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

subject_id stringlengths 8 8	findings stringlengths 93 1.83k	study_id stringlengths 8 8	background stringlengths 10 2.5k	impression stringlengths 16 1.06k
11254106	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. No displaced fracture is seen.	51493737	HISTORY: Chest pain and shortness of breath. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11548636	There is a small apical left pneumothorax, similar in degree when compared to the prior study. A left-sided chest drain is in-situ. Nonetheless, there does appear to be residual left pleural fluid. Airspace opacity in the left upper lobe is similar to slightly progressed when compared to the prior study. Nodular opacities throughout both lungs are better visualized on the earlier PET-CT mild cardiomegaly and prominence of the pulmonary vascular this or congestive heart failure.	55931662	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with adenocarcinioma (presumed lung primary) s/p pleurx placement, with persistent dyspnea and wheezes on exam // Pneumothorax, acute change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	Small left apical pneumothorax, similar in degree when compared the prior study. Persistent left pleural effusion. Mild congestive heart failure.
11548636	Left-sided small to moderate hydropneumothorax has slightly decreased when compared to the prior examination. A new left-sided pleural drain is seen. The left-sided pleural fluid has also decreased. There is persistent retrocardiac opacity. The appearance of the right lung is unchanged with numerous pulmonary not. There is a prominent likely skin fold. Mild mediastinal shift to the left.	55570897	INDICATION: ___ year old man with recurrent left MPE s/p TPC placement with 925mL out // ? PTX COMPARISON: ___	Slight interval decrease in the left-sided hydro pneumothorax post pleural drain catheter insertion.
11548636	Cardiac size is top-normal. Consolidation in the left lower lobe is consistent with pneumonia. There is no pneumothorax or pleural effusion. There are minimal atelectasis in the right base. There are minimal degenerative changes in the thoracic spine	59158357	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with persistent cough, LUL wheezes // ?evidence for PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None	Left lower lobe pneumonia followup in 6 weeks is recommend
11548636	Increased left lower lobe consolidation and partial silhouetting of the left hemidiaphragm is compatible with known mass and probable worsening postobstructive pneumonia and/or atelectasis. Scattered nodular opacities throughout the lungs bilaterally are compatible with multiple nodules better seen on prior CT. The right peritracheal stripe and aorto-pulmonary window continue to be prominent, consistent with mediastinal lymphadenopathy. Vascular engorgement and indistinctness reflects mild to moderate pulmonary edema, worse in the interval. The cardiomediastinal silhouette is slightly shifted to the left, unchanged from prior. There is no evidence of pneumothorax.	52524669	WET READ: ___ ___ ___ 9:23 AM Increased opacification at the left lower lung may reflect pneumonia, and/or atelectasis. A component of this left lower lobe opacity likely represents the consolidative mass seen on prior CT. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with metastatic cancer of unknown origin, possibly lung, presenting with worsening back pain, fevers, increased white count. Question pneumonia. TECHNIQUE: Chest AP and lateral COMPARISON: CT chest dated ___. Chest x-ray dated ___.	Increased opacification at the left lower lung is compatible with known mass and probable worsening postobstructive pneumonia and/or atelectasis. Mild to moderate pulmonary edema, worse in the interval.
11548636	Normal lung volumes. Thickened right paratracheal stripe consistent with CT finds of right paratracheal adenopathy. Left lower lobe opacity consistent with mass seen on CT. Right lung is grossly clear. No pneumothorax. Mediastinal contours and hilar structures are normal.	52750051	INDICATION: ___ year old man with left lower lobe lung mass, s/p tbbx, tbna. // r/o pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___	No pneumothorax. Left lower lobe opacity most probably mass seen on ___
11274035	Cardiac silhouette size is normal. The aorta is tortuous. Lungs are hyperinflated with streaky linear opacity in the lingula compatible with subsegmental atelectasis. Blunting of the right costophrenic angle suggests a small right pleural effusion. No focal consolidation or pneumothorax is demonstrated. Multilevel mild degenerative changes are noted in the thoracic spine along with S-shaped scoliosis.	58814544	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: None.	Small right pleural effusion.
11305002	The endotracheal tube is appropriately positioned, ending 2.9 cm above the level of the carina. A right internal jugular central venous catheter ends in the mid SVC, unchanged. An enteric catheter passes below the level of the diaphragm, ending in the upper stomach. The side-hole is positioned near the gastroesophageal junction, unchanged. There is a left-sided pacemaker with associated right atrial and right ventricular leads, as before. Small bilateral pleural effusions are unchanged. Coarse reticular opacities throughout both lungs, right greater than left, were seen as far back as ___, suggestive of pulmonary fibrosis. Superimposed interstitial edema or areas of infection cannot be excluded given the diffuse background abnormality. The cardiac and mediastinal contours are unchanged. There is no pneumothorax.	56843317	INDICATION: Status post cardiac arrest. Assess for interval change. COMPARISON: Chest radiograph from ___.	Findings compatible with pulmonary fibrosis, unchanged. Unchanged small bilateral pleural effusions. Side hole of the enteric catheter is near the gastroesophageal junction, as before.
11305002	A single portable AP view of the chest was obtained. Endotracheal tube terminates approximately 2.5 cm above the carina. Right IJ central venous catheter is in the mid SVC. The tip of the enteric tube is just beyond the GE junction and needs to be advanced. Pacemaker leads are appropriately positioned in the right atrium and right ventricle. There are dense diffuse bilateral interstitial and probably also alveolar opacities, including some denser opacities along the right chest wall. The appearance in the right chest may also reflct a moderate layering right effusion is present. The possibility of a small left effusion cannot be excluded. The cardiomediastinal borders are obscured by the pulomary opacities, but appears moderately enlarged.	51842418	INDICATION: ___-year-old man, intubated. Assess endotracheal tube placement. COMPARISON: None.	Moderate cardiomegally. Dense diffuse bilateral opacities. The differential diagnosis includes pulmonary interstitial edema. However, in the appropriate clinical setting, severe atypical pneumonia and inflammatory causes of infiltrates are also in the differential. Pulmonary hemorrhage is also in the differential, in the appropriate context. Suspected moderate right pleural effusion. Endotracheal tube is appropriately positioned 2.5 cm above the carina. The right internal jugular venous catheter is in the mid SVC. NG tube is just beyond the GE junction and should be advanced for optimal positioning.
11410429	Cardiomegaly is mild. There is mild kyphosis of the thoracic spine. Probably trace pleural effusions. A 1.3 cm rounded density at the cardiac apex may represent nipple shadow. No pneumothorax.	52894293	WET READ: ___ ___ ___ 4:43 PM 1. Mild cardiomegaly. 2. 1.3 cm density at the left lung base may represent a nipple shadow, however a dedicated oblique view is recommended for further evaluation. WET READ VERSION #1 ___ ___ ___ 3:23 PM 1. Mild fluid overload.2. 1.3 cm density at the left lung base may represent a nipple shadow, however a dedicated oblique view is recommended for further evaluation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with frequent falls, weakness // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None	Mild cardiomegaly. 1.3 cm density at the left lung base may represent a nipple shadow, however a dedicated oblique view or repeat with nipple markers is recommended for further evaluation.
11703010	There is a large right lower lobe and small left lower lobe infiltrate. The upper lungs are clear.	51353812	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval ptx TECHNIQUE: Chest PA and lateral COMPARISON: None	Bilateral pneumonia right greater than left
11922107	Right lower lobe opacities are new can be acute pneumonia. Linear opacities and elevation of the left hemidiaphragm are likely atelectasis. No interstitial edema or pleural effusions. Cardiomediastinal silhouette is unremarkable.	50427254	INDICATION: ___ year old woman with pancreatic insufficiency p/w calcaneal fracture and now with worsening WBC count. Any acute process? // any acute intrathoracic process? COMPARISON: ___	Right lower lobe likely pneumonia.
11296576	Peribronchial opacification, right lower lobe, new compared to ___, could be pneumonia or bronchiectasis. Heart size top-normal. No pulmonary edema. No pleural effusion. No pneumothorax.	50513586	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, dysuria, cough // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Possible right lower lobe pneumonia.
11817384	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.	50659101	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with SSCP // ? Infiltrate ? costo-chondritis TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary process.
11297102	PA and lateral views the chest provided demonstrate midline sternotomy wires and mediastinal clips. The lungs are clear bilaterally without focal consolidation concerning for pneumonia. No effusion or pneumothorax. No congestion or edema. Cardiomediastinal silhouette is normal. Bony structures are intact.	55642222	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, fever, URI like symptoms COMPARISON: Chest radiograph from ___	No acute intrathoracic process, specifically no signs of pneumonia.
11151744	There is a tortuous thoracic aorta. Otherwise, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There are slightly low lung volumes. Bronchial thickening is most conspicuous in the left lower lung, suggestive of small airways disease. There is no focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.	53837335	INDICATION: ___-year-old man with a three-week history of dyspnea on exertion, evaluate for acute cardiopulmonary process. TECHNIQUE: AP and lateral chest radiograph. COMPARISON: None available.	Bronchial wall thickening is suggestive of small airways disease. No focal consolidation.
11851350	There is borderline cardiomegaly as well as mild unfolding of the lower thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Small-to-moderate anterior osteophytes project along the thoracic spine.	58362649	CHEST RADIOGRAPHS HISTORY: Abdominal discomfort and weakness after EGD. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11851350	The lungs are well inflated and clear. No pulmonary edema. No pleural effusion or pneumothorax. Heart is top-normal in size, unchanged since prior. Mediastinal contour and hila are unremarkable.	59785654	EXAMINATION: Chest ray INDICATION: ___M with acute onset SOB. Assess for cardiopulmonary process. TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: Chest radiograph ___, CT chest with contrast ___.	No acute cardiopulmonary process.
11281568	Single semi-erect AP portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately 3.7 cm above the level of the carina. An enteric tube is seen coursing below the level of the diaphragm, inferior aspect not well seen. A left-sided PICC is seen, stable in position. There are low lung volumes. Pulmonary edema persists. There is no pneumothorax. No large pleural effusions.	53857060	EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: Elevated ICP, seizures. COMPARISON: ___.	No significant interval change.
11281568	A tracheostomy tube remains in place. Lung volumes remain low. Diffuse bilateral fine reticular interstitial and airspace opacities are unchanged. A more focal right basilar airspace opacity is unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection.	57420092	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with GNR PNA, hypotensive overnight // change in PNA? TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. Correlation made to chest CT dated ___.	No significant interval change since the study of 2 days prior, including chronic interstitial abnormality with superimposed right basilar airspace opacity, which is likely due to infection or aspiration.
11281568	There are bilateral diffuse linear opacities with associated hilar engorgement compatible with pulmonary edema. This is significantly worsened compared with chest radiograph from outside institution from ___ and ___. More focal consolidation in the lung bases is present and suggestive of baseline interstitial lung disease. No clear pleural effusions are identified. No pneumothorax is seen. Cardiomediastinal and hilar contours are unremarkable. An endotracheal tube ends 9 mm above the carina. Of note, the balloon of the endotracheal tube is inflated to 2.5 cm and the diameter of the trachea just above the carina appears to be 1.6 cm. An esophageal tube is not clearly followed throughout its course but the tip might be just below the gastroesophageal junction.	50798696	INDICATION: ___-year-old male with endotracheal tube and probable infection. Evaluate for endotracheal tube placement. COMPARISON: Chest radiograph from outside institution from ___ and ___. TECHNIQUE: Frontal supine chest radiograph.	Acute pulmonary edema, significantly worsened compared with radiograph performed two hours prior to this exam, on the background of bibasilar interstitial lung disease. Endotracheal tube ends 9 mm above the carina. Withdrawal of approximately 2 cm is recommended for proper placement. 9 mm discrepancy between the caliber of the balloon of the EET and the caliber of the distal trachea.
11281568	A tracheostomy is unchanged in position. Again seen are low lung volumes with bilateral heterogeneous opacities likely representing mild pulmonary edema superimposed on a background of chronic interstitial lung disease. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.	51855704	WET READ: ___ ___ ___ 6:33 AM 1. Mild pulmonary edema superimposed on background of chronic interstitial lung disease. No definite pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable chest radiograph. INDICATION: ___M with tachypnea, hypoxia, inc. O2. Assess for consolidation TECHNIQUE: Single portable semi upright frontal chest radiograph. COMPARISON: Outside chest radiograph ___, ___, ___.	Mild pulmonary edema superimposed on background of chronic interstitial lung disease. No definite pneumonia.
