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11238847 | 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. | 52699058 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F from ___ presents with subacute cough and dyspnea gradually worsening for the past ___ months TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11756261 | Frontal and lateral chest radiographs were obtained. Areas of atelectasis are seen in both lung bases. No evidence of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette remains stable. The osseous structures appear grossly intact. Degenerative changes are again visualized throughout the thoracic spine. No free air is noted below diaphragm. | 54083194 | INDICATION: Evaluation of patient with history of left lower lobe pneumonia, abdominal pain. COMPARISON: CT abdomen and pelvis from ___ and chest radiograph from ___. | Bibasilar atelectasis. No free air under the diaphragms. |
11703156 | Unchanged positioning of the right internal jugular line tip at the mid SVC. Compared to the prior study, interval enlargement of the cardiac silhouette is new, along with a new pericardial effusion. A new left lower lobe opacity is concerning for atelectasis or pneumonia. Small bilateral effusions are new since the prior study. No evidence of pneumothorax. | 56224423 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/ PCKD s/p DDRT ___, now w/ increasingly symptomatic polycystic kidneys, now s/p open bilateral nephrectomies ___. Evaluate for CHF. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___, ___, and ___. | Enlargement of the cardiac silhouette is due to a new pericardial effusion. New left lower lobe opacity is concerning for atelectasis or pneumonia. Small bilateral effusions are new. |
11885151 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change. | 57508564 | CHEST RADIOGRAPHS HISTORY: Chest pain and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11098660 | PA and lateral views of the chest demonstrate moderate cardiomegaly, unchanged. Patient is status post median sternotomy and aortic valve replacement. Minimal right basal atelectasis is again noted. No pleural effusion, focal consolidation or pneumothorax is demonstrated. No evidence of pulmonary edema. | 51588595 | HISTORY: ___-year-old man with shortness of breath. COMPARISON: ___. | Cardiomegaly. No evidence of pneumonia. |
11098660 | Frontal and lateral chest radiographs demonstrate stable cardiomegaly. Mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax identified. Sternotomy sutures are in place. Prosthetic aortic valve is visualized. No osseous abnormality evident. | 54432933 | INDICATION: Worsening dyspnea on exertion for six weeks despite increasing lasix, evaluate for acute process. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___. | No acute intrathoracic process. |
11098660 | There is a right-sided PICC line which terminates within the brachiocephalic vein. The heart size continues to be at the upper limits of normal. The patient is status post median sternotomy and mitral valve replacement. There is mild vascular congestion and small bilateral pleural effusions, right greater the left. | 58252225 | INDICATION: ___ year old man with status post Bental // eval picc placement TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___, ___, ___ and ___. | Right PICC terminates at the brachiocephalic vein. |
11098660 | Prosthetic aortic valve is in place. Median sternotomy wires appear intact. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lung volumes are slightly low but there is no focal airspace opacity to suggest pneumonia. There is no frank pulmonary edema. | 54087370 | EXAMINATION: PORTABLE CHEST INDICATION: ___ year old man with worsening symptoms of SOB, cough, volume overload // Evidence of pulmonary edema? TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs from ___, ___, ___ and ___. | Stable moderate cardiomegaly without frank pulmonary edema and no evidence of pneumonia. |
11098660 | Moderate to severe cardiomegaly is unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. Sternotomy wires and mediastinal clips are stable. | 59312206 | INDICATION: History: ___M with dypsnea // acute cardiopulm disease TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___. | Stable moderate to severe cardiomegaly. Otherwise unremarkable. |
11098660 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion or pneumothorax. Patient is status post median sternotomy. There is no evidence of pulmonary edema. Cardiomediastinal and hilar contours appear within normal limits. Aortic valve replacement again seen. Right PICC is no longer visualized. Osseous structures are without an acute abnormality. | 56918507 | INDICATION: ___-year-old male with elevated blood glucose. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___. | No acute intrathoracic abnormality. |
11098660 | The patient is status post median sternotomy and aortic valve replacement. Moderate cardiomegaly is re- demonstrated. Mediastinal and hilar contours are normal. There is no pulmonary vascular congestion. Minimal right basilar atelectasis is seen. No pleural effusion, focal consolidation or pneumothorax is demonstrated. | 56046014 | HISTORY: Change in the Lasix. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Unchanged cardiomegaly without evidence of congestive heart failure. Mild right basilar atelectasis. |
11098660 | Endotracheal tube and Swan ganz were placed, the latter has the tip in the outflow tract The alignment of the sternotomy wires is unchanged. Heart appears bigger, with increased perihilar vascular drawings for vascular congestion. There is pleural effusion on the left side. No signs of pneumothorax IMPRESSION | 57595015 | HISTORY: ___-year-old man with A/V endocarditis, story of paravalvular leak, closure today for AV dehiscence. New clinical symptoms with HTN and desaturation. Pulmonary edema? TECHNIQUE: Chest x-ray in 2 projections. COMPARISON: exam is compared with ___. | There is an increased vascular congestion along with pleural effusion on the left side. Positioning of monitoring device |
11098660 | There has been interval removal of an ET tube. The Swan-___ catheter is in appropriate position with the tip in the outflow tract. There is stable mild-to-moderate cardiomegaly with pulmonary vascular congestion and mild pulmonary edema. There appears to be a more crowded appearance to the bronchopulmonary vasculature compared to the prior exam, likely secondary to poor inspiratory effort. There is no pneumothorax. No large pleural effusion is seen. Note is made of a prosthetic aortic valve and median sternotomy wires. | 55506538 | INDICATION: History of fevers and shortness of breath. Please evaluate for an intrathoracic process. COMPARISON: Multiple chest radiographs dated back to ___ as well as CTA chest from ___. TECHNIQUE: Single AP portable exam of the chest. | Mild bilateral pulmonary edema. There appears to be a more crowded appearance to the bronchopulmonary vasculature compared to the prior exam, likely secondary to a poor inspiratory effort. |
