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11389314 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. No pulmonary vascular congestion is seen. | 50403450 | INDICATION Congestion. COMPARISON: Radiograph available from ___ and ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
11389314 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. The sternum is intact. | 58416181 | INDICATION: ___-year-old female with chest pain after sternal wire. Rule out infiltrate. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11389314 | PA and lateral views of the chest are compared to previous exam from ___. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. | 56124083 | CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with right chest pain. | No acute cardiopulmonary process. |
11389314 | Fractures of the right ___ and left 8th ribs are unchanged from at least ___. There are no new, acutely displaced rib fractures. There is no pleural effusion or pneumothorax. Increased opacity within the right upper lung on the frontal view is likely a confluence of shadows, however, there is a rounded opacity superior to the aorta on the lateral view which could represent an underlying lesion. Repeat imaging with a lordotic view is recommended. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is no focal consolidation. | 57490588 | HISTORY: Cough and left chest wall pain. Evaluate for rib fractures. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___, ___ and ___. | No acutely displaced rib fracture. If clinical concern for fracture persists, a dedicated rib series with markers would be of utility. Lordotic views recommended to exclude underlying right lung apex lesion. These findings were e-mailed to the ED QA nurses on ___ at ___. |
11389314 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 59952727 | INDICATION: Pancreatitis. Concern for pneumonia. No comparison studies available. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
11389314 | The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Chronic fractures of the right seventh and left eighth ribs are again noted. The aorta is minimally unfolded. | 57257612 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough // evaluate for pneumonia, acute process TECHNIQUE: Chest PA and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11389314 | Lung volumes are low, without focal consolidation. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. | 50061669 | INDICATION: ___-year-old female with chest pain and productive cough. COMPARISON: ___. CHEST, PA AND | No acute cardiopulmonary process. |
11646699 | Single portable view of the chest. The lungs are well expanded and clear where not obscured by overlying cardiac leads. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected. | 58136209 | HISTORY: ___-year-old female with tachycardia. COMPARISON: ___. | No acute cardiopulmonary process. |
11844669 | The lungs are clear but hypoinflated. No evidence of pulmonary vascular congestion or pneumonia. Moderate cardiomegaly. Tortuous descending thoracic aorta is noted. Calcified granuloma is seen in the right midlung field. | 52529053 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with failure to thrive, recent hospitalization, elevated lactate // Eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: None | Moderate cardiomegaly with no evidence of pneumonia or pulmonary edema. |
11529986 | As compared to the prior examination dated ___, there has been no significant interval change. Low lung volumes resultant crowding of the bronchovascular structures. There is no lobar consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits. A large hiatal hernia is again seen. Multiple known osseous metastases are poorly visualized on today's examination. | 50677500 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with a history of metastatic prostate cancer, presenting with dyspnea on exertion // Please assess for consolidation, edema, effusion. Comparison ___ study TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___. | Stable appearance of the chest with low lung volumes and a large hiatal hernia. No evidence for superimposed acute cardiopulmonary process. |
11529986 | Lung volumes are low, however the lungs are grossly clear. There is a large hiatal hernia. The heart and mediastinum are within normal limits. There is generalized osteopenia and multilevel spinal degenerative changes. Subtle sclerotic lesions in multiple thoracic vertebral bodies likely correspond to known sclerotic metastases. No radiographic evidence of obvious progression or complications. Thoracolumbar spine kyphosis is worsened since ___. | 59409243 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with DOE, stable HCT. HAs prostate CA under good control by PSA. // r/o infiltrate, effusion. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: Plain radiograph dated ___. Correlation made to chest CT dated ___. | Grossly clear lungs. Large hiatal hernia. Bone metastases. |
11814564 | The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. | 59107568 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough // Eval for infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute intrathoracic abnormality. |
11267564 | Since ___, a new opacity is seen in the right lower lung field, concerning for aspiration or infection. The left lung is clear. The heart size is normal. The tip of an endotracheal tube is seen 5.3 cm above the carina. NG tube is seen in the stomach and continues out of view. No pneumothorax. | 51138438 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with left vertebral dissection and SAH // intubated, interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___ | New right lower lung field opacity is concerning for aspiration or infection. |
11267564 | The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. | 51319791 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ? basal ganaglia hemorrhage // ? extension of hemorrhage TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute intrathoracic abnormality. |
11267564 | Re- demonstration of the known tracheostomy tube, with tip projecting 3.0 cm above the carina. Cardiomediastinal and hilar silhouettes are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | 51580610 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with trach, tachycardia, febrile. Evaluate for pneumonia. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs of ___ and ___. | No focal consolidation concerning for pneumonia. |
