence of complications such as perforation or pneumothorax. A left PICC is in appropriate position in the mid SVC and unchanged from the prior exam. Since the prior exam performed three days prior, mild pulmonary edema has improved. Moderate-to-severe cardiomegaly is stable. The mediastinal contours are unchanged. | 57878404 | INDICATION: Evaluate NG tube placement. COMPARISONS: Chest radiograph ___. Multiple chest radiographs dating to ___. | NG tube in the right mainstem bronchus. Improvement in pulmonary edema. Results were discussed with Dr. ___ at 15:36 on ___ via telephone by Dr. ___ at the time the findings were discovered. |
11151295 | Single upright frontal view of the chest: Moderate cardiomegaly and a tortuous aorta are unchanged. There is no pneumothorax or focal airspace consolidation to suggest pneumonia. There is a vague opacity in the lower lungs which may represent atelectasis. There is no pleural effusion. Multiple bilateral lung nodules are better seen on prior CT. A left-side PICC has been removed. There is no free air is seen underneath the right hemidiaphragm. | 53599446 | HISTORY: Recent GI procedure with reported abdominal pain earlier today, evaluate for free air or perforation. COMPARISON: Chest radiograph ___ and chest CT ___. | No evidence of free air. |
11785483 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 58047136 | HISTORY: Bilateral arm paresthesias. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views. | No acute cardiopulmonary abnormality. |
11703410 | Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable. | 58365585 | HISTORY: Nausea for 6 weeks. Evaluate for an acute cardiopulmonary disease. COMPARISON: None. | No acute cardiopulmonary process. |
11206137 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrates no acute abnormality. | 57324833 | INDICATION: ___F with fever of unknown origin for 9 days // ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | No acute intrathoracic abnormality. |
11660656 | The lungs are well inflated and clear. There is no focal atelectasis, pleural effusion, or consolidation. No pneumothorax. Osseous structures are intact. No radiopaque foreign body is visualized. | 56270310 | FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state throat pain. ______________________________________________________________________________ WET READ: ___ ___ 9:43 AM No acute cardiopulmonary process or focal atelectasis to suggest aspiration of a foreign body. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chicken bone // acute process TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary process or focal atelectasis to suggest aspiration of a foreign body. |
11389314 | Again, the lung volumes are low. Within the limitations, there is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A significant thoracic kyphosis is stable. Old right-sided rib fractures are unchanged. | 55534314 | INDICATION: Cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. |
11389314 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Aorta is tortuous. The mediastinum is not widened. The hilar contours are stable. Evidence of prior posterior right 7th rib fracture is seen. | 51866643 | HISTORY: Chest pain, evaluate for mediastinal widening. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: ___. | No acute cardiopulmonary process. The mediastinum is not widened. |
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