11098660 | Frontal and lateral views of the chest. There has been no significant interval change. Again seen is mild pulmonary vascular congestion with a without frank pulmonary edema or pulmonary pleural effusion. Cardiac silhouette is moderately enlarged similar to prior. Prosthetic aortic valve and median sternotomy wires are again noted. | 58761163 | HISTORY: ___-year-old male with shortness of breath. COMPARISON: ___. | Mild pulmonary vascular congestion without frank pulmonary edema. |
11098660 | The patient is status post aortic valve replacement. The heart is mild to moderately enlarged. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. | 56858976 | CHEST RADIOGRAPHS HISTORY: Chest pain and dyspnea. History of congestive heart failure. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11098660 | Two PA and 1 lateral chest radiograph were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Median sternotomy wires and aortic valve replacement are intact. Mild cardiomegaly is stable. | 52749837 | HISTORY: Right pleural effusion COMPARISON: Chest radiograph ___ through ___. | Resolution of right pleural effusion. No acute cardiopulmonary process. |
11098660 | 2 views were obtained of the chest. The lungs are well expanded and clear with mild vascular congestion without overt pulmonary edema. The heart remains moderately enlarged with sternotomy wires and aortic valvular prosthesis is noted. There is no pleural effusion or pneumothorax. | 53551215 | HISTORY: Aortic valve replacement with shortness of breath likely secondary to CHF. COMPARISON: ___. | Mild vascular congestion without overt pulmonary edema. |
11098660 | Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and aortic valve replacement. There is very minimal interstitial edema. No focal consolidation or pleural effusion is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. Mediastinal contours are stable. | 53709780 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: AVR and recent history of shortness of breath. COMPARISON: ___. | Minimal interstitial edema. Persistent mild cardiomegaly. |
11098660 | Right internal jugular central venous catheter terminates in the upper SVC. Median sternotomy wires appear intact. Pleural drains have been removed. Lung volumes remain low with bibasilar atelectasis. Moderate cardiomegaly is unchanged. Faint lucency along the left heart border is diminishing, likely reflecting resolving pneumopericardium. Mild interstitial pulmonary edema is improved. There is no large pleural effusion or pneumothorax. | 58411833 | INDICATION: ___ year old man with s/p redo, AVR, Asc. aorta-- CTs d/c'd // evaluate for pneumothorax TECHNIQUE: Portable AP chest COMPARISON: Chest radiographs ___ and ___. | Stable mild cardiomegaly with mild improved interstitial pulmonary edema. No pneumothorax.Resolving pneumopericardium. |
11098660 | Portable semi upright AP chest radiograph shows tip of the into tracheal tube 5 cm above the chronic, and no change in positioning of the Swan-Ganz catheter, mediastinal catheter and nasogastric tube. The left hemidiaphragm remains obscured and left basilar consolidation appears denser but lucency paralleling the heart on the earlier study is less pronounced suggesting decreasing pneumopericardium. | 50841392 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with as above // s/p redo AVR/ascending aorta replacement w/dropping HCT r/o effusion TECHNIQUE: Plain film COMPARISON: ___ at ___ 26 | Increasing left basilar consolidation/ atelectasis and decreasing pneumopericardium |
11242275 | Portable AP upright chest radiograph obtained. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No signs of CHF or pulmonary edema. Bony structures are intact. | 54910313 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest CT from ___. CLINICAL HISTORY: Positive stress test, shortness of breath, question acute intrathoracic process. | No acute findings in the chest. |
11958032 | The lungs are well expanded, without focal opacities. A triangular opacity obscuring the right cardiophrenic angle is compatible with a prominent epicardial fat pad, confirmed on the lateral view. Otherwise, cardiomediastinal and hilar contours are unremarkable. The sternotomy wires and mediastinal clips are likely from prior cardiothoracic surgery. There is no pleural effusion or pneumothorax. | 50414220 | INDICATION: ___-year-old male with chest pain and shortness of breath. Evaluate for evidence of pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No evidence of acute cardiopulmonary process. |
11958032 | The lungs are well expanded. Triangular opacity in the right lower lung is unchanged from ___, likely due to prior wedge resection and epicardial fat pad. No evidence pneumonia or pulmonary edema. Postoperative mediastinum is stable from ___. No pneumothorax or pleural effusion. | 50704809 | INDICATION: ___M with cough, sputum, dyspnea, mild chest pressure // ? acute cardipulm process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11958032 | The patient is status post coronary artery bypass graft surgery. The chest is hyperinflated. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 50919806 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral. | No evidence of acute disease. Hyperinflation. Prior CABG. |
11958032 | The patient is status post median sternotomy and prior CABG. There is no focal consolidation concerning for pneumonia. A triangular opacity obscuring the right cardiophrenic angle is unchanged from the prior study, compatible with a prominent epicardial fat pad. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. | 53169502 | INDICATION: Dyspnea on exertion, here to evaluate for acute cardiopulmonary process. COMPARISON: ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11958032 | Again seen are multiple median sternotomy wires and mediastinal surgical clips. The cardiomediastinal silhouettes are stable. The bilateral hila are unremarkable. A right cardiophrenic angle triangular opacity and volume loss involving the right lower lung is likely due to a combination of a prominent epicardial fat pad and prior lung resection. There is no focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 58383726 | WET READ: ___ ___ 11:01 AM No acute cardiopulmonary process. Stable chest x-ray. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: A ___-year-old man with cough and fever, evaluate for pneumonia. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: Chest x-ray ___. | No acute cardiopulmonary process. Stable chest x-ray. |
11022796 | PA and lateral views of the chest were reviewed. Lung volumes are low, otherwise the lungs are clear without evidence of vascular congestion, pleural effusion, or pneumothorax. The aorta is tortuous. Considering low lung volumes, the heart size is normal. There are no concerning osseous or soft tissue lesions. | 59118542 | INDICATION: Cough and fever. COMPARISON: None. | No radiographic evidence of pneumonia. |
