tgrex6/mimic-cxr-reports-summarization · Datasets at Hugging Face

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11360112	PA and lateral views of the chest are obtained. A dual-lead pacer in unchanged position. The proximal lead appears to terminate in the right atrium and the distal lead appears to terminate at the level of the junction of the IVC with the right atrium. Please correlate clinically for positional adequacy. There is a large retrocardiac density containing an air-fluid level compatible with a known hiatal hernia. There is left basilar atelectasis and likely a tiny pleural effusion. Kyphotic deformity of the chest somewhat limits evaluation. Atherosclerotic calcifications along the thoracic aorta noted. Tracheobronchial tree calcifications are also noted. There is no definite sign of pneumonia or CHF. Bony structures appear diffusely demineralized.	54168850	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Chest pain, question acute intrathoracic process.	Hiatal hernia, tiny left pleural effusion and left basilar atelectasis. Stable position of dual-lead pacer though distal lead appears to terminate in the expected location of the IVC /right atrial jxn. Please correlate for positional adequacy.
11432636	Heart size is normal. The mediastinal and hilar contours are are remarkable for a tortuous thoracic aorta. Lungs are hyperexpanded and grossly clear. Its left PICC remains in standard position. No acute skeletal findings. .	56727317	WET READ: ___ ___ 8:55 AM There are are opacities at the right lower lobe concerning for early pneumonia. A left upper extremity PICC terminates at the cavoatrial junction. No pleural effusion or pneumothorax. WET READ VERSION #1 ___ ___ ___ 10:27 PM There are are opacities at the right lower lobe concerning for early pneumonia. A left upper extremity PICC terminates at the cavoatrial junction. No pleural effusion or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with asthma, duodenitis being worked up, eosinophilia and now with shortness of breath seen to have potential early infiltrate on portable CXR. evaluate for pulmonary edema, infiltrates, lymphadenopathy // eval for pulmonary edema, PNA, lymphadenopathy TECHNIQUE: Chest PA and lateral COMPARISON: ___	Hyperexpanded lungs in keeping with history of asthma. No evidence of pneumonia. .
11905508	Cardiomegaly is mild. A left pacemaker generator projects over the left chest wall. The lung fields are clear. There is no pneumothorax or pleural effusion.	53037717	WET READ: ___ ___ ___ 5:25 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with chf // eval for fluid overload TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11905508	Low lung volumes. Unchanged mild cardiomegaly. Unchanged left chest defibrillator with electrodes in expected positions. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.	56891324	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with presyncope, shortness of breath since this morning . Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11723119	Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. Heart size, mediastinal contour, and hila are unremarkable. No focal opacity. Limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits.	53905698	EXAMINATION: Chest radiograph. INDICATION: ___F with 2 weeks of cough. Assess for pneumonia. COMPARISON: None.	Normal chest. No evidence of pneumonia.
11093194	There are relatively low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	56964290	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cirrhosis, weakness // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Low lung volumes without focal consolidation to suggest pneumonia.
11718245	PA and lateral views of the chest are provided. There is no free air below the right hemidiaphragm. Contrast is noted in the upper abdominal large bowel loops. A subtle nodular density is new at the left lung base seen only on the frontal projection may represent a nipple shadow or possibly early focus of pneumonia. Please note this nodular focus was not seen on the CT of the lung bases from earlier today. Aside from this, no abnormalities are seen within the chest. Heart and mediastinal contour is normal. Bony structures are intact.	54761811	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Known ulcers, sudden onset abdominal pain radiating to the chest, question free air.	No free air below the right hemidiaphragm. Subtle nodular opacity at the left lung base, new from prior CT from earlier today, question nipple shadow or early focus of pneumonia. Consider repeat with optimized inspiration and nipple markers.
11646202	A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs. Relative lucency of the upper lungs is suggestive of emphysema. Slightly increased focal opacity in the right lateral lung is suggestive of an infectious process. Left base atelectasis is noted. No pleural effusion or pneumothorax is seen.	51016044	INDICATION: Flu-like illness. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___ and ___.	Focal opacity in the right lateral lung is suggestive of a right lower lobe pneumonia.
11646202	The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.	52766130	INDICATION: Lightheadedness. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST	No acute intrathoracic process.
11646202	Compared to ___, there has been clearing of right lung base pneumonia. There is mild residual opacity at the right lung base. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.	57920756	INDICATION: ___ year old woman Dx with pneumonia ___, needs repeat chest x-ray in ___ weeks // ___ year old woman Dx with pneumonia ___, needs repeat chest x-ray in ___ weeks EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___	Interval clearing of right lung base pneumonia. Mild residual opacity remains.
11846379	Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiac silhouette is moderately enlarged, which is further exaggerated by lordotic view. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.	53688550	INDICATION: ___M s/p R TKR now with fever, concern for infection, assess for infiltrates. TECHNIQUE: Chest AP and lateral COMPARISON: CT chest from ___	Low lung volumes. No focal consolidation identified. Moderate cardiomegaly.
11033072	AP upright portable view. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. The trachea again courses to the right. The lungs remain hyperinflated. Right greater than left bibasilar opacities are again seen, similar to prior, however, it is unclear whether resolved and increased in the interval. There is persistent blunting of the right costophrenic angle. Interval decrease in bilateral mid lung opacities as compared to prior.	50067975	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hx chf with hypoxia and leg swelling // eval pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___	Right greater than left bibasilar opacities, somewhat similar to prior, unclear whether chronic lung process are whether opacities improved and worsened in the interval. Recommend followup to resolution, nonemergent chest CT may be helpful for further evaluation. Persistent blunting of the right costophrenic angle may be due to a small pleural effusion.
11033072	Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. There is prominence of the interstitial markings bilaterally suggesting mild interstitial edema. A more confluent area of opacity at the right lung base is seen, non-specific, could relate to underlying edema; however, consolidation due to aspiration or pneumonia is not excluded. The lungs remain hyperinflated, most consistent with chronic obstructive pulmonary disease. There is slight blunting of the right costophrenic angle which may be due to pleural thickening, although trace pleural effusion is not excluded.	51645890	EXAM: Chest, AP upright and lateral views. CLINICAL INFORMATION: Hypoxia. COMPARISON: ___.	Persistent enlargement of the cardiac silhouette. Increase in interstitial markings bilaterally suggests mild pulmonary edema. More confluent opacity at the right lung base, underlying aspiration or infection is not excluded. Slight blunting of the right costophrenic angle may be due to pleural thickening and underlying COPD, although a trace effusion is not excluded.
11033072	The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no pleural effusion or pneumothorax. Bibasilar interstitial changes are stable. There is no focal consolidation concerning for pneumonia.	54713962	INDICATION: Cough for 24 hours. COMPARISON: Chest radiograph ___, ___.	No acute cardiopulmonary process. Dr. ___ ___ these results with Dr. ___ ___ telephone on ___ at 12:50 p.m.
11033072	Since the most recent CXR on ___, the diffuse interstitial opacities have worsened, likely representing worsening interstitial pulmonary edema. Bibasilar opacities are likely due to small pleural effusions and adjacent atelectasis. No pneumothorax. Stable cardiomegaly. No acute osseous abnormalities.	55261477	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with increased O2 requirement and persistent leukocytosis in setting of diuresis for CHF exacerbation // ? pulm edema, ?infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___	Worsening interstitial pulmonary edema with small bilateral pleural effusions.
11596684	Single portable AP chest radiograph is obtained. ET tube is approximately 1.4 cm from the carina and could be retracted another 1.5 cm. NG tube courses below the diaphragm into the stomach. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for tortuous aorta. There are no displaced fractures.	50330732	INDICATION: ___-year-old man intubated, question intracranial hemorrhage, ET tube placement. COMPARISON: None.	ET tube 1.5 cm above the carina. Would recommend retraction by 1.5 cm. No acute cardiopulmonary process.
11934347	PA and lateral views of the chest provided. Volumes are low. 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.	58539002	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with abdominal pain, sig. leukocytosis COMPARISON: None	No acute intrathoracic process.
11603058	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54559224	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with L sided chest pain // Cause of chest pain? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___	No acute cardiopulmonary process.
11603058	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.	59686819	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with L chest pan, pls ___ pna vx small ptx COMPARISON: None	No findings to account for left chest pain. Specifically no pneumothorax.
11963546	An enteric tube ends in the stomach in the pylorus, which is likely distended with fluid. The left pigtail catheter has been removed. No pneumothorax is seen. Small-to-moderate right pleural effusion is unchanged. Cardiomediastinal and hilar contours are unchanged. Right internal jugular central venous catheter ends in low SVC. Thoracic aortic stent is stable. No new focal consolidations.	51475720	INDICATION: New Dobbhoff tube, removed pigtail. Evaluate for pneumothorax and Dobbhoff tube placement. COMPARISON: ___ at 8:42.	No pneumothorax. Unchanged small-to-moderate right pleural effusion. Dobbhoff tube ends in the pylorus of the stomach.
11963546	There has been interval placement of an enteric tube which enters the stomach. A right lung base airspace opacity is developed since the prior exam. The left lung remains clear. There is no pneumothorax. There is stable mild cardiomegaly. Mild biapical pleural scarring is unchanged. The patient is status post prior aortic stent replacement.	56163965	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with ronchi. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Earlier the same day.	Newly placed enteric tube terminates in the stomach. New right lung base airspace opacity which is most likely due to aspiration.
11963546	Right internal jugular central venous line ends in the low SVC, unchanged. The thoracic aortic stent is unchanged in position. The moderate right pleural effusion is unchanged. No pneumothorax. The left-sided pigtail drain is again seen in the lower hemithorax. No new consolidations or pleural effusion.	55462334	INDICATION: Status post TEVAR, evaluate for pleural effusions or pneumothorax. COMPARISON: ___.	No change in moderate right pleural effusion. No pneumothorax. No significant change compared to ___ at 7:45.
11963546	Since the prior radiograph, the patient has been intubated. The endotracheal tube terminates low in the distal trachea. A thoracic aortic stent is in place with no evidence of kinks or discontinuities. New retrocardiac airspace opacity is most likely due to atelectasis. There is no pneumothorax but minimal post-procedural pneumomediastinum. Cardiomegaly is unchanged. There is new moderate subcutaneous emphysema in the bilateral supraclavicular regions and left chest wall.	56564503	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female status post ___ myotomy and EGD. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Plain radiograph dated ___. Correlation also made to CTA dated ___.	Retrocardiac airspace opacity is most likely due to atelectasis. Stable cardiomegaly. New minimal post-procedural pneumomediastinum and moderate chest wall subcutaneous emphysema.
11963546	Since the prior radiograph, there has been interval placement of a endotracheal tube that terminates 2.7 cm above the carina. Enteric tube has been removed. Aortic stent is unchanged in position. There is the right lung base opacity, which may be due to pleural effusion and/or atelectasis, but pneumonia should be considered in the appropriate clinical setting. Curvilinear opacity along the medial aspect of the right upper hemithorax represents wall of the persistently dilated esophagus. Left lung is essentially clear. No pneumothorax. Stable mild cardiomegaly.	55257874	EXAMINATION: Carpal chest radiograph INDICATION: ___ year old woman with GIB // new ETT -- assess position TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___	Interval placement of an endotracheal tube, which terminates 2.7 cm above the carina. Persistent right lung base opacity, which may be due to pleural effusion and/or atelectasis. Consider pneumonia in the appropriate clinical setting.
11963546	Portable semi-upright chest radiograph. The lungs are well expanded with unchanged to slightly improved moderate right greater than left bilateral pleural effusions and accompanying atelectasis. Pulmonary edema has virtually resolved. Right internal jugular central venous catheter is unchanged with interval extubation and removal of NG tube. Aortic endovascular stent is unchanged.	55166970	INDICATION: Acute desaturation, assess for acute process. COMPARISON: ___.	Improved moderate bilateral pleural effusions with resolution of pulmonary edema and unchanged atelectasis.
