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

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11643401	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.	52789000	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ulcerative colitis flare, dyspnea on exertion TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11643401	Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. The lungs are well aerated and clear. The bones are unremarkable. No subdiaphragmatic free air.	53806932	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with abdominal pain, ulcerative colitis, evaluate for acute pathology. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process.
11167730	A single portable view of the chest demonstrates low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	57248057	INDICATION: Worsening seizures. COMPARISONS: ___.	Low lung volumes. Clear lungs.
11132843	Frontal and lateral views of the chest demonstrates an intact left port with the tip ending in the proximal right atrium. The left hemidiaphragm is newly elevated with blunting of the costophrenic angle an associated atelectatic changes noted on lateral view. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.	52299764	INDICATION: ___ year old woman with pancreatic cancer with no blood return from port, please assess port position. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	Intact port ending in the proximal right atrium. New elevation of the left hemidiaphragm with associated atelectasis, recommend short-term followup chest radiograph within the next few days to assess for resolution.
11024504	The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.	54757631	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with h/a, slurred speech, and right sided chest pain. Evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process, specifically no evidence of pneumothorax.
11662302	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. The mediastinal contours are normal.	51048001	INDICATION: ___-year-old male with syncope and atrial fibrillation. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available.	No acute cardiopulmonary process.
11791836	PA and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal consolidation, pneumothorax, pleural effusion or pulmonary edema.	53915616	HISTORY: Fever and headache. Rule out pneumonia. COMPARISON: Unavailable.	No acute cardiopulmonary process.
11365860	The heart is mild to moderately enlarged, increased since the remote prior study. Otherwise, allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is indistinct prominent central pulmonary vascularity including upper zone redistribution suggesting mild pulmonary vascular congestion.	54401261	CHEST RADIOGRAPHS HISTORY: Dyspnea. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	Findings consistent with mild pulmonary vascular congestion.
11175117	No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is noted. No overt pulmonary edema is seen.	56521597	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, fever, on Coumadin // acute process? TECHNIQUE: Single frontal view of the chest COMPARISON: None	No acute cardiopulmonary process.
11175117	The lungs are clear of consolidation. Increased interstitial markings seen on the left laterally are likely due to scarring, unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes noted in the spine.	52681170	INDICATION: ___M with AMS // r/o infection TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11165231	Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There is minimal patchy opacity in the left lung base. This likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	59216250	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Patchy opacification of the left lung base likely reflects atelectasis though infection is not excluded in the correct clinical setting.
11309906	PA and lateral views of the chest: The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. The heart size is normal. The mediastinal contours are unremarkable. Dilated and air filled loops of bowel are seen but not fully evaluated.	59320026	HISTORY: Diffuse abdominal pain and tenderness, evaluate for pneumonia. COMPARISON: None.	No acute cardiopulmonary process. Dilated and air filled bowel loops.
11557618	The patient is status post median sternotomy, CABG, and aortic valve replacement. Heart size is difficult to assess given the presence of a moderate to large right pleural effusion, and a small left pleural effusion. There appears to be an ovoid opacity projecting over the left inferior hemithorax which likely reflects a loculated component of the left-sided pleural effusion, but a pleural based mass is not excluded. Bibasilar airspace opacities right worse than left likely reflect compressive atelectasis though infection or aspiration is not excluded. Mild pulmonary vascular congestion appears to be asymmetric in primarily noted in the right lung. There is no pneumothorax. No acute osseous abnormality is seen. The aortic knob is calcified.	51259009	HISTORY: Coronary artery disease, congestive heart failure, COPD and worsening dyspnea with lower extremity swelling. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	Moderate to large right and small left pleural effusions with bibasilar airspace opacities likely reflective of compressive atelectasis though aspiration or infection cannot be excluded. A component of the left pleural effusion is likely laterally loculated, but a pleural based mass cannot be excluded. Mild pulmonary vascular congestion.
11123789	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is mildly prominent central interstitial opacification with areas of peribronchial cuffing, although similar to the prior examination. There is no free air. The osseous structures are unremarkable.	56379662	INDICATIONS: Abdominal pain and fever. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.	Mild interstitial process. Mild vascular congestion, an inflammatory or infectious process of lower airways or atypical pneumonia could be considered as possible etiologies.
11242664	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	58590611	INDICATION: Left arm numbness and dyspnea on exertion. COMPARISONS: None.	No acute cardiopulmonary process.
11035562	Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is no pneumothorax, vascular congestion, or pleural effusion. There is no mediastinal or subdiaphragmatic free air.	59084314	INDICATION: ___-year-old female with epigastric pain. Question fluid or free air. COMPARISON: None available.	No acute cardiopulmonary process, including free air or effusion.
11179889	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.	55960702	HISTORY: ___-year-old female with chest pain and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available.	No radiographic evidence for acute cardiopulmonary process.
11722906	The heart is mildly enlarged. There is volume loss at the bases but no definite infiltrate. The remainder of the lungs are clear. There is no effusion.	53082039	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fevers, on immunosuppresion // ___ year old man with fevers, on immunosuppresion TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___	Volume loss at the bases which is increased compared to prior but no definite infiltrate.
11722906	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.	55215048	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Abdominal pain and ulcerative colitis flare. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.	No evidence of acute disease.
11722906	PA and lateral views of the chest provided. Low lung volumes limits assessment. 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.	59620073	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with episodic shortness of breath COMPARISON: ___	No acute intrathoracic process.
11722906	No significant change from the prior exam in ___. The lungs are well-expanded and clear. There is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion. The cardiomediastinal silhouette, hila, and pleura are normal. There is no acute osseous abnormality.	59123404	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with productive cough, RLL rales; on infliximab; evaluate for pneumonia. COMPARISON: Chest radiograph dated ___.	Normal chest radiograph. No focal consolidation to suggest pneumonia.
11722906	PA and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal, mediastinal and hilar contours are normal.	51235147	INDICATION: Question of lesion, suggestive of TB. Ulcerative colitis. COMPARISON: None available.	No acute cardiopulmonary process.
11722906	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.	50688406	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sudden onset left face, arm, leg weakness, numbness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11722906	Patchy right basilar opacity seen on the frontal view, not as well seen on the lateral view, is most likely due to overlap of vascular structures, however, early pneumonia is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	58351990	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fevers, cough, near syncope // ? acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Patchy right basilar opacity seen on the frontal view, not as well seen on the lateral view, is most likely due to overlap of vascular structures, however, early pneumonia is not excluded in the appropriate clinical setting.
11722906	Compared to ___, patchy opacity at the left base has increased slightly, with slight interval obscuration of the diaphragm. While this could represent progressive atelectasis, the differential diagnosis could include an early infiltrate or area of aspiration. Minimal blunting of the left costophrenic angle is also seen, though this is not significantly changed. There is also slight patchy opacity at the right cardiophrenic region and minimal blunting of the right costophrenic angle, which are similar to the prior film. There is upper zone redistribution, which may be accentuated by low inspiratory volumes. The cardiomediastinal silhouette is unchanged. No focal infiltrate seen in the upper or mid zones in either lung.	54503383	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p ileostomy takedown(___) with fever of unknown origin // R/O PNA. Fever of unknown origin COMPARISON: Chest x-ray from ___	Bibasilar atelectasis. Changes at the left base are slightly more pronounced than on ___. The possibility of an early infiltrate or area of aspiration is in the differential. Upper zone redistribution, without overt CHF. This is likely accentuated by low inspiratory volumes.
11593452	There is no focal consolidation, pleural effusion or pneumothorax. There is an old rib fracture in the right eighth posterior rib. Cardiomediastinal silhouette is normal.	59280413	INDICATION: ___-year-old male with fever, question infiltrate. COMPARISONS: PA and lateral chest radiograph from ___ and ___.	No acute cardipulmonary process.
11770362	Mild bibasilar atelectasis is noted. No large focal consolidation is identified. There is no pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette, pleural surfaces, and hilar contours are grossly normal. Pectus excavatum is unchanged. The known metastatic pulmonary lesions are better assessed on the recent CT chest with contrast from ___.	50900936	WET READ: ___ ___ ___ 3:45 PM 1. Mild bibasilar atelectasis. No acute cardiopulmonary process. 2. The known metastatic pulmonary lesions are better assessed on the recent CT chest with contrast from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___M with history of bladder cancer status post resection and history of pulmonary metastasis, now with hemoptysis TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___	Known metastatic lesions poorly visualized. No signs of a superimposed pneumonia or pleural effusion.
11883985	The lung volumes are low. The heart is normal in size. Allowing for technique, the mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.	57905314	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Gradually worsening abdominal distention and epigastric pain. History of hepatic cancer. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.	Low lung volumes. No evidence of acute disease.
11175900	Focal opacity silhouetting the cardiac apex is new since ___. No pulmonary edema, pleural effusion or pneumothorax. Normal mediastinal contours. The heart size is normal.	56363705	CLINICAL INDICATION: Left anterior chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiograph, ___. FRONTAL AND LATERAL VIEWS OF THE	No pneumothorax. Focal opacity silhouetting the cardiac apex, new since ___, should be further evaluated with chest CT on a non-urgent basis.