11465184 | AP portable view of the chest demonstrates bibasilar opacities, new since prior exam, right > left. Left costophrenic angle is obscured, suggestive of trace pleural effusion. Hilar and mediastinal silhouettes are unchanged. The aortic arch calcifications are again noted. Mild cardiomegaly persists. There is no pneumothorax. Partially imaged upper abdomen is unremarkable. | 57565869 | INDICATION: Patient with fever, altered mental status, and tachypnea. Assess for pneumonia. COMPARISONS: Chest radiograph of ___. | Bilateral lower love opacities concerning for pneumonia. Trace left pleural effusion. |
11313127 | PA and lateral views of the chest provided. Hila appear slightly prominent which may reflect central airways inflammatory process i.e. bronchitis. Lungs are clear. No large effusion or pneumothorax. Heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 59371894 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with c/o cough with SOB // ? PNA COMPARISON: None | Mild hilar prominence may reflect central airways inflammation. Please correlate clinically. No lobar consolidation. |
11464841 | Single frontal chest radiograph demonstrates a right-sided central venous catheter terminating in the mid SVC. Mediastinal and pleural drains are stable in position. There is persistent but improved bilateral patchy opacifications, which may represent resolving background pulmonary edema; however, there is a persistent, though again slightly improved, opacity within the right upper lobe and left mid lung, which may suggest superimposed pneumonia. No pleural effusion identified. No definite pneumothoraces are noted. | 50524649 | INDICATION: Status post CABG/MAZE/___ ligation. Evaluate for pneumothoraces. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___. | On a background of improving pulmonary edema, there is continued opacification of right upper lung and left mid lung, concerning for superimposed pneumonia. |
11464841 | A frontal semi-upright view of the chest was obtained portably. A right internal jugular catheter ends in the mid SVC. Mediastinal and pleural drains are unchanged. Compared to the most recent prior study, opacity in the right upper lobe has increased. Moderate pulmonary edema is also worse. Bibasilar opacities have improved. There is no large pleural effusion. Tiny biapical pneumothoraces are present. Cardiac and mediastinal silhouettes are stable. | 56020336 | INDICATION: Status post CABG/MAZE/___ ligation. Evaluate pulmonary edema. COMPARISON: ___, ___. | Worsening right upper lobe opacity, which may be due to developing pneumonia. Improved bibasilar opacities. Moderate pulmonary edema is worse. Tiny biapical pneumothoraces. |
11464841 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal and the lungs are clear. Scarring within the lung apices is present. There is no pleural effusion or pneumothorax. No acute osseous abnormalities visualized. | 55249259 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process seen. |
11464841 | Single frontal upright chest radiograph demonstrates increased multifocal opacifications particularly evident in the right upper lung and the left mid lung. Though this may represent asymmetric pulmonary edema, this is concerning for multifocal pneumonia, likely due to aspiration given the changing appearance across multiple radiographs. No pneumothoraces identified. Cardiomediastinal and hilar contours are unchanged. Medical support devices are stable in position. | 53755997 | INDICATION: Status post CABG, evaluate for progression of pneumothoraces in patient with recurrent chest tube air leak. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___ approximately seven hours prior. | Background worsening pulmonary edema, increased multifocal opacifications concerning for pneumonia, likely due to aspiration. No pneumothorax. ___ communicated these findigns to ___ ___, APN, at 16:30 on ___ via telephone at time of discovery. |
11816365 | The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest radiograph from ___, there is persistent mild left lung base opacity best seen on the lateral view, which appears slightly less conspicuous. There is no pneumothorax or pleural effusion. | 50046214 | HISTORY: Productive cough. Rule out worsening pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | Persistent mild left lung base opacity is less conspicuous on today's examination. These findings could relate to atelectasis, however persistent infection cannot be excluded. Followup is recommended after treatment to document resolution. |
11816365 | Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Minimal atelectasis is seen in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. No displaced fractures identified. | 56494073 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with lower rib pain // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes with minimal left lower lobe atelectasis. No displaced fracture is visualized. Please note that if there is continued concern for a rib fracture, consider a dedicated rib series. |
11816365 | Heart size is normal with mildly tortuous thoracic aorta. Hilar contours are unremarkable. There is a subtle increased density in the posterior lower lung fields on lateral view only without frontal correlate which could represent atelectasis or a subtle pneumonia. There is no pleural effusion or pneumothorax. | 59624493 | HISTORY: Cough and cold with green sputum. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, three views. | Slightly increased density in the lower posterior lung field on lateral view only, which is likely atelectasis; however, infection is not excluded given the correct clinical circumstance. |
11069309 | The lungs are hyperinflated. Left lower lobe atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There are calcifications within the aortic arch. There is a displaced fracture through the midportion of the first right rib. | 57133760 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with preop for probable percutaneous biliary stent // preop TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. Mild-moderate emphysema. Displaced fracture of the first right rib, age-indeterminate. |
11606782 | Single frontal view of the chest was obtained. The heart is of top normal size, with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies. | 58897612 | INDICATION: ___-year-old female with hematemesis. Evaluate for aspiration. COMPARISON: Chest radiograph of ___. | No acute cardiopulmonary process. |
11226141 | In comparison to prior study from ___, there has been in increase in both size and number of multiple bilateral pulmonary nodules. While the right upper lobe opacity with volume loss has remained stable, there is a new, confluent, consolidative left perihilar opacity. This new opacity is centered in the lingula but also involves the left upper lobe. Again visualized is a collapsed T11 vertebral body as noted previously. However, multiple known metastatic lesions throughout osseous structures are not clearly visualized on today's study. | 54346060 | INDICATION: Evaluation of patient with history of metastatic lung cancer with chest discomfort and palpitations. COMPARISON: CT torso from ___, CT chest from ___, and chest radiograph from ___. | There is a new, confluent, consolidative left perihilar opacity centered in the lingula with involvement of the left upper lobe. This opacity is most consistent with a lingular pneumonia. Multiple small bilateral pulmonary nodules have increased in both size and number and are suspicious for worsening of metastatic lung disease. Right upper lobe atelectasis appear stable. These findings were discussed by Dr. ___ with Dr. ___ via telephone at 2:40 pm on ___. |