11346699	An enteric tube is seen coursing below the diaphragm with the tip and side port out of view on this image. An endotracheal tube is in place with the tip terminating just above the thoracic inlet, approximately 8 cm above the carina. There is increased dense consolidation at the right middle lobe with air bronchograms from the most recent prior study. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is mildly engorged, with patchy opacities at the left lung base, representing asymmetric dependent pulmonary edema or infection/aspiration. The cardiomediastinal contours are within normal limits.	56854579	INDICATION: ___-year-old man status post arrest, now intubated, here to evaluate OG tube position. COMPARISON: Chest radiograph performed earlier the same day at 06:32 a.m. TECHNIQUE: Portable frontal radiograph of the chest.	Tip and side port of enteric tube out of view on this image. Endotracheal tube tip 8 cm above the carina. Consider repositioning. Increased right middle lobe consolidation, compatible with pneumonia, possibly related to aspiration event. Patchy left basilar opacities may represent additional foci of infection or asymmetric dependent pulmonary edema. Mild pulmonary vascular congestion.
11346699	The NG tube ends in mid gastric cavity. ET tube ends 6.6 cm from carina bifurcation and should be pushed down gently of 1-2 cm. As compared to yesterday, new right lower lobe consolidation, highly suspicious for pneumonia. The left lung is clear. Heart size is mildly enlarged. There is no pleural effusion or pneumothorax.	52193619	PATIENT HISTORY: ___-year-old man with cardiac arrest, on hypothermia protocol, now warming with desaturation to high 80s on ventilation. COMPARISON: Exam is compared to chest x-ray of ___.	New right lower lobe consolidation, highly suspicious for pneumonia. Mild cardiomegaly. The ET tube has to be pushed down 1-2 cm. Findings were reported by Dr ___ at 1:29 pm to nursing care.
11346699	A right internal jugular Swan-Ganz catheter, endotracheal tube, and nasogastric tube are unchanged in position. There are bibasilar consolidations of the lungs concerning for aspiration pneumonia with interval increase lateral left mid lung opacities concerning for progression of multifocal infection. Small-to-moderate bilateral pleural effusions are also stable. No pneumothorax is seen. The mild enlargement of the cardiac silhouette is stable. Mediastinal and hilar contours are within normal limits and unchanged.	55490903	INDICATION: V-fib arrest, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___ with multiple prior studies during this admission dating back to ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest.	Unchanged position of support devices. Interval increased left lung opacities concerning for progression of multifocal infection. Stable bilateral pleural effusions.
11346699	Swan-Ganz catheter is in proximal right pulmonary artery. NG tube enters the proximal stomach and is out of view. ET tube is 6.5 cm at level of carina and is in appropriate position. Improved aeration in the upper lobes bilaterally with increase in density of right lower lobe opacity with new central lucency worrisome for cavitation. No change in left lower lobe opacity and small bilateral pleural effusions. Heart size is top normal with normal mediastinal contour.	51311614	HISTORY: ___-year-old male with V-fib arrest and right lower lobe pneumonia. Assess pneumonia. COMPARISON: Chest radiograph ___; ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph.	Stable left lower lobe pneumonia with interval increase in density of right lower lobe pneumonia with new area of cavitation.
11346699	Tip of right Swan-Ganz catheter is in right pulmonary artery. ET tube is 6 cm from the level of the carina and is in appropriate position. NG tube enters into proximal stomach and is out of view. No interval change from ___, 8 a.m. study. Again seen is right and left lower lobe opacities with possible cavitation in the right lower lobe. Mild vascular congestion with mildly enlarged heart and normal mediastinal contour. No pulmonary edema. No bony abnormality.	59623138	HISTORY: ___-year-old male with CHF, pneumonia, and acute tachypnea. Assess for flash pulmonary edema. COMPARISON: Chest radiograph ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph.	No interval change in bilateral lower lobe pneumonia with possible right lower lobe cavitation. Mild vascular congestion without pulmonary edema.
11346699	Single supine view of the chest. Endotracheal tube is seen with tip approximately 6 cm from the carina, between the clavicular heads. An enteric tube passes off the inferior field of view with the side port just past the GE junction. Hazy bilateral parenchymal opacities predominately in the mid upper lungs are seen. No definite pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.	51438849	HISTORY: ___-year-old male, intubated. COMPARISON: None.	Bilateral parenchymal opacities predominantly in the mid-upper lungs, potentially a combination of edema, atelectasis or aspiration.
11326098	There is a moderate right pleural effusion with overlying atelectasis. The left lung is clear. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Degenerative changes of the cervical spine are better evaluated on the prior MRI.	57482739	HISTORY: Spinal stenosis, evaluate for pulmonary infiltrates. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None.	Moderate right pleural effusion with overlying atelectasis, pneumonia cannot be excluded.
11674806	The lungs are hyperinflated with flattening of the diaphragms, compatible with underlying COPD. The heart size is mildly enlarged. The aortic knob is calcified. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. Subsegmental atelectasis is noted within the lingula. No focal consolidation, pleural effusion, or pneumothorax is present. A 4-mm calcified nodule in the right upper lung field is likely a granuloma. There is no pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine are noted. No acute osseous abnormality is seen.	55938695	INDICATION: Fall. COMPARISON: None. PA AND LATERAL VIEWS OF THE	Hyperinflated lungs suggestive of underlying COPD. No acute cardiopulmonary abnormality.
11931048	Mild bibasilar atelectasis is noted. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.	59306419	EXAMINATION: Chest radiograph. INDICATION: History: ___F with SOB, h/o COPD // Eval for infection, pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made with chest radiographs dated ___.	No evidence of acute cardiopulmonary process.
11173145	Upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is blunting of bilateral costophrenic angles, suggestive of small pleural effusions. There is mild pulmonary edema. There is no focal consolidation or pneumothorax. The heart is mildly enlarged. Likely mitral annular calcifications are noted. The mediastinum appears widened, which may be due to perihilar vascular congestion. Levoscoliosis of the lumbar spine is noted. Partially imaged upper abdomen is unremarkable. Degenerative changes of the left shoulder are seen.	51292486	INDICATION: Hypoxia. Assess for pulmonary edema. COMPARISONS: Chest radiograph of ___ from___.	Small bilateral pleural effusions, mild cardiomegaly and pulmonary edema.
11474593	PA and lateral chest radiograph demonstrates borderline cardiac enlargement. Patient is status post median sternotomy. Wires appear intact. No focal opacity convincing for pneumonia is identified. There is no overt pulmonary edema, pleural effusion, or pneumothorax. Osseous structures demonstrates no acute abnormality.	53564857	INDICATION: ___-year-old male with cough. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___.	No opacity identified convincing for pneumonia.
11115518	PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.	55612286	HISTORY: ___-year-old male with fever. COMPARISON: None.	No acute cardiopulmonary process.
11322350	The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures identified.	54256237	INDICATION: Cough. COMPARISON: None available.	No acute cardiopulmonary process.
11095338	Lung volumes are low and there is mild bibasilar atelectasis. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. A lesion in or around the left lobe of the thyroid gland,, extending from the neck into the upper mediastinum displacing the trachea to the right at the thoracic inlet, has been present since ___.	55320775	WET READ: ___ ___ ___ 6:53 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with worsening renal function, epig/chest discomfort // eval ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen ___, chest radiograph ___	No acute cardiopulmonary abnormality. Chronic left cervicothoracic mass, could be thyroid. Clinical correlation advised.
11347765	There is persistent airspace opacity in the left upper lobe silhouetting the left heart border. A left pleural effusion has decreased in size compared to the initial radiographs on ___, similar in appearance when compared to yesterday's radiograph. A curvy linear density at the left apex has an appearance consistent with a pneumothorax however this was present on the initial chest radiograph prior to thoracentesis and comparison with the prior CTA chest reveals this is likely fluid within the major fissure superiorly. No definite pneumothorax seen. Severe degenerative changes in the bilateral glenohumeral joints.	55938369	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pleural effusion s/p tap // Is there interval change? TECHNIQUE: Portable AP chest radiograph. COMPARISON: CTA chest ___ and chest radiograph ___	Persistent consolidation in the left upper lobe, unchanged small pleural effusion. No definite pneumothorax seen.
11347765	There is a persistent left pleural effusion, minimally decreased compared to the prior study with improved aeration of the left lung base. There is persistent airspace opacity in the left upper lobe consistent with the findings on the prior chest CT. The left hilar mass is partially obscured by this airspace opacity but appears grossly unchanged. The right lung appears grossly clear. No right-sided pleural effusion. Severe degenerative changes in the right shoulder. .	55607931	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new hilar mass, pleural effusion // effusion TECHNIQUE: Portable AP chest radiograph. COMPARISON: CTA chest ___. Chest radiograph ___	Persistent left pleural effusion. Unchanged left hilar mass. Slightly increased airspace opacity in the left upper lung.
11347765	PA and lateral views of the chest provided. Left hilar mass is noted with scattered opacities with ground-glass opacity in the left upper and right lower lung which is indeterminate. There is elevation of the left hemidiaphragm with probable left pleural effusion and left basal atelectasis. CT is recommended to further assess.	56394090	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with c/o cough x 1 month, hypoxia, LLL rhonchus // Eval for acute process, attn to PNA or mass COMPARISON: None	Left hilar mass with scattered lung opacities requires CT to further assess.
11347765	The lungs are hyperexpanded but clear. No pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours.	57582405	INDICATION: ___-year-old gentleman with smoking history and cough. Assess for mass or infiltrate. COMPARISONS: ___. TECHNIQUE: Two views of the chest were obtained.	No acute intrathoracic process with hyperexpansion suggesting COPD.
11347765	Left pleural catheter remains in place, with unchanged small left pleural effusion and no visible pneumothorax. Large left juxta hilar mass is similar to the prior study. Widespread interstitial opacities have improved, suggesting a or due to pulmonary edema given the rapid change since the recent study of earlier the same date. No other relevant changes.	55550811	WET READ: ___ ___ ___ 7:59 AM Left PleurX catheter projecting over the lower lung. Trace residual left effusion. Mild central vascular engorgement become a improved compared to prior exam. No dense consolidation. No pneumothorax. WET READ VERSION #1 ___ ___ ___ 8:39 PM Left PleurX catheter projecting over the lower lung. Trace residual left effusion. Mild central vascular engorgement become a improved compared to prior exam. No dense consolidation. No pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with small cell lung cancer, s/p pleurex placement for recurrent effusion, reporting deep pain with breathing // ?catheter placement, ptx TECHNIQUE: Chest PA and lateral COMPARISON: ___	Unchanged small left pleural effusion with pleural catheter in place. .
11121000	Status post sternotomy. The upper most sternotomy wire demonstrates fracture of the wire. The heart is not enlarged. Aorta is minimally unfolded. No CHF, focal infiltrate or effusion is identified. Minimal subsegmental atelectasis noted at the left base.	57980515	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pod 2, fever // pna COMPARISON: Chest x-ray from ___	No acute pulmonary process identified. Fracture of upper most sternotomy wire. Clinical correlation requested, as this can be associated with sternal dehiscence.
11191482	The endotracheal tube is seen with its tip entering the right main stem bronchus. Recommend retraction by at least 4 cm. Malpositioned NG tube, which is coiled on itself in the upper esophagus and terminates in the mid esophagus. Recommend removal. Partial collapse of the right middle and right lower lobes noted. Left lung is clear. Heart size is normal. Bony structures are intact.	56996451	WET READ: ___ ___ ___ 4:02 PM Right mainstem intubation with partial collapse of the right middle and lower lobes. Please retract ETT by ~ 4cm. NGT tip in the mid-esophagus. Rec advancement. WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 3:14 PM Right mainstem intubation with partial collapse of the right middle and lower lobes. Please retract ETT by ~ 4cm. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Status epilepticus, intubated, assess ET tube position.	Malpositioned endotracheal and nasogastric tubes with right mainstem intubation requiring at least 4 cm retraction. Extensively coiled NG tube in the upper esophagus with premature termination in the mid esophagus. Findings were discussed with Dr. ___ at the time of this dictation and preliminary report was provided at the time of initial review.