11175900	Both lungs are well expanded and clear. No evidence of mediastinal and hilar lymphadenopathy. No findings concerning for pulmonary sarcoidosis. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.	56596533	CHEST RADIOGRAPH TECHNIQUE: PA and lateral views of the chest were reviewed. No prior chest radiographs are available for comparison.	No radiographic evidence of pulmonary sarcoidosis.
11656626	A portable frontal chest radiograph demonstrates low lung volumes and bibasilar atelectasis. The cardiomediastinal silhouette is normal and there is no focal consolidation, pleural effusion, or pneumothorax.	53476663	HISTORY: Pleuritic chest pain. Evaluate for effusion or consolidation. COMPARISON: None.	Low lung volumes and bibasilar atelectasis, without focal consolidation or effusion.
11138305	Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.	59831751	HISTORY: ILI, rule out pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views.	No acute cardiopulmonary abnormality.
11777028	Right PICC tip terminates in the low SVC. Heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities are noted in the periphery of the left mid lung field and right lung base. Small bilateral pleural effusions are noted. No pneumothorax is identified. No acute osseous abnormality is present. Surgical anchors are seen within the left humeral head.	58996100	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with PICC and pulmonary nodules TECHNIQUE: Chest PA and lateral COMPARISON: None.	Right PICC tip in the low SVC. Focal peripheral opacities in the left mid lung field and right lung base, nonspecific, and could reflect areas of infection, inflammation, or even potentially infarction. Small bilateral pleural effusions. Correlation with any previous imaging is recommended, and if there is concern for a pulmonary embolism, a CT angiogram is recommended.
11740763	PA and lateral views of the chest. Severe cardiomegaly is unchanged. Mediastinal and hilar contours are stable. Again seen are surgical clips in the left upper lobe, unchanged. There is bibasilar atelectasis. No pleural effusion or pneumothorax. No focal consolidation.	58559579	HISTORY: Chest pain. COMPARISON: Chest radiograph on ___.	Unchanged severe cardiomegaly. Bibasilar atelectasis.
11438116	Comparison is made to the torso CT scan from ___. The heart size is within normal limits. There is an area of consolidation at the right base. On the prior CT scan, there are areas of parenchymal consolidation within the right upper lobe. However, no definite density is seen on this study. The left lung appears relatively clear. There are no pneumothoraces. There are no signs for overt pulmonary edema or pleural effusion.	50782604	STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with Staph bacteremia C-spine involvement. Patient with crackles on examination.	Right lower lobe consolidation suspicious for pneumonia.
11903654	Single supine AP portable view of the chest was obtained. Underlying trauma board and other external artifact partially obscures the view. Given this, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.	56804574	EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Fall, trauma. COMPARISON: None.	No acute intrathoracic process.
11596906	The heart size is top normal. Mediastinal and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.	58657894	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with R tib/fib fx. Eval fracture pre-op. TECHNIQUE: Chest PA and lateral COMPARISON: None.	Top-normal heart size, without acute cardiopulmonary disease.
11743403	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is mild elevation of the left hemidiaphragm which is unchanged. Streaky opacity in the left lower lung with associated volume loss may represent atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	51437624	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with 1 week productive cough, mild dyspnea, intermittent f/c. COMPARISON: ___	Left lower lobe streaky atelectasis otherwise unremarkable.
11848597	AP portable upright view of the chest. There has been interval placement of a left IJ central venous catheter with its tip in the region of the distal left brachiocephalic vein. Otherwise, no change.	58764784	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with left IJ CVL placement // assess line placement, ptx COMPARISON: CXR exam performed 2 hr prior.	Left IJ central venous catheter tip in the distal left brachiocephalic vein.
11848597	AP portable upright view of the chest. Endotracheal tube is seen with its tip residing 3 cm above the carinal. An NG tube courses into the upper abdomen though its tip is not clearly visualized. Dual lead pacer is noted with leads extending to the region the right atrium and right ventricle. The heart is poorly assessed. Diffuse bilateral pulmonary opacities raise concern for edema and probable superimposed aspiration/pneumonia.	52843536	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with endotracheal tube, assess tube position. COMPARISON: None	Endotracheal tube positioned appropriately. Nasogastric tube extends into the upper abdomen though tip not clearly visualized. Diffuse bilateral pulmonary opacities concerning for a combination of edema and aspiration/pneumonia.
11848597	A left pectoral dual-lead pacemaker and bilateral IJ central venous catheters are unchanged in position. The patient has been extubated, and the enteric tube has been removed. There is no pneumothorax. There are new right basilar airspace opacities. Moderate cardiomegaly despite the projection is stable.	59366179	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NSTEMI, respiratory failure, intubated. // please evaluate for interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.	New right basilar airspace opacities may be due to aspiration, edema or infection. Stable moderate cardiomegaly.
11395833	The left hemidiaphragm is elevated. There are relatively low lung volumes and mild right base atelectasis. Right basilar opacity projecting over the medial right lung base with possible air bronchograms, underlying pneumonia or aspiration not excluded. No large pleural effusion or pneumothorax seen. The mediastinum is somewhat shifted to the right more so than patient position, this could relate to the elevated left diaphragm.	57635373	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with new seizure // Eval for infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.	Elevated left hemidiaphragm and bibasilar atelectasis. Additional focus of opacity in the medial right lung base with possible air bronchograms could be due to infection or aspiration.
11171072	The lungs are well-expanded and clear. The heart size is normal. The pulmonary vessels at the hilum are mildly enlarged, possibly suggesting pulmonary hypertension. No pleural abnormality is seen. Patient is status post left mastectomy. Surgical clips are seen projecting over the right lung.	51097565	INDICATION: ___ year old woman with pulmonary hypertension. Pre VQ scan. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardio pulmonary abnormality.
11693522	The endotracheal tube tip projects 3.6 cm above the carina. Calcified densities projecting over the lung fields likely correspond to calcified pleural plaques seen on CT dated ___. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Engorged left upper lobe vessels may be secondary to mild left heart failure. Mediastinal hardware and sternal wires reflect prior cardiac surgery. Surgical clips project over the epigastric region and region of the gastroesophageal junction.	53850922	INDICATION: ___-year-old male with trauma status post intubation. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in a supine position.	Endotracheal tube tip approximately 3.6 cm above the carina. Calcified pleural plaques. Engorged left upper lobe pulmonary vessels, which suggest mild left sided heart failure. Preliminary findings discussed with Dr. ___ by Dr. ___ by phone at 3:09 a.m. on ___ at the time of initial review of the study.
11693522	Compared to the most recent prior radiograph, pulmonary edema has improved, but not completely resolved. Calcified pleural plaques and granulomas are unchanged. There is no pleural effusion, focal consolidation or pneumothorax. Median sternotomy wires are intact. Surgical clips are seen in the left mid thorax. Cardiac silhouette is mildly enlarged but not changed.	53827308	INDICATION: ___-year-old man with fluid overload on chest x-ray from ___ requires O2. Question interval improvement. COMPARISON: Portable AP radiograph from ___ and ___.	Improvment in pulmonary edema.
11818502	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. No subdiaphragmatic free air is present.	53892429	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left upper quadrant abdominal pain and left sided chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11963545	An endotracheal tube ends approximately at the carina. A nasoenteric tube is seen coiling within the stomach with the tip adjacent to the GE junction. Cardiomediastinal silhouette is notable for calcifications of the aortic knob. The lungs are grossly clear. There is no pneumothorax or pleural effusion. There is an S-shaped curvature of the thoracolumbar spine.	54777127	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman, intubated, evaluate endotracheal tube position. TECHNIQUE: Portable chest radiograph COMPARISON: None.	Endotracheal tube at the carina, can be withdrawn for more optimal positioning.
11218577	A single portable AP upright view of the chest was obtained. Patient appears rotated. Pacemaker over the left chest, leads unchanged in positions. Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax.	51548825	INDICATION: ___-year-old man with confusion, evaluate for pneumonia. COMPARISON: ___.	No acute intrathoracic abnormality.
11218577	A left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle as before. The patient is status post median sternotomy. The cardiac silhouette is enlarged but stable. The mediastinal contours remain prominent with tortuosity of the thoracic aorta and calcification of the aortic knob, which is stable. Reticular nodular opacities predominantly in the lower lobes on the right greater than the left likely reflect chronic interstitial changes. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax on this single frontal view. No overt pulmonary edema is seen.	51168385	INDICATION: Chest pain, here to evaluate for cardiomegaly or pneumothorax. COMPARISON: Chest radiograph dated ___ and ___. TECHNIQUE: Portable upright frontal radiograph of the chest.	No acute cardiopulmonary process. Bibasilar reticular nodular opacities on the right greater than the left may be reflective of a chronic interstitial process. Further evaluation with high-resolution CT chest could be considered.
11218577	PA and lateral radiographs of the chest demonstrate pacemaker with leads in appropriate position. Aorta is tortuous. The patient has had a median sternotomy. While there are no focal areas of opacities that are concerning for consolidation or infectious process. Bilateral ___ opacities, potentially scarring are unchanged. There are several areas of linear atelectasis, particularly in the left mid lobe. No pleural effusion or pneumothorax is present.	58534795	HISTORY: ___-year-old man with recent admission for bronchitis in the with wheezing and cough. Question pneumonia. COMPARISON: ___.	No overt evidence of pneumonia. Bilateral atelectasis.
11386787	Left-sided pectoral pacemaker has new lead in the coronary sinus. The patient had prior sternotomy, and mild cardiomegaly is unchanged. The lungs are clear. There is no pneumothorax or pleural effusion.	50086910	WET READ: ___ ___ 8:53 PM Left chest wall pacer with a new biventricular and right atrial leads. No pneumothorax. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient evaluation for lead placement, rule out pneumothorax. COMPARISON: ___.	Patient with new pacemaker lead. There is no complication.
11386787	Overall, no significant change from the prior exam. Tiny bilateral pleural effusions are overall unchanged. No focal consolidation. No pneumothorax. Moderate cardiomegaly is unchanged. Median sternotomy wires appear intact. Left-sided cardiac pacemaker also appears intact with leads in the right atrium, right ventricle, and region of Coronary sinus. Right IJ access dialysis catheter also appears intact and unchanged with tip terminating in the right atrium. Stable extensive calcification of the visualized thoracic aorta. Diffuse osteopenia. No acute osseous abnormality.	50008881	EXAMINATION: Chest (PA and lateral) INDICATION: ___ year old man with chest pain; evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No significant interval change.
