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11528924 | The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.The cardiac silhouette is top-normal to mildly enlarged. | 51413410 | EXAMINATION: Chest: Frontal and lateral views INDICATION: Cough, a ETOH, question pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No focal consolidation to suggest pneumonia. COPD. |
11540763 | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours and unchanged aortic tortuosity. | 58907226 | HISTORY: Chest heaviness. TECHNIQUE: 2 views of the chest. COMPARISON: CT torso ___. | No acute intrathoracic process. |
11599357 | Lungs are well expanded. A left basilar opacity projects over the spine. There is moderate cardiomegaly, mild pulmonary edema, and a small left pleural effusion. Mediastinal contour and hila are normal. The left hemidiaphragm is elevated. | 51394311 | INDICATION: ___ year old woman with known R DVT, metastatic colon cancer, now with crackles in L base. // Rule out pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Lower lobe pneumonia, less likely combination of atelectasis and pulmonary edema. Small left pleural effusion. Mild pulmonary vascular congestion. |
11599357 | Moderate cardiomegaly is stable. Small bilateral pleural effusions are stable. NG tube tip is in the stomach. There is no evident pneumothorax. Lung nodules are better seen in prior CT. Left lower lobe opacities have minimally improved. | 53658848 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with a history colon cancer (s/p colectomy ___, now with metastatic disease to liver and possibly lung) presenting after syncopal event with headstrike. // evaluate for NGT placement and concern for aspiration TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Peribronchial opacities in the left lower lobe have minimally improved. Lung nodules are better seen on prior CT. |
11553072 | AP portable upright view of the chest. Patient has been intubated with the tip of the ET tube located 4.5 cm above the carina. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. | 52290892 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with intubation // assess et tube, og tube COMPARISON: ___. | Appropriately positioned endotracheal tube. |
11553072 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified. | 53160065 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest pain, h/o ETOH/emesis (restrained) TECHNIQUE: Supine AP view of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
11120613 | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. A left lung base focal opacity is more conspicuous than on prior exams. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies. | 50077824 | INDICATION: ___-year-old male with chest pain and shortness of breath. Rule out acute intrathoracic process. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Left lung base focal opacity, more conspicuous than on prior exams, which may potentially represent atelectasis, although infection is not excluded. |
11843819 | Heart size is normal. A large hiatal hernia is demonstrated. Hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected. | 52820221 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. Large hiatal hernia. |
11026100 | Single frontal upright view of the chest was obtained. Mild pulmonary edema is new since ___. Indistinct costophrenic angles may represent small pleural effusions. No pneumothorax. The cardiomediastinal silhouette is mildly enlarged, similar to prior. No radiopaque foreign body. | 57996390 | INDICATION: ___-year-old female with pyelonephritis, now with slight wheeze on exam. Evaluate for fluid overload. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | Interval development of mild pulmonary edema with small bilateral pleural effusions and stable mild cardiomegaly. Recommend reevaluation after diuresis. |
11026100 | Left lower lobe opacity has resolved rapidly consistent with atelectasis. There is no new consolidation. Mediastinal and cardiac contours are top normal. There is no pleural effusion or pneumothorax. | 57132618 | PORTABLE AP CHEST X-RAY INDICATION: Patient with rigors, fever, rule out air under diaphragm or other pulmonary process. COMPARISON: ___ at 5:41 a.m. | There is no evidence of pneumonia. |
11686207 | PA and lateral chest views have been obtained with patient in upright position. There is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. Calcium deposits are seen in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. No evidence of acute infiltrates and the lateral pleural sinuses are free. In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. When comparison is made with the next previous examination of ___, these changes have not undergone any difference in appearance anf represent old inactive specific scars. Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern. Acute infiltrates are not present. | 54673619 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with cough, bronchitic sounding, desaturation of oxygen while walking, evaluate for possible pneumonia prior to inhaled steroid use. | Old stable, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions. |
11686207 | Biapical scarring is again seen. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 58712687 | INDICATION: ___F with chest pain, h/o CAD // eval for structural process TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11222100 | The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. There is no free air below the diaphragm. | 52748066 | INDICATION: ___M with abd pain after endoscopy. // eval for free air TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. No free intraperitoneal air. |
11700565 | The endotracheal tube ends 4 cm above the carina. A nasogastric tube ends in the stomach. There is bilateral patchy airspace opacity, greater in the left lung than in the right lung, which may represent aspiration or infection. There is no large pleural effusion or pneumothorax. The aortic knob is calcified. The heart size is normal. There is no free air beneath the right hemidiaphragm. | 54146495 | CLINICAL INDICATION: Intubated. Confirm endotracheal tube placement. COMPARISON: None. PORTABLE SUPINE FRONTAL VIEW OF THE | The endotracheal tube ends 4 cm above the carina. Bilateral patchy, left greater than right, airspace consolidation, in the bilateral lower lobes, likely represents aspiration and/or infection. |
11700565 | There has been interval placement of a right-sided IJ with the tip terminating in the mid SVC. There is an ET tube which is in appropriate position above the carina. There is an enteric tube which terminates appropriately below the diaphragm. Patchy bilateral airspace opacities, left greater than right, appear similar-to-slightly improved compared to the prior exam. There is no large pleural effusion or pneumothorax; however, please note that the right costophrenic angle is not visualized on this exam. The aortic knob is calcified. The heart size is normal. The visualized osseous structures are unremarkable. | 59842820 | INDICATION: History of central line placement. Please evaluate. COMPARISONS: Chest radiograph from the same day performed at 7:41 p.m. TECHNIQUE: Single frontal portable radiograph of the chest. | Right-sided IJ terminates at the mid SVC. |