11281568	Diffuse bilateral widespread parenchymal opacities is secondary to severe background interstitial lung disease. There is mild pulmonary vascular congestion as well as mild pulmonary edema. There is no evidence pneumothorax. The visualized osseous structures are unremarkable.	58800195	INDICATION: History: ___M with cough // evidence of pna TECHNIQUE: Semi supine portable radiograph of the chest. COMPARISON: Chest radiograph from ___.	Mild pulmonary vascular congestion as well mild pulmonary edema, on a background of chronic interstitial lung disease. Superimposed infection cannot be excluded.
11281568	A tracheostomy tube is in unchanged position. The lungs are unchanged in appearance with low lung volumes and widespread bilateral hazy opacities which likely represents a mild degree of pulmonary edema superimposed on background chronic interstitial lung disease. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax.	59546220	INDICATION: ___M with chronic trach, p/w leukocytosis, increased sputum production, evaluate for consolidation. TECHNIQUE: Portable AP chest radiograph obtained. COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___	Diffuse bilateral hazy opacities compatible with a combination of severe background interstitial lung disease and a mild degree of pulmonary edema. No focal consolidation. No significant interval change when compared to the prior study.
11281568	There are low lung volumes. Prominence of the interstitial markings bilaterally again seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Tracheostomy tube is again seen.	52408214	EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: HIV, cryptococcus, GPC in sputum. COMPARISON: ___ (2:26).	No significant interval change.
11281568	Tracheostomy tube tip terminates approximately 4.7 cm from the carina. Partially imaged is a catheter within the midline upper abdomen. The heart size is normal. Widening of the left superior mediastinal contour is noted, with slight rightward deviation of the trachea. There is mild pulmonary edema. Lung volumes are low. More focal opacities are noted within the periphery of the right mid and lower lung field as well as left lung base. No large pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.	55341359	HISTORY: Shortness of breath. TECHNIQUE: AP upright view of the chest. COMPARISON: None. The patient is currently listed as EU critical.	Standard position of the tracheostomy tube. Mild pulmonary edema. More focal peripheral opacities within the right mid and lower lung field as well as the left lung base. Findings could reflect areas of infection, and followup radiographs after diuresis are recommended. Left superior mediastinal widening with mild rightward shift of the trachea. Findings could potentially due to enlarged left thyroid goiter, but other mass lesion is not excluded and further assessment with CT is suggested.
11281568	As compared to prior chest radiograph from ___, lung volumes remain low and there is persistent diffuse interstitial lung disease. No large consolidation identified, however it is difficult to exclude a superimposed acute process. Tracheostomy tube is in unchanged position. A left PICC line terminates in the upper to mid SVC, unchanged in position.	59277735	HISTORY: Fever, respiratory distress. Evaluate for pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable frontal chest radiograph.	Interstitial lung disease. Difficult to exclude a superimposed acute process, however no large consolidation identified.
11281568	Tracheostomy tube remains in unchanged position. Cardiac, mediastinal and hilar contours appear similar. Reduced lung volumes are re- demonstrated. Diffuse interstitial opacities are compatible with a chronic interstitial lung disease, not substantially changed from prior. Interval development of more focal patchy opacities in the lung bases compared to the recent radiograph may reflect superimposed infection or aspiration. There may be superimposed mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Mildly distended air-filled loops of bowel are seen within the imaged upper abdomen.	54439656	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with respiratory distress // Eval for pneumonia TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___, CT torso ___	Interval development of more focal bibasilar airspace opacities which may reflect infection or aspiration superimposed on a background of chronic interstitial lung disease. There may be mild pulmonary vascular congestion.
11281568	There is of focal opacity at the right lung base concerning for pneumonia. Diffuse severe background interstitial lung disease is overall unchanged. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Tracheostomy tube terminates at the thoracic inlet, unchanged. No acute osseous abnormality is identified.	50542093	INDICATION: ___M with trach/peg, AIDS, transfer from SNF for increased respiratory distress, fever, evaluate for pneumonia. TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: Multiple prior chest radiographs with direct comparison made to outside study from on ___	Focal opacity at the right lung base concerning for pneumonia. Diffuse background interstitial lung disease, potentially caused by chronic underlying infection.
11281568	An endotracheal tube terminates 6 cm above the carina. A left-sided PICC line tip terminates at the level of the mid SVC. The cardiomediastinal and hilar contours are within normal limits. Diffuse parenchymal opacities have improved on current chest x-ray when compared to recent and more remote examinations. There are no new focal consolidations. No pleural effusion or pneumothorax identified.	50484572	INDICATION: ___-year-old man with HIV and toxoplasmosis. Study requested for evaluation of new infiltrate in the setting of new fever. COMPARISON: Prior chest radiographs from ___ through ___ and from ___. TECHNIQUE: Portable AP chest radiograph.	Interval improvement of parenchymal opacities which likely represent a diffuse process potentially infectious in origin and for which etiologies include opportunistic or conventional organisms. No new focal consolidations.
11281568	Patient is somewhat rotated in this examination. A tracheostomy tube is seen well positioned in the trachea. Left subclavian catheter extends to the mid portion of the SVC. Enteric tube courses below the diaphragm, the tip is not included in this examination. Allowing for positional changes, cardiomediastinal and hilar contours appear normal. No definite pleural effusions or pneumothorax. Lower lung volumes exaggerate interstitial abnormalities present at lung bases, likely representative of fibrosis and alveolitis which is fully characterized on prior chest CT from ___.	54630868	INDICATION: ___-year-old man with neurologic toxoplasmosis and tracheostomy. Study requested for evaluation of tracheostomy and for new infiltrates. COMPARISON: Prior chest radiographs from ___ through ___ and chest CT from ___. TECHNIQUE: Portable semi-erect chest radiograph.	Lower lung volumes exaggerate interstitial abnormalities present at lung bases. No new focal consolidations are identified.
11281568	As compared to prior chest radiograph from ___, diffuse interstitial lung disease with associated low lung volumes appear similar and essentially unchanged. Tracheostomy tube is in unchanged position. A left PICC line terminates in the upper-to-mid SVC, unchanged in position. There is no superimposed acute process.	53295540	INDICATION: ___-year-old man with AIDS, opportunistic infections, and diaphoresis. Question worsening pneumonia. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. TECHNIQUE: Portable semi-erect AP chest radiograph.	Unchanged diffuse interstitial lung disease with no evidence of a superimposed acute process.
11281568	There is mild pulmonary edema on a background of chronic interstitial lung disease. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion.	52300134	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___ M with HIV, pulling out G tube. Unable to provide much of history.Evaluate for trauma/infection. COMPARISON: Chest radiograph from ___. Subsequently obtained chest CT from ___ at 00:43.	Mild pulmonary edema on a background of chronic interstitial lung disease.
11281568	AP upright and lateral views of the chest provided. Tracheostomy tube projects over the lower neck. A right upper extremity access PICC line terminates in the low SVC. Lung volumes are low with pulmonary fibrosis noted bilaterally as on prior. Difficult to exclude a superimposed pneumonia though overall pattern of pulmonary opacity is unchanged. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged. Bony structures are intact. No free air below the right hemidiaphragm.	59892070	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M w AIDS w/ recent pna p/w fever ___F COMPARISON: ___	No significant change from prior. Extensive pulmonary fibrosis. Difficult to exclude a subtle superimposed pneumonia.
11281568	Tracheostomy tube is seen well positioned in the trachea. A left PICC line extends to the mid portion of the SVC. Cardiomediastinal and hilar contours are normal. Lower lung volumes exaggerate bibasilar opacities which appear more confluent and severe on today's examination. There is increased mild pulmonary vascular congestion. No definite pleural effusions or pneumothorax.	50501816	INDICATION: ___-year-old man with cerebral toxoplasmosis. Study requested for evaluation of trach and interval changes. COMPARISON: Prior chest radiographs from ___ through ___ and prior chest CT from ___. TECHNIQUE: Portable semi erect AP chest radiograph.	Worsening bibasilar opacities, which may be related to lower lung volumes or to increased pulmonary vascular congestion.
11281568	Tracheostomy tube remains in unchanged position. Right PICC tip is in the mid SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Lung volumes are low with diffuse interstitial opacities compatible with chronic interstitial lung disease, not substantially changed in the interval. No definite new areas of focal consolidation, pleural effusion or pneumothorax are visualized. No acute osseous abnormalities are present.	55538943	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hematemesis TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___	No substantial interval change from the prior study. Diffuse interstitial lung opacities compatible with chronic interstitial lung disease.
11281568	Tracheostomy. Improved pulmonary infiltrates since prior. Component of chronic pulmonary fibrosis is suggested. Low lung volumes. Right PICC line tip near cavoatrial junction. Tubing projected over upper abdomen. No pneumothorax. Normal heart size.	58024507	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AIDS on ART w/ HCAP was improving, then recent vomiting, now with increasing sputum production (copious) // ? new/worsening PNA TECHNIQUE: Chest single view COMPARISON: ___	Mildly improved pulmonary findings.
11281568	There are diffuse background increased interstitial markings consistent with known interstitial lung disease. This appears similar compared to the prior examination. A tracheostomy tube is noted. The heart is enlarged. There is no pneumothorax or effusion.	53870149	INDICATION: PNEUMONIA. TECHNIQUE: FRONTAL CHEST RADIOGRAPH. COMPARISON: ___	Similar appearance of the lungs with diffusely increased interstitial markings reflecting chronic interstitial lung disease. A superimposed pneumonia would be difficult to exclude.
11281568	Low bilateral lung volumes. A tracheostomy tube is present as is a right PICC line. Unchanged diffuse bilateral pulmonary opacities when compared to the most recent prior radiographs however increased when compared to the chest radiograph dated ___. A superimposed infection cannot be excluded. No pleural effusion or pneumothorax identified. The appearance of the cardiomediastinal silhouette is unchanged.	53650605	INDICATION: ___ year old man with AIDS, s/p trach/PEG, increased secretions TECHNIQUE: AP portable chest radiograph COMPARISON: Multiple prior chest radiographs, most recently dated ___	Persistent diffuse bilateral parenchymal opacities for which a superimposed infection cannot be excluded.
11281568	In comparison to previous studies there is prominence of interstitial lung markings consistent with known interstitial lung disease which is relatively stable told given the extent of interstitial lung disease would make it difficult to exclude a superimposed pneumonia. The cardiomediastinal silhouette is unchanged compared to previous studies. There is no pneumothorax or pleural effusions. Tracheostomy is midline and unchanged position.	57510505	EXAMINATION: Portable spine chest x-ray. INDICATION: ___ year old man with HIV, multiple pneumonias in the past from various causes, now with new vent requirement and new HCAP // progression of lung disease TECHNIQUE: Portable supine chest x-ray. COMPARISON: Comparison is made to chest x-rays dated from ___ through ___.	Grossly stable interstitial lung disease though difficult to exclude superimposed pneumonia in the right clinical setting.
11281568	Tracheostomy tube tip is in unchanged position. Lung volumes remain low. Heart size is mildly enlarged but unchanged. Mediastinal contour is similar. Diffuse increased interstitial and ground-glass opacities are seen bilaterally, compatible with chronic interstitial lung disease with possible superimposed mild pulmonary edema. No pleural effusion or pneumothorax is present. Percutaneous gastrojejunostomy catheter is noted with the distal aspect not completely imaged on this film.	57332153	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, tracheostomy TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph	Similar appearance of diffuse increased interstitial ground-glass opacities bilaterally, likely reflecting a combination of chronic interstitial lung disease with superimposed mild pulmonary edema.
11281568	An endotracheal tube is in standard position, 2 cm above the level of the carina. There has been interval placement of a nasoenteric catheter with the tip incompletely imaged, though below the diaphragm. Basilar predominant coarse reticular and ground-glass opacities are unchanged compared to most recent prior despite diuresis as well as bilateral ground glass opacities. Given diffuse abnormalities seen on chest CT from 6 month prior, radiographic findings are likely chronic and related to either chronic PCP or ___ ___ lung disease. There is no evidence of pulmonary edema.	58733562	INDICATION: ___-year-old male with history of ventilator-associated pneumonia and pulmonary edema. Assess for interval change after diuresis. COMPARISON: Chest radiographs dating back to ___, most recent from ___. Chest CT from ___. SEMI-ERECT PORTABLE FRONTAL CHEST	Unchanged coarse reticular basilar-predominant opacities on background of diffuse ground glass opacification. This may represent chronic PCP or ___ diffuse fibrotic lung disease such as NSIP. No evidence of superimposed acute process.
