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

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11472206	The quality of the image is limited due to patient's body habitus. Allowing for these limitations, lung volumes are low, without focal opacities. Assessment of the left lung base is limited due to obscuration by severe cardiomegaly which is not significantly changed compared with prior exam. Mediastinal widening is secondary to mediastinal fat better assessed in prior CT. There is no evidence of pleural effusion or pneumothorax. A linear lucency crossing across the soft tissues in the left as well as the left lower lung field represents air trapped in a skinfold underneath the breast tissue. Sternotomy wires are intact.	50510043	INDICATION: ___-year-old male with shortness of breath. Evaluate for evidence of pulmonary edema. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: Portable upright chest radiograph.	Severe cardiomegaly, unchanged from prior. Otherwise, no evidence of acute cardiopulmonary process.
11472206	Frontal and lateral views of the chest are provided. Lung volumes are low. The heart is mildly enlarged, though this is stable. Midline sternotomy wires and mediastinal clips are again noted. There is no definitive sign of pneumonia or overt CHF. There is a small left pleural effusion noted. Bony structures are intact. No free air below the right hemidiaphragm.	54355121	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ and chest CT from ___. CLINICAL HISTORY: Dyspnea, rule out CHF.	Mild cardiomegaly, small left pleural effusion. Otherwise, unremarkable.
11063610	The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. Streaky right basilar opacity suggests scarring. A vague patchy density projects over the left mid to lower lung, probably in the lingula, but not well characterized. There is no evidence for pleural effusion or pneumothorax. An old healed right posterolateral sixth rib fracture is unchanged.	57692644	CHEST RADIOGRAPH HISTORY: Cough. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable.	Patchy opacity in the lingula raising concern for pneumonia; however not well characterized on a portable radiography, and if further delineation is needed clinically, then standard PA and lateral radiographs may be helpful if feasible.
11742797	The heart size is normal. The mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.	57943881	INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary abnormality.
11413164	AP portable upright view of the chest. No free air seen below the right hemidiaphragm. Chronic scarring at the right lung base with associated pleural thickening is similar to prior CT. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No acute osseous abnormality. Surgical anchors of the left humeral head noted.	55545654	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M s/p colonoscopy, now with abdominal pain // free air? COMPARISON: Prior study from ___ and chest CT from ___.	No acute intrathoracic process. No signs of pneumoperitoneum.
11730476	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	54679268	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with pleuritic chest pain and fever. COMPARISON: None available	No acute intrathoracic process.
11647990	AP view of the chest demonstrates low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size top normal. Prominent perihilar vascular congestion is noted. Prominent interstitial markings are noted with scattered focal opacities. Sternotomy wires appear intact. Surgical changes related to CABG are noted.	53919340	INDICATION: Chest pain. COMPARISONS: CT chest of the same date and chest radiograph of ___.	Prominent interstitial markings, likely reflect pulmonary edema with possible superimposed infection. Underlying interstitial lung disease may also be present.
11228114	PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.	56383370	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for pneumothorax.	No acute intrathoracic process.
11959178	Heart size is top normal. The right mediastinal contour in the region of the ascending aorta appears abnormally prominent. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Marked gaseous distention of the bowel loops within the left upper quadrant of abdomen results in elevation of the left hemidiaphragm.	59941572	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	Unusual right mediastinal contour, potentially reflective of a prominent ascending aorta, which can be further assessed with CT. Otherwise, no acute cardiopulmonary abnormality.
11319919	Lung volumes are low compared to prior radiograph from ___, accentuating the cardiac contour and pulmonary vasculature. No evidence of pneumonia are pulmonary edema. No pleural effusion or pneumothorax.	53016602	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with seizure, etoh abuse, confusion // evaluate for acute process, aspiration TECHNIQUE: Chest PA and lateral COMPARISON: ___	Low lung volumes. No evidence of pulmonary edema or aspiration.
11200663	Portable supine chest radiograph. Nasogastric tube courses into the stomach. Endotracheal tube terminates 1.9 cm above the carina and should not be advanced any further. While it is likely in satisfactory position, it is difficult to ascertain on this image if the head is flexed or extended. The lungs are slightly low in volume. Multifocal interstitial and parenchymal abnormalities are nonspecific and could reflect asymmetric pulmonary edema with a slight left-sided predominance. Fullness of the AP window and hila may reflect coexistent adenopathy, which could be confirmed with post-treatment radiographs. There is no pleural effusion or pneumothorax. The heart is enlarged, particularly the left atrium given splaying of the carina.	52853126	HISTORY: Altered mental status, intubated. Assess for pneumonia and tube placement. COMPARISON: None.	Multifocal interstitial and parenchymal abnormality may reflect asymmetric edema ET tube is 1.9 cm above the carina and should not be advanced further; though the exact tube position is uncertain given unclear head position. Fullness of hila and AP window can be reassessed after treatment. Findings discussed with Dr. ___ by Dr. ___ by phone at ___ on ___.
11618766	The lungs are hyperinflated, suggesting small airway obstruction or even emphysema, but clear of focal abnormality. There has not been much change in lung volumes since at least ___. The cardiomediastinal silhouette, hilar structures, and pleural surfaces are normal. No pneumothorax.	55587493	FINAL ADDENDUM ADDENDUM Upon re-review a subtle 1.3 cm nodule is seen projecting over the inferior border of the anterior ___ left rib. A CT chest exam is recommended for further workup. The findings were discussed by Dr. ___ with Dr. ___ on the telephoneon ___ at 1:33 PM, 20 minutes after discussion with attending. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___ year old man with 4 weeks of dry cough // Assess for cardiopulmonary disease TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___	No evidence of pneumonia. A chronic hyperinflation, either emphysema or small airway obstruction.
11618766	The lungs are clear. The cardiomediastinal silhouette is unremarkable. Mild pectus deformity. No pleural effusions or pneumothorax.	59092970	INDICATION: ___ year old man with night sweats // ? abnormality TECHNIQUE: Chest PA and lateral COMPARISON: No prior for comparison	No radiographic evidence of acute cardiopulmonary abnormality.
11435965	The lungs are normally expanded and clear. Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There are large flowing anterior and left lateral osteophytes emanating from the thoracic spine.	53204850	INDICATION: ___ year old woman with SOB. Has ___ of DMt2, htn and ckd // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available	No acute cardiopulmonary abnormality.
11639652	Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. Increased opacity at the bilateral bases, left greater than right, is most prominent in the retrocardiac region. Additional patchy opacity is present in the right middle lobe, partially obscuring the right heart border Note is made of a small left-sided pleural effusion. There cardiac silhouette is unchanged. The aorta remains tortuous. There is no pneumothorax.	55828468	WET READ: ___ ___ ___ 3:45 AM 1. Increased opacity at the left base may represent atelectasis, however pneumonia could be considered in the proper clinical setting. 2. Small left pleural effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with sob. h/o copd // pna? TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___	Bibasilar opacities favor atelectasis. Additional patchy right middle lobe opacity could reflect atelectasis or infectious pneumonia. Short-term followup radiographs may be helpful in this regard. . Small left pleural effusion.
11099437	Single portable view of the chest. There are new, multifocal regions of consolidation identified in the retrocardiac region and the right mid-upper lung. The cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unchanged noting calcific densities projecting over the left chest wall as on prior.	57080646	HISTORY: ___-year-old male with cough. COMPARISON: ___.	Multi focal regions of consolidation at the left lung base and right mid-upper lung compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution.
11099437	Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with flattening of the diaphragms, consistent with patient's history of COPD. Otherwise, the lungs are clear with no focal opacity concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is appreciated. Again seen is symmetric bilateral apical pleural thickening, unchanged.	53448019	HISTORY: Moderate COPD with recent cough and cold symptoms. Evaluate for pneumonia. COMPARISON: ___.	No evidence of pneumonia.