11683377 | Chest, portable upright. There is bilateral lower lobe atelectasis. The lungs are otherwise clear. Mild pulmonary vascular congestion is present with minimal interstitial edema. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. | 59896895 | HISTORY: Sudden onset chest pain in a patient with coronary artery disease and atrial fibrillation. COMPARISON: None available. | Mild pulmonary vascular congestion and mild interstitial edema. Bibasilar atelectasis. |
11490242 | 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. A left upper lobe calcified granuloma is unchanged in size. | 53517792 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, wheezing s/p prednisone*** WARNING *** Multiple patients with same last name! // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11490242 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. There is a calcified pulmonary nodule projecting over the left upper lung. The cardiomediastinal silhouette is normal. No bony abnormalities. Clips in the right upper quadrant noted. No free air is seen below the right hemidiaphragm. | 58884005 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam dated ___. CLINICAL HISTORY: Chest and abdominal pain, assess for pneumonia or pneumothorax. | No acute findings. Calcified granuloma in the left upper lung. |
11660450 | Low bilateral lung volumes. Perihilar and infrahilar airspace opacities are likely more conspicuous secondary to the low inspiratory lung volumes. Small bilateral pleural effusions are present. No pneumothorax. The size of the cardiac silhouette is enlarged but unchanged. A small amount of free air is noted under the right hemidiaphragm. Air-filled loops of bowel project over the right upper quadrant as well as gaseous distention of the stomach. The the tip of the left internal jugular central venous catheter projects over the junction of the left brachiocephalic and left jugular vein, unchanged. | 51449087 | INDICATION: ___ year old man with new onset NSTEMI vs demand ischemia, ? volume overload // Please assess for interval change TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Low bilateral lung volumes. Persisting pulmonary edema and small bilateral pleural effusions. A small amount of free air is noted under the right hemidiaphragm. |
11660450 | The tip of the left PICC line projects over the junction of the left jugular and brachiocephalic veins. New bilateral hilar enlargement with prominent reticular markings throughout both lung fields suggestive of pulmonary interstitial edema. Retrocardiac opacity, likely reflecting atelectasis. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged. Small amount of pneumoperitoneum identified under the right hemidiaphragm as seen on recent CT. | 59975871 | INDICATION: ___ year old man with cough some subjective SOB // interval change TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | New pulmonary interstitial edema. Known small amount of free air under the right hemidiaphragm as seen on the recent CT. |
11660450 | Feeding tube tip in the proximal stomach. Mildly worsened bilateral perihilar opacities, suggest worsening edema. Otherwise stable findings. | 56832663 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with dobhoff placement // assess position of dobhoff TECHNIQUE: Chest single view COMPARISON: ___ 08:43 | Feeding tube tip in the proximal stomach |
11952140 | The lungs are overinflated with flattening of the hemidiaphragms, increased anteroposterior diameter, and widening of the retrosternal clear space. Heart size is normal. There are no pleural effusions or pneumothorax. Multilevel bridging osteophytes in the lower thoracic spine. | 55556485 | INDICATION: ___-year-old female with presyncope. COMPARISON: ___. CHEST, AP AND | No acute cardiopulmonary process. Chronic obstructive airways disease. |
11952140 | The cardiac, mediastinal and hilar contours are normal. An ill-defined right apical nodule is not well seen on the current exam, and was better demonstrated on the prior chest CT. The remainder of the lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. | 50843046 | INDICATION: Intermittent left-sided chest pain. COMPARISON: ___ chest radiograph, and ___ chest CT. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. Known right upper lobe nodule as seen on the prior chest CT should be followed with chest CT in ___. |
11410685 | The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax or pleural effusion. | 56278979 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with ___ disease, acutely paranoid // evaluate for infectious etiology of delirium TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
11400517 | Patient is status post median sternotomy and CABG. The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is seen. | 50797656 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph | No acute cardiopulmonary abnormality. |
11400517 | Prior right-sided central venous catheter is no longer visualized. On the lateral view there is increased density projecting over the lower thoracic spine new since prior. This could represent region of atelectasis although developing infection is also possible. Elsewhere, the lungs are clear without consolidation. There is pulmonary vascular congestion without overt edema. Linear midlung opacities bilaterally are most suggestive of atelectasis. Cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. | 55539115 | WET READ: ___ ___ 4:54 PM Pulmonary vascular congestion without overt edema. Opacity on the lateral view overlying the lower thoracic spine could be due to atelectasis although developing infection is not excluded. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with s/p atrial myxoma excision by CT surg on ___ now w/ afib and chest pain // eval ? pleural effusion, infiltrate, PTX, mediastinal abnormalities TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | Pulmonary vascular congestion without overt edema. Opacity on the lateral view overlying the lower thoracic spine could be due to atelectasis although developing infection is not excluded. |
11400517 | The patient is slightly rotated. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. There is no acute osseous abnormality. | 56135726 | INDICATION: ___F with pleuritic chest pain // infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. |
11400517 | The appearance of the lungs is stable. No focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56972034 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with orthopnea, concern for atrial myxoma on TTE // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. ___ | No acute cardiopulmonary process. |
