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

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11215929	Cardiac, mediastinal, and hilar contours are unremarkable. The lungs are well inflated without evidence for pulmonary consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. Endplate osteophytes and ossification of the anterior longitudinal ligament are noted in the thoracic spine.	58989421	INDICATION: Fatigue. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: AP portable chest radiograph from ___. CTA chest from ___.	No evidence for active cardiopulmonary disease.
11215929	Lung volumes remain low. Heart size is similar to ___. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left basilar opacity may represent atelectasis or effusion. Right basilar opacity likely represents atelectasis. No focal consolidation or pneumothorax.	51052047	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new onset O2 requirement s/p 2u pRBCs with crackles and wheeze // eval for fluid overload COMPARISON: Chest radiographs from___ and ___	Small left effusion and bibasilar atelectasis.
11354329	The lungs are clear with normal volumes. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax. No focal consolidations are seen. Left shoulder hardware is again noted.	55737525	EXAMINATION: Chest radiograph INDICATION: ___ year old man with s/p surgery with increasing WBC count // rule out cardiopulmonary process TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiograph from ___	No acute cardiopulmonary process.
11354329	The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. There is no pleural effusion or pneumothorax. Left shoulder hardware is noted.	52426424	INDICATION: ___-year-old male with possible OR, preop chest x-ray. TECHNIQUE: PA and lateral chest COMPARISON: None available.	No acute cardiopulmonary process.
11102305	Evaluation of the lungs is complicated due to patient rotation. Within these limitations, the lungs are well expanded but show mild atelectasis. The cardiac silhouette is mildly enlarged. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.	57179271	INDICATION: ___-year-old female with white blood count of 20, question pneumonia. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE	No acute intrathoracic process.
11153842	Lungs are hyperinflated but clear. No focal consolidations concerning pneumonia are identified. The heart size is normal. The hilar and mediastinal contours are normal. There is no pleural effusion, or pneumothorax. The visualized osseous structures are notable for multilevel laminectomies spanning majority of the mid to lower thoracic spine.	50376724	INDICATION: ___F with fever // eval for pneumonia TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs dated back to ___	No focal consolidations concerning for pneumonia identified.
11153842	The lungs remain hyperexpanded. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Scratch The cardiac and mediastinal silhouettes are stable unremarkable.. Stable appearance of the thoracic spine including multiple laminectomies.	54422322	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with purulent sacral decub ulcer // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ and ___	No significant interval change. No focal consolidation to suggest pneumonia.
11153842	Lungs are hyperinflated with a pectus excavatum deformity. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.	52888905	INDICATION: ___F with fever. Evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest were obtained. COMPARISON: None available	No acute cardiopulmonary process. Pectus excavatum deformity of the anterior chest.
11016289	PA and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation is identified. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.	52375932	INDICATION: ___-year-old male with seizure and headache. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No acute intrathoracic abnormality.
11264046	There is mild left base atelectasis. No focal consolidation, pleural effusion, or or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen.	54442191	HISTORY: Right flank pain for 1 day. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11613535	Portable semi-upright radiograph of the chest demonstrates a persistent, moderate left pleural effusion and small right pleural effusion. The pulmonary vasculature is mildly indistinct. No definite consolidation is identified. Bibasilar atelectasis is noted. The cardiac silhouette is enlarged. There is severe dextroscoliosis of thoracic spine.	56197825	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with SOB new Afib // ___F with SOB new Afib TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___, CT chest dated ___	Persistent bilateral pleural effusions.
11456445	The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hilar contours are normal. No pleural abnormality is identified. Vertebral body heights in the thoracic spine on the sagittal views are grossly preserved. There is right curvature of the lower thoracic spine and mild left curvature of the upper lumbar spine.	52152938	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting with left-sided chest pain. Evaluate for pneumonia or other acute process. TECHNIQUE: Chest PA and lateral COMPARISON: No prior relevant imaging is available on PACS at the time of this dictation.	No focal pneumonia. This exam is not dedicated for imaging of the bones. If there is concern of a rib fracture, consider dedicated rib radiographs with a marker pointing to any area of focal pain.
11113612	The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Pleural thickening along the right mid lateral chest wall appears unchanged and may be post-traumatic or inflammatory.	57676194	CHEST RADIOGRAPHS HISTORY: Cough and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11304295	PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is visible.	54424733	INDICATION: Right rib pain after fall. COMPARISON: None.	No acute cardiopulmonary process. If there is concern for rib fracture, recommend obtaining additional detailed views.
11771156	PA and lateral views of the chest provided. The lungs are clear bilaterally without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No definite rib fracture is identified.	50544783	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain since ___, question pneumonia or rib fracture.	No acute intrathoracic process. Please refer to subsequent CTA chest for further details.
11484202	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.	54320354	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest paina avfter mvc // chest pain after mvc TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11910036	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. No pulmonary edema is seen.	58084545	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with persistent cough, orthopnea and doe // Please evaluate for infectious process, fluid overload TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Marked enlargement of the cardiac silhouette, could be due to underlying cardiomyopathy or pericardial effusion. No focal consolidation or pulmonary edema.
11910036	Frontal and lateral radiographs of the chest were acquired. There is a subtle bilateral interstitial abnormality that is more prominent centrally than peripherally. There is also evidence of Kerley B lines along the lateral aspect of the right lower chest wall. There is no focal consolidation. Massive enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are unchanged. There are no definite pleural effusions. No pneumothorax is seen.	55771881	INDICATION: Productive cough. Evaluate for infection. COMPARISON: Chest radiograph from ___.	Findings most consistent with mild interstitial pulmonary edema. Of note, an atypical infectious process, particularly one that is viral in nature, could have a similar appearance.
11910036	PA and lateral radiographs of the chest demonstrate marked cardiomegaly, new from chest x-ray on ___. There is increased interstitial opacification in the upper pole lungs. No pleural effusion is identified. The mediastinum is widened compared to ___, likely due to unfolded thoracic aorta.	58299316	PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 5:02 PM Severe cardiomegaly with interstitial edema consistent with congestive heart failure. ______________________________________________________________________________ FINAL REPORT INDICATION: Cough and fever. Evaluate for acute cardiopulmonary process. COMPARISON: Multiple prior chest x-rays, most recently on ___.	Severe cardiomegaly with interstitial edema consistent with congestive heart failure. The case was discussed by Dr. ___ with Dr. ___ by phone at 2:38 p.m. on ___.
11910036	The cardiac silhouette is moderate to severely enlarged. No overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Mediastinal contours unremarkable. Degenerative changes are incidentally noted at bilateral acromioclavicular and glenohumeral joints.	54701877	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with s/p fall. Possible new onset seizure. // eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Marked enlargement of the cardiac silhouette. No focal consolidation.
11910036	The cardiac silhouette remains massively enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Slight increased haziness of the left lung base is noted, which may reflect an acute infectious process. Pulmonary vascularity is within normal limits. Air distended loops of bowel in the upper abdomen are noted, similar to the prior exam. No acute osseous abnormality is detected.	56157414	INDICATION: ___M with productive cough // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.	Increased hazy opacity at the left base, which may reflect an infectious process. Stable massively enlarged cardiac silhouette.
11135741	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. New geographic opacity projecting over the lower portion of the right upper lobe suggests mild hemorrhage associated with a recent biopsy. There is no pneumothorax.	52912807	CHEST RADIOGRAPH HISTORY: Immediately status post right transbronchial biopsies. COMPARISONS: Earlier on the same day and the CT from ___. TECHNIQUE: Chest, portable AP upright.	Post-biopsy changes in the right upper lobe.
11135741	Right port tip is in low SVC. No interval change in rounded right upper lobe nodule that is further characterized on prior chest CT. The lungs are otherwise clear and pleural surfaces are normal. Heart size, mediastinal and hilar contours are normal.	53962062	HISTORY: ___-year-old male with tuberculosis. Assess for interval change. COMPARISON: Chest radiograph, ___, ___. TECHNIQUE: Frontal and lateral chest radiographs.	No interval change in right upper lobe nodule.
11053788	The heart is at the upper limits of normal size. There is mild-to-moderate unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.	56603703	CHEST RADIOGRAPHS HISTORY: Cough and sputum production. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11527001	AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding portable chest examination obtained 10 hours earlier during the same day with patient in supine position. Again, there is significant cardiac enlargement in this patient with a permanent pacer in left anterior axillary position and a single intracavitary electrode terminating in a position compatible with apical portion of right ventricle. There is significant cardiac enlargement as before. The configuration includes a prominence of the left atrial appendage contour resulting in a straightening of the left heart border rather typical for left atrial enlargement. Pulmonary vasculature is still congested but less so than on the preceding supine examination. On this image obtained with patient in upright position, there is no evidence of significant pleural effusion accumulating in the lateral pleural sinuses. No new acute parenchymal infiltrates can be seen. There is no evidence of pneumothorax in the apical area.	51438255	TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old male patient with intracerebral hemorrhage, will receive four units of fluid, evaluate for pulmonary edema.	___-year-old male patient with acute stroke. Cardiac enlargement including prominence of left atrial contours suggestive of mitral valve disease. An echocardiographic examination is recommended.
11064387	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	51389582	EXAMINATION: CHEST (PA AND LAT) INDICATION: Chest pain and near syncope. Evaluate for acute process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11297219	The heart is enlarged but unchanged from ___. The mediastinal contours are within normal limits. A left-sided pacemaker with transvenous right atrial and left ventricular pacing wires as well as a right ventricular pacer/ defibrillator lead follow their expected courses. There is no pneumothorax, pleural effusion or mediastinal widening. The pulmonary vasculature is distended but unchanged from the prior study. There is no frank pulmonary edema.	53539022	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with defib that fired // eval positioning of defib leads TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs from ___ through ___	Cardiomegaly unchanged. Transvenous right atrial and left ventricular pacing wires as well as a right ventricular pacer/ defibrillator follow expected courses. No pneumothorax