11099437	Minimal basilar atelectasis is seen. The lungs remain hyperinflated. There are subtle nodular opacities in the right upper lobe, as also mentioned on the prior study, similar, at which time chest CT was recommended. The cardiac and mediastinal silhouettes are stable.	58342886	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with weakness // etiology of weakness TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Mild basilar atelectasis. Again noted subtle nodular opacities in the right upper lobe, similar to prior, as also mentioned on the prior study at which time follow-up chest CT was recommended.
11099437	Frontal and lateral radiographs demonstrate hyperinflated lungs and flattening of bilateral diaphragms consistent with patient's history of COPD. Minimal nonspecific basilar scarring is unchanged since prior examinations. Focal opacification within the right lower lobe partially obscures medial right hemidiaphram contour. No pneumothorax or pleural effusion is identified. Cardiomediastinal and hilar contours otherwise unremarkable. Small calcifications within the axilla and right supraclavicular region are similar to an oval-shaped right midlung opacification, unchanged when compared to prior examinations. This may represent a focal consolidation or be located externally on the skin.	53905573	HISTORY: ___-year-old male with COPD and new cough. COMPARISON: Chest radiograph dated ___.	Possibly early right basilar pneumonia. Recommend followup radiographs ___ weeks post treatment.
11820912	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	54110190	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with 3 days of burning L chest pain // presence of pneumonia, hiatal hernia, pneumothorax? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11388607	The lungs are well expanded and clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54586614	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with reflux symptoms, diaphoresis // any cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11484147	PA and lateral views of the chest demonstrate well-expanded clear lungs. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax.	53869190	INDICATION: ___-year-old with shortness of breath and chest pain, evaluate for pneumonia. COMPARISON: None.	No acute intrathoracic abnormality.
11012637	The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is noted.	52868514	INDICATION: ___-year-old male with abdominal lacerations. Evaluate for evidence of pneumothorax. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.	No evidence of pneumothorax or abdominal free air.
11012637	The lungs are well expanded and clear. Hila and cardiomediastinal contours are normal. There is no evidence of pleural effusion, pneumothorax, pulmonary edema, or pneumonia.	58960641	INDICATION: ___ year old man with hx of heroin use and recent pneumonia w/cough // R/O pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	No evidence of pneumonia.
11012637	The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded clear. There is no focal consolidation, pleural effusion or pneumothorax.	56302250	EXAMINATION: Chest radiograph. INDICATION: ___M with pleuritic RUQ pain // any e/o PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11012637	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	58285048	INDICATION: ___-year-old male with right upper quadrant pain and wheezing. COMPARISON: Multiple prior chest radiographs, most recent on ___ and ___. TECHNIQUE: PA and lateral chest radiographs.	Unremarkable chest radiographic examination.
11012637	PA and lateral views of the chest were provided. There is no definite sign of pneumonia or CHF. No large pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact.	56854359	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cough and productive sputum, rhonchi in the right lower lobe. Assess for pneumonia.	No signs of pneumonia.
11027433	Portable AP upright chest radiograph was obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Left greater than right shoulder degenerative disease is greater than expected for age.	54969284	HISTORY: Asthma exacerbation, assess for edema or pneumonia. COMPARISON: None.	No acute intrathoracic process.
11027433	The lungs are normally expanded. Haziness in the right infrahilar region is somewhat more prominent since the prior study. No other focal airspace opacity is detected. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There is prominence of predominantly large bowel in the upper abdomen, although this is nonspecific.	57666126	INDICATION: Asthma exacerbation and fevers. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Portable AP semi-upright radiograph of the chest.	Haziness in the right infrahilar region could reflect pneumonia.
11723660	Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Again seen within the right lower lobe is an approximately 2 cm rounded mass, perhaps slightly larger compared to the prior CT and new from the prior chest radiograph, and compatible with metastasis. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild to moderate degenerative changes are noted in the thoracic spine.	54794642	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___, chest radiograph ___	Re- demonstration of right lower lobe pulmonary metastasis, perhaps larger compared to the prior CT. No radiographic evidence for pneumonia.
11723660	Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable and unchanged. The pulmonary vasculature is not engorged. Ring-like 5.5 cm opacity within the right lower lobe is compatible with the known malignancy, and contains ___ fiducial markers within it. Compared to the previous radiograph, the central portion of this mass is now radiolucent. No new focal consolidation, pleural effusion or pneumothorax is present. There mild degenerative changes seen in the thoracic spine	58305643	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old woman with dizziness, history of malignancy TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, CT chest ___, CT intervention ___	5.5 cm right lower lobe mass compatible with known malignancy contains 2 fiducial markers within it and now demonstrates central lucency, new from the previous radiograph. No acute cardiopulmonary abnormality otherwise demonstrated.
11723660	PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. There is mild degenerative disease in the mid thoracic spine.	52074737	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cough and weakness, assess for acute intrathoracic process.	No acute intrathoracic process.
11723660	Circumscribed, well defined focal nodular opacity in the right lower lobe has progressively increased in size from ___ and ___, now measuring 4.4 x 3.8 x 4.3 cm. Mediastinal contours, hilar, and cardiac silhouette is normal. There is no pleural effusion or pneumothorax.	56720716	INDICATION: ___ year old woman with cough productive of small amount of blood // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___. CT of the chest from ___.	Growing right lower lobe mass concerning for neoplasm despite prior negative bronchoscopic biopsy . Repeat biopsy is recommended to exclude underlying malignancy.
11723660	There is a hematoma in the right lower lung adjacent to the site of recent bronchoscopic biopsy. There is no pneumothorax or hemothorax. There is no focal consolidation or pleural effusion. Cardiomediastinal contours are unchanged.	56550684	EXAMINATION: Portable AP chest INDICATION: ___ year old woman with peripheral lung nodule and mediastinal LAD s/p EBUS. Eval for ptx // pneumothorax? Evaluate for pneumothorax TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___	Hematoma in the right lower lung adjacent to site of recent bronchoscopic biopsy. No pneumothorax or hemothorax.
11723660	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine, similar to prior.	58211325	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, fatigue. COMPARISON: ___.	No acute cardiopulmonary process.
11324834	Endotracheal tube terminates approximately 2 cm above the level of the carina. Enteric tube courses below the diaphragm, out of the field of view. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.	52177765	WET READ: ___ ___ ___ 2:44 PM Endotracheal tube terminates approximately 2 cm above the level of the carina ; could be withdrawn approximately 1 cm for more optimal positioning. Enteric tube courses below the diaphragm, at of the field of view. No focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with spont SAH, intubated* WARNING * Multiple patients with same last name! // eval for ETT placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 09:55 at an outside institution	Endotracheal tube terminates approximately 2 cm above the level of the carina ; could be withdrawn approximately 1 cm for more optimal positioning. Enteric tube courses below the diaphragm, at of the field of view. No focal consolidation.
11885685	Cardiomediastinal contours are stable with mild cardiomegaly. The lungs are mildly hyperinflated. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine	53864199	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with left lower lobe parenchymal opacity with air bronchograms that is ill-defined, ___. F/U. // F/U opacity TECHNIQUE: Chest PA and lateral COMPARISON: ___	Resolved left lower lobe pneumonia