11267564 | The previously noted right lower lung opacities are substantially increased since ___, concerning for pneumonia. Mild opacities are seen in the left lung base, concerning for aspiration or infection. The heart size is unchanged. The tip of the ET tube seen 4.6 cm above the carina. A feeding tube is seen in the stomach and continues out of view. | 55843589 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with left vertebral dissection and SAH // intubated, interval change TECHNIQUE: Portable AP chest rate COMPARISON: Prior chest radiographs from ___, ___, ___, ___ | Previously noted right lower lung opacities are substantially increased since ___. Mild opacities in the left lower lung base is concerning for aspiration or infection. |
11267564 | Endotracheal tube tip terminates approximately 3.5 cm from the carina. An enteric tube courses below the left hemidiaphragm with tip off the inferior borders of the film, and side port at the level the gastroesophageal junction. Lung volumes are low. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Mild pulmonary edema is present. No large pleural effusion, focal consolidation or pneumothorax is seen. There are no acute osseous abnormalities. | 55591304 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with endotracheal tube placement TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Chest radiograph ___ at ___ | Standard positioning of endotracheal tube. Enteric tube side port is at the gastroesophageal junction, and should be advanced by at least 5 cm for optimal positioning. Mild pulmonary edema. |
11217927 | AP and lateral chest radiograph demonstrates a moderately enlarged heart and low lung volumes, though size is inadequately evaluated given AP technique. Retrosternal density is noted, possibly reflective of mediastinal fat though anterior mediastinal soft tissue lesion cannot be excluded. Additional lordotic positioning likely exaggerates heart size. There is no overt pulmonary edema. There is no pleural effusion or pneumothorax. A right internal jugular central line is identified, its tip which terminate within the right atrium. No acute osseous abnormality is detected. | 56001376 | INDICATION: ___-year-old female with sickle cell and dyspnea. TECHNIQUE: AP & Lat COMPARISON: None available. | Borderline cardiomegaly exaggerated by positioning. Anterior mediastinal density may reflect prominent mediastinal fat though soft tissue lesion cannot be excluded. Two lateral films, one with arms raised overhead and an additional view with arms pulled back is advised to better visualized anterior mediastinal compartment. |
11499862 | There are low lung volumes. This accentuates the size of the cardiac silhouette which is likely top normal. The aorta is tortuous and diffusely calcified. The pulmonary vascularity is not engorged. Patchy opacities are noted in the lung bases, which could reflect atelectasis, though aspiration or infection cannot be excluded. There is no pneumothorax. Probable small trace right pleural effusion is noted. There is no acute osseous abnormality. | 52539060 | INDICATION: New onset ascites. COMPARISON: ___. PORTABLE UPRIGHT AP VIEW OF THE | Probable small right pleural effusion. Low lung volumes with probable bibasilar atelectasis. |
11040832 | AP portable upright view of the chest. Midline sternotomy wires again noted as well as a left chest wall pacer device with leads extending into the region of the right atrium and right ventricle. A prosthetic cardiac valve is also noted. The heart remains mildly enlarged. The mediastinal contour is stable. There is no focal consolidation, large effusion or pneumothorax. No overt signs of edema. Bony structures appear intact. | 59112445 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with CP s/p mech valve and pacemaker pls eval for edema vs pna COMPARISON: ___ | Stable cardiomegaly. No overt signs of edema or pneumonia. |
11040832 | Frontal and lateral chest radiographs again demonstrate a left chest wall pacer device with leads projecting over the right atrium and ventricle, as well as multiple sternal wires, all unchanged. There is again moderate cardiomegaly, improved compared to ___. There is vascular congestion, without frank pulmonary edema. Bibasilar atelectasis, left greater than right, is also likely present. No definite focal consolidation, pleural effusion, or pneumothorax. | 56355866 | INDICATION: Evaluate for pneumonia in a patient with fatigue. COMPARISON: Chest radiographs from ___, ___, ___, ___. | Mild vascular congestion, without frank pulmonary edema. Bibasilar atelectasis, left greater than right. No definite focal consolidation. |
11812752 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58293140 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with HX UC pw fevers and RLQ x 1 day // r/o Pneumonia, TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11812752 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 58412598 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ and CT chest from ___. CLINICAL HISTORY: Palpitations and SVT. Assess pneumonia or CHF. | No acute intrathoracic process. |
11941269 | The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The inspiratory lung volumes are slightly decreased. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. | 50975104 | INDICATION: Dyspnea, here to evaluate for pneumonia. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11199111 | Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. No displaced fractures are seen. | 59823748 | INDICATION: History: ___M with left chest trauma after fall TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality. No displaced fracture identified. If there is continued concern for a rib fracture, consider a dedicated rib series. |
11527122 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Fusion of the L2 and L3 vertebral bodies is re- demonstrated. | 50766354 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and left sided back pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11527122 | The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. There are no pleural effusions or pneumothoraces. No acute osseous abnormalities are visualized. Mild levoscoliosis of the thoracolumbar spine is noted. | 57042810 | HISTORY: Asthma, pain with deep breaths, shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11527122 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Fusion of the L2 and L3 vertebral bodies is again noted. | 53247771 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough // Pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11763361 | There is moderate pulmonary edema and moderate bilateral pleural effusions, left greater than right. Slightly more dense bibasilar opacities are noted for which superimposed infection cannot be excluded. Left chest wall dual lead pacing device seen with lead tips in the right atrium and right ventricle. Heart is at least mildly enlarged although not clearly delineated given silhouetting on the left. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities. Surgical clips project over the left upper quadrant. | 53996381 | INDICATION: ___F with cough // eval for pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | Moderate pulmonary edema and bilateral, left greater than right, pleural effusions. Superimposed infection particularly at the lung bases where there is more dense opacification would be possible. |