11013775 | Heart size is mildly enlarged. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is indistinct, and there is diffuse parenchymal opacification in the right lung, as well as patchy opacity in the left lung base. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. | 52685001 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | Diffuse parenchymal opacity in the right lung and patchy left basilar opacity along with vascular indistinctness, findings suggestive of asymmetric pulmonary edema. Multifocal infection, however, is not excluded in the correct clinical setting. Consider follow up radiographs after diuresis for further assessment. |
11013775 | The heart is probably at the upper limits of normal size. The aortic arch is calcified. There are heterogeneous but confluent bilateral hazy opacities, somewhat more extensive on the right than left. Blunting of the right costophrenic sulcus suggests there may be a small effusion. There is no pneumothorax. | 51269032 | CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, portable AP view. | Widespread bilateral lung opacification. Differential considerations include severe pulmonary edema; other considerations include severe widespread pneumonia and respiratory distress syndrome among other less common causes. |
11007136 | The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. | 53883986 | HISTORY: ___-year-old female with left facial numbness. COMPARISON: None available. FRONTAL AND LATERAL CHEST | No acute cardiopulmonary process. |
11058985 | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies. | 58492927 | INDICATION: ___-year-old man with cough. Evaluate for cardiopulmonary process. COMPARISON: ___ chest radiograph. | No acute cardiopulmonary process. |
11539355 | The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58082432 | INDICATION: ___F with hx epilepsy presenting s/p MVC presumably caused by seizure // TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11539355 | 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. | 54080164 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cp // ptx? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. No pneumothorax. |
11539355 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52200288 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with seizures, please eval for occult pna as possible loweing of sz threshold // ___F with seizures, please eval for occult pna as possible loweing of sz threshold TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. No radiographically evident focal consolidation to suggest pneumonia. |
11041035 | There is a new left subclavian central venous catheter, which terminates in the mid-to-lower superior vena cava. There is no pneumothorax. There has been no other significant change. | 54895588 | CHEST RADIOGRAPH HISTORY: Status post left subclavian line placement. COMPARISONS: Earlier on the same day. TECHNIQUE: Chest, portable AP upright. | No evidence of acute disease. |
11041035 | The Dobbhoff tube terminates in the stomach. The lungs are otherwise free of focal consolidation, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. Surgical clips are noted in the right abdomen. | 53107908 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with new dobhoff placement, please do XRAY low enough to assess dobhoff placement // assess position of newly placed dobhoff tube TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___. | Dobbhoff tube terminates in the stomach. |
11041035 | The cardiac, mediastinal and hilar contours appear unchanged. Projecting over the lateral right lung is a vague nodular focus, not present on the prior examinations. There is also a potential new lung nodule projecting over the left upper lung although the latter may be partly artifactual. There is no pleural effusion or pneumothorax. | 54541775 | CHEST RADIOGRAPHS HISTORY: Tachycardia and chemotherapy. COMPARISONS: Chest CT from ___ chest CT and chest radiographs dated ___. TECHNIQUE: Chest, PA and lateral. | At least one new suspicious nodular focus worrisome for metastatic disease; however, atypical infectious processes could also be considered, particularly in the setting of immunosuppression. CT may be helpful if needed clinically. |
11041035 | Right basilar opacity has mostly cleared since the prior radiographs. The cardiac, mediastinal and hilar contours are stable. The patient is status post sternotomy. There is no pleural effusion or pneumothorax. | 57316667 | CHEST RADIOGRAPH HISTORY: Tachycardia and weakness. COMPARISONS: Prior radiograph from ___; also CT of the torso from ___. TECHNIQUE: Chest, AP upright portable. | No evidence of acute disease. |
11760043 | The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change. | 51758025 | CHEST RADIOGRAPHS HISTORY: Left rib pain after assault. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. Although dedicated rib films are not included, no rib fracture is identified. |
11479858 | Tracheostomy tip is 3 cm below the level of the carina and is in appropriate position. Right PICC tip is close to the cavoatrial junction and is 5 cm below the level of the carina. Chronic low lung volumes with mild bibasilar platelike atelectasis. No pneumothorax, pleural effusion, pulmonary edema or additional focal opacity. Top normal heart size and minimal mediastinal widening are accentuated by low lung volumes. | 54693208 | HISTORY: ___-year-old male with left basal ganglia hemorrhage status post left hemicraniotomy, status post flap infection. Presents with fevers. Assess for pneumonia. COMPARISON: Chest radiograph ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph. | Right PICC tip is close to cavoatrial junction. If pulled back 1.5 cm will place tip in lower SVC. No pneumonia. |
11479858 | Lung volume is persistently low, but there is no evidence of consolidation suspicious for pneumonia. Heart size is normal with aorta mildly elongated. There is no pleural effusion or pneumothorax. Mild central venous dilatation, significance uncertain. | 55633597 | PATIENT HISTORY: ___-year-old man status post left hemicraniectomy for basal ganglia hemorrhage. INDICATION: Evaluation for interval changes. TECHNIQUE: Portable AP single-view chest x-ray in a semi-erect position. COMPARISON: Exam compared to chest x-ray of ___. | Status quo, except for mild central venous dilatation. |
11844664 | Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Streaky linear opacities in both lung bases compatible with atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate dextroscoliosis of the thoracic spine is demonstrated. | 50550274 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Bibasilar atelectasis. No evidence for congestive heart failure. |