11281568	Tracheostomy tube tip is in standard position. Lung volumes remain low. Heart size is normal. The mediastinal and hilar contours are unchanged. Diffuse course interstitial opacities are re- demonstrated bilaterally compatible with a chronic interstitial lung disease. There may be mild superimposed pulmonary edema, though this is not as pronounced as on the previous examination. No new focal consolidation, pleural effusion or pneumothorax is identified. Percutaneous gastrojejunostomy catheter is incompletely imaged.	50843217	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with fever, tachycardia with possible aspiration TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___	Diffuse interstitial opacities likely reflective of the patient's known chronic fibrotic lung disease. There may be superimposed mild pulmonary edema, though this is improved compared to the previous study. No new focal consolidation.
11281568	Tracheostomy tube tip is in unchanged position. Lung volumes are low. Heart size is normal. Mediastinal contour is unchanged. Hilar contours are similar. Increased interstitial markings are noted diffusely throughout the right lung, and within the lower lung field on the left. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen. No subdiaphragmatic free air is demonstrated. Partially imaged is a gastrojejunostomy catheter within the upper abdomen.	57598940	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, tachycardia, has tracheostomy, recent G/J tube replacement. TECHNIQUE: Upright AP view of the chest COMPARISON: Chest CT ___, CT torso ___, and chest radiograph ___	Increased interstitial markings, more pronounced on the right. Findings may reflect superimposed asymmetric pulmonary edema on a background of chronic interstitial lung disease. Follow up radiographs after diuresis are recommended. No subdiaphragmatic free air.
11371885	Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.	53093616	WET READ: ___ ___ ___ 5:03 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with TIA this morning. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11140309	An endotracheal tube remains in the upper airway. The enteric catheter projects over the stomach. Since yesterday's exam, the lung volumes have decreased, accentuating bibasilar atelectasis and crowding of the pulmonary vasculature. Mild cardiomegaly has also increased. Retrocardiac atelectasis is similar. No focal consolidation or pneumothorax is present. A small left effusion may be present.	59416506	INDICATION: ___-year-old man with pontine infarction. COMPARISONS: ___ to ___.	Crowded pulmonary vasculature is a combination of low lung volumes and some mild pulmonary vascular congestion.
11138201	Frontal and lateral chest radiographs demonstrate a slightly ectatic descending thoracic aorta with atherosclerotic calcifications identified along the ascending portion and arch. Cardiomediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.	54916393	INDICATION: Hypoglycemia, altered mental status. Assess for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___.	No acute intrathoracic process.
11177074	Again seen is atelectasis in the right middle lobe and lingula, similar to CT chest ___.There is no new focal consolidation. No pleural effusion or pneumothorax is seen. There is mild cardiomegaly.	50016524	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and SOB // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___, CT chest on ___	Right middle lobe and lingular atelectasis is similar to CT chest ___. No new focal consolidation.
11177074	Since ___, lingular pneumonia is not changed, which may be due to superimposed fibrosis or prominent vasculature. The lungs are otherwise clear with normal volumes. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax or pleural effusion. No new focal consolidations are appreciated.	52911607	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with recent lingular pneumonia // pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___	Unchanged lingular opacification may be due to superimposed fibrosis or prominent vasculature. No new focal consolidations.
11177074	The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is moderately enlarged, similar to the prior examination. The remainder the mediastinal contours are unchanged.	57714295	EXAMINATION: Chest radiographs. INDICATION: History: ___F with cough // pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___, CT chest dated ___.	Stable, moderate cardiomegaly. No evidence of acute cardiopulmonary process.
11965254	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. S-shaped scoliosis of the thoracolumbar spine is re- demonstrated.	53834971	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status, leukocytosis TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11965254	There is an enteric tube with distal tip projecting over the approximate location of the gastric body with the side-port seen distal to the GE junction. The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There are low lung volumes. There is no focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Multiple dilated bowel loops are seen at the lower aspect of the film, partially imaged.	54008398	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with s/p NG tube // eval for NG tube placement. TECHNIQUE: AP chest radiograph. COMPARISON: Chest x-ray ___.	Enteric tube in grossly appropriate location with side-port distal to the GE junction. Clear lungs without focal consolidation. Dilated small bowel loops, better evaluated on earlier same-day CT abdomen and pelvis.
11965254	Compared with the prior radiograph, the left PICC tip has been retracted slightly, now projecting at the mid SVC. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No evidence of free subdiaphragmatic air, on this limited evaluation.	52363013	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with hx crohn's disease, LUQ TTP x 2 days. Evaluate for free air, PICC placement, and focal consolidation. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___, ___, and ___.	The left PICC tip has been retracted slightly, now projecting at the mid SVC. No focal consolidation or evidence of free subdiaphragmatic air, on this limited evaluation.
11965254	AP portable upright view of the chest. A left upper extremity access PICC line is again seen with its tip in the region of the mid upper SVC. Lung volumes are low though allowing for this the lungs are clear. Cardiomediastinal silhouette unchanged.	59874717	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with splenic abcess, has picc, need confirmation // Picc placement COMPARISON: Prior exam dated ___.	PICC line tip in the mid to upper SVC.
11965254	The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. Lung volumes are slightly decreased as compared to prior examination. However, there is no focal consolidation, pleural effusion or pneumothorax.	50167833	EXAMINATION: Chest radiographs. INDICATION: ___F with fever, abd pain, crohns, superficial wound infection, concern for deeper infection. // intra-abdominal abscess? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11965254	The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Mild dextroscoliosis of the thoracic spine is stable.	50947160	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with Crohns on immunosuppresion. Here with abdominal pain, fevers at home. // Please eval for evidence of infection TECHNIQUE: PA and lateral radiographs COMPARISON: ___.	Clear lungs with no evidence of pneumonia.
11965254	PA and lateral views of the chest were reviewed. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded with no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Mild dextroscoliosis of the thoracic spine is noted.	54473663	INDICATION: Subjective fevers and chills. COMPARISON: Chest radiographs ___, ___.	No acute cardiopulmonary process.
11965254	The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Left PICC is no longer visualized.	52245714	INDICATION: ___F with h/o crohn's and PE presenting with cough, fever and pleuritic chest pain // ?pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11965254	The cardiac size is normal. The ascending aortic silhouette is mildly prominent. Lung volumes are slightly low, causing bronchovascular crowding. However, no focal consolidation, pleural effusion, or pneumothorax. No evidence of free subdiaphragmatic air on this partially upright view.	53259332	WET READ: ___ ___ ___ 3:49 PM No evidence of free subdiaphragmatic air. However, since this is not a completely upright view, free air cannot be excluded. WET READ VERSION #1 ___ ___ ___ 2:21 PM No evidence of free subdiaphragmatic air. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with severe abd pain, shoulder pain concern for perfed viscous. Evaluate for free subdiaphragmatic air. TECHNIQUE: Single portable upright AP view of the chest. COMPARISON: Chest radiographs of ___ and ___.	No evidence of free subdiaphragmatic air. However, since this is not a completely upright view, free air cannot be excluded.
11965254	As compared to ___, left-sided PICC terminates in the mid SVC. The lungs are clear. No pleural effusion or pneumothorax. Heart size is normal. Interval decompression of the gastric bubble.	59181155	INDICATION: ___ year old woman with Crohn's disease c/b splenic abscess // assess for PICC position TECHNIQUE: Portable	Left-sided PICC terminates in the mid SVC.
11965254	No free air is detected beneath diaphragm. Air seen under the left hemidiaphragm is more suggestive of gas within the gastric fundus or, less likely, within a splenic flexure. A few air-filled loops of bowel are seen in the lower abdomen. These could represent mildly dilated loops of small bowel, possibly with fluid levels, but are not fully evaluated on this examination. The prominent - this distention seen in the upper abdomen on the film from ___ is not appreciated on the current upright film. The heart is not enlarged. There is no CHF, focal infiltrate or fusion. No pneumothorax is detected. There is moderate sigmoid scoliosis of the thoracolumbar spine, right convex lower thoracic and left convex in the upper lumbar spine, with a rotary component lumbar spine.	57511947	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SBo complain new acute ___ abd pain // Please perform upright CXR, eval free air under diaphragm COMPARISON: None.	No acute pulmonary process identified. No free air detected beneath the diaphragm. Possible mildly dilated loops of bowel in lower abdomen. Please see comment above. If there is ongoing concern for free air within the abdomen, then further assessment with decubitus views or alternatively, cross-sectional imaging would be recommended.
11965254	An NG tube is present, tip overlies the gastric body. The sideport also overlies the gastric body, probably just beyond the GE junction. Gas is noted in the stomach. Allowing for low inspiratory volumes, cardiomediastinal silhouette is not enlarged. No CHF, focal infiltrate, or effusion is identified. Probable sigmoid scoliosis.	51716574	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with crohns, abd distension // Eval NGT placement COMPARISON: None.	NG tube tip and sideport overlying the gastric body. No acute pulmonary process identified.
11965254	In comparison with the study of ___, right subclavian PICC line that extends to the mid to lower portion of the SVC. Low lung volumes with increasing multifocal opacities throughout the lungs involving the right upper and left upper lobes. Mild pulmonary vascular congestion has also increased. Likely small bilateral effusions. Nasogastric tube remains in good position.	56458698	INDICATION: ___F hx of Chron's w/ SBO w/ pef viscous s/p ex-lap+SBR, revision of ileostomy. // Please ___ @ ___ with results. Called by Dr. ___ ___ concern of pulmonary nodules. TECHNIQUE: Chest PA and lateral	Increasing multifocal opacities with slightly nodular appearance, can be multi focal infection including bronchopneumonia, septic emboli if the patient has risk factors or nodular pulmonary edema given rapid progression.
11965254	Lung volumes are normal. Parenchymal opacity in the posterior aspect of the left lower lobe is consistent with pneumonia. There is no effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size normal. Mid thoracic dextroscoliosis is noted.	55719984	WET READ: ___ ___ ___ 3:45 PM Left lower lobe pneumonia. Recommend follow-up chest radiographs in ___ weeks following antibiotic therapy to assess resolution. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever, tachycardia // ? pneumonia TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.	Left lower lobe pneumonia. Recommend follow-up chest radiographs in ___ weeks following antibiotic therapy to assess resolution.
11000416	The cardiomediastinal and hilar contours are normal. There is no pneumothorax. There may be a small right subpulmonic effusion. The lungs are well expanded and clear with only minimal opacification in the region of the superior segment of the right lower lobe. Pulmonary vasculature is within normal limits.	57652741	INDICATION: Approximately one week post right lower lobe superior segmentectomy for lung nodule. COMPARISON: Chest radiographs ___, ___, PET-CT ___.	Possible small right subpulmonic effusion. No other acute cardiopulmonary process.
11000416	PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. The heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the pleural sinuses are free. No pneumothorax in the apical area. Mild degree of anterior wedge deformity of the vertebral body in the mid thoracic spine appears unchanged. Thus, no evidence of new acute skeletal abnormalities.	56535031	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with mild dyspnea on exertion, new diagnosis of colon carcinoma, evaluate for possible metastases.	Stable chest findings. No lesion suspicious for pulmonary metastases in patient with newly diagnosed colon carcinoma.
11123309	The lungs are grossly clear. Cardiomediastinal silhouette is stable given differences in positioning and technique. Multiple bilateral rib fractures are again noted. Compression deformity in an upper thoracic vertebral body was also seen on prior.	52264344	INDICATION: ___M with new tachypnea, tachycardia // ? aspiration, PNA TECHNIQUE: Single portable view of the chest. COMPARISON: ___.	No definite acute cardiopulmonary process.
11123309	An ET tube is present --___ tip lies in satisfactory position approximately 3.2 cm above the carina. An NG tube is present --___ tip overlies the gastric fundus. A left subclavian central line is present --___ tip lies at the expected site of confluence with the proximal SVC. No pneumothorax is detected. There is background hyperinflation suggestive of COPD. There is probable mild cardiomegaly, not significantly changed. There is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. There is probable left-sided volume loss, as the cardiomediastinal silhouette is shifted to the left. There is upper zone redistribution, but no overt CHF. There is atelectasis at the right lung base. Possibility of changes due to aspiration would be difficult to exclude in this setting. No gross effusion. No pneumothorax detected. Density seen in the left upper zone are probably related to overlying materials.	58534798	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with Epilepsy, intubated // Confirm ETT placement. Assess for aspiration COMPARISON: Chest x-ray from ___	ET tube tip 3.2 cm above the carina. NG tube tip over gastric fundus. Left lower lobe collapse and/or consolidation, with apparent leftward shift of the mediastinum. Patchy opacity right base, likely atelectasis. However, it is there clinical concern for aspiration?
