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11495044 | Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable | 55761386 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with LLL pna // pls eval for resolution at 8 weeks TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormalities, resolved pneumonia |
11495044 | There are new subtle airspace opacities in the left lower lung along the left heart border and at the right cardiophrenic angle. The lungs are otherwise clear. Mediastinal contours are stable. No pleural effusion or pneumothorax. | 55226318 | INDICATION: ___ year old woman with persisting cough and left periscapular back pain // please evaluate for pneumonia TECHNIQUE: PA and lateral views of the chest COMPARISON: ___ | Subtle airspace opacities in the lower lungs bilaterally could represent pneumonia in the appropriate clinical context. |
11275268 | 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 stable, as are the hilar contours. | 58179380 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough and fevers, extensive history of smoking. COMPARISON: ___. | No acute cardiopulmonary process. |
11275268 | PA and lateral views of the chest are provided. The lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contours are normal. Bony structures are intact. | 56660169 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Sinus infection with concern for pneumonia. | No signs of pneumonia. |
11275268 | Lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. | 55272087 | INDICATION: Cough and fever, rule out pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No evidence of acute cardiopulmonary process. |
11948145 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Partially imaged is cervical spinal fusion hardware. | 53441101 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11948145 | PA and lateral views of the chest provided. Partially visualized hardware in the C-spine noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 55903633 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with unsteadiness x 1 day COMPARISON: ___ | No acute intrathoracic process. |
11948145 | The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No focal lung consolidation is seen. Views of the upper abdomen are unremarkable. | 52899877 | INDICATION: ___M with cough and myalgias, evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest. | No evidence of pneumonia. |
11948145 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours remain stable and within normal limits. There is no pleural effusion or pneumothorax. Osseous structures appear intact. Partially imaged cervical spine fusion hardware is noted. | 57060558 | INDICATION: ___-year-old male with chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No acute intrathoracic abnormality. |
11144972 | Frontal and lateral views of the chest were obtained. There is prominence of the hila raising concern for vascular engorgement, although underlying lymphadenopathy may be present and could be further evaluated for on chest CT. No focal consolidation is seen. There is minimal pulmonary vascular congestion. The cardiac and mediastinal silhouettes are unremarkable. There is no pleural effusion or pneumothorax. | 51953245 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Altered mental status and increasing weakness, multiple falls. COMPARISON: None. | Prominence of the hila could be due to vascular engorgement, although underlying lymphadenopathy not excluded. Findings could be further evaluated on non-urgent chest CT. |
11924226 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 56091680 | HISTORY: Fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11924226 | The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There are no pleural effusions noted. There are no pneumothoraces noted. The bones appear intact. | 58367071 | CLINICAL HISTORY: ___-year-old woman with sepsis, evaluate for pneumonia. COMPARISON: ___. SINGLE AP PORTABLE VIEW OF THE | No acute cardiopulmonary process. |
11924226 | Well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are within normal limits. Visualized upper abdomen is unremarkable. | 50241018 | INDICATION: ___F with fever, h/o kidney transplant on immunosuppression. Assess for pleural effusion or pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___. | Normal chest radiograph. No pleural effusion or pneumonia. |
11924226 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. Mild degenerative change in the mid thoracic spine noted on the lateral projection. | 56051681 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: ___-year-old female with nausea, vomiting, diarrhea, low blood pressure and abnormal FSBGs concerning for infection, question pneumonia. | No signs of pneumonia. |
11405064 | Lines and Tubes: Left upper lateral chest wall pacemaker and pacer wires appear intact. Lungs: Low lung volumes with mild vascular prominence without lobar consolidation. Pleura: There is no pleural effusion or pneumothorax Mediastinum: There is cardiomegaly and aortic knob calcification. Bony thorax: Sternotomy sutures and multiple surgical clips project over the mediastinum. EKG leads project over the chest wall. | 50084384 | INDICATION: ___ year old man with CAD s/p cardiac arrest // Eval for acute processes TECHNIQUE: APsingle view COMPARISON: None available | Low lung volumes with mild pulmonary edema, no lobar consolidation. |
11460291 | The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Hypertrophic changes are noted in the thoracic spine. | 50225250 | INDICATION: ___F with syncope // Eval for cardiopulmonary process TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11124729 | The frontal chest radiograph again demonstrates a normal cardiomediastinal silhouette. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is seen. Linear markings seen previously are no longer visualized, and likely represented overlying hair or fabric rather than pneumomediastinum. The visualized upper abdomen is unremarkable. | 54378860 | INDICATION: ___-year-old female initially presenting with increased work of breath, respiratory distress, with a history of IV drug abuse. Linear markings seen on the prior chest radiograph likely overlying hair, but pneumomediastinum was a possibility; repeat chest radiograph to exclude pneumomediastinum. COMPARISON: Chest radiograph from ___. | Mild bibasilar atelectasis. Otherwise normal chest radiograph, without evidence of pneumomediastinum. |
11124729 | The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Vertical linear markings over the left lung likely reflect the patient's hair though pneumomediastinum is another possibility. | 58720257 | INDICATION: ___-year-old female with increased work of breathing, respiratory distress, history of IV drug abuse. Evaluate for aspiration pneumonitis/pneumonia. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | Vertical linear markings over the left lung may be from the patient's hair though pneumomediastinum is possible. Recommend repeat chest radiograph following repositioning of the patient's hair. |