11885685	AP and lateral chest radiograph demonstrate symmetrically hyperexpanded lungs with flattening of bilateral hemidiaphragms which may reflect COPD. Linear opacities within the right middle lobe likely reflect atelectasis. No focal opacity is seen concerning for infection. The cardiac and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.	54378959	INDICATION: ___-year-old female with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No focal opacity concerning for pneumonia is identified. Hyperexpanded lungs with bilateral flattening of hemidiaphragms is suggestive of chronic obstructive pulmonary disease.
11462136	Mildly low lung volumes resulting crowding of bronchovascular structures. There is no lobar consolidation, large pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits.	56900132	EXAMINATION: Chest radiograph. INDICATION: History: ___M with ams please r/o pna // pna? TECHNIQUE: Portable AP view of the chest. COMPARISON: None available.	Low lung volumes without evidence of acute cardiopulmonary process.
11675773	There is mild cardiomegaly. The hilar and mediastinal contours are normal. There has been interval placement of a left-sided pacemaker with the leads in the right atrium and right ventricle in appropriate position. There is no pneumothorax or pleural effusion. No focal consolidations concerning for infection are identified.	59677970	WET READ: ___ ___ ___ 7:21 PM No pneumothorax or pleural effusion status post left pacemaker placement with leads in appropriate position. ______________________________________________________________________________ FINAL REPORT INDICATION: History of left pacemaker placement. Please evaluate for pneumothorax. COMPARISON: Chest radiograph from ___. TECHNIQUE: Single AP portable exam of the chest.	No evidence of a pneumothorax status post left pacemaker placement with leads in the appropriate position.
11675773	Frontal and lateral radiographs of the chest demonstrate mildly enlarged heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.	58253335	HISTORY: 3rd degree heart block, evaluate for cardiomegaly COMPARISON: None available	Mildly enlarged heart size.
11803381	PA and lateral views of the chest provided. The heart appears mildly enlarged. There is a band of atelectasis versus in the left lower lung. Mild nodularity along a band of scarring in the right mid lung is also noted. No overt signs of pneumonia or edema. No large effusion or pneumothorax. A tracheal stent is again seen. Given slight rotation evaluation for subtle changes in cardiomediastinal silhouette is limited. High-riding left humeral head is unchanged.	54875416	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, tracheobronchomalacia; pseudomonas and coag + staph on wash COMPARISON: ___	No significant interval change.
11858002	The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild linear opacity at the right lung base extending towards the hilum likely reflects subsegmental atelectasis. Irregular calcification projecting over the left upper lung field may reflect calcified pleural plaques. The cardiomediastinal silhouette is unremarkable in appearance. No evidence of free air beneath the diaphragm. No displaced rib fracture.	55646314	EXAMINATION: Portable chest radiograph INDICATION: History: ___M with cough TECHNIQUE: AP portable view of the chest. COMPARISON: None available.	Probable linear right lower lobe atelectasis. Otherwise, no acute cardiopulmonary process.
11406743	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	58753076	WET READ: ___ ___ ___ 5:05 PM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with substernal chest pain x 2 days worse with breathing. // ?pneumonia, widened mediastinum COMPARISON: None	No acute intrathoracic process.
11290019	No focal consolidation to suggest pneumonia. No pulmonary edema. Heart size is normal. No pleural effusion or pneumothorax multiple healing rib fractures on the left are chronic.	56799971	INDICATION: Dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary process.
11290019	Increased opacity in the right lung base seen best on lateral view could represent a developing infection. No pleural effusion or pneumothorax. Heart size and mediastinal contours are within normal limits.	55358147	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with newly diagnosed RPGN also with recent cyclical fevers and productive cough. // Evidence of PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___	Heterogeneous new right lower lobe opacity concerning for developing infection.
11290019	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear with resolution of recently described heterogeneous right lower lobe opacities. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Healed left rib fractures are again demonstrated as well as slight elevation of the left hemidiaphragm	53698287	EXAMINATION: CHEST (PA AND LAT) INDICATION: Pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___.	No current evidence of pneumonia.
11290019	The lung volumes are slightly lower than on the prior study, accentuating perihilar structures. The cardiomediastinal silhouette is stable. There is no pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. Multiple old left-sided rib fractures are again seen.	50804227	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with shortnes of breath // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to prior chest radiographs from ___.	Low lung volumes. Otherwise, no acute cardiopulmonary process.
11290019	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Re- demonstrated are multiple old left-sided rib deformities and mild eventration of the left hemidiaphragm.	54585305	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11399502	Frontal and lateral views of the chest demonstrate slightly low lung volumes accentuating bronchovascular crowding and a prominent cardiac silhouette. The mediastinal and hilar contours are within normal limits. There is no pneumothorax, vascular congestion, or large effusion. Multilevel moderate thoracic spondylosis is present.	53680368	INDICATION: ___-year-old male with right rib pain. Question effusion. COMPARISON: None available.	Prominent cardiac silhouette. No displaced rib fracture. No significant pleural effusion.
11810079	PA and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. A stent is again seen in the LAD.	56726478	INDICATION: Chest pain, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.	No acute cardiopulmonary process.
11810079	A left-sided chest tube has been removed. Patchy similar left basilar opacity suggests minor atelectasis. There is minimal new streaky right basilar opacification suggesting again minor atelectasis, not substantial. There is no pneumothorax or pleural effusion.	50464486	CHEST RADIOGRAPH HISTORY: Status post recent cardiac surgery with removal of chest tubes. COMPARISONS: Prior day. TECHNIQUE: Chest, portable AP upright.	No evidence for pneumothorax status post chest tube removal.
11810079	The patient has been extubated. A right internal jugular venous catheter terminates in the mid superior vena cava. There are two mediastinal drains as well as a left-sided chest tube in unchanged positions. A percutaneous pacing wire is also noted.Streaky opacities suggest minimally atelectasis at the lung bases, but the lungs are mostly clear. The appearance of a possible air-fluid level over the mid right chest does not persist on follow-up radiography.	54754471	CHEST RADIOGRAPH HISTORY: Status post cardiac surgery. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.	Anticipated post-operative findings. No evidence for pneumothorax.
11744631	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	59720491	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fevers // Infiltrate? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11286186	Frontal and lateral chest radiographs again demonstrate a left chest wall vagal stimulator, unchanged in position. The cardiomediastinal silhouette is normal and the lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	56473428	INDICATION: Evaluate for infection or acute process in a patient with increased seizure frequency. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___.	No acute cardiopulmonary process.
11286186	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A vagal nerve stimulator overlying the left hemithorax is unchanged.	57909540	INDICATION: ___-year-old female with chills. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: PA and lateral chest radiograph.	No acute cardiopulmonary process.
11286186	PA and lateral views of the chest are compared to previous exam from ___. Left-sided vagal nerve stimulator is seen with device overlying the left upper lung. Where seen, the lungs are clear. There is no effusion or infiltrate. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.	51682950	CHEST, TWO VIEWS, ___. HISTORY: ___-year-old female with seizure. Question infiltrate.	No acute cardiopulmonary process.
11286186	Vagal stimulator is noted overlying the left upper chest. The lungs are clear with no focal consolidation or pleural effusion. Cardiomediastinal silhouette is normal.	52561942	EXAMINATION: Chest radiograph INDICATION: ___F with seizure d/o, multiple seizures, cough / TECHNIQUE: Chest PA and lateral COMPARISON: ___	No evidence of pneumonia or aspiration.
11286186	Left pectoral vagal stimulator is in unchanged position. There is no focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is normal size.	52338870	INDICATION: History: ___F with likely seizure (with a history), WBC // Eval infectious work-up TECHNIQUE: Chest AP and lateral COMPARISON: ___	No radiographic evidence of pneumonia.