11296190 | PA and lateral chest radiographs were obtained with radiopaque markers placed at the site of patient's pain. Healed fractures are seen in the nearby lateral ribs (as there are in posterior right middle ribs), and there is mild increase in thickening of the lateral costal pleurae just superiorly, but no acute fracture is identified. Nevertheless, rib detail views of the region would be more conclusive. The lungs are clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. | 56135842 | INDICATION: Left chest wall pain after fall. COMPARISONS: ___. | No fracture. No acute cardiopulmonary process. |
11917574 | Frontal and lateral views of the chest demonstrate Port-A-Cath tip projecting over mid SVC. No pneumothorax. Normal lung volumes without pleural effusion or focal consolidation. There is no pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Multiple surgical clips project over left breast. | 51949135 | INDICATION: Patient with possible Port-A-Cath infection. Assess for pneumonia or pneumothorax. COMPARISONS: CT torso of ___. | No evidence of acute cardiopulmonary process. |
11842519 | The heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are bilateral pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance. | 52278905 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with severe diastolic heart failure, on home O2, now with increasing O2 requirement and new cough. // r/o pneumonia, heart failure. Lung exam unchanged. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs most recent on ___ | Mild pulmonary edema with no strong evidence of pneumonia. Bilateral pleural effusions and bibasilar atelectasis. |
11842519 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area. | 55933985 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with diastolic heart failure, pulmonary hypertension, on chronic oxygen with rales at right base and increasing oxygen requirements, evaluate for fluid overload. | Bilateral small pleural effusions and moderate congestive pulmonary vascular pattern. In comparison with the next previous examination 18 months ago, the patient's pulmonary congestion and pleural effusions were markedly more pronounced than they are now. Whether the present degree of chronic CHF is related to fluid overload must be judged on clinical grounds. |
11842519 | The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back. | 55196530 | HISTORY: Congestive heart failure, hypoxic on room air. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild congestive heart failure, with moderate size right and small left pleural effusion. Bibasilar airspace opacities likely reflect atelectasis though infection is not completely excluded. |
11842519 | The bilateral pleural effusions are again seen right greater than left. Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical clips. | 52435125 | HISTORY: Question pneumonia. TECHNIQUE: PA and lateral views of the chest were obtained. COMPARISON: Chest radiograph from ___. | Persistent bilateral effusions and likely chronic atelectasis. Resolution of previous pulmonary edema. |
11842519 | Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged. | 54717070 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ with CHF coming in with weight gain and SOB // evidence of fluid in lungs? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest PA and lateral ___ | Worsening pulmonary vascular congestion and edema. Mild chronic cardiomegaly. Chronic small pleural effusions, posterior pleural loculation. Recommend baseline chest CT to further evaluate chronic pleural thickening and nodulation at the right base. |
11424643 | No pleural effusion or pneumothorax is seen. Mild basilar atelectasis is seen without definite focal consolidation. Cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. The hilar contours are unremarkable. No pulmonary edema is seen. | 59231627 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea, chest pain, pregnancy // Eval for acute process, attn to PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Mild basilar atelectasis without definite focal consolidation. |
11224762 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Clips are noted in the right upper quadrant suggesting a prior cholecystectomy. There is mild anterior osteophyte formation of the imaged thoracic spine. | 55956048 | INDICATION: ___-year-old man with near syncope, question pneumonia. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11224762 | The degree of airspace opacity has increased when compared to the prior study, particular at the left lung base although there is likely also involvement of the right lower lung. No pneumothorax. No pleural effusion. The cardiomediastinal contour is normal. The visualized bony structures demonstrate moderate multilevel degenerative change. | 51529340 | EXAMINATION: CHEST (PA AND LAT) INDICATION: This is an ___-year-old gentleman with a h/o chronic low back/leg pain, CKD, RCC s/p cyberknife in ___, and mild cognitive impairment/Alzheimer's who presents with syncope and vomiting. // Reassess interval changes with prior lower lobe opacities TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Chest radiograph ___ | Increased bibasal airspace opacity, particular in the left lower lobe. Appearances are suspicious for infection or aspiration. |
11224762 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities are seen within the lower lobes bilaterally, more pronounced on the left. No pleural effusion or pneumothorax is seen. Hypertrophic changes are noted in the thoracic spine. | 55720578 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with CVA with mild deficits who has been vomiting and syncopized today. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Bilateral lower lobe patchy opacities, more pronounced on the left. These findings could reflect aspiration or pneumonia in the correct clinical setting, though atelectasis is also consideration. |
11224762 | 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. Moderate to severe multilevel degenerative changes are again noted in the thoracic spine. A fiducial marker in the right upper quadrant of the abdomen is re- demonstrated. | 58675809 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever and weakness TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11508200 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59935051 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CVA // eval for cardiomegaly TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11003672 | PA and lateral views of the chest were provided. There is subsegmental linear atelectasis in the left lower lobe. No definite consolidation effusion or pneumothorax is seen. The heart and mediastinal contours appear normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm. Mild degenerative changes in the mid T-spine. | 58125514 | HISTORY: ___-year-old female with fever. COMPARISON: Prior exam dated ___. | No definite signs of pneumonia. Left lower lobe linear atelectasis. |
11865292 | Compared to prior, the lung volumes have decreased. There is mild pulmonary edema. No significant pleural effusion is seen. Moderate cardiomegaly and enlarged mediastinum are stable. The Swan-Ganz catheter is at the pulmonary outflow tract. No pneumothorax. | 53212215 | EXAMINATION: Semi-upright portable chest radiograph INDICATION: ___ year old man with new PA catheter and central line // please eval line position TECHNIQUE: Semi-upright portable chest radiograph COMPARISON: Chest radiograph from ___ | Mild pulmonary edema. Swan-Ganz terminating at the pulmonary outflow tract. No pneumothorax. |