11134360 | Cardiac silhouette size is normal. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax. Minimal atelectasis is seen in the right lung base. Multilevel moderate degenerative changes are seen in the thoracic spine. | 54776664 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with hypertensive urgency and chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11756592 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified. Minimal degenerative changes are seen along the spine. | 53189286 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of fall three days ago, hip fracture. COMPARISON: None. | No acute cardiopulmonary process. |
11122064 | The heart is normal size with normal cardiomediastinal contours. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. | 58438409 | HISTORY: ___-year-old female with epigastric and abdominal pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No evidence for acute cardiopulmonary process. |
11473075 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. | 50375413 | EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with right upper quadrant pain TECHNIQUE: Chest AP and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11611654 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50036581 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Hyperglycemia, question pneumonia. | No acute findings in the chest. |
11984375 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Note is made of mild left hemidiaphragmatic elevation. The lungs are well aerated. There is no pneumothorax, vascular congestion, or pleural effusion. Note is made of relative loss of height at T8. | 52885176 | INDICATION: ___-year-old female with progressive chest pain and shortness breath. Question acute process. COMPARISON: None available. | No acute cardiopulmonary process. |
11814461 | Stable mild-to-moderate cardiomegaly. There is a left-sided port which terminates in the mid SVC. There appears to be slight interval worsening of a left perihilar opacity which could be secondary to an infectious process. Diffuse mild bilateral pulmonary edema is stable. There is known retrocardiac atelectasis. | 50349573 | INDICATION: History of asthma, now with worsening cough and dyspnea. Please evaluate for infiltrate. COMPARISON: Multiple chest radiographs dated back to ___. TECHNIQUE: PA and lateral radiographs of the chest. | Interval increase in the left perihilar consolidation concerning for pneumonia. Findings were discussed with Dr. ___ by Dr. ___ on the day of the exam by telephone at 4:40pm. |
11814461 | A confluent area of opacity involving the majority of the left upper lobe has substantially progressed since ___ and is associated with a mild degree of volume loss. Additionally, a new confluent opacity has developed in the right middle lobe, also associated with some volume loss. Review of the PET-CT of ___, reveals substantial narrowing of the left upper lobe bronchus, raising concern that the left upper lobe process may be post-obstructive. In the setting of known hilar lymphadenopathy, the right middle lobe process may also be post-obstructive. Cardiac silhouette is stable in size. Hilar structures are difficult to compare to the prior study due to new juxtahilar abnormalities, but there has been apparent interval increase in right hilar lymphadenopathy since the prior radiograph, likely accompanied by subcarinal lymphadenopathy. Known left prevascular lymphadenopathy is seen to better detail on the prior CT/PET, but left internal mammary nodes are evident on the lateral radiograph. There are no pleural effusions. Post-vertebroplasty changes are noted in the lower thoracic and upper lumbar spine. | 58745042 | PA AND LATERAL CHEST, ___. COMPARISON: Chest radiograph, ___ and CT/PET study of ___. | Left upper lobe and right middle lobe opacities which may represent post-obstructive atelectasis/consolidation in the setting of known hilar lymphadenopathy in this patient with lymphoma. Contrast-enhanced CT may be helpful to more fully evaluate the relationship of lymphomatous nodal enlargement to bronchial structures. Findings entered into radiology communications dashboard. |
11814461 | There has been interval intubation, with the endotracheal tube ending 2.7 cm above the level of the carina. A new enteric catheter ends in the upper stomach, although the side hole is located in the distal esophagus. A left Port-A-Cath ends in the low SVC. There is redemonstration of moderate pulmonary edema, not significantly changed. There is also bibasilar atelectasis, left greater than right. Mild-to-moderate cardiomegaly is not significantly changed. There are no definite pleural effusions. No pneumothorax is seen. Vertebroplasties along the lower thoracic and upper lumbar spine are again noted. | 55904978 | INDICATION: Status post intubation. Assess endotracheal tube position. COMPARISON: Chest radiograph from ___. | Appropriately positioned endotracheal tube. Moderate pulmonary edema, not significantly changed. Side hole of the enteric catheter is within the lower esophagus, recommend advancing. Pertinent findings were discussed with Dr. ___ by Dr. ___ at 12:40 a.m. via telephone on ___. |
11814461 | There is moderate interstitial pulmonary edema as well as bilateral atelectasis, which is moderate on the left and mild on the right. There are probable small bilateral pleural effusions. No pneumothorax is seen. Mild-to-moderate cardiomegaly is not significantly changed. The mediastinal contours are otherwise normal. There is redemonstration of a left Port-A-Cath, ending in the low SVC. Note is made of vertebroplasties along the thoracolumbar spine, as before. | 57200699 | INDICATION: Acute shortness of breath. Assess for CHF versus infection. COMPARISON: Chest radiograph from ___. Chest radiograph from ___. | Moderate pulmonary edema. Unchanged mild-to-moderate cardiomegaly. Probable small bilateral pleural effusions. |
11107838 | Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged. Calcifications noted at the arch. No acute osseous abnormality seen. | 52874353 | HISTORY: ___-year-old female with elevated troponin and ST elevation. COMPARISON: Chest x-ray from earlier the same day performed at an outside institution. | Cardiomegaly without acute cardiopulmonary process. |
11847776 | Frontal and lateral views of the chest were obtained. Lungs are hyperinflated with flattening of the diaphragms suggesting chronic obstructive pulmonary disease. There is blunting of the right costophrenic angle worrisome for small right pleural effusion. There may be a trace left pleural effusion. There is no pneumothorax. No definite focal consolidation. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. Patient is status post median sternotomy. A single-lead right-sided pacemaker is seen with lead extending to the expected position of the right ventricle. No displaced fracture is seen. | 59347112 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Fall onto face with significant trauma. COMPARISON: None. | Enlarged cardiac silhouette. Small right pleural effusion and possible trace left pleural effusion. |
11486158 | 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. A very mild interstitial process is noted with peribronchial cuffing, which could be seen with airway inflammation, infectious bronchitis or possibly slight fluid overload. | 53214795 | CHEST RADIOGRAPHS HISTORY: Tachycardia and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Suspected mild interstitial abnormality. |
11486158 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | 52021668 | INDICATION: ___-year-old female with dyspnea, palpitations. Please evaluate for infiltrate, effusion, edema. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and ___. | No acute cardiopulmonary process. |