11297219	Moderate cardiomegaly has been stable compared to exams dated back to ___. There may be a small left pleural effusion. The leads appear to be in appropriate position. There is mild pulmonary vascular congestion. There is no evidence of a pneumothorax. Visualized osseous structures are unremarkable.	50955892	INDICATION: History of biventricular ICD upgrade. Please evaluate lead position. Please rule out pneumothorax. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: PA and lateral radiographs of the chest.	No evidence of a pneumothorax. Persistent mild pulmonary vascular congestion. Mild pulmonary edema.
11297219	PA and lateral chest radiograph demonstrates cardiomegaly. When compared to prior radiograph dated ___, lung volumes are improved. There is mild pulmonary vascular congestion though no overt in pulmonary edema. There is no pleural effusion or pneumothorax. A left pectorally placed defibrillator device is identified, its leads in unchanged position. The defibrillator lead is seen projecting over the right ventricle and a pacer lead along the diaphragmatic surface of the left ventricle. Hilar contours are stable when compared to prior examinations. Osseous structures demonstrates degenerative changes within bilateral acromioclavicular joints as well as within the visualized thoracolumbar spine.	54708905	INDICATION: ___ yo M with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Cardiomegaly with mild pulmonary vascular congestion, no overt pulmonary edema. Improved lung volumes relative to prior study.
11297219	Frontal and lateral views of the chest were obtained. Right ventricular lead of a left chest wall pacer terminates in stable position. Moderate cardiomegaly is unchanged and mediastinal contours are stable. Pulmonary vascular markings are increased, suggesting mild pulmonary vascular congestion. Right base and retrocardiac opacities are increased and could represent atelectasis or infection. No pleural effusion or pneumothorax.	56264173	HISTORY: Worsening shortness of breath and abdominal swelling. COMPARISON: ___.	Mild pulmonary vascular congestion with increased bibasilar opacities, either atelectasis or infection.
11297219	There are now 2 pacemaker leads, with leads positioned in expected positions. A new left-sided generator pack is seen. Significant cardiomegaly persists. There are no focal pulmonary nodules, pleural effusions, or evidence of pneumothorax. Increased pulmonary vascular engorgement persists.	55119442	INDICATION: Biventricular ICD upgrade. Evaluate lead position and rule out pneumothorax. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___.	Status post change of pacemaker generator pack with ventricular leads, in expected locations. No pneumothorax. Persistent pulmonary vascular engorgement and severe cardiomegaly.
11952144	PA and lateral chest radiographs are provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. An old fracture of the right clavicle was noted.	54145484	INDICATION: History of seizures, leukocytosis, question presence of infiltrate. COMPARISONS: Chest CT from ___, chest radiograph from ___.	No acute cardiopulmonary process.
11630519	PA and lateral chest radiographs were obtained. The lungs are well expanded. There is a mild interstitial pattern of opacities. There is no focal consolidation, effusion, pneumothorax. Cardiomegaly is severe. There aorta is tortuous.	55720087	HISTORY: Feeling well. COMPARISON: None.	Mild interstitial opacity of unknown chronicity
11630519	There is minimal bibasilar atelectasis/scarring. The heart is mild to moderately enlarged, not significantly changed. The descending thoracic aorta is tortuous, as before. There are no pleural effusions. No pneumothorax is seen. Note is made of a diffusely sclerotic thoracic vertebral body, better assessed on the subsequent chest CT from ___.	54531954	INDICATION: Weakness. Assess for pneumonia. COMPARISON: Chest radiograph from ___.	No acute cardiac or pulmonary process. Diffusely sclerotic thoracic vertebral body, better assessed on subsequent chest CT. The differential diagnosis includes metastatic disease and lymphoma. Mild-to-moderate cardiomegaly, not significantly changed.
11630519	A portable view of the chest shows clear lungs. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or pleural effusions. There is no pulmonary edema.	50627422	HISTORY: ICH and poor mental status now with leukocytosis, evaluate for pneumonia. COMPARISON: All available Chest x-rays from ___ to ___.	No interval change since ___. No evidence of pneumonia.
11707398	AP portable upright view of the chest. A subtle opacity projecting over the right lower lung is concerning for pneumonia. Otherwise the lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.	59096961	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with heroine OD and WBC ___ COMPARISON: None	Subtle opacity over the right lower lung is concerning for pneumonia.
11266369	Heart size, mediastinal and hilar contours are normal. Focal pleural and parenchymal scarring at left lung base laterally appears similar to an older radiograph of ___. No new areas of consolidation are evident within the lungs to suggest an acute pneumonia. New linear atelectasis is present at the extreme right lung base posteriorly. No acute skeletal findings.	50618431	PA AND LATERAL CHEST OF ___ COMPARISON: Chest x-ray of ___.	No evidence of pneumonia.
11266369	The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. Focal pleural thickening at the left base is unchanged. Cardiac and mediastinal contours are normal.	51930042	INDICATION: ___-year-old man with recurrent cough, history of asthma, question pneumonia. COMPARISONS: ___ to ___.	No acute cardiopulmonary process. Two attempts were made to contact the referring clinician, Dr. ___. He was unavailable at the provided number and a second number was incorrect.
11722038	There has been interval increase in pulmonary edema and atelectasis. There has been slight increase in right pleural effusion. Left pleural effusion cannot be directly observed, but is presumed. There are no obvious focal consolidations suspicious for infection. There is stable cardiomegaly. Right IJ catheter is in unchanged position terminating in the mid SVC. Endotracheal tube is seen in unchanged position, terminating no less than 5.2 cm above the carina. The NG tube is again seen entering the stomach and then out of field of view.	50754836	INDICATION: ___ year old female, intubated, status post exploratory laparotomy. COMPARISON: Multiple chest radiographs dated back to ___, most recent ___. TECHNIQUE: Semi-upright portable AP chest radiograph.	Increasing pulmonary edema and atelectasis with stable cardiomegaly.
11722038	There has been interval removal of the right IJ catheter. Left-sided PICC catheter remains in position terminating within the low SVC. The lungs are clear, but no areas of focal consolidation or vascular congestion suggestive of failure. Persistent unchanged elevation of the right hemidiaphragm with associated right lower lobe atelectasis. No pneumothorax is identified. The cardiomediastinal silhouette is unchanged and within normal limits.	51340084	INDICATION: ___-year-old female with pancytopenia, Klebsiella, sepsis, now presents with increasing peripheral edema. COMPARISON: Upright portable AP chest radiograph ___. TECHNIQUE: Upright AP chest radiograph.	No evidence of pulmonary edema or CHF.
11722038	AP portable view of the chest demonstrates left PIC catheter tip projecting over distal SVC. Linear opacities in the right lung base likely represent atelectasis. Small right pleural effusion cannot be excluded. The left lung appears well aerated without pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.	55134978	WET READ: ___ ___ ___ 9:30 PM Right lower lobe plate like atelectasis. Left IJ approach PICC line in distal SVC. A ___ ___ ______________________________________________________________________________ FINAL REPORT INDICATION: Patient with tachycardia and tachypnea. Assess for pneumonia or cardiomegaly. COMPARISONS: Chest radiographs of ___ through ___.	Low lung volumes with right lung base atelectasis.
11018127	Frontal and lateral chest radiographs again demonstrate sternal wires and a partially imaged cervical and lumbar fixation hardware. Lung volumes are low, with increased prominence of the cardiac silhouette and bronchovascular crowding. A retrocardiac opacity is unchanged and again may represent atelectasis.	53116776	INDICATION: Cough and neurologic changes. Evaluate for infection. COMPARISON: Chest radiographs from ___, ___, and ___ tear	Retrocardiac opacity may represent atelectasis, but superimposed infection cannot be excluded. Low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding.
11018127	Relatively low lung volumes are noted. Streaky retrocardiac opacity is noted, potentially atelectasis. Median sternotomy wires are identified. Cervical and lumbar spine fixation hardware is partially imaged. No acute osseous abnormalities.	51755936	INDICATION: ___F with pneumonia seen on OSH CXR // Eval for infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	Left basilar opacity, potentially atelectasis with infection not excluded.
11018127	Detailed evaluation of the lung apices is slightly limited due to overlying soft tissue from the chin. Nonspecific opacities in the retrocardiac region are much improved. Persistent linear opacities in the left retrocardiac region may reflect linear atelectasis and/or scarring. The cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax. Median sternotomy wires appear intact and unchanged. Posterior spinal fixation hardware in the lumbar spine appear grossly intact. Calcifications of the aorta are extensive. No acute osseous abnormality.	54189676	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting for preoperative exam. TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process.
11429968	The NG tube tip is in the proximal esophagus. Recommend re-insertion there is volume loss at both bases with small bilateral pleural effusions and pulmonary vascular redistribution . There are hazy alveolar infiltrates right greater than left	51294936	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute appendicitis s/p laparoscopic appendectomy. // Confirm NGT placement. TECHNIQUE: Portable chest COMPARISON: ___.	NG tube too high, still in the esophagus Worsened fluid status. An underlying infectious infiltrate in the lower lobes can't be excluded
11720505	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. Moderate degenerative changes of the thoracic spine.	54780105	WET READ: ___ ___ ___ 3:04 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with postoperative R thumb infection // preop TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary abnormality.
11227224	AP upright and lateral views of the chest provided. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Coronary stent projects over the heart. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	59591310	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with weakness // acute process COMPARISON: ___ and ___	No acute intrathoracic process.
11227224	The left PICC line continues to projects over the left brachiocephalic vein. Advancement by 7-8 cm would position its tip at the superior cavoatrial junction. Right middle lobe atelectasis is unchanged. Bilateral lower lobe airspace opacities are unchanged. Small bilateral pleural effusions are stable. Left basilar airspace opacification likely due to atelectasis is also stable. Moderate cardiomegaly despite the projection is unchanged.	53851204	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with Afib (on warfarin), COP/ILD, CAD s/p PCI, recent UGIB, now p/w c. diff infection, Afib s/p TEE/DCCV, dCHF, UTI. Now with PICC displaced again additional 1cm out. // Please assess PICC position TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.	Left PICC line projects over left brachiocephalic vein. Advancement by 7-8 cm would position its tip at the superior cavoatrial junction. Stable right middle lobe atelectasis. Unchanged left midlung airspace opacity may be due to atelectasis. Stable small bilateral pleural effusions.
11227224	As compared to the prior radiograph performed yesterday morning, there is interval enlargement of an area of opacification in the right perihilar region, which most likely represents worsening pulmonary edema. However, an underlying infection cannot be excluded. A small right pleural effusion is noted. There is no pneumothorax. The heart remains enlarged. Atherosclerotic calcifications are noted in the aortic arch.	50620987	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with hypoxia, pneumonia and CHF // ?interval change TECHNIQUE: AP view chest radiograph COMPARISON: Chest x-ray ___ and ___.	Increased right perihilar opacity most likely represents worsening pulmonary edema, though underlying infection cannot be excluded. Recommend follow-up CXR after diuresis to differentiate, if clinically appropriate.