11770498 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 53784545 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with new neutropenia with borderline fever, headache TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11770498 | 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. | 56582035 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever // eval for infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | No acute cardiopulmonary abnormality. |
11978698 | Evaluation is slightly limited due to severe levoscoliosis of the thoracic spine. Within those limitations, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. | 52696098 | INDICATION: ___-year-old woman with STEMI, status post cardiac catheterization. Please assess for complications. TECHNIQUE: Single frontal radiograph of the chest was obtained. COMPARISON: There are no comparison studies available. | Severe thoracic levoscoliosis, no acute cardiothoracic process. |
11528012 | Lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. There is slight blunting of the bilateral posterior costophrenic angles which may be due to atelectasis or trace pleural effusions. No focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Bilateral glenohumeral joint degenerative changes are partially imaged. | 56084642 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | COPD. Slight blunting of the bilateral posterior costophrenic angles may be due to atelectasis but trace pleural effusions are not excluded. No focal consolidation to suggest pneumonia. |
11539726 | The lungs are clear but mildly hyperinflated with flattened diaphrams consistent with airtrapping due to emphysema or small airway obstruction. There is no evidence of pneumonia. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. | 56423864 | HISTORY: Cough for 4 weeks with productive sputum. Evaluation for pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None | Possible emphysema or small airway obstruction. No pneumonia or focal lung lesion. |
11079788 | A single frontal image of the chest was obtained. Lung volumes are low. This is accentuating the bronchovascular structures and heart size, which are likely normal. There is an enlarged azygous vein which is suggestive of an elevated central venous pressure. There is no definite pulmonary edema. The left costophrenic angle is obscured, possibly due to a small left pleural effusion. There is no pneumothorax. | 52948447 | INDICATION: Shortness of breath. COMPARISONS: Chest radiograph ___. | Very limited exam due to low lung volumes. Enlarged azygous vein suggests elevated central venous pressure, for which the differential diagnosis is isolated right heart failure, a pericardial effusion, or a large pulmonary embolism. Probable small left pleural effusion. Results were discussed with Dr. ___ ___ resident) at 9:20 a.m. on ___ via telephone by Dr. ___. |
11533574 | Chest PA and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax evident. | 56650790 | INDICATION: Exertional chest pain with clean coronary artery catheterization. COMPARISON: Comparison is made to chest radiograph performed ___. | No acute cardiopulmonary process. |
11437035 | The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A large osteophyte arises from a mid thoracic level on the left. | 51967941 | INDICATION: History: ___M with hx asthma presenting with dyspnea. +low grade fever, productive cough // eval for cardiopulmonary process TECHNIQUE: Upright PA and lateral chest COMPARISON: None available | No acute cardiopulmonary abnormality. |
11437035 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. A left paravertebral opacity at the level of the mid thoracic spine represents a prominent osteophyte. | 54485138 | WET READ: ___ ___ ___ 3:49 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sob and cough // Pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
11437035 | PA and lateral images of the chest. There are low lung volumes with associated bronchovascular crowding. Again seen is an apparent nodular opacity in the right uper lobe, which appears to have slightly increased in size in the interval. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 59979873 | HISTORY: Cough for 3 days. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. Slight interval increase in size of nodular opacity in the right upper lobe. Lordotic chest radiographs are recommended to help determine if this represents a pulmonary nodule or a bone island. Updated findings were communicated via the ED ___ Nurses at 9:39 a.m. on ___. |
11413236 | The patient is status post median sternotomy. Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction. Again, there are low lung volumes and minimal bibasilar atelectasis. Ovoid calcification projecting over the left mediastinum is again seen. Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema. | 57332361 | HISTORY: Shortness of breath. TECHNIQUE: Single AP upright portable view of the chest. COMPARISON: ___. | No significant interval change. |
11413236 | Lung volumes are low, leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The heart remains moderately enlarged, although this is accentuated by AP technique and low lung volumes. Calcified AP window node is again noted. A right-sided Port-A-Cath terminates within the upper-mid SVC, unchanged in position from the prior exam. | 53155287 | EXAMINATION: Chest radiographs. INDICATION: ___F with chest pain // acute process TECHNIQUE: Chest AP and lateral COMPARISON: ___. | Low lung volumes without evidence for acute cardiopulmonary process. |
11413236 | Lung volumes are low. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is a calcified prevascular lymph node. There is no pleural effusion or pneumothorax. A left chest Port-A-Cath terminates at the level of the upper SVC, as before. Patient is status post median sternotomy. | 55420069 | INDICATION: Acute chest and back pain, evaluate for cardiopulmonary process. TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___. | No evidence of acute cardiopulmonary process. |
11413236 | AP portable upright view of the chest. Midline sternotomy wires and mediastinal clips are again noted. There is a right chest wall Port-A-Cath with its tip in the mid SVC. A calcific density in the region of the AP window corresponds with a calcified lymph node on prior CT. Lung volumes are low limiting evaluation. There is bibasilar atelectasis with bronchovascular crowding. No convincing signs of pneumonia though evaluation is limited. No large effusion or pneumothorax. Heart size is difficult to assess. Mediastinal contour is stable. Bony structures are intact. | 51499550 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chest pain and shortness of breath // r/o PNA, CHF COMPARISON: ___. CT torso from ___. | Limited exam with given low lung volumes with bibasilar atelectasis, difficult to exclude a superimposed pneumonia. |