11486158 | Prominent breast tissue likely accounts for lower lung vague opacities over the lower lungs. There is no definite sign of pneumonia or CHF. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. Bony structures are intact. Partially imaged cervical spine fusion hardware is noted. | 57605368 | CHEST RADIOGRAPH PERFORMED ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Recent cervical spine surgery with fever, question pneumonia. | No signs of pneumonia. |
11115356 | An endotracheal tube ends 4 cm above the carina and NG tube has its side port and tip in the gastric body. The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 51287355 | INDICATION: ___-year-old female with a giant MCA aneurysm status post intervention. Intubated and sedated. Evaluate for interval changes. COMPARISON: Prior chest radiograph from ___ and ___. TECHNIQUE: Portable semi-upright chest radiograph. | Unremarkable chest radiographic examination. Supporting devices in appropriate position. |
11115356 | The cardiomediastinal contours are normal. The patient has been extubated, and there is resultant mild pulmonary edema. Opacification of the right lower lobe with air bronchograms may be accounted for by pulmonary edema, but attention on followup after treatment is recommended. Enteric tube is in standard position. There is no pleural effusion or pneumothorax. | 56057498 | INDICATION: Evaluate for interval change in a patient with right MCA aneurysm status post treatment. COMPARISON: Chest radiograph ___, ___. | Mild pulmonary edema with opacification of the right lower lobe which may also represent pulmonary edema or a developing pneumonia. |
11943487 | The tip of a indwelling venous catheter is seen terminating overlying the expected location of right axillary vein without entering the chest. A left PleurX catheter appears unchanged. Mediastinal contours and cardiac borders are unchanged. Moderate left pleural effusion and adjacent basilar atelectasis is slightly increased from prior examination. | 51336197 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with metastatic breast cancer to brain with indwelling venous catheter, unclear if PICC vs midline // where does indwelling venous catheter terminate? TECHNIQUE: Portable AP chest radiograph COMPARISON: Chest radiograph from ___, ___. | Indwelling venous catheter is seen terminating in the right axillary vein without entering the chest. Moderate left pleural effusion and adjacent atelectasis, slightly increased from prior. |
11943487 | There are bibasilar opacities compatible with small to moderate pleural effusions. Superiorly, the lungs are clear given relatively low lung volumes. Cardiac silhouette is also accentuated by low lung volumes, with possible superimposed cardiomegaly. Left-sided pleural catheter is noted. | 59187662 | INDICATION: ___F with visual changes, PICC // eval for picc, pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Persistent small the moderate bilateral pleural effusions. Left-sided pleural catheter is noted. |
11088819 | The lung volumes are low. The cardiac silhouette is likely mildly enlarged. No definite consolidation is seen. There is no definite pleural effusion or pneumothorax. A right-sided internal jugular venous catheter terminates just below the cavoatrial junction, in the upper right atrium. | 50323642 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with R IJ CVL from osh // eval R IJ CVL TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ | Right internal jugular catheter tip terminates in the right atrium. |
11088819 | A right internal jugular catheter is in-situ, the tip is in the distal SVC. No pneumothorax seen. The cardiomediastinal contour is unchanged compared to the prior study. No blunting of the costophrenic angles to suggest a pleural effusion. No consolidation. No free air under the diaphragm. | 52991801 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with leukocytosis. // Evaluate for PNA. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ ___ | No acute cardiopulmonary process seen. |
11899569 | A small right apical and lateral pneumothorax is unchanged from ___. A right-sided chest tube remains. No left pneumothorax. Right tenth rib fracture appears unchanged. Mediastinal contours, hila, and cardiac silhouette are normal. No pleural effusion. Subcutaneous emphysema is unchanged from ___. | 52097667 | INDICATION: ___ year old man with 10th rib fx, PTX and subq emphysema s/p chest tube placement to waterseal // please eval for resolving PTX, subq emphysema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs since ___ most recently ___. | Small right apical pneumothorax unchanged from ___. |
11899569 | The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. | 57578902 | INDICATION: ___-year-old man with dyspnea, please evaluate for acute process. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___. | No acute cardiothoracic process. |
11899569 | There has been interval placement of a right apical chest tube. Previously noted small right apical pneumothorax is not clearly visualized on the current radiograph. There is persistent pneumomediastinum and extensive amount of subcutaneous emphysema within the chest wall bilaterally extending into the neck. Curvilinear lucency in the right upper quadrant of the abdomen is compatible with retroperitoneal subcutaneous emphysema, as seen on the previous CT. The cardiac and mediastinal contours are unchanged. Pulmonary vasculature is not engorged. Lungs remain hyperinflated. Minimal patchy right basilar opacity likely reflects a small contusion. Right posterior tenth rib fracture is re- demonstrated. | 58494542 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest tube placement for pneumothorax TECHNIQUE: Portable upright AP view of the chest COMPARISON: CT torso ___ at 10:40 and chest radiograph ___ 09:54 | Interval placement of right apical chest tube with previously noted tiny right apical pneumothorax not visualized on the current radiograph. Persistent, extensive amounts of pneumomediastinum and subcutaneous emphysema. |
11899569 | A chest tube projects over the mid to upper right lung. The previously identified small right apical pneumothorax appears unchanged to minimally decreased in size. Extensive subcutaneous emphysema involving the lateral right and upper left chest wall is unchanged. The lungs are otherwise clear. No pleural effusion. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. | 55828012 | WET READ: ___ ___ ___ 11:35 AM Essentially unchanged to minimally decreased right apical pneumothorax. Otherwise unchanged examination. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with R 10th rib fx and PTX, subQ emphysema s/p CT placement 5 days ago // please eval for resolution of PTX, subq emphysema TECHNIQUE: Chest PA and lateral COMPARISON: ___ PA and lateral chest radiographs | Essentially unchanged to minimally decreased right apical pneumothorax. Otherwise unchanged examination. |