11610027	A right PICC is present with the tip in the right atrium. It could be pulled back 4 to 5 cm to be at the cavoatrial junction. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	59901885	INDICATION: Repositioned right PICC. Evaluate placement. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.	Right PICC with the tip in the right atrium. To be at the cavoatrial junction, the PICC could be pulled back 4 to 5 cm.
11610027	Since the prior exam, the right PICC has been pulled back. The tip is now at the cavoatrial junction. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	59214496	INDICATION: Right PICC. Evaluate after repositioning. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiograph from ___ at 11:57.	Right PICC with the tip at the cavoatrial junction.
11695505	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. Mild degenerative changes are seen at the thoracolumbar junction.	51647872	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with epigastric pain, intermittent chest pains // ?Cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11521301	Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are within normal limits. No displaced fracture is seen.	59284826	HISTORY: A ___-year-old male with chest pain. COMPARISON: None.	No acute cardiopulmonary process.
11602365	Chest PA and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. Faint opacification with air bronchograms projecting over the right lower lobe with increased opacity also seen on the spine on the lateral view raises concern for early pneumonia. No pleural effusion or pneumothorax is evident.	52832509	INDICATION: Cough, fever, right lower lobe crackles, 6 days postop axillary tissue dissection; please evaluate for pneumonia. COMPARISON: No prior studies available for comparison.	Asymmetrically increased right lower lobe opacification concerning for pneumonia.
11730422	In comparison to recent examination from 1 day prior, there are no significant changes when consideration is given to slightly larger lung volumes. The cardiac silhouette is mildly enlarged. Hiatal hernia is noted. Again noted is a multiloculated left hydropneumothorax and dependent left effusion, essentially unchanged. A chest tube tract is again noted. The degree of pulmonary edema is largely stable. Diffuse, bilateral with heterogeneous lung of opacities are unchanged.	52564108	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F s/p robotic convert to thoracotomy sup segmentectomy and lingular wedge resecton cb L hemothorax POD___ s/p L VATS hematoma evacuation // Please eval for interval change TECHNIQUE: Chest AP and lateral COMPARISON: AP and lateral views of the chest dated ___, ___, ___	No significant changes from recent comparison.
11730422	In comparison to the prior examinations, left-sided hydro pneumothorax has likely increased in size minimally. Again noted are bilateral parenchymal opacities, not significantly changed since the recent examination. The cardiomediastinal silhouette is stable. A right-sided PICC line terminates in the lower SVC.	55313590	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F s/p robotic convert to thoracotomy sup segmentectomy and lingular wedge resecton cb L hemothorax POD___ s/p L VATS hematoma evacuation // please eval for interval change TECHNIQUE: Portable AP view of the chest was obtained. COMPARISON: ___, ___, ___	Minimal increase in size of left pleural fluid and basilar opacities since most recent prior.
11730422	In comparison to the chest radiograph obtained 1 day prior, no significant changes are appreciated. A loculated left hydro pneumothorax is essentially unchanged. A residual chest tube tract separates a medial, loculated co right apical pleural effusion. The dependent left pleural effusion is essentially unchanged. There is minimally increased pulmonary edema. A right upper lobe consolidation is essentially unchanged since at least ___. Cardiomegaly is unchanged.	52478937	EXAMINATION: AP and lateral chest radiographs INDICATION: ___ year old woman s/p L sup seg w/ reexpl for hematoma // R/O CHF, R/O PNA TECHNIQUE: Chest AP and lateral COMPARISON: Portable chest radiograph dated ___	Minimally increased pulmonary edema. Otherwise unchanged loculated and dependent left pleural effusions and hydro pneumothorax. Unchanged right upper lobe consolidation is concerning for pneumonia or hemorrhage.
11730422	Frontal and lateral views of the chest were obtained. The cardiac silhouette is enlarged. Retrocardiac lucency with air-fluid level is seen, consistent with a likely large hiatal hernia which may also be accentuating the cardiac silhouette size in part. The aorta is calcified and tortuous. There is prominence of the pulmonary vasculature consistent with moderate pulmonary edema. No large pleural effusion or pneumothorax is seen.	56994142	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of new AFib, shortness of breath. COMPARISON: ___.	Large hiatal hernia which may in part be accentuating the cardiac silhouette, which appears larger in size as compared to the prior study, mild to moderately enlarged. Moderate pulmonary edema. No large pleural effusion.
11730422	In comparison with the prior examinations, there is no significant change. There are 2 chest tubes in place on the left with persistent, largely stable hydro pneumothorax along the lateral aspect of the left chest. There are persistent, diffuse, bilateral pulmonary opacity, consistent with edema. The cardiomediastinal silhouette is unchanged since prior examination, with rightward displacement of the trachea from the aorta,	54148552	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p open L sup segmentectomy and lingulectomy c/b hemothorax req takeback and PNA // ? interval change, attn to R lung opacity c/f PNA and L hemothorax TECHNIQUE: Chest PA and lateral COMPARISON: Multiple portable views of the chest dated ___, a PA and lateral view of the chest dated ___	No significant change since recent comparisons. Persistent edema.
11730422	In comparison to the chest radiograph obtained 1 day prior, there is a large, loculated hydropneumothorax in the left upper lung and a smaller loculated hydro pneumothorax in the mid left lung. Rightward mediastinal shift is unchanged. A left-sided pleural drainage catheter is unchanged in position. Unchanged large hiatal hernia. The right lung is fully expanded and clear.	53929337	EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman s/p L thoracotomy sup seg and lingual wedge // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Portable AP chest radiograph dated ___	Large, left apical pneumothorax with a new large fluid component concerning for a postoperative, loculated hemothorax. Separate, small, loculated hydro pneumothorax also concerning for postoperative bleeding.
11395953	There is no significant change in the severe bilateral widespread airspace consolidation. There are probable bilateral pleural effusions. The mediastinal and cardiac contour are unchanged. There is no pneumothorax. The endotracheal tube is unchanged at 5.2 cm of the carina. There is a nasogastric tube that is unchanged. The left subclavian line ends in the brachiocephalic vein.	52174187	AP CHEST X-RAY INDICATION: Patient with pelvic fracture declining respiratory status. Evaluation for change. COMPARISON: Previous chest x-ray of ___ and CT scan of ___.	There is no significant change in the severe widespread bilateral airspace consolidation.
11395953	NG tube enters the stomach; but tip is not clearly identified. Widespread parenchymal opacities seen in the prior study, likely representing pulmonary edema, are relatively unchanged. Tracheostomy tube and right subclavian central venous catheter are unchanged. No pneumothorax.	55612551	INDICATION: ___-year-old man with polytrauma, new NG placement, evaluate for position. COMPARISON: ___. TECHNIQUE: AP semi-upright chest radiograph.	NG appears to enter the stomach; tip is not clearly identified.
11395953	There is no significant change since the previous exam. The endotracheal tube is in adequate position at 4.7 cm above the carina. The left subclavian line and the nasogastric tube are unchanged. There are still severe widespread bilateral consolidations. There is no pneumothorax.	57467948	AP PORTABLE CHEST X-RAY COMPARISON: ___. INDICATIONS: Patient with suspected ARDS	There is no significant change since the previous exam. The widespread severe airspace opacities are unchanged.
11395953	The lung volumes are improved with decreased bibasilar atelectasis. The bilateral asymmetric more prominent on the left upper lobe opacities has slightly improved over time. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contour are within normal limits. Right subclavian line ends in the lower SVC. Tracheostomy and NG tube are in adequate position.	59048920	PORTABLE AP CHEST X-RAY INDICATION: Patient with vent-dependent respiratory failure status post MVC. COMPARISON: ___.	Slight improvement of bilateral opacities in patient with known ARDS. The lung volumes are also improved.
11395953	The endotracheal tube is in adequate position, at 4.4 cm above the carina. There is a left-sided subclavian line that ends in the distal brachiocephalic vein. The lung volumes are slightly increased today, but there is no change in the widespread bilateral airspace consolidation. There is no significant pleural effusion. There is no visible pneumothorax. The mediastinal and cardiac contours are within normal limits.	57770439	PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. COMPARISON: ___.	There is no significant change since the previous exam. The lines and tubes are in adequate position. There are stable diffuse airspace consolidations bilaterally.
11395953	The endotracheal tube is in adequate position at 4 cm above the carina. The right subclavian line has been pulled back slightly but it still crosses the midline and its distal end is in the left mediastinum. The distal end is also pointing downward. As mentioned in the last report this is an unusual orientation for a venous catheter in a patient who does not have a persistent left superior vena cava. The exact location of the catheter cannot be assessed with the exam. The nasogastric tube is well positioned. Worsening of interstitial and alveolar opacities bilaterally, more prominent in the perihilar region, that is mostly compatible with severe pulmonary edema. A superimposed infection cannot be excluded. Does the patient have a limb fracture? If so, a pulmonary embolism cannot be excluded. Tere is no visible pneumothorax.	56017452	AP CHEST X-RAY INDICATION: ___-year-old man with increasing secretions. Rule out pneumonia. COMPARISON: ___.	Worsening of diffuse interstitial and alveolar opacities that are mostly compatible with severe pulmonary edema. A superimposed infection cannot be excluded. The right subclavian line has been slightly pulled back but it is still crossing the midline and its distal end is still pointing downwards in the left mediastinum. With this unusual orientation, as said in the previous report, the exact location of the catheter cannot be assessed in this exam.
11395953	The endotracheal tube is in good position at 5.1 cm of the carina. However, the right subclavian line has been repositioned since the last exam. It is crossing the midline and its distal end is pointing downward on the left, which is unusual in a patient who does not have a left persistent superior vena cava. The exact location of the line cannot be assessed with this exam. It could be in any structure, and it does not follow the course of the normal venous system. The distal end of the TNG is not included in this exam, but probably in a good position. Amelioration of the bilateral opacities compatible with mild edema. Deterioration of retrocardiac opacity compatible with atelectasis. Slight deterioration of the mild pleural effusions. No pneumothorax.	54165662	CHEST X-RAY AP COMPARISON: ___.	The right subclavian line has been repositioned. It is pointing downward on the left side of the mediastinum and does not follow the course of the normal venous system. It could be anywhere, even out of the venous system or in an artery. The results have been communicated verbally with Dr. ___ at 9:22 a.m. Reading with the attending 9 :10 a.m.
11395953	The endotracheal tube is in adequate position at 5.4 cm above the carina. The left subclavian line ends in the brachiocephalic vein and is unchanged. The severe bilateral diffuse alveolar opacities are better today. There is no visible pneumothorax or pleural effusion. The cardiac and mediastinal contours are normal.	58771080	AP CHEST X-RAY INDICATION: Patient with MVC, severe lung disease, evaluation for change. COMPARISON: Chest x-ray and CT scan of the chest of ___.	The severe diffuse bilateral alveolar opacities are better today. The evolution and radiologic appearance is more compatible with ARDS. Superimposed infection or edema cannot be excluded.
11395953	There is no significant change in the severe widespread bilateral alveolar opacities. The endotracheal tube and left-sided subclavian line are unchanged. Mediastinal and cardiac contour are stable. There is no visible pneumothorax. The NG tube is in adequate position.	59963107	PORTABLE AP CHEST X-RAY INDICATION: ARDS, MVC. COMPARISON: ___.	There is no significant change since the previous exam. There are severe widespread bilateral air-space opacities.
11395953	There is interval placement of a Dobbhoff tube that appears to be making a 180-degree turn in the distal esophagus, folding on itself and coming back up. The findings are otherwise unchanged.	52170147	INDICATION: ___-year-old man status post Dobbhoff placement, evaluate position. COMPARISON: ___. TECHNIQUE: AP chest radiograph.	The Dobbhoff tube is not positioned correctly and needs to be adjusted.
11395953	There is no significant change in the bilateral low lung volumes and severe widespread lung opacities. The support devices are in unchanged position. There is no pneumothorax. The mediastinal and cardiac contour are unchanged.	52805682	PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. COMPARISON: ___.	There is no significant change since the previous exam.
11280909	There has been no interval change from the previous study. Cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pulmonary vascular congestion is seen. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	53808451	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, pleuritic chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ at 16:29	No acute cardiopulmonary abnormality. No interval change from the previous chest radiograph obtained approximately 4.5 hr earlier.
11280909	PA and lateral views of the chest. The lungs are clear of consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.	58703541	HISTORY: ___-year-old male with productive cough and fevers. COMPARISON: None.	No acute cardiopulmonary process.