11227224	Lines and Tubes: There is a left-sided PICC terminating in the distal left subclavian and could be advanced by approximately 3.5 cm. EKG leads overlie the chest wall. Lungs: The lung volumes are low. Interval improvement in the right visual effusion with a persistent small residual left digital effusion. Dense left retrocardiac opacity likely atelectasis and/ or pneumonia. Pleura: Bilateral small pleural effusions left greater than right. Mediastinum: There is cardiomegaly as before. Aortic knob calcification persists. Bony thorax: No interval change	56073065	INDICATION: ___ year old woman with Afib (on warfarin), COP/ILD, CAD s/p PCI, recent UGIB, now p/w c. diff infection, Afib s/p TEE/DCCV, dCHF, UTI. New delirium and leukocytosis. // Assess for pneumonia TECHNIQUE: Single AP portable radiograph of the chest COMPARISON: ___	Low lung volumes with dense left retrocardiac opacity, likely atelectasis and/or pneumonia in the right clinical setting. Left PICC terminates in the distal left subclavian ___, ___ be advanced by approximately 3.5 cm. Stable cardiomegaly with interval improvement in bilateral fissural effusions with unchanged small pleural effusions left greater than right.
11227224	The left PICC line continues to terminate in the low SVC. A small right pleural effusion with chronic right middle lobe atelectasis and bronchiectasis are unchanged. Previous pulmonary edema has resolved. Moderate cardiomegaly despite the projection is also unchanged. There is no pneumothorax. An benign appearing ossified structure at the left glenohumeral joint is unchanged.	50149326	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with afib, chf, severe c diff. Concern for PICC malposition // eval for PICC position TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Plain radiograph dated ___. Correlation made to chest CT dated ___ ___.	Unchanged location of left PICC line tip, which is in the low SVC. Resolved pulmonary edema. Chronic right middle lobe atelectasis and bronchiectasis.
11227224	AP and lateral chest radiograph demonstrate clear lungs with no focal opacity convincing for pneumonia. Heart size is top-normal. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.	59768106	INDICATION: ___-year-old female with cough. TECHNIQUE: AP and lateral. COMPARISON: Chest radiograph dated ___.	No acute intrathoracic abnormality.
11227224	The prior radiographs from ___ showed extensive pulmonary pathology. The radiograph on ___ is considered to be the patient's baseline appearance. When compared to baseline there are bilateral patchy opacities, more prominent in the region of the right cardiophrenic angle, the right mid lung and the periphery of the left mid lung suggesting an infectious/inflammatory process. There is also bilateral diffuse increased interstitial thickening, vascular upper redistribution and hilar indistinctness suggesting interstitial pulmonary edema and vascular congestion. A small right-sided pleural effusion is present. There is no pneumothorax. Moderate cardiomegaly is unchanged.	52038415	EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with shortness of breath, hypoxia, recent cardioversion. Evaluate for acute process. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___, ___, on ___. CT chest from ___.	Findings compatible with multifocal pneumonia on the background of interstitial pulmonary edema and vascular congestion. Stable moderate cardiomegaly.
11227224	Compared with 1 day earlier and allowing for technical differences, I doubt significant interval change. Probable background hyperinflation. Mild cardiomegaly. Upper zone redistribution, without overt CHF. Minimal bibasilar atelectasis, but no focal consolidation. No gross effusion. On today's examination, the left hemidiaphragm is slightly elevated. Incidental note is made of advanced glenohumeral osteoarthritis on both sides and multiple loose bodies in the left shoulder joint.	53052489	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with interstitial lung disease, atrial fibrillation here with a presumed GI bleed. // Does this woman have acute pulmonary edema? COMPARISON: Chest x-ray from ___	Doubt significant interval change compared with 1 day earlier. Upper zone redistribution, without other evidence for CHF. Bibasilar atelectasis.
11227224	Heart size remains moderately enlarged. Coronary artery stent is re- demonstrated. The aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. New focal opacity is seen within the right mid lung field, concerning for infection. Streaky atelectasis is also noted in the left lung base. A trace right pleural effusion is demonstrated with blunting of the costophrenic angle. No pneumothorax is identified. Marked degenerative changes of the left glenohumeral joint are again seen with a probable loose body inferior to the joint.	56580018	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dypsnea TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___	New focal opacity within the right mid lung field concerning for pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding.
11227224	PA and lateral chest radiograph demonstrates an opacity localized on the lateral radiograph to be within the superior aspect of the right lower lobe as well as an additional opacity just inferiorly. This appears new since prior examination dated ___. Additional vague opacities projecting over the left mid lung zone are noted additionally new since prior examination. Cardiomediastinal and hilar contours appear stable when compared to prior radiograph. There is no pleural effusion or pneumothorax.	54244842	INDICATION: ___-year-old female with chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___.	New since prior examination ___, there are several opacities, the largest in the superior aspect of the right lower lobe. Differential includes multifocal pneumonia and aspiration. Underlying malignancy cannot be excluded. This can be further evaluated with Chest CT.
11227224	Moderate cardiomegaly is unchanged. Calcifications noted of the aortic knob. Mediastinal silhouette and hilar contours unchanged compared with ___. Upper zone redistribution, without other evidence of CHF. No pulmonary edema. No focal infiltrate identified. Pleural surfaces are clear without effusion or pneumothorax.	53275025	EXAMINATION: Chest radiograph INDICATION: History of atrial fibrillation and pulmonary edema with weakness. TECHNIQUE: Chest PA and lateral COMPARISON: Several prior chest radiographs dating from ___ through ___.	Cardiomegaly and upper zone redistribution. Otherwise, doubt acute pulmonary process.
11279008	The lungs are clear. Prior sternotomy was done for CABG. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.	58280658	PA AND LATERAL CHEST X-RAY INDICATION: Patient with chest pain, sudden onset, history of CABG. Rule out pneumothorax. COMPARISON: ___.	There are no acute cardiopulmonary findings. There is no pneumothorax.
11323846	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.	56691511	HISTORY: Fevers, evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.	No acute cardiopulmonary process.
11789279	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.	57942103	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CT chest ___	No acute cardiopulmonary abnormality.
11789279	Lung volumes are low. Heart size is accentuated as result appearing mildly enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.	56290190	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with CHF exacerbation // Fluid? TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, CT chest ___	Low lung volumes with patchy bibasilar opacities, likely atelectasis.
11789279	The cardiac silhouette is top-normal in size. The pulmonary vasculature is unremarkable. There is no large pleural effusion or pneumothorax. A vague right perihilar opacity is seen, which in the appropriate clinical context, may represent developing pneumonia.	53070099	WET READ: ___ ___ 11:04 PM Vague right perihilar opacity, in the appropriate clinical context, may represent pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sob, h/o cirrhosis // eval for pna, effusion TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___	Vague right perihilar opacity, in the appropriate clinical context, may represent pneumonia.
11789279	Frontal and lateral views of the chest. There is increased opacity in the right lower lobe. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size is top normal. The mediastinal and hilar contours are normal. There is no free air beneath the right hemidiaphragm or acute osseous abnormality.	56771036	HISTORY: ___M with CP & dyspnea s/p pna. COMPARISON: Multiple prior chest radiographs, the most recent of ___.	Right lower lobe opacity consistent with pneumonia in the correct clinical setting.
11255409	The lungs are clear without focal consolidation, effusion, or edema. Moderate to large hiatal hernia is noted with an air-fluid level. No acute osseous abnormalities.	57064302	INDICATION: ___M with vomiting x9-10 times TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11881611	Frontal and lateral views of the chest were obtained. Bilateral pleural calcifications and diaphragmatic plaques are seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Patient is status post aortic valve replacement. Cardiac silhouette is top normal. The aorta is calcified.	53682342	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Weakness. COMPARISON: None.	Bilateral calcified pleural plaques suggest prior asbestos exposure. No acute cardiopulmonary process.
11122882	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are slightly low in volume but clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormality is detected.	52465599	INDICATION: ___M with acute chest pain // Acute thoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11101301	Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouette is unremarkable. Heart size is normal. There is no pulmonary edema. Visualized osseous structures are intact.	52277576	INDICATION: Patient with fever and epigastric pain. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11532101	Right infrahilar and left perihilar opacities are noted with otherwise clear lungs. These findings are concerning for multifocal pneumonia. There is no pleural effusion or pneumothorax. Within the limitations of technique cardiac and mediastinal contours are unremarkable.	57458777	EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever, cough, and hypoxia. TECHNIQUE: Chest, portable AP upright. COMPARISON: None.	Bilateral opacities concerning for pneumonia. Follow-up radiographs are suggested to show resolution.
11887613	PA frontal and lateral chest radiograph demonstrates relatively low lung volumes with no focal consolidation. Patient is status post thoracic surgery with median sternotomy wires intact. There is no pleural effusion or pneumothorax. Heart size is top-normal.	58490954	HISTORY: ___-year-old male with IGA deficiency. Now with cough. Evaluate for infiltrate. COMPARISON: Chest radiograph dated through ___.	No acute cardiopulmonary abnormality.
11382624	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.	50931640	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough congestion sob for 4 days COMPARISON: None	No acute intrathoracic process.
11333221	A transesophageal tube terminates in the stomach. Right PICC terminates in low SVC. Previously seen Left subclavian venous catheter has been removed. Moderate to large bilateral pleural effusions and substantial bibasilar atelectasis are stable. Cardiomediastinal silhouette is obscured by pleural effusions but grossly appear stable. Calcification is heavy at the aortic arch.	50491357	INDICATION: ___ year old woman with ongoing O2 requirement s/p SBR, Hartmans // ? interval change TECHNIQUE: Frontal view of the chest COMPARISON: ___, ___	Moderate to large bilateral pleural effusions and substantial bibasilar atelectasis are persistent since ___.
11333221	Crescentic lucency underlying the left hemidiaphragm likely corresponds to the distended stomach seen on recent CT. There is no evidence for pneumoperitoneum. Bibasilar linear atelectasis is noted. There is no focal consolidation, pulmonary edema, or pneumothorax. There is a trace left pleural effusion. The aortic arch is calcified. The cardiomediastinal silhouette is otherwise unremarkable.	57317033	WET READ: ___ ___ ___ 6:04 AM No evidence of pneumoperitoneum. No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with perforated diverticulosis on outside hospital CT, evaluate for free air. TECHNIQUE: Single upright AP chest radiograph COMPARISON: Outside hospital CT torso dated ___.	No evidence of pneumoperitoneum. No evidence of acute cardiopulmonary process.
11743284	There has been interval placement of a chest tube seen at the left lung apex, with kinking. There is interval decrease in the size of left-sided pneumothorax with an apical and medial component remaining. An opacity in the left perihilar region and left lung base likely represents atelectasis. There is extensive subcutaneous edema on the left tracking into the neck. Redemonstrated pneumomediastinum. The right lung is grossly clear with linear atelectasis at the lung base. Multiple left-sided rib fractures demonstrated, better seen on concurrent CT.	59303182	INDICATION: ___F with PTX status post chest tube placement, evaluate position.. COMPARISON: Outside hospital chest CT ___. TECHNIQUE Portable view of the chest.	Interval placement of a left apical chest tube with decreased size of left-sided pneumothorax. Extensive subcutaneous emphysema and pneumomediastinum, as described above.