11899569 | In comparison to ___ portable chest radiograph, there is interval mild improvement of pneumomediastinum, deep cervical emphysema, and subcutaneous emphysema. The right medial pneumothorax is again seen and unchanged from most recent study. No pneumothorax seen in the left lung. Hazy ill-defined linear right lower lobe opacity is consistent with right lower lung contusion status post right posterior tenth rib fracture. The cardiac and mediastinal contours are unchanged. There is no pleural effusion. The right apical chest tube is in stable position. | 54807165 | INDICATION: ___M COPD s/p fall and rib fx/PTX, CT placed ___ ___/ ? interval change. Please do study ___ ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___ portable chest radiograph | Interval mild improvement of pneumomediastinum, deep cervical emphysema, and bilateral subcutaneous emphysema. Persistent small right medial pneumothorax unchanged from ___ chest radiograph. Right lower lobe contusion is unchanged from prior study. |
11899569 | The lungs are clear bilaterally. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 55960488 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough productive of brown sputum and shortness fo breath // please evaluate for evidence of Pneumonia please evaluate for evidence of Pneumonia TECHNIQUE: PA and lateral chest radiographs COMPARISON: ___. | No radiographic findings to explain the patient's shortness of breath or brown sputum. |
11411992 | The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. | 56482310 | WET READ: ___ ___ ___ 7:47 AM No acute intrathoracic abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with HTN p/w DOE // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: ___, ___ | No acute intrathoracic abnormality. |
11411992 | The lungs are clear. Mild flattening of the diaphragms may suggest hyperinflation. There is no pleural abnormality. The mediastinal and hilar contours are normal. | 53406770 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, fever // eval for consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. Mild hyperinflation. |
11411992 | Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There has been interval improvement in the patchy parenchymal opacity in the right lower lobe compatible with resolving pneumonia. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55949145 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M presents with 2 days cough, 1 episode of question hemoptysis. Seen in ED last month for right lower lobe pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Resolving right lower lobe pneumonia. No new areas of focal consolidation. |
11411992 | Right mid to lower lung opacity is worrisome for large pneumonia. Subtle opacity projecting over the right upper lung could be a second site of infection. The left lung is clear. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. | 58474557 | WET READ: ___ ___ ___ 7:38 PM Large right mid to lower lung opacity worrisome for pneumonia. Recommend followup to resolution. Subtle opacity projecting over the right upper lung could be due to second site of infection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sob, hypoxia // pna? chf? TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Large right mid to lower lung opacity worrisome for pneumonia. Recommend followup to resolution. Subtle opacity projecting over the right upper lung could be due to second site of infection. |
11411992 | Asymmetric right lower lobe parenchymal opacity best appreciated on the frontal view is concerning for early bronchopneumonia. No pleural effusion or pneumothorax. The heart is normal in size. The mediastinum is not widened. | 57968220 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with sudden onset chest pain and shortness of breath. Evaluate for cardiopulmonary pathology. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. Chest PA and lateral radiograph dated ___. | Right lower lobe bronchopneumonia. Recommend repeat radiograph in ___ weeks after treatment to ensure resolution. |
11124859 | Single AP view of the chest provided. Left chest tube appear stable. There is a significant increase in subcutaneous emphysema within the left chest wall. The right lung is clear. Increased aeration in the left upper and lower lung fields suggesting re-expansion. Left pleural effusion tracks up the left chest wall. Hilar and cardiomediastinal contours are normal. | 51988125 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with LMS obstruction s/p bronch // eval left lung and chest tube COMPARISON: Chest radiograph ___ | Increased aeration in the right upper and lower lung field suggesting re-expansion. Left chest tube ends at the left apex. Moderate amount of subcutaneous emphysema along the left chest wall is significantly increased from ___. |
11124859 | A left-sided chest tube is present. There is a small peripheral pneumothorax seen at the left apex hand along the upper left lung. There is subcutaneous emphysema. A large rounded density lies near the tip of the chest tube, abutting the mediastinum with expected level of the aortic arch. There are focal the somewhat mass-like densities in the left mid lung laterally the abutting the left chest wall. There is some increased density with obscuration of the left hemidiaphragm, as well, consistent with some degree of lower lobe collapse/consolidation. Equivocal minimal leftward mediastinal shift. The right lung volume is slightly low, but there is no evidence of CHF, focal infiltrate or effusion on the right side. No right-sided pneumothorax. | 59711046 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with CAD s/p 2 stents, T2DM, liposarcoma of L thigh compartment in ___ s/p surgery and chemoradiation, and newly-diagnosed left thoracic tumor with complication of collapased left lung, is transferred from ___ for further management, now s/p IP removal of left main stem bronchus blockage. // Assessment after chest tube placement COMPARISON: CHEST X-RAY DATED ___. AT 911 A.M. | Left chest tube overlying left upper lung. Small pneumothorax. Appearance is similar to the film from earlier the same morning. |
11124859 | Compared with prior radiographs on ___, there is no significant change in air fluid levels in the left hemithorax, suggesting previous apparent increase in air fluid levels on radiographs on ___ was secondary to patient positioning versus a bronchopleural fistula. There is continued near opacification of the entire left hemithorax status post left pneumonectomy. There is slight decrease in subcutaneous air in the left chest wall. The right lung is clear without focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are difficult to assess given pneumonectomy. A right-sided Port-A-Cath terminates at the cavoatrial junction. | 54021091 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man s/p L pneumonectomy // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs of ___ | No significant change in gas component in the left hemithorax, indicating the apparent increase in air-fluid levels in the left hemithorax on radiographs on ___ was secondary to patient positioning rather than a bronchopleural fistula. |
11124859 | Compared with prior radiographs on ___, there has been slight interval decrease in the air component in the left hemithorax, with continued near complete opacification of the left hemithorax status post left pneumonectomy. There has been interval resolution of subcutaneous air in the left chest wall.The right lung is clear without focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. A right Port-A-Cath is stable in position. | 55417501 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with h/o large sarcoma s/p left thoracotomy, left pneumonectomy, re-exploration of left hemothorax // assess for interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | Slight interval decrease in air component in the left hemithorax, with continued near complete opacification of the left hemithorax status post left pneumonectomy. |
