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11890707 | Left-sided PICC terminates overlying the expected location of the left basilic or brachial vein, malpositioned. Right lateral approach chest tube terminates overlying the right lung apex. There is a moderate right pleural effusion. There are ill-defined right basilar opacities which may be compatible with atelectasis versus an infectious process. There is moderate pulmonary interstitial edema. There is cardiomegaly. There is no osseous abnormality. There is no pneumothorax. | 58786305 | WET READ: ___ ___ 3:38 AM 1. Left-sided PICC is malpositioned, overlying the expected location of left basilic or brachial vein. 2. Moderate right pleural effusion and pulmonary interstitial edema 3. Right basilar opacities which may represent atelectasis or an infectious process. 4. No pneumothorax. Right-sided chest tube overlies the right lung apex. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with PICC // PICC placement before use. Chart review notes that patient was transferred from ___ ED with AMS and has a right pneumonia. Also bilateral pleural effusions. TECHNIQUE: Upper frontal view of the chest COMPARISON: None available | Left-sided PICC is malpositioned, overlying the expected location of left basilic or brachial vein. Moderate right pleural effusion and pulmonary interstitial edema Right basilar opacities which may represent atelectasis or an infectious process. No pneumothorax. Right-sided chest tube overlies the right lung apex. |
11157394 | Lung volumes remain low, but there is no focal consolidation. Mild cardiomegaly and central vascular congestion are unchanged. Changes of median sternotomy, mediastinal clips, and pulmonary artery stent. The aorta is tortuous and calcified. There are no pleural effusions or pneumothorax. | 56714189 | INDICATION: ___-year-old female with pulmonary leiomyosarcoma resection, chest pain and congestive heart failure. COMPARISON: Chest radiograph from ___ and high-resolution interstitial CT from ___. CHEST, PA AND | Stable mild cardiomegaly and central vascular congestion. |
11157394 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiac silhouette is moderately enlarged, unchanged from the prior study. Median sternotomy wires and surgical clips in the right hemithorax are unchanged. There is prominence of the central pulmonary vasculature but no evidence of pulmonary edema. A vascular stentbetter seen on the lateral, may be in the left pulmonary artery. There are no acute skeletal abnormalities. | 54710122 | INDICATION: ___-year-old woman with cough and CHF. Evaluate for abnormalities. COMPARISONS: PA and lateral chest radiographs from ___. | No focal consolidation. Stable cardiomegaly and prominence of central pulmonary vasculature without pulmonary edema. |
11441654 | The heart is borderline in size with a left ventricular configuration. Mediastinal and hilar contours appear within normal limits. Scarring and bullous changes are visible at the right lung apex greater than left. The lungs appear otherwise clear. There are no pleural effusions and pneumothorax. | 55541804 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Stroke. TECHNIQUE: Chest, AP upright portable. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
11204500 | Frontal and lateral chest radiograph demonstrate unremarkable mediastinal and hilar contours. Heart size is top normal with a configuration suggesting left ventricular hypertrophy. No lobar opacification is evident within the lungs. However, there are faint reticular nodular opacifications in the left lung possibly due to underlying atypical, possibly viral infection. No findings to suggest emphysema. No pleural effusion or pneumothorax. Port-A-Cath terminates in the upper right atrium. | 56390615 | INDICATION: Fever, weakness, evaluate for infiltrate. COMPARISON: Comparison is made to chest CTA performed ___ and PET-CT performed ___. | Faint reticular nodular opacifications within the left lung may represent an atypical infection, possibly viral. No large focal opacifications evident. |
11978101 | There has been near-complete resolution of the cardiogenic pulmonary edema seen on the prior study. Moderate cardiomegaly is stable. There continues to be mediastinal vascular engorgement consistent with mild hypervolemia. There is no pneumothorax or pleural effusion. | 59225917 | INDICATION: Evaluate for improvement in fluid balance in a patient with CHF exacerbation. COMPARISON: Chest radiograph from ___. | Near-complete resolution of cardiogenic pulmonary edema with minimal remnant mediastinal vascular engorgement suggestive of mild hypervolemia. |
11978101 | There are diffuse alveolar opacities bilaterally with hazy lung bases, findings consistent with moderate pulmonary edema and probable bilateral pleural effusions. There is likely associated compressive atelectasis at the bases as well. No pneumothorax is evident. Mediastinal contours appear normal. Moderate cardiomegaly appears similar to prior. The bones remain diffusely osteopenic. | 54570500 | HISTORY: ___-year-old female with acute shortness of breath and rales on exam. COMPARISON: Chest radiograph from ___ PORTABLE FRONTAL CHEST | New moderate pulmonary edema with probable bibasilar atelectasis and small bilateral pleural effusions. Unchanged moderate cardiomegaly |
11978101 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding single view chest examination of ___. On the frontal view, the findings are unchanged and there is no evidence of any pneumothorax. Again identified are the two standard electrodes in right atrial appendage position and apical portion of right ventricle correspondingly. The third electrode can now be located in greater detail with the help of the lateral view. This third wire is also connected with the same left-sided pacer passes along through the central venous system and when reaching the right atrium makes an anterior gentle curve to return in dorsal direction and apparently entering the venous coronary sinus. It continues for about 3 cm in posterior direction before it curves finally with its tip laterally, so that it rests in a posterior lateral obtuse marginal vein of the coronary venous system. Thus, the wire should activate region of the posterolateral left ventricle. Comparison is extended to a series of chest examinations in ___. The degree of cardiomegaly appears to be stable. There is no significant pulmonary vascular congestion or any pleural effusion in lateral or posterior pleural sinuses. | 56783352 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with cardiomyopathy status post biventricular ICD. Are the leads in appropriate position? | Appropriate position of all three endovascular pacer electrodes in right atrial appendage, right ventricular apical portion and left posterolateral coronary vein to stimulate left ventricle. |