11386787	Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Triple lead pacing device is again seen. Cardiac silhouette is stable. No displaced fractures identified.	54529451	HISTORY: ___-year-old male status post fall on Coumadin. COMPARISON: ___.	No acute cardiopulmonary process.
11386787	The pacemaker with three leads is unchanged. There is no pneumothorax, no pleural effusion. The lungs are clear. This patient had prior sternotomy. Mild cardiomegaly is unchanged.	51106167	PA AND LATERAL CHEST X-RAY INDICATION: Patient with new pacemaker lead placement evaluation. COMPARISON: ___.	There is no complication after new pacemaker lead placement.
11386787	The patient is status post median sternotomy. A right-sided dual-lumen central venous catheter tip that terminates in the proximal right atrium, unchanged. Left-sided pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus is re- demonstrated. Moderate enlargement of cardiac silhouette is unchanged. The aorta is diffusely calcified and mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable, and no pulmonary vascular congestion is present. Lungs remain hyperinflated with flattening of the diaphragms compatible with COPD. No focal consolidation or pneumothorax is present. Small bilateral pleural effusions are noted, possibly new in the interval. No acutely displaced fractures are visualized. The osseous structures are diffusely demineralized with moderate multilevel degenerative changes.	54065539	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and ___ chest CTA	Small bilateral pleural effusions. No pneumonia or pneumothorax.
11908889	Unchanged appearance of the intact median sternotomy wires and aortic valve prosthesis. Continued interval decrease in pulmonary vascular congestion. No new focal consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is stable. The previous right lower lobe opacity is resolved.	52238900	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with intermittent palpitations/SOB; PMHx of AVR ___, paroxysmal AF, chronic anticoagulation. Please assess cardiopulmonary architecture. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.	Interval decrease in pulmonary vascular congestion and right lower lobe opacity. No new focal consolidation.
11908889	The cardiac, mediastinal and hilar contours appear unchanged. The left costophrenic angle is excluded, but there is no evidence for pleural effusion or pneumothorax. A coarse interstitium is again noted, but with no focal opacity or evidence for pulmonary edema.	52948661	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath. TECHNIQUE: Chest, AP and lateral. COMPARISON: Earlier on the same day.	No evidence of acute disease.
11908889	Bilateral extensive heterogeneous opacification in the right mid and lower lungs and in bilateral mid and lower lungs is repeated once again since ___. Bilateral confluent lung opacities in mid and lower lungs, right side more than left concerning for multifocal pneumonia have completely resolved. There are no new opacities of concern. There is no pleural abnormality. Heart size, mediastinal and hilar contours are normal.	57338269	CHEST RADIOGRAPH INDICATION: Aspiration pneumonia on followup. TECHNIQUE: PA and lateral chest views were reviewed in comparison with prior chest radiograph from ___.	Multifocal pneumonia have completely resolved since ___. No new opacities of concern.
11908889	Pulmonary edema has resolved since ___. Mild cardiomegaly has improved. The lungs are clear. No pleural effusions or pneumothorax. Normal mediastinum and hila.	57714429	HISTORY: Rapid AFib, left-sided weakness. Evaluate for acute pulmonary process. COMPARISON: ___.	Resolved pulmonary edema and improved mild cardiomegaly since ___. No pneumonia.
11908889	Diffusely increased interstitial markings are likely secondary to the patient is emphysema. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	51809778	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with a history of atrial fibrillation, with sudden onset dyspnea, palpitations, lightheadedness, nausea, and jaw pain. COMPARISON: Chest CT from ___. Chest radiograph from ___.	Diffusely increased interstitial markings secondary to emphysema. No evidence of pneumonia or decompensated congestive heart failure.
11908889	Heart size is normal. The mediastinal and hilar contours are normal. Mild pulmonary edema has worsened throughout the lungs and greater opacification at the lung bases could be atelectasis or coalescent edema. No focal consolidation or pneumothorax. Prosthetic aortic valve is present.	54271877	WET READ: ___ ___ 11:43 PM THERE ARE SMALL BILATERAL PLEURAL EFFUSIONS. THERE IS BIBASILAR ATELECTASIS. THERE IS MILD PULMONARY VASCULAR CONGESTION. NO PNEUMOTHORAX IS IDENTIFIED. NSR ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p AVR // post-op baseline COMPARISON: Chest radiographs from___	Mild pulmonary edema has worsened throughout the lungs and greater opacification at the lung bases could be atelectasis or coalescent edema.
11908889	There has been interval development of moderate bilateral pleural effusions with adjacent atelectasis. Interstitial abnormality is new, signifying mild pulmonary edema. Cardiac silhouette is slightly increased in size, now top normal. The mediastinal contours are normal.	57654157	HISTORY: ___-year-old male postop oxygen desaturation and history of pneumonia. COMPARISON: ___.	Interval development of mild pulmonary edema, and small bilateral pleural effusions with adjacent atelectasis. These findings were discussed with Dr. ___ at 12:30 p.m. by phone.
11626181	The heart is top size normal. The lungs are hyperinflated consistent with emphysema. The frontal view demonstrates a 1.2 cm nodular opacity projecting over the right upper lobe, not significantly changed in size from ___. As before, there is a 2.5 cm nodule projecting over the mid thoracic spine seen best on the lateral view, also unchanged from the prior radiograph. Increased density at the apex of the right lung is consistent with a large consolidated mass lesion with punctate calcification, better appreciated from CT in ___. There is no evidence of pneumothorax or pleural effusion. No new focal consolidation is identified.	51376574	INDICATION: History: ___F with fever, abd pain // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___ and chest CT on ___	Multiple pulmonary nodules as described above are grossly stable from ___ chest radiograph. Consider nonurgent chest CT for further evaluation when clinically indicated of multiple pulmonary nodules. No acute intra thoracic process identified.
11626181	The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Small bilateral pleural effusions, left greater than right, are present. A retrocardiac opacity may represent an area of infection or aspiration pneumonia. Additionally, peribronchial cuffing and increased interstitial markings are noted primarily within the right upper lobe, but also to a lesser degree within the left upper lung field. No pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes of the thoracic spine are present.	52082257	INDICATION: Possible aspiration pneumonia. COMPARISON: None. UPRIGHT AP AND LATERAL VIEWS OF THE	Small bilateral pleural effusions, left greater than right, with retrocardiac consolidative opacity, which could represent area of pneumonia or aspiration. Mild peribronchial cuffing and increased interstitial markings within the upper lobes, right greater than left, may reflect mild vascular congestion or an infectious process.
11390328	PA and lateral views of the chest. There are small bilateral pleural effusions with associated atelectasis. There is mild interstitial pulmonary edema. There are emphysematous changes consistent with COPD. There is no focal parenchymal opacity concerning for pneumonia. There is enlargement of the pulmonary arteries consistent with pulmonary hypertension. Old left rib fractures are seen. No pneumothorax.	51864644	WET READ: ___ ___ 2:49 PM 1. Small bilateral pleural effusions, right greater than left, with adjacent atelectasis and mild interstitial edema. 2. No evidence of pneumonia. 3. Enlarged pulmonary arteries, likely from pulmonary hypertension. 4. Emphysematous changes. ______________________________________________________________________________ FINAL REPORT INDICATION: Cough, shortness of breath, and hypoxia, question pneumonia or CHF. COMPARISON: Chest radiograph on ___.	Small bilateral pleural effusions, right greater than left, with adjacent atelectasis and mild interstitial edema. No evidence of pneumonia. Enlarged pulmonary arteries, likely from pulmonary hypertension. Emphysematous changes.
11030109	The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. No acute bony abnormality. No free air below the right hemidiaphragm.	59100613	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting with substernal pleuritic chest pain on exertion. Evaluate for pneumonia or pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: No prior relevant imaging is available on PACS at the time of this dictation.	No acute intrathoracic process.
11652296	Heart size is top normal with minimal tortuosity of the thoracic aorta. Hilar contours are unremarkable. Bibasilar atelectasis and small. The lungs are otherwise clear. A wide bore right internal jugular central venous catheter terminates 5 cm caudal to the carina likely within the high right atrium. There is no pleural effusion or pneumothorax.	53087896	HISTORY: Fever. TECHNIQUE: PA and lateral chest radiograph 2 views. COMPARISON: None available.	No acute cardiopulmonary abnormality.
11683543	Lung volumes are low. There is mild vascular congestion and mild bibasilar subsegmental atelectasis. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Spinal degenerative changes are stable.	51599067	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with pancreatic adenocarcinoma s/p exlap, liver bx, aborted whipple for metastatic disease // A-fib w/ RVR. Eval for pleural effusion/pulmonary edema TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.	Mild pulmonary vascular congestion with mild bibasilar subsegmental atelectasis.
11809819	Heart size is mild to moderately enlarged. Mediastinal and hilar contours are unremarkable. Increased interstitial opacities bilaterally suggests mild pulmonary edema. More focal opacity in the right lung base could reflect atelectasis or infection, and there is and associated small to moderate right pleural effusion, for which a sub pulmonic component may account for the elevation of the right hemidiaphragm. No pneumothorax is present. No acute osseous abnormalities seen.	57608536	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sharp midsternal chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	Mild pulmonary edema and small right pleural effusion. More focal opacity in the right lung base may reflect atelectasis but pneumonia is not excluded. Elevation of the right hemidiaphragm is of unknown chronicity and may partially be attributable to a subpulmonic component of the pleural effusion, but underlying subdiaphragmatic/ hepatic process is not excluded.
11183946	The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.	51149074	EXAMINATION: Chest radiographs INDICATION: ___F with DOE // r/o acute cardiomyopathy TECHNIQUE: AP and lateral COMPARISON: None	No acute cardiopulmonary process.
11415795	There are multiple median sternotomy wires and mediastinal clips consistent with prior coronary artery bypass graft surgery. The cardiomediastinal silhouette is stable. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The hilar contours are within normal limits. Aside from minimal bibasilar atelectasis, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air beneath the right hemidiaphragm.	57333772	HISTORY: Perforated appendicitis, here to evaluate for free air COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	No evidence of free air beneath the diaphragms. No acute cardiopulmonary process.
11508190	PA and lateral chest radiographs were provided. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.	51271665	INDICATION: ___-year-old with fever and tachycardia, evaluate for pneumonia. COMPARISONS: None.	No acute cardiopulmonary process.