11763361 | Cardiomegaly is mild. There is pulmonary vascular congestion and mild pulmonary edema. There is no pneumothorax probable bilateral tiny pleural effusions. Osseous structures are unremarkable. Calcifications of the aortic arch are dense. The positioning of a left pacemaker generator and leads are unchanged. | 50254554 | WET READ: ___ ___ 6:14 AM Pulmonary vascular congestion and mild pulmonary edema are improved from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with dementia, DM p/w "feeling off", poor historian, lives alone, +abdominal TTP // eval for ICH, intraabdominal infection, CHF, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Mild pulmonary edema are improved from ___. |
11528715 | Frontal and lateral radiographs of the chest were acquired. Consolidation in the left lower lobe is slightly improved compared to the prior study from ___. There is no new focal consolidation. Surgical clips are seen scattered throughout both mid-to-lower lungs. The heart is mildly enlarged, as before. There is left lateral pleural thickening and/or fluid, not significantly changed. There is no right pleural effusion. No pneumothorax is seen. | 53321346 | INDICATION: Status post left VATS pleural biopsy. Assess for interval change. COMPARISON: Chest radiograph from ___. | Improved left lower lung consolidation and unchanged pleural thickening/fluid along the lateral left lower lung. No evidence of pneumothorax. |
11528715 | Frontal and lateral views of the chest. Listen basilar opacity in again noted compatible with a small to moderate effusion. Likely underlying atelectasis seen, consolidation not excluded. The right lung remains clear. Numerous surgical clips project over the right anterior chest wall. The cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures demonstrate no acute abnormality. | 55509580 | HISTORY: ___-year-old female with shortness of breath, history of effusion. COMPARISON: ___. | Small to moderate left effusion with likely associated atelectasis noting that consolidation is not excluded. |
11528715 | Frontal and lateral views of the chest. There is complete opacification of the left hemithorax likely representing large effusion and underlying atelectasis /consolidation. The right lung is clear. Cardiomediastinal silhouette cannot be evaluated due to a large left effusion. Osseous structures are unremarkable. | 51333564 | HISTORY: ___-year-old female with pleural effusion. Evaluate for progression. COMPARISON: None listed. Correlation is made to scout films from an outside CT scan performed earlier the same day. | Complete opacification of the left hemithorax without remote prior to assess for interval change. CT scan suggested for further characterization. |
11528715 | Frontal and lateral radiographs of the chest were acquired. There is re- demonstration of surgical clips in the bilateral perihilar regions as well as within the right lower lung. If present, a chest tube is not well assessed. A moderate left pleural effusion is not significantly changed. Consolidation at the left lung base is likely related to compressive atelectasis, although concomitant infection in this region cannot be excluded. The lungs are otherwise clear. There is no right pleural effusion. No pneumothorax is seen. Mild-to-moderate enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal. Multilevel degenerative changes of the thoracolumbar spine are noted. | 52275406 | HISTORY: Shortness-of-breath with history of chest tube placement. Evaluate for pneumothorax, consolidation, atelectasis, and chest tube positioning. COMPARISON: Chest radiograph from ___. | Moderate left pleural effusion, not significantly changed. Left lower lung consolidation, likely compressive atelectasis, although infection in this area cannot be excluded. Unchanged mild-to-moderate cardiomegaly. |
11528715 | PA and lateral views of the chest provided. Tiny clips are noted in the right and left chest wall. 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. | 59015952 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with DOE, sob COMPARISON: ___ and ___. | No acute intrathoracic process. |
11528715 | The patient is status post left VAT S pleural biopsy and previous breast reconstruction surgery. Cardiomediastinal contours are normal. Lungs are clear except for focal scarring at the left base. Left pleural effusion has nearly resolved since the previous radiograph with only minimal residual fluid or thickening. . | 58202391 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with L posterior back pain // Please evalute for parenchymal or pleural abnormalities COMPARISON: ___ | Near resolution of left pleural effusions since ___ with small amount of residual pleural thickening or fluid. No evidence of pneumonia. |
11528715 | The previously large left pleural effusion has significantly decreased and is now moderate in size. The right lung and left upper lung are well aerated and clear. Dense opacity continues to overlie the left lower lung representing a combination of pleural effusion and atelectasis. The mediastinal silhouette and hilar contours appear normal. The left cardiac contour remains incompletely evaluated due to overlying opacity. A left pigtail catheter terminates in the inferior hemithorax, and there is no evidence of apical pneumothorax. Surgical clips in the right chest wall may be due to prior breast sugery. | 56381584 | INDICATION: Large left pleural effusion, status post chest tube placement. Rule out pneumothorax and assess tube position. COMPARISON: Chest radiograph ___. TECHNIQUE: Portable AP radiographs of the chest. | New left chest tube has resulted in decrease in large pleural effusion, now moderate in size. |
11528715 | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are again seen overlying the lower right hemi thorax. | 53563911 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11794503 | The lungs are well expanded and clear. There is a trace left pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is unremarkable. | 50867699 | INDICATION: History: ___M with chest pain // presence of ptx, infiltrate TECHNIQUE: PA and lateral images of the chest. COMPARISON: None. | Trace left pleural effusion. |