11123309	The nasogastric tube is still coiled within the distal esophagus and is kinked. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.	51069766	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new nG tube placed // NG placement? TECHNIQUE: Portable chest radiograph. COMPARISON: Prior study from ___.	Nasogastric tube remains coiled in the distal esophagus.
11123309	Nasogastric tube is coiled within the distal esophagus. There is no focal consolidation, pleural effusion or pneumothorax. There is appearance of a chronic interstitial abnormality. The cardiomediastinal silhouette is normal. Again seen are multiple old healed rib fractures. The imaged upper abdomen is unremarkable.	51225938	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new NG tube // NG tube placement? TECHNIQUE: Supine portable chest radiograph. COMPARISON: Chest radiograph from ___.	Nasogastric tube is coiled within the distal esophagus.
11654223	PA and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.	55652182	HISTORY: Chest pain. COMPARISON: None.	No evidence of acute cardiopulmonary process.
11654223	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.	52626139	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11569042	Enlarged opacity abutting the right mediastinum is the patient's known dilated esophagus. Opacities at the left lung base are either atelectasis, likely due to low lung volumes versus aspiration in the right clinical context. There are no pleural effusions or pneumothorax. The cardiac silhouette is normal in size.	50968695	HISTORY: ___-year-old man with dilated esophagus and possible aspiration. Rule out visible aspiration. COMPARISON: CT of the abdomen and pelvis from ___, esophagram from ___ and chest radiograph from ___. FINDINGS: SINGLE AP VIEW OF THE	Findings compatible with known achalasia and atelectasis versus aspiration in the left lower lobe.
11569042	AP upright and lateral views of the chest were provided. In this patient with known achalasia and dilated esophagus, there is no change in the appearance of the dilated distal esophagus which contains ingested debris. There is no sign of aspiration. Heart size cannot be readily assessed. No large pleural effusion. No pneumothorax. Bony structures intact.	55883502	CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior chest radiograph from ___ as well as a torso CT from ___. CLINICAL HISTORY: Shortness of breath, assess cause of shortness of breath.	Dilated distal esophagus as seen previously containing ingested food contents. No signs of aspiration. Please refer to prior CT torso for full descriptive details of esophageal abnormalities.
11569042	Nasogastric catheter is seen coursing through the dilated esophagus, consistent with achalasia, and appears to terminate in the esophagus at the level of the posterior costophrenic sulcus. Otherwise, the exam is unchanged with unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident.	57778607	INDICATION: Achalasia, status post NG tube placement into esophagus. Please confirm NG tube in esophagus. COMPARISON: Comparison is made to frontal chest radiograph performed the same day as well as CT chest performed ___.	Enteric catheter coursing through dilated esophagus, ending in the distal esophagus at the level of the right posterior costophrenic angle.
11564829	Upright portable AP view of the chest provided. Lung volumes are low, limiting evaluation. Heart is mildly enlarged with a left ventricular configuration. There appears to be mild pulmonary edema. No clear evidence of pneumonia or pneumothorax. No large effusion is seen. Bony structures intact.	58751759	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for acute intrathoracic process.	Mild cardiomegaly and mild pulmonary edema. Limited exam due to low lung volumes.
11954712	Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Diaphragmatic contours are unremarkable.	59303546	HISTORY: Intractable hiccups for three months. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views.	No acute cardiopulmonary abnormality.
11083396	Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Medial right base opacity at the cardiophrenic angle is felt to most likely be due to overlapping vascular structures with possible some underlying atelectasis. No definite correlate is seen on the lateral view. There is no definite focal consolidation. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable.	53752788	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___.	Slightly low lung volumes. Opacity projecting at the medial right lung base is felt to be due to overlapping vascular structures and possibly some underlying atelectasis. No correlate is seen on the lateral view. No definite focal consolidation.
11083396	The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiac and hilar contours are within normal limits.	54476675	HISTORY: ___-year-old male with HIV presenting with acute shortness of breath. COMPARISON: None available in the ___ system. PA AND LATERAL CHEST	No acute cardiopulmonary process.
11162723	Lungs are hyperinflated and clear. Flattened diaphragms with prominent retrosternal clear space may reflect COPD. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.	57340535	WET READ: ___ ___ ___ 8:51 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with wheezing, SOB TECHNIQUE: Chest PA and lateral COMPARISON: None available for comparison.	Probable COPD without superimposed acute process.
11109792	Cardiac, mediastinal, and hilar contours are within normal limits. The lungs appear clear. There is no pleural effusion. Mild levoconvex curvature of the thoracic spine is noted.	58149882	INDICATION: History: ___F with cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No evidence for active cardiopulmonary disease.
11480283	AP view of the chest provided. Endotracheal tube terminates approximately 6 cm above the carina. Compared to prior study, lungs are better aerated. Moderate bibasilar atelectasis is slightly improved. There is no pneumothorax. Cardiomediastinal and hilar contours are normal. Nasogastric tube terminates in the stomach.	58770653	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p exlap for closed loop obstruction, dead bowel // eval ETT placement COMPARISON: Chest radiograph from earlier today.	Endotracheal tube terminates 6 cm above the carina. If desired, advancement by 2 cm can be achieved.
11480283	Lungs are severely hypoinflated with bibasilar atelectasis. Pulmonary vasculature and cardiac contour is accentuated as a result. No obvious parenchymal consolidation is seen.	53614111	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with abdominal pain and hyperglycemia. Evaluate for infection. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___	Severely hypoinflated lungs. Recommend dedicated PA and lateral radiographs for further evaluation.
11013855	Frontal and lateral chest radiographs demonstrate right apical pleural thickening slightly increased from prior examination with associated new nodular 5 mm opacity suspicious for neoplastic process. For this is a chest CT is recommended. A chest CT would also clarifiy mediastinal morphology in what appears to be a colon interposition in the anterior mediastinum, not mentioned in___ medical record. The left lung is largely clear. No pneumothorax.	56321481	HISTORY: ___-year-old male with recent lumbar compression fracture and significant smoking history. COMPARISON: Chest radiograph dated ___.	Right apical pleural thickening increased from prior examination with new suspicious nodular opacity in the right upper lobe. Recommend chest CT for further characterization and evaluation for neoplastic process. CT will also help to clarify mediastinal morphology it was appears to be a colon interposition within the anterior mediastinum. These findings were communicated to the ordering physician via ___ clinical portal by Dr. ___ at 10:40 on ___.
11986315	Frontal and lateral views of the chest demonstrate a subtle opacity in the right infrahilar region. The lungs are otherwise clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.	57751153	INDICATION: ___ year old man with 2 weeks of cough, diffuse rhonichi on exam, history of bronchietasis, assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.	Subtle opacity in the right infrahilar region may represent an early pneumonia.
11244587	Frontal and lateral chest radiographs demonstrate resolution of the left apical pneumothorax. The heart, lungs, mediastinum, hila, and pleural surfaces are normal.	57027234	HISTORY: Status post VATS truncal vagotomy, with a postoperative left pneumothorax. Evaluate for interval change. COMPARISON: Chest radiograph from ___.	Normal chest radiograph, demonstrating resolution of the left apical pneumothorax.
11244587	Portable semi-upright radiograph of the chest demonstrates tiny left apical pneumothorax. There is no shift of the mediastinum. The cardiomediastinal and hilar contours are unremarkable. The right lung is clear.	50110206	HISTORY: ___-year-old female status post left VATS wedge resection and vagotomy. COMPARISON: None.	Tiny left apical pneumothorax.
11231984	Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Hilar contours are normal. Pulmonary vasculature is not engorged. Linear opacities within the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with H-type configuration of the vertebral bodies diffusely.	59567076	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M status post altercation, dementia, paranoia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	No acute cardiopulmonary abnormality.
11930305	AP upright 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.	54900508	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with SOB // infiltrate COMPARISON: ___	No acute intrathoracic process.
11663475	The left hemidiaphragm is entirely obscured. Increased density over the costophrenic angles on the lateral projection could represent a small effusion or a small focal consolidation in the proper clinical setting. There is no pneumothorax or pulmonary edema. Cardiomegaly is mild and unchanged.	50795989	WET READ: ___ ___ 7:47 PM Increased density overlying the costophrenic angle on the lateral projection could represent a small pleural effusion or small focal consolidation in the proper clinical setting. Examination is limited due to obscuration of the left hemidiaphragm, possibly due to a pericardiac fat pad. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ?PNA or effusion on pCXR, evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___.	Increased density overlying the posterior costophrenic angle on the lateral projection could represent a small pleural effusion or small focal consolidation in the proper clinical setting. Examination is limited due to obscuration of the left hemidiaphragm, possibly due to a pericardiac fat pad.
11663475	There is obscuration of the left hemidiaphragm, which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. The right lung is clear. The cardiac silhouette is top-normal. There is no pneumothorax.	57691129	WET READ: ___ ___ 5:09 PM Retrocardiac opacity which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. Consider a lateral view for confirmation. WET READ VERSION #1 ___ ___ ___ 4:28 PM Left lower lobe opacity which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with chest pain, evaluate for pneumonia TECHNIQUE: Single AP view of the chest. COMPARISON: None available.	Retrocardiac opacity which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. Consider a lateral view for confirmation.
11193011	There are bibasilar opacities right greater than left concerning for pneumonia particularly in the right lower lung.No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Irregularity in the left posterior eighth rib is noted without definite fracture line, correspond with clinical site of pain.	55068999	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough, left anterior chest wall pain // r/o infiltrate, r/o rib fx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___.	Bibasilar opacities concerning for pneumonia, particularly at the right base. Irregularity of cortex of left eighth posterior rib is seen, unclear if definite fracture, correlate clinically.
11193011	Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.	55031681	HISTORY: Fatigue, weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11193011	Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.	55135986	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11193011	PA and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.	53480038	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with persistant cough // evaluate for infiltrate COMPARISON: Chest radiograph. ___	No acute cardiopulmonary process.
11193011	The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. The bones are intact.	57900587	CLINICAL HISTORY: A ___-year-old woman with dyspnea. COMPARISON: ___. AP AND LATERAL VIEWS OF THE	No acute intrathoracic process.
11193011	The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. No pulmonary edema.	54712040	INDICATION: ___-year-old woman with chest pain, shortness of breath, please assess for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Radiograph from ___.	No acute cardiothoracic process.
11193011	The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.	53079765	HISTORY: ___-year-old female with asthma, now with fevers and cough. STUDY: PA and lateral chest radiograph. COMPARISON: ___.	No acute cardiopulmonary process - discussed with ___ at 15:18 on ___ by ___ over the phone.
11193011	Mild elevation of the left hemidiaphragm is stable. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.	53063889	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with COPD/CHF who presents with acute left flank pain associated with nausea/vomiting, evaluate for PNA, pleural effusion, wedge-infarct, pneumothorax. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to ___.	No acute cardiopulmonary process.
11969872	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. There is no pleural effusion or pneumothorax. Right perihilar linear density is consistent with atelectasis. No free intraperitoneal air.	50008959	WET READ: ___ ___ ___ 10:56 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with abd pain TECHNIQUE: Single portable AP view of the chest was obtained. COMPARISON: PA and lateral chest dated ___	No acute intrathoracic process.