11357292	A single portable AP chest radiograph was obtained. The enteric catheter follows the right lateral course through the gastric neo-esophagus. The tip of the enteric catheter terminates at the level of the diaphragmatic hiatus. Esophagectomy staple line is unchanged. Right lower lobe scarring and right basilar atelectasis have slightly increased. A minimal right apical pneumothorax is present. The left lung is clear. No effusion is present. Cardiac and mediastinal silhouettes are unremarkable.	56016228	INDICATION: ___-year-old woman status post hiatal hernia repair and possible entrance into the pleural space.	Trace pneumothorax status post hiatal hernia repair. Enteric catheter tip terminates at the diaphragmatic hiatus.
11860807	Frontal and lateral chest radiographs demonstrate low lung volumes without focal consolidation or pleural effusion. There is an equivocal tiny apical right pneumothorax. The cardiomediastinal silhouette is normal. The visualized upper abdomen is unremarkable.	54735796	INDICATION: Evaluate for pneumonia or pneumothorax in a patient with left chest pain radiating to the left arm, now resolved. TECHNIQUE: Chest PA and lateral COMPARISON: None.	Equivocal tiny apical right pneumothorax.
11482814	The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.	50608555	INDICATION: History: ___M with palpitations // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary process.
11965902	The patient is status post median sternotomy. A left-sided pacemaker generator pack projects leads into the right atrium and ventricle. Lower sternal wires remain intact. A right lower lobe nodule is present. There is no pneumothorax or pleural effusion. Linear bibasilar opacities are most compatible with atelectasis.	57598438	INDICATION: Hemoptysis. COMPARISON: Chest radiograph available from ___. FRONTAL CHEST	Right lower lobe nodule, better seen on consequent CT examination.
11185694	The heart size is normal. The aortic knob is mildly calcified. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are multilevel degenerative changes in the thoracic spine.	59726435	INDICATION: Preoperative evaluation for tibia-fibula fracture. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE	No acute cardiopulmonary abnormality.
11853603	PA and lateral radiographs of the chest demonstrate clear lungs with low volumes. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	53417577	HISTORY: Chest pain. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.	No evidence of pneumonia.
11853603	The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	54059046	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with palpitations and chest tightness. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11292844	Lung volumes are low, likely exaggerating the size of the cardiac silhouette, which may be borderline enlarged. There is vascular crowding in the right infrahilar region, which also is likely related to poor inspiration. Small fissural fluid is seen on the right. Right basilar opacity is noted, which, in the appropriate clinical context, could be related to aspiration. There is no pleural effusion or pneumothorax.	54029453	WET READ: ___ ___ 7:45 AM Findings consistent with aspiration in the appropriate clinical context. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with etoh, vomiting, now hypoxic and tachycardic // ?aspiration TECHNIQUE: Chest AP and lateral COMPARISON: ___	Findings consistent with aspiration in the appropriate clinical context.
11451795	The study is limited secondary to body habitus. No focal consolidation or superimposed edema is noted. The study is relatively at baseline. There is a markedly tortuous aorta. The cardiac silhouette remains enlarged but stable. The findings are somewhat exaggerated by low lung volumes. No effusion or pneumothorax is noted. Degenerative changes are seen throughout the thoracic spine.	53020320	PA AND LATERAL CHEST ___ AT ___ HOURS. HISTORY: Five days of congestion and cough. COMPARISON: Multiple priors, the most recent dated ___.	No acute pulmonary process. Hypertensive cardiomediastinal configuration.
11206127	Lungs are mildly hypoinflated with crowding of vasculature. Best seen on lateral view is increased opacity projecting over the posterior costophrenic angle which likely localizes to the right base on the frontal view. Left basilar linear atelectasis is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.	59724829	WET READ: ___ ___ ___ 2:13 PM A right lower lobe opacity which could represent atelectasis though pneumonia is possible in the proper clinical setting. WET READ VERSION #1 ___ ___ ___ 2:02 PM 1. Hypoinflated lungs. 2. Left lower lobe opacity is most consistent with atelectasis. Clinical correlation for superimposed infection is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with SOB, history of recent pneumonia. Assess for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.	A right lower lobe opacity which could represent atelectasis though pneumonia is possible in the proper clinical setting.
11572107	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.	59876421	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest discomfort // PNA? COMPARISON: None available	No acute intrathoracic process.
11001054	The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	51732447	INDICATION: Chest pain. Evaluate for pneumonia or other acute process. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiograph of the chest.	No evidence of acute cardiopulmonary abnormality.
11390883	An endotracheal tube is in-situ, the tip is approximately 4.9 cm above the level the carina. A right internal jugular catheter terminates in the mid SVC. There are persistent bilateral patchy airspace opacities, similar in extent when compared to the prior study. This may reflect pulmonary edema or multifocal infection. No definite effusion seen. No pneumothorax seen.	57259955	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypoxemic respiratory failure, now intubated. // Is there interval change? TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	No significant interval change when compared to the prior study.
11390883	Right PICC is no longer seen. Relatively low lung volumes are noted but the lungs are clear. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	57714049	INDICATION: ___ year old woman with hx nash cirrhosis p/w hepatic encephalopathy. // eval for effusions/focal consolidation TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11390883	The patient is markedly rotated which limits assessment. The endotracheal tube is positioned with its tip approximately 2 cm above the carina, this is improved compared to the prior study. Bilateral diffuse airspace opacities are slightly improved when compared to the prior study. Again this may reflect pulmonary edema versus infection. The cardiomediastinal contour is unchanged. No pleural effusion or pneumothorax seen. A right internal jugular catheter terminates in the distal SVC.	54466017	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cirrhosis, intubated for acute hypoxic resp failure (?ARDS vs pna) // ?pulm edema vs. consolidation TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___.	Improved positioning of the endotracheal tube. Slight interval improvement in the bilateral airspace opacities.
11390883	There is a right PICC with the tip in the mid SVC. Heart size is top 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.	50912911	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NASH cirrhosis and extrapulmonary sarcoidosis, here with GI bleed. // pna vs. effusion TECHNIQUE: Semi upright portable chest radiograph. COMPARISON: Chest radiograph dated ___.	Appropriate positioning of right PICC. No evidence of pneumonia or pleural effusion.
11390883	The right IJ line tip is in the proximal right atrium. There is increased patchy alveolar infiltrate lower lobe greater than upper lobe. Pulmonary vasculature is indistinct. Heart size is mildly enlarged. There tiny bilateral pleural effusions.	56544598	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NASH cirrhosis and other comorbidities here for severe anemia s/p 4 transfusions now with slowly progressing hypoxia and cough. // Please evaluate for pulmonary edema, pneumonia, or other etiology of hypoxia and cough TECHNIQUE: Portable chest COMPARISON: ___.	Increased alveolar infiltrates. Is unclear if this is due to pulmonary edema and/or infection
11388306	The lungs are well expanded and clear. Cardiac size is top-normal. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax.	54233213	EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with shortness of breath and wheezing. Evaluate for pneumonia TECHNIQUE: PA and lateral chest radiographs COMPARISON: ___.	No evidence of acute cardiopulmonary process.
11388306	The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.	52875457	HISTORY: Dyspnea, cough and chest tightness. Assess for pneumonia. TECHNIQUE: 2 views of the chest. COMPARISON: ___.	No acute intrathoracic process.
11388306	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	55891907	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough, sob // assess pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11388306	The lungs are well expanded. A small sliver of fluid is seen in the minor fissure. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.	50588511	HISTORY: ___-year-old female with history of asthma exacerbation and pneumonia, now with wheezing and sputum production. COMPARISON: Comparison is made with chest radiographs from ___.	No acute cardiopulmonary process.
11980576	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	52136700	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and SOB // eval pneumonia, other acu TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11840994	PA and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.	50855779	INDICATION: Positive PPD. Evaluate for active tuberculosis. COMPARISON: None available.	No acute cardiopulmonary process.
11854970	PA and lateral views of the chest. The lungs are clear of confluent consolidation, effusion or pulmonary vascular congestion. There is moderate cardiomegaly. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.	54911205	HISTORY: ___-year-old female with hypertension. COMPARISON: None.	Moderate cardiomegaly without acute cardiopulmonary process.
11472206	The endotracheal tube is in satisfactory position, 2.8 cm above the carina. There is new moderate pulmonary edema with small bilateral pleural effusions. Fluid is seen within the minor fissure. The cardiac silhouette is moderately enlarged. Enlargement of the mediastinum is unchanged from ___. There is no pneumothorax.	58518786	HISTORY: GI bleed status post intubation, evaluate for ET tube position. TECHNIQUE: A single frontal portable view of the chest. COMPARISON: Chest radiographs ___, ___ and ___.	Satisfactory ET tube position. New moderate pulmonary edema. These findings were discussed with Dr. ___ by Dr. ___ at 10:59 a.m. on ___ via telephone at the time of discovery.
11472206	PA and lateral views of the chest were provided. Midline sternotomy wires are noted. There is a nasogastric tube terminating in the left upper quadrant. The heart is mildly enlarged. The lungs appear clear. Bony structures are intact.	54115428	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Shortness of breath.	Appropriately positioned nasogastric tube. Mild cardiomegaly. Otherwise, normal.
11472206	Frontal and lateral views of the chest. There is blunting of one of the posterior costophrenic angles compatible with effusion. The lungs are otherwise unremarkable without consolidation or overt pulmonary edema. Moderate cardiomegaly is again noted. No acute osseous abnormalities detected.	50732097	HISTORY: ___-year-old male with shortness of breath and anemia. COMPARISON: ___ and ___.	Small effusion. Otherwise no significant interval change.
11472206	The patient is status post sternotomy. The heart is moderately enlarged. Projecting over the mid chest, and seen only on the frontal view, is an irregular air collection projecting below the level of the carina. Otherwise, the mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Mild loss in lower vertebral body heights appears unchanged. The bones may be demineralized to some degree.	51589307	WET READ: ___ ___ 8:45 PM Irregular air collection projecting over mid mediastinum; question esphageal pathology, possibly inflammation, hernia or even leak? WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Dyspnea. History of anemia and congestive heart failure. COMPARISONS: Prior chest radiographs from ___ and ___, as well as CT of the abdomen from ___. TECHNIQUE: Chest, AP upright and lateral.	Irregular air collection projecting over the central lower mediastinum, probably referring to the esophagus; the etiology is uncertain. There are variety of possibilities including esophageal pathology, including the possibility of perforation, although dilatation due to dysmotility or inflammation of the esophagus may explain the appearance.