11413236 | The right Port-A-Cath reservoir projects over the right chest and is currently accessed; the catheter tip ends in the lower SVC. There has been interval placement of sternotomy wires, which are intact. The heart size is within normal limits and the mediastinal hilar contours do not appear widened. Calcified AP window node again seen. The lungs demonstrate left bailar opacity which is more linear in configuration on the lateral view. There is no pleural effusion or pneumothorax. | 51161513 | HISTORY: ___-year-old female with substernal chest pain who is two-month out from a CABG. STUDY: PA and lateral chest radiograph. COMPARISON: ___ chest radiograph and ___ chest CTA. | Left costophrenic angle opacity, somewhat linear on the lateral view, more suggestive of atelectasis or scarring, less likely small focus of consolidation. No pleural effusion. |
11413236 | The patient is status post sternotomy. A Port-A-Cath terminates at the cavoatrial junction. The heart is at the upper limits of normal size. A calcified lymph node is seen along the aortopulmonary window. The cardiac, mediastinal and hilar contours do not appear significantly changed. The lung volumes are low. There is persistent patchy opacification in the left lower lobe, which appears somewhat more dense and compressed, perhaps coinciding with differences in lung volumes rather than a true interval change however. In fact, left basilar opacities are more similar to ___, where lungs volumes were somewhat lower than on the more recent prior examination. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. | 55108847 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Persistent left basilar opacification, suspected to represent primarily atelectasis. However, the possibility of superimposed pneumonia could be considered in the appropriate clinical setting versus increased atelectasis associated with low lung volumes. |
11413236 | There are low lung volumes. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Left central line terminates in the right atrium. Median sternotomy wires and mediastinal clips are noted. A calcified lymph node is noted in the AP window. | 51503417 | HISTORY: Dyspnea. COMPARISON: Comparison made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
11413236 | PA and lateral chest radiographs were provided. Lung volumes are significantly low. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact. A right chest wall Port-A-Cath terminates at the cavoatrial junction. There is no free air under the hemidiaphragms. Osseous structures are intact. | 56921446 | INDICATION: ___-year-old female with shortness of breath, question free air. COMPARISONS: Chest radiograph from ___. | Low lung volumes but no acute process and no evidence of free peritoneal air. |
11413236 | The patient is status post median sternotomy again with a top normal-sized cardiac silhouette and mildly tortuous thoracic aorta. Hilar contours are unremarkable. Lung volumes are low with right base atelectasis as well as increased focal retrocardiac opacity with lateral posterior lower lobe correlate. Right-sided Port-A-Cath is again demonstrated terminating at the cavoatrial junction. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. Calcified mediastinal lymph nodes are again noted. | 52541396 | HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: AP and lateral chest radiographs, two views. | Low lung volumes with a focal retrocardiac opacity with lower lobe correlate on lateral view. This may represent either atelectasis or infection, and correlation with clinical presentation is recommended. |
11413236 | A left Port-A-Cath terminates within the mid SVC. Lower lung volumes are noted, leading to crowding of the bronchovascular structures. Mild atelectasis is seen at the left lung base. A calcified lymph node is again noted within the aorticopulmonary window. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The patient is status post median sternotomy, and cardiomediastinal silhouette is within normal limits. | 58006032 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with chest pain // r/o pnmeumothorax TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
11413236 | Single AP view of the chest. Right chest wall port is again seen, catheter tip not clearly identified due to motion. The lungs are grossly clear. Mild left basilar atelectasis versus scarring again noted. Cardiomediastinal silhouette is within normal limits. Calcified AP window nodes are seen. Osseous and soft tissue structures are unremarkable. | 52164077 | HISTORY: ___-year-old female with mast cell granulation and coronary artery disease presents with chest pain. COMPARISON: ___. | No acute cardiopulmonary process. |
11413236 | Patient is status post median sternotomy. Right-sided Port-A-Cath tip terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again demonstrated suggestive prior granulomatous disease. The mediastinal and hilar contours are otherwise unremarkable. Lung volumes are persistently low with streaky atelectasis seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is not engorged. | 51644170 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Persistently low lung volumes with streaky right basilar atelectasis. |
11413236 | Lung volumes are low. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Peripheral opacity in the left lung base appears improved from the prior study, and may represent residual atelectasis with scarring. Heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease. Right-sided Port-A-Cath is similarly positioned. Sternal wires appear intact on these views. The patient is status post CABG. | 55277653 | INDICATION: ___-year-old female with chest pain radiating to the back and jaw. COMPARISON: CXR ___. CT chest (outside study) ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. |
11413236 | A Port-A-Cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies. The patient is status post sternotomy. A calcified prevascular lymph node appears unchanged. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. Streaky basilar opacity consistent with minor scarring is similar in the lingula. There is no substantial parenchymal opacity. | 58971300 | EXAMINATION: Chest radiograph. INDICATION: Chest pain and wheezing in the setting of mast cell degranulation crisis. COMPARISON: ___ and ___. TECHNIQUE: Chest, upright AP portable. | No evidence of acute disease. |
11413236 | Right pectoral infusion port terminates in upper SVC. Sternotomy wires are intact. Lung volume is low. Mild bibasilar opacities likely reflect atelectasis. Calcification at the AP window likely reflect calcified lymph nodes in a unchanged from before. There is no large pleural effusion or pneumothorax. Mild cardiomegaly is similar to before. | 53994053 | INDICATION: ___F with SOB, wheezing // please eval for PNA, pulm edema TECHNIQUE: Frontal view of the chest COMPARISON: ___ chest radiograph | No convincing radiographic evidence for pneumonia is identified. Mild bibasilar opacities are likely atelectasis. |