11254106

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. No displaced fracture is seen.

51493737

HISTORY: Chest pain and shortness of breath. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11548636

There is a small apical left pneumothorax, similar in degree when compared to the prior study. A left-sided chest drain is in-situ. Nonetheless, there does appear to be residual left pleural fluid. Airspace opacity in the left upper lobe is similar to slightly progressed when compared to the prior study. Nodular opacities throughout both lungs are better visualized on the earlier PET-CT mild cardiomegaly and prominence of the pulmonary vascular this or congestive heart failure.

55931662

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with adenocarcinioma (presumed lung primary) s/p pleurx placement, with persistent dyspnea and wheezes on exam // Pneumothorax, acute change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

Small left apical pneumothorax, similar in degree when compared the prior study. Persistent left pleural effusion. Mild congestive heart failure.

11548636

Left-sided small to moderate hydropneumothorax has slightly decreased when compared to the prior examination. A new left-sided pleural drain is seen. The left-sided pleural fluid has also decreased. There is persistent retrocardiac opacity. The appearance of the right lung is unchanged with numerous pulmonary not. There is a prominent likely skin fold. Mild mediastinal shift to the left.

55570897

INDICATION: ___ year old man with recurrent left MPE s/p TPC placement with 925mL out // ? PTX COMPARISON: ___

Slight interval decrease in the left-sided hydro pneumothorax post pleural drain catheter insertion.

11548636

Cardiac size is top-normal. Consolidation in the left lower lobe is consistent with pneumonia. There is no pneumothorax or pleural effusion. There are minimal atelectasis in the right base. There are minimal degenerative changes in the thoracic spine

59158357

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with persistent cough, LUL wheezes // ?evidence for PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None

Left lower lobe pneumonia followup in 6 weeks is recommend

11548636

Increased left lower lobe consolidation and partial silhouetting of the left hemidiaphragm is compatible with known mass and probable worsening postobstructive pneumonia and/or atelectasis. Scattered nodular opacities throughout the lungs bilaterally are compatible with multiple nodules better seen on prior CT. The right peritracheal stripe and aorto-pulmonary window continue to be prominent, consistent with mediastinal lymphadenopathy. Vascular engorgement and indistinctness reflects mild to moderate pulmonary edema, worse in the interval. The cardiomediastinal silhouette is slightly shifted to the left, unchanged from prior. There is no evidence of pneumothorax.

52524669

WET READ: ___ ___ ___ 9:23 AM Increased opacification at the left lower lung may reflect pneumonia, and/or atelectasis. A component of this left lower lobe opacity likely represents the consolidative mass seen on prior CT. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with metastatic cancer of unknown origin, possibly lung, presenting with worsening back pain, fevers, increased white count. Question pneumonia. TECHNIQUE: Chest AP and lateral COMPARISON: CT chest dated ___. Chest x-ray dated ___.

Increased opacification at the left lower lung is compatible with known mass and probable worsening postobstructive pneumonia and/or atelectasis. Mild to moderate pulmonary edema, worse in the interval.

11548636

Normal lung volumes. Thickened right paratracheal stripe consistent with CT finds of right paratracheal adenopathy. Left lower lobe opacity consistent with mass seen on CT. Right lung is grossly clear. No pneumothorax. Mediastinal contours and hilar structures are normal.

52750051

INDICATION: ___ year old man with left lower lobe lung mass, s/p tbbx, tbna. // r/o pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___

No pneumothorax. Left lower lobe opacity most probably mass seen on ___

11274035

Cardiac silhouette size is normal. The aorta is tortuous. Lungs are hyperinflated with streaky linear opacity in the lingula compatible with subsegmental atelectasis. Blunting of the right costophrenic angle suggests a small right pleural effusion. No focal consolidation or pneumothorax is demonstrated. Multilevel mild degenerative changes are noted in the thoracic spine along with S-shaped scoliosis.

58814544

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: None.

Small right pleural effusion.

11305002

The endotracheal tube is appropriately positioned, ending 2.9 cm above the level of the carina. A right internal jugular central venous catheter ends in the mid SVC, unchanged. An enteric catheter passes below the level of the diaphragm, ending in the upper stomach. The side-hole is positioned near the gastroesophageal junction, unchanged. There is a left-sided pacemaker with associated right atrial and right ventricular leads, as before. Small bilateral pleural effusions are unchanged. Coarse reticular opacities throughout both lungs, right greater than left, were seen as far back as ___, suggestive of pulmonary fibrosis. Superimposed interstitial edema or areas of infection cannot be excluded given the diffuse background abnormality. The cardiac and mediastinal contours are unchanged. There is no pneumothorax.

56843317

INDICATION: Status post cardiac arrest. Assess for interval change. COMPARISON: Chest radiograph from ___.

Findings compatible with pulmonary fibrosis, unchanged. Unchanged small bilateral pleural effusions. Side hole of the enteric catheter is near the gastroesophageal junction, as before.

11305002

A single portable AP view of the chest was obtained. Endotracheal tube terminates approximately 2.5 cm above the carina. Right IJ central venous catheter is in the mid SVC. The tip of the enteric tube is just beyond the GE junction and needs to be advanced. Pacemaker leads are appropriately positioned in the right atrium and right ventricle. There are dense diffuse bilateral interstitial and probably also alveolar opacities, including some denser opacities along the right chest wall. The appearance in the right chest may also reflct a moderate layering right effusion is present. The possibility of a small left effusion cannot be excluded. The cardiomediastinal borders are obscured by the pulomary opacities, but appears moderately enlarged.

51842418

INDICATION: ___-year-old man, intubated. Assess endotracheal tube placement. COMPARISON: None.

Moderate cardiomegally. Dense diffuse bilateral opacities. The differential diagnosis includes pulmonary interstitial edema. However, in the appropriate clinical setting, severe atypical pneumonia and inflammatory causes of infiltrates are also in the differential. Pulmonary hemorrhage is also in the differential, in the appropriate context. Suspected moderate right pleural effusion. Endotracheal tube is appropriately positioned 2.5 cm above the carina. The right internal jugular venous catheter is in the mid SVC. NG tube is just beyond the GE junction and should be advanced for optimal positioning.

11410429

Cardiomegaly is mild. There is mild kyphosis of the thoracic spine. Probably trace pleural effusions. A 1.3 cm rounded density at the cardiac apex may represent nipple shadow. No pneumothorax.

52894293

WET READ: ___ ___ ___ 4:43 PM 1. Mild cardiomegaly. 2. 1.3 cm density at the left lung base may represent a nipple shadow, however a dedicated oblique view is recommended for further evaluation. WET READ VERSION #1 ___ ___ ___ 3:23 PM 1. Mild fluid overload.2. 1.3 cm density at the left lung base may represent a nipple shadow, however a dedicated oblique view is recommended for further evaluation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with frequent falls, weakness // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None

Mild cardiomegaly. 1.3 cm density at the left lung base may represent a nipple shadow, however a dedicated oblique view or repeat with nipple markers is recommended for further evaluation.

11703010

There is a large right lower lobe and small left lower lobe infiltrate. The upper lungs are clear.

51353812

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval ptx TECHNIQUE: Chest PA and lateral COMPARISON: None

Bilateral pneumonia right greater than left

11922107

Right lower lobe opacities are new can be acute pneumonia. Linear opacities and elevation of the left hemidiaphragm are likely atelectasis. No interstitial edema or pleural effusions. Cardiomediastinal silhouette is unremarkable.

50427254

INDICATION: ___ year old woman with pancreatic insufficiency p/w calcaneal fracture and now with worsening WBC count. Any acute process? // any acute intrathoracic process? COMPARISON: ___

Right lower lobe likely pneumonia.

11296576

Peribronchial opacification, right lower lobe, new compared to ___, could be pneumonia or bronchiectasis. Heart size top-normal. No pulmonary edema. No pleural effusion. No pneumothorax.

50513586

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, dysuria, cough // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Possible right lower lobe pneumonia.

11817384

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

50659101

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with SSCP // ? Infiltrate ? costo-chondritis TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary process.

11297102

PA and lateral views the chest provided demonstrate midline sternotomy wires and mediastinal clips. The lungs are clear bilaterally without focal consolidation concerning for pneumonia. No effusion or pneumothorax. No congestion or edema. Cardiomediastinal silhouette is normal. Bony structures are intact.

55642222

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, fever, URI like symptoms COMPARISON: Chest radiograph from ___

No acute intrathoracic process, specifically no signs of pneumonia.

11151744

There is a tortuous thoracic aorta. Otherwise, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There are slightly low lung volumes. Bronchial thickening is most conspicuous in the left lower lung, suggestive of small airways disease. There is no focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.

53837335

INDICATION: ___-year-old man with a three-week history of dyspnea on exertion, evaluate for acute cardiopulmonary process. TECHNIQUE: AP and lateral chest radiograph. COMPARISON: None available.

Bronchial wall thickening is suggestive of small airways disease. No focal consolidation.

11851350

There is borderline cardiomegaly as well as mild unfolding of the lower thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Small-to-moderate anterior osteophytes project along the thoracic spine.

58362649

CHEST RADIOGRAPHS HISTORY: Abdominal discomfort and weakness after EGD. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11851350

The lungs are well inflated and clear. No pulmonary edema. No pleural effusion or pneumothorax. Heart is top-normal in size, unchanged since prior. Mediastinal contour and hila are unremarkable.

59785654

EXAMINATION: Chest ray INDICATION: ___M with acute onset SOB. Assess for cardiopulmonary process. TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: Chest radiograph ___, CT chest with contrast ___.

No acute cardiopulmonary process.

11281568

Single semi-erect AP portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately 3.7 cm above the level of the carina. An enteric tube is seen coursing below the level of the diaphragm, inferior aspect not well seen. A left-sided PICC is seen, stable in position. There are low lung volumes. Pulmonary edema persists. There is no pneumothorax. No large pleural effusions.

53857060

EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: Elevated ICP, seizures. COMPARISON: ___.

No significant interval change.

11281568

A tracheostomy tube remains in place. Lung volumes remain low. Diffuse bilateral fine reticular interstitial and airspace opacities are unchanged. A more focal right basilar airspace opacity is unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection.

57420092

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with GNR PNA, hypotensive overnight // change in PNA? TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. Correlation made to chest CT dated ___.

No significant interval change since the study of 2 days prior, including chronic interstitial abnormality with superimposed right basilar airspace opacity, which is likely due to infection or aspiration.

11281568

There are bilateral diffuse linear opacities with associated hilar engorgement compatible with pulmonary edema. This is significantly worsened compared with chest radiograph from outside institution from ___ and ___. More focal consolidation in the lung bases is present and suggestive of baseline interstitial lung disease. No clear pleural effusions are identified. No pneumothorax is seen. Cardiomediastinal and hilar contours are unremarkable. An endotracheal tube ends 9 mm above the carina. Of note, the balloon of the endotracheal tube is inflated to 2.5 cm and the diameter of the trachea just above the carina appears to be 1.6 cm. An esophageal tube is not clearly followed throughout its course but the tip might be just below the gastroesophageal junction.

50798696

INDICATION: ___-year-old male with endotracheal tube and probable infection. Evaluate for endotracheal tube placement. COMPARISON: Chest radiograph from outside institution from ___ and ___. TECHNIQUE: Frontal supine chest radiograph.

Acute pulmonary edema, significantly worsened compared with radiograph performed two hours prior to this exam, on the background of bibasilar interstitial lung disease. Endotracheal tube ends 9 mm above the carina. Withdrawal of approximately 2 cm is recommended for proper placement. 9 mm discrepancy between the caliber of the balloon of the EET and the caliber of the distal trachea.

11281568

A tracheostomy is unchanged in position. Again seen are low lung volumes with bilateral heterogeneous opacities likely representing mild pulmonary edema superimposed on a background of chronic interstitial lung disease. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

51855704

WET READ: ___ ___ ___ 6:33 AM 1. Mild pulmonary edema superimposed on background of chronic interstitial lung disease. No definite pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable chest radiograph. INDICATION: ___M with tachypnea, hypoxia, inc. O2. Assess for consolidation TECHNIQUE: Single portable semi upright frontal chest radiograph. COMPARISON: Outside chest radiograph ___, ___, ___.