11643401

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.

52789000

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ulcerative colitis flare, dyspnea on exertion TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11643401

Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. The lungs are well aerated and clear. The bones are unremarkable. No subdiaphragmatic free air.

53806932

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with abdominal pain, ulcerative colitis, evaluate for acute pathology. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process.

11167730

A single portable view of the chest demonstrates low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

57248057

INDICATION: Worsening seizures. COMPARISONS: ___.

Low lung volumes. Clear lungs.

11132843

Frontal and lateral views of the chest demonstrates an intact left port with the tip ending in the proximal right atrium. The left hemidiaphragm is newly elevated with blunting of the costophrenic angle an associated atelectatic changes noted on lateral view. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

52299764

INDICATION: ___ year old woman with pancreatic cancer with no blood return from port, please assess port position. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

Intact port ending in the proximal right atrium. New elevation of the left hemidiaphragm with associated atelectasis, recommend short-term followup chest radiograph within the next few days to assess for resolution.

11024504

The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

54757631

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with h/a, slurred speech, and right sided chest pain. Evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process, specifically no evidence of pneumothorax.

11662302

The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. The mediastinal contours are normal.

51048001

INDICATION: ___-year-old male with syncope and atrial fibrillation. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available.

No acute cardiopulmonary process.

11791836

PA and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal consolidation, pneumothorax, pleural effusion or pulmonary edema.

53915616

HISTORY: Fever and headache. Rule out pneumonia. COMPARISON: Unavailable.

No acute cardiopulmonary process.

11365860

The heart is mild to moderately enlarged, increased since the remote prior study. Otherwise, allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is indistinct prominent central pulmonary vascularity including upper zone redistribution suggesting mild pulmonary vascular congestion.

54401261

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

Findings consistent with mild pulmonary vascular congestion.

11175117

No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is noted. No overt pulmonary edema is seen.

56521597

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, fever, on Coumadin // acute process? TECHNIQUE: Single frontal view of the chest COMPARISON: None

No acute cardiopulmonary process.

11175117

The lungs are clear of consolidation. Increased interstitial markings seen on the left laterally are likely due to scarring, unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes noted in the spine.

52681170

INDICATION: ___M with AMS // r/o infection TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11165231

Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There is minimal patchy opacity in the left lung base. This likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

59216250

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

Patchy opacification of the left lung base likely reflects atelectasis though infection is not excluded in the correct clinical setting.

11309906

PA and lateral views of the chest: The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. The heart size is normal. The mediastinal contours are unremarkable. Dilated and air filled loops of bowel are seen but not fully evaluated.

59320026

HISTORY: Diffuse abdominal pain and tenderness, evaluate for pneumonia. COMPARISON: None.

No acute cardiopulmonary process. Dilated and air filled bowel loops.

11557618

The patient is status post median sternotomy, CABG, and aortic valve replacement. Heart size is difficult to assess given the presence of a moderate to large right pleural effusion, and a small left pleural effusion. There appears to be an ovoid opacity projecting over the left inferior hemithorax which likely reflects a loculated component of the left-sided pleural effusion, but a pleural based mass is not excluded. Bibasilar airspace opacities right worse than left likely reflect compressive atelectasis though infection or aspiration is not excluded. Mild pulmonary vascular congestion appears to be asymmetric in primarily noted in the right lung. There is no pneumothorax. No acute osseous abnormality is seen. The aortic knob is calcified.

51259009

HISTORY: Coronary artery disease, congestive heart failure, COPD and worsening dyspnea with lower extremity swelling. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

Moderate to large right and small left pleural effusions with bibasilar airspace opacities likely reflective of compressive atelectasis though aspiration or infection cannot be excluded. A component of the left pleural effusion is likely laterally loculated, but a pleural based mass cannot be excluded. Mild pulmonary vascular congestion.

11123789

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is mildly prominent central interstitial opacification with areas of peribronchial cuffing, although similar to the prior examination. There is no free air. The osseous structures are unremarkable.

56379662

INDICATIONS: Abdominal pain and fever. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.

Mild interstitial process. Mild vascular congestion, an inflammatory or infectious process of lower airways or atypical pneumonia could be considered as possible etiologies.

11242664

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

58590611

INDICATION: Left arm numbness and dyspnea on exertion. COMPARISONS: None.

No acute cardiopulmonary process.

11035562

Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is no pneumothorax, vascular congestion, or pleural effusion. There is no mediastinal or subdiaphragmatic free air.

59084314

INDICATION: ___-year-old female with epigastric pain. Question fluid or free air. COMPARISON: None available.

No acute cardiopulmonary process, including free air or effusion.

11179889

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

55960702

HISTORY: ___-year-old female with chest pain and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available.

No radiographic evidence for acute cardiopulmonary process.

11722906

The heart is mildly enlarged. There is volume loss at the bases but no definite infiltrate. The remainder of the lungs are clear. There is no effusion.

53082039

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fevers, on immunosuppresion // ___ year old man with fevers, on immunosuppresion TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___

Volume loss at the bases which is increased compared to prior but no definite infiltrate.

11722906

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

55215048

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Abdominal pain and ulcerative colitis flare. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.

No evidence of acute disease.

11722906

PA and lateral views of the chest provided. Low lung volumes limits assessment. 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.

59620073

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with episodic shortness of breath COMPARISON: ___

No acute intrathoracic process.

11722906

No significant change from the prior exam in ___. The lungs are well-expanded and clear. There is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion. The cardiomediastinal silhouette, hila, and pleura are normal. There is no acute osseous abnormality.

59123404

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with productive cough, RLL rales; on infliximab; evaluate for pneumonia. COMPARISON: Chest radiograph dated ___.

Normal chest radiograph. No focal consolidation to suggest pneumonia.

11722906

PA and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal, mediastinal and hilar contours are normal.

51235147

INDICATION: Question of lesion, suggestive of TB. Ulcerative colitis. COMPARISON: None available.

No acute cardiopulmonary process.

11722906

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.

50688406

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sudden onset left face, arm, leg weakness, numbness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11722906

Patchy right basilar opacity seen on the frontal view, not as well seen on the lateral view, is most likely due to overlap of vascular structures, however, early pneumonia is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

58351990

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fevers, cough, near syncope // ? acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Patchy right basilar opacity seen on the frontal view, not as well seen on the lateral view, is most likely due to overlap of vascular structures, however, early pneumonia is not excluded in the appropriate clinical setting.

11722906

Compared to ___, patchy opacity at the left base has increased slightly, with slight interval obscuration of the diaphragm. While this could represent progressive atelectasis, the differential diagnosis could include an early infiltrate or area of aspiration. Minimal blunting of the left costophrenic angle is also seen, though this is not significantly changed. There is also slight patchy opacity at the right cardiophrenic region and minimal blunting of the right costophrenic angle, which are similar to the prior film. There is upper zone redistribution, which may be accentuated by low inspiratory volumes. The cardiomediastinal silhouette is unchanged. No focal infiltrate seen in the upper or mid zones in either lung.

54503383

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p ileostomy takedown(___) with fever of unknown origin // R/O PNA. Fever of unknown origin COMPARISON: Chest x-ray from ___

Bibasilar atelectasis. Changes at the left base are slightly more pronounced than on ___. The possibility of an early infiltrate or area of aspiration is in the differential. Upper zone redistribution, without overt CHF. This is likely accentuated by low inspiratory volumes.

11593452

There is no focal consolidation, pleural effusion or pneumothorax. There is an old rib fracture in the right eighth posterior rib. Cardiomediastinal silhouette is normal.

59280413

INDICATION: ___-year-old male with fever, question infiltrate. COMPARISONS: PA and lateral chest radiograph from ___ and ___.

No acute cardipulmonary process.

11770362

Mild bibasilar atelectasis is noted. No large focal consolidation is identified. There is no pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette, pleural surfaces, and hilar contours are grossly normal. Pectus excavatum is unchanged. The known metastatic pulmonary lesions are better assessed on the recent CT chest with contrast from ___.

50900936

WET READ: ___ ___ ___ 3:45 PM 1. Mild bibasilar atelectasis. No acute cardiopulmonary process. 2. The known metastatic pulmonary lesions are better assessed on the recent CT chest with contrast from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___M with history of bladder cancer status post resection and history of pulmonary metastasis, now with hemoptysis TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___

Known metastatic lesions poorly visualized. No signs of a superimposed pneumonia or pleural effusion.

11883985

The lung volumes are low. The heart is normal in size. Allowing for technique, the mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.

57905314

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Gradually worsening abdominal distention and epigastric pain. History of hepatic cancer. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.

Low lung volumes. No evidence of acute disease.

11175900

Focal opacity silhouetting the cardiac apex is new since ___. No pulmonary edema, pleural effusion or pneumothorax. Normal mediastinal contours. The heart size is normal.

56363705

CLINICAL INDICATION: Left anterior chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiograph, ___. FRONTAL AND LATERAL VIEWS OF THE

No pneumothorax. Focal opacity silhouetting the cardiac apex, new since ___, should be further evaluated with chest CT on a non-urgent basis.

11175900

Both lungs are well expanded and clear. No evidence of mediastinal and hilar lymphadenopathy. No findings concerning for pulmonary sarcoidosis. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.

56596533

CHEST RADIOGRAPH TECHNIQUE: PA and lateral views of the chest were reviewed. No prior chest radiographs are available for comparison.

No radiographic evidence of pulmonary sarcoidosis.

11656626

A portable frontal chest radiograph demonstrates low lung volumes and bibasilar atelectasis. The cardiomediastinal silhouette is normal and there is no focal consolidation, pleural effusion, or pneumothorax.

53476663

HISTORY: Pleuritic chest pain. Evaluate for effusion or consolidation. COMPARISON: None.

Low lung volumes and bibasilar atelectasis, without focal consolidation or effusion.

11138305

Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

59831751

HISTORY: ILI, rule out pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views.

No acute cardiopulmonary abnormality.