11759879 | Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There has been interval increase in the size of the right pleural effusion, which is now small, and there is adjacent atelectasis. There is a tiny left-sided pleural effusion with some adjacent atelectasis as well. Cardiomediastinal and hilar contours are overall unchanged. Again seen is a left pectoral pacemaker with leads in the expected location. | 53118045 | HISTORY: ___-year-old man with history of aortic valve replacement, prior MI, recent open cholecystectomy with increased productive cough. Evaluate for pulmonary edema or pneumonia. COMPARISON: Radiograph of the chest dated ___. | Small right-sided pleural effusion with adjacent atelectasis and tiny left-sided pleural effusion with some adjacent atelectasis as well. |
11538083 | Mildly enlarged heart is unchanged from previous chest radiograph with no signs of pulmonary congestion or pleural effusion. No focal consolidation is seen. | 58246153 | HISTORY: ___-year-old woman with dyspnea, currently taking amiodarone. Evaluate for infection. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___. | No focal consolidation to suggest pneumonia is seen. |
11538083 | Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Moderate cardiomegaly with unfolding of the thoracic aorta is stable. Mediastinal contour and left hilar contour are unremarkable. Subtly increased opacity at the inferior right hilus is seen on frontal view only, without lateral correlate. Lungs are otherwise clear. Pleural servers are clear without effusion or pneumothorax. | 50515846 | WET READ: ___ ___ 8:07 AM Subtly increased opacity at the margin of the inferior right hilus is seen on frontal view only, suspicious for early or developing infection. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Subtly increased opacity at the margin of the inferior right hilus is seen on frontal view only, suspicious for early or developing infection but potentially could all be explained by low lung volumes, repeat with full inspiration may be helpful. |
11538083 | PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and normal cardiomediastinal contours. There is no pneumothorax or pleural effusion, and the pulmonary vascularity is normal. | 54305516 | INDICATION: Wheezing and productive cough. COMPARISON: Chest radiographs from ___ and ___. | Normal radiograph of the chest. |
11538083 | The lungs are clear. Moderate cardiomegaly is unchanged. There is no pneumothorax. Regional bones and soft tissues are unremarkable. | 57145491 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ? abnormality on recent CXR // assess lungs TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___. | Clear lungs. Stable moderate cardiomegaly. |
11062072 | Patient has known left lung mass, better assessed on prior CT. Small left pleural effusion is mildly improved and the left heart border is more distinct distinct. Opacities in the right mid lung and base have mildly improved. No evidence of pulmonary edema. Cardiomediastinal structures are midline. | 53927241 | EXAMINATION: Chest (PORTABLE AP) INDICATION: ___ year old man with concern for metastatic lung CA, now with persistent tachycardia ___5. // Pt presenting with persistent tachycardia, please eval for fluid re-accumulation vs. PE vs. expanding consolidation. TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___ Chest CT ___ | Mild improvement in left pleural effusion and opacities in the right mid lung and base. No evidence of pulmonary edema. If concern for PE persists, recommend dedicated CTA for further evaluation. |
11062072 | A portable frontal chest radiograph shows the large left lower lobe mass seen on recent CT chest. New opacity adjacent to the aortic knob could represent pneumonia or fluid tracking up into the fissure. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. | 51784545 | WET READ: ___ ___ 4:42 AM New focal opacity in the left upper lobe adjacent to the aortic knob, which could reflect pneumonia in the right clinical setting. The remainder of the exam is unchanged. Findings discussed by Dr. ___ with Dr. ___ at ___ on ___, during initial review. ______________________________________________________________________________ FINAL REPORT INDICATION: Evaluate for infection, infiltrate, interval change in a patient with cough, shortness of breath, night sweats, and weight loss concerning for malignancy. COMPARISON: Chest radiographs from ___, ___, ___. CT chest from ___. | Possible small left upper lobe pneumonia or pleural effusion extending into the major fissure. Large left lung mass, less likely malignant. |
11062072 | Moderate loculated left-sided pleural effusion. There is adjacent rounded opacity partially imaged in the left lung. Linear opacities in the right upper lobe. The right lung is otherwise clear. No right-sided pleural effusion. No pneumothorax. | 56572768 | INDICATION: Night sweats and elevated white blood cell count TECHNIQUE: Chest PA and lateral COMPARISON: No prior | Moderate left-sided effusion with adjacent rounded opacity may reflect pneumonia with parapneumonic effusion or underlying malignancy cannot be excluded. CT thorax is recommended, ideally after the pleural fluid has been drained. |
11296766 | Patient is status post median sternotomy, aortic valve replacement, and coronary artery bypass graft surgery. Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is within normal limits. Streaky opacity within the right lung base is most likely reflective of atelectasis, though early infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Calcified granuloma measuring 2-3 mm within the right upper lung field is unchanged. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine. | 58725981 | INDICATION: Dyspnea. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Minimal streaky opacity in the right lung base may reflect atelectasis, though infection cannot be completely excluded. |
11296766 | The patient is status post placement of a left-sided dual-chamber pacemaker, with leads terminating in the expected locations of the right atrium and right ventricle. There is no evidence of pneumothorax. Cardiomegaly is stable in appearance allowing for lower lung volumes, the latter also accentuate the pulmonary vascularity. New linear foci of atelectasis have developed in both lower lobes. Calcified granulomas are present in the right upper lobe without change. Note is made of previous median sternotomy and aortic valve replacement. | 58238330 | PA AND LATERAL CHEST ___ ___ COMPARISON: ___ radiograph. | Status post pacemaker placement with no evidence of pneumothorax. |
11296766 | Lung volumes are low, which produces bronchovascular crowding. Moderate cardiomegaly is stable, as are the continuous pacemaker lead positions. No evidence of pulmonary edema or effusions. No focal consolidation concerning for pneumonia. Intact median sternotomy wires. Calcified granulomas in the right upper lung have not changed. | 52952859 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old woman with congestive heart failure, ___ mos worsened dyspnea on exertion and findings of expiratory wheezing throughout, sl worse on L side. Evaluate degree of upper zone redistribution/ pulmonary edema and look for any findings to indicate infectious cause of cough/dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, and ___. | No evidence of pulmonary edema, effusions, or focal consolidation concerning for pneumonia. |