11978101 | Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are stable. Linear opacity in the right lung is consistent with atelectasis. No substantial pleural effusion or pneumothorax. Leads of a left chest wall generator pack terminate in the right atrium and right ventricle. A third cardiac lead is in unchanged position since ___. | 51647007 | HISTORY: ___-year-old female with 5 days of cough. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Cardiomegaly with low lung volumes. No convincing sign of pneumonia or CHF. |
11566993 | A right-sided chest tube is again seen with interval placement of another right-sided chest tube. The heart is severely enlarged. Moderate to large right pleural fluid consistent with hemorrhage in the setting of trauma seen on prior chest radiograph from the same day has significantly decreased. The apical pneumothorax has decreased in size. Multiple right-sided rib fractures are again noted. | 59027621 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p placement of second chest tube // please assess placement of second tube (lateral and lower than existing tube) TECHNIQUE: Single frontal view of the chest COMPARISON: Chest CT from ___. Chest radiograph from ___. | There has been interval placement of another right-sided chest tube slightly lower in position than the prior. The right-sided hemorrhagic pleural fluid has significantly decreased. Right apical pneumothorax has also decreased. Severe cardiomegaly. |
11566993 | The previously seen 2 right-sided chest tubes are unchanged in position. The heart is severely enlarged, unchanged compared to prior studies. The mediastinal silhouette is also unchanged. No change in the small right hemorrhagic pleural fluid compared to the most recent prior study. Small right apical pneumothorax appears to have slightly increased compared to the most recent prior study. Multiple right-sided rib fractures are again noted. | 57333630 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new chest tube // pa/lateral- placement TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph from ___ at 05:41, ___ 2 seconds ___ at 11:54. Chest CT from ___. | 2 right-sided chest tubes are unchanged in position. No change in the small right hemorrhagic pleural effusion. The small right apical pneumothorax may have slightly increased compared to the most recent prior study. |
11566993 | 1 right chest has been removed. No increased pleural effusion. The other right chest tube remains. Marked cardiomegaly as previously. Bilateral lung opacities with no significant change. | 50834741 | EXAMINATION: Chest two-views. INDICATION: ___ year old woman with hemopneumothorax s/p CT x 2, s/p removal of 1 CT yesterday // please eval for status of hemopneumothorax TECHNIQUE: Chest AP and lateral COMPARISON: ___. | Removal of 1 of the 2 right chest tubes with no increased pleural effusion or pneumothorax. Stable cardiomegaly and bilateral lung opacities. |
11566993 | Interval removal of right chest tube. Suggestion of tiny right apical pneumothorax, not definitely seen on prior exam. Marked enlargement cardiac silhouette, stable. Tiny right pleural effusion. Stable bilateral perihilar, right basilar opacities. Mild gastric distension, new. Stable right chest wall subcutaneous emphysema. Right thoracotomy. Arterial calcifications. | 50356394 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with rib fxs and hemoPTX, s/p 2CT, now with last CT D/C'd // ?PTX post-pull of CTPlease take CXR at ___ (4hrs post-pull) TECHNIQUE: Chest two views COMPARISON: ___ 09:00 | Probable tiny right apical pneumothorax |
11566993 | Again seen are 2 right-sided chest tubes, the inferior chest tube has been replaced in the interval since the most recent prior chest radiograph. There appears to be interval curving of the tip of the more inferior chest tube. The heart is severely enlarged, unchanged compared to multiple recent priors. Right-sided hemorrhagic pleural effusion is unchanged. The right apical pneumothorax has significantly decreased in size. | 55670232 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hemothorax // please evaluate for chest tube placement TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph from ___ at 13:02, ___:54, 05:41. | The inferior right-sided chest tube appears to be curved at the tip, possibly kinked. Very minimal right apical pneumothorax, decreased compared to most recent prior study. Unchanged small right hemorrhagic pleural effusion and severe cardiomegaly. |
11566993 | 2 chest tubes with no significant changed in position since the previous film. Increased atelectasis the right lower lobe. Cardiomegaly with no interval change. No pleural effusion or pneumothorax. . | 52027677 | EXAMINATION: Chest single view INDICATION: ___ year old woman with hemopneumothorax s/p CT x 2, with one CT clamped today // please eval for status of hemopneumothorax. please perform at 2pm today TECHNIQUE: A PA lateral chest. COMPARISON: ___. | 2 chest tubes in the right hemithorax with no interval change. No pneumothorax or pleural effusion. Increased atelectasis the right lower lobe. |
11958726 | ET tube tip is difficult to visualize. It it is approximately 3 point 5 cm above the Carina. NG tube tip is off the film, at least in the stomach. Right IJ line tip is at the cavoatrial junction. Left-sided PICC line is no longer visualized. There is volume loss at both bases. There is small bilateral pleural effusions. There is pulmonary vascular redistribution. The alveolar edema is decreased compared to prior | 52160380 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p intubation // eval post intubation TECHNIQUE: Portable chest COMPARISON: ___. . | Improved fluid status compared to prior |
11614040 | As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. There is a small right pleural effusion. Minimal amount of apical left pneumothorax persists. A right Port-A-Cath catheter tip terminates at the cavoatrial junction. | 54498314 | INDICATION: ___-year-old female patient with adenocarcinoma, status post left pleural effusion drain on ___. Study requested for evaluation of new pleural effusion. COMPARISON: Prior chest radiograph from ___ through ___. TECHNIQUE: PA and lateral chest radiographs. | Minimal left apical pneumothorax. Interval increase of moderate left pleural effusion. These findings were discussed with ___ ___ by Dr. ___ via telephone on ___ at 2:52 p.m., at time of discovery. |