11417954 | Patchy left mid to lower lung opacities are worrisome for lingular M possible left lower lobe pneumonia. Subtle right mid lung opacity is also seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53201089 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with report of PNA w/ chest pain, dyspnea // ? acute cardiopulm process, ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Left mid to lower lung opacities, involving the lingula and left lower lobe, are worrisome for pneumonia. Subtle focal opacity in the right mid lung raises concern for additional site of infection. |
11417954 | There is mild enlargement of the cardiac silhouette. The mediastinal silhouettes are within normal limits. The hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 57639959 | WET READ: ___ ___ ___ 4:05 AM 1. No acute cardiopulmonary process. No focal lung consolidation. 2. Probable mild enlargement of the cardiac silhouette. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman brought in after witness seizure. History of seizures in remote past, please evaluate for consolidation ( part of infx w/u for precipitating event for seizure). TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. No focal lung consolidation. mild enlargement of the cardiac silhouette. |
11818505 | The heart is at the upper limits of normal size. There is similar slight unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are noted along the lower thoracic spine. | 59579250 | CHEST RADIOGRAPHS HISTORY: Altered mental status and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11185313 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Calcified pleural plaques are again noted bilaterally compatible with prior asbestos exposure. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55279910 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness and near syncopal episodes TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. Calcified pleural plaques bilaterally compatible with prior asbestos exposure. |
11185313 | 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. There is an old left rib deformity again noted. No free air below the right hemidiaphragm is seen. | 53511960 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with syncope // evaluate for ACS COMPARISON: Prior study from ___ | No acute intrathoracic process. |
11121324 | There are low inspiratory volumes. Allowing for technical differences, there is no definite change compared with ___. Again seen is the right central line with tip over cavoatrial junction. No pneumothorax is detected. The cardiomediastinal silhouette is not appreciably changed. Upper zone redistribution is likely accentuated by low inspiratory volumes. No CHF. Small left effusion and left lower lobe collapse and/or consolidation is again noted. Minimal patchy opacity in right cardiophrenic region is not significantly changed. The right lung and costophrenic sulcus remain grossly clear . | 50352691 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with lymphoma now short of breath // evaluate for cause of dyspnea COMPARISON: Chest x-ray from ___ | Left lower lobe collapse and/or consolidation and small left effusion. Minimal atelectasis right cardiophrenic region. |
11121324 | Since the prior study, the central venous line has been removed. The lungs are mildly underinflated and there is a heterogeneous right lower lobe opacity which could represent early developing infection or atelectasis. The cardiomediastinal silhouette is normal and there is no pleural effusion, or pneumothorax. | 55725116 | WET READ: ___ ___ 6:52 PM Heterogeneous right lower lobe opacity could represent early developing infection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever and neutropenia. Evaluate for pneumonia TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___ | Heterogeneous right lower lobe opacity could represent early developing infection or atelectasis. |
11245423 | Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are within normal limits. The lungs are clear with the exception of likely right greater than left basilar subsegmental volume loss. There is no large effusion, vascular congestion, or pneumothorax. Displaced distal right clavicular injury is likely chronic, with evidence of healing. | 57210186 | INDICATION: ___-year-old female with neck pain and history of clavicle pathology. Question acute cardiopulmonary process. COMPARISON: Subsequent CT neck. | Likely subsegmental atelectasis in the right greater than left base. No definite acute cardiopulmonary process. Displaced distal right clavicular fracture versus separation, chronic. |
11613512 | Lungs are grossly clear. There is tenting of the right hemidiaphragm. The heart size is normal. The aorta is tortuous. No pneumothorax. | 50481572 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with incarcerated hernia // Pre-op - r/o occult process TECHNIQUE: Chest AP and lateral COMPARISON: None | No definite acute cardiopulmonary process. |
11008298 | There is blunting of the costophrenic angles consistent with small bilateral pleural effusions. There is mild interstitial edema. The cardiac silhouette is enlarged. The patient is status post median sternotomy. A central large bore venous catheter is seen on the left which terminates at the cavoatrial junction/proximal right atrium. No pneumothorax is seen. | 53682842 | HISTORY: Weakness. MRN in PACS is ___ TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Small bilateral pleural effusions and interstitial edema. Enlarged cardiac silhouette. Bibasilar opacities likely represent combination of edema and pleural effusions, however, infectious process or aspiration not excluded in the appropriate clinical setting. |
11008298 | Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. There may be very minimal central pulmonary vascular engorgement without overt pulmonary edema. No pleural effusion or pneumothorax is seen. | 56476826 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Worsening renal failure and uremia. COMPARISON: None. | Possible minimal central pulmonary vascular engorgement without overt pulmonary edema. Mild cardiomegaly. |
11300563 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Bronchial wall thickening is noted. The cardiomediastinal silhouette is within normal limits. | 59951930 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with leukocytosis, somnolence // evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Mild bronchial wall thickening due to bronchitis, asthma, or early viral pneumonia, although no lobar consolidation is identified. |
11223126 | The thoracic aorta is tortuous. Otherwise, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. | 59531949 | INDICATION: ___F with chest pain, evaluate for pneumothorax, pleural effusion. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