Mild pulmonary edema superimposed on background of chronic interstitial lung disease. No definite pneumonia.

11281568

Diffuse bilateral widespread parenchymal opacities is secondary to severe background interstitial lung disease. There is mild pulmonary vascular congestion as well as mild pulmonary edema. There is no evidence pneumothorax. The visualized osseous structures are unremarkable.

58800195

INDICATION: History: ___M with cough // evidence of pna TECHNIQUE: Semi supine portable radiograph of the chest. COMPARISON: Chest radiograph from ___.

Mild pulmonary vascular congestion as well mild pulmonary edema, on a background of chronic interstitial lung disease. Superimposed infection cannot be excluded.

11281568

A tracheostomy tube is in unchanged position. The lungs are unchanged in appearance with low lung volumes and widespread bilateral hazy opacities which likely represents a mild degree of pulmonary edema superimposed on background chronic interstitial lung disease. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax.

59546220

INDICATION: ___M with chronic trach, p/w leukocytosis, increased sputum production, evaluate for consolidation. TECHNIQUE: Portable AP chest radiograph obtained. COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___

Diffuse bilateral hazy opacities compatible with a combination of severe background interstitial lung disease and a mild degree of pulmonary edema. No focal consolidation. No significant interval change when compared to the prior study.

11281568

There are low lung volumes. Prominence of the interstitial markings bilaterally again seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Tracheostomy tube is again seen.

52408214

EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: HIV, cryptococcus, GPC in sputum. COMPARISON: ___ (2:26).

No significant interval change.

11281568

Tracheostomy tube tip terminates approximately 4.7 cm from the carina. Partially imaged is a catheter within the midline upper abdomen. The heart size is normal. Widening of the left superior mediastinal contour is noted, with slight rightward deviation of the trachea. There is mild pulmonary edema. Lung volumes are low. More focal opacities are noted within the periphery of the right mid and lower lung field as well as left lung base. No large pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.

55341359

HISTORY: Shortness of breath. TECHNIQUE: AP upright view of the chest. COMPARISON: None. The patient is currently listed as EU critical.

Standard position of the tracheostomy tube. Mild pulmonary edema. More focal peripheral opacities within the right mid and lower lung field as well as the left lung base. Findings could reflect areas of infection, and followup radiographs after diuresis are recommended. Left superior mediastinal widening with mild rightward shift of the trachea. Findings could potentially due to enlarged left thyroid goiter, but other mass lesion is not excluded and further assessment with CT is suggested.

11281568

As compared to prior chest radiograph from ___, lung volumes remain low and there is persistent diffuse interstitial lung disease. No large consolidation identified, however it is difficult to exclude a superimposed acute process. Tracheostomy tube is in unchanged position. A left PICC line terminates in the upper to mid SVC, unchanged in position.

59277735

HISTORY: Fever, respiratory distress. Evaluate for pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable frontal chest radiograph.

Interstitial lung disease. Difficult to exclude a superimposed acute process, however no large consolidation identified.

11281568

Tracheostomy tube remains in unchanged position. Cardiac, mediastinal and hilar contours appear similar. Reduced lung volumes are re- demonstrated. Diffuse interstitial opacities are compatible with a chronic interstitial lung disease, not substantially changed from prior. Interval development of more focal patchy opacities in the lung bases compared to the recent radiograph may reflect superimposed infection or aspiration. There may be superimposed mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Mildly distended air-filled loops of bowel are seen within the imaged upper abdomen.

54439656

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with respiratory distress // Eval for pneumonia TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___, CT torso ___

Interval development of more focal bibasilar airspace opacities which may reflect infection or aspiration superimposed on a background of chronic interstitial lung disease. There may be mild pulmonary vascular congestion.

11281568

There is of focal opacity at the right lung base concerning for pneumonia. Diffuse severe background interstitial lung disease is overall unchanged. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Tracheostomy tube terminates at the thoracic inlet, unchanged. No acute osseous abnormality is identified.

50542093

INDICATION: ___M with trach/peg, AIDS, transfer from SNF for increased respiratory distress, fever, evaluate for pneumonia. TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: Multiple prior chest radiographs with direct comparison made to outside study from on ___

Focal opacity at the right lung base concerning for pneumonia. Diffuse background interstitial lung disease, potentially caused by chronic underlying infection.

11281568

An endotracheal tube terminates 6 cm above the carina. A left-sided PICC line tip terminates at the level of the mid SVC. The cardiomediastinal and hilar contours are within normal limits. Diffuse parenchymal opacities have improved on current chest x-ray when compared to recent and more remote examinations. There are no new focal consolidations. No pleural effusion or pneumothorax identified.

50484572

INDICATION: ___-year-old man with HIV and toxoplasmosis. Study requested for evaluation of new infiltrate in the setting of new fever. COMPARISON: Prior chest radiographs from ___ through ___ and from ___. TECHNIQUE: Portable AP chest radiograph.

Interval improvement of parenchymal opacities which likely represent a diffuse process potentially infectious in origin and for which etiologies include opportunistic or conventional organisms. No new focal consolidations.

11281568

Patient is somewhat rotated in this examination. A tracheostomy tube is seen well positioned in the trachea. Left subclavian catheter extends to the mid portion of the SVC. Enteric tube courses below the diaphragm, the tip is not included in this examination. Allowing for positional changes, cardiomediastinal and hilar contours appear normal. No definite pleural effusions or pneumothorax. Lower lung volumes exaggerate interstitial abnormalities present at lung bases, likely representative of fibrosis and alveolitis which is fully characterized on prior chest CT from ___.

54630868

INDICATION: ___-year-old man with neurologic toxoplasmosis and tracheostomy. Study requested for evaluation of tracheostomy and for new infiltrates. COMPARISON: Prior chest radiographs from ___ through ___ and chest CT from ___. TECHNIQUE: Portable semi-erect chest radiograph.

Lower lung volumes exaggerate interstitial abnormalities present at lung bases. No new focal consolidations are identified.

11281568

As compared to prior chest radiograph from ___, diffuse interstitial lung disease with associated low lung volumes appear similar and essentially unchanged. Tracheostomy tube is in unchanged position. A left PICC line terminates in the upper-to-mid SVC, unchanged in position. There is no superimposed acute process.

53295540

INDICATION: ___-year-old man with AIDS, opportunistic infections, and diaphoresis. Question worsening pneumonia. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. TECHNIQUE: Portable semi-erect AP chest radiograph.

Unchanged diffuse interstitial lung disease with no evidence of a superimposed acute process.

11281568

There is mild pulmonary edema on a background of chronic interstitial lung disease. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion.

52300134

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___ M with HIV, pulling out G tube. Unable to provide much of history.Evaluate for trauma/infection. COMPARISON: Chest radiograph from ___. Subsequently obtained chest CT from ___ at 00:43.

Mild pulmonary edema on a background of chronic interstitial lung disease.

11281568

AP upright and lateral views of the chest provided. Tracheostomy tube projects over the lower neck. A right upper extremity access PICC line terminates in the low SVC. Lung volumes are low with pulmonary fibrosis noted bilaterally as on prior. Difficult to exclude a superimposed pneumonia though overall pattern of pulmonary opacity is unchanged. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged. Bony structures are intact. No free air below the right hemidiaphragm.

59892070

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M w AIDS w/ recent pna p/w fever ___F COMPARISON: ___

No significant change from prior. Extensive pulmonary fibrosis. Difficult to exclude a subtle superimposed pneumonia.

11281568

Tracheostomy tube is seen well positioned in the trachea. A left PICC line extends to the mid portion of the SVC. Cardiomediastinal and hilar contours are normal. Lower lung volumes exaggerate bibasilar opacities which appear more confluent and severe on today's examination. There is increased mild pulmonary vascular congestion. No definite pleural effusions or pneumothorax.

50501816

INDICATION: ___-year-old man with cerebral toxoplasmosis. Study requested for evaluation of trach and interval changes. COMPARISON: Prior chest radiographs from ___ through ___ and prior chest CT from ___. TECHNIQUE: Portable semi erect AP chest radiograph.

Worsening bibasilar opacities, which may be related to lower lung volumes or to increased pulmonary vascular congestion.

11281568

Tracheostomy tube remains in unchanged position. Right PICC tip is in the mid SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Lung volumes are low with diffuse interstitial opacities compatible with chronic interstitial lung disease, not substantially changed in the interval. No definite new areas of focal consolidation, pleural effusion or pneumothorax are visualized. No acute osseous abnormalities are present.

55538943

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hematemesis TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___

No substantial interval change from the prior study. Diffuse interstitial lung opacities compatible with chronic interstitial lung disease.

11281568

Tracheostomy. Improved pulmonary infiltrates since prior. Component of chronic pulmonary fibrosis is suggested. Low lung volumes. Right PICC line tip near cavoatrial junction. Tubing projected over upper abdomen. No pneumothorax. Normal heart size.

58024507

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AIDS on ART w/ HCAP was improving, then recent vomiting, now with increasing sputum production (copious) // ? new/worsening PNA TECHNIQUE: Chest single view COMPARISON: ___

Mildly improved pulmonary findings.

11281568

There are diffuse background increased interstitial markings consistent with known interstitial lung disease. This appears similar compared to the prior examination. A tracheostomy tube is noted. The heart is enlarged. There is no pneumothorax or effusion.

53870149

INDICATION: PNEUMONIA. TECHNIQUE: FRONTAL CHEST RADIOGRAPH. COMPARISON: ___

Similar appearance of the lungs with diffusely increased interstitial markings reflecting chronic interstitial lung disease. A superimposed pneumonia would be difficult to exclude.

11281568

Low bilateral lung volumes. A tracheostomy tube is present as is a right PICC line. Unchanged diffuse bilateral pulmonary opacities when compared to the most recent prior radiographs however increased when compared to the chest radiograph dated ___. A superimposed infection cannot be excluded. No pleural effusion or pneumothorax identified. The appearance of the cardiomediastinal silhouette is unchanged.

53650605

INDICATION: ___ year old man with AIDS, s/p trach/PEG, increased secretions TECHNIQUE: AP portable chest radiograph COMPARISON: Multiple prior chest radiographs, most recently dated ___

Persistent diffuse bilateral parenchymal opacities for which a superimposed infection cannot be excluded.

11281568

In comparison to previous studies there is prominence of interstitial lung markings consistent with known interstitial lung disease which is relatively stable told given the extent of interstitial lung disease would make it difficult to exclude a superimposed pneumonia. The cardiomediastinal silhouette is unchanged compared to previous studies. There is no pneumothorax or pleural effusions. Tracheostomy is midline and unchanged position.

57510505

EXAMINATION: Portable spine chest x-ray. INDICATION: ___ year old man with HIV, multiple pneumonias in the past from various causes, now with new vent requirement and new HCAP // progression of lung disease TECHNIQUE: Portable supine chest x-ray. COMPARISON: Comparison is made to chest x-rays dated from ___ through ___.

Grossly stable interstitial lung disease though difficult to exclude superimposed pneumonia in the right clinical setting.

11281568

Tracheostomy tube tip is in unchanged position. Lung volumes remain low. Heart size is mildly enlarged but unchanged. Mediastinal contour is similar. Diffuse increased interstitial and ground-glass opacities are seen bilaterally, compatible with chronic interstitial lung disease with possible superimposed mild pulmonary edema. No pleural effusion or pneumothorax is present. Percutaneous gastrojejunostomy catheter is noted with the distal aspect not completely imaged on this film.

57332153

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, tracheostomy TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph

Similar appearance of diffuse increased interstitial ground-glass opacities bilaterally, likely reflecting a combination of chronic interstitial lung disease with superimposed mild pulmonary edema.

11281568

An endotracheal tube is in standard position, 2 cm above the level of the carina. There has been interval placement of a nasoenteric catheter with the tip incompletely imaged, though below the diaphragm. Basilar predominant coarse reticular and ground-glass opacities are unchanged compared to most recent prior despite diuresis as well as bilateral ground glass opacities. Given diffuse abnormalities seen on chest CT from 6 month prior, radiographic findings are likely chronic and related to either chronic PCP or ___ ___ lung disease. There is no evidence of pulmonary edema.