11614040 | AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free. | 54620855 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with acute on chronic shortness of breath. Enlarging pleural effusion?, pulmonary edema?. | Acute pulmonary congestion with central pulmonary edema and left-sided pleural effusion. Report has been issued at 2:15 p.m. as the study remained non-verified for more than 10 hours. |
11614040 | Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided Port-A-Cath is seen, with distal tip in the expected location of the right atrium. | 57214129 | HISTORY: Recent admission for pneumonia. TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___. | Moderate left pleural effusion slightly increased as compared to the prior study. Interval increase in right base opacity may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Pulmonary vascular congestion. |
11971366 | AP portable upright view of the chest. Port-A-Cath resides over the left chest wall as on prior with catheter tip in the mid SVC. Lungs are clear bilaterally. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild dextroscoliosis noted. | 56163913 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with ams // PNA? COMPARISON: ___ | No acute intrathoracic process Port-A-Cath positioned appropriately. |
11655031 | Portable frontal radiograph of the chest demonstrates a right PICC ending in the upper to mid SVC. No focal consolidation, pleural effusion or pneumothorax. Normal heart size, mediastinal and hilar contours. | 52966830 | INDICATION: Right PICC. COMPARISON: ___. | Right PICC ends in the upper to mid SVC. |
11655031 | Single frontal view of the chest demonstrates no evidence of pneumothorax. The cardiomediastinal silhouette is unremarkable. There is no vascular congestion or pleural effusion. No displaced osseous injury is evident. A 6-mm well-circumscribed radiodensity projecting over the right humeral head may represent a bone island, but is not encompassed on preceding radiographs of the chest. | 53149100 | INDICATION: ___-year-old male, who sustained multiple epigastric stab wounds, now presenting with shortness of breath. Question traumatic injury. COMPARISON: ___. | No acute cardiopulmonary process such as pneumothorax. |
11655031 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Left lung base opacities are noted. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. An IVC filter is in place. | 52480419 | INDICATION: Chest tightness. Assess for pneumonia. COMPARISONS: ___. | Left lung base opacity, likely atelectasis. This portion of the left lower lobe will be included in CT abdomen/pelvis scheduled for later today. Findings discussed with Dr. ___ at 7:50am ___ by phone at the time of discovery. |
11655031 | A new right upper lobe hazy opacity is consistent with pneumonia. The cardiomediastinal silhouette is normal. There is no effusion or pneumothorax. | 51024476 | HISTORY: Complained of "feeling wheezy" although the lungs clear to auscultation anteriorly. Fever to 102.3 with rigors. Rule out acute process. COMPARISON: ___. | Right upper lobe pneumonia. Repeat chest x-ray after treatment to document resolution. |
11655031 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 52751643 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cp/sob COMPARISON: ___ | No acute intrathoracic process. |
11655031 | The heart size is normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures demonstrate multilevel degenerative changes with anterior osteophyte formation. IVC filter is partially imaged on the lateral view. | 51352907 | INDICATION: History of cough and shortness of breath. Please evaluate. COMPARISONS: Multiple chest radiographs dating back to ___ most recently from ___. TECHNIQUE: PA and lateral radiographs of the chest. | No focal consolidations concerning for pneumonia identified. |
11416492 | There are low inspiratory volumes. Allowing for this, the heart is not enlarged. Aorta is mildly unfolded. Hila are unchanged in appearance. There is minimal upper zone redistribution, without overt CHF. No focal infiltrate or effusion is identified. An indwelling right subclavian catheter is noted, with tip over right atrium. Prominence of right paratracheal soft tissues is again noted, unchanged. Targeted review of ___ CT shows prominent mediastinal fat and scattered lymph nodes in this area, together with normal vascular structures. | 53552513 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with AMS // infiltrate? COMPARISON: Chest x-ray from ___ | No focal infiltrate or consolidation detected. Mild upper zone redistribution is unchanged. |
11416492 | Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are low. Lungs are otherwise clear without focal consolidation demonstrated. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected. | 56001256 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with pancreatic cancer and history of renal cell cancer presenting with dyspnea on exertion TECHNIQUE: Portable upright AP view of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
11767503 | Frontal and lateral views of the chest were obtained. There is mild left basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. | 51120156 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Abdominal pain, recent Whipple. COMPARISON: ___. | Mild left basilar atelectasis without definite focal consolidation. |
11074731 | The lungs are clear. There is no consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 55809573 | INDICATION: ___F with positional chest pain // pneumonia, mass, effusion, cardiomegaly TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11362587 | Heart size remains mildly enlarged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion without overt pulmonary edema, new in the interval. Patchy bibasilar atelectasis is increased compared to the prior study. No large pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 52098273 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with NSTEMI from outside hospital with new hypoxia TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Outside hospital chest radiograph ___ at 13:00, chest radiograph ___ | Mild pulmonary vascular congestion, new in the interval, with increased mild bibasilar atelectasis. |
11362587 | There is progressive cardiomegaly when compared to ___, now with increasing pulmonary vascular congestion and perihilar opacities along with bilateral pleural effusions consistent with cardiogenic pulmonary edema. There is also a small amount of fluid tracking within the minor fissure. There is no focal consolidation or pneumothorax. | 54704661 | INDICATION: Shortness of breath and wheezing along with bacteria. Concern for pneumonia or volume overload. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Multiple priors, most recent from ___, ___. | Worsening cardiogenic pulmonary edema. Results were relayed by Dr. ___ to Dr. ___ by phone at 11:26 a.m.. |