11882807	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.	51515166	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with generalized weakness, history of renal/pancreas transplant // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT torso ___	No acute cardiopulmonary abnormality.
11882807	The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.	57534529	PA AND LATERAL CHEST X-RAY INDICATION: Patient with productive cough, rule out infection. COMPARISON: ___.	There is no evidence of pneumonia.
11882807	Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.	58283033	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with abd pain. chest pain back pain s/p mvc // acute process TECHNIQUE: Single frontal view of the chest COMPARISON: Assess ___	No acute cardiopulmonary process.
11312149	The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No consolidation or pneumothorax seen. The visualized bony structures are within normal limits.	56255746	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with bradycardia and chest pain // eval pneumonia, other acute process TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest radiograph ___	No acute cardiopulmonary process seen.
11303674	AP upright and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, 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.	53204281	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with shortness of breath. COMPARISON: ___	No acute intrathoracic process.
11303674	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal and unchanged. Mediastinal contours are within normal limits. Lung volumes are low.	54825366	HISTORY: ___-year-old female with lower extremity swelling, recent illness, and shortness of breath. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.	No radiographic evidence for acute cardiopulmonary process.
11303674	AP and lateral chest radiographs. The lungs are clear. Mildly increased interstitial markings are chronic and may represent bronchiolar thickening/inflammation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	54885439	INDICATION: Altered mental status. Evaluation for pneumonia. COMPARISON: ___ and ___.	No acute cardiopulmonary process.
11303674	The PICC line is now properly placed at the cavoatrial junction. The left lower lobe atelectasis seen on the prior study persists; however, the right atelectatic base shows improvement. No pleural effusions and no pneumothorax.	52512894	INDICATION: ___-year-old lady with right PICC line, pulled back, reevaluate position. COMPARISON: Portable radiograph from earlier today. TECHNIQUE: Portable upright chest radiograph.	Tip of the right-sided PICC line is now positioned at the cavoatrial junction.
11303674	The heart is mildly enlarged. The pulmonary interstitium is mildly prominent with peribronchial cuffing. Mild fluid overload or airway inflammation could be considered. There is no pleural effusion or pneumothorax.	53627628	CHEST RADIOGRAPHS HISTORY: Abdominal pain and distention. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.	No focal opacity identified. No evidence of free air. Mild non-specific interstitial prominence.
11303674	Mild cardiomegaly and pulmonary vascular plethora are chronic, but, unlike ___, there is no pulmonary edema, or any pleural effusion. There is no focal consolidation. IMPRESSION:	56836104	HISTORY: ___-year-old female with cough. COMPARISON: Multiple prior chest radiographs, most recently of ___.	Chronic mild cardiomegaly, but no evidence of acute decompensation or pneumonia.
11303674	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a mild diffuse interstitial abnormality that appears new including fissural thickening suggesting mild vascular congestion. No free air is identified.	57266177	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Left-sided abdominal pain. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___.	Findings suggests mild vascular congestion.
11303674	Single frontal upright view of the chest. Heart size and cardiomediastinal contours are normal. Small bibasilar opacities may represent mild atelectasis. No focal consolidation, pleural effusion, pneumothorax, or pneumoperitoneum.	52659710	HISTORY: Tender abdomen with rebound pain. COMPARISON: Multiple prior chest radiographs, most recently of ___.	No pneumoperitoneum or acute cardiopulmonary process.
11303674	As compared to ___, there is interval decrease in lung volumes. There is mild pulmonary vascular congestion with widening of the vascular pedicle. Normal subsegmental atelectasis. No significant effusions or pneumothorax. The heart is mildly enlarged.	55969983	INDICATION: ___ year old woman with hypoxia/apnea. // Please assess for cardiopulmonary process.	Low lung volumes with mild pulmonary vascular congestion.
11303674	AP upright and lateral views of the chest provided. Underpenetrated technique limits assessment. Allowing for this, there is no focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. On the lateral projection an 11 mm nodular structure projecting over the mid thoracic spine is noted. Otherwise the visualized osseous structures are unremarkable.	52778881	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with seizure activity // Eval for infxn COMPARISON: None	Nodular structure projecting over the thoracic spine on lateral view warrants CT of the chest on a nonemergent basis to exclude underlying lesion.
11303674	Low lung volumes are stable with increased prominence of linear atelectasis the left lung base. The vascular pedicle has decreased in size and there is slightly decreased pulmonary vascular congestion although mild interstitial edema remains. No pleural effusion, pneumothorax, or focal consolidation.	59618113	EXAMINATION: Chest right INDICATION: ___ year old woman with spina bifida, seizure disorder, recent UTI, presenting with denuding skin and hypoxia // eval for hypoxia TECHNIQUE: Portable upright AP or chest radiograph COMPARISON: Chest radiograph from ___, ___, ___. Chest CT from ___.	Increased atelectasis and mild slightly improved pulmonary edema, unlikely to contribute to hypoxia.
11821951	The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	52763490	EXAMINATION: CHEST RADIOGRAPHS INDICATION: ___ year old woman with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute intrathoracic process.
11686707	PA and lateral views of the chest were obtained. Redemonstrated is severe cardiomegaly and unchanged appropriate positioning of the dual-chamber pacer device. There is interval development of dense right lower lung opacification concerning for pneumonia. There is no pulmonary edema, large effusion, or pneumothorax.	57009275	INDICATION: ___-year-old woman with dyspnea, evaluate for CHF. COMPARISON: Multiple prior radiographs, most recently ___.	Right lower lobe pneumonia. Stable severe cardiomegaly.
11686707	Left-sided dual-chamber pacemaker device is re- demonstrated with leads in the right atrium and right ventricle. Moderate cardiomegaly is again noted. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. A right-sided VP shunt catheter is incompletely imaged. There are no acute osseous abnormalities.	53447495	EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with weakness TECHNIQUE: Chest AP upright and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11686707	Aside from mild atelectasis at the right base the right lung is clear. There is worsening opacification of the left retrocardiac region with air bronchograms suggesting atelectasis. Moderate cardiomegaly is unchanged. New pacer lead has been placed via the coronary vein and projects over the left ventricle. Leads terminating in the right atrium and right ventricle are unchanged. There is no evidence of large pleural effusion or pneumothorax.	56910177	INDICATION: ___ year old woman s/___ CRT upgrade // ptx leads TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___	Coursing left basilar atelectasis. No evidence of large pleural effusion or pneumothorax.
11686707	There is no evidence of pneumonia, pneumothorax, pleural effusion, pulmonary edema. Heart size is stable. VP shunt catheter courses over the right chest wall. Battery pack is seen projecting over the left hemithorax. Aorta is unfolded. A small amount of peribronchial cuffing is likely related to chronic bronchiolitis/small airways disease.	52916238	HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.	No evidence of pneumonia. Possible chronic small airways disease.
11686707	Frontal and lateral views of the chest. A cardiac pacer with leads in the right atrium and right ventricle is noted. A ventriculoperitoneal shunt courses through the thorax. The cardiac silhouette has increased since ___. The aortic knob is calficited. There are tiny bilateral pleural effusions. No pneumothorax.	51669812	HISTORY: ___ year old woman with chest pain. COMPARISON: Multiple prior chest radiographs, the most recent of ___.	Interval enlargement of the cardiac silhouette since ___ could be due to differences in technique; however, cardiomegaly or a pericardial effusion are possible.
11686707	The cardiac silhouette is moderately enlarged. The aorta is calcified. Dual lead left-sided pacemaker is stable in position. A right-sided VP shunt is partially seen coursing over the right hemi thorax and coiling in the right upper quadrant. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.	53826533	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness, hx of CHF // Eval for pna, pulm edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process. Cardiomegaly again seen.
11686707	The cardiac silhouette continues to be enlarged, similar to ___. A cardiac pacer has its leads in appropriate position overlying the right atrium and ventricle. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A right VP shunt is seen traversing along the right hemithorax and coiling in the right upper quadrant. The visualized upper abdomen is unremarkable.	53912793	INDICATION: ___-year-old female with chest pain. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___.	Stable cardiomegaly without superimposed acute cardiopulmonary process.
11686707	PA and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. The heart remains moderately enlarged. The aorta is unfolded. There is a VP shunt coursing over the right hemi thorax into the upper abdomen. Subtle hazy opacity at the right lung base may represent a small partially layering pleural effusion and subjacent atelectasis. No convincing evidence for pneumonia or pulmonary edema. No pneumothorax. Bony structures are intact.	53490627	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with DOE // Eval for pulm edema, acute process COMPARISON: ___	Stable cardiomegaly. Probable small right pleural effusion and right basal atelectasis. No overt signs of edema.
11686707	Compared to prior, there has been interval resolution of the previously seen right lower lobe consolidation. There is no focal consolidation, effusion, or edema. Massive cardiomegaly is again seen. Left chest wall dual lead pacer is seen with leads in stable position at the right ventricular apex and left right atrium. Ventriculoperitoneal catheter projects over the right chest wall. No acute osseous abnormalities identified	58535658	INDICATION: ___F with Afib, sHF (EF ___%), CAD who presents with pre-syncopal episode. Also with malaise, worsening DOE and crackles on lung exam. // Assess for acute infiltrate, pulmonary edema TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Cardiomegaly without superimposed acute cardiopulmonary process.
11686707	PA and lateral chest radiograph is compared to prior radiograph dated ___. Moderate cardiomegaly is stable. A left chest pacer is present, its leads which appear intact and in unchanged position. A right-sided VP shunt catheter is incompletely imaged. Streaky opacity in the retrocardiac region may reflect atelectasis. Relative to prior examination, no new focal opacity convincing for pneumonia is present. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Cardiomegaly is again noted.	53795191	INDICATION: ___-year-old female with shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Cardiomegaly unchanged. No evidence of pneumonia or edema.
11469079	Frontal and lateral views of the chest. A left bronchial stent is in stable position. A right bronchial stent is also likely in stable position. Mediastinal widening seen on ___ has improved. Heart size is stable. Severe emphysema with left base bronchiectasis is similar to prior. No new consolidation, pleural effusion, or pneumothorax.	52142196	HISTORY: Small cell lung cancer with increasing shortness of breath and hypoxemia. COMPARISON: Chest radiograph of ___ and chest CT of ___.	No focal consolidation. Severe emphysema, similar to prior. Decreased size of the previously seen mediastinal mass.
11469079	PA and lateral views of the chest provided. There has been interval right thoracentesis. Small right pleural effusion persists. There is a tiny right pneumothorax. Small left pleural effusion is unchanged.	55471763	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recurrent right effusion s/p ___ with 1300mL removed // ? PTX COMPARISON: Prior exam from earlier today.	Small right apical pneumothorax. Decrease in right pleural effusion.
11469079	A bronchial stent is seen from distal trachea through the left main bronchus. The lungs are hyperinflated but clear consistent with emphysema. There is no pneumonia. The mediastinum is widened consistent with mediastinal mass seen on recent CT from ___. There is no evidence of pneumothorax. No effusions are seen.	53469761	HISTORY: Mediastinal mass status post stent placement. Evaluate for pneumothorax. TECHNIQUE: Frontal views of the chest. COMPARISON: CT chest on ___.	No evidence of pneumothorax or acute cardiopulmonary process.
11469079	Compared a study from ___, there has been interval increase in the loculated right pleural effusion, now moderate in size with atelectasis at the right lung base. There is also a small left pleural effusion. The cardiomediastinal silhouette and hilar contours are stable. The previous right apical and basilar pneumothoraces have resolved. Included upper abdomen is unremarkable. Mid thoracic vertebral body compression fracture is again noted.	59444576	INDICATION: ___ year old woman with right pleural effusion s/p right thoracentesis, assess for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	Interval increase in size of the partially loculated right pleural effusion with adjacent compressive atelectasis. Small left pleural effusion. Interval resolution of the right apical and basilar pneumothorax.