11408283 | Heart size is mildly enlarged with a left ventricular predominance. The aorta is tortuous. The mediastinal and hilar contours otherwise are unchanged, with a small hiatal hernia noted. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is mild retrolisthesis at the thoracolumbar junction, unchanged, likely T12 on L1 and L1 on L2. Mild loss of height of a mid thoracic vertebral body is also stable. The lungs are hyperinflated compatible with underlying COPD. | 50274325 | HISTORY: Dyspnea, left lower lung crackles. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11369104 | Frontal and lateral radiographs of the chest. Right upper lobe parenchymal abnormality is again noted, identified as scarring on a CT from ___. Otherwise, there is no other focal area of opacity concerning for pneumonia. The lungs are hyperexpanded with a flattened diaphragm. The cardiac and mediastinal contours are within normal limits. No pleural abnormality is detected. | 58626908 | HISTORY: Relapsing polychondritis and recurrent bronchitis with persistent cough for several weeks. Evaluate for pneumonia. COMPARISON: ___. | Chronic right upper lobe parenchymal scarring with no evidence of acute infection. |
11369104 | The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Hazy ill-defined opacity in the left lung base may reflect pneumonia. Persistent branching opacity within the right upper lobe again may reflect bronchiectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified. | 58795001 | HISTORY: COPD, fever, myalgia, cough, abnormal lung sounds. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and chest CT ___. | Hazy ill-defined opacity in the left lung base is concerning for infection. Persistent branching tubular opacity in the right upper lobe, likely reflective of bronchiectasis. |
11781233 | Please note the lateral aspect of the lower chest wall was excluded from view. Ill-defined opacity is again noted at the right lower lung similar to the prior exam. There is slightly better definition of the left hemidiaphragm relative to the prior exam. A nodular density projects in the left upper lung between the posterior aspects of the left fifth and sixth ribs. There is no focal consolidation. Aortic tortuosity with calcified plaque throughout is again seen. There are prominent bilateral pulmonary arteries. The cardiac silhouette remains enlarged. No pneumothorax is seen. There are no definite displaced fractures evident. Calcifications are again seen in the right axilla. | 53579033 | AP PORTABLE CHEST, ___ AT ___ HOURS HISTORY: Trauma from fall. COMPARISON: ___. | There is presumably a layering pleural effusion at the right lung base. The left lower lung zone is better aerated than on the prior study. There is cephalized flow of the vascular distribution, however that is likely due to recumbency. |
11772057 | There are coarse interstitial markings bilaterally with bibasilar fibrosis likely representing chronic interstitial lung disease. This opacification is slightly asymmetrically increased at the left base, which may represent asymmetric fibrosis, however an underlying pneumonia cannot be excluded. There is biapical pleural parenchymal scarring. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57459448 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with vomiting, lightheadedness, diaphoresis, now resolved TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Coarse interstitial markings bilaterally with bibasilar fibrosis, likely reflecting chronic interstitial lung disease. Asymmetric opacification at the left base may represent asymmetric fibrosis, however an underlying pneumonia cannot be excluded. |
11133122 | The heart is upper limits normal in size. There are hazy areas of increased opacity at both bases. It is unclear if this is due to volume loss or early infiltrates. There is mild pulmonary vascular re-distribution, but no overt pulmonary edema. | 56017085 | CHEST ON ___ HISTORY: MI with increased white count. REFERENCE EXAM: ___. | Volume loss/infiltrate in the lower lobes. |
11855285 | Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Severe enlargement of the cardiac silhouette is present, and the aorta is tortuous. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is clearly identified. No acute osseous abnormality is detected. | 56573586 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with productive cough and fever TECHNIQUE: Upright AP view of the chest COMPARISON: None. | Severe cardiomegaly. No radiographic evidence for pneumonia. |
11855285 | Left pectoral pacemaker and its 2 leads are in unchanged positions. There is no consolidation, pneumothorax, or pleural effusion. Severely enlarged cardiac silhouette is similar to before. | 52892936 | INDICATION: History: ___M with oral bleed, possible aspiration. // PNA? Aspiration? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No radiographic evidence of pneumonia. |
11817597 | PA and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Relative to prior study dated ___, cardiomediastinal and hilar contours are stable in appearance, within normal limits. There is no pneumothorax or pleural effusion. Blunting of the left costophrenic angle is thought likely secondary to atelectasis. No acute osseous abnormality is detected. | 53974415 | INDICATION: ___-year-old male with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___. | Mild basilar atelectasis with no focal consolidation convincing for pneumonia. |
11776535 | An enteric tube terminates in the proximal stomach. The tip overlies the upper most portion of the stomach. No free air seen beneath the diaphragm. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities are identified. | 51858925 | EXAMINATION: Chest radiograph INDICATION: History: ___M with SBO and NGT placed // eval for ngt TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ | New enteric tube terminates in the proximal stomach. The tip overlies the upper most portion of the stomach. s |
11384537 | There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable. There is no pulmonary edema. | 58248515 | HISTORY: Cough and chills. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. FRONTAL AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11384537 | The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen. | 51956392 | HISTORY: Left-sided chest and shoulder pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11981312 | PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits. | 52996478 | INDICATION: Left-sided chest pain. Evaluation for pneumothorax. COMPARISON: None. | No acute cardiopulmonary process. |
11041930 | PA and lateral views of the chest were reviewed and compared to the prior studies. Normal lungs, heart, pleural and mediastinal surfaces. Orthopedic anchors in the right humeral head are noted. | 52201290 | INDICATION: Productive cough, fevers and arthralgias. COMPARISON: Multiple chest radiographs, the most recent of ___. | No radiographic evidence of pneumonia. |