11743284	There has been interval retraction of the left apical chest tube, with resolution of the kink. Otherwise, no significant change in the appearance of the chest with extensive subcutaneous emphysema, pneumomediastinum, and left basilar and perihilar atelectasis.	50500708	INDICATION: ___F with chest tube placement, withdrawn, evaluate position. COMPARISON: Chest radiograph ___ at 05:00 TECHNIQUE Portable view of the chest.	Interval retraction of the left-sided chest tube, still within the lung apex with resolution of kinking. Remainder of the radiograph is unchanged from 1 hr prior.
11926661	Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen.	57346834	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CP, SOB w/ECG changes c/f NSTEMI // r/o infiltrates TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No significant interval change.
11926781	Mild pulmonary vascular congestion and minimal interstitial edema is noted. Otherwise, the lungs are clear with normal volumes. Stable moderate cardiomegaly. No pneumothorax, pneumonia, or pleural effusions.	59507224	EXAMINATION: Chest radiographs INDICATION: ___ year old woman with new cough, mild fevers. // focal infiltrates? TECHNIQUE: AP portable chest radiograph COMPARISON: Prior chest radiographs of ___, ___, ___.	Pulmonary vascular congestion and minimal interstitial edema.
11926781	There is a dobhoff tube coursing below the diaphragm, however the tip is not visualized on this image. There is a new left lower lobe retrocardiac opacity that is silhouetting the left hemidiaphragm. Minimal vascular congestion. Heart size is stable. The mediastinal and hilar contours are stable. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	51780706	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with Alc hep, now with increasing bilirubin. // pna. vs. effusion TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___.	Appropriate positioning of dobhoff tube. New left lower lobe retrocardiac opacity, concerning for pneumonia. Minimal vascular congestion.
11926781	Lung volumes are unchanged compared to prior study. There is mild cardiomegaly. No pulmonary vascular congestion, pleural effusion ___ ___ B lines seen. No consolidation ___ pneumothorax seen. The visualized bony structures are unremarkable in appearance.	50799001	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with alcoholic hepatitis and cirrhosis, cough and crackles on lung exam // Evaluate for pneumonia, vs edema, vs atelectasis TECHNIQUE: AP and lateral chest radiographs COMPARISON: Chest radiograph ___	Mild cardiomegaly without evidence of frank pulmonary edema.
11778209	Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is top normal. Mediastinal and hilar contours are unremarkable.	54998883	INDICATION: Chest pain. Evaluate for pneumothorax or pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality.
11254232	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No radiopaque foreign body seen.	59323725	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F swallowed a metal pin, feels it in her throat // determine position of foreign body TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process. No radiopaque foreign body.
11968565	AP and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.	52295602	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain, question pneumonia.	No acute intrathoracic process.
11697074	PA and lateral views of the chest. No prior. There is elevation of the right hemidiaphragm. The lungs, however, are clear of effusion or consolidation. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips are seen in the upper abdomen in the midline for which clinical correlation is suggested.	59449205	CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with mid abdominal pain and diabetic. Question pneumonia.	No acute cardiopulmonary process.
11884069	PA and lateral chest radiographs were provided. There is a large central mass in the right upper and mid lung zones, likely involving the mediastinum consistent with patient's known history of lung cancer. There is associated collapse of the right upper lobe. A small cavity in the left mid lung zone, as seen on MRI, is likely a metastasis. There is prominence of the interstitial markings. Elevation of the right hemidiaphragm suggests phrenic nerve involvement from the large lung mass. There is no pleural effusion or pneumothorax.	52664900	INDICATION: Cough, fevers, known lung cancer, infection. COMPARISONS: None.	Large right upper lung mass involving the mediastinum, specifically the phrenic nerve, also responsible for right upper lobe collapse. Likely left lung metastasis.
11884069	PA and lateral views of the chest. Again seen is a large right upper lobe mass with elevation the right hemidiaphragm. There are 3 large pulmonary nodules in the left lung, similar prior CT. New diffuse ground glass opacities are seen throughout both lungs, new from prior study. Heart size is unchanged. No pleural effusion. No pneumothorax. Small right pleural effusion.	55975961	HISTORY: Cancer. Shortness of breath. COMPARISON: CT torso on ___ and chest radiograph of ___.	Known large right upper lung mass and 3 large left pulmonary nodules. New diffuse ground glass opacities in the right middle and lower lobes may represent post-obstructive pneumonia or metastatic progression.
11015043	Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Tiny calcified granuloma is noted projecting over the right upper lung field. No acute osseous abnormalities detected.	55943573	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with new onset right-sided facial paralysis. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11566493	The cardiomediastinal silhouette and hilar silhouettes and pleural surfaces are normal. The aortic contour is stable. No focal consolidation, pleural effusion or pneumothorax. Osteophytes of the thoracic spine are small.	58927162	WET READ: ___ ___ ___ 7:22 AM No focal consolidation or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with back pain. Evaluate for acute process. TECHNIQUE: PA and lateral chest. COMPARISON: Chest radiographs of ___ and ___.	No focal consolidation or pneumothorax.
11830732	The lungs are clear without focal consolidation. There is no pneumomediastinum or pneumothorax. No pleural effusion or edema. The cardiac and mediastinal silhouettes are unremarkable.	53571210	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with mediastinal air s/p EGD dilation of esophageal stricture // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Barium esophageal study on ___	No pneumomediastinum or pneumothorax.
11882090	The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. S-shaped thoracic scoliosis is again noted.	59177790	INDICATION: ___F with anterior chest pain // role out pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11862831	Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.	51465722	HISTORY: Cough and rhonchi for 1 week, assess for pneumonia. COMPARISON: Chest radiographs from ___ through ___.	Normal chest radiograph. Specifically, no evidence of pneumonia.
11491156	Lung volumes are low, contributing to pulmonary vascular congestion. Overall appearance of the lungs has improved compared to the prior exam. No edema. Pleural effusion, if present minimal. The heart is probably moderately enlarged, despite is AP view. No pneumothorax. .	58359956	EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a fib with RVR ; evaluate for pulmonary edema TECHNIQUE: Portable upright radiograph view of the chest. COMPARISON: Chest radiograph dated ___.	Interval resolution of edema.
11765820	The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. No CHF, focal infiltrate, pleural effusion or pneumothorax is detected.	50221926	INDICATION: History: ___F with shortness of breath (now resolved) // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No acute pulmonary process identified.
11585967	PA and lateral views of the chest provided. Moderate cardiomegaly is noted. Central hilar congestion is noted with mild interstitial edema. There is a calcified granuloma projecting over the right lateral mid lung. No large effusions are seen though there is trace fluid tracking along the major fissure. No pneumothorax. Mild atherosclerotic calcification is seen along the aortic knob. The imaged bony structures appear intact.	55411763	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest tignthess-r/o PNA. COMPARISON: None	Moderate cardiomegaly with mild edema.
11585967	A portable frontal chest radiograph again demonstrates severe cardiomegaly, likely unchanged compared to ___. Low lung volumes exaggerate cardiomediastinal size. There is mild left greater than right basilar atelectasis, as well as mild pulmonary edema. No focal consolidation, large pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable.	53680606	INDICATION: Evaluate for CHF in a patient with bradycardia. COMPARISON: Chest radiograph from ___.	Mild pulmonary edema. Unchanged severe cardiomegaly.
11585967	New trans subclavian right ventricular pacer lead is continuous from the left pectoral generator. Mild vascular engorgement. Severe enlargement of the cardiac silhouette is worsened since ___, but cephalization of engorged pulmonary vessels has probably improved. Lungs are clear. No pneumothorax, mediastinal widening or pleural effusion is seen.	53785490	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chb now s/p PPM // eval for pneumothorax and lead placement TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___ through ___.	Pacemaker with single lead in the right ventricle, without pneumothorax or evidence of other complication. Possible increase in severe cardiomegaly, but pulmonary vascular engorgement has improved and there is no edema.
11387260	Patient is status post median sternotomy and CABG. There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. A moderate left pleural effusion appears similar in size compared to the previous exam. There is continued opacification of the left lung base, which could reflect compressive atelectasis. Right lung is clear. No pneumothorax is identified. Multilevel degenerative changes are noted in the thoracolumbar spine with loss of height of a vertebral body at the thoracolumbar junction which is unchanged.	57144880	INDICATION: Chest pain. COMPARISON: ___ reference chest radiograph and ___. TECHNIQUE: PA and lateral views of the chest.	Moderate left pleural effusion, similar compared to the previous exam with persistent left basilar compressive atelectasis. Infection is not completely excluded.
11387260	PA and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is mild elevation of the left hemidiaphragm. No focal consolidation, effusion or pneumothorax is seen. Bony structures are intact. No free air below the right hemidiaphragm. There is degenerative disease and a mild compression deformity in the lower thoracic spine near the thoracolumbar junction.	56578551	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old female status post CABG with weakness, assess for pneumonia.	Elevation of the left hemidiaphragm. No definite signs of pneumonia or CHF.
11778017	AP upright and lateral views of the chest provided. Port-A-Cath again noted residing over the left chest wall with catheter extending into the mid SVC region. The heart appears stable and top-normal in size. The lungs are clear. No large effusion or pneumothorax is seen. Mediastinal contour is stable. The imaged bony structures are intact.	53972971	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with bradycardia, lightheadedness COMPARISON: ___	Port-A-Cath in place. Top-normal heart size. Otherwise normal.
11735820	In the retrocardiac space, there is an opacity which was seen in ___, but it subsequently cleared in ___. This is worrisome for a pneumonia. Mediastinum again demonstrates stable tortuous aorta with calcified plaque seen at the arch. Cardiac silhouette is stable. No effusions or pneumothoraces are noted. Degenerative changes are seen throughout the spine.	56690048	HISTORY: Recently incompletly treated PNA, now with fevers and cough. COMPARISON: ___ and ___. PA AND LATERAL VIEWS OF THE	Left lower lobe opacity consistent with pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 11:57 a.m. via telephone on the day of the study.
11735820	The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.	52990071	INDICATION: ___-year-old female with cough. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST	No acute intrathoracic process.
11652476	Evaluation of the chest is limited due to underlying trauma board. Within this limitation, the lungs are clear without focal consolidation, pleural effusion or large pneumothorax on this supine view. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.	51560801	INDICATION: Status post MVC with pain, here to evaluate for acute intrathoracic injury. COMPARISON: No prior study is available. TECHNIQUE: Portable supine frontal radiograph of the chest.	No acute intrathoracic process.