11047975	Left suprahilar opacity more likely represents vascular structures or possible focal consolidation rather than mass given that would no mass/nodule seen dislocation on prior CT from ___. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The patient is status post median sternotomy and CABG.	55528903	HISTORY: Altered mental status, history of liver cancer. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. Reference made to chest CT from ___.	Subtle left suprahilar opacity most likely represent vascular structure or possible consolidation given that no pulmonary nodule or mass is seen at this location on chest CT from ___.
11210652	PA and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size is within normal limits. No typical configurational abnormality is identified. The thoracic aorta is generally widened and elongated and this includes the ascending portion. There is however no evidence of local contour abnormalities. Relatively high positioned diaphragms are present and account for crowded appearance of the pulmonary vasculature on the bases. In addition, there are a few linear thin peripheral plate atelectasis but no evidence of acute pneumonic infiltrates is present. Lateral and posterior pleural sinuses are free. No acute infiltrates in the lung fields bilaterally and no pneumothorax in the apical area. Degenerative changes in the lower thoracic spine have advanced somewhat, but no local vertebral body compression fracture is noted.	54202439	DATE: ___. TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with dyspnea, evaluate for CHF.	Stable chest findings with poor inspirational effort and low respiratory volumes with basal plate atelectasis but no evidence of acute pneumonic infiltrate.
11544082	Emphysema is severe. Calcific left fibrothorax restricts the volume of the left lung and obscures its structure. There may be a nodule in the right lung at the level of the anterior right fifth rib. A small pneumonia would likely be missed, detectable only by CT scanning. Heart size in normal and there is no pulmonary edema.	54084658	HISTORY: COPD, evaluate for pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, three views.	Severe emphysema. Restrictive calcific left fibrothorax. Possible left lung nodule. Any small pneumonia unrecognizable. Chest CT suggested.
11269475	Cardiomediastinal silhouette is within normal limits. There is mild atelectasis at the left base. There may be a trace pleural effusion in the posterior sulcus. There is no focal consolidation. No pneumothorax. Multiple at acute rib fractures are better seen on the CT scan from earlier today.	55807133	INDICATION: History: ___F with fall and cp // pre op TECHNIQUE: Chest AP and lateral COMPARISON: Chest CT from ___	Minimal atelectasis and possible trace diffusion. No consolidation. Multiple acute rib fractures are better evaluated on the CT scan from earlier today. No pneumothorax.
11475050	There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Dense mitral annular calcifications are noted. No acute osseous abnormalities identified. Median sternotomy wires are intact.	51868004	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with several days exertional CP, concern for unstable angina // Acute cardiopulm process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute intrathoracic process.
11475050	The patient is status post sternotomy. There has been prior aortic valve replacement. The cardiac, mediastinal and hilar contours appear unchanged. There is a new diffuse mild-to-moderate interstitial abnormality most suggestive of congestive heart failure. Streaky left basilar opacities suggest atelectasis. There are small new pleural effusions as well. The bones appear demineralized. Slight loss in height of mid-to-lower lumbar vertebral bodies appears similar. There are two moderate biconcave lower thoracic compression deformities; the more superior, in the mid thoracic spine, appears somewhat increased. Anterior flowing osteophytes are similar along the spine.	56540529	CHEST RADIOGRAPH HISTORY: Shortness of breath, cough, and chest pain. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.	New mild-to-moderate interstitial abnormality, most suggestive of congestive heart failure.
11475050	PA and lateral views of the chest provided. Patient is status post median sternotomy with wires intact and in proper alignment. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal. Mitral annular calcifications are unchanged from ___. Moderate levoscoliosis is unchanged.	58843092	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with 3 days cough, extreme malaise, myalgias. Reports green phelgm. PMHx CHF, Bioprothetic Valve, Aortic Stenosis, Essential Thrombocytopenia, Hypertension, Carotid Stenosis // r/o pneumonia COMPARISON: Chest radiograph ___	No focal consolidations. Mitral annular calcifications are unchanged from ___.
11475050	Resolution of mild pulmonary edema with improvement of mild bilateral pleural effusion. There is still residual small left lower lobe atelectasis. Patient with prior history of median sternotomy with aortic valve replacement. There is heavily calcified mitral annulus.	58557593	PA AND LATERAL CHEST X-RAY INDICATION: Patient with recent CHF followup. COMPARISON: ___.	Resolution of the mild pulmonary edema.
11475050	Frontal and lateral views of the chest demonstrate mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. Aortic arch calcifications are noted. Sternotomy wires are intact. Mitral annular calcifications are noted.	52351330	INDICATION: Worsening dyspnea on exertion. COMPARISONS: ___, ___, ___.	Mild pulmonary vascular congestion.
11620222	There are no old films available for comparison. The heart is mildly enlarged. There is volume loss/early infiltrate in both lower lobes with obscuration of the right mid hemidiaphragm and left heart border. There is mild pulmonary vascular redistribution.	56105924	CHEST HISTORY: CHF.	Bilateral lower lobe infiltrates.
11439618	The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar structures are unremarkable.	57634548	HISTORY: Palpitations, fatigue and chills. Evaluate for pneumonia or cardiomegaly. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11136528	Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified. Degenerative changes noted at the right acromioclavicular joint.	54869484	HISTORY: ___-year-old male status post MVC with right shoulder pain. COMPARISON: ___.	No acute cardiopulmonary process. Consider dedicated shoulder films for better assessment of this area.
11201372	Comparison is made to prior study from ___. Heart size is normal. Lungs are clear. Bony structures are intact.	58801281	CLINICAL HISTORY: ___-year-old woman with cough and positive PPD.	No signs for acute cardiopulmonary process.
11679839	Heart is upper limits of normal in size, and pulmonary vascularity is normal. A vague opacity in the right upper lobe is present, and is difficult to fully characterized due to superimposition of the right scapular margin and absence of a lateral view. Differential diagnosis includes focal aspiration, localized edema, hemorrhage and infection, as well as a pneumonic formal of lung adenocarcinoma. Apparent Tubular calcifications in the left upper quadrant of the abdomen could be vascular or related to the spleen or left kidney.	51524574	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p STEMI. // assess for pulmonary edema COMPARISON: None available	Airspace opacity in right upper lobe of uncertain chronicity and etiology as described. Initial further evaluation with dedicated PA and lateral chest radiographs is recommended in the patient's condition permits
11174340	Lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Increased density projecting over left lateral aspect of the chest is compatible with breast implant.	52665135	INDICATION: ___ year old woman with cough // eval for pneumonia, acute process TECHNIQUE: Single portable view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11174340	No focal consolidation and no evidence pneumonia. No pulmonary edema. No pleural effusions or pneumothorax. Bilateral vascular congestion noted. Stable moderate cardiomegaly. No evidence of free air under the diaphragm.	50876982	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F POD4 from open cholecystectomy now w/ increased abd pain, distension, and confusion. // ?pneumonia or air under diaphragm TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___	Mild vascular congestion bilaterally. No evidence pneumonia or free air under the diaphragm.
11192090	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.	53240683	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with chest pain // please evaluate TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: None.	No acute cardiopulmonary abnormality.
11202972	Lung volumes are decreased, accentuating the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Clips in the axilla are seen in the lateral view.	50947605	HISTORY: Cough, shortness of breath. Evaluate for infiltrate. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.	No acute cardiopulmonary process.
11202972	PA and lateral views of the chest were obtained. Heart is top normal in size. Cardiomediastinal contour is stable. Lungs are clear. Right basilar opacities likely represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax.	52968911	INDICATION: ___-year-old woman with shortness of breath and cough. COMPARISON: Multiple prior radiographs, most recently ___.	No acute intrathoracic process.
11202972	PA and lateral views of the chest provided. Multiple surgical clips are noted in the right axilla. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. Pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.	54715677	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with SOB COMPARISON: ___	No acute intrathoracic process.