11296766 | Frontal and lateral chest radiographs were obtained. The patient is status post median sternotomy with intact wires for prior aortic valve replacement. A left chest pacemaker has leads terminating in the appropriate locations in the right atrium and right ventricle. There is bilateral interstitial edema and pulmonary vascular congestion that is increased from prior study on ___. There is chronic scarring at the left lung base. The heart is moderately enlarged, but stable in size. | 53857472 | HISTORY: Patient with dyspnea, prior MVR/AVR, question CHF. COMPARISON: ___. | Interval increase in bilateral interstitial edema and pulmonary vascular congestion, likely related to further cardiac decompensation. |
11129468 | The lung volumes are low. There is no evidence of focal consolidations, pleural effusions or pneumothorax. No evidence of a pulmonary vascular congestion or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 59987177 | EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with arthritis and PMR, asthma, on methotrexate and prednisone, now with recurring cough // evaluate for atypical pneumonia, methotrexate toxicity, evidence of pulmonary congestion, LAD TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute intrapulmonary process. |
11259022 | The heart is mildly enlarged, and the mediastinal contours are normal. No pleural effusions, pulmonary edema or focal consolidation is seen. | 50383812 | INDICATION: ___-year-old female with fever and confusion. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | Mild cardiomegaly. No acute cardiopulmonary process. |
11484339 | Patient is status post median sternotomy and CABG. The heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise within normal limits. Lungs are clear. No pleural effusion or pneumothorax is identified. There are mild degenerative changes noted in the thoracic spine. | 57672135 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with flu-like symptoms x 2 weeks, cough, sore throat, smoking history. Rhonchi on exam // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available on PACS at the time of dictation. | No acute cardiopulmonary abnormality. |
11258297 | PA and lateral chest radiographs were obtained. The bilateral nipple shadows project over the lung bases, otherwise the lungs are clear. No effusion, consolidation or pneumothorax is present. Aortic tortuosity secondary to severe convex left thoracic scoliosis is unchanged. The remainder of the cardiac and mediastinal contours are normal. | 53662917 | INDICATION: ___-year-old woman with cough, syncope, rule out pneumonia. COMPARISONS: ___, ___. | No acute cardiopulmonary process. |
11258297 | The lungs are clear. Cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is again seen. No acute osseous abnormalities. | 55009641 | INDICATION: ___F with cough // evidence of pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11258297 | There is subtle increased opacity in the right lung base projecting over the heart on the lateral view. Though possibly atelectasis, aspiration and/or pneumonia are also possible in the appropriate clinical circumstance. Findings are new compared to multiple prior radiographs, though are of indeterminate age. The remainder of the lungs are clear. There is no pneumothorax. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. Rightward scoliosis of the mid thoracic spine is unchanged from prior, though remains severe. | 56667922 | WET READ: ___ ___ ___ 2:44 AM Probable right middle lobe aspiration or pneumonia. New since most recent prior CXR from ___ though of indeterminate age. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with asthma and alcoholic pancreatitis. Assess for acute pulmonary infection. COMPARISON: Chest radiographs dating back to ___, most recent from ___, and CT abdomen and pelvis from ___. FRONTAL AND LATERAL CHEST | New subtle right middle lobe opacity, possible atelectasis, though aspiration or pneumonia should be considered in the appropriate clinical setting. |
11258297 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Diffuse cystic lung disease is better assessed on recent CT. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. S shaped scoliosis of the thoracolumbar spine is re- demonstrated. | 57645227 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with AP and lateral chest tenderness, right wrist lesion ___ ___ etiology, possible retained needle. // please evaluate for fracture, foreign body TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT torso ___ at 14:41 | No acute cardiopulmonary abnormality. Diffuse cystic lung disease compatible with Langerhans cell histiocytosis is better assessed on the recent CT torso. |
11258297 | No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Stable prominence thoracic scoliosis is re- demonstrated. | 53817784 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP // ?cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. No significant change from 2 days prior. |
11258297 | Prominence of the interstitial markings as well as peribronchial cuffing, particularly in the left lower lobe, could be reflective of a viral infection or atypical pneumonia. There are no focal consolidations. In addition, on the prior CT there were noted to be multiple cysts within the lung parenchyma which if increased in size and number could also be contributing to the appearance of the lungs at this time. There is no pulmonary edema or pleural effusions. No fractures identified on this nondedicated view however there is a severe scoliosis which limits the overall evaluation. | 54046440 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain after fall and cough TECHNIQUE: Chest PA and Lateral COMPARISON: CT from ___ and a chest radiograph from same day | Prominence of interstitial markings and peribronchial cuffing diffusely could reflect a viral or atypical pneumonia Numerous cysts noted on the prior CT, which could contribute to the interstitial abnormality on the current radiograph, particularly if these have increased in size and number. Would suggest a nonemergent high-resolution CT as an outpatient for further evaluation of this process. Findings posted on the ED dashboard. |
11258297 | Upright portable view of the chest demonstrates increased lung volumes with attenuation of the pulmonary vascular markings, suggestive of underlying emphysema. There is a streaky right basilar opacity, which is unchanged since ___, likely atelectasis or scarring. There is no pleural effusion or pneumothorax. No pulmonary edema. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. Severe rotatory levoscoliosis is stable. Round densities projecting over left upper abdomen reflect calcified splenic granulomas better seen on CT exam of ___. Otherwise, partially imaged upper abdomen is unremarkable. | 55470372 | INDICATION: Patient with shortness of breath and hemoptysis. Assess for pneumonia. COMPARISONS: ___, ___, ___ and CT chest of ___. | No acute cardiopulmonary abnormality. |