11124859 | A left chest tube is unchanged. Since the prior exam, the amount of pleural fluid has significantly decreased. A small left apical pneumothorax is unchanged. Moderate subcutaneous emphysema is again noted and unchanged. Aeration at the left base has also improved with the reduction in size of the pleural effusion. The rounded opacity in the left upper lung is stable in size with persistent collapse of the left upper lobe around the mass. The right lung is essentially clear. The cardiomediastinal silhouette is normal. | 54279083 | INDICATION: Recent removal of an obstructing left bronchus tumor. Assess for change. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Multiple chest radiographs, including the most recent from ___. CT of the chest from ___. | Decrease in size of the left pleural effusion and improved aeration at the left base. A small apical left pneumothorax and the upper lobe mass are not significantly changed since the prior exam. |
11124859 | A large left suprahilar mediastinal mass is unchanged in size and configuration since the prior study. Small left pleural effusion with left lower lobe scarring is unchanged since the prior study. The right lung is clear. There is a new right chest wall port catheter tip terminating in the distal SVC. There is no pneumothorax or focal consolidation. | 59794837 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and chest CT from ___. | Port catheter tip in the distal SVC. No significant change since the prior study. |
11124859 | PA and lateral views of the chest provided. There is a moderate-sized, partially-loculated left pleural effusion. The left pigtail pleural catheter has been removed, and there may be a small loculated hydropneumothorax at the previous catheter site. Again seen is a left juxtahilar mass with left upper lobe collapse. | 50564151 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pleural effusion // interval change | Moderate, partially-loculated left pleural effusion, with possibly a small hydropneumothorax at the previous pigtail catheter site. |
11124859 | Compared to 11:04 the same day and allowing for differences in technique, the left apical/ upper lung peripheral pneumothorax is slightly smaller. Otherwise, the overall appearance is quite similar. | 53742677 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with CAD s/p 2 stents, T2DM, liposarcoma of L thigh compartment in ___ s/p surgery and chemoradiation, and newly-diagnosed left thoracic tumor with complication of collapased left lung, is transferred from ___ for further management, now s/p IP removal of left main stem bronchus blockage and s/p clamping of L chest tube. // ? assessment after clamping chest tube COMPARISON: Chest x-ray from ___ at 11:03. Targeted review of interval chest CT. | Slight interval decrease in size of left pneumothorax. A tiny residual pneumothorax is likely present. |
11124859 | PA and lateral views of the chest provided. Overall, there is no change from yesterday's PET-CT scan. Patient is known to have a large left hilar mass which encases the central bronchovascular care. There is a large left effusion which appear similar to PET-CT performed yesterday. Right lung remains clear. No shift of midline structures. No pneumothorax. | 56068480 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea, concern for effusion COMPARISON: ___ and PET-CT from ___. | Known left hilar mass with large left pleural effusion. |
11124859 | Compared with prior radiographs on ___, there is continued almost complete opacification of the left hemithorax status post left pneumonectomy, with an apparent increase in air fluid levels in the left hemithorax, although the amount of air appears similar to CT chest on ___, suggesting this apparent increase is due to patient positioning differences versus a bronchial stump leak. There is residual subcutaneous air in the left neck and chest wall. The right lung is clear without focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are difficult to assess given pneumonectomy. A right-sided Port-A-Cath terminates in the proximal right atrium. | 50289493 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M with myxoid liposarcoma metastatic to left lung s/p neoadjuvant chemo/XRT now s/p left pneumonectomy, takeback for left hemothorax // please evaluate for interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___, CT chest on ___ | Apparent increase in air-fluid levels in the left hemithorax may be related to differences in patient positioning. Short-term followup fully upright chest radiograph is suggested to exclude true increase in gas component which would be concerning for postoperative bronchopleural fistula. |
11749999 | Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. The two superior-most wires are fractured. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen at the acromioclavicular joint as well as along the spine. | 55624502 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Altered mental status. COMPARISON: None. | No acute cardiopulmonary process. Fractured first and second superior-most sternal wires. |
11074100 | Small-to-moderate left pleural effusion is unchanged since ___. Since the prior radiograph, there is some improvement in mild interstitial edema. Opacities in the left mid lung zone likely atelectasis. There are suture lines seen in the left upper lung with associated opacifications, likely surgical. Bubbles of air at the apex in the pleural space are unchanged. The right lung is clear. Cardiomediastinal silhouette is unchanged. | 53734312 | INDICATION: ___-year-old man with recent fevers and rigors, question pneumonia, evaluate for interval change. COMPARISONS: Multiple prior radiographs, most recently PA and lateral from ___. | Stable small-to-moderate left pleural effusion. Small air bubbles in the pleural space in the apex on the left, unchanged. Mild improvement in interstitial edema. |
11074100 | There is a moderate-to-large left pneumothorax with associated atelectasis of the left upper lung zones. A left chest tube is in place. There is a small right pleural effusion. The cardiomediastinal silhouette is unremarkable. There is no focal consolidation. There is subcutaneous emphysema seen at the left lateral chest wall. | 50888821 | INDICATION: ___-year-old man with left VATS and wedge resection, evaluate for lung expansion. COMPARISONS: Chest CT from___ from ___. | Moderate-to-large left pneumothorax with associated opacities in the upper lung zones, most likely post-surgical changes. Small left pleural effusion. These findings were reported to Dr. ___ by Dr. ___ ___ telephone at 3:12 p.m. on the day of the exam. |
11074100 | The right lung is clear with the exception of some discoid atelectasis in the lower lung fields. There is no evidence of pleural effusion or pneumothorax in the right. The patient is status post wedge resection of the left lower lobe. A chest tube is again noted ending in the left apex. A previously noted left sided pneumothorax has resolved in the interval, with loculated fluid occupying the space. The subcutaneous emphysema has also improved. Cardiomediastinal and hilar contours are unremarkable. | 56364817 | INDICATION: ___-year-old male with known left upper lobe adenocarcinoma in ___, now status post left lower lobe resection after finding of a FDG-avid pulmonary nodule, with postop pneumothorax and placement of a chest tube to waterseal. Evaluate for interval change. COMPARISON: Chest radiograph from ___ and ___. TECHNIQUE: Portable upright chest radiograph. | Interval decrease in pneumothorax, with replacement by a loculated pleural effusion. Otherwise, no interval change compared with prior exam. |