11413236 | The patient is status post sternotomy. A Port-A-Cath terminates in the right atrium. The heart is mildly enlarged. Calcified mediastinal lymph nodes are unchanged. The lung volumes are low. Streaky basilar opacities suggest minor atelectasis. There is no pleural effusion or pneumothorax. Cholecystectomy clips project over the right upper quadrant. | 53836642 | CHEST RADIOGRAPH HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | Low lung volumes and streaky basilar opacities, most suggestive of minor atelectasis. No definite evidence of acute cardiopulmonary disease. |
11413236 | Right-sided Port-A-Cath terminates in the mid SVC as before. Heart is top-normal in size. Mediastinal and hilar contours are within normal limits. Lung volumes are low over the lungs are clear without focal consolidation, effusion or pneumothorax. | 53410264 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest pain and wheezing // eval for cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: ___ through ___ | No acute cardiopulmonary abnormality. |
11413236 | Right chest wall Port-A-Cath terminates in the upper SVC. Postoperative mediastinum, including calcified left suprahilar lymph node, and cardiomegaly are unchanged from ___. Bibasilar atelectasis is mild. | 51943964 | INDICATION: ___F with CHF, h./o mast cell degranulation, sudden onset dyspnea, // please eval pna, pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No evidence of pneumonia or pulmonary edema. |
11413236 | AP portable upright view of the chest. Right chest wall Port-A-Cath again noted with catheter tip extending to the upper SVC region. Midline sternotomy wires are again noted. There is a calcified ovoid structure projecting over the mediastinum likely a calcified lymph node. There is mild basilar atelectasis noted bilaterally. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact. | 59735304 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with dyspnea // pna COMPARISON: ___ | Bibasilar atelectasis. No convincing evidence for pneumonia. |
11413236 | PA and lateral chest radiograph demonstrate a right chest port, its tip which projects within the upper superior vena cava, unchanged in position relative to prior study. Median sternotomy wires appear intact. Cardiomediastinal silhouette appears stable relative to prior examination. Heart size is mildly enlarged. There is no evidence of pulmonary edema. Nodular opacities within the in right infrahilar region likely reflect vascular shadows. Lung volumes are low. Bibasilar atelectasis is moderate. There is no focal opacity convincing for infectious process. Calcification on the AP window could be due to calcified nodes. No large pleural effusion or pneumothorax is identified. | 57361873 | INDICATION: ___F with h/o mast cell crisis presenting with cp and sob which she attributes to mast cell attack // acute cardiopulmonary abnormality TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | Overall stable appearance of the chest with low lung volumes and basilar atelectasis. |
11413236 | Single frontal view of the chest demonstrates a right Port-A-Cath in unchanged position, terminating at the cavoatrial junction. Median sternotomy wires are present, along with surgical clips in the left upper quadrant. The heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes. A rounded opacity in the lower left lung likely correlates to a calcified granuloma as seen on CT of the chest from ___. There is no evidence of pneumonia, pleural effusion, pneumothorax or overt pulmonary edema. The lung volumes are low, accentuating bibasilar atelectasis. No subdiaphragmatic free air is present. | 59753947 | HISTORY: ___-year-old female with recent abdominal surgery and worsening pain. Evaluation for free air. COMPARISON: Comparison is made to multiple prior radiographs of the chest including most recent from ___ as well as ___. This study is read in conjunction with outside CT of the chest from___ ___ dated ___. | No subdiaphragmatic free air or other acute cardiopulmonary process. |
11413236 | Single portable view of the chest. Right chest wall port is again seen. Streaky left basilar and right upper lung opacities are seen suggestive of atelectasis or scarring. Calcified mediastinal nodes are again seen. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. | 58800563 | HISTORY: ___-year-old female with shortness of breath, sudden onset. COMPARISON: ___. | No acute cardiopulmonary process. |
11413236 | Lung volumes are low, limiting evaluation of the lung bases, with perihilar atelectasis. Within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous. Heart size is difficult to evaluate in the setting of markedly low lung volumes. A right-sided Port-A-Cath tip projects at the level of the cavoatrial junction, as seen previously. Density in the aortopulmonary window appears similar compared to prior and likely corresponds to calcified nodes, as seen on prior CT. Sternal wires appear intact. | 51568216 | HISTORY: ___-year-old female with chest pain. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. COMPARISON: ___. | Low lung volumes, limiting evaluation of the lung bases and heart size, without radiographic evidence for acute cardiopulmonary process on this single frontal view. |
11413236 | Portable frontal view of the chest demonstrates low lung volumes. There is no pneumothorax. The left costophrenic angle is obscured, suggestive of a small pleural effusion. Retrocardiac opacity is noted, more conspicuous from prior exam. There is no right pleural effusion. There is apparent thickening of the minor fissure. Calcified lymph nodes within the AP window are again noted. The hilar and mediastinal silhouettes are unchanged. The heart size is top normal. There is no pulmonary edema. Port-A-Cath tip projects over cavoatrial junction. Partially imaged upper abdomen is unremarkable. | 59798652 | INDICATION: Chest pain and shortness of breath. Assess for pneumonia and pneumothorax. COMPARISONS: CT chest of ___, and chest radiograph of ___. | Retrocardiac opacity is more conspicuous from ___ exam, which likely represents atelectasis or infection in the appropriate clinical setting. Possible small left pleural effusion. |
11413236 | The patient is status post median sternotomy. Right-sided Port-A-Cath tip terminates in the right atrium. Lung volumes are low. This accentuates the cardiac silhouette size which is likely mildly enlarged. Calcified mediastinal nodes are re- demonstrated reflective of prior granulomatous disease. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary vascular congestion. Patchy bibasilar airspace opacities most likely reflect atelectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected. | 55972946 | HISTORY: Wheezing, mast cell crisis. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___. | Low lung volumes with probable bibasilar atelectasis. |
11947568 | There is a left-sided PICC which terminates in the low SVC. The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. | 50927772 | INDICATION: ___-year-old male with a left-sided PICC, who presents for evaluation. COMPARISONS: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | Left-sided PICC line with the tip terminating in the low SVC. |