11215929

Cardiac, mediastinal, and hilar contours are unremarkable. The lungs are well inflated without evidence for pulmonary consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. Endplate osteophytes and ossification of the anterior longitudinal ligament are noted in the thoracic spine.

58989421

INDICATION: Fatigue. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: AP portable chest radiograph from ___. CTA chest from ___.

No evidence for active cardiopulmonary disease.

11215929

Lung volumes remain low. Heart size is similar to ___. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left basilar opacity may represent atelectasis or effusion. Right basilar opacity likely represents atelectasis. No focal consolidation or pneumothorax.

51052047

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new onset O2 requirement s/p 2u pRBCs with crackles and wheeze // eval for fluid overload COMPARISON: Chest radiographs from___ and ___

Small left effusion and bibasilar atelectasis.

11354329

The lungs are clear with normal volumes. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax. No focal consolidations are seen. Left shoulder hardware is again noted.

55737525

EXAMINATION: Chest radiograph INDICATION: ___ year old man with s/p surgery with increasing WBC count // rule out cardiopulmonary process TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiograph from ___

No acute cardiopulmonary process.

11354329

The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. There is no pleural effusion or pneumothorax. Left shoulder hardware is noted.

52426424

INDICATION: ___-year-old male with possible OR, preop chest x-ray. TECHNIQUE: PA and lateral chest COMPARISON: None available.

No acute cardiopulmonary process.

11102305

Evaluation of the lungs is complicated due to patient rotation. Within these limitations, the lungs are well expanded but show mild atelectasis. The cardiac silhouette is mildly enlarged. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.

57179271

INDICATION: ___-year-old female with white blood count of 20, question pneumonia. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE

No acute intrathoracic process.

11153842

Lungs are hyperinflated but clear. No focal consolidations concerning pneumonia are identified. The heart size is normal. The hilar and mediastinal contours are normal. There is no pleural effusion, or pneumothorax. The visualized osseous structures are notable for multilevel laminectomies spanning majority of the mid to lower thoracic spine.

50376724

INDICATION: ___F with fever // eval for pneumonia TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs dated back to ___

No focal consolidations concerning for pneumonia identified.

11153842

The lungs remain hyperexpanded. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Scratch The cardiac and mediastinal silhouettes are stable unremarkable.. Stable appearance of the thoracic spine including multiple laminectomies.

54422322

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with purulent sacral decub ulcer // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ and ___

No significant interval change. No focal consolidation to suggest pneumonia.

11153842

Lungs are hyperinflated with a pectus excavatum deformity. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.

52888905

INDICATION: ___F with fever. Evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest were obtained. COMPARISON: None available

No acute cardiopulmonary process. Pectus excavatum deformity of the anterior chest.

11016289

PA and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation is identified. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.

52375932

INDICATION: ___-year-old male with seizure and headache. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No acute intrathoracic abnormality.

11264046

There is mild left base atelectasis. No focal consolidation, pleural effusion, or or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen.

54442191

HISTORY: Right flank pain for 1 day. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11613535

Portable semi-upright radiograph of the chest demonstrates a persistent, moderate left pleural effusion and small right pleural effusion. The pulmonary vasculature is mildly indistinct. No definite consolidation is identified. Bibasilar atelectasis is noted. The cardiac silhouette is enlarged. There is severe dextroscoliosis of thoracic spine.

56197825

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with SOB new Afib // ___F with SOB new Afib TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___, CT chest dated ___

Persistent bilateral pleural effusions.

11456445

The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hilar contours are normal. No pleural abnormality is identified. Vertebral body heights in the thoracic spine on the sagittal views are grossly preserved. There is right curvature of the lower thoracic spine and mild left curvature of the upper lumbar spine.

52152938

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting with left-sided chest pain. Evaluate for pneumonia or other acute process. TECHNIQUE: Chest PA and lateral COMPARISON: No prior relevant imaging is available on PACS at the time of this dictation.

No focal pneumonia. This exam is not dedicated for imaging of the bones. If there is concern of a rib fracture, consider dedicated rib radiographs with a marker pointing to any area of focal pain.

11113612

The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Pleural thickening along the right mid lateral chest wall appears unchanged and may be post-traumatic or inflammatory.

57676194

CHEST RADIOGRAPHS HISTORY: Cough and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11304295

PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is visible.

54424733

INDICATION: Right rib pain after fall. COMPARISON: None.

No acute cardiopulmonary process. If there is concern for rib fracture, recommend obtaining additional detailed views.

11771156

PA and lateral views of the chest provided. The lungs are clear bilaterally without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No definite rib fracture is identified.

50544783

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain since ___, question pneumonia or rib fracture.

No acute intrathoracic process. Please refer to subsequent CTA chest for further details.

11484202

No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.

54320354

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest paina avfter mvc // chest pain after mvc TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11910036

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. No pulmonary edema is seen.

58084545

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with persistent cough, orthopnea and doe // Please evaluate for infectious process, fluid overload TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Marked enlargement of the cardiac silhouette, could be due to underlying cardiomyopathy or pericardial effusion. No focal consolidation or pulmonary edema.

11910036

Frontal and lateral radiographs of the chest were acquired. There is a subtle bilateral interstitial abnormality that is more prominent centrally than peripherally. There is also evidence of Kerley B lines along the lateral aspect of the right lower chest wall. There is no focal consolidation. Massive enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are unchanged. There are no definite pleural effusions. No pneumothorax is seen.

55771881

INDICATION: Productive cough. Evaluate for infection. COMPARISON: Chest radiograph from ___.

Findings most consistent with mild interstitial pulmonary edema. Of note, an atypical infectious process, particularly one that is viral in nature, could have a similar appearance.

11910036

PA and lateral radiographs of the chest demonstrate marked cardiomegaly, new from chest x-ray on ___. There is increased interstitial opacification in the upper pole lungs. No pleural effusion is identified. The mediastinum is widened compared to ___, likely due to unfolded thoracic aorta.

58299316

PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 5:02 PM Severe cardiomegaly with interstitial edema consistent with congestive heart failure. ______________________________________________________________________________ FINAL REPORT INDICATION: Cough and fever. Evaluate for acute cardiopulmonary process. COMPARISON: Multiple prior chest x-rays, most recently on ___.

Severe cardiomegaly with interstitial edema consistent with congestive heart failure. The case was discussed by Dr. ___ with Dr. ___ by phone at 2:38 p.m. on ___.

11910036

The cardiac silhouette is moderate to severely enlarged. No overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Mediastinal contours unremarkable. Degenerative changes are incidentally noted at bilateral acromioclavicular and glenohumeral joints.

54701877

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with s/p fall. Possible new onset seizure. // eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Marked enlargement of the cardiac silhouette. No focal consolidation.

11910036

The cardiac silhouette remains massively enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Slight increased haziness of the left lung base is noted, which may reflect an acute infectious process. Pulmonary vascularity is within normal limits. Air distended loops of bowel in the upper abdomen are noted, similar to the prior exam. No acute osseous abnormality is detected.

56157414

INDICATION: ___M with productive cough // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.

Increased hazy opacity at the left base, which may reflect an infectious process. Stable massively enlarged cardiac silhouette.

11135741

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. New geographic opacity projecting over the lower portion of the right upper lobe suggests mild hemorrhage associated with a recent biopsy. There is no pneumothorax.

52912807

CHEST RADIOGRAPH HISTORY: Immediately status post right transbronchial biopsies. COMPARISONS: Earlier on the same day and the CT from ___. TECHNIQUE: Chest, portable AP upright.

Post-biopsy changes in the right upper lobe.

11135741

Right port tip is in low SVC. No interval change in rounded right upper lobe nodule that is further characterized on prior chest CT. The lungs are otherwise clear and pleural surfaces are normal. Heart size, mediastinal and hilar contours are normal.

53962062

HISTORY: ___-year-old male with tuberculosis. Assess for interval change. COMPARISON: Chest radiograph, ___, ___. TECHNIQUE: Frontal and lateral chest radiographs.

No interval change in right upper lobe nodule.

11053788

The heart is at the upper limits of normal size. There is mild-to-moderate unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.

56603703

CHEST RADIOGRAPHS HISTORY: Cough and sputum production. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11527001

AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding portable chest examination obtained 10 hours earlier during the same day with patient in supine position. Again, there is significant cardiac enlargement in this patient with a permanent pacer in left anterior axillary position and a single intracavitary electrode terminating in a position compatible with apical portion of right ventricle. There is significant cardiac enlargement as before. The configuration includes a prominence of the left atrial appendage contour resulting in a straightening of the left heart border rather typical for left atrial enlargement. Pulmonary vasculature is still congested but less so than on the preceding supine examination. On this image obtained with patient in upright position, there is no evidence of significant pleural effusion accumulating in the lateral pleural sinuses. No new acute parenchymal infiltrates can be seen. There is no evidence of pneumothorax in the apical area.

51438255

TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old male patient with intracerebral hemorrhage, will receive four units of fluid, evaluate for pulmonary edema.

___-year-old male patient with acute stroke. Cardiac enlargement including prominence of left atrial contours suggestive of mitral valve disease. An echocardiographic examination is recommended.

11064387

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

51389582

EXAMINATION: CHEST (PA AND LAT) INDICATION: Chest pain and near syncope. Evaluate for acute process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11297219

The heart is enlarged but unchanged from ___. The mediastinal contours are within normal limits. A left-sided pacemaker with transvenous right atrial and left ventricular pacing wires as well as a right ventricular pacer/ defibrillator lead follow their expected courses. There is no pneumothorax, pleural effusion or mediastinal widening. The pulmonary vasculature is distended but unchanged from the prior study. There is no frank pulmonary edema.

53539022

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with defib that fired // eval positioning of defib leads TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs from ___ through ___

Cardiomegaly unchanged. Transvenous right atrial and left ventricular pacing wires as well as a right ventricular pacer/ defibrillator follow expected courses. No pneumothorax

11297219

Moderate cardiomegaly has been stable compared to exams dated back to ___. There may be a small left pleural effusion. The leads appear to be in appropriate position. There is mild pulmonary vascular congestion. There is no evidence of a pneumothorax. Visualized osseous structures are unremarkable.

50955892

INDICATION: History of biventricular ICD upgrade. Please evaluate lead position. Please rule out pneumothorax. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: PA and lateral radiographs of the chest.

No evidence of a pneumothorax. Persistent mild pulmonary vascular congestion. Mild pulmonary edema.