11649342	Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.	56991616	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11372768	The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.Bony callus about a deformity of the mid left seventh posterior rib is new since the chest radiograph from ___, but does not appear acute.	54269946	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fatigue. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	No evidence of pneumonia. Bony deformity of the left seventh posterior rib does appears chronic.
11372768	The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Again seen is a fracture of the left seventh rib posteriorly with callus formation. Degenerative changes are present throughout the thoracic spine.	56428568	INDICATION: ___-year-old woman with weakness. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___	No acute cardiopulmonary process.
11258835	Aside from a tortuous or aorta unchanged in position, the cardiomediastinal silhouette is unremarkable. The lungs are clear bilaterally. No pleural effusion or pneumothorax is seen.	58620025	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with tachycardia // eval for congestion TECHNIQUE: PA and lateral chest films COMPARISON: ___	No radiographic evidence for congestion is seen.
11523234	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the abdomen noted on the lateral view. Clip sulcal project over the neck.	57612369	INDICATION: ___F with fever 105 // Eval for pna TECHNIQUE: Frontal and lateral views of the chest COMPARISON: None.	No acute cardiopulmonary process.
11523234	Endotracheal tube tip terminates approximately 4.9 cm from the carina. Lung volumes are low compared to the prior study. This accentuates the cardiomediastinal silhouette size which appears borderline enlarged. Crowding of bronchovascular structures is present without overt pulmonary edema. Hazy and patchy bibasilar opacities likely reflect atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. Clips are seen within the neck bilaterally compatible with recent thyroidectomy.	57767152	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation // evaluate for ETT placement TECHNIQUE: Supine AP view of the chest COMPARISON: ___ at 14:53	Endotracheal tube in standard position. Low lung volumes with bibasilar atelectasis.
11068934	Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is of unknown chronicity. There is adjacent mild atelectasis in the right lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple clips are seen in the right upper quadrant of the abdomen. No subdiaphragmatic free air is present.	51356437	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with right upper quadrant pain, had ERCP 1 week ago // please evaluate for free air TECHNIQUE: Chest PA and lateral COMPARISON: None.	Elevation of the right hemidiaphragm of unknown chronicity with mild adjacent right basilar atelectasis. No subdiaphragmatic free air.
11867181	The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A right Port-A-Cath ends in the right atrium. Gaseous distention of bowel is better assessed on the concurrent CT.	59329286	INDICATION: Constipation. Evaluate for pneumonia. COMPARISON: ___, CT ___. FRONTAL AND LATERAL	No pneumonia, edema, or effusion.
11867181	PA and lateral radiographs demonstrate a minimal left lower lobe opacity, similar to the prior radiographs. This likely represents atelectasis. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	58813862	HISTORY: ___ year old woman with cough and fever. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.	Minimal left basilar atelectasis, similar to the prior study. No evidence of pneumonia.
11867181	The heart size is normal. The aorta is slightly unfolded. Mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal streaky linear opacity in the left lung base likely reflects atelectasis. There are no acute osseous abnormalities.	54610788	HISTORY: Fevers. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Minimal left basilar atelectasis.
11508810	The heart size is top normal. The hilar mediastinal contours are normal. No focal consolidations concerning for infection are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.	55951193	INDICATION: History: ___F with hip fracture // pre-op CXR TECHNIQUE: Portable supine radiograph of the chest. COMPARISON: None.	No acute intrathoracic abnormalities identified.
11984152	The cardiac silhouette is normal in size. The descending aorta is tortuous. The hilar and mediastinal contours are otherwise within normal limits. Mild blunting of left costophrenic angle could be secondary to a small pleural effusion. There is mild bibasilar atelectasis. No new focal consolidation or pneumothorax identified. Air-filled loops of bowel are noted in the left upper quadrant.	58049806	EXAMINATION: Chest radiographs. INDICATION: ___M with CP/SOB ? PNA TECHNIQUE: Chest PA and lateral COMPARISON: Abdominal/pelvic CT from ___ and chest radiograph from ___.	Bibasilar atelectasis and mild blunting of the left costophrenic angle which could be secondary to a small pleural effusion. No new focal consolidation.
11693627	The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. There is no free air beneath the right hemidiaphragm.	53925836	INDICATION: ___-year-old woman with history of ulcerative colitis, now with worsening fever and diarrhea, here to evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.	No acute cardiopulmonary process.
11100401	Chest PA and lateral radiograph demonstrates unremarkable hilar, and cardiac contours. There is a small irregularity in the contour of the aortic arch. Bilateral low lung volumes cause vascular crowding. No focal opacification evident. No pleural effusion or pneumothorax identified. No displaced fractures present.	55642242	INDICATION: Motor vehicle collision, transferred from outside hospital, please evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available for comparison.	Abnormal contour of aortic arch may represent clinically insignificant anatomic variant or represent a significant finding, depending on the mechanism of injury. ___ conveyed these findings to Dr ___ at ___:___ on ___.
11600572	There are low lung volumes. Bibasilar opacities are likely atelectasis, superimposed infection cannot be excluded. Bilateral effusions are small. Cardiomegaly is stable. Right central catheter tip is in the mid SVC. There is no pneumothorax	54053674	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with AML on induction chemo, neutropenic, with cough, crackles and decreased breath sounds in right lung base on exam // Please eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___	Bibasilar opacities likely atelectasis, superimposed infection cannot be excluded. Bilateral effusions
11600572	The lung volume is small. No consolidation. The hila and pulmonary vasculature are normal. No pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged. Mediastinal silhouette is stable.	52885301	INDICATION: ___ year old man s/p stem cell transplant w/persistent tachycardia, r/o infection. // ?PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process.
11600572	Right subclavian catheter ends in the mid SVC. Increasing, mild pulmonary edema with persistent bibasilar atelectasis. Worsening consolidation in the right lower lung may reflect atelectasis or pneumonia. Stable, mild cardiomegaly.	54229104	EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of AML status post chemotherapy, now with neutropenic fever, hypoxia, and tachypnea. Evaluate for pulmonary edema or pneumonia. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___.	Worsening consolidation in the right lower lung could reflect pneumonia. Increasing, mild pulmonary edema.
11600572	Right-sided internal jugular catheter is stable in good position. Mild interstitial pulmonary edema persists. A new peripheral rounded opacity in the right lower lobe could represent loculated pleural fluid versus a peripheral consolidation that is infection or infarction. Left basal opacity and effusion are unchanged.	53954502	INDICATION: ___ year old man with neutropenia fever, fungal pneumonia now with worsenign tachypnea // ? pulm edema vs worsenign pulm infiltrate/infection TECHNIQUE: Portable COMPARISON: ___	Mild interstitial pulmonary edema unchanged. New peripheral rounded opacity in the right lower lobe could be loculated pleural fluid or new infection or infarction.
11875736	The heart is normal in size. There is mild tortuosity of the aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Moderate anterior osteophytes are present along the lower thoracic spine.	59471226	CHEST RADIOGRAPHS HISTORY: Right-sided rib and right upper quadrant pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11958040	There is engorgement of the central vasculature with mild pulmonary edema. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unchanged. Old right rib fractures are again seen.	59435013	HISTORY: Hypoxia, evaluate for pneumonia or volume overload. COMPARISON: Chest radiographs ___. CTA chest ___.	Unchanged mild pulmonary edema.
11958040	Pacer pad overlies to right upper outer chest. No focal consolidation is seen. There is no large pleural although there is slight blunting of the right costophrenic angle and a trace effusion would be difficult to exclude. There is mild-to-moderate pulmonary vascular congestion. The cardiac and mediastinal silhouettes are stable. Slight deformities of the posterior right sixth and seventh ribs may be due to prior rib fractures.	51594350	EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Question widened mediastinum. COMPARISON: ___ earlier the same date at 11:04 a.m. at___.	Stable cardiomediastinal silhouette. Pulmonary vascular congestion.