11074100 | Right lung is essentially clear. Patient is status post wedge resection of the left lower lobe. Chest tube is in unchanged position terminating at the apex of the left lung and is partially fissural. Loculated air and fluid in the left pleural space remains. Subcutaneous emphysema remains around the surgical site. Cardiomediastinal silhouette and hilar contours are unremarkable. | 57323377 | HISTORY: Status post left lower lobe wedge resection. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Small to moderate, multiloculated left hydropneumothorax, increased overnight. |
11546022 | Rotated positioning. An NG tube is present -- the tip extends beneath the diaphragm, off the film. Compared with earlier the same day (16:46 p.m.), no gross change is identified. There is minimal patchy stranding at the right base medially and possible minimal retrocardiac atelectasis. No definite infiltrate is identified. No effusion is seen. No CHF. The cardiomediastinal silhouette is prominent with a left ventricular configuration. The hila are also prominent with a tapered configuration, unchanged, which could reflect an element of pulmonary hypertension. | 52029928 | HISTORY: New stroke resultant dysphagia, now NG tube placement. Question aspiration pneumonia. CHEST, SINGLE AP PORTABLE | Minimal stranding at right base medially and in retrocardiac area. No definite infiltrate. |
11864591 | Mild right basilar scarring is again noted. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. | 59958089 | HISTORY: Pain and distention. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11203019 | A left central line has been removed in the interim. Mild pulmonary edema is unchanged. Retrocardiac opacity, likely atelectasis, is slightly worse from ___ but could be explained by slightly lower lung volumes. Small nodular opacities in the right upper lung are likely sequela from pneumonia. No pneumothorax or pleural effusion. Heart is borderline enlarged but unchanged from ___. | 55448359 | INDICATION: Pneumonia, ARDS and volume overload. Evaluate for pulmonary edema or for an infiltrate. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___ | Slightly lower lung volumes. Mild pulmonary edema unchanged from 2 days prior. |
11849767 | Endotracheal tube tip is 3.7 cm from the carina. Enteric tube is seen with side-port at the GE junction. The lungs are clear of confluent consolidation. The cardiomediastinal silhouette is within normal limits. Prominence of the azygos vein is noted without overt pulmonary edema. No acute osseous abnormalities identified. | 52793404 | INDICATION: ___M with intubation, wheezing, transfer // proper ETT position TECHNIQUE: Single portable view of the chest. COMPARISON: None. | Lines and tubes as above. |
11662712 | PA frontal and lateral chest radiograph demonstrates hyperinflated and clear lungs. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. | 50146393 | HISTORY: ___-year-old female with history of tobacco use. Screening evaluation. COMPARISON: None available. | Hyperinflated lungs. Otherwise, unremarkable chest radiograph. |
11006601 | Heart size remains top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 52901644 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and dizziness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary abnormality. |
11474065 | PA and lateral chest views obtained with patient in upright position. Comparison is made with the next preceding AP single view chest examination of ___. The heart size is at the upper limit of normal variation. The heart configuration suggests a relative prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests the possibility of systemic hypertension. There is no acute pulmonary congestion. In the right hemithorax pleural thickenings are identified and seen to clear along the lateral chest wall. This coincides with the previously described local resection of the posterior aspect of the fourth rib related to previously performed tracheal reconstruction. These post-operative changes have not undergone any significant interval change. No pneumothorax is present. On the lateral view the posterior pleural sinuses are free from any free fluid, pleural effusion. | 57174042 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient status post tracheoplasty via right chest performed on ___, check for interval change. | Stable post-operative chest findings. No new acute infiltrates and no pneumothorax. |
11474065 | Persistence of right middle lobe opacities obscuring the right heart border since ___ is concerning for pneumonia. The rest of the lungs appear unchanged since ___. Moderate bibasilar atelectasis is slightly improved. The heart size is exaggerated by compressive atelectasis. No pneumothorax. Note is made of partial resection of the ___ posterior rib. | 50955371 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with aspiration // PNA? TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___, ___ | Persistence of right middle lobe opacities since ___ is concerning for pneumonia. |
11474065 | As compared to recent radiograph from a few hr earlier, the patient has reportedly undergone a tracheobronchial stent placement. Extensive pneumomediastinum is new, and accompanied by subcutaneous emphysema in the supraclavicular, cervical and chest wall regions. Small bilateral pneumothoraces are also demonstrated. Cardiac silhouette demonstrates left ventricular configuration is accompanied by pulmonary vascular congestion. Asymmetrically distributed heterogeneous opacities in the right mid and lower lobe could reflect asymmetrical edema, aspiration, or hemorrhage in the post procedural setting. | 52522246 | WET READ: ___ ___ 8:02 AM There is extensive subcutaneous and mediastinal air demonstrated on this portable radiograph status post recent bronchial stent placement. This finding is highly concerning for bronchial injury. Lung volumes are low no definite pneumothorax is identified. These findings were discussed immediately upon discovery with Dr. ___ ___ telephone at 19:10 on ___ by Dr. ___. WET READ VERSION #___ ___ ___ 7:12 PM There is extensive subcutaneous and mediastinal air demonstrated on this portable radiograph status post recent bronchial stent placement. This finding is highly concerning for bronchial injury. Lung volumes are low no definite pneumothorax is identified. These findings were discussed immediately upon discovery with Dr. ___ ___ telephone at 19:10 on ___ by Dr. ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with tracheobronchomalacia s/p stent plaecement with SOB // evaluate for pneumonia. pneuthorax | Pneumomediastinum and bilateral small pneumothoraces following tracheobronchial stent placement. The findings are concerning for tracheobronchial rupture. |