11777028

Right PICC tip terminates in the low SVC. Heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities are noted in the periphery of the left mid lung field and right lung base. Small bilateral pleural effusions are noted. No pneumothorax is identified. No acute osseous abnormality is present. Surgical anchors are seen within the left humeral head.

58996100

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

Right PICC tip in the low SVC. Focal peripheral opacities in the left mid lung field and right lung base, nonspecific, and could reflect areas of infection, inflammation, or even potentially infarction. Small bilateral pleural effusions. Correlation with any previous imaging is recommended, and if there is concern for a pulmonary embolism, a CT angiogram is recommended.

11740763

PA and lateral views of the chest. Severe cardiomegaly is unchanged. Mediastinal and hilar contours are stable. Again seen are surgical clips in the left upper lobe, unchanged. There is bibasilar atelectasis. No pleural effusion or pneumothorax. No focal consolidation.

58559579

HISTORY: Chest pain. COMPARISON: Chest radiograph on ___.

Unchanged severe cardiomegaly. Bibasilar atelectasis.

11438116

Comparison is made to the torso CT scan from ___. The heart size is within normal limits. There is an area of consolidation at the right base. On the prior CT scan, there are areas of parenchymal consolidation within the right upper lobe. However, no definite density is seen on this study. The left lung appears relatively clear. There are no pneumothoraces. There are no signs for overt pulmonary edema or pleural effusion.

50782604

STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with Staph bacteremia C-spine involvement. Patient with crackles on examination.

Right lower lobe consolidation suspicious for pneumonia.

11903654

Single supine AP portable view of the chest was obtained. Underlying trauma board and other external artifact partially obscures the view. Given this, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.

56804574

EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Fall, trauma. COMPARISON: None.

No acute intrathoracic process.

11596906

The heart size is top normal. Mediastinal and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

58657894

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with R tib/fib fx. Eval fracture pre-op. TECHNIQUE: Chest PA and lateral COMPARISON: None.

Top-normal heart size, without acute cardiopulmonary disease.

11743403

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is mild elevation of the left hemidiaphragm which is unchanged. Streaky opacity in the left lower lung with associated volume loss may represent atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

51437624

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with 1 week productive cough, mild dyspnea, intermittent f/c. COMPARISON: ___

Left lower lobe streaky atelectasis otherwise unremarkable.

11848597

AP portable upright view of the chest. There has been interval placement of a left IJ central venous catheter with its tip in the region of the distal left brachiocephalic vein. Otherwise, no change.

58764784

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with left IJ CVL placement // assess line placement, ptx COMPARISON: CXR exam performed 2 hr prior.

Left IJ central venous catheter tip in the distal left brachiocephalic vein.

11848597

AP portable upright view of the chest. Endotracheal tube is seen with its tip residing 3 cm above the carinal. An NG tube courses into the upper abdomen though its tip is not clearly visualized. Dual lead pacer is noted with leads extending to the region the right atrium and right ventricle. The heart is poorly assessed. Diffuse bilateral pulmonary opacities raise concern for edema and probable superimposed aspiration/pneumonia.

52843536

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with endotracheal tube, assess tube position. COMPARISON: None

Endotracheal tube positioned appropriately. Nasogastric tube extends into the upper abdomen though tip not clearly visualized. Diffuse bilateral pulmonary opacities concerning for a combination of edema and aspiration/pneumonia.

11848597

A left pectoral dual-lead pacemaker and bilateral IJ central venous catheters are unchanged in position. The patient has been extubated, and the enteric tube has been removed. There is no pneumothorax. There are new right basilar airspace opacities. Moderate cardiomegaly despite the projection is stable.

59366179

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NSTEMI, respiratory failure, intubated. // please evaluate for interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.

New right basilar airspace opacities may be due to aspiration, edema or infection. Stable moderate cardiomegaly.

11395833

The left hemidiaphragm is elevated. There are relatively low lung volumes and mild right base atelectasis. Right basilar opacity projecting over the medial right lung base with possible air bronchograms, underlying pneumonia or aspiration not excluded. No large pleural effusion or pneumothorax seen. The mediastinum is somewhat shifted to the right more so than patient position, this could relate to the elevated left diaphragm.

57635373

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with new seizure // Eval for infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.

Elevated left hemidiaphragm and bibasilar atelectasis. Additional focus of opacity in the medial right lung base with possible air bronchograms could be due to infection or aspiration.

11171072

The lungs are well-expanded and clear. The heart size is normal. The pulmonary vessels at the hilum are mildly enlarged, possibly suggesting pulmonary hypertension. No pleural abnormality is seen. Patient is status post left mastectomy. Surgical clips are seen projecting over the right lung.

51097565

INDICATION: ___ year old woman with pulmonary hypertension. Pre VQ scan. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardio pulmonary abnormality.

11693522

The endotracheal tube tip projects 3.6 cm above the carina. Calcified densities projecting over the lung fields likely correspond to calcified pleural plaques seen on CT dated ___. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Engorged left upper lobe vessels may be secondary to mild left heart failure. Mediastinal hardware and sternal wires reflect prior cardiac surgery. Surgical clips project over the epigastric region and region of the gastroesophageal junction.

53850922

INDICATION: ___-year-old male with trauma status post intubation. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in a supine position.

Endotracheal tube tip approximately 3.6 cm above the carina. Calcified pleural plaques. Engorged left upper lobe pulmonary vessels, which suggest mild left sided heart failure. Preliminary findings discussed with Dr. ___ by Dr. ___ by phone at 3:09 a.m. on ___ at the time of initial review of the study.

11693522

Compared to the most recent prior radiograph, pulmonary edema has improved, but not completely resolved. Calcified pleural plaques and granulomas are unchanged. There is no pleural effusion, focal consolidation or pneumothorax. Median sternotomy wires are intact. Surgical clips are seen in the left mid thorax. Cardiac silhouette is mildly enlarged but not changed.

53827308

INDICATION: ___-year-old man with fluid overload on chest x-ray from ___ requires O2. Question interval improvement. COMPARISON: Portable AP radiograph from ___ and ___.

Improvment in pulmonary edema.

11818502

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. No subdiaphragmatic free air is present.

53892429

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left upper quadrant abdominal pain and left sided chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11963545

An endotracheal tube ends approximately at the carina. A nasoenteric tube is seen coiling within the stomach with the tip adjacent to the GE junction. Cardiomediastinal silhouette is notable for calcifications of the aortic knob. The lungs are grossly clear. There is no pneumothorax or pleural effusion. There is an S-shaped curvature of the thoracolumbar spine.

54777127

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman, intubated, evaluate endotracheal tube position. TECHNIQUE: Portable chest radiograph COMPARISON: None.

Endotracheal tube at the carina, can be withdrawn for more optimal positioning.

11218577

A single portable AP upright view of the chest was obtained. Patient appears rotated. Pacemaker over the left chest, leads unchanged in positions. Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax.

51548825

INDICATION: ___-year-old man with confusion, evaluate for pneumonia. COMPARISON: ___.

No acute intrathoracic abnormality.

11218577

A left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle as before. The patient is status post median sternotomy. The cardiac silhouette is enlarged but stable. The mediastinal contours remain prominent with tortuosity of the thoracic aorta and calcification of the aortic knob, which is stable. Reticular nodular opacities predominantly in the lower lobes on the right greater than the left likely reflect chronic interstitial changes. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax on this single frontal view. No overt pulmonary edema is seen.

51168385

INDICATION: Chest pain, here to evaluate for cardiomegaly or pneumothorax. COMPARISON: Chest radiograph dated ___ and ___. TECHNIQUE: Portable upright frontal radiograph of the chest.

No acute cardiopulmonary process. Bibasilar reticular nodular opacities on the right greater than the left may be reflective of a chronic interstitial process. Further evaluation with high-resolution CT chest could be considered.

11218577

PA and lateral radiographs of the chest demonstrate pacemaker with leads in appropriate position. Aorta is tortuous. The patient has had a median sternotomy. While there are no focal areas of opacities that are concerning for consolidation or infectious process. Bilateral ___ opacities, potentially scarring are unchanged. There are several areas of linear atelectasis, particularly in the left mid lobe. No pleural effusion or pneumothorax is present.

58534795

HISTORY: ___-year-old man with recent admission for bronchitis in the with wheezing and cough. Question pneumonia. COMPARISON: ___.

No overt evidence of pneumonia. Bilateral atelectasis.

11386787

Left-sided pectoral pacemaker has new lead in the coronary sinus. The patient had prior sternotomy, and mild cardiomegaly is unchanged. The lungs are clear. There is no pneumothorax or pleural effusion.

50086910

WET READ: ___ ___ 8:53 PM Left chest wall pacer with a new biventricular and right atrial leads. No pneumothorax. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient evaluation for lead placement, rule out pneumothorax. COMPARISON: ___.

Patient with new pacemaker lead. There is no complication.

11386787

Overall, no significant change from the prior exam. Tiny bilateral pleural effusions are overall unchanged. No focal consolidation. No pneumothorax. Moderate cardiomegaly is unchanged. Median sternotomy wires appear intact. Left-sided cardiac pacemaker also appears intact with leads in the right atrium, right ventricle, and region of Coronary sinus. Right IJ access dialysis catheter also appears intact and unchanged with tip terminating in the right atrium. Stable extensive calcification of the visualized thoracic aorta. Diffuse osteopenia. No acute osseous abnormality.

50008881

EXAMINATION: Chest (PA and lateral) INDICATION: ___ year old man with chest pain; evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No significant interval change.

11386787

Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Triple lead pacing device is again seen. Cardiac silhouette is stable. No displaced fractures identified.

54529451

HISTORY: ___-year-old male status post fall on Coumadin. COMPARISON: ___.

No acute cardiopulmonary process.

11386787

The pacemaker with three leads is unchanged. There is no pneumothorax, no pleural effusion. The lungs are clear. This patient had prior sternotomy. Mild cardiomegaly is unchanged.

51106167

PA AND LATERAL CHEST X-RAY INDICATION: Patient with new pacemaker lead placement evaluation. COMPARISON: ___.