11472206

The quality of the image is limited due to patient's body habitus. Allowing for these limitations, lung volumes are low, without focal opacities. Assessment of the left lung base is limited due to obscuration by severe cardiomegaly which is not significantly changed compared with prior exam. Mediastinal widening is secondary to mediastinal fat better assessed in prior CT. There is no evidence of pleural effusion or pneumothorax. A linear lucency crossing across the soft tissues in the left as well as the left lower lung field represents air trapped in a skinfold underneath the breast tissue. Sternotomy wires are intact.

50510043

INDICATION: ___-year-old male with shortness of breath. Evaluate for evidence of pulmonary edema. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: Portable upright chest radiograph.

Severe cardiomegaly, unchanged from prior. Otherwise, no evidence of acute cardiopulmonary process.

11472206

Frontal and lateral views of the chest are provided. Lung volumes are low. The heart is mildly enlarged, though this is stable. Midline sternotomy wires and mediastinal clips are again noted. There is no definitive sign of pneumonia or overt CHF. There is a small left pleural effusion noted. Bony structures are intact. No free air below the right hemidiaphragm.

54355121

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ and chest CT from ___. CLINICAL HISTORY: Dyspnea, rule out CHF.

Mild cardiomegaly, small left pleural effusion. Otherwise, unremarkable.

11063610

The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. Streaky right basilar opacity suggests scarring. A vague patchy density projects over the left mid to lower lung, probably in the lingula, but not well characterized. There is no evidence for pleural effusion or pneumothorax. An old healed right posterolateral sixth rib fracture is unchanged.

57692644

CHEST RADIOGRAPH HISTORY: Cough. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable.

Patchy opacity in the lingula raising concern for pneumonia; however not well characterized on a portable radiography, and if further delineation is needed clinically, then standard PA and lateral radiographs may be helpful if feasible.

11742797

The heart size is normal. The mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.

57943881

INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary abnormality.

11413164

AP portable upright view of the chest. No free air seen below the right hemidiaphragm. Chronic scarring at the right lung base with associated pleural thickening is similar to prior CT. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No acute osseous abnormality. Surgical anchors of the left humeral head noted.

55545654

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M s/p colonoscopy, now with abdominal pain // free air? COMPARISON: Prior study from ___ and chest CT from ___.

No acute intrathoracic process. No signs of pneumoperitoneum.

11730476

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

54679268

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with pleuritic chest pain and fever. COMPARISON: None available

No acute intrathoracic process.

11647990

AP view of the chest demonstrates low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size top normal. Prominent perihilar vascular congestion is noted. Prominent interstitial markings are noted with scattered focal opacities. Sternotomy wires appear intact. Surgical changes related to CABG are noted.

53919340

INDICATION: Chest pain. COMPARISONS: CT chest of the same date and chest radiograph of ___.

Prominent interstitial markings, likely reflect pulmonary edema with possible superimposed infection. Underlying interstitial lung disease may also be present.

11228114

PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.

56383370

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

No acute intrathoracic process.

11959178

Heart size is top normal. The right mediastinal contour in the region of the ascending aorta appears abnormally prominent. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Marked gaseous distention of the bowel loops within the left upper quadrant of abdomen results in elevation of the left hemidiaphragm.

59941572

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

Unusual right mediastinal contour, potentially reflective of a prominent ascending aorta, which can be further assessed with CT. Otherwise, no acute cardiopulmonary abnormality.

11319919

Lung volumes are low compared to prior radiograph from ___, accentuating the cardiac contour and pulmonary vasculature. No evidence of pneumonia are pulmonary edema. No pleural effusion or pneumothorax.

53016602

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with seizure, etoh abuse, confusion // evaluate for acute process, aspiration TECHNIQUE: Chest PA and lateral COMPARISON: ___

Low lung volumes. No evidence of pulmonary edema or aspiration.

11200663

Portable supine chest radiograph. Nasogastric tube courses into the stomach. Endotracheal tube terminates 1.9 cm above the carina and should not be advanced any further. While it is likely in satisfactory position, it is difficult to ascertain on this image if the head is flexed or extended. The lungs are slightly low in volume. Multifocal interstitial and parenchymal abnormalities are nonspecific and could reflect asymmetric pulmonary edema with a slight left-sided predominance. Fullness of the AP window and hila may reflect coexistent adenopathy, which could be confirmed with post-treatment radiographs. There is no pleural effusion or pneumothorax. The heart is enlarged, particularly the left atrium given splaying of the carina.

52853126

HISTORY: Altered mental status, intubated. Assess for pneumonia and tube placement. COMPARISON: None.

Multifocal interstitial and parenchymal abnormality may reflect asymmetric edema ET tube is 1.9 cm above the carina and should not be advanced further; though the exact tube position is uncertain given unclear head position. Fullness of hila and AP window can be reassessed after treatment. Findings discussed with Dr. ___ by Dr. ___ by phone at ___ on ___.

11618766

The lungs are hyperinflated, suggesting small airway obstruction or even emphysema, but clear of focal abnormality. There has not been much change in lung volumes since at least ___. The cardiomediastinal silhouette, hilar structures, and pleural surfaces are normal. No pneumothorax.

55587493

FINAL ADDENDUM ADDENDUM Upon re-review a subtle 1.3 cm nodule is seen projecting over the inferior border of the anterior ___ left rib. A CT chest exam is recommended for further workup. The findings were discussed by Dr. ___ with Dr. ___ on the telephoneon ___ at 1:33 PM, 20 minutes after discussion with attending. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___ year old man with 4 weeks of dry cough // Assess for cardiopulmonary disease TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___

No evidence of pneumonia. A chronic hyperinflation, either emphysema or small airway obstruction.

11618766

The lungs are clear. The cardiomediastinal silhouette is unremarkable. Mild pectus deformity. No pleural effusions or pneumothorax.

59092970

INDICATION: ___ year old man with night sweats // ? abnormality TECHNIQUE: Chest PA and lateral COMPARISON: No prior for comparison

No radiographic evidence of acute cardiopulmonary abnormality.

11435965

The lungs are normally expanded and clear. Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There are large flowing anterior and left lateral osteophytes emanating from the thoracic spine.

53204850

INDICATION: ___ year old woman with SOB. Has ___ of DMt2, htn and ckd // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available

No acute cardiopulmonary abnormality.

11639652

Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. Increased opacity at the bilateral bases, left greater than right, is most prominent in the retrocardiac region. Additional patchy opacity is present in the right middle lobe, partially obscuring the right heart border Note is made of a small left-sided pleural effusion. There cardiac silhouette is unchanged. The aorta remains tortuous. There is no pneumothorax.

55828468

WET READ: ___ ___ ___ 3:45 AM 1. Increased opacity at the left base may represent atelectasis, however pneumonia could be considered in the proper clinical setting. 2. Small left pleural effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with sob. h/o copd // pna? TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___

Bibasilar opacities favor atelectasis. Additional patchy right middle lobe opacity could reflect atelectasis or infectious pneumonia. Short-term followup radiographs may be helpful in this regard. . Small left pleural effusion.

11099437

Single portable view of the chest. There are new, multifocal regions of consolidation identified in the retrocardiac region and the right mid-upper lung. The cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unchanged noting calcific densities projecting over the left chest wall as on prior.

57080646

HISTORY: ___-year-old male with cough. COMPARISON: ___.

Multi focal regions of consolidation at the left lung base and right mid-upper lung compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution.

11099437

Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with flattening of the diaphragms, consistent with patient's history of COPD. Otherwise, the lungs are clear with no focal opacity concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is appreciated. Again seen is symmetric bilateral apical pleural thickening, unchanged.

53448019

HISTORY: Moderate COPD with recent cough and cold symptoms. Evaluate for pneumonia. COMPARISON: ___.

No evidence of pneumonia.

11099437

Minimal basilar atelectasis is seen. The lungs remain hyperinflated. There are subtle nodular opacities in the right upper lobe, as also mentioned on the prior study, similar, at which time chest CT was recommended. The cardiac and mediastinal silhouettes are stable.

58342886

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with weakness // etiology of weakness TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Mild basilar atelectasis. Again noted subtle nodular opacities in the right upper lobe, similar to prior, as also mentioned on the prior study at which time follow-up chest CT was recommended.