11646481 | PA and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity. The bony structures appear intact. | 52598174 | HISTORY: ___-year-old female with right-sided rib pain. Evaluation for pneumothorax. COMPARISON: None available. | No acute cardiopulmonary process. |
11282384 | The heart size is mildly enlarged. The aortic knob is calcified. Mediastinal contours are unchanged, with mild pulmonary edema noted. Small bilateral pleural effusions, left greater than right are present, with bibasilar airspace opacities most pronounced in the retrocardiac region, possibly reflecting atelectasis. Infection however is not excluded. There is no pneumothorax. Central venous catheter tip courses cephalad from the IVC, and terminates in the right atrium. | 50084040 | HISTORY: Productive cough for 5 days. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild pulmonary edema with small bilateral pleural effusions. Bibasilar airspace opacities could reflect atelectasis though infection is not excluded. |
11282384 | A large-bore dual-lumen catheter from an inferior approach is in unchanged position terminating near the inferior cavoatrial junction. There are bibasilar opacities and blunting of the bilateral costophrenic angles suggestive of small effusions and atelectasis. Upper lungs are clear. There is no pneumothorax. No pulmonary edema is identified. Mediastinal and hilar contours are within normal limits. Mild cardiomegaly is unchanged. The patient's AV graft projects over her right upper arm. | 58650977 | HISTORY: ___-year-old female with confusion. COMPARISON: Chest radiograph from ___ PORTABLE FRONTAL CHEST | Probable bibasilar atelectasis and small effusions |
11282384 | The heart is mildly enlarged. A dialysis catheter, entering via the inferior vena cava, terminates in the mid upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. The minor fissure is somewhat more thickened, and increased interstitial abnormality and prominence of pulmonary vascularity suggests mild fluid overload. There is no pneumothorax. No focal opacity indicates pneumonia. A small pleural effusion is suspected on the right side. | 51488876 | CHEST RADIOGRAPHS HISTORY: Right lower quadrant tenderness and shortness of breath. Patient on dialysis. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral. | Findings suggesting mild fluid overload. |
11282384 | There are small bilateral pleural effusions with overlying atelectasis. There is interval development of diffuse increase in interstitial markings bilaterally and prominence of the hila suggesting fluid overload, new since the prior study earlier today. The cardiac and mediastinal silhouettes are stable. A large bore catheter from an inferior approach is again seen unchanged in position terminating at the inferior cavoatrial junction/right atrium. | 54382303 | HISTORY: Confusion. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ at 14:___. | Small bilateral pleural effusion with overlying atelectasis. Interval development of increased interstitial markings bilaterally and slight increase in prominence of the hila suggest fluid overload. |
11555562 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | 54336193 | HISTORY: Dizziness. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11555562 | The cardiac, mediastinal, and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. | 57526175 | INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. |
11795480 | Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable. | 53962176 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with chest pain, abn ekg // ? chf TECHNIQUE: Single frontal view of the chest COMPARISON: None | No acute cardiopulmonary process. |
11910565 | Frontal and lateral chest radiographs demonstrate clear lungs without focal consolidation and a normal cardiomediastinal silhouette. There is no pneumothorax or pleural effusion. There is a minimal anterior wedge compression deformity of a mid thoracic vertebral body, of indeterminate chronicity given the lack of prior exams available for comparison. | 50774851 | INDICATION: Shortness of breath. Evaluate for pneumonia. COMPARISON: None available. | No acute cardiopulmonary process. Minimal anterior wedge compression deformity of a mid-thoracic vertebral body, of indeterminate chronicity. |
11910565 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Stable anterior wedge compression deformity of a mid thoracic vertebral body. No free air below the right hemidiaphragm is seen. | 50815487 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with second episode of exertional shortness of breath. // please eval for pulm edema, evidence of COPD COMPARISON: There is ___ | No acute intrathoracic process. |
11109427 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified. | 52216681 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest discomfort. COMPARISON: None. | No acute cardiopulmonary process. If clinical concern for hiatal hernia or mass, CT is more sensitive. |
11918306 | Lung volumes are low, with crowding of bronchovascular markings. No focal consolidation. Mild prominence of the hila. Heart size is top normal. Mild acromioclavicular arthropathy. | 56687464 | INDICATION: Right chest pain. No prior examinations for comparison. CHEST, PA AND | No pneumonia. Please see subsequent chest CT. |
11852730 | 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. | 52751722 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with L5 S1 disc bulge who will be going for discectomy- preop chest COMPARISON: None | No acute intrathoracic process. |
11681397 | The cardiac silhouette is normal in size. There is tortuosity of the descending aorta. The hilar and mediastinal contours are otherwise within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 56965300 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with chest pain // acut eprocess TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11094943 | A frontal upright view of the chest was obtained portably. The right pleural effusion is still large, but decreased compared to the prior study with improvement in leftward shift of mediastinal structures. Adjacent opacity is likely due to atelectasis. The left lung is clear. No pneumothorax. A right Port-A-Cath is unchanged in position. | 52271767 | HISTORY: Malignant right pleural effusion status post thoracentesis. Evaluate for pneumothorax. COMPARISON: Chest radiographs ___ at 9:42 a.m.. | No pneumothorax. Decreased right pleural effusion, still large. |
11094943 | There is no significant interval change compared to ___ with persistent residual small right pleural effusion with adjacent atelectasis and unchanged location of right pleural drainage catheter and right infusion port. There is no pneumothorax. | 56864524 | INDICATION: Right effusion status post pigtail catheter placement, assess effusion. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph. | No significant change compared to ___ with persistent small residual right effusion and adjacent atelectasis with unchanged position of pleural drainage catheter. |