11565805 | The lung volumes are low causing mild vascular crowding. There are no focal airspace opacities to suggest pneumonia. The heart is top normal. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax or large pleural effusion. | 50772589 | HISTORY: Worsening shortness of breath. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: CTA chest ___. Chest radiograph ___. | Low lung volumes cause mild vascular crowding. Otherwise normal radiograph of the chest. |
11565805 | The heart size is normal. Mild aortic knob calcifications are noted. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine as well as within both acromioclavicular joints. | 59290467 | HISTORY: Fever, tachypnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Outside chest radiograph ___. | No acute cardiopulmonary abnormality. |
11570365 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. Surgical clips project over the right upper quadrant. | 56861777 | CHEST RADIOGRAPHS HISTORY: Chest fullness. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11444419 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. Rounded retrocardiac opacity with focus of air within likely relates to a hiatal hernia. No pulmonary edema. | 58736851 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with confusion // infiltrate? TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. Likely hiatal hernia. |
11934604 | PA and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54316002 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and wheezing TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute intrathoracic abnormality. |
11934604 | Low lung volumes cause bronchovascular crowding. There is no convincing evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Atelectasis is noted in the left lung base The cardiomediastinal silhouette is within normal limits. | 58879491 | WET READ: ___ ___ ___ 4:24 PM Low lung volumes cause bronchovascular crowding without evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath, asthma. Evaluate for infiltrate. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: None. | Low lung volumes cause bronchovascular crowding and left basilar atelectasis. No definite focal consolidation. |
11934604 | PA and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. No air under the right hemidiaphragm is seen. | 57645681 | INDICATION: ___ year old woman with asthma // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | No acute intrathoracic abnormality. |
11934604 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58312513 | INDICATION: ___F with asthma // R/O acute process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11901525 | A frontal semi upright view of the chest was obtained portably. Heterogeneous opacity in the left lower lung is concerning for aspiration or pneumonia. The right lung is clear. Heart size is normal. Mediastinal silhouette and hilar contours are normal. The right porta cath ends in the proximal right atrium. Fullness in the left neck soft tissues is noted. | 54508223 | HISTORY: Nasopharyngeal cancer, likely aspirated with fever. COMPARISON: CXR ___, CT neck ___ | Left lower lung aspiration or pneumonia. Fullness in the left neck soft tissues. Correlate with physical exam for lymphadenopathy. |
11962173 | The lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is pulmonary venous congestion without evidence of interstitial edema. The lungs are clear. The heart size is top normal. The mediastinal contours are normal. There are no pleural abnormalities. Surgical clips are seen in the right upper quadrant of the abdomen. | 52477149 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 6:48 AM INDICATION: Fever, postop. Evaluate for acute process. COMPARISON: None. | No acute cardiac or pulmonary process. ______________________________________________________________________________ FINAL REPORT |
11975667 | The lungs are hyperinflated as before. There is pectus excavatum. Biapical pleural thickening is again noted. No focal consolidation is seen. There is no evidence of pneumothorax or pleural effusions. Cardiomediastinal silhouette is slightly enlarged, as before. There is no evidence of pneumoperitoneum. | 52417461 | PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old female with syncope and cough. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___. | No acute intrathoracic process. Hyperinflated lungs likely secondary to chronic obstructive pulmonary disease. |
11790306 | AP and lateral views of the chest. Low lung volumes are seen on both the frontal and lateral views. Increased interstitial markings are seen throughout the lungs but most notably at the lung bases. There is no pleural effusion or confluent consolidation. The cardiomediastinal silhouette is grossly unremarkable. Atherosclerotic calcifications noted at the aortic arch. No definite acute osseous abnormality identified. Thoracolumbar S-shaped scoliosis is identified with degenerative changes in the spine. | 57314898 | HISTORY: ___-year-old male with word finding difficulty. COMPARISON: None. | Low lung volumes with increased interstitial markings throughout both lungs most notably at the bases. This may in part be due to atelectasis although underlying edema or chronic interstitial process such as fibrosis is possible given the lungs volume. No definite focal consolidation. |
11790306 | Low lung volumes are again noted. There are persistent interstitial markings at the bases, greater on the right which are similar but less extensive than on prior. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the aortic arch. | 54923815 | INDICATION: ___M with fall, headstrike, ams // cxr - pnact head - ichct neck - fracture TECHNIQUE: Single supine view of the chest. COMPARISON: ___. | Bibasilar opacities, right greater than left. Given appearance these could be chronic in nature although superimposed atelectasis, infection or aspiration would be possible. |
11589725 | A new endotracheal tube terminates 4.8 cm above the carina. The NG tube has been advanced, with all sideholes contained within the stomach. No pleural effusion, pneumothorax, or large focal consolidation. Left-sided PICC line is unchanged in position, terminating in the mid SVC. Opacity in the medial right lower lung is likely due to crowding of vessels, given the projection. | 55577690 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right IPH, unchanged bilateral SDH, unchanged SAH, and acute fracture of the inferior left parietal bone with associated 2 mm epidural hematoma. Position of ETT. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___. | New endotracheal tube terminates 4.8 cm above the carina. Opacity in the medial right lower lung is likely due to crowding of vessels, given the projection. However, in the correct clinical setting, pneumonia is not excluded. NG tube has been advanced several cm, now with all sideholes contained within the stomach. |