11099437

Frontal and lateral radiographs demonstrate hyperinflated lungs and flattening of bilateral diaphragms consistent with patient's history of COPD. Minimal nonspecific basilar scarring is unchanged since prior examinations. Focal opacification within the right lower lobe partially obscures medial right hemidiaphram contour. No pneumothorax or pleural effusion is identified. Cardiomediastinal and hilar contours otherwise unremarkable. Small calcifications within the axilla and right supraclavicular region are similar to an oval-shaped right midlung opacification, unchanged when compared to prior examinations. This may represent a focal consolidation or be located externally on the skin.

53905573

HISTORY: ___-year-old male with COPD and new cough. COMPARISON: Chest radiograph dated ___.

Possibly early right basilar pneumonia. Recommend followup radiographs ___ weeks post treatment.

11820912

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

54110190

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with 3 days of burning L chest pain // presence of pneumonia, hiatal hernia, pneumothorax? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11388607

The lungs are well expanded and clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

54586614

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with reflux symptoms, diaphoresis // any cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11484147

PA and lateral views of the chest demonstrate well-expanded clear lungs. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax.

53869190

INDICATION: ___-year-old with shortness of breath and chest pain, evaluate for pneumonia. COMPARISON: None.

No acute intrathoracic abnormality.

11012637

The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is noted.

52868514

INDICATION: ___-year-old male with abdominal lacerations. Evaluate for evidence of pneumothorax. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.

No evidence of pneumothorax or abdominal free air.

11012637

The lungs are well expanded and clear. Hila and cardiomediastinal contours are normal. There is no evidence of pleural effusion, pneumothorax, pulmonary edema, or pneumonia.

58960641

INDICATION: ___ year old man with hx of heroin use and recent pneumonia w/cough // R/O pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

No evidence of pneumonia.

11012637

The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded clear. There is no focal consolidation, pleural effusion or pneumothorax.

56302250

EXAMINATION: Chest radiograph. INDICATION: ___M with pleuritic RUQ pain // any e/o PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11012637

The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

58285048

INDICATION: ___-year-old male with right upper quadrant pain and wheezing. COMPARISON: Multiple prior chest radiographs, most recent on ___ and ___. TECHNIQUE: PA and lateral chest radiographs.

Unremarkable chest radiographic examination.

11012637

PA and lateral views of the chest were provided. There is no definite sign of pneumonia or CHF. No large pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact.

56854359

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cough and productive sputum, rhonchi in the right lower lobe. Assess for pneumonia.

No signs of pneumonia.

11027433

Portable AP upright chest radiograph was obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Left greater than right shoulder degenerative disease is greater than expected for age.

54969284

HISTORY: Asthma exacerbation, assess for edema or pneumonia. COMPARISON: None.

No acute intrathoracic process.

11027433

The lungs are normally expanded. Haziness in the right infrahilar region is somewhat more prominent since the prior study. No other focal airspace opacity is detected. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There is prominence of predominantly large bowel in the upper abdomen, although this is nonspecific.

57666126

INDICATION: Asthma exacerbation and fevers. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Portable AP semi-upright radiograph of the chest.

Haziness in the right infrahilar region could reflect pneumonia.

11723660

Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Again seen within the right lower lobe is an approximately 2 cm rounded mass, perhaps slightly larger compared to the prior CT and new from the prior chest radiograph, and compatible with metastasis. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild to moderate degenerative changes are noted in the thoracic spine.

54794642

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

Re- demonstration of right lower lobe pulmonary metastasis, perhaps larger compared to the prior CT. No radiographic evidence for pneumonia.

11723660

Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable and unchanged. The pulmonary vasculature is not engorged. Ring-like 5.5 cm opacity within the right lower lobe is compatible with the known malignancy, and contains ___ fiducial markers within it. Compared to the previous radiograph, the central portion of this mass is now radiolucent. No new focal consolidation, pleural effusion or pneumothorax is present. There mild degenerative changes seen in the thoracic spine

58305643

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old woman with dizziness, history of malignancy TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, CT chest ___, CT intervention ___

5.5 cm right lower lobe mass compatible with known malignancy contains 2 fiducial markers within it and now demonstrates central lucency, new from the previous radiograph. No acute cardiopulmonary abnormality otherwise demonstrated.

11723660

PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. There is mild degenerative disease in the mid thoracic spine.

52074737

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cough and weakness, assess for acute intrathoracic process.

No acute intrathoracic process.

11723660

Circumscribed, well defined focal nodular opacity in the right lower lobe has progressively increased in size from ___ and ___, now measuring 4.4 x 3.8 x 4.3 cm. Mediastinal contours, hilar, and cardiac silhouette is normal. There is no pleural effusion or pneumothorax.

56720716

INDICATION: ___ year old woman with cough productive of small amount of blood // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___. CT of the chest from ___.

Growing right lower lobe mass concerning for neoplasm despite prior negative bronchoscopic biopsy . Repeat biopsy is recommended to exclude underlying malignancy.

11723660

There is a hematoma in the right lower lung adjacent to the site of recent bronchoscopic biopsy. There is no pneumothorax or hemothorax. There is no focal consolidation or pleural effusion. Cardiomediastinal contours are unchanged.

56550684

EXAMINATION: Portable AP chest INDICATION: ___ year old woman with peripheral lung nodule and mediastinal LAD s/p EBUS. Eval for ptx // pneumothorax? Evaluate for pneumothorax TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___

Hematoma in the right lower lung adjacent to site of recent bronchoscopic biopsy. No pneumothorax or hemothorax.

11723660

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine, similar to prior.

58211325

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, fatigue. COMPARISON: ___.

No acute cardiopulmonary process.

11324834

Endotracheal tube terminates approximately 2 cm above the level of the carina. Enteric tube courses below the diaphragm, out of the field of view. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

52177765

WET READ: ___ ___ ___ 2:44 PM Endotracheal tube terminates approximately 2 cm above the level of the carina ; could be withdrawn approximately 1 cm for more optimal positioning. Enteric tube courses below the diaphragm, at of the field of view. No focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with spont SAH, intubated*** WARNING *** Multiple patients with same last name! // eval for ETT placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 09:55 at an outside institution

Endotracheal tube terminates approximately 2 cm above the level of the carina ; could be withdrawn approximately 1 cm for more optimal positioning. Enteric tube courses below the diaphragm, at of the field of view. No focal consolidation.

11885685

Cardiomediastinal contours are stable with mild cardiomegaly. The lungs are mildly hyperinflated. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine

53864199

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with left lower lobe parenchymal opacity with air bronchograms that is ill-defined, ___. F/U. // F/U opacity TECHNIQUE: Chest PA and lateral COMPARISON: ___

Resolved left lower lobe pneumonia

11885685

AP and lateral chest radiograph demonstrate symmetrically hyperexpanded lungs with flattening of bilateral hemidiaphragms which may reflect COPD. Linear opacities within the right middle lobe likely reflect atelectasis. No focal opacity is seen concerning for infection. The cardiac and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.

54378959

INDICATION: ___-year-old female with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No focal opacity concerning for pneumonia is identified. Hyperexpanded lungs with bilateral flattening of hemidiaphragms is suggestive of chronic obstructive pulmonary disease.

11462136

Mildly low lung volumes resulting crowding of bronchovascular structures. There is no lobar consolidation, large pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits.

56900132

EXAMINATION: Chest radiograph. INDICATION: History: ___M with ams please r/o pna // pna? TECHNIQUE: Portable AP view of the chest. COMPARISON: None available.

Low lung volumes without evidence of acute cardiopulmonary process.

11675773

There is mild cardiomegaly. The hilar and mediastinal contours are normal. There has been interval placement of a left-sided pacemaker with the leads in the right atrium and right ventricle in appropriate position. There is no pneumothorax or pleural effusion. No focal consolidations concerning for infection are identified.