11947568 | PA and lateral views of the chest demonstrate a left PICC line in place with the tip near the junction of the brachiocephalic vein with the SVC. There is no pneumothorax or other complication seen. Chest is well expanded and clear. There is no pleural effusion. Cardiomediastinal silhouettes are unremarkable. Visualized osseous structures are unremarkable. | 59637566 | INDICATION: ___-year-old male with PICC line placement. COMPARISON: Comparison is made with chest radiograph from ___. | Left-sided PICC line in place with tip at the brachiocephalic/SVC junction. Otherwise, normal chest radiograph. These findings were communicated with orthopedic team at 4:30 p.m. by phone. |
11013255 | Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Minimal degenerative spurring is seen in the thoracic spine. | 53301261 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with new onset chest pain since 4 AM TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11669699 | Moderately enlarged cardiac silhouette may have increased from the prior study of ___, although this may be related to technical differences. The mediastinal contour is normal. There is no pulmonary vascular congestion, pulmonary edema, pneumothorax, or focal consolidation. | 54906974 | WET READ: ___ ___ ___ 2:42 PM 1. Interval increase in moderately enlarged cardiac silhouette compared with ___ may be due to differences in positioning. PA radiograph is necessary for direct comparison. Normal upper mediastinal contour. 2. No focal consolidation, edema, or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with afib, HTN, HLD, CAD presenting with left sided chest pain, evaluate for evidence of widened mediastinum, enlarged cardiac silhouette. TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs from ___. | Interval increase in moderately enlarged cardiac silhouette compared with ___ may be due to differences in positioning. PA radiograph is necessary for direct comparison. Normal upper mediastinal contour. No focal consolidation, edema, or pneumothorax. |
11924956 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 54222113 | HISTORY: Palpitations. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views. | No acute cardiopulmonary abnormality. |
11501481 | Compared to prior CT there is likely worsening pleural effusion at the left base. The remaining lung fields are clear. Heart size is normal. There is no pneumothorax. Right Port-A-Cath is stable in configuration terminating in the mid to low SVC. | 50286546 | WET READ: ___ ___ 4:01 PM Worsening consolidation and pleural effusion at the left base. Underlying pneumonia is possible in the right clinical setting. Configuration of the right porta catheter is unchanged terminating in the mid to low SVC. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with pancreatic ca p/w n/v malaise // r/o infiltrate TECHNIQUE: Upright PA and lateral chest COMPARISON: CT chest ___ | Worsening left pleural effusion with associated compressive lower lobe atelectasis. Underlying pneumonia cannot be excluded in the right clinical setting. |
11490478 | The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified with evidence of healed right posterior rib fractures. | 56101935 | HISTORY: Productive cough. COMPARISON: Chest radiograph from ___ and rib series from ___. | No acute cardiopulmonary process. |
11490478 | Lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. An old healed rib fracture is again seen on the left. No pneumothorax, pulmonary edema, or pleural effusion. No focal consolidations are seen. | 50358187 | WET READ: ___ ___ ___ 4:57 PM No acute cardiopulmonary process. No rib fracture seen. If high clinical suspicion, dedicated rib radiographs can be obtained with a marker placed at the site of pain for further evaluation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with right hand pain, elbow pain and rib pain // r/o acute injury s/p fall TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___, ___ | No acute cardiopulmonary process. No rib fracture seen. |
11343484 | Single semi-erect frontal view of the chest demonstrates unchanged tracheostomy and a right PICC in standard position. The heart remains prominent. Perihilar vascular engorgement and moderate pulmonary edema is little changed. There is persistent bilateral small pleural effusion associated with atelectasis. Calcified pleural plaques are seen in the basal pleura bilaterally. | 59745595 | INDICATION: ___-year-old male with respiratory failure, fluid overload, and difficulty weaning off vent to trach. Question pulmonary edema versus effusion. COMPARISON: Multiple prior exams, most recently ___. | No significant interval change since one day ago of moderate pulmonary edema and bilateral pleural effusions. |
11343484 | Two chest tubes are seen within the esophagus running into the stomach, both in satisfactory position. Extensive pleural calcifications are again noted. There has been no significant change since the prior chest x-ray otherwise. | 50638182 | CLINICAL HISTORY: Right thalamic hemorrhage, nasogastric tube placed. Check position. CHEST | Two nasogastric tubes present both with tips in the stomach. |
11343484 | Again seen are calcified pleural plaques and diaphragmatic calcification. There are bilateral lower lobe infiltrates that are worsened compared to the study from the prior day. Heart size continues to be mildly enlarged. Right-sided PICC line tip is at the cavoatrial junction. feeding tube tip is off the film, at least in the stomach. | 51220811 | HISTORY: Right ___ ganglia hemorrhage and hydrocephalus. Question infiltrate. COMPARISON: One hundred ___. | Worsened appearance in both lower lobes. |
11343484 | Moderate cardiomegaly is unchanged from ___. Engorgement of the pulmonary vasculature is unchanged from immediate prior exam consistent with moderate pulmonary edema with persistent bilateral small pleural effusions and adjacent bibasilar atelectasis. The right PICC is unchanged position with the tip projecting over the mid SVC and a tracheostomy tube is in place. Again appreciated are scattered calcified pleural plaques. There is no pneumothorax. | 51720384 | HISTORY: Basilar ganglia hemorrhage in the setting of hypertensive episode status post tracheostomy now bacteremic. Evaluate fluid status. TECHNIQUE: Portable frontal chest radiograph. COMPARISON: Multiple chest radiographs ranging from ___ through ___. | Unchanged moderate pulmonary edema with persistent small pleural effusions and bibasilar atelectasis. |