11362587 | PA and lateral views of the chest provided. There is borderline hyperexpansion of the lung fields. 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. | 54063332 | WET READ: ___ ___ ___ 12:35 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CAD s/p angioplasty 1 week ago now with chest pain // Assess for pulmonary edema or pneumonia COMPARISON: Chest radiograph ___. | No acute intrathoracic process. |
11362587 | The heart size is top normal. The hilar and mediastinal contours are within normal limits. T there is no pneumothorax or pleural effusion. There is mild central pulmonary vascular congestion with mild edema, which appears new since ___. A previous seen right lower lobe opacity is less distinct within the background of new pulmonary opacities. | 51894301 | INDICATION: Concern for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: Radiographs from ___. | New mild central pulmonary vascular congestion and mild interstitial edema in comparison to the ___ examination. A previously-seen right lower lobe opacity is less distinct. |
11362587 | There is slight rightward rotation of the patient. Allowing for changes due to this, the cardiomediastinal silhouette is unchanged and within normal limits. The hila are unremarkable. There is a right lower lobe opacity which is new from the prior exam. Otherwise, the lungs are clear. There is no pulmonary edema. There is no pneumothorax or pleural effusion. | 57875765 | INDICATION: ___-year-old woman with leukocytosis, worsening sputum and cough, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___. | New right lower lobe opacity concerning for developing infection, possibly bronchopneumonia. |
11197581 | The lungs appear clear with no evidence of pneumothorax or focal consolidations. No pleural effusions. The hilar and mediastinal contours are unremarkable. Cardiomediastinal silhouette is unremarkable. A pacer with leads terminating in appropriate position is noted. Imaged bowel gas pattern appears nonspecific. | 52128958 | HISTORY: ___-year-old male with fall. Evaluate for pneumonia or pneumothorax. COMPARISON: ___. SINGLE PORTABLE VIEW OF THE | No evidence of acute cardiopulmonary abnormality. |
11900070 | The lungs are hyperinflated with coarse interstitial markings and the diaphragm is flattened consistent with emphysema. The left pulmonary artery is prominent which may reflect pulmonary hypertension. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 51952993 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with COPD and recurrent chest discomfort and wheezing on exam // assess for any CHF or masses TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest PA and lateral ___ | Radiographic evidence of COPD. Prominent left pulmonary artery consistent with pulmonary hypertension. |
11340250 | The lungs are clear besides minimal probable bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities. Anterior and posterior cervical fixation hardware is partially visualized. | 54428598 | INDICATION: ___M with cough, adventitious breath sounds // pneumonia? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No definite acute cardiopulmonary process. Probable bibasilar atelectasis. |
11340250 | Portable semi-upright radiograph of the chest demonstrates slightly low lung volumes. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation is identified. A left PICC is terminates at the junction of SVC and lfet brachiocephalic vein. Cervical fixation hardware is present. | 59811392 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, tachycardia // eval for pna TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___, CT chest dated ___ | No definite acute intrathoracic abnormality. |
11340250 | Left PICC is in the upper to mid SVC. Lung volumes are low. Heart size is normal. The mediastinal and hilar contours are stable. Previous mild volume overload is improved. There is no pleural effusion or pneumothorax. Spinal fusion hardware is partially imaged in the lower cervical spine. | 53973152 | INDICATION: ___ year old man with fevers secretions // ? atelectasis vs pneumonia TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___ | Persistently low lung volumes. Previous mild volume overload is improved. |
11340250 | 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 and hilar contours are normal. Cervical spinal fusion hardware is again noted, and there has been interval removal of a tracheostomy tube. | 51045416 | EXAMINATION: Chest radiograph INDICATION: ___-year-old male with cough and fever. Evaluate for pneumonia. TECHNIQUE: Portable AP frontal chest radiographs were obtained. COMPARISON: Chest radiographs from ___, ___ and ___. | No acute intrathoracic process. |
11340250 | As compared to chest radiograph from 1 day prior, tracheostomy remains in good position. Right-sided PICC line terminates in the low SVC. Mild bibasilar opacities are stable and can represent aspiration in this clinical setting. No pulmonary edema. No pleural effusions or pneumothorax. | 50839015 | INDICATION: ___ year old man with increasing WBC // ? pna TECHNIQUE: Portable | Mild bibasilar opacities in the dependent portions of the lungs, can reflect aspiration pneumonia, bettter demonstrated on prior abdominal CT. |
11340250 | Bilateral infrahilar airspace opacities are nonspecific and appear to have been present on the prior exam in ___, potentially aspiration and/or atelectasis. No large pleural effusion, pneumothorax, or edema. The heart is normal in size. Mediastinal contours are unchanged. Cervical spine hardware are intact. | 58525969 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with fever. Evaluate for pneumonia. TECHNIQUE: Semi upright portable AP radiograph of the chest. COMPARISON: Chest radiograph dated ___. | Bilateral infrahilar opacities overall unchanged could be aspiration and/or atelectasis. |
11855535 | Portable AP upright view of the chest provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. | 54284459 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Seizure and unresponsive, assess for pneumonia. | No acute findings in the chest. |
11289365 | The lungs are mildly hyperinflated, and streaky right basilar atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is grossly within normal limits. Multiple healed right sided rib fractures are noted. | 53205317 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with weakness // Please eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of pneumonia. . |