11297219

PA and lateral chest radiograph demonstrates cardiomegaly. When compared to prior radiograph dated ___, lung volumes are improved. There is mild pulmonary vascular congestion though no overt in pulmonary edema. There is no pleural effusion or pneumothorax. A left pectorally placed defibrillator device is identified, its leads in unchanged position. The defibrillator lead is seen projecting over the right ventricle and a pacer lead along the diaphragmatic surface of the left ventricle. Hilar contours are stable when compared to prior examinations. Osseous structures demonstrates degenerative changes within bilateral acromioclavicular joints as well as within the visualized thoracolumbar spine.

54708905

INDICATION: ___ yo M with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Cardiomegaly with mild pulmonary vascular congestion, no overt pulmonary edema. Improved lung volumes relative to prior study.

11297219

Frontal and lateral views of the chest were obtained. Right ventricular lead of a left chest wall pacer terminates in stable position. Moderate cardiomegaly is unchanged and mediastinal contours are stable. Pulmonary vascular markings are increased, suggesting mild pulmonary vascular congestion. Right base and retrocardiac opacities are increased and could represent atelectasis or infection. No pleural effusion or pneumothorax.

56264173

HISTORY: Worsening shortness of breath and abdominal swelling. COMPARISON: ___.

Mild pulmonary vascular congestion with increased bibasilar opacities, either atelectasis or infection.

11297219

There are now 2 pacemaker leads, with leads positioned in expected positions. A new left-sided generator pack is seen. Significant cardiomegaly persists. There are no focal pulmonary nodules, pleural effusions, or evidence of pneumothorax. Increased pulmonary vascular engorgement persists.

55119442

INDICATION: Biventricular ICD upgrade. Evaluate lead position and rule out pneumothorax. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___.

Status post change of pacemaker generator pack with ventricular leads, in expected locations. No pneumothorax. Persistent pulmonary vascular engorgement and severe cardiomegaly.

11952144

PA and lateral chest radiographs are provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. An old fracture of the right clavicle was noted.

54145484

INDICATION: History of seizures, leukocytosis, question presence of infiltrate. COMPARISONS: Chest CT from ___, chest radiograph from ___.

No acute cardiopulmonary process.

11630519

PA and lateral chest radiographs were obtained. The lungs are well expanded. There is a mild interstitial pattern of opacities. There is no focal consolidation, effusion, pneumothorax. Cardiomegaly is severe. There aorta is tortuous.

55720087

HISTORY: Feeling well. COMPARISON: None.

Mild interstitial opacity of unknown chronicity

11630519

There is minimal bibasilar atelectasis/scarring. The heart is mild to moderately enlarged, not significantly changed. The descending thoracic aorta is tortuous, as before. There are no pleural effusions. No pneumothorax is seen. Note is made of a diffusely sclerotic thoracic vertebral body, better assessed on the subsequent chest CT from ___.

54531954

INDICATION: Weakness. Assess for pneumonia. COMPARISON: Chest radiograph from ___.

No acute cardiac or pulmonary process. Diffusely sclerotic thoracic vertebral body, better assessed on subsequent chest CT. The differential diagnosis includes metastatic disease and lymphoma. Mild-to-moderate cardiomegaly, not significantly changed.

11630519

A portable view of the chest shows clear lungs. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or pleural effusions. There is no pulmonary edema.

50627422

HISTORY: ICH and poor mental status now with leukocytosis, evaluate for pneumonia. COMPARISON: All available Chest x-rays from ___ to ___.

No interval change since ___. No evidence of pneumonia.

11707398

AP portable upright view of the chest. A subtle opacity projecting over the right lower lung is concerning for pneumonia. Otherwise the lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.

59096961

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with heroine OD and WBC ___ COMPARISON: None

Subtle opacity over the right lower lung is concerning for pneumonia.

11266369

Heart size, mediastinal and hilar contours are normal. Focal pleural and parenchymal scarring at left lung base laterally appears similar to an older radiograph of ___. No new areas of consolidation are evident within the lungs to suggest an acute pneumonia. New linear atelectasis is present at the extreme right lung base posteriorly. No acute skeletal findings.

50618431

PA AND LATERAL CHEST OF ___ COMPARISON: Chest x-ray of ___.

No evidence of pneumonia.

11266369

The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. Focal pleural thickening at the left base is unchanged. Cardiac and mediastinal contours are normal.

51930042

INDICATION: ___-year-old man with recurrent cough, history of asthma, question pneumonia. COMPARISONS: ___ to ___.

No acute cardiopulmonary process. Two attempts were made to contact the referring clinician, Dr. ___. He was unavailable at the provided number and a second number was incorrect.

11722038

There has been interval increase in pulmonary edema and atelectasis. There has been slight increase in right pleural effusion. Left pleural effusion cannot be directly observed, but is presumed. There are no obvious focal consolidations suspicious for infection. There is stable cardiomegaly. Right IJ catheter is in unchanged position terminating in the mid SVC. Endotracheal tube is seen in unchanged position, terminating no less than 5.2 cm above the carina. The NG tube is again seen entering the stomach and then out of field of view.

50754836

INDICATION: ___ year old female, intubated, status post exploratory laparotomy. COMPARISON: Multiple chest radiographs dated back to ___, most recent ___. TECHNIQUE: Semi-upright portable AP chest radiograph.

Increasing pulmonary edema and atelectasis with stable cardiomegaly.

11722038

There has been interval removal of the right IJ catheter. Left-sided PICC catheter remains in position terminating within the low SVC. The lungs are clear, but no areas of focal consolidation or vascular congestion suggestive of failure. Persistent unchanged elevation of the right hemidiaphragm with associated right lower lobe atelectasis. No pneumothorax is identified. The cardiomediastinal silhouette is unchanged and within normal limits.

51340084

INDICATION: ___-year-old female with pancytopenia, Klebsiella, sepsis, now presents with increasing peripheral edema. COMPARISON: Upright portable AP chest radiograph ___. TECHNIQUE: Upright AP chest radiograph.

No evidence of pulmonary edema or CHF.

11722038

AP portable view of the chest demonstrates left PIC catheter tip projecting over distal SVC. Linear opacities in the right lung base likely represent atelectasis. Small right pleural effusion cannot be excluded. The left lung appears well aerated without pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.

55134978

WET READ: ___ ___ ___ 9:30 PM Right lower lobe plate like atelectasis. Left IJ approach PICC line in distal SVC. A ___ ___ ______________________________________________________________________________ FINAL REPORT INDICATION: Patient with tachycardia and tachypnea. Assess for pneumonia or cardiomegaly. COMPARISONS: Chest radiographs of ___ through ___.

Low lung volumes with right lung base atelectasis.

11018127

Frontal and lateral chest radiographs again demonstrate sternal wires and a partially imaged cervical and lumbar fixation hardware. Lung volumes are low, with increased prominence of the cardiac silhouette and bronchovascular crowding. A retrocardiac opacity is unchanged and again may represent atelectasis.

53116776

INDICATION: Cough and neurologic changes. Evaluate for infection. COMPARISON: Chest radiographs from ___, ___, and ___ tear

Retrocardiac opacity may represent atelectasis, but superimposed infection cannot be excluded. Low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding.

11018127

Relatively low lung volumes are noted. Streaky retrocardiac opacity is noted, potentially atelectasis. Median sternotomy wires are identified. Cervical and lumbar spine fixation hardware is partially imaged. No acute osseous abnormalities.

51755936

INDICATION: ___F with pneumonia seen on OSH CXR // Eval for infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

Left basilar opacity, potentially atelectasis with infection not excluded.

11018127

Detailed evaluation of the lung apices is slightly limited due to overlying soft tissue from the chin. Nonspecific opacities in the retrocardiac region are much improved. Persistent linear opacities in the left retrocardiac region may reflect linear atelectasis and/or scarring. The cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax. Median sternotomy wires appear intact and unchanged. Posterior spinal fixation hardware in the lumbar spine appear grossly intact. Calcifications of the aorta are extensive. No acute osseous abnormality.

54189676

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting for preoperative exam. TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process.

11429968

The NG tube tip is in the proximal esophagus. Recommend re-insertion there is volume loss at both bases with small bilateral pleural effusions and pulmonary vascular redistribution . There are hazy alveolar infiltrates right greater than left

51294936

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute appendicitis s/p laparoscopic appendectomy. // Confirm NGT placement. TECHNIQUE: Portable chest COMPARISON: ___.

NG tube too high, still in the esophagus Worsened fluid status. An underlying infectious infiltrate in the lower lobes can't be excluded

11720505

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. Moderate degenerative changes of the thoracic spine.

54780105

WET READ: ___ ___ ___ 3:04 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with postoperative R thumb infection // preop TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary abnormality.

11227224

AP upright and lateral views of the chest provided. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Coronary stent projects over the heart. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

59591310

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with weakness // acute process COMPARISON: ___ and ___

No acute intrathoracic process.

11227224

The left PICC line continues to projects over the left brachiocephalic vein. Advancement by 7-8 cm would position its tip at the superior cavoatrial junction. Right middle lobe atelectasis is unchanged. Bilateral lower lobe airspace opacities are unchanged. Small bilateral pleural effusions are stable. Left basilar airspace opacification likely due to atelectasis is also stable. Moderate cardiomegaly despite the projection is unchanged.

53851204

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with Afib (on warfarin), COP/ILD, CAD s/p PCI, recent UGIB, now p/w c. diff infection, Afib s/p TEE/DCCV, dCHF, UTI. Now with PICC displaced again additional 1cm out. // Please assess PICC position TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.

Left PICC line projects over left brachiocephalic vein. Advancement by 7-8 cm would position its tip at the superior cavoatrial junction. Stable right middle lobe atelectasis. Unchanged left midlung airspace opacity may be due to atelectasis. Stable small bilateral pleural effusions.

11227224

As compared to the prior radiograph performed yesterday morning, there is interval enlargement of an area of opacification in the right perihilar region, which most likely represents worsening pulmonary edema. However, an underlying infection cannot be excluded. A small right pleural effusion is noted. There is no pneumothorax. The heart remains enlarged. Atherosclerotic calcifications are noted in the aortic arch.

50620987

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with hypoxia, pneumonia and CHF // ?interval change TECHNIQUE: AP view chest radiograph COMPARISON: Chest x-ray ___ and ___.

Increased right perihilar opacity most likely represents worsening pulmonary edema, though underlying infection cannot be excluded. Recommend follow-up CXR after diuresis to differentiate, if clinically appropriate.