11094943 | Frontal and lateral views of the chest were obtained. A large right layering pleural effusion has significantly increased since ___. There is adjacent atelectasis. The left lung is clear without effusion. No pneumothorax. A right Port-A-Cath ends in the lower SVC. The heart is difficult to evaluate given the pleural fluid, but there is mild leftward shift of mediastinal structures. There has been interval removal of the right chest tube. | 52027163 | HISTORY: Pleural effusion. COMPARISON: Chest radiographs ___ through ___. | Reaccumulation of large right pleural effusion with mild leftward mediastinal shift. The patient has an appointment with Dr. ___ ___ the study. |
11094943 | A right pleurx catheter and right port-a-cath appear in place. There has been an interval decrease in right sided pleural effusion with improved aeration of the right lung base. There is a slight apical lucency which may be representative of a tiny right apical pneumothorax. There is no shift of the midline structures. The lungs are without a focal consolidation. Cardiac silhouette appears unchanged. | 51043959 | HISTORY: Status post right Pleurx catheter placement. COMPARISON: Multiple prior studies with most recent chest radiograph from same day at 11:09. | Interval decrease in right-sided pleural effusion with improved aeration of the right lung base. Tiny right apical lucency may be representative of a tiny right apical pneumothorax. Continued followup is recommended. These findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 3:14 pm on ___, the same time as discovery. |
11252257 | The heart size remains moderately enlarged, but unchanged. The mediastinal and hilar contours are stable. Mild interstitial pulmonary edema persists with small bilateral pleural effusions, new in the interval. No focal consolidation or pneumothorax is demonstrated. No acute osseous abnormalities are visualized. There are mild degenerative changes in the thoracic spine. | 54883998 | HISTORY: Chills, altered mental status, on prednisone and Rituximab with mild cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Mild interstitial pulmonary edema with small bilateral pleural effusions, the latter of which is new. Follow up radiographs after diuresis are recommended to exclude an atypical infection. |
11252257 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. There is now moderate cardiac enlargement which has increased in comparison with the previous study where the heart was deemed to be slightly enlarged. The present configuration demonstrates a prominence of the left ventricular contour to the left and posteriorly, and there is also evidence of some moderate left atrial enlargement. The thoracic aorta is moderately widened and elongated but does not demonstrate any local new contour abnormality. The pulmonary vasculature demonstrates an upper zone re-distribution pattern and in addition increased interstitial markings are noted at the lung bases, most likely representing interstitial edema. The pleural sinuses, however, remain free from any significant fluid accumulation, and there is no evidence of new discrete pulmonary parenchymal infiltrates. No evidence of pneumothorax exists in the apical area. On the lateral view, there is no conclusive evidence for intracardiac valve calcifications; however, close to the expected aortic root, there are some semi-linear calcifications apparently located in the most proximal aortic wall. There is no evidence or suspicion for any acute pulmonary mass lesion. | 54737551 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with rapidly progressive glomerulonephritis, possible vasculitis as a cause. Has some crackles on examination which may be due to pulmonary edema but renal failure versus form of vasculitis? Is there pulmonary edema or evidence of mass? | Increasing heart size with prominence of left ventricular contour and increasing chronic pulmonary venous congestion with interstitial edema. These changes have clearly progressed since the next preceding examination of ___. Possibility of cardiogenic cause of increasing pulmonary vascular congestion could be considered. A renewed echocardiogram may be of value. |
11218241 | There are moderately low lung volumes bilaterally. Lungs are clear. There is no pneumothorax or pleural effusion. The heart is top normal in size which is somewhat accentuated by low lung volumes. Otherwise, cardiomediastinal silhouette is within normal limits. Hila are within normal limits. The pleural surfaces are unremarkable. | 50419844 | INDICATION: ___-year-old female with chest discomfort and chest wall pain x ___ year. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No evidence of infection or malignancy. No osseous abnormalities observed. |
11218241 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is seen. | 53579361 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Left shoulder pain for one month and intermittent central chest pain for one year. COMPARISON: ___. | No acute cardiopulmonary process. |
11054411 | The lungs are well expanded. Bibasilar ill-defined opacities are present, more conspicuous in the right lower lung in a paramediastinal location, with mild peribronchovascular thickening in these areas. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are grossly unremarkable, allowing for slight high positioning of the aortic knob, unchanged, and probable scattered atherosclerotic calcification. Note is made of an old healed left posterior rib fracture and ? old healed right ___ rib fx. No obvious acute rib fxs detected on these lung technique films. A right-sided IJ line ends in the right atrium, approximately 5 cm below the cavoatrial junction. | 57222918 | INDICATION: Severe pancreatitis and chest pain. Evaluate for pleural effusion. COMPARISON: None available. TECHNIQUE: Portable upright chest radiograph. | Bibasilar opacities, right worse than left, suggestive of pneumonia versus aspiration. IJ line ends in the right atrium. Withdrawal of approximately 5 cm is recommended for placement in the lower superior vena cava. No gross pleural effusion identified. A small effusion might not be apparent on this view. |
11445234 | PA and lateral views of the chest were provided. Lung volumes are low. There is a moderate left pleural effusion with associated left lower lobe consolidation which could represent atelectasis and/or pneumonia. Right lung appears clear. Overall cardiomediastinal silhouette appears stable. Imaged osseous structures are intact. | 55892153 | HISTORY: ___-year-old man with shortness of breath. COMPARISON: ___. | Moderate left effusion with left lower lobe consolidation, may represent atelectasis and or pneumonia. |