11289365 | There is bibasilar atelectasis. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are within normal limits. Atherosclerotic calcifications of the aortic arch and the thoracic aorta are noted. There is no pleural effusion or pneumothorax. | 55763280 | INDICATION: ___F with pleuritic CP, CHF symptoms from outside hospital with troponin leak. Evaluate for pulmonary edema. TECHNIQUE: AP and lateral views of the chest were obtained. COMPARISON: Concurrent CTA chest. | Bibasilar atelectasis. No focal consolidation or overt pulmonary edema. |
11289365 | The lungs remain hyperinflated.No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Extensive aortic calcification again seen. | 59402341 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with lightheadeness // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11552201 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 52969262 | INDICATION: Shortness of breath. Evaluate for pneumonia. COMPARISONS: None. | No acute cardiopulmonary process. |
11404070 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 59247227 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Palpitations. | No acute findings in the chest. |
11887646 | AP portable upright view of the chest. A metallic stent is seen projecting over the right axilla. Overlying EKG leads are present somewhat limiting assessment. The lungs appear hyperinflated and clear. No large effusion or pneumothorax is seen though the left CP angle is partially excluded. Cardiomediastinal silhouette is unchanged. Mild aortic atherosclerotic calcification is noted. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen. | 54684173 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cough and fever COMPARISON: ___. | Hyperinflated lungs without convincing evidence for pneumonia or edema. |
11887646 | 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. Vascular stent is present in the right axillary region. | 55440964 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fever, productive cough. // Focal opacity, specifically in lower right lobe? TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No new areas of consolidation to suggest the presence of pneumonia. |
11887646 | 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. | 56149094 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough // pneumonia vs chf TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11887646 | PA and lateral views of the chest provided. Partially visualized stent in the right upper arm again seen. 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. | 54954683 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and fever // r/o infectious process COMPARISON: Prior exam from ___ | No acute intrathoracic process. |
11418635 | Mild basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. | 53386707 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough // evaluate for pneumonia/ ACS TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No focal consolidation to suggest pneumonia. |
11679517 | Frontal and lateral views of the chest, and oblique views of the left ribs were obtained. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. The osseous structures are unremarkable, and no rib fracture is identified. No radiopaque foreign bodies are seen. | 57415772 | INDICATION: ___-year-old man with left anterior chest wall pain after trauma to chest with table at work. Evaluate for fracture or pneumothorax. COMPARISONS: None. | No acute cardiopulmonary process. No displaced rib fracture or pneumothorax. |
11750627 | The lungs are relatively well expanded, with persistent linear atelectasis in the left lung base, unchanged from the prior study. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable. No subdiaphragmatic free air is noted. | 53702258 | WET READ: ___ ___ ___ 8:05 PM No acute cardiopulmonary process or subdiaphragmatic free air. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___M with ESRD on dialysis, 3D epigastric pain // eval ? free air TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary process or subdiaphragmatic free air. |
11750627 | Linear left lower lobe atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within below the diaphragm beneath the diaphragm. | 59886265 | EXAMINATION: CORRECT THE LAST LINE IN THE FINDINGS SECTION. Chest radiograph. INDICATION: History: ___M with orthostatic sxs // eval ? edema, free air, infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___. | No evidence of acute cardiopulmonary process. |
11750627 | Frontal and lateral radiographs of the chest show increased opacification at the left lung base compared to the right and is likely due to atelectasis in the setting of decreased inspiratory lung volumes. The lungs are otherwise clear without appreciable pulmonary lesions, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is within normal limits and unchanged from multiple priors. | 57626170 | INDICATION: ___-year-old male with history of end-stage renal disease, here to evaluate for evidence of tuberculosis. COMPARISON: Chest radiographs, last performed on ___. | Left lower lobe atelectasis most likely in the setting of decreased lung volumes. No evidence of acute or chronic tuberculosis. |
11750627 | PA and lateral chest radiographs were obtained. There is a new subtle retrocardiac opacity that is most obvious as a spine sign on the lateral radiograph. Minimal atelectasis is seen at the left base. There is no effusion pneumothorax. Cardiac and mediastinal contours are normal. | 59249293 | HISTORY: Fevers, myalgias. COMPARISON: ___ | Retrocardiac opacity may be due to summation of shadows, but a focal infiltrate cannot be excluded. |
11535733 | Single AP upright portable view of the chest was obtained. There is minimal left base atelectasis. Subcentimeter calcified nodular opacities projecting over the right mid-to-lower lung most likely represent calcified granulomas. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The aorta is somewhat tortuous/unfolded. The cardiac silhouette is top normal. | 51270617 | EXAM: Chest AP upright portable view. CLINICAL INFORMATION: Altered mental status. COMPARISON: None. | Mild left base atelectasis. Calcified right pulmonary nodules likely representing calcified granulomas. No focal consolidation. |