58733562

INDICATION: ___-year-old male with history of ventilator-associated pneumonia and pulmonary edema. Assess for interval change after diuresis. COMPARISON: Chest radiographs dating back to ___, most recent from ___. Chest CT from ___. SEMI-ERECT PORTABLE FRONTAL CHEST

Unchanged coarse reticular basilar-predominant opacities on background of diffuse ground glass opacification. This may represent chronic PCP or ___ diffuse fibrotic lung disease such as NSIP. No evidence of superimposed acute process.

11281568

Tracheostomy tube tip is in standard position. Lung volumes remain low. Heart size is normal. The mediastinal and hilar contours are unchanged. Diffuse course interstitial opacities are re- demonstrated bilaterally compatible with a chronic interstitial lung disease. There may be mild superimposed pulmonary edema, though this is not as pronounced as on the previous examination. No new focal consolidation, pleural effusion or pneumothorax is identified. Percutaneous gastrojejunostomy catheter is incompletely imaged.

50843217

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with fever, tachycardia with possible aspiration TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___

Diffuse interstitial opacities likely reflective of the patient's known chronic fibrotic lung disease. There may be superimposed mild pulmonary edema, though this is improved compared to the previous study. No new focal consolidation.

11281568

Tracheostomy tube tip is in unchanged position. Lung volumes are low. Heart size is normal. Mediastinal contour is unchanged. Hilar contours are similar. Increased interstitial markings are noted diffusely throughout the right lung, and within the lower lung field on the left. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen. No subdiaphragmatic free air is demonstrated. Partially imaged is a gastrojejunostomy catheter within the upper abdomen.

57598940

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, tachycardia, has tracheostomy, recent G/J tube replacement. TECHNIQUE: Upright AP view of the chest COMPARISON: Chest CT ___, CT torso ___, and chest radiograph ___

Increased interstitial markings, more pronounced on the right. Findings may reflect superimposed asymmetric pulmonary edema on a background of chronic interstitial lung disease. Follow up radiographs after diuresis are recommended. No subdiaphragmatic free air.

11371885

Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

53093616

WET READ: ___ ___ ___ 5:03 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with TIA this morning. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11140309

An endotracheal tube remains in the upper airway. The enteric catheter projects over the stomach. Since yesterday's exam, the lung volumes have decreased, accentuating bibasilar atelectasis and crowding of the pulmonary vasculature. Mild cardiomegaly has also increased. Retrocardiac atelectasis is similar. No focal consolidation or pneumothorax is present. A small left effusion may be present.

59416506

INDICATION: ___-year-old man with pontine infarction. COMPARISONS: ___ to ___.

Crowded pulmonary vasculature is a combination of low lung volumes and some mild pulmonary vascular congestion.

11138201

Frontal and lateral chest radiographs demonstrate a slightly ectatic descending thoracic aorta with atherosclerotic calcifications identified along the ascending portion and arch. Cardiomediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.

54916393

INDICATION: Hypoglycemia, altered mental status. Assess for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___.

No acute intrathoracic process.

11177074

Again seen is atelectasis in the right middle lobe and lingula, similar to CT chest ___.There is no new focal consolidation. No pleural effusion or pneumothorax is seen. There is mild cardiomegaly.

50016524

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and SOB // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___, CT chest on ___

Right middle lobe and lingular atelectasis is similar to CT chest ___. No new focal consolidation.

11177074

Since ___, lingular pneumonia is not changed, which may be due to superimposed fibrosis or prominent vasculature. The lungs are otherwise clear with normal volumes. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax or pleural effusion. No new focal consolidations are appreciated.

52911607

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with recent lingular pneumonia // pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___

Unchanged lingular opacification may be due to superimposed fibrosis or prominent vasculature. No new focal consolidations.

11177074

The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is moderately enlarged, similar to the prior examination. The remainder the mediastinal contours are unchanged.

57714295

EXAMINATION: Chest radiographs. INDICATION: History: ___F with cough // pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___, CT chest dated ___.

Stable, moderate cardiomegaly. No evidence of acute cardiopulmonary process.

11965254

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. S-shaped scoliosis of the thoracolumbar spine is re- demonstrated.

53834971

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status, leukocytosis TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11965254

There is an enteric tube with distal tip projecting over the approximate location of the gastric body with the side-port seen distal to the GE junction. The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There are low lung volumes. There is no focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Multiple dilated bowel loops are seen at the lower aspect of the film, partially imaged.

54008398

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with s/p NG tube // eval for NG tube placement. TECHNIQUE: AP chest radiograph. COMPARISON: Chest x-ray ___.

Enteric tube in grossly appropriate location with side-port distal to the GE junction. Clear lungs without focal consolidation. Dilated small bowel loops, better evaluated on earlier same-day CT abdomen and pelvis.

11965254

Compared with the prior radiograph, the left PICC tip has been retracted slightly, now projecting at the mid SVC. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No evidence of free subdiaphragmatic air, on this limited evaluation.

52363013

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with hx crohn's disease, LUQ TTP x 2 days. Evaluate for free air, PICC placement, and focal consolidation. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___, ___, and ___.

The left PICC tip has been retracted slightly, now projecting at the mid SVC. No focal consolidation or evidence of free subdiaphragmatic air, on this limited evaluation.

11965254

AP portable upright view of the chest. A left upper extremity access PICC line is again seen with its tip in the region of the mid upper SVC. Lung volumes are low though allowing for this the lungs are clear. Cardiomediastinal silhouette unchanged.

59874717

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with splenic abcess, has picc, need confirmation // Picc placement COMPARISON: Prior exam dated ___.

PICC line tip in the mid to upper SVC.

11965254

The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. Lung volumes are slightly decreased as compared to prior examination. However, there is no focal consolidation, pleural effusion or pneumothorax.

50167833

EXAMINATION: Chest radiographs. INDICATION: ___F with fever, abd pain, crohns, superficial wound infection, concern for deeper infection. // intra-abdominal abscess? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11965254

The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Mild dextroscoliosis of the thoracic spine is stable.

50947160

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with Crohns on immunosuppresion. Here with abdominal pain, fevers at home. // Please eval for evidence of infection TECHNIQUE: PA and lateral radiographs COMPARISON: ___.

Clear lungs with no evidence of pneumonia.

11965254

PA and lateral views of the chest were reviewed. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded with no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Mild dextroscoliosis of the thoracic spine is noted.

54473663

INDICATION: Subjective fevers and chills. COMPARISON: Chest radiographs ___, ___.

No acute cardiopulmonary process.

11965254

The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Left PICC is no longer visualized.

52245714

INDICATION: ___F with h/o crohn's and PE presenting with cough, fever and pleuritic chest pain // ?pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11965254

The cardiac size is normal. The ascending aortic silhouette is mildly prominent. Lung volumes are slightly low, causing bronchovascular crowding. However, no focal consolidation, pleural effusion, or pneumothorax. No evidence of free subdiaphragmatic air on this partially upright view.

53259332

WET READ: ___ ___ ___ 3:49 PM No evidence of free subdiaphragmatic air. However, since this is not a completely upright view, free air cannot be excluded. WET READ VERSION #1 ___ ___ ___ 2:21 PM No evidence of free subdiaphragmatic air. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with severe abd pain, shoulder pain concern for perfed viscous. Evaluate for free subdiaphragmatic air. TECHNIQUE: Single portable upright AP view of the chest. COMPARISON: Chest radiographs of ___ and ___.

No evidence of free subdiaphragmatic air. However, since this is not a completely upright view, free air cannot be excluded.

11965254

As compared to ___, left-sided PICC terminates in the mid SVC. The lungs are clear. No pleural effusion or pneumothorax. Heart size is normal. Interval decompression of the gastric bubble.

59181155

INDICATION: ___ year old woman with Crohn's disease c/b splenic abscess // assess for PICC position TECHNIQUE: Portable

Left-sided PICC terminates in the mid SVC.

11965254

No free air is detected beneath diaphragm. Air seen under the left hemidiaphragm is more suggestive of gas within the gastric fundus or, less likely, within a splenic flexure. A few air-filled loops of bowel are seen in the lower abdomen. These could represent mildly dilated loops of small bowel, possibly with fluid levels, but are not fully evaluated on this examination. The prominent - this distention seen in the upper abdomen on the film from ___ is not appreciated on the current upright film. The heart is not enlarged. There is no CHF, focal infiltrate or fusion. No pneumothorax is detected. There is moderate sigmoid scoliosis of the thoracolumbar spine, right convex lower thoracic and left convex in the upper lumbar spine, with a rotary component lumbar spine.

57511947

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SBo complain new acute ___ abd pain // Please perform upright CXR, eval free air under diaphragm COMPARISON: None.

No acute pulmonary process identified. No free air detected beneath the diaphragm. Possible mildly dilated loops of bowel in lower abdomen. Please see comment above. If there is ongoing concern for free air within the abdomen, then further assessment with decubitus views or alternatively, cross-sectional imaging would be recommended.

11965254

An NG tube is present, tip overlies the gastric body. The sideport also overlies the gastric body, probably just beyond the GE junction. Gas is noted in the stomach. Allowing for low inspiratory volumes, cardiomediastinal silhouette is not enlarged. No CHF, focal infiltrate, or effusion is identified. Probable sigmoid scoliosis.

51716574

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with crohns, abd distension // Eval NGT placement COMPARISON: None.

NG tube tip and sideport overlying the gastric body. No acute pulmonary process identified.

11965254

In comparison with the study of ___, right subclavian PICC line that extends to the mid to lower portion of the SVC. Low lung volumes with increasing multifocal opacities throughout the lungs involving the right upper and left upper lobes. Mild pulmonary vascular congestion has also increased. Likely small bilateral effusions. Nasogastric tube remains in good position.

56458698

INDICATION: ___F hx of Chron's w/ SBO w/ pef viscous s/p ex-lap+SBR, revision of ileostomy. // Please ___ @ ___ with results. Called by Dr. ___ ___ concern of pulmonary nodules. TECHNIQUE: Chest PA and lateral

Increasing multifocal opacities with slightly nodular appearance, can be multi focal infection including bronchopneumonia, septic emboli if the patient has risk factors or nodular pulmonary edema given rapid progression.

11965254

Lung volumes are normal. Parenchymal opacity in the posterior aspect of the left lower lobe is consistent with pneumonia. There is no effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size normal. Mid thoracic dextroscoliosis is noted.

55719984

WET READ: ___ ___ ___ 3:45 PM Left lower lobe pneumonia. Recommend follow-up chest radiographs in ___ weeks following antibiotic therapy to assess resolution. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever, tachycardia // ? pneumonia TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.

Left lower lobe pneumonia. Recommend follow-up chest radiographs in ___ weeks following antibiotic therapy to assess resolution.

11000416

The cardiomediastinal and hilar contours are normal. There is no pneumothorax. There may be a small right subpulmonic effusion. The lungs are well expanded and clear with only minimal opacification in the region of the superior segment of the right lower lobe. Pulmonary vasculature is within normal limits.

57652741

INDICATION: Approximately one week post right lower lobe superior segmentectomy for lung nodule. COMPARISON: Chest radiographs ___, ___, PET-CT ___.

Possible small right subpulmonic effusion. No other acute cardiopulmonary process.

11000416

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. The heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the pleural sinuses are free. No pneumothorax in the apical area. Mild degree of anterior wedge deformity of the vertebral body in the mid thoracic spine appears unchanged. Thus, no evidence of new acute skeletal abnormalities.

56535031

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with mild dyspnea on exertion, new diagnosis of colon carcinoma, evaluate for possible metastases.

Stable chest findings. No lesion suspicious for pulmonary metastases in patient with newly diagnosed colon carcinoma.

11123309

The lungs are grossly clear. Cardiomediastinal silhouette is stable given differences in positioning and technique. Multiple bilateral rib fractures are again noted. Compression deformity in an upper thoracic vertebral body was also seen on prior.

52264344

INDICATION: ___M with new tachypnea, tachycardia // ? aspiration, PNA TECHNIQUE: Single portable view of the chest. COMPARISON: ___.

No definite acute cardiopulmonary process.