11227224

Lines and Tubes: There is a left-sided PICC terminating in the distal left subclavian and could be advanced by approximately 3.5 cm. EKG leads overlie the chest wall. Lungs: The lung volumes are low. Interval improvement in the right visual effusion with a persistent small residual left digital effusion. Dense left retrocardiac opacity likely atelectasis and/ or pneumonia. Pleura: Bilateral small pleural effusions left greater than right. Mediastinum: There is cardiomegaly as before. Aortic knob calcification persists. Bony thorax: No interval change

56073065

INDICATION: ___ year old woman with Afib (on warfarin), COP/ILD, CAD s/p PCI, recent UGIB, now p/w c. diff infection, Afib s/p TEE/DCCV, dCHF, UTI. New delirium and leukocytosis. // Assess for pneumonia TECHNIQUE: Single AP portable radiograph of the chest COMPARISON: ___

Low lung volumes with dense left retrocardiac opacity, likely atelectasis and/or pneumonia in the right clinical setting. Left PICC terminates in the distal left subclavian ___, ___ be advanced by approximately 3.5 cm. Stable cardiomegaly with interval improvement in bilateral fissural effusions with unchanged small pleural effusions left greater than right.

11227224

The left PICC line continues to terminate in the low SVC. A small right pleural effusion with chronic right middle lobe atelectasis and bronchiectasis are unchanged. Previous pulmonary edema has resolved. Moderate cardiomegaly despite the projection is also unchanged. There is no pneumothorax. An benign appearing ossified structure at the left glenohumeral joint is unchanged.

50149326

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with afib, chf, severe c diff. Concern for PICC malposition // eval for PICC position TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Plain radiograph dated ___. Correlation made to chest CT dated ___ ___.

Unchanged location of left PICC line tip, which is in the low SVC. Resolved pulmonary edema. Chronic right middle lobe atelectasis and bronchiectasis.

11227224

AP and lateral chest radiograph demonstrate clear lungs with no focal opacity convincing for pneumonia. Heart size is top-normal. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.

59768106

INDICATION: ___-year-old female with cough. TECHNIQUE: AP and lateral. COMPARISON: Chest radiograph dated ___.

No acute intrathoracic abnormality.

11227224

The prior radiographs from ___ showed extensive pulmonary pathology. The radiograph on ___ is considered to be the patient's baseline appearance. When compared to baseline there are bilateral patchy opacities, more prominent in the region of the right cardiophrenic angle, the right mid lung and the periphery of the left mid lung suggesting an infectious/inflammatory process. There is also bilateral diffuse increased interstitial thickening, vascular upper redistribution and hilar indistinctness suggesting interstitial pulmonary edema and vascular congestion. A small right-sided pleural effusion is present. There is no pneumothorax. Moderate cardiomegaly is unchanged.

52038415

EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with shortness of breath, hypoxia, recent cardioversion. Evaluate for acute process. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___, ___, on ___. CT chest from ___.

Findings compatible with multifocal pneumonia on the background of interstitial pulmonary edema and vascular congestion. Stable moderate cardiomegaly.

11227224

Compared with 1 day earlier and allowing for technical differences, I doubt significant interval change. Probable background hyperinflation. Mild cardiomegaly. Upper zone redistribution, without overt CHF. Minimal bibasilar atelectasis, but no focal consolidation. No gross effusion. On today's examination, the left hemidiaphragm is slightly elevated. Incidental note is made of advanced glenohumeral osteoarthritis on both sides and multiple loose bodies in the left shoulder joint.

53052489

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with interstitial lung disease, atrial fibrillation here with a presumed GI bleed. // Does this woman have acute pulmonary edema? COMPARISON: Chest x-ray from ___

Doubt significant interval change compared with 1 day earlier. Upper zone redistribution, without other evidence for CHF. Bibasilar atelectasis.

11227224

Heart size remains moderately enlarged. Coronary artery stent is re- demonstrated. The aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. New focal opacity is seen within the right mid lung field, concerning for infection. Streaky atelectasis is also noted in the left lung base. A trace right pleural effusion is demonstrated with blunting of the costophrenic angle. No pneumothorax is identified. Marked degenerative changes of the left glenohumeral joint are again seen with a probable loose body inferior to the joint.

56580018

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dypsnea TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___

New focal opacity within the right mid lung field concerning for pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding.

11227224

PA and lateral chest radiograph demonstrates an opacity localized on the lateral radiograph to be within the superior aspect of the right lower lobe as well as an additional opacity just inferiorly. This appears new since prior examination dated ___. Additional vague opacities projecting over the left mid lung zone are noted additionally new since prior examination. Cardiomediastinal and hilar contours appear stable when compared to prior radiograph. There is no pleural effusion or pneumothorax.

54244842

INDICATION: ___-year-old female with chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___.

New since prior examination ___, there are several opacities, the largest in the superior aspect of the right lower lobe. Differential includes multifocal pneumonia and aspiration. Underlying malignancy cannot be excluded. This can be further evaluated with Chest CT.

11227224

Moderate cardiomegaly is unchanged. Calcifications noted of the aortic knob. Mediastinal silhouette and hilar contours unchanged compared with ___. Upper zone redistribution, without other evidence of CHF. No pulmonary edema. No focal infiltrate identified. Pleural surfaces are clear without effusion or pneumothorax.

53275025

EXAMINATION: Chest radiograph INDICATION: History of atrial fibrillation and pulmonary edema with weakness. TECHNIQUE: Chest PA and lateral COMPARISON: Several prior chest radiographs dating from ___ through ___.

Cardiomegaly and upper zone redistribution. Otherwise, doubt acute pulmonary process.

11279008

The lungs are clear. Prior sternotomy was done for CABG. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.

58280658

PA AND LATERAL CHEST X-RAY INDICATION: Patient with chest pain, sudden onset, history of CABG. Rule out pneumothorax. COMPARISON: ___.

There are no acute cardiopulmonary findings. There is no pneumothorax.

11323846

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

56691511

HISTORY: Fevers, evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.

No acute cardiopulmonary process.

11789279

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.

57942103

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CT chest ___

No acute cardiopulmonary abnormality.

11789279

Lung volumes are low. Heart size is accentuated as result appearing mildly enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.

56290190

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with CHF exacerbation // Fluid? TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, CT chest ___

Low lung volumes with patchy bibasilar opacities, likely atelectasis.

11789279

The cardiac silhouette is top-normal in size. The pulmonary vasculature is unremarkable. There is no large pleural effusion or pneumothorax. A vague right perihilar opacity is seen, which in the appropriate clinical context, may represent developing pneumonia.

53070099

WET READ: ___ ___ 11:04 PM Vague right perihilar opacity, in the appropriate clinical context, may represent pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sob, h/o cirrhosis // eval for pna, effusion TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___

Vague right perihilar opacity, in the appropriate clinical context, may represent pneumonia.

11789279

Frontal and lateral views of the chest. There is increased opacity in the right lower lobe. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size is top normal. The mediastinal and hilar contours are normal. There is no free air beneath the right hemidiaphragm or acute osseous abnormality.

56771036

HISTORY: ___M with CP & dyspnea s/p pna. COMPARISON: Multiple prior chest radiographs, the most recent of ___.

Right lower lobe opacity consistent with pneumonia in the correct clinical setting.

11255409

The lungs are clear without focal consolidation, effusion, or edema. Moderate to large hiatal hernia is noted with an air-fluid level. No acute osseous abnormalities.

57064302

INDICATION: ___M with vomiting x9-10 times TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11881611

Frontal and lateral views of the chest were obtained. Bilateral pleural calcifications and diaphragmatic plaques are seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Patient is status post aortic valve replacement. Cardiac silhouette is top normal. The aorta is calcified.

53682342

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Weakness. COMPARISON: None.

Bilateral calcified pleural plaques suggest prior asbestos exposure. No acute cardiopulmonary process.

11122882

The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are slightly low in volume but clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormality is detected.

52465599

INDICATION: ___M with acute chest pain // Acute thoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11101301

Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouette is unremarkable. Heart size is normal. There is no pulmonary edema. Visualized osseous structures are intact.

52277576

INDICATION: Patient with fever and epigastric pain. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11532101

Right infrahilar and left perihilar opacities are noted with otherwise clear lungs. These findings are concerning for multifocal pneumonia. There is no pleural effusion or pneumothorax. Within the limitations of technique cardiac and mediastinal contours are unremarkable.

57458777

EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever, cough, and hypoxia. TECHNIQUE: Chest, portable AP upright. COMPARISON: None.

Bilateral opacities concerning for pneumonia. Follow-up radiographs are suggested to show resolution.

11887613

PA frontal and lateral chest radiograph demonstrates relatively low lung volumes with no focal consolidation. Patient is status post thoracic surgery with median sternotomy wires intact. There is no pleural effusion or pneumothorax. Heart size is top-normal.

58490954

HISTORY: ___-year-old male with IGA deficiency. Now with cough. Evaluate for infiltrate. COMPARISON: Chest radiograph dated through ___.

No acute cardiopulmonary abnormality.

11382624

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.

50931640

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough congestion sob for 4 days COMPARISON: None

No acute intrathoracic process.

11333221

A transesophageal tube terminates in the stomach. Right PICC terminates in low SVC. Previously seen Left subclavian venous catheter has been removed. Moderate to large bilateral pleural effusions and substantial bibasilar atelectasis are stable. Cardiomediastinal silhouette is obscured by pleural effusions but grossly appear stable. Calcification is heavy at the aortic arch.

50491357

INDICATION: ___ year old woman with ongoing O2 requirement s/p SBR, Hartmans // ? interval change TECHNIQUE: Frontal view of the chest COMPARISON: ___, ___

Moderate to large bilateral pleural effusions and substantial bibasilar atelectasis are persistent since ___.

11333221

Crescentic lucency underlying the left hemidiaphragm likely corresponds to the distended stomach seen on recent CT. There is no evidence for pneumoperitoneum. Bibasilar linear atelectasis is noted. There is no focal consolidation, pulmonary edema, or pneumothorax. There is a trace left pleural effusion. The aortic arch is calcified. The cardiomediastinal silhouette is otherwise unremarkable.

57317033

WET READ: ___ ___ ___ 6:04 AM No evidence of pneumoperitoneum. No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with perforated diverticulosis on outside hospital CT, evaluate for free air. TECHNIQUE: Single upright AP chest radiograph COMPARISON: Outside hospital CT torso dated ___.

No evidence of pneumoperitoneum. No evidence of acute cardiopulmonary process.

11743284

There has been interval placement of a chest tube seen at the left lung apex, with kinking. There is interval decrease in the size of left-sided pneumothorax with an apical and medial component remaining. An opacity in the left perihilar region and left lung base likely represents atelectasis. There is extensive subcutaneous edema on the left tracking into the neck. Redemonstrated pneumomediastinum. The right lung is grossly clear with linear atelectasis at the lung base. Multiple left-sided rib fractures demonstrated, better seen on concurrent CT.

59303182

INDICATION: ___F with PTX status post chest tube placement, evaluate position.. COMPARISON: Outside hospital chest CT ___. TECHNIQUE Portable view of the chest.