There is no complication after new pacemaker lead placement.

11386787

The patient is status post median sternotomy. A right-sided dual-lumen central venous catheter tip that terminates in the proximal right atrium, unchanged. Left-sided pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus is re- demonstrated. Moderate enlargement of cardiac silhouette is unchanged. The aorta is diffusely calcified and mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable, and no pulmonary vascular congestion is present. Lungs remain hyperinflated with flattening of the diaphragms compatible with COPD. No focal consolidation or pneumothorax is present. Small bilateral pleural effusions are noted, possibly new in the interval. No acutely displaced fractures are visualized. The osseous structures are diffusely demineralized with moderate multilevel degenerative changes.

54065539

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

Small bilateral pleural effusions. No pneumonia or pneumothorax.

11908889

Unchanged appearance of the intact median sternotomy wires and aortic valve prosthesis. Continued interval decrease in pulmonary vascular congestion. No new focal consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is stable. The previous right lower lobe opacity is resolved.

52238900

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with intermittent palpitations/SOB; PMHx of AVR ___, paroxysmal AF, chronic anticoagulation. Please assess cardiopulmonary architecture. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.

Interval decrease in pulmonary vascular congestion and right lower lobe opacity. No new focal consolidation.

11908889

The cardiac, mediastinal and hilar contours appear unchanged. The left costophrenic angle is excluded, but there is no evidence for pleural effusion or pneumothorax. A coarse interstitium is again noted, but with no focal opacity or evidence for pulmonary edema.

52948661

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath. TECHNIQUE: Chest, AP and lateral. COMPARISON: Earlier on the same day.

No evidence of acute disease.

11908889

Bilateral extensive heterogeneous opacification in the right mid and lower lungs and in bilateral mid and lower lungs is repeated once again since ___. Bilateral confluent lung opacities in mid and lower lungs, right side more than left concerning for multifocal pneumonia have completely resolved. There are no new opacities of concern. There is no pleural abnormality. Heart size, mediastinal and hilar contours are normal.

57338269

CHEST RADIOGRAPH INDICATION: Aspiration pneumonia on followup. TECHNIQUE: PA and lateral chest views were reviewed in comparison with prior chest radiograph from ___.

Multifocal pneumonia have completely resolved since ___. No new opacities of concern.

11908889

Pulmonary edema has resolved since ___. Mild cardiomegaly has improved. The lungs are clear. No pleural effusions or pneumothorax. Normal mediastinum and hila.

57714429

HISTORY: Rapid AFib, left-sided weakness. Evaluate for acute pulmonary process. COMPARISON: ___.

Resolved pulmonary edema and improved mild cardiomegaly since ___. No pneumonia.

11908889

Diffusely increased interstitial markings are likely secondary to the patient is emphysema. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

51809778

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with a history of atrial fibrillation, with sudden onset dyspnea, palpitations, lightheadedness, nausea, and jaw pain. COMPARISON: Chest CT from ___. Chest radiograph from ___.

Diffusely increased interstitial markings secondary to emphysema. No evidence of pneumonia or decompensated congestive heart failure.

11908889

Heart size is normal. The mediastinal and hilar contours are normal. Mild pulmonary edema has worsened throughout the lungs and greater opacification at the lung bases could be atelectasis or coalescent edema. No focal consolidation or pneumothorax. Prosthetic aortic valve is present.

54271877

WET READ: ___ ___ 11:43 PM THERE ARE SMALL BILATERAL PLEURAL EFFUSIONS. THERE IS BIBASILAR ATELECTASIS. THERE IS MILD PULMONARY VASCULAR CONGESTION. NO PNEUMOTHORAX IS IDENTIFIED. NSR ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p AVR // post-op baseline COMPARISON: Chest radiographs from___

Mild pulmonary edema has worsened throughout the lungs and greater opacification at the lung bases could be atelectasis or coalescent edema.

11908889

There has been interval development of moderate bilateral pleural effusions with adjacent atelectasis. Interstitial abnormality is new, signifying mild pulmonary edema. Cardiac silhouette is slightly increased in size, now top normal. The mediastinal contours are normal.

57654157

HISTORY: ___-year-old male postop oxygen desaturation and history of pneumonia. COMPARISON: ___.

Interval development of mild pulmonary edema, and small bilateral pleural effusions with adjacent atelectasis. These findings were discussed with Dr. ___ at 12:30 p.m. by phone.

11626181

The heart is top size normal. The lungs are hyperinflated consistent with emphysema. The frontal view demonstrates a 1.2 cm nodular opacity projecting over the right upper lobe, not significantly changed in size from ___. As before, there is a 2.5 cm nodule projecting over the mid thoracic spine seen best on the lateral view, also unchanged from the prior radiograph. Increased density at the apex of the right lung is consistent with a large consolidated mass lesion with punctate calcification, better appreciated from CT in ___. There is no evidence of pneumothorax or pleural effusion. No new focal consolidation is identified.

51376574

INDICATION: History: ___F with fever, abd pain // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___ and chest CT on ___

Multiple pulmonary nodules as described above are grossly stable from ___ chest radiograph. Consider nonurgent chest CT for further evaluation when clinically indicated of multiple pulmonary nodules. No acute intra thoracic process identified.

11626181

The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Small bilateral pleural effusions, left greater than right, are present. A retrocardiac opacity may represent an area of infection or aspiration pneumonia. Additionally, peribronchial cuffing and increased interstitial markings are noted primarily within the right upper lobe, but also to a lesser degree within the left upper lung field. No pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes of the thoracic spine are present.

52082257

INDICATION: Possible aspiration pneumonia. COMPARISON: None. UPRIGHT AP AND LATERAL VIEWS OF THE

Small bilateral pleural effusions, left greater than right, with retrocardiac consolidative opacity, which could represent area of pneumonia or aspiration. Mild peribronchial cuffing and increased interstitial markings within the upper lobes, right greater than left, may reflect mild vascular congestion or an infectious process.

11390328

PA and lateral views of the chest. There are small bilateral pleural effusions with associated atelectasis. There is mild interstitial pulmonary edema. There are emphysematous changes consistent with COPD. There is no focal parenchymal opacity concerning for pneumonia. There is enlargement of the pulmonary arteries consistent with pulmonary hypertension. Old left rib fractures are seen. No pneumothorax.

51864644

WET READ: ___ ___ 2:49 PM 1. Small bilateral pleural effusions, right greater than left, with adjacent atelectasis and mild interstitial edema. 2. No evidence of pneumonia. 3. Enlarged pulmonary arteries, likely from pulmonary hypertension. 4. Emphysematous changes. ______________________________________________________________________________ FINAL REPORT INDICATION: Cough, shortness of breath, and hypoxia, question pneumonia or CHF. COMPARISON: Chest radiograph on ___.

Small bilateral pleural effusions, right greater than left, with adjacent atelectasis and mild interstitial edema. No evidence of pneumonia. Enlarged pulmonary arteries, likely from pulmonary hypertension. Emphysematous changes.

11030109

The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. No acute bony abnormality. No free air below the right hemidiaphragm.

59100613

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

No acute intrathoracic process.

11652296

Heart size is top normal with minimal tortuosity of the thoracic aorta. Hilar contours are unremarkable. Bibasilar atelectasis and small. The lungs are otherwise clear. A wide bore right internal jugular central venous catheter terminates 5 cm caudal to the carina likely within the high right atrium. There is no pleural effusion or pneumothorax.

53087896

HISTORY: Fever. TECHNIQUE: PA and lateral chest radiograph 2 views. COMPARISON: None available.

No acute cardiopulmonary abnormality.

11683543

Lung volumes are low. There is mild vascular congestion and mild bibasilar subsegmental atelectasis. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Spinal degenerative changes are stable.

51599067

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with pancreatic adenocarcinoma s/p exlap, liver bx, aborted whipple for metastatic disease // A-fib w/ RVR. Eval for pleural effusion/pulmonary edema TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.

Mild pulmonary vascular congestion with mild bibasilar subsegmental atelectasis.

11809819

Heart size is mild to moderately enlarged. Mediastinal and hilar contours are unremarkable. Increased interstitial opacities bilaterally suggests mild pulmonary edema. More focal opacity in the right lung base could reflect atelectasis or infection, and there is and associated small to moderate right pleural effusion, for which a sub pulmonic component may account for the elevation of the right hemidiaphragm. No pneumothorax is present. No acute osseous abnormalities seen.

57608536

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sharp midsternal chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.

Mild pulmonary edema and small right pleural effusion. More focal opacity in the right lung base may reflect atelectasis but pneumonia is not excluded. Elevation of the right hemidiaphragm is of unknown chronicity and may partially be attributable to a subpulmonic component of the pleural effusion, but underlying subdiaphragmatic/ hepatic process is not excluded.

11183946

The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

51149074

EXAMINATION: Chest radiographs INDICATION: ___F with DOE // r/o acute cardiomyopathy TECHNIQUE: AP and lateral COMPARISON: None

No acute cardiopulmonary process.

11415795

There are multiple median sternotomy wires and mediastinal clips consistent with prior coronary artery bypass graft surgery. The cardiomediastinal silhouette is stable. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The hilar contours are within normal limits. Aside from minimal bibasilar atelectasis, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air beneath the right hemidiaphragm.

57333772

HISTORY: Perforated appendicitis, here to evaluate for free air COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.

No evidence of free air beneath the diaphragms. No acute cardiopulmonary process.

11508190

PA and lateral chest radiographs were provided. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.

51271665

INDICATION: ___-year-old with fever and tachycardia, evaluate for pneumonia. COMPARISONS: None.

No acute cardiopulmonary process.

11357292

A single portable AP chest radiograph was obtained. The enteric catheter follows the right lateral course through the gastric neo-esophagus. The tip of the enteric catheter terminates at the level of the diaphragmatic hiatus. Esophagectomy staple line is unchanged. Right lower lobe scarring and right basilar atelectasis have slightly increased. A minimal right apical pneumothorax is present. The left lung is clear. No effusion is present. Cardiac and mediastinal silhouettes are unremarkable.