11123309

An ET tube is present --___ tip lies in satisfactory position approximately 3.2 cm above the carina. An NG tube is present --___ tip overlies the gastric fundus. A left subclavian central line is present --___ tip lies at the expected site of confluence with the proximal SVC. No pneumothorax is detected. There is background hyperinflation suggestive of COPD. There is probable mild cardiomegaly, not significantly changed. There is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. There is probable left-sided volume loss, as the cardiomediastinal silhouette is shifted to the left. There is upper zone redistribution, but no overt CHF. There is atelectasis at the right lung base. Possibility of changes due to aspiration would be difficult to exclude in this setting. No gross effusion. No pneumothorax detected. Density seen in the left upper zone are probably related to overlying materials.

58534798

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with Epilepsy, intubated // Confirm ETT placement. Assess for aspiration COMPARISON: Chest x-ray from ___

ET tube tip 3.2 cm above the carina. NG tube tip over gastric fundus. Left lower lobe collapse and/or consolidation, with apparent leftward shift of the mediastinum. Patchy opacity right base, likely atelectasis. However, it is there clinical concern for aspiration?

11123309

The nasogastric tube is still coiled within the distal esophagus and is kinked. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.

51069766

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new nG tube placed // NG placement? TECHNIQUE: Portable chest radiograph. COMPARISON: Prior study from ___.

Nasogastric tube remains coiled in the distal esophagus.

11123309

Nasogastric tube is coiled within the distal esophagus. There is no focal consolidation, pleural effusion or pneumothorax. There is appearance of a chronic interstitial abnormality. The cardiomediastinal silhouette is normal. Again seen are multiple old healed rib fractures. The imaged upper abdomen is unremarkable.

51225938

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new NG tube // NG tube placement? TECHNIQUE: Supine portable chest radiograph. COMPARISON: Chest radiograph from ___.

Nasogastric tube is coiled within the distal esophagus.

11654223

PA and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.

55652182

HISTORY: Chest pain. COMPARISON: None.

No evidence of acute cardiopulmonary process.

11654223

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.

52626139

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

No acute cardiopulmonary abnormality.

11569042

Enlarged opacity abutting the right mediastinum is the patient's known dilated esophagus. Opacities at the left lung base are either atelectasis, likely due to low lung volumes versus aspiration in the right clinical context. There are no pleural effusions or pneumothorax. The cardiac silhouette is normal in size.

50968695

HISTORY: ___-year-old man with dilated esophagus and possible aspiration. Rule out visible aspiration. COMPARISON: CT of the abdomen and pelvis from ___, esophagram from ___ and chest radiograph from ___. FINDINGS: SINGLE AP VIEW OF THE

Findings compatible with known achalasia and atelectasis versus aspiration in the left lower lobe.

11569042

AP upright and lateral views of the chest were provided. In this patient with known achalasia and dilated esophagus, there is no change in the appearance of the dilated distal esophagus which contains ingested debris. There is no sign of aspiration. Heart size cannot be readily assessed. No large pleural effusion. No pneumothorax. Bony structures intact.

55883502

CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior chest radiograph from ___ as well as a torso CT from ___. CLINICAL HISTORY: Shortness of breath, assess cause of shortness of breath.

Dilated distal esophagus as seen previously containing ingested food contents. No signs of aspiration. Please refer to prior CT torso for full descriptive details of esophageal abnormalities.

11569042

Nasogastric catheter is seen coursing through the dilated esophagus, consistent with achalasia, and appears to terminate in the esophagus at the level of the posterior costophrenic sulcus. Otherwise, the exam is unchanged with unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident.

57778607

INDICATION: Achalasia, status post NG tube placement into esophagus. Please confirm NG tube in esophagus. COMPARISON: Comparison is made to frontal chest radiograph performed the same day as well as CT chest performed ___.

Enteric catheter coursing through dilated esophagus, ending in the distal esophagus at the level of the right posterior costophrenic angle.

11564829

Upright portable AP view of the chest provided. Lung volumes are low, limiting evaluation. Heart is mildly enlarged with a left ventricular configuration. There appears to be mild pulmonary edema. No clear evidence of pneumonia or pneumothorax. No large effusion is seen. Bony structures intact.

58751759

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for acute intrathoracic process.

Mild cardiomegaly and mild pulmonary edema. Limited exam due to low lung volumes.

11954712

Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Diaphragmatic contours are unremarkable.

59303546

HISTORY: Intractable hiccups for three months. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views.

No acute cardiopulmonary abnormality.

11083396

Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Medial right base opacity at the cardiophrenic angle is felt to most likely be due to overlapping vascular structures with possible some underlying atelectasis. No definite correlate is seen on the lateral view. There is no definite focal consolidation. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable.

53752788

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___.

Slightly low lung volumes. Opacity projecting at the medial right lung base is felt to be due to overlapping vascular structures and possibly some underlying atelectasis. No correlate is seen on the lateral view. No definite focal consolidation.

11083396

The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiac and hilar contours are within normal limits.

54476675

HISTORY: ___-year-old male with HIV presenting with acute shortness of breath. COMPARISON: None available in the ___ system. PA AND LATERAL CHEST

No acute cardiopulmonary process.

11162723

Lungs are hyperinflated and clear. Flattened diaphragms with prominent retrosternal clear space may reflect COPD. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

57340535

WET READ: ___ ___ ___ 8:51 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with wheezing, SOB TECHNIQUE: Chest PA and lateral COMPARISON: None available for comparison.

Probable COPD without superimposed acute process.

11109792

Cardiac, mediastinal, and hilar contours are within normal limits. The lungs appear clear. There is no pleural effusion. Mild levoconvex curvature of the thoracic spine is noted.

58149882

INDICATION: History: ___F with cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No evidence for active cardiopulmonary disease.

11480283

AP view of the chest provided. Endotracheal tube terminates approximately 6 cm above the carina. Compared to prior study, lungs are better aerated. Moderate bibasilar atelectasis is slightly improved. There is no pneumothorax. Cardiomediastinal and hilar contours are normal. Nasogastric tube terminates in the stomach.

58770653

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p exlap for closed loop obstruction, dead bowel // eval ETT placement COMPARISON: Chest radiograph from earlier today.

Endotracheal tube terminates 6 cm above the carina. If desired, advancement by 2 cm can be achieved.

11480283

Lungs are severely hypoinflated with bibasilar atelectasis. Pulmonary vasculature and cardiac contour is accentuated as a result. No obvious parenchymal consolidation is seen.

53614111

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with abdominal pain and hyperglycemia. Evaluate for infection. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___

Severely hypoinflated lungs. Recommend dedicated PA and lateral radiographs for further evaluation.

11013855

Frontal and lateral chest radiographs demonstrate right apical pleural thickening slightly increased from prior examination with associated new nodular 5 mm opacity suspicious for neoplastic process. For this is a chest CT is recommended. A chest CT would also clarifiy mediastinal morphology in what appears to be a colon interposition in the anterior mediastinum, not mentioned in___ medical record. The left lung is largely clear. No pneumothorax.

56321481

HISTORY: ___-year-old male with recent lumbar compression fracture and significant smoking history. COMPARISON: Chest radiograph dated ___.

Right apical pleural thickening increased from prior examination with new suspicious nodular opacity in the right upper lobe. Recommend chest CT for further characterization and evaluation for neoplastic process. CT will also help to clarify mediastinal morphology it was appears to be a colon interposition within the anterior mediastinum. These findings were communicated to the ordering physician via ___ clinical portal by Dr. ___ at 10:40 on ___.

11986315

Frontal and lateral views of the chest demonstrate a subtle opacity in the right infrahilar region. The lungs are otherwise clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

57751153

INDICATION: ___ year old man with 2 weeks of cough, diffuse rhonichi on exam, history of bronchietasis, assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.

Subtle opacity in the right infrahilar region may represent an early pneumonia.

11244587

Frontal and lateral chest radiographs demonstrate resolution of the left apical pneumothorax. The heart, lungs, mediastinum, hila, and pleural surfaces are normal.

57027234

HISTORY: Status post VATS truncal vagotomy, with a postoperative left pneumothorax. Evaluate for interval change. COMPARISON: Chest radiograph from ___.

Normal chest radiograph, demonstrating resolution of the left apical pneumothorax.

11244587

Portable semi-upright radiograph of the chest demonstrates tiny left apical pneumothorax. There is no shift of the mediastinum. The cardiomediastinal and hilar contours are unremarkable. The right lung is clear.

50110206

HISTORY: ___-year-old female status post left VATS wedge resection and vagotomy. COMPARISON: None.

Tiny left apical pneumothorax.

11231984

Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Hilar contours are normal. Pulmonary vasculature is not engorged. Linear opacities within the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with H-type configuration of the vertebral bodies diffusely.

59567076

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M status post altercation, dementia, paranoia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

No acute cardiopulmonary abnormality.

11930305

AP upright 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.

54900508

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with SOB // infiltrate COMPARISON: ___

No acute intrathoracic process.

11663475

The left hemidiaphragm is entirely obscured. Increased density over the costophrenic angles on the lateral projection could represent a small effusion or a small focal consolidation in the proper clinical setting. There is no pneumothorax or pulmonary edema. Cardiomegaly is mild and unchanged.

50795989

WET READ: ___ ___ 7:47 PM Increased density overlying the costophrenic angle on the lateral projection could represent a small pleural effusion or small focal consolidation in the proper clinical setting. Examination is limited due to obscuration of the left hemidiaphragm, possibly due to a pericardiac fat pad. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ?PNA or effusion on pCXR, evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___.

Increased density overlying the posterior costophrenic angle on the lateral projection could represent a small pleural effusion or small focal consolidation in the proper clinical setting. Examination is limited due to obscuration of the left hemidiaphragm, possibly due to a pericardiac fat pad.

11663475

There is obscuration of the left hemidiaphragm, which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. The right lung is clear. The cardiac silhouette is top-normal. There is no pneumothorax.

57691129

WET READ: ___ ___ 5:09 PM Retrocardiac opacity which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. Consider a lateral view for confirmation. WET READ VERSION #1 ___ ___ ___ 4:28 PM Left lower lobe opacity which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with chest pain, evaluate for pneumonia TECHNIQUE: Single AP view of the chest. COMPARISON: None available.

Retrocardiac opacity which may be due to a combination of atelectasis and pleural effusion, although a developing consolidation cannot be excluded. Consider a lateral view for confirmation.

11193011

There are bibasilar opacities right greater than left concerning for pneumonia particularly in the right lower lung.No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Irregularity in the left posterior eighth rib is noted without definite fracture line, correspond with clinical site of pain.

55068999

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough, left anterior chest wall pain // r/o infiltrate, r/o rib fx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___.

Bibasilar opacities concerning for pneumonia, particularly at the right base. Irregularity of cortex of left eighth posterior rib is seen, unclear if definite fracture, correlate clinically.

11193011

Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

55031681

HISTORY: Fatigue, weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11193011

Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.

55135986

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

No acute cardiopulmonary process.

11193011

PA and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

53480038

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with persistant cough // evaluate for infiltrate COMPARISON: Chest radiograph. ___

No acute cardiopulmonary process.

11193011

The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. The bones are intact.

57900587

CLINICAL HISTORY: A ___-year-old woman with dyspnea. COMPARISON: ___. AP AND LATERAL VIEWS OF THE

No acute intrathoracic process.

11193011

The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. No pulmonary edema.

54712040

INDICATION: ___-year-old woman with chest pain, shortness of breath, please assess for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Radiograph from ___.

No acute cardiothoracic process.

11193011

The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

53079765

HISTORY: ___-year-old female with asthma, now with fevers and cough. STUDY: PA and lateral chest radiograph. COMPARISON: ___.

No acute cardiopulmonary process - discussed with ___ at 15:18 on ___ by ___ over the phone.

11193011

Mild elevation of the left hemidiaphragm is stable. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

53063889

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with COPD/CHF who presents with acute left flank pain associated with nausea/vomiting, evaluate for PNA, pleural effusion, wedge-infarct, pneumothorax. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to ___.

No acute cardiopulmonary process.

11969872

The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. There is no pleural effusion or pneumothorax. Right perihilar linear density is consistent with atelectasis. No free intraperitoneal air.

50008959

WET READ: ___ ___ ___ 10:56 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with abd pain TECHNIQUE: Single portable AP view of the chest was obtained. COMPARISON: PA and lateral chest dated ___

No acute intrathoracic process.