11360112

PA and lateral views of the chest are obtained. A dual-lead pacer in unchanged position. The proximal lead appears to terminate in the right atrium and the distal lead appears to terminate at the level of the junction of the IVC with the right atrium. Please correlate clinically for positional adequacy. There is a large retrocardiac density containing an air-fluid level compatible with a known hiatal hernia. There is left basilar atelectasis and likely a tiny pleural effusion. Kyphotic deformity of the chest somewhat limits evaluation. Atherosclerotic calcifications along the thoracic aorta noted. Tracheobronchial tree calcifications are also noted. There is no definite sign of pneumonia or CHF. Bony structures appear diffusely demineralized.

54168850

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Chest pain, question acute intrathoracic process.

Hiatal hernia, tiny left pleural effusion and left basilar atelectasis. Stable position of dual-lead pacer though distal lead appears to terminate in the expected location of the IVC /right atrial jxn. Please correlate for positional adequacy.

11432636

Heart size is normal. The mediastinal and hilar contours are are remarkable for a tortuous thoracic aorta. Lungs are hyperexpanded and grossly clear. Its left PICC remains in standard position. No acute skeletal findings. .

56727317

WET READ: ___ ___ 8:55 AM There are are opacities at the right lower lobe concerning for early pneumonia. A left upper extremity PICC terminates at the cavoatrial junction. No pleural effusion or pneumothorax. WET READ VERSION #1 ___ ___ ___ 10:27 PM There are are opacities at the right lower lobe concerning for early pneumonia. A left upper extremity PICC terminates at the cavoatrial junction. No pleural effusion or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with asthma, duodenitis being worked up, eosinophilia and now with shortness of breath seen to have potential early infiltrate on portable CXR. evaluate for pulmonary edema, infiltrates, lymphadenopathy // eval for pulmonary edema, PNA, lymphadenopathy TECHNIQUE: Chest PA and lateral COMPARISON: ___

Hyperexpanded lungs in keeping with history of asthma. No evidence of pneumonia. .

11905508

Cardiomegaly is mild. A left pacemaker generator projects over the left chest wall. The lung fields are clear. There is no pneumothorax or pleural effusion.

53037717

WET READ: ___ ___ ___ 5:25 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with chf // eval for fluid overload TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11905508

Low lung volumes. Unchanged mild cardiomegaly. Unchanged left chest defibrillator with electrodes in expected positions. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.

56891324

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with presyncope, shortness of breath since this morning . Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11723119

Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. Heart size, mediastinal contour, and hila are unremarkable. No focal opacity. Limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits.

53905698

EXAMINATION: Chest radiograph. INDICATION: ___F with 2 weeks of cough. Assess for pneumonia. COMPARISON: None.

Normal chest. No evidence of pneumonia.

11093194

There are relatively low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

56964290

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cirrhosis, weakness // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Low lung volumes without focal consolidation to suggest pneumonia.

11718245

PA and lateral views of the chest are provided. There is no free air below the right hemidiaphragm. Contrast is noted in the upper abdominal large bowel loops. A subtle nodular density is new at the left lung base seen only on the frontal projection may represent a nipple shadow or possibly early focus of pneumonia. Please note this nodular focus was not seen on the CT of the lung bases from earlier today. Aside from this, no abnormalities are seen within the chest. Heart and mediastinal contour is normal. Bony structures are intact.

54761811

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Known ulcers, sudden onset abdominal pain radiating to the chest, question free air.

No free air below the right hemidiaphragm. Subtle nodular opacity at the left lung base, new from prior CT from earlier today, question nipple shadow or early focus of pneumonia. Consider repeat with optimized inspiration and nipple markers.

11646202

A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs. Relative lucency of the upper lungs is suggestive of emphysema. Slightly increased focal opacity in the right lateral lung is suggestive of an infectious process. Left base atelectasis is noted. No pleural effusion or pneumothorax is seen.

51016044

INDICATION: Flu-like illness. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___ and ___.

Focal opacity in the right lateral lung is suggestive of a right lower lobe pneumonia.

11646202

The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.

52766130

INDICATION: Lightheadedness. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST

No acute intrathoracic process.

11646202

Compared to ___, there has been clearing of right lung base pneumonia. There is mild residual opacity at the right lung base. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

57920756

INDICATION: ___ year old woman Dx with pneumonia ___, needs repeat chest x-ray in ___ weeks // ___ year old woman Dx with pneumonia ___, needs repeat chest x-ray in ___ weeks EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___

Interval clearing of right lung base pneumonia. Mild residual opacity remains.

11846379

Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiac silhouette is moderately enlarged, which is further exaggerated by lordotic view. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

53688550

INDICATION: ___M s/p R TKR now with fever, concern for infection, assess for infiltrates. TECHNIQUE: Chest AP and lateral COMPARISON: CT chest from ___

Low lung volumes. No focal consolidation identified. Moderate cardiomegaly.

11033072

AP upright portable view. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. The trachea again courses to the right. The lungs remain hyperinflated. Right greater than left bibasilar opacities are again seen, similar to prior, however, it is unclear whether resolved and increased in the interval. There is persistent blunting of the right costophrenic angle. Interval decrease in bilateral mid lung opacities as compared to prior.

50067975

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hx chf with hypoxia and leg swelling // eval pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___

Right greater than left bibasilar opacities, somewhat similar to prior, unclear whether chronic lung process are whether opacities improved and worsened in the interval. Recommend followup to resolution, nonemergent chest CT may be helpful for further evaluation. Persistent blunting of the right costophrenic angle may be due to a small pleural effusion.

11033072

Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. There is prominence of the interstitial markings bilaterally suggesting mild interstitial edema. A more confluent area of opacity at the right lung base is seen, non-specific, could relate to underlying edema; however, consolidation due to aspiration or pneumonia is not excluded. The lungs remain hyperinflated, most consistent with chronic obstructive pulmonary disease. There is slight blunting of the right costophrenic angle which may be due to pleural thickening, although trace pleural effusion is not excluded.

51645890

EXAM: Chest, AP upright and lateral views. CLINICAL INFORMATION: Hypoxia. COMPARISON: ___.

Persistent enlargement of the cardiac silhouette. Increase in interstitial markings bilaterally suggests mild pulmonary edema. More confluent opacity at the right lung base, underlying aspiration or infection is not excluded. Slight blunting of the right costophrenic angle may be due to pleural thickening and underlying COPD, although a trace effusion is not excluded.

11033072

The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no pleural effusion or pneumothorax. Bibasilar interstitial changes are stable. There is no focal consolidation concerning for pneumonia.

54713962

INDICATION: Cough for 24 hours. COMPARISON: Chest radiograph ___, ___.

No acute cardiopulmonary process. Dr. ___ ___ these results with Dr. ___ ___ telephone on ___ at 12:50 p.m.

11033072

Since the most recent CXR on ___, the diffuse interstitial opacities have worsened, likely representing worsening interstitial pulmonary edema. Bibasilar opacities are likely due to small pleural effusions and adjacent atelectasis. No pneumothorax. Stable cardiomegaly. No acute osseous abnormalities.

55261477

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with increased O2 requirement and persistent leukocytosis in setting of diuresis for CHF exacerbation // ? pulm edema, ?infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___

Worsening interstitial pulmonary edema with small bilateral pleural effusions.

11596684

Single portable AP chest radiograph is obtained. ET tube is approximately 1.4 cm from the carina and could be retracted another 1.5 cm. NG tube courses below the diaphragm into the stomach. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for tortuous aorta. There are no displaced fractures.

50330732

INDICATION: ___-year-old man intubated, question intracranial hemorrhage, ET tube placement. COMPARISON: None.

ET tube 1.5 cm above the carina. Would recommend retraction by 1.5 cm. No acute cardiopulmonary process.

11934347

PA and lateral views of the chest provided. Volumes are low. 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.

58539002

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with abdominal pain, sig. leukocytosis COMPARISON: None

No acute intrathoracic process.

11603058

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

54559224

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with L sided chest pain // Cause of chest pain? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___

No acute cardiopulmonary process.

11603058

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.

59686819

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with L chest pan, pls ___ pna vx small ptx COMPARISON: None

No findings to account for left chest pain. Specifically no pneumothorax.

11963546

An enteric tube ends in the stomach in the pylorus, which is likely distended with fluid. The left pigtail catheter has been removed. No pneumothorax is seen. Small-to-moderate right pleural effusion is unchanged. Cardiomediastinal and hilar contours are unchanged. Right internal jugular central venous catheter ends in low SVC. Thoracic aortic stent is stable. No new focal consolidations.

51475720

INDICATION: New Dobbhoff tube, removed pigtail. Evaluate for pneumothorax and Dobbhoff tube placement. COMPARISON: ___ at 8:42.

No pneumothorax. Unchanged small-to-moderate right pleural effusion. Dobbhoff tube ends in the pylorus of the stomach.

11963546

There has been interval placement of an enteric tube which enters the stomach. A right lung base airspace opacity is developed since the prior exam. The left lung remains clear. There is no pneumothorax. There is stable mild cardiomegaly. Mild biapical pleural scarring is unchanged. The patient is status post prior aortic stent replacement.

56163965

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with ronchi. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Earlier the same day.

Newly placed enteric tube terminates in the stomach. New right lung base airspace opacity which is most likely due to aspiration.

11963546

Right internal jugular central venous line ends in the low SVC, unchanged. The thoracic aortic stent is unchanged in position. The moderate right pleural effusion is unchanged. No pneumothorax. The left-sided pigtail drain is again seen in the lower hemithorax. No new consolidations or pleural effusion.

55462334

INDICATION: Status post TEVAR, evaluate for pleural effusions or pneumothorax. COMPARISON: ___.

No change in moderate right pleural effusion. No pneumothorax. No significant change compared to ___ at 7:45.

11963546

Since the prior radiograph, the patient has been intubated. The endotracheal tube terminates low in the distal trachea. A thoracic aortic stent is in place with no evidence of kinks or discontinuities. New retrocardiac airspace opacity is most likely due to atelectasis. There is no pneumothorax but minimal post-procedural pneumomediastinum. Cardiomegaly is unchanged. There is new moderate subcutaneous emphysema in the bilateral supraclavicular regions and left chest wall.

56564503

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female status post ___ myotomy and EGD. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Plain radiograph dated ___. Correlation also made to CTA dated ___.

Retrocardiac airspace opacity is most likely due to atelectasis. Stable cardiomegaly. New minimal post-procedural pneumomediastinum and moderate chest wall subcutaneous emphysema.

11963546

Since the prior radiograph, there has been interval placement of a endotracheal tube that terminates 2.7 cm above the carina. Enteric tube has been removed. Aortic stent is unchanged in position. There is the right lung base opacity, which may be due to pleural effusion and/or atelectasis, but pneumonia should be considered in the appropriate clinical setting. Curvilinear opacity along the medial aspect of the right upper hemithorax represents wall of the persistently dilated esophagus. Left lung is essentially clear. No pneumothorax. Stable mild cardiomegaly.

55257874

EXAMINATION: Carpal chest radiograph INDICATION: ___ year old woman with GIB // new ETT -- assess position TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___

Interval placement of an endotracheal tube, which terminates 2.7 cm above the carina. Persistent right lung base opacity, which may be due to pleural effusion and/or atelectasis. Consider pneumonia in the appropriate clinical setting.

11963546

Portable semi-upright chest radiograph. The lungs are well expanded with unchanged to slightly improved moderate right greater than left bilateral pleural effusions and accompanying atelectasis. Pulmonary edema has virtually resolved. Right internal jugular central venous catheter is unchanged with interval extubation and removal of NG tube. Aortic endovascular stent is unchanged.

55166970

INDICATION: Acute desaturation, assess for acute process. COMPARISON: ___.

Improved moderate bilateral pleural effusions with resolution of pulmonary edema and unchanged atelectasis.