11343484 | The tracheostomy tube is in standard position. There is a right-sided PICC line with the tip terminating in the mid SVC. The enteric tube courses below the diaphragm with the tip beyond the scope of the film. Again, multiple calcified pleural plaques overlie the lungs with unchanged pleural thickening. There has been interval improvement of the left retrocardiac opacity compared to the exam performed earlier this morning, consistent with improving atelectasis. Non-specific opacity at the right lung base is unchanged. No new focal consolidations are seen. The small bilateral pleural effusions are stable. There is no pneumothorax. Moderate cardiomegaly is longstanding. The hilar and mediastinal contours are otherwise normal. There is no subdiaphragmatic free air. | 55650683 | INDICATION: ___-year-old male with hypertension and a right basal ganglia intraparenchymal hemorrhage who presents for evaluation of free air given abdominal distention. COMPARISON: Chest radiographs from ___, 5:19 a.m. ___, ___ and ___. TECHNIQUE: Single AP portable view of the chest. | No evidence of subdiaphragmatic free air. Interval improvement of left basilar atelectasis. No new focal opacities identified. Evidence of previous asbestos exposure. |
11343484 | A Dobbhoff feeding tube is seen coursing below the diaphragm with the elongated tip in the gastric fundus, which could be advanced further into the stomach. A tracheostomy is in place. A right PICC line is repositioned now with the tip terminating in the mid-to-low SVC. Opacification of the bilateral bases greater on the left than the right is minimally increased from the most recent prior study compatible with small pleural effusions and atelectasis. Diaphragmatic calcifications and pleural calcified plaques are again noted consistent with asbestos exposure. The cardiac silhouette remains moderately enlarged. The mediastinal contours are within normal limits. The pulmonary vasculature appears engorged but stable. | 59671745 | INDICATION: Intubated with intraparenchymal hemorrhage complicated by meningitis, now with respiratory desaturation and tachypnea, here to evaluate for interval changes. COMPARISON: Multiple prior chest radiographs dating back to ___, most recently ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest. | Persistent pulmonary vascular congestion, small pleural effusions and slightly increased bibasilar atelectasis on the left greater than the right. Improved positioning of right PICC with tip terminating in the mid-to-low SVC. |
11699599 | The cardiac silhouette is enlarged in comparison to the prior examinations. Bilateral pleural effusions are present. Bilateral atelectasis is present. There is no pneumothorax. No definite focal consolidation is present. The patient has undergone interval kyphoplasty of several mid thoracic vertebrae. | 51872283 | WET READ: ___ ___ ___ 8:08 AM Increase in cardiac size silhouette may be seen in pericardial effusion or dilated cardiomyopathy, correlation with echocardiogram is recommended. WET READ VERSION #1 ___ ___ ___ 3:13 AM Bilateral pleural effusions, worse on the left than on the right, with bilateral volume loss. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pericardial effusion and dyspnea // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Increase in cardiac size silhouette may be seen in pericardial effusion or dilated cardiomyopathy, correlation with echocardiogram is recommended. |
11540888 | Frontal and lateral radiographs of the chest show a rectangular and linear opacification projecting over the right lower lung zone which most likely represents atelectasis, but a developing pneumonia cannot be excluded in the correct clinical context. Atelectasis of the left lung base is also noted. The lungs are otherwise well aerated. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. A wedge compression fracture deformity is noted in the lower thoracic spine on the lateral radiograph which is of indeterminate chronicity. | 56981797 | INDICATION: ___-year-old male with worsening leukocytosis, on antibiotic therapy, here to evaluate for pneumonia or other acute process. COMPARISON: No prior study is available. | Probable atelectasis of the right lung base, but a developing pneumonia cannot be excluded in the appropriate clinical context. Wedge compression fracture of unknown chronicity. Findings were communicated by Dr. ___ to ___ of surgery and ___ of emergency medicine by telephone at 11:45 a.m. on ___. |
11893062 | Single AP upright portable view of the chest was obtained. The lower right lateral chest was not included on the image; consider repeat. The patient is status post median sternotomy and CABG. Cardiomediastinal silhouette remains stable with the cardiac silhouette enlarged, the aorta is calcified and tortuous. Mild left base atelectasis is seen. No definite focal consolidation is seen. There is no large pleural effusion given that the right costophrenic angle is not included on the image. No evidence of pneumothorax. | 50152008 | EXAM: Chest single AP upright portable view. CLINICAL INFORMATION: ___-year-old male with history of weakness. COMPARISON: ___ at outside institution, at 20:15. | Right lower lateral hemithorax not fully included on the image, consider repeat. Cardiomegaly without overt pulmonary edema. No definite focal consolidation. |
11617505 | 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. | 58485476 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest tightness, SOB // please eval for acute cp process COMPARISON: None available | No acute intrathoracic process. |
11450863 | Lung volumes are slightly decreased. Atelectasis is noted at the left lung base. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Moderate cardiomegaly is present. | 57101613 | EXAMINATION: Chest radiograph. INDICATION: *** CODE CORD *** History: ___M with pre-op // pre-op TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Low lung volumes. Moderate cardiomegaly, age indeterminate. |
11293876 | Increased left lower lobe and retrocardiac heterogeneous opacity with partial obscuration of the left hemidiaphragm. Hyperinflated lungs without pneumothorax, pleural effusion, or pulmonary edema. Heart size, mediastinal contour, and hila are otherwise normal. Mild kyphosis without additional bony abnormality. | 50923261 | HISTORY: Female with rigors, assess for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: Chest radiographs, ___, ___. | Early/focal left lower lobe pneumonia. Results were conveyed via telephone to Dr. ___ by Dr.___ on ___ at 4:20 PM within 10 minutes of observation of findings. |
11293876 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperexpanded and grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57311471 | EXAMINATION: ___. INDICATION: ___ year old woman with cough and peripheral edema // r/o infiltrate or vascular congestion TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11896645 | There are streaky bibasilar opacities which could be due to combination of atelectasis, infection or potentially aspiration. Small bilateral pleural effusions are possible. Superiorly, the lungs are clear. Cardiac silhouette appears enlarged but likely accentuated by AP portable technique. No acute osseous abnormalities. | 50907212 | INDICATION: ___F with dyspnea and CPR for cardiac arrest. // assess for pna, PTX, rib fx TECHNIQUE: Single portable view of the chest. COMPARISON: ___ at 14:22. | Bibasilar opacities, potentially combination of atelectasis, aspiration or infection. |
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