56016228

INDICATION: ___-year-old woman status post hiatal hernia repair and possible entrance into the pleural space.

Trace pneumothorax status post hiatal hernia repair. Enteric catheter tip terminates at the diaphragmatic hiatus.

11860807

Frontal and lateral chest radiographs demonstrate low lung volumes without focal consolidation or pleural effusion. There is an equivocal tiny apical right pneumothorax. The cardiomediastinal silhouette is normal. The visualized upper abdomen is unremarkable.

54735796

INDICATION: Evaluate for pneumonia or pneumothorax in a patient with left chest pain radiating to the left arm, now resolved. TECHNIQUE: Chest PA and lateral COMPARISON: None.

Equivocal tiny apical right pneumothorax.

11482814

The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

50608555

INDICATION: History: ___M with palpitations // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary process.

11965902

The patient is status post median sternotomy. A left-sided pacemaker generator pack projects leads into the right atrium and ventricle. Lower sternal wires remain intact. A right lower lobe nodule is present. There is no pneumothorax or pleural effusion. Linear bibasilar opacities are most compatible with atelectasis.

57598438

INDICATION: Hemoptysis. COMPARISON: Chest radiograph available from ___. FRONTAL CHEST

Right lower lobe nodule, better seen on consequent CT examination.

11185694

The heart size is normal. The aortic knob is mildly calcified. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are multilevel degenerative changes in the thoracic spine.

59726435

INDICATION: Preoperative evaluation for tibia-fibula fracture. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE

No acute cardiopulmonary abnormality.

11853603

PA and lateral radiographs of the chest demonstrate clear lungs with low volumes. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

53417577

HISTORY: Chest pain. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.

No evidence of pneumonia.

11853603

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

54059046

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with palpitations and chest tightness. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11292844

Lung volumes are low, likely exaggerating the size of the cardiac silhouette, which may be borderline enlarged. There is vascular crowding in the right infrahilar region, which also is likely related to poor inspiration. Small fissural fluid is seen on the right. Right basilar opacity is noted, which, in the appropriate clinical context, could be related to aspiration. There is no pleural effusion or pneumothorax.

54029453

WET READ: ___ ___ 7:45 AM Findings consistent with aspiration in the appropriate clinical context. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with etoh, vomiting, now hypoxic and tachycardic // ?aspiration TECHNIQUE: Chest AP and lateral COMPARISON: ___

Findings consistent with aspiration in the appropriate clinical context.

11451795

The study is limited secondary to body habitus. No focal consolidation or superimposed edema is noted. The study is relatively at baseline. There is a markedly tortuous aorta. The cardiac silhouette remains enlarged but stable. The findings are somewhat exaggerated by low lung volumes. No effusion or pneumothorax is noted. Degenerative changes are seen throughout the thoracic spine.

53020320

PA AND LATERAL CHEST ___ AT ___ HOURS. HISTORY: Five days of congestion and cough. COMPARISON: Multiple priors, the most recent dated ___.

No acute pulmonary process. Hypertensive cardiomediastinal configuration.

11206127

Lungs are mildly hypoinflated with crowding of vasculature. Best seen on lateral view is increased opacity projecting over the posterior costophrenic angle which likely localizes to the right base on the frontal view. Left basilar linear atelectasis is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

59724829

WET READ: ___ ___ ___ 2:13 PM A right lower lobe opacity which could represent atelectasis though pneumonia is possible in the proper clinical setting. WET READ VERSION #1 ___ ___ ___ 2:02 PM 1. Hypoinflated lungs. 2. Left lower lobe opacity is most consistent with atelectasis. Clinical correlation for superimposed infection is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with SOB, history of recent pneumonia. Assess for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.

A right lower lobe opacity which could represent atelectasis though pneumonia is possible in the proper clinical setting.

11572107

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.

59876421

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest discomfort // PNA? COMPARISON: None available

No acute intrathoracic process.

11001054

The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

51732447

INDICATION: Chest pain. Evaluate for pneumonia or other acute process. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiograph of the chest.

No evidence of acute cardiopulmonary abnormality.

11390883

An endotracheal tube is in-situ, the tip is approximately 4.9 cm above the level the carina. A right internal jugular catheter terminates in the mid SVC. There are persistent bilateral patchy airspace opacities, similar in extent when compared to the prior study. This may reflect pulmonary edema or multifocal infection. No definite effusion seen. No pneumothorax seen.

57259955

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypoxemic respiratory failure, now intubated. // Is there interval change? TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

No significant interval change when compared to the prior study.

11390883

Right PICC is no longer seen. Relatively low lung volumes are noted but the lungs are clear. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

57714049

INDICATION: ___ year old woman with hx nash cirrhosis p/w hepatic encephalopathy. // eval for effusions/focal consolidation TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11390883

The patient is markedly rotated which limits assessment. The endotracheal tube is positioned with its tip approximately 2 cm above the carina, this is improved compared to the prior study. Bilateral diffuse airspace opacities are slightly improved when compared to the prior study. Again this may reflect pulmonary edema versus infection. The cardiomediastinal contour is unchanged. No pleural effusion or pneumothorax seen. A right internal jugular catheter terminates in the distal SVC.

54466017

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cirrhosis, intubated for acute hypoxic resp failure (?ARDS vs pna) // ?pulm edema vs. consolidation TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___.

Improved positioning of the endotracheal tube. Slight interval improvement in the bilateral airspace opacities.

11390883

There is a right PICC with the tip in the mid SVC. Heart size is top 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.

50912911

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NASH cirrhosis and extrapulmonary sarcoidosis, here with GI bleed. // pna vs. effusion TECHNIQUE: Semi upright portable chest radiograph. COMPARISON: Chest radiograph dated ___.

Appropriate positioning of right PICC. No evidence of pneumonia or pleural effusion.

11390883

The right IJ line tip is in the proximal right atrium. There is increased patchy alveolar infiltrate lower lobe greater than upper lobe. Pulmonary vasculature is indistinct. Heart size is mildly enlarged. There tiny bilateral pleural effusions.

56544598

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NASH cirrhosis and other comorbidities here for severe anemia s/p 4 transfusions now with slowly progressing hypoxia and cough. // Please evaluate for pulmonary edema, pneumonia, or other etiology of hypoxia and cough TECHNIQUE: Portable chest COMPARISON: ___.

Increased alveolar infiltrates. Is unclear if this is due to pulmonary edema and/or infection

11388306

The lungs are well expanded and clear. Cardiac size is top-normal. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax.

54233213

EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with shortness of breath and wheezing. Evaluate for pneumonia TECHNIQUE: PA and lateral chest radiographs COMPARISON: ___.

No evidence of acute cardiopulmonary process.

11388306

The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

52875457

HISTORY: Dyspnea, cough and chest tightness. Assess for pneumonia. TECHNIQUE: 2 views of the chest. COMPARISON: ___.

No acute intrathoracic process.

11388306

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

55891907

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough, sob // assess pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11388306

The lungs are well expanded. A small sliver of fluid is seen in the minor fissure. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

50588511

HISTORY: ___-year-old female with history of asthma exacerbation and pneumonia, now with wheezing and sputum production. COMPARISON: Comparison is made with chest radiographs from ___.

No acute cardiopulmonary process.

11980576

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

52136700

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and SOB // eval pneumonia, other acu TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11840994

PA and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

50855779

INDICATION: Positive PPD. Evaluate for active tuberculosis. COMPARISON: None available.

No acute cardiopulmonary process.

11854970

PA and lateral views of the chest. The lungs are clear of confluent consolidation, effusion or pulmonary vascular congestion. There is moderate cardiomegaly. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.

54911205

HISTORY: ___-year-old female with hypertension. COMPARISON: None.

Moderate cardiomegaly without acute cardiopulmonary process.

11472206

The endotracheal tube is in satisfactory position, 2.8 cm above the carina. There is new moderate pulmonary edema with small bilateral pleural effusions. Fluid is seen within the minor fissure. The cardiac silhouette is moderately enlarged. Enlargement of the mediastinum is unchanged from ___. There is no pneumothorax.

58518786

HISTORY: GI bleed status post intubation, evaluate for ET tube position. TECHNIQUE: A single frontal portable view of the chest. COMPARISON: Chest radiographs ___, ___ and ___.

Satisfactory ET tube position. New moderate pulmonary edema. These findings were discussed with Dr. ___ by Dr. ___ at 10:59 a.m. on ___ via telephone at the time of discovery.

11472206

PA and lateral views of the chest were provided. Midline sternotomy wires are noted. There is a nasogastric tube terminating in the left upper quadrant. The heart is mildly enlarged. The lungs appear clear. Bony structures are intact.

54115428

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Shortness of breath.

Appropriately positioned nasogastric tube. Mild cardiomegaly. Otherwise, normal.

11472206

Frontal and lateral views of the chest. There is blunting of one of the posterior costophrenic angles compatible with effusion. The lungs are otherwise unremarkable without consolidation or overt pulmonary edema. Moderate cardiomegaly is again noted. No acute osseous abnormalities detected.

50732097

HISTORY: ___-year-old male with shortness of breath and anemia. COMPARISON: ___ and ___.

Small effusion. Otherwise no significant interval change.

11472206

The patient is status post sternotomy. The heart is moderately enlarged. Projecting over the mid chest, and seen only on the frontal view, is an irregular air collection projecting below the level of the carina. Otherwise, the mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Mild loss in lower vertebral body heights appears unchanged. The bones may be demineralized to some degree.

51589307

WET READ: ___ ___ 8:45 PM Irregular air collection projecting over mid mediastinum; question esphageal pathology, possibly inflammation, hernia or even leak? WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Dyspnea. History of anemia and congestive heart failure. COMPARISONS: Prior chest radiographs from ___ and ___, as well as CT of the abdomen from ___. TECHNIQUE: Chest, AP upright and lateral.

Irregular air collection projecting over the central lower mediastinum, probably referring to the esophagus; the etiology is uncertain. There are variety of possibilities including esophageal pathology, including the possibility of perforation, although dilatation due to dysmotility or inflammation of the esophagus may explain the appearance.