11589725 | There is no significant change from ___. The NG tube ends in the upper stomach. There is persistent low lung volumes with bibasilar atelectasis. Cardiac size is top normal without evidence of pulmonary edema or pleural effusions. Mild mediastinal widening which is most likely secondary to venous engorgement and unchanged from ___. There is no pneumothorax or consolidation. Cardiomediastinal orders and hilar structures are normal. | 58972408 | INDICATION: ___ with seizures alcoholism s/p fall year old man now with leukocytosis // pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ 19:05 | No significant change from ___. No evidence of pneumonia. |
11589725 | The enteric tube courses below the left hemidiaphragm a terminates within the stomach. The side port is proximal to the GE junction within the distal esophagus. Endotracheal tube is no longer visualized. Left PICC line terminates in the mid SVC, unchanged. No focal consolidation, pleural effusions, or pneumothorax. | 57822637 | WET READ: ___ ___ 10:52 AM 1. Enteric tube terminating within the stomach, with the side port proximal to the GE junction within the distal esophagus. This can be advanced several cm for all side ports to be contained with the stomach, as clinically indicated. 2. The endotracheal tube is no longer visualized. 3. Other supporting lines and tubes are unchanged in position. The visualized lungs are grossly clear. Findings discussed via telephone by Dr. ___ with Dr. ___ approximately ___, 50 minutes after discovery. WET READ VERSION #1 ___ ___ ___ 9:32 PM 1. Enteric tube terminating within the stomach, with the side port proximal to the GE junction within the distal esophagus. This can be advanced several cm for all side ports to be contained with the stomach, as clinically indicated. 2. The endotracheal tube is no longer visualized. 3. Other supporting lines and tubes are unchanged in position. The visualized lungs are grossly clear. Findings discussed via telephone by Dr. ___ with Dr. ___ approximately ___, 50 minutes after discovery. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right IPH, unchanged bilateral SDH, unchanged SAH, and acute fracture of the inferior left parietal bone with associated 2 mm epidural hematoma. Eval OGT position. Please perform at 6pm. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph of ___. | The nasoenteric tube terminates within the stomach, but the side-hole is proximal to the GE junction in the distal esophagus. This should be advanced several cm for all side ports to be contain in the stomach, as clinically indicated. |
11589725 | Left-sided subclavian vein terminates at the lower SVC. Interval insertion of a feeding tube with the tip in the body of the stomach. No pneumothorax. The lung volumes remain low with crowding of the bronchovascular markings. No evidence of interstitial edema. Marked distension of the visualized small and large bowel can be ileus. | 57038194 | INDICATION: ___M h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right IPH, unchanged bilateral SDH, unchanged SAH, and acute fracture of the inferior left parietal bone with associated 2 mm epidural hematoma // interval cxr COMPARISON: ___ | Interval insertion of a feeding tube with the tip in the body of the stomach. No pneumothorax. |
11589725 | Dobhoff type tube with radiopaque tip overlying the gastric fundus. Left subclavian central line with tip over mid/distal SVC. There are low inspiratory volumes. Cardiomediastinal silhouette is probably unchanged. Mild vascular plethora is suggested, similar to the prior film. However, this appearance is likely accentuated due to low inspiratory volumes. Minimal patchy opacity at both lung bases again noted, similar to the prior film. No frank consolidation, effusion, or pneumothorax detected. | 52257232 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right IPH, unchanged bilateral SDH, unchanged SAH, and acute fracture of the inferior left parietal bone with associated 2 mm epidural hematoma // interval cxr COMPARISON: Chest x-ray from ___ | Allowing for lower inspiratory volumes, doubt significant interval change. |
11589725 | Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. ET tube is slightly high 7.7 cm above the carina, could be advanced couple of cm for more standard position. NG tube tip is in the stomach, the side port is at the level of the EG junction, recommend advancement approximately 5 cm for more standard position | 55659175 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ETT, seizures, +ICH, now with increased secretions // eval for consolidation TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality ET tube is slightly high 7.7 cm above the carina, could be advanced couple of cm for more standard position. NG tube tip is in the stomach, the side port is at the level of the EG junction, recommend advancement approximately 5 cm for more standard position |
11510399 | Single AP upright portable view of the chest was obtained. The cardiac silhouette remains enlarged. Hazy opacity projecting over the left mid-to-lower lung may be due to a small pleural effusion with atelectasis. Underlying consolidation is not excluded in the appropriate clinical setting. Dedicated PA and lateral views would be helpful for further evaluation. The cardiac silhouette remains enlarged. The aortic knob is calcified. No definite pulmonary edema is seen. | 52130900 | EXAM: Chest, single frontal view. CLINICAL INFORMATION: Altered mental status. COMPARISON: ___ at ___, ___:35 a.m. | Ill-defined opacity projecting over the left mid-to-lower lung may be due to pleural effusion with overlying atelectasis, new since the study earlier today; underlying consolidation not excluded. Cardiomegaly. No definite overt pulmonary edema. |
11020545 | Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable left-sided PICC line with tip in the distal SVC is again visualized. Free air is visualized under the left hemidiaphragm compatible with recent abdominal surgery | 50113336 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fever overnight // fever source TECHNIQUE: Chest PA and lateral | No acute cardiopulmonary abnormalitiesFree air is visualized under the left hemidiaphragm compatible with recent abdominal surgery |
11013192 | PA and lateral views of the chest were provided. Nipple shadows project over the lower lungs. No focal consolidation, effusion, or pneumothorax seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 51912933 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough, assess pneumonia. | No acute findings in the chest. |
11658035 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. | 57006089 | CHEST RADIOGRAPHS HISTORY: Cough and chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11553184 | There is continued elevation of the right hemidiaphragm. The lungs are clear, and there is no pleural effusion, pneumothorax or pulmonary edema. There is a partially visualized VP shunt projecting over the left hemithorax. | 56362328 | INDICATION: ___ year old male with headache, cough, fever. Evaluate for pneumonia TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. Continued asymmetric elevation of the right hemidiaphragm. |
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