11346699

An enteric tube is seen coursing below the diaphragm with the tip and side port out of view on this image. An endotracheal tube is in place with the tip terminating just above the thoracic inlet, approximately 8 cm above the carina. There is increased dense consolidation at the right middle lobe with air bronchograms from the most recent prior study. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is mildly engorged, with patchy opacities at the left lung base, representing asymmetric dependent pulmonary edema or infection/aspiration. The cardiomediastinal contours are within normal limits.

56854579

INDICATION: ___-year-old man status post arrest, now intubated, here to evaluate OG tube position. COMPARISON: Chest radiograph performed earlier the same day at 06:32 a.m. TECHNIQUE: Portable frontal radiograph of the chest.

Tip and side port of enteric tube out of view on this image. Endotracheal tube tip 8 cm above the carina. Consider repositioning. Increased right middle lobe consolidation, compatible with pneumonia, possibly related to aspiration event. Patchy left basilar opacities may represent additional foci of infection or asymmetric dependent pulmonary edema. Mild pulmonary vascular congestion.

11346699

The NG tube ends in mid gastric cavity. ET tube ends 6.6 cm from carina bifurcation and should be pushed down gently of 1-2 cm. As compared to yesterday, new right lower lobe consolidation, highly suspicious for pneumonia. The left lung is clear. Heart size is mildly enlarged. There is no pleural effusion or pneumothorax.

52193619

PATIENT HISTORY: ___-year-old man with cardiac arrest, on hypothermia protocol, now warming with desaturation to high 80s on ventilation. COMPARISON: Exam is compared to chest x-ray of ___.

New right lower lobe consolidation, highly suspicious for pneumonia. Mild cardiomegaly. The ET tube has to be pushed down 1-2 cm. Findings were reported by Dr ___ at 1:29 pm to nursing care.

11346699

A right internal jugular Swan-Ganz catheter, endotracheal tube, and nasogastric tube are unchanged in position. There are bibasilar consolidations of the lungs concerning for aspiration pneumonia with interval increase lateral left mid lung opacities concerning for progression of multifocal infection. Small-to-moderate bilateral pleural effusions are also stable. No pneumothorax is seen. The mild enlargement of the cardiac silhouette is stable. Mediastinal and hilar contours are within normal limits and unchanged.

55490903

INDICATION: V-fib arrest, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___ with multiple prior studies during this admission dating back to ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest.

Unchanged position of support devices. Interval increased left lung opacities concerning for progression of multifocal infection. Stable bilateral pleural effusions.

11346699

Swan-Ganz catheter is in proximal right pulmonary artery. NG tube enters the proximal stomach and is out of view. ET tube is 6.5 cm at level of carina and is in appropriate position. Improved aeration in the upper lobes bilaterally with increase in density of right lower lobe opacity with new central lucency worrisome for cavitation. No change in left lower lobe opacity and small bilateral pleural effusions. Heart size is top normal with normal mediastinal contour.

51311614

HISTORY: ___-year-old male with V-fib arrest and right lower lobe pneumonia. Assess pneumonia. COMPARISON: Chest radiograph ___; ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph.

Stable left lower lobe pneumonia with interval increase in density of right lower lobe pneumonia with new area of cavitation.

11346699

Tip of right Swan-Ganz catheter is in right pulmonary artery. ET tube is 6 cm from the level of the carina and is in appropriate position. NG tube enters into proximal stomach and is out of view. No interval change from ___, 8 a.m. study. Again seen is right and left lower lobe opacities with possible cavitation in the right lower lobe. Mild vascular congestion with mildly enlarged heart and normal mediastinal contour. No pulmonary edema. No bony abnormality.

59623138

HISTORY: ___-year-old male with CHF, pneumonia, and acute tachypnea. Assess for flash pulmonary edema. COMPARISON: Chest radiograph ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph.

No interval change in bilateral lower lobe pneumonia with possible right lower lobe cavitation. Mild vascular congestion without pulmonary edema.

11346699

Single supine view of the chest. Endotracheal tube is seen with tip approximately 6 cm from the carina, between the clavicular heads. An enteric tube passes off the inferior field of view with the side port just past the GE junction. Hazy bilateral parenchymal opacities predominately in the mid upper lungs are seen. No definite pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

51438849

HISTORY: ___-year-old male, intubated. COMPARISON: None.

Bilateral parenchymal opacities predominantly in the mid-upper lungs, potentially a combination of edema, atelectasis or aspiration.

11326098

There is a moderate right pleural effusion with overlying atelectasis. The left lung is clear. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Degenerative changes of the cervical spine are better evaluated on the prior MRI.

57482739

HISTORY: Spinal stenosis, evaluate for pulmonary infiltrates. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None.

Moderate right pleural effusion with overlying atelectasis, pneumonia cannot be excluded.

11674806

The lungs are hyperinflated with flattening of the diaphragms, compatible with underlying COPD. The heart size is mildly enlarged. The aortic knob is calcified. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. Subsegmental atelectasis is noted within the lingula. No focal consolidation, pleural effusion, or pneumothorax is present. A 4-mm calcified nodule in the right upper lung field is likely a granuloma. There is no pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine are noted. No acute osseous abnormality is seen.

55938695

INDICATION: Fall. COMPARISON: None. PA AND LATERAL VIEWS OF THE

Hyperinflated lungs suggestive of underlying COPD. No acute cardiopulmonary abnormality.

11931048

Mild bibasilar atelectasis is noted. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.

59306419

EXAMINATION: Chest radiograph. INDICATION: History: ___F with SOB, h/o COPD // Eval for infection, pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made with chest radiographs dated ___.

No evidence of acute cardiopulmonary process.

11173145

Upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is blunting of bilateral costophrenic angles, suggestive of small pleural effusions. There is mild pulmonary edema. There is no focal consolidation or pneumothorax. The heart is mildly enlarged. Likely mitral annular calcifications are noted. The mediastinum appears widened, which may be due to perihilar vascular congestion. Levoscoliosis of the lumbar spine is noted. Partially imaged upper abdomen is unremarkable. Degenerative changes of the left shoulder are seen.

51292486

INDICATION: Hypoxia. Assess for pulmonary edema. COMPARISONS: Chest radiograph of ___ from___.

Small bilateral pleural effusions, mild cardiomegaly and pulmonary edema.

11474593

PA and lateral chest radiograph demonstrates borderline cardiac enlargement. Patient is status post median sternotomy. Wires appear intact. No focal opacity convincing for pneumonia is identified. There is no overt pulmonary edema, pleural effusion, or pneumothorax. Osseous structures demonstrates no acute abnormality.

53564857

INDICATION: ___-year-old male with cough. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___.

No opacity identified convincing for pneumonia.

11115518

PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

55612286

HISTORY: ___-year-old male with fever. COMPARISON: None.

No acute cardiopulmonary process.

11322350

The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures identified.

54256237

INDICATION: Cough. COMPARISON: None available.

No acute cardiopulmonary process.

11095338

Lung volumes are low and there is mild bibasilar atelectasis. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. A lesion in or around the left lobe of the thyroid gland,, extending from the neck into the upper mediastinum displacing the trachea to the right at the thoracic inlet, has been present since ___.

55320775

WET READ: ___ ___ ___ 6:53 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with worsening renal function, epig/chest discomfort // eval ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen ___, chest radiograph ___

No acute cardiopulmonary abnormality. Chronic left cervicothoracic mass, could be thyroid. Clinical correlation advised.

11347765

There is persistent airspace opacity in the left upper lobe silhouetting the left heart border. A left pleural effusion has decreased in size compared to the initial radiographs on ___, similar in appearance when compared to yesterday's radiograph. A curvy linear density at the left apex has an appearance consistent with a pneumothorax however this was present on the initial chest radiograph prior to thoracentesis and comparison with the prior CTA chest reveals this is likely fluid within the major fissure superiorly. No definite pneumothorax seen. Severe degenerative changes in the bilateral glenohumeral joints.

55938369

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pleural effusion s/p tap // Is there interval change? TECHNIQUE: Portable AP chest radiograph. COMPARISON: CTA chest ___ and chest radiograph ___

Persistent consolidation in the left upper lobe, unchanged small pleural effusion. No definite pneumothorax seen.

11347765

There is a persistent left pleural effusion, minimally decreased compared to the prior study with improved aeration of the left lung base. There is persistent airspace opacity in the left upper lobe consistent with the findings on the prior chest CT. The left hilar mass is partially obscured by this airspace opacity but appears grossly unchanged. The right lung appears grossly clear. No right-sided pleural effusion. Severe degenerative changes in the right shoulder. .

55607931

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new hilar mass, pleural effusion // effusion TECHNIQUE: Portable AP chest radiograph. COMPARISON: CTA chest ___. Chest radiograph ___

Persistent left pleural effusion. Unchanged left hilar mass. Slightly increased airspace opacity in the left upper lung.

11347765

PA and lateral views of the chest provided. Left hilar mass is noted with scattered opacities with ground-glass opacity in the left upper and right lower lung which is indeterminate. There is elevation of the left hemidiaphragm with probable left pleural effusion and left basal atelectasis. CT is recommended to further assess.

56394090

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with c/o cough x 1 month, hypoxia, LLL rhonchus // Eval for acute process, attn to PNA or mass COMPARISON: None

Left hilar mass with scattered lung opacities requires CT to further assess.

11347765

The lungs are hyperexpanded but clear. No pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours.

57582405

INDICATION: ___-year-old gentleman with smoking history and cough. Assess for mass or infiltrate. COMPARISONS: ___. TECHNIQUE: Two views of the chest were obtained.

No acute intrathoracic process with hyperexpansion suggesting COPD.

11347765

Left pleural catheter remains in place, with unchanged small left pleural effusion and no visible pneumothorax. Large left juxta hilar mass is similar to the prior study. Widespread interstitial opacities have improved, suggesting a or due to pulmonary edema given the rapid change since the recent study of earlier the same date. No other relevant changes.

55550811

WET READ: ___ ___ ___ 7:59 AM Left PleurX catheter projecting over the lower lung. Trace residual left effusion. Mild central vascular engorgement become a improved compared to prior exam. No dense consolidation. No pneumothorax. WET READ VERSION #1 ___ ___ ___ 8:39 PM Left PleurX catheter projecting over the lower lung. Trace residual left effusion. Mild central vascular engorgement become a improved compared to prior exam. No dense consolidation. No pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with small cell lung cancer, s/p pleurex placement for recurrent effusion, reporting deep pain with breathing // ?catheter placement, ptx TECHNIQUE: Chest PA and lateral COMPARISON: ___

Unchanged small left pleural effusion with pleural catheter in place. .

11121000

Status post sternotomy. The upper most sternotomy wire demonstrates fracture of the wire. The heart is not enlarged. Aorta is minimally unfolded. No CHF, focal infiltrate or effusion is identified. Minimal subsegmental atelectasis noted at the left base.

57980515

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pod 2, fever // pna COMPARISON: Chest x-ray from ___

No acute pulmonary process identified. Fracture of upper most sternotomy wire. Clinical correlation requested, as this can be associated with sternal dehiscence.

11191482

The endotracheal tube is seen with its tip entering the right main stem bronchus. Recommend retraction by at least 4 cm. Malpositioned NG tube, which is coiled on itself in the upper esophagus and terminates in the mid esophagus. Recommend removal. Partial collapse of the right middle and right lower lobes noted. Left lung is clear. Heart size is normal. Bony structures are intact.

56996451

WET READ: ___ ___ ___ 4:02 PM Right mainstem intubation with partial collapse of the right middle and lower lobes. Please retract ETT by ~ 4cm. NGT tip in the mid-esophagus. Rec advancement. WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 3:14 PM Right mainstem intubation with partial collapse of the right middle and lower lobes. Please retract ETT by ~ 4cm. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Status epilepticus, intubated, assess ET tube position.

Malpositioned endotracheal and nasogastric tubes with right mainstem intubation requiring at least 4 cm retraction. Extensively coiled NG tube in the upper esophagus with premature termination in the mid esophagus. Findings were discussed with Dr. ___ at the time of this dictation and preliminary report was provided at the time of initial review.

11610027

A right PICC is present with the tip in the right atrium. It could be pulled back 4 to 5 cm to be at the cavoatrial junction. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

59901885

INDICATION: Repositioned right PICC. Evaluate placement. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.