11807843 | A left PICC continues to coil within the left subclavian vein. The endotracheal tube and nasogastric tube are in stable position, and cervical spinal hardware is partially visualized. The lungs are essentially clear without focal consolidation or pleural effusion. The heart size is normal. | 56464379 | INDICATION: ___ year old man with cervical spine injury status post decompression, intubated as of morning of ___ // interval change? TECHNIQUE: Frontal chest radiographs were obtained with the patient in the supine position. COMPARISON: Radiographs from ___ and ___. | No significant interval change with a left PICC continuing to be coiled in the left subclavian vein. |
11807843 | ET tube is approximately 4.9 cm above the carina. OG tube extends into the stomach and passes out of view. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. | 57469597 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ETT // eval tube position COMPARISON: Chest radiographs from___ | ET tube is approximately 4.9 cm above the carina. |
11807843 | ET tube is present terminating at the level the mid clavicular heads. The cardiomediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The stomach is distended with air. | 56225373 | INDICATION: ___M tx, intubated // eval for tube placement TECHNIQUE: Supine portable chest radiograph. COMPARISON: None. | ET tube at the level of the mid clavicular heads. No acute cardiopulmonary process. Please note that chest radiography is not sensitive for detection of chest cage trauma. |
11427507 | The lungs are well expanded and clear. There is no pleural abnormality. The moderate cardiomegaly is unchanged from prior exam. The mediastinal and hilar contours are stable. Median sternotomy wires and surgical clips are aligned and intact. The osseous structures are unremarkable. | 54035213 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // Evaluate for ACS TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11427507 | PA and lateral views of the chest. The lungs are clear of consolidation, effusion, or vascular congestion. Cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. Osseous structures demonstrate no acute abnormality. | 59525678 | HISTORY: ___-year-old female with chest pain and shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
11320537 | PA and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. | 53547385 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, question acute process in the chest. | No acute findings in the chest. |
11334552 | Lung volumes are low and air is a small amount of bibasilar atelectasis. The lung fields are otherwise clear. The heart size is normal. No evidence of fracture or dislocation. No pneumothorax or pleural effusion. | 59073751 | WET READ: ___ ___ ___ 4:01 AM No evidence pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with L sided cp // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None | No evidence of pneumonia. |
11255345 | 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. | 58987648 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with seizure TECHNIQUE: Portable upright AP view of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
11113766 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 59359192 | WET READ: ___ ___ ___ 4:30 AM No acute cardiopulmonary process. Specifically, no evidence of pneumomediastinum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with vomting, chest pain. Pneumomediastinum? TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. Specifically, no evidence of pneumomediastinum. |
11969878 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 54794502 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left rib pain after MVC // ?fx ?ptx COMPARISON: None | No acute intrathoracic process. |
11050533 | AP portable upright view of the chest. Patient is intubated with the tip of the endotracheal tube residing 2.2 cm above the carinal. An NG tube courses towards the diaphragm along the thoracic midline though the tip is obscured from view. Cardiomegaly is noted. No large consolidation, effusion or pneumothorax is seen. Mediastinal contours unremarkable. No acute bony abnormalities. | 58321873 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with ? status epilepticus, intubated transfer // COMPARISON: None | ET tube positioned appropriately. Tip of NG tube not visualized. Cardiomegaly. |
11050533 | In comparison to the chest radiograph obtained 1 day prior, there has been interval improvement in opacification at the left lung base, though there remains a retrocardiac consolidation with faint air bronchograms, likely atelectasis, dependent edema, or pneumonia. Pleural effusions small, if any. Heart size top-normal with mild pulmonary edema. | 51251129 | EXAMINATION: Portable AP chest radiographs INDICATION: ___ year old man with altered mental status, rigors, fevers, desaturations on ventilator // evidence of new infiltrate or volume overload TECHNIQUE: Chest portable AP COMPARISON: Portable AP chest radiograph dated ___ | Persistent retrocardiac consolidation may be atelectasis, dependent edema, or pneumonia. New, mild pulmonary edema. |
11771793 | Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax. Endotracheal and enteric tubes are in standard positions. Lung volumes are low. Cardiac silhouette size remains mild to moderately enlarged. The mediastinal and hilar contours are unchanged. No focal consolidation or pleural effusion is identified. No acute osseous abnormalities detected. | 52848283 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with stroke // evaluate for central venous line placement TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Chest radiograph ___ at 15:11 | Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. |
11771793 | Endotracheal tube tip terminates approximately 5.5 cm from the carina. An enteric tube tip courses below the left hemidiaphragm, into the stomach, and off the inferior borders of the film. Heart size appears at least mild to moderately enlarged. The aorta is tortuous. Pulmonary vascularity is not engorged. Patchy opacities in lung bases my reflect areas of atelectasis. No focal consolidation, large pleural effusion or pneumothorax is seen, however the extreme left costophrenic angle is excluded from the field of view. Mild degenerative changes are noted in the thoracic spine. Punctate calcific densities in the right upper quadrant of the abdomen may reflect gallstones. | 57720941 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation, altered mental status, unresponsive TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Endotracheal and enteric tubes are in standard positions. Patchy bibasilar opacities, likely atelectasis. |
11967665 | Two views of the chest demonstrate minimal airspace opacity in the left upper lung. There is mild biapical architectural distortion, with borderline bronchiectasis. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is no osseous abnormality. | 50443086 | HISTORY: ___-year-old female with shortness of breath. She has a history of cystic fibrosis and asthma. COMPARISON: None. | No acute chest pathology, with mild biapical architectural distortion which can be seen in cystic fibrosis. |