Interval placement of a left apical chest tube with decreased size of left-sided pneumothorax. Extensive subcutaneous emphysema and pneumomediastinum, as described above.

11743284

There has been interval retraction of the left apical chest tube, with resolution of the kink. Otherwise, no significant change in the appearance of the chest with extensive subcutaneous emphysema, pneumomediastinum, and left basilar and perihilar atelectasis.

50500708

INDICATION: ___F with chest tube placement, withdrawn, evaluate position. COMPARISON: Chest radiograph ___ at 05:00 TECHNIQUE Portable view of the chest.

Interval retraction of the left-sided chest tube, still within the lung apex with resolution of kinking. Remainder of the radiograph is unchanged from 1 hr prior.

11926661

Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen.

57346834

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CP, SOB w/ECG changes c/f NSTEMI // r/o infiltrates TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No significant interval change.

11926781

Mild pulmonary vascular congestion and minimal interstitial edema is noted. Otherwise, the lungs are clear with normal volumes. Stable moderate cardiomegaly. No pneumothorax, pneumonia, or pleural effusions.

59507224

EXAMINATION: Chest radiographs INDICATION: ___ year old woman with new cough, mild fevers. // focal infiltrates? TECHNIQUE: AP portable chest radiograph COMPARISON: Prior chest radiographs of ___, ___, ___.

Pulmonary vascular congestion and minimal interstitial edema.

11926781

There is a dobhoff tube coursing below the diaphragm, however the tip is not visualized on this image. There is a new left lower lobe retrocardiac opacity that is silhouetting the left hemidiaphragm. Minimal vascular congestion. Heart size is stable. The mediastinal and hilar contours are stable. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

51780706

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with Alc hep, now with increasing bilirubin. // pna. vs. effusion TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___.

Appropriate positioning of dobhoff tube. New left lower lobe retrocardiac opacity, concerning for pneumonia. Minimal vascular congestion.

11926781

Lung volumes are unchanged compared to prior study. There is mild cardiomegaly. No pulmonary vascular congestion, pleural effusion ___ ___ B lines seen. No consolidation ___ pneumothorax seen. The visualized bony structures are unremarkable in appearance.

50799001

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with alcoholic hepatitis and cirrhosis, cough and crackles on lung exam // Evaluate for pneumonia, vs edema, vs atelectasis TECHNIQUE: AP and lateral chest radiographs COMPARISON: Chest radiograph ___

Mild cardiomegaly without evidence of frank pulmonary edema.

11778209

Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is top normal. Mediastinal and hilar contours are unremarkable.

54998883

INDICATION: Chest pain. Evaluate for pneumothorax or pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality.

11254232

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

59323725

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F swallowed a metal pin, feels it in her throat // determine position of foreign body TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process. No radiopaque foreign body.

11968565

AP and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

52295602

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain, question pneumonia.

No acute intrathoracic process.

11697074

PA and lateral views of the chest. No prior. There is elevation of the right hemidiaphragm. The lungs, however, are clear of effusion or consolidation. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips are seen in the upper abdomen in the midline for which clinical correlation is suggested.

59449205

CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with mid abdominal pain and diabetic. Question pneumonia.

No acute cardiopulmonary process.

11884069

PA and lateral chest radiographs were provided. There is a large central mass in the right upper and mid lung zones, likely involving the mediastinum consistent with patient's known history of lung cancer. There is associated collapse of the right upper lobe. A small cavity in the left mid lung zone, as seen on MRI, is likely a metastasis. There is prominence of the interstitial markings. Elevation of the right hemidiaphragm suggests phrenic nerve involvement from the large lung mass. There is no pleural effusion or pneumothorax.

52664900

INDICATION: Cough, fevers, known lung cancer, infection. COMPARISONS: None.

Large right upper lung mass involving the mediastinum, specifically the phrenic nerve, also responsible for right upper lobe collapse. Likely left lung metastasis.

11884069

PA and lateral views of the chest. Again seen is a large right upper lobe mass with elevation the right hemidiaphragm. There are 3 large pulmonary nodules in the left lung, similar prior CT. New diffuse ground glass opacities are seen throughout both lungs, new from prior study. Heart size is unchanged. No pleural effusion. No pneumothorax. Small right pleural effusion.

55975961

HISTORY: Cancer. Shortness of breath. COMPARISON: CT torso on ___ and chest radiograph of ___.

Known large right upper lung mass and 3 large left pulmonary nodules. New diffuse ground glass opacities in the right middle and lower lobes may represent post-obstructive pneumonia or metastatic progression.

11015043

Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Tiny calcified granuloma is noted projecting over the right upper lung field. No acute osseous abnormalities detected.

55943573

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with new onset right-sided facial paralysis. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11566493

The cardiomediastinal silhouette and hilar silhouettes and pleural surfaces are normal. The aortic contour is stable. No focal consolidation, pleural effusion or pneumothorax. Osteophytes of the thoracic spine are small.

58927162

WET READ: ___ ___ ___ 7:22 AM No focal consolidation or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with back pain. Evaluate for acute process. TECHNIQUE: PA and lateral chest. COMPARISON: Chest radiographs of ___ and ___.

No focal consolidation or pneumothorax.

11830732

The lungs are clear without focal consolidation. There is no pneumomediastinum or pneumothorax. No pleural effusion or edema. The cardiac and mediastinal silhouettes are unremarkable.

53571210

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with mediastinal air s/p EGD dilation of esophageal stricture // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Barium esophageal study on ___

No pneumomediastinum or pneumothorax.

11882090

The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. S-shaped thoracic scoliosis is again noted.

59177790

INDICATION: ___F with anterior chest pain // role out pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11862831

Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.

51465722

HISTORY: Cough and rhonchi for 1 week, assess for pneumonia. COMPARISON: Chest radiographs from ___ through ___.

Normal chest radiograph. Specifically, no evidence of pneumonia.

11491156

Lung volumes are low, contributing to pulmonary vascular congestion. Overall appearance of the lungs has improved compared to the prior exam. No edema. Pleural effusion, if present minimal. The heart is probably moderately enlarged, despite is AP view. No pneumothorax. .

58359956

EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a fib with RVR ; evaluate for pulmonary edema TECHNIQUE: Portable upright radiograph view of the chest. COMPARISON: Chest radiograph dated ___.

Interval resolution of edema.

11765820

The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. No CHF, focal infiltrate, pleural effusion or pneumothorax is detected.

50221926

INDICATION: History: ___F with shortness of breath (now resolved) // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No acute pulmonary process identified.

11585967

PA and lateral views of the chest provided. Moderate cardiomegaly is noted. Central hilar congestion is noted with mild interstitial edema. There is a calcified granuloma projecting over the right lateral mid lung. No large effusions are seen though there is trace fluid tracking along the major fissure. No pneumothorax. Mild atherosclerotic calcification is seen along the aortic knob. The imaged bony structures appear intact.

55411763

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest tignthess-r/o PNA. COMPARISON: None

Moderate cardiomegaly with mild edema.

11585967

A portable frontal chest radiograph again demonstrates severe cardiomegaly, likely unchanged compared to ___. Low lung volumes exaggerate cardiomediastinal size. There is mild left greater than right basilar atelectasis, as well as mild pulmonary edema. No focal consolidation, large pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable.

53680606

INDICATION: Evaluate for CHF in a patient with bradycardia. COMPARISON: Chest radiograph from ___.

Mild pulmonary edema. Unchanged severe cardiomegaly.

11585967

New trans subclavian right ventricular pacer lead is continuous from the left pectoral generator. Mild vascular engorgement. Severe enlargement of the cardiac silhouette is worsened since ___, but cephalization of engorged pulmonary vessels has probably improved. Lungs are clear. No pneumothorax, mediastinal widening or pleural effusion is seen.

53785490

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chb now s/p PPM // eval for pneumothorax and lead placement TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___ through ___.

Pacemaker with single lead in the right ventricle, without pneumothorax or evidence of other complication. Possible increase in severe cardiomegaly, but pulmonary vascular engorgement has improved and there is no edema.

11387260

Patient is status post median sternotomy and CABG. There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. A moderate left pleural effusion appears similar in size compared to the previous exam. There is continued opacification of the left lung base, which could reflect compressive atelectasis. Right lung is clear. No pneumothorax is identified. Multilevel degenerative changes are noted in the thoracolumbar spine with loss of height of a vertebral body at the thoracolumbar junction which is unchanged.

57144880

INDICATION: Chest pain. COMPARISON: ___ reference chest radiograph and ___. TECHNIQUE: PA and lateral views of the chest.

Moderate left pleural effusion, similar compared to the previous exam with persistent left basilar compressive atelectasis. Infection is not completely excluded.

11387260

PA and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is mild elevation of the left hemidiaphragm. No focal consolidation, effusion or pneumothorax is seen. Bony structures are intact. No free air below the right hemidiaphragm. There is degenerative disease and a mild compression deformity in the lower thoracic spine near the thoracolumbar junction.

56578551

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old female status post CABG with weakness, assess for pneumonia.

Elevation of the left hemidiaphragm. No definite signs of pneumonia or CHF.

11778017

AP upright and lateral views of the chest provided. Port-A-Cath again noted residing over the left chest wall with catheter extending into the mid SVC region. The heart appears stable and top-normal in size. The lungs are clear. No large effusion or pneumothorax is seen. Mediastinal contour is stable. The imaged bony structures are intact.

53972971

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with bradycardia, lightheadedness COMPARISON: ___

Port-A-Cath in place. Top-normal heart size. Otherwise normal.

11735820

In the retrocardiac space, there is an opacity which was seen in ___, but it subsequently cleared in ___. This is worrisome for a pneumonia. Mediastinum again demonstrates stable tortuous aorta with calcified plaque seen at the arch. Cardiac silhouette is stable. No effusions or pneumothoraces are noted. Degenerative changes are seen throughout the spine.

56690048

HISTORY: Recently incompletly treated PNA, now with fevers and cough. COMPARISON: ___ and ___. PA AND LATERAL VIEWS OF THE

Left lower lobe opacity consistent with pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 11:57 a.m. via telephone on the day of the study.

11735820

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

52990071

INDICATION: ___-year-old female with cough. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST

No acute intrathoracic process.

11652476

Evaluation of the chest is limited due to underlying trauma board. Within this limitation, the lungs are clear without focal consolidation, pleural effusion or large pneumothorax on this supine view. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.

51560801

INDICATION: Status post MVC with pain, here to evaluate for acute intrathoracic injury. COMPARISON: No prior study is available. TECHNIQUE: Portable supine frontal radiograph of the chest.

No acute intrathoracic process.