11474065 | Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion. Pneumonia pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic deformity of the posterior right fourth rib. | 56896759 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with sob hx tracheobronchomalasia // aacute process TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Increase in opacity at the right mid to lower lung is nonspecific, could be due to infection and/ or aspiration. |
11474065 | One portable AP view of the chest. Again seen is mild pulmonary edema, mostly on the right, with slight improvement compared to ___. Right pleural thickening or loculated effusion is again seen and unchanged. There has been surgical removal of the right fourth rib posteriorly. | 59155076 | INDICATION: Status post right thoracotomy and tracheal reconstruction. Assess for fluid overload. COMPARISON: Chest radiographs from ___, ___ and ___. | Persistent but improved mild pulmonary edema compared to prior study on ___. Right pleural thickening or loculated effusion is stable. These findings were discussed with ___ at 2:30pm on ___ by telephone. |
11474065 | PA and lateral views of the chest provided. An area of scarring in the right lower lung appears unchanged. Remainder both lungs appear relatively clear. Cardiomediastinal silhouette is stably prominent. No pneumothorax. Chronic right upper rib cage deformity and chronic changes related to vertebroplasty in the lower T-spine. | 59083645 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with tracheobroncheomalacia and difficulty breathing COMPARISON: ___ | No convincing evidence for pneumonia or edema. |
11474065 | The previously seen chest tube has been removed without evidence of pneumothorax. The right loculated pleural effusion remains. The right hemithorax appears less opacified due to improved position of the patient, but mild residual diffuse opacification remains. The cardiac silhouette remains enlarged. | 53907259 | INDICATION: ___-year-old woman with chest tube removal. TECHNIQUE: Portable radiograph of the chest was obtained. COMPARISON: Chest radiograph from ___. | No pneumothorax after chest tube removal. |
11474065 | There is persistent right base atelectasis/ scarring. No new focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. | 56451222 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea // infiltrate? TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No significant interval change. |
11474065 | The patient is status post right thoracotomy with a worsening loculated right pleural effusion along the lateral and anterior pleura. There is diffusely increased hazy opacification of the right hemithorax, mainly due to the oblique positioning of the patient. Lung volumes are low with secondary widening of the cardiomediastinal silhouette. There is only mild vascular congestion. There is no pneumothorax. Unchanged chest tube. | 54696391 | INDICATION: ___-year-old woman with recently diagnosed tracheobronchomalacia status post endotracheal Y-stent placement, removed on ___, now status post tracheoplasty via right thoracotomy, daily chest x-ray followup. COMPARISON: Chest radiograph from ___. CT of the trachea from ___. | Since yesterday morning, only minimal worsening of the right pleural effusion and atelectasis. Diffusely increased hazy opacification of the right hemithorax, is mainly due to the oblique positioning of the patient |
11360447 | The lungs are hyperexpanded but clear. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Elevation of the left hemidiaphragm is unchanged. Pacer leads terminate in the right atrium and right ventricle. | 52060634 | INDICATION: ___-year-old female with hyponatremia of unknown origin. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11438699 | The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. Patchy retrocardiac opacity suggests minor atelectasis or scarring. Otherwise, the lungs appear clear. Mild rightward convex curvature is centered along the mid thoracic spine, where there is also mildly exaggerated kyphotic curvature. Associated with this appearance is minimal unchanged anterior wedging of mid thoracic vertebral bodies, as well as suspected bony demineralization. There has been no significant change. | 50237068 | CHEST RADIOGRAPHS HISTORY: Tachycardia and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11945588 | Apparent left retrocardiac patchy opacity seen on the frontal view, not substantiated on the lateral view, most likely represents atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53815650 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hypoxia // eval for PNA, cHF,pleural effusions TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11945588 | A nasogastric tube passes into the stomach; its distal course is not delineated. A right internal jugular venous introducer catheter terminates in the mid superior vena cava. The lung volumes are low with streaky opacities at the lung bases suggesting minor atelectasis. Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. A very small pleural effusion is present on the left side only. | 54626878 | INDICATION: Hypotension. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright. | No evidence of acute disease. |
11331754 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is extensive opacification of the right lower lung, mostly involving the right lower lobe, which is largely consolidated perhaps with a right middle lobe component of opacification. The left lung remains clear. There is no definite pleural effusion or pneumothorax. | 53412437 | CHEST RADIOGRAPH HISTORY: Weakness. Question pneumonia. COMPARISONS: Scout view from CT performed on ___. TECHNIQUE: Chest, PA and lateral. | Extensive opacification in the right lower lung most consistent with pneumonia. Follow-up radiographs are recommended within eight weeks in order to show resolution. |
11386559 | ETT is 4 cm above the carina. Enteric tube traverses the midline and its tip and side-port appear to be within the expected region of the stomach in the left upper quadrant. Lung volumes are very low with bronchovascular crowding. Platelike streaky opacities in the right lower lungs most likely reflect atelectasis. Blunting of the left costophrenic angle may reflect atelectasis and or small pleural effusion. Retrocardiac opacity could be atelectasis or a focal pneumonia in the appropriate clinical situation, incompletely assessed on this single view. Heart size cannot be assessed on exam. No pneumothorax. No frank edema. | 56447913 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man who is intubated with altered mental status. Evaluate ETT placement. TECHNIQUE: Portable supine radiograph view of the chest. COMPARISON: None. | ETT is 4 cm above the carina. Low lung volumes and bilateral atelectasis. Underlying focal consolidation cannot be assessed. Possible small left pleural effusion. |
11140716 | AP portable view of the chest. There is a new moderate to large left pleural effusion with adjacent atelectasis. There are non-specificright basilar opacities, possibly due to small right pleural effusion and overlying atelectasis, underlying consolidation not excluded. Fluid is seen in the minor fissure. There may be mild underlying pulmonary edema. Patient is status post median sternotomy. | 55741017 | INDICATION: Shortness of breath and chest pain. COMPARISON: Chest radiograph from ___. | New moderate to large left pleural effusion with adjacent atelectasis. Small right pleural effusion. Bibasilar atelectasis. Underlying consolidation not excluded. |