11109203 | PA and lateral images of the chest. Lungs well expanded and clear. No pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged, increased from prior exam. No vascular congestion or edema is seen. | 52744274 | HISTORY: Dizziness. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
11109203 | There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact though degenerative anterior spurring in the T-spine noted. | 56279660 | INDICATION: ___-year-old female with chest pain. Question pneumothorax or pneumonia. COMPARISONS: PA and lateral chest radiographs from ___. TECHNIQUE: PA and lateral chest radiograph was provided. | No acute cardiopulmonary process. |
11109203 | There are small bilateral pleural effusions with blunting of the posterior costophrenic angles. There is mild pulmonary edema without confluent consolidation. Moderate cardiac enlargement is grossly unchanged. No acute osseous abnormalities. | 59429896 | INDICATION: ___F with chest pain, shortness of breath TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Cardiomegaly with small bilateral pleural effusions and mild pulmonary edema. |
11109203 | PA and lateral views of the chest were provided. The lungs are clear. No focal consolidation, effusion, or pneumothorax. The heart is borderline enlarged. Mediastinal contour is unremarkable. Bony structures are intact. High-riding right humeral head could indicate chronic rotator cuff disease. There is anterior spurring along the thoracic spine. | 51116882 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Patient with AFib with left chest pain. | No acute intrathoracic process. |
11109203 | The previously noted wire is no longer seen, presumably external to the patient. The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. | 50205479 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ? stroke with ? wire in chest // Repeat to reassess wire TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | No acute cardiopulmonary process. No foreign body identified. |
11109203 | AP upright and lateral chest radiographs demonstrate clear lungs bilaterally. Heart is moderately enlarged, though this appears similar relative to prior examination and probably exaggerated by technique. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. No air under the right hemidiaphragm is identified. | 54224465 | INDICATION: ___F with dyspnea on exertion // evaluate for pulmonary edema, ACS TECHNIQUE: AP and lateral COMPARISON: Radiograph dated ___ | Cardiomegaly without evidence of pulmonary edema. No acute intrathoracic abnormality identified. |
11917722 | The lungs are symmetrically well expanded and well aerated, without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Bibasilar prominence of interstitial markings is unchanged from ___. There is no overt pulmonary edema. Mild biapical scarring is symmetrical and unchanged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. | 57294254 | INDICATION: Epigastric and chest pain after eating a large meal, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11194247 | Left-sided Port-A-Cath tip terminates in the mid SVC. The right-sided chest tube is in unchanged position. There is continued evidence of volume loss in the right lung with slight interval increase in size of the small right pleural effusion. Right upper lung field opacification is compatible with patient's known lung cancer with loculated pleural fluid noted along the apex and adjacent postobstructive atelectasis and possible pneumonia. Left lung is clear. No pneumothorax is identified. The cardiac, mediastinal and hilar contours are unchanged. | 53476359 | HISTORY: Altered mental status and lung cancer. TECHNIQUE: AP view of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | Slight interval increase in size of small right pleural effusion. Persistent right upper lung field opacity representing the patient's known malignancy with loculated effusion at the apex and associated postobstructive atelectasis and possible pneumonia. |
11194247 | Heart is normal. There has been interval reaccumulation of right pleural effusion which is now moderate-to-large in size. Again appreciated is a known large right upper lung mass unchanged from prior radiograph. The left lung is clear. There is no pneumothorax. A left infusion port is unchanged in position with the tip terminating at the brachiocephalic/SVC confluence. | 56961991 | INDICATION: Right pleural effusion status post thoracentesis. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views. | Interval reaccumulation of right moderate-to-large pleural effusion. |
11194247 | A Pleurx catheter terminates in the right basal pleura. There has been interval improvement of a moderate to large right pleural effusion with some residual fluid still present. There is no appreciable pneumothorax. The right upper lobe is now completely collapsed. The known right upper lobe mass now looks more solid, this could be attributed to loculated pleural effusion or hemorrhage in the right upper lobe. The left lung is clear. The cardiomediastinal and hilar contours are within normal limits. A left infusion port tip terminates in the mid to lower SVC. | 52671118 | INDICATION: ___-year-old female patient post-right-sided Pleurx catheter. Study requested for evaluation of pneumothorax and/or position of the tube. COMPARISON: Prior chest radiograph from ___ through ___ and prior chest CT from ___. TECHNIQUE: Portable upright AP chest radiograph. | Interval improvement of right pleural effusion. Right upper lobe collapse. Change in character of known right upper lobe mass raises the possibility of a loculated pleural effusion or hemorrhage. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ on 11:55 AM. |
11811727 | Moderate to large layering bilateral pleural effusions have grown when compared with the prior study of ___. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The right-sided PICC line ends in the mid SVC. | 56258418 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cirrhosis, sCHF and with SOB and volume up on exam. // ? pulmonary edema TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___. | Increased moderate to large layering bilateral pleural effusions. No pulmonary edema. |