11754440 | Subtle left base opacity could be due to atelectasis, but pneumonia is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 50492800 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough since ___ with pus like sputum. // cough since ___ TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle left base opacity could be due to atelectasis, but pneumonia is not excluded in the appropriate clinical setting. |
11522185 | Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized. Degenerative changes at the thoracolumbar junction are noted. | 53707074 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hemoptysis TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph ___ CT chest | No acute cardiopulmonary abnormality. |
11762260 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 59551940 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea // eval heart and lungs COMPARISON: CT chest from ___. | Borderline cardiomegaly otherwise unremarkable. |
11613819 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54085496 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with right wrist pain and left chest wall pain after trauma TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11223186 | The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded. Again seen is an irregular increased density along the right lateral lower chest, consistent with calcified pleural plaques, seen on prior chest CT. Two new areas in the right upper lung. On the lateral view there is correlate of opacity projecting over the right upper lobe making the suspicious for parenchymal opacity. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 50389691 | WET READ: ___ ___ 11:20 PM Opacities projecting over the right lung secondary to known pleural plaques. There are however new regions of opacity projecting over the right upper lobe which are suspicious for superimposed infection. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. . INDICATION: ___F with cough and fever. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. Chest CT ___. | Opacities projecting over the right lung secondary to known pleural plaques. There are however new regions of opacity projecting over the right upper lobe which are suspicious for superimposed infection. |
11223186 | Again, there is elevation of the right hemidiaphragm and chronic change noted at the right mid to lower hemi thorax, with pleural calcification, better seen on recent prior CT from ___. Subtle patchy opacity at the lateral left lung base may be due to overlap of structures although a small focus of consolidation is difficult to exclude. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 58204460 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough, recent pna // worsening pna? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle patchy opacity at the lateral left lung base on the AP view may be due to overlap of structures although small focus of consolidation is difficult to exclude. Please note that no evidence of lobar pneumonia was seen on chest CT from ___. Chronic change at the right mid to lower hemi thorax. |
11223186 | PA and lateral views of the chest provided. Ill-defined opacities involving predominantly the right lower lobe are unchanged from ___ and likely represent calcified pleural plaques seen on CT abdomen and pelvis ___. There an opacity overlying the superior segment of the right lower lobe which is unchanged from ___ and may represent an infectious process. A distended azgyous vein is again seen. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no acute osseous abnormality. There is no free air under the hemidiaphragms. | 51430825 | WET READ: ___ ___ ___ 12:47 AM Ill-defined opacities predominantly involving the right lower lobe, with a similar appearance seen on chest radiograph ___, is compatible with pneumonia in the right clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with malaise, recent PNA // ? acute cardiopuml process COMPARISON: Chest radiograph ___ CT abdomen and pelvis ___. | Irregular right lower lobe opacities are unchanged from ___ chest radiograph and likely correlate to calcified pleural plaques seen on CT abdomen and pelvis ___. Opacity overlying the superior segment of the right lower lobe which is unchanged from ___ and could represent an infectious process. |
11223186 | Heart size remains mildly enlarged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Right-sided calcified pleural plaques again may reflect the sequela of prior infection or hemothorax, unchanged, and somewhat limits assessment of the underlying pulmonary parenchyma. Streaky right basilar opacity could reflect atelectasis. Small right pleural effusion is new in the interval with fluid noted in the minor fissure. No pneumothorax is identified. There are no acute osseous abnormalities. | 52513400 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | Assessment of the right lung parenchyma is limited by the presence of calcified pleural plaques, as seen previously, and may be the sequela prior infection or hemothorax. Streaky right basilar opacity could reflect atelectasis but infection is not excluded. Small right pleural effusion. |
11223186 | AP upright and lateral views of the chest provided. Patient has calcified pleural plaque along the right lower hemi thorax which accounts for the triangular opacity noted. The heart is mildly enlarged. Hila appear congested. There may be mild interstitial edema. No convincing signs of pneumonia. No large effusion or pneumothorax. Bony structures appear grossly intact. | 57138364 | EXAMINATION: CHEST (AP upright AND LAT) INDICATION: ___F with n/v/d, f/c, renal transplant/immunosuppressed // r/o infiltrate COMPARISON: Prior study performed earlier today. CT chest from ___. | Cardiomegaly with mild edema. Calcified pleural plaque projects over the right lower chest. |
11223186 | There is increased opacity projecting over the right lower lung which is more clear on the frontal exam than on the lateral. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 51988037 | WET READ: ___ ___ 11:36 PM Focal opacity in the right lower lung which is better appreciated on the frontal view than on the lateral. This raises the possibility of component of atelectasis however infection would certainly be possible. Repeat exam either with better inspiratory effort or after treatment suggested to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with productive cough // ?PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | Focal opacity in the right lower lung which is better appreciated on the frontal view than on the lateral which raises the possibility of atelectasis however infection would certainly be possible. |
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