Right PICC with the tip in the right atrium. To be at the cavoatrial junction, the PICC could be pulled back 4 to 5 cm.

11610027

Since the prior exam, the right PICC has been pulled back. The tip is now at the cavoatrial junction. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

59214496

INDICATION: Right PICC. Evaluate after repositioning. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiograph from ___ at 11:57.

Right PICC with the tip at the cavoatrial junction.

11695505

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. Mild degenerative changes are seen at the thoracolumbar junction.

51647872

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with epigastric pain, intermittent chest pains // ?Cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11521301

Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are within normal limits. No displaced fracture is seen.

59284826

HISTORY: A ___-year-old male with chest pain. COMPARISON: None.

No acute cardiopulmonary process.

11602365

Chest PA and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. Faint opacification with air bronchograms projecting over the right lower lobe with increased opacity also seen on the spine on the lateral view raises concern for early pneumonia. No pleural effusion or pneumothorax is evident.

52832509

INDICATION: Cough, fever, right lower lobe crackles, 6 days postop axillary tissue dissection; please evaluate for pneumonia. COMPARISON: No prior studies available for comparison.

Asymmetrically increased right lower lobe opacification concerning for pneumonia.

11730422

In comparison to recent examination from 1 day prior, there are no significant changes when consideration is given to slightly larger lung volumes. The cardiac silhouette is mildly enlarged. Hiatal hernia is noted. Again noted is a multiloculated left hydropneumothorax and dependent left effusion, essentially unchanged. A chest tube tract is again noted. The degree of pulmonary edema is largely stable. Diffuse, bilateral with heterogeneous lung of opacities are unchanged.

52564108

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F s/p robotic convert to thoracotomy sup segmentectomy and lingular wedge resecton cb L hemothorax POD___ s/p L VATS hematoma evacuation // Please eval for interval change TECHNIQUE: Chest AP and lateral COMPARISON: AP and lateral views of the chest dated ___, ___, ___

No significant changes from recent comparison.

11730422

In comparison to the prior examinations, left-sided hydro pneumothorax has likely increased in size minimally. Again noted are bilateral parenchymal opacities, not significantly changed since the recent examination. The cardiomediastinal silhouette is stable. A right-sided PICC line terminates in the lower SVC.

55313590

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F s/p robotic convert to thoracotomy sup segmentectomy and lingular wedge resecton cb L hemothorax POD___ s/p L VATS hematoma evacuation // please eval for interval change TECHNIQUE: Portable AP view of the chest was obtained. COMPARISON: ___, ___, ___

Minimal increase in size of left pleural fluid and basilar opacities since most recent prior.

11730422

In comparison to the chest radiograph obtained 1 day prior, no significant changes are appreciated. A loculated left hydro pneumothorax is essentially unchanged. A residual chest tube tract separates a medial, loculated co right apical pleural effusion. The dependent left pleural effusion is essentially unchanged. There is minimally increased pulmonary edema. A right upper lobe consolidation is essentially unchanged since at least ___. Cardiomegaly is unchanged.

52478937

EXAMINATION: AP and lateral chest radiographs INDICATION: ___ year old woman s/p L sup seg w/ reexpl for hematoma // R/O CHF, R/O PNA TECHNIQUE: Chest AP and lateral COMPARISON: Portable chest radiograph dated ___

Minimally increased pulmonary edema. Otherwise unchanged loculated and dependent left pleural effusions and hydro pneumothorax. Unchanged right upper lobe consolidation is concerning for pneumonia or hemorrhage.

11730422

Frontal and lateral views of the chest were obtained. The cardiac silhouette is enlarged. Retrocardiac lucency with air-fluid level is seen, consistent with a likely large hiatal hernia which may also be accentuating the cardiac silhouette size in part. The aorta is calcified and tortuous. There is prominence of the pulmonary vasculature consistent with moderate pulmonary edema. No large pleural effusion or pneumothorax is seen.

56994142

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of new AFib, shortness of breath. COMPARISON: ___.

Large hiatal hernia which may in part be accentuating the cardiac silhouette, which appears larger in size as compared to the prior study, mild to moderately enlarged. Moderate pulmonary edema. No large pleural effusion.

11730422

In comparison with the prior examinations, there is no significant change. There are 2 chest tubes in place on the left with persistent, largely stable hydro pneumothorax along the lateral aspect of the left chest. There are persistent, diffuse, bilateral pulmonary opacity, consistent with edema. The cardiomediastinal silhouette is unchanged since prior examination, with rightward displacement of the trachea from the aorta,

54148552

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p open L sup segmentectomy and lingulectomy c/b hemothorax req takeback and PNA // ? interval change, attn to R lung opacity c/f PNA and L hemothorax TECHNIQUE: Chest PA and lateral COMPARISON: Multiple portable views of the chest dated ___, a PA and lateral view of the chest dated ___

No significant change since recent comparisons. Persistent edema.

11730422

In comparison to the chest radiograph obtained 1 day prior, there is a large, loculated hydropneumothorax in the left upper lung and a smaller loculated hydro pneumothorax in the mid left lung. Rightward mediastinal shift is unchanged. A left-sided pleural drainage catheter is unchanged in position. Unchanged large hiatal hernia. The right lung is fully expanded and clear.

53929337

EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman s/p L thoracotomy sup seg and lingual wedge // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Portable AP chest radiograph dated ___

Large, left apical pneumothorax with a new large fluid component concerning for a postoperative, loculated hemothorax. Separate, small, loculated hydro pneumothorax also concerning for postoperative bleeding.

11395953

There is no significant change in the severe bilateral widespread airspace consolidation. There are probable bilateral pleural effusions. The mediastinal and cardiac contour are unchanged. There is no pneumothorax. The endotracheal tube is unchanged at 5.2 cm of the carina. There is a nasogastric tube that is unchanged. The left subclavian line ends in the brachiocephalic vein.

52174187

AP CHEST X-RAY INDICATION: Patient with pelvic fracture declining respiratory status. Evaluation for change. COMPARISON: Previous chest x-ray of ___ and CT scan of ___.

There is no significant change in the severe widespread bilateral airspace consolidation.

11395953

NG tube enters the stomach; but tip is not clearly identified. Widespread parenchymal opacities seen in the prior study, likely representing pulmonary edema, are relatively unchanged. Tracheostomy tube and right subclavian central venous catheter are unchanged. No pneumothorax.

55612551

INDICATION: ___-year-old man with polytrauma, new NG placement, evaluate for position. COMPARISON: ___. TECHNIQUE: AP semi-upright chest radiograph.

NG appears to enter the stomach; tip is not clearly identified.

11395953

There is no significant change since the previous exam. The endotracheal tube is in adequate position at 4.7 cm above the carina. The left subclavian line and the nasogastric tube are unchanged. There are still severe widespread bilateral consolidations. There is no pneumothorax.

57467948

AP PORTABLE CHEST X-RAY COMPARISON: ___. INDICATIONS: Patient with suspected ARDS

There is no significant change since the previous exam. The widespread severe airspace opacities are unchanged.

11395953

The lung volumes are improved with decreased bibasilar atelectasis. The bilateral asymmetric more prominent on the left upper lobe opacities has slightly improved over time. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contour are within normal limits. Right subclavian line ends in the lower SVC. Tracheostomy and NG tube are in adequate position.

59048920

PORTABLE AP CHEST X-RAY INDICATION: Patient with vent-dependent respiratory failure status post MVC. COMPARISON: ___.

Slight improvement of bilateral opacities in patient with known ARDS. The lung volumes are also improved.

11395953

The endotracheal tube is in adequate position, at 4.4 cm above the carina. There is a left-sided subclavian line that ends in the distal brachiocephalic vein. The lung volumes are slightly increased today, but there is no change in the widespread bilateral airspace consolidation. There is no significant pleural effusion. There is no visible pneumothorax. The mediastinal and cardiac contours are within normal limits.

57770439

PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. COMPARISON: ___.

There is no significant change since the previous exam. The lines and tubes are in adequate position. There are stable diffuse airspace consolidations bilaterally.

11395953

The endotracheal tube is in adequate position at 4 cm above the carina. The right subclavian line has been pulled back slightly but it still crosses the midline and its distal end is in the left mediastinum. The distal end is also pointing downward. As mentioned in the last report this is an unusual orientation for a venous catheter in a patient who does not have a persistent left superior vena cava. The exact location of the catheter cannot be assessed with the exam. The nasogastric tube is well positioned. Worsening of interstitial and alveolar opacities bilaterally, more prominent in the perihilar region, that is mostly compatible with severe pulmonary edema. A superimposed infection cannot be excluded. Does the patient have a limb fracture? If so, a pulmonary embolism cannot be excluded. Tere is no visible pneumothorax.

56017452

AP CHEST X-RAY INDICATION: ___-year-old man with increasing secretions. Rule out pneumonia. COMPARISON: ___.

Worsening of diffuse interstitial and alveolar opacities that are mostly compatible with severe pulmonary edema. A superimposed infection cannot be excluded. The right subclavian line has been slightly pulled back but it is still crossing the midline and its distal end is still pointing downwards in the left mediastinum. With this unusual orientation, as said in the previous report, the exact location of the catheter cannot be assessed in this exam.

11395953

The endotracheal tube is in good position at 5.1 cm of the carina. However, the right subclavian line has been repositioned since the last exam. It is crossing the midline and its distal end is pointing downward on the left, which is unusual in a patient who does not have a left persistent superior vena cava. The exact location of the line cannot be assessed with this exam. It could be in any structure, and it does not follow the course of the normal venous system. The distal end of the TNG is not included in this exam, but probably in a good position. Amelioration of the bilateral opacities compatible with mild edema. Deterioration of retrocardiac opacity compatible with atelectasis. Slight deterioration of the mild pleural effusions. No pneumothorax.

54165662

CHEST X-RAY AP COMPARISON: ___.

The right subclavian line has been repositioned. It is pointing downward on the left side of the mediastinum and does not follow the course of the normal venous system. It could be anywhere, even out of the venous system or in an artery. The results have been communicated verbally with Dr. ___ at 9:22 a.m. Reading with the attending 9 :10 a.m.

11395953

The endotracheal tube is in adequate position at 5.4 cm above the carina. The left subclavian line ends in the brachiocephalic vein and is unchanged. The severe bilateral diffuse alveolar opacities are better today. There is no visible pneumothorax or pleural effusion. The cardiac and mediastinal contours are normal.

58771080

AP CHEST X-RAY INDICATION: Patient with MVC, severe lung disease, evaluation for change. COMPARISON: Chest x-ray and CT scan of the chest of ___.

The severe diffuse bilateral alveolar opacities are better today. The evolution and radiologic appearance is more compatible with ARDS. Superimposed infection or edema cannot be excluded.

11395953

There is no significant change in the severe widespread bilateral alveolar opacities. The endotracheal tube and left-sided subclavian line are unchanged. Mediastinal and cardiac contour are stable. There is no visible pneumothorax. The NG tube is in adequate position.

59963107

PORTABLE AP CHEST X-RAY INDICATION: ARDS, MVC. COMPARISON: ___.

There is no significant change since the previous exam. There are severe widespread bilateral air-space opacities.

11395953

There is interval placement of a Dobbhoff tube that appears to be making a 180-degree turn in the distal esophagus, folding on itself and coming back up. The findings are otherwise unchanged.

52170147

INDICATION: ___-year-old man status post Dobbhoff placement, evaluate position. COMPARISON: ___. TECHNIQUE: AP chest radiograph.

The Dobbhoff tube is not positioned correctly and needs to be adjusted.

11395953

There is no significant change in the bilateral low lung volumes and severe widespread lung opacities. The support devices are in unchanged position. There is no pneumothorax. The mediastinal and cardiac contour are unchanged.

52805682

PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. COMPARISON: ___.

There is no significant change since the previous exam.

11280909

There has been no interval change from the previous study. Cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pulmonary vascular congestion is seen. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

53808451

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, pleuritic chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ at 16:29

No acute cardiopulmonary abnormality. No interval change from the previous chest radiograph obtained approximately 4.5 hr earlier.