11811727 | AP upright and lateral chest radiograph demonstrates clear lungs with no focal opacity convincing for pneumonia. Heart size is top-normal. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or evidence of pulmonary edema. Small to moderate bilateral pleural effusions are identified. A left PICC is noted its tip which projects over the junction of the left brachiocephalic and superior SVC. | 56907923 | INDICATION: ___-year-old female with altered mental status. COMPARISON: Chest radiograph dated 1 day prior. | Small to moderate bilateral pleural effusions. |
11158326 | The right IJ central venous catheter terminates at the superior cavoatrial junction. Endotracheal tube terminates at the level of the clavicles. Nasogastric tube courses towards the stomach, tip not visualized. Lung volumes are low. A small right pleural effusion is unchanged. The left costophrenic angle has been excluded from the field of view. Diffuse interstitial and airspace opacities are not appreciably changed. There is no pneumothorax. The cardiomediastinal contour is stable. | 52695147 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with intubated // interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs, most recently ___. | Unchanged mild pulmonary edema. Stable small right pleural effusion. |
11550610 | 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. | 55444068 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of hyperglycemia, possible DKA. COMPARISON: ___. | No significant interval change. No acute cardiopulmonary process. |
11550610 | 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. | 57603634 | EXAMINATION: Chest radiographs. INDICATION: Fever. TECHNIQUE: Chest, AP and lateral. COMPARISON: ___. | No evidence of acute disease. |
11550610 | There is new mild central pulmonary vascular prominence but no overt edema. No pleural effusion or pneumothorax is present. The heart size is top-normal. The hilar and mediastinal contours remain within normal limits. No focal consolidation is seen. Linear opacities at the lung bases are most compatible with atelectasis. | 50186800 | INDICATION: Desaturation episodes. COMPARISON: Chest radiograph of ___. TECHNIQUE: Frontal chest radiograph. | New mild central pulmonary vascular prominence, but no overt edema. No focal consolidations. |
11976185 | The heart is mildly enlarged. The mediastinal and hilar contours appear within normal limits. A small hyperdense nodule projecting over the right upper lobe appears unchanged, probably calcified. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Minimal degenerative changes are noted along the mid thoracic spine. | 57013436 | CHEST RADIOGRAPHS HISTORY: Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Mild cardiomegaly. No evidence of acute disease. |
11750601 | PA and lateral views of the chest were provided. The heart resides in the right lower chest as per clinical History of situs inversus. The gastric bubble is also seen on the right side. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Heart size appears within normal limits. The mediastinal contour is normal. Bony structures are intact. No displaced rib fractures are seen. | 54439186 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Rib pain, status post fall, assess for fracture. Patient states he has a history of situs inversus. | Findings compatible with situs inversus. No displaced rib fracture. |
11142930 | Heart size is top normal. The aorta is tortuous. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Linear opacities in the lung bases likely reflect atelectasis. There is no focal consolidation, pleural effusion or pneumothorax is identified. Multilevel mild degenerative changes are seen within the thoracic spine. | 55745310 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | Mild bibasilar atelectasis. No evidence of pulmonary vascular congestion. |
11142930 | Frontal and lateral radiographs of the chest demonstrate intact median sternotomy wires. Compared to the prior radiograph there has been interval increase in lung volumes with continued bibasilar atelectasis and small bilateral pleural effusions. There has been interval resolution of the left apical pneumothorax. No focal consolidation is identified. Stable cardiomegaly is again noted. Prosthetic aortic valve is seen on the lateral view. Expected post operative mediastinal air is noted. | 54660386 | HISTORY: Status post aortic valve replacement. Evaluate for effusions or pneumothorax. COMPARISON: ___. | Interval improvement in lung volumes with small bilateral pleural effusions. Interval resolution of left apical pneumothorax. |
11959778 | 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 overt pulmonary edema is seen. | 53365184 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, tachycardia. COMPARISON: None. | No acute cardiopulmonary process. |
11423154 | Overall lung volumes are low, which may accentuate heart size and vasculature, which appear increased in size compared with prior, with mild prominence of the pulmonary vasculature. No pleural effusion or pneumothorax is seen. There is atelectasis at the lung base. | 54900541 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with unprovoked seizure undergoing toxic/metabolic/ infectious workup, no clear precipitant // eval ? infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___ | Apparent increase in size of the heart and mild prominence of the pulmonary vasculature may be secondary to overall low lung volumes and technique. No pneumonia. |
11423154 | The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours are within normal limits. Mild enlargement of the left ventricular contour is identified. | 53302503 | HISTORY: ___-year-old female with shortness of breath and chest pain. COMPARISON: None available in the ___ system. PA AND LATERAL CHEST | No acute cardiopulmonary process. Possible left ventricular enlargement. Correlation with non-emergent echocardiogram is recommended. |
11212048 | The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. | 59943377 | EXAMINATION: Chest radiographs INDICATION: History: ___F with orthostatic hypotension, DOE // Eval for acute process, attn to PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent on ___ | No acute cardiopulmonary process. |
11528924 | Heart size is borderline enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Curvilinear calcific density is noted projecting over the peripheral aspect of the right upper lung field, overlying the second right anterior rib, which may be external to the patient. Marked pectus carinatum deformity of the sternum is noted. Multiple remote right-sided rib fractures are seen. | 54285204 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with hypoxia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
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