11140716 | A newly placed pigtail drainage catheter projects over the right lung base. Despite this, large bilateral pleural effusions with adjacent atelectasis have increased from prior. There is no pneumothorax. Assessment of the cardiac silhouette is limited. The mediastinal contours are unchanged. A rounded opacity at the right lung base is likely atelectasis. | 58582954 | HISTORY: New chest tube, evaluate for pneumothorax. TECHNIQUE: Portable frontal view of the chest. COMPARISON: Chest radiograph ___. | No pneumothorax after drainage catheter placement. Increasing large bilateral pleural effusions. Rounded opacity at the right lung base is likely atelectasis. Attention to this area on follow-up after drainage is recommended. |
11140716 | The patient is status post median sternotomy and CABG. The heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. There is mild pulmonary edema, slightly worse in the interval, though the lung volumes are lower compared to the previous exam. Persistent triangular area of opacification within the lateral aspect of the right mid lung field as well as bibasilar airspace opacities are demonstrated. Small bilateral pleural effusions are present, not changed from the previous exam. No pneumothorax is identified although assessment of the lung apices is obscured by the patient's chin and soft tissues of the neck projecting over this region. A pigtail catheter is demonstrated which terminates in the region of the right lung base, unchanged. | 54355934 | HISTORY: Congestive heart failure, worsening dyspnea. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: Chest radiograph ___. | Mild pulmonary edema, worse in the interval. Persistent small bilateral pleural effusions with right basilar pigtail catheter in unchanged position. Persistent bilateral airspace opacities are similar. |
11140716 | There is a new moderate right pleural effusion and small left pleural effusion. The cardiac size cannot be assessed due to these pleural effusions. There is no pneumothorax. Linear opacities in both mid lungs are likely atelectasis. Median sternotomy wires are present. | 54237132 | INDICATION: Shortness of breath. COMPARISON: CT torso, ___, limited CT from interventional procedure, ___. | New pleural effusions, moderate on the right and small on the left. |
11140716 | As compared to prior chest radiograph from ___ there has been interval placement of a left pleural drain located at the left lung base. Right chest tube appears in unchanged position at the base of the right lung. There has been dramatic improvement of the left pleural effusion, some fluid still remains with adjacent atelectasis. Pleural effusion on the right has also improved. Atelectatic changes are noted at the right lung base. There is no definite pneumothorax. | 53780010 | INDICATION: ___-year-old woman with metastatic colon cancer, malignant pleural effusion status post placement of a left PleurX catheter. COMPARISON: Prior chest radiograph from ___ and ___. TECHNIQUE: Portable AP chest radiograph. | Interval placement of left pleural drain with improvement of pleural effusions bilaterally. No pneumothorax. |
11140716 | There is been no significant decrease in the right-sided pleural effusion after thoracentesis. There is no pneumothorax. The moderate left pleural effusion is unchanged. The cardiac silhouette remains severely enlarged, however, there has been resolution of the mild pulmonary edema. A linear area of atelectasis in the right lower lung is again noted. The mediastinal contours are unchanged. The bones are diffusely demineralized | 56340674 | HISTORY: Metastatic colon cancer presenting with shortness of breath and bilateral pleural effusions. Evaluate pleural effusion after right-sided thoracentesis. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___, ___ and ___. CT chest ___. | Unchanged small right and moderate left pleural effusions. Resolved pulmonary edema. |
11542777 | PA and lateral views of the chest were obtained, demonstrating clear, well-expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm. | 54957972 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Vertigo, assess for signs of infection. | No evidence of pneumonia. |
11603789 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Minimal streaky opacity in the lingula is suggestive of minor atelectasis or scarring. The lungs appear otherwise clear. Bony structures are unremarkable. | 55578491 | CHEST RADIOGRAPHS HISTORY: Right upper quadrant pain and upper respiratory infection. Question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11061669 | The heart is normal in size. There is mild unfolding of the lower descending thoracic aorta. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along the mid thoracic spine. | 58116000 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: A chest CT is available from ___ and chest radiographs from ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11061669 | There is an opacity overlying the right third anterior rib space, though difficult to localize.Heart size is within normal limits.Again seen is a mildly enlarged mediastinal contour, likely due to dilated ascending aorta which was previously seen on CTA from ___, though stability is difficult to assess due to differences in technique. No a valvular calcifications are seen. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. | 59018962 | INDICATION: ___ year old woman with dyspnea on exertion. Evaluate for a pulmonary edema versus pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. CTA from ___. | No evidence for active cardiopulmonary disease. Possible right lung nodule, difficult to localize. Repeat all exam in ___ weeks for evaluation with either PA view followed by additional views after reviewing the image with the radiologist or shallow oblique views is recommended. Dilated ascending aorta, difficult to establish stability since CTA on ___. |
11751321 | The heart size remains mildly enlarged. The aorta is unfolded. Previously noted nasogastric tube has been removed. The pulmonary vascularity is not engorged. Elevation of left hemidiaphragm is stable. There is mild associated linear atelectasis in the left lower lobe. Right lung is clear. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes of the thoracic spine are present. Partially imaged is cervical spinal fusion hardware. | 54022427 | INDICATION: Fever. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Elevation of left hemidiaphragm with associated left lower lobe atelectasis. No evidence for pneumonia. |
11950057 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable. No displaced fracture is seen. | 55970641 | HISTORY: Chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11731442 | The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. The patient is status post prior cervical spine fusion. | 53761636 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with history of advanced ovarian cancer and 1 week of sinus congestion and cough. Evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___. | No evidence of pneumonia. Clear lungs. |
11591601 | 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. | 50611868 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Lower extremity weakness, chest pain, and nausea. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
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