11280909

PA and lateral views of the chest. The lungs are clear of consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

58703541

HISTORY: ___-year-old male with productive cough and fevers. COMPARISON: None.

No acute cardiopulmonary process.

11882807

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.

51515166

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with generalized weakness, history of renal/pancreas transplant // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT torso ___

No acute cardiopulmonary abnormality.

11882807

The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

57534529

PA AND LATERAL CHEST X-RAY INDICATION: Patient with productive cough, rule out infection. COMPARISON: ___.

There is no evidence of pneumonia.

11882807

Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

58283033

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with abd pain. chest pain back pain s/p mvc // acute process TECHNIQUE: Single frontal view of the chest COMPARISON: Assess ___

No acute cardiopulmonary process.

11312149

The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No consolidation or pneumothorax seen. The visualized bony structures are within normal limits.

56255746

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with bradycardia and chest pain // eval pneumonia, other acute process TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest radiograph ___

No acute cardiopulmonary process seen.

11303674

AP upright and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, 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.

53204281

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with shortness of breath. COMPARISON: ___

No acute intrathoracic process.

11303674

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal and unchanged. Mediastinal contours are within normal limits. Lung volumes are low.

54825366

HISTORY: ___-year-old female with lower extremity swelling, recent illness, and shortness of breath. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.

No radiographic evidence for acute cardiopulmonary process.

11303674

AP and lateral chest radiographs. The lungs are clear. Mildly increased interstitial markings are chronic and may represent bronchiolar thickening/inflammation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

54885439

INDICATION: Altered mental status. Evaluation for pneumonia. COMPARISON: ___ and ___.

No acute cardiopulmonary process.

11303674

The PICC line is now properly placed at the cavoatrial junction. The left lower lobe atelectasis seen on the prior study persists; however, the right atelectatic base shows improvement. No pleural effusions and no pneumothorax.

52512894

INDICATION: ___-year-old lady with right PICC line, pulled back, reevaluate position. COMPARISON: Portable radiograph from earlier today. TECHNIQUE: Portable upright chest radiograph.

Tip of the right-sided PICC line is now positioned at the cavoatrial junction.

11303674

The heart is mildly enlarged. The pulmonary interstitium is mildly prominent with peribronchial cuffing. Mild fluid overload or airway inflammation could be considered. There is no pleural effusion or pneumothorax.

53627628

CHEST RADIOGRAPHS HISTORY: Abdominal pain and distention. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.

No focal opacity identified. No evidence of free air. Mild non-specific interstitial prominence.

11303674

Mild cardiomegaly and pulmonary vascular plethora are chronic, but, unlike ___, there is no pulmonary edema, or any pleural effusion. There is no focal consolidation. IMPRESSION:

56836104

HISTORY: ___-year-old female with cough. COMPARISON: Multiple prior chest radiographs, most recently of ___.

Chronic mild cardiomegaly, but no evidence of acute decompensation or pneumonia.

11303674

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a mild diffuse interstitial abnormality that appears new including fissural thickening suggesting mild vascular congestion. No free air is identified.

57266177

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Left-sided abdominal pain. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___.

Findings suggests mild vascular congestion.

11303674

Single frontal upright view of the chest. Heart size and cardiomediastinal contours are normal. Small bibasilar opacities may represent mild atelectasis. No focal consolidation, pleural effusion, pneumothorax, or pneumoperitoneum.

52659710

HISTORY: Tender abdomen with rebound pain. COMPARISON: Multiple prior chest radiographs, most recently of ___.

No pneumoperitoneum or acute cardiopulmonary process.

11303674

As compared to ___, there is interval decrease in lung volumes. There is mild pulmonary vascular congestion with widening of the vascular pedicle. Normal subsegmental atelectasis. No significant effusions or pneumothorax. The heart is mildly enlarged.

55969983

INDICATION: ___ year old woman with hypoxia/apnea. // Please assess for cardiopulmonary process.

Low lung volumes with mild pulmonary vascular congestion.

11303674

AP upright and lateral views of the chest provided. Underpenetrated technique limits assessment. Allowing for this, there is no focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. On the lateral projection an 11 mm nodular structure projecting over the mid thoracic spine is noted. Otherwise the visualized osseous structures are unremarkable.

52778881

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with seizure activity // Eval for infxn COMPARISON: None

Nodular structure projecting over the thoracic spine on lateral view warrants CT of the chest on a nonemergent basis to exclude underlying lesion.

11303674

Low lung volumes are stable with increased prominence of linear atelectasis the left lung base. The vascular pedicle has decreased in size and there is slightly decreased pulmonary vascular congestion although mild interstitial edema remains. No pleural effusion, pneumothorax, or focal consolidation.

59618113

EXAMINATION: Chest right INDICATION: ___ year old woman with spina bifida, seizure disorder, recent UTI, presenting with denuding skin and hypoxia // eval for hypoxia TECHNIQUE: Portable upright AP or chest radiograph COMPARISON: Chest radiograph from ___, ___, ___. Chest CT from ___.

Increased atelectasis and mild slightly improved pulmonary edema, unlikely to contribute to hypoxia.

11821951

The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

52763490

EXAMINATION: CHEST RADIOGRAPHS INDICATION: ___ year old woman with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute intrathoracic process.

11686707

PA and lateral views of the chest were obtained. Redemonstrated is severe cardiomegaly and unchanged appropriate positioning of the dual-chamber pacer device. There is interval development of dense right lower lung opacification concerning for pneumonia. There is no pulmonary edema, large effusion, or pneumothorax.

57009275

INDICATION: ___-year-old woman with dyspnea, evaluate for CHF. COMPARISON: Multiple prior radiographs, most recently ___.

Right lower lobe pneumonia. Stable severe cardiomegaly.

11686707

Left-sided dual-chamber pacemaker device is re- demonstrated with leads in the right atrium and right ventricle. Moderate cardiomegaly is again noted. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. A right-sided VP shunt catheter is incompletely imaged. There are no acute osseous abnormalities.

53447495

EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with weakness TECHNIQUE: Chest AP upright and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11686707

Aside from mild atelectasis at the right base the right lung is clear. There is worsening opacification of the left retrocardiac region with air bronchograms suggesting atelectasis. Moderate cardiomegaly is unchanged. New pacer lead has been placed via the coronary vein and projects over the left ventricle. Leads terminating in the right atrium and right ventricle are unchanged. There is no evidence of large pleural effusion or pneumothorax.

56910177

INDICATION: ___ year old woman s/___ CRT upgrade // ptx leads TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___

Coursing left basilar atelectasis. No evidence of large pleural effusion or pneumothorax.

11686707

There is no evidence of pneumonia, pneumothorax, pleural effusion, pulmonary edema. Heart size is stable. VP shunt catheter courses over the right chest wall. Battery pack is seen projecting over the left hemithorax. Aorta is unfolded. A small amount of peribronchial cuffing is likely related to chronic bronchiolitis/small airways disease.

52916238

HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.

No evidence of pneumonia. Possible chronic small airways disease.

11686707

Frontal and lateral views of the chest. A cardiac pacer with leads in the right atrium and right ventricle is noted. A ventriculoperitoneal shunt courses through the thorax. The cardiac silhouette has increased since ___. The aortic knob is calficited. There are tiny bilateral pleural effusions. No pneumothorax.

51669812

HISTORY: ___ year old woman with chest pain. COMPARISON: Multiple prior chest radiographs, the most recent of ___.

Interval enlargement of the cardiac silhouette since ___ could be due to differences in technique; however, cardiomegaly or a pericardial effusion are possible.

11686707

The cardiac silhouette is moderately enlarged. The aorta is calcified. Dual lead left-sided pacemaker is stable in position. A right-sided VP shunt is partially seen coursing over the right hemi thorax and coiling in the right upper quadrant. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.

53826533

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness, hx of CHF // Eval for pna, pulm edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process. Cardiomegaly again seen.

11686707

The cardiac silhouette continues to be enlarged, similar to ___. A cardiac pacer has its leads in appropriate position overlying the right atrium and ventricle. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A right VP shunt is seen traversing along the right hemithorax and coiling in the right upper quadrant. The visualized upper abdomen is unremarkable.

53912793

INDICATION: ___-year-old female with chest pain. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___.

Stable cardiomegaly without superimposed acute cardiopulmonary process.

11686707

PA and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. The heart remains moderately enlarged. The aorta is unfolded. There is a VP shunt coursing over the right hemi thorax into the upper abdomen. Subtle hazy opacity at the right lung base may represent a small partially layering pleural effusion and subjacent atelectasis. No convincing evidence for pneumonia or pulmonary edema. No pneumothorax. Bony structures are intact.

53490627

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with DOE // Eval for pulm edema, acute process COMPARISON: ___

Stable cardiomegaly. Probable small right pleural effusion and right basal atelectasis. No overt signs of edema.

11686707

Compared to prior, there has been interval resolution of the previously seen right lower lobe consolidation. There is no focal consolidation, effusion, or edema. Massive cardiomegaly is again seen. Left chest wall dual lead pacer is seen with leads in stable position at the right ventricular apex and left right atrium. Ventriculoperitoneal catheter projects over the right chest wall. No acute osseous abnormalities identified

58535658

INDICATION: ___F with Afib, sHF (EF ___%), CAD who presents with pre-syncopal episode. Also with malaise, worsening DOE and crackles on lung exam. // Assess for acute infiltrate, pulmonary edema TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Cardiomegaly without superimposed acute cardiopulmonary process.

11686707

PA and lateral chest radiograph is compared to prior radiograph dated ___. Moderate cardiomegaly is stable. A left chest pacer is present, its leads which appear intact and in unchanged position. A right-sided VP shunt catheter is incompletely imaged. Streaky opacity in the retrocardiac region may reflect atelectasis. Relative to prior examination, no new focal opacity convincing for pneumonia is present. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Cardiomegaly is again noted.

53795191

INDICATION: ___-year-old female with shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Cardiomegaly unchanged. No evidence of pneumonia or edema.

11469079

Frontal and lateral views of the chest. A left bronchial stent is in stable position. A right bronchial stent is also likely in stable position. Mediastinal widening seen on ___ has improved. Heart size is stable. Severe emphysema with left base bronchiectasis is similar to prior. No new consolidation, pleural effusion, or pneumothorax.

52142196

HISTORY: Small cell lung cancer with increasing shortness of breath and hypoxemia. COMPARISON: Chest radiograph of ___ and chest CT of ___.

No focal consolidation. Severe emphysema, similar to prior. Decreased size of the previously seen mediastinal mass.

11469079

PA and lateral views of the chest provided. There has been interval right thoracentesis. Small right pleural effusion persists. There is a tiny right pneumothorax. Small left pleural effusion is unchanged.

55471763

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recurrent right effusion s/p ___ with 1300mL removed // ? PTX COMPARISON: Prior exam from earlier today.

Small right apical pneumothorax. Decrease in right pleural effusion.

11469079

A bronchial stent is seen from distal trachea through the left main bronchus. The lungs are hyperinflated but clear consistent with emphysema. There is no pneumonia. The mediastinum is widened consistent with mediastinal mass seen on recent CT from ___. There is no evidence of pneumothorax. No effusions are seen.

53469761

HISTORY: Mediastinal mass status post stent placement. Evaluate for pneumothorax. TECHNIQUE: Frontal views of the chest. COMPARISON: CT chest on ___.

No evidence of pneumothorax or acute cardiopulmonary process.

11469079

Compared a study from ___, there has been interval increase in the loculated right pleural effusion, now moderate in size with atelectasis at the right lung base. There is also a small left pleural effusion. The cardiomediastinal silhouette and hilar contours are stable. The previous right apical and basilar pneumothoraces have resolved. Included upper abdomen is unremarkable. Mid thoracic vertebral body compression fracture is again noted.

59444576

INDICATION: ___ year old woman with right pleural effusion s/p right thoracentesis, assess for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

Interval increase in size of the partially loculated right pleural effusion with adjacent compressive atelectasis. Small left pleural effusion. Interval resolution of the right apical and basilar pneumothorax.