59677970

WET READ: ___ ___ ___ 7:21 PM No pneumothorax or pleural effusion status post left pacemaker placement with leads in appropriate position. ______________________________________________________________________________ FINAL REPORT INDICATION: History of left pacemaker placement. Please evaluate for pneumothorax. COMPARISON: Chest radiograph from ___. TECHNIQUE: Single AP portable exam of the chest.

No evidence of a pneumothorax status post left pacemaker placement with leads in the appropriate position.

11675773

Frontal and lateral radiographs of the chest demonstrate mildly enlarged heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.

58253335

HISTORY: 3rd degree heart block, evaluate for cardiomegaly COMPARISON: None available

Mildly enlarged heart size.

11803381

PA and lateral views of the chest provided. The heart appears mildly enlarged. There is a band of atelectasis versus in the left lower lung. Mild nodularity along a band of scarring in the right mid lung is also noted. No overt signs of pneumonia or edema. No large effusion or pneumothorax. A tracheal stent is again seen. Given slight rotation evaluation for subtle changes in cardiomediastinal silhouette is limited. High-riding left humeral head is unchanged.

54875416

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, tracheobronchomalacia; pseudomonas and coag + staph on wash COMPARISON: ___

No significant interval change.

11858002

The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild linear opacity at the right lung base extending towards the hilum likely reflects subsegmental atelectasis. Irregular calcification projecting over the left upper lung field may reflect calcified pleural plaques. The cardiomediastinal silhouette is unremarkable in appearance. No evidence of free air beneath the diaphragm. No displaced rib fracture.

55646314

EXAMINATION: Portable chest radiograph INDICATION: History: ___M with cough TECHNIQUE: AP portable view of the chest. COMPARISON: None available.

Probable linear right lower lobe atelectasis. Otherwise, no acute cardiopulmonary process.

11406743

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

58753076

WET READ: ___ ___ ___ 5:05 PM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with substernal chest pain x 2 days worse with breathing. // ?pneumonia, widened mediastinum COMPARISON: None

No acute intrathoracic process.

11290019

No focal consolidation to suggest pneumonia. No pulmonary edema. Heart size is normal. No pleural effusion or pneumothorax multiple healing rib fractures on the left are chronic.

56799971

INDICATION: Dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary process.

11290019

Increased opacity in the right lung base seen best on lateral view could represent a developing infection. No pleural effusion or pneumothorax. Heart size and mediastinal contours are within normal limits.

55358147

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with newly diagnosed RPGN also with recent cyclical fevers and productive cough. // Evidence of PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___

Heterogeneous new right lower lobe opacity concerning for developing infection.

11290019

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear with resolution of recently described heterogeneous right lower lobe opacities. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Healed left rib fractures are again demonstrated as well as slight elevation of the left hemidiaphragm

53698287

EXAMINATION: CHEST (PA AND LAT) INDICATION: Pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___.

No current evidence of pneumonia.

11290019

The lung volumes are slightly lower than on the prior study, accentuating perihilar structures. The cardiomediastinal silhouette is stable. There is no pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. Multiple old left-sided rib fractures are again seen.

50804227

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with shortnes of breath // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to prior chest radiographs from ___.

Low lung volumes. Otherwise, no acute cardiopulmonary process.

11290019

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Re- demonstrated are multiple old left-sided rib deformities and mild eventration of the left hemidiaphragm.

54585305

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11399502

Frontal and lateral views of the chest demonstrate slightly low lung volumes accentuating bronchovascular crowding and a prominent cardiac silhouette. The mediastinal and hilar contours are within normal limits. There is no pneumothorax, vascular congestion, or large effusion. Multilevel moderate thoracic spondylosis is present.

53680368

INDICATION: ___-year-old male with right rib pain. Question effusion. COMPARISON: None available.

Prominent cardiac silhouette. No displaced rib fracture. No significant pleural effusion.

11810079

PA and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. A stent is again seen in the LAD.

56726478

INDICATION: Chest pain, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.

No acute cardiopulmonary process.

11810079

A left-sided chest tube has been removed. Patchy similar left basilar opacity suggests minor atelectasis. There is minimal new streaky right basilar opacification suggesting again minor atelectasis, not substantial. There is no pneumothorax or pleural effusion.

50464486

CHEST RADIOGRAPH HISTORY: Status post recent cardiac surgery with removal of chest tubes. COMPARISONS: Prior day. TECHNIQUE: Chest, portable AP upright.

No evidence for pneumothorax status post chest tube removal.

11810079

The patient has been extubated. A right internal jugular venous catheter terminates in the mid superior vena cava. There are two mediastinal drains as well as a left-sided chest tube in unchanged positions. A percutaneous pacing wire is also noted.Streaky opacities suggest minimally atelectasis at the lung bases, but the lungs are mostly clear. The appearance of a possible air-fluid level over the mid right chest does not persist on follow-up radiography.

54754471

CHEST RADIOGRAPH HISTORY: Status post cardiac surgery. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.

Anticipated post-operative findings. No evidence for pneumothorax.

11744631

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

59720491

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fevers // Infiltrate? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11286186

Frontal and lateral chest radiographs again demonstrate a left chest wall vagal stimulator, unchanged in position. The cardiomediastinal silhouette is normal and the lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

56473428

INDICATION: Evaluate for infection or acute process in a patient with increased seizure frequency. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___.

No acute cardiopulmonary process.

11286186

The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A vagal nerve stimulator overlying the left hemithorax is unchanged.

57909540

INDICATION: ___-year-old female with chills. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: PA and lateral chest radiograph.

No acute cardiopulmonary process.

11286186

PA and lateral views of the chest are compared to previous exam from ___. Left-sided vagal nerve stimulator is seen with device overlying the left upper lung. Where seen, the lungs are clear. There is no effusion or infiltrate. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

51682950

CHEST, TWO VIEWS, ___. HISTORY: ___-year-old female with seizure. Question infiltrate.

No acute cardiopulmonary process.

11286186

Vagal stimulator is noted overlying the left upper chest. The lungs are clear with no focal consolidation or pleural effusion. Cardiomediastinal silhouette is normal.

52561942

EXAMINATION: Chest radiograph INDICATION: ___F with seizure d/o, multiple seizures, cough / TECHNIQUE: Chest PA and lateral COMPARISON: ___

No evidence of pneumonia or aspiration.

11286186

Left pectoral vagal stimulator is in unchanged position. There is no focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is normal size.

52338870

INDICATION: History: ___F with likely seizure (with a history), WBC // Eval infectious work-up TECHNIQUE: Chest AP and lateral COMPARISON: ___

No radiographic evidence of pneumonia.

11047975

Left suprahilar opacity more likely represents vascular structures or possible focal consolidation rather than mass given that would no mass/nodule seen dislocation on prior CT from ___. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The patient is status post median sternotomy and CABG.

55528903

HISTORY: Altered mental status, history of liver cancer. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. Reference made to chest CT from ___.

Subtle left suprahilar opacity most likely represent vascular structure or possible consolidation given that no pulmonary nodule or mass is seen at this location on chest CT from ___.

11210652

PA and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size is within normal limits. No typical configurational abnormality is identified. The thoracic aorta is generally widened and elongated and this includes the ascending portion. There is however no evidence of local contour abnormalities. Relatively high positioned diaphragms are present and account for crowded appearance of the pulmonary vasculature on the bases. In addition, there are a few linear thin peripheral plate atelectasis but no evidence of acute pneumonic infiltrates is present. Lateral and posterior pleural sinuses are free. No acute infiltrates in the lung fields bilaterally and no pneumothorax in the apical area. Degenerative changes in the lower thoracic spine have advanced somewhat, but no local vertebral body compression fracture is noted.

54202439

DATE: ___. TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with dyspnea, evaluate for CHF.

Stable chest findings with poor inspirational effort and low respiratory volumes with basal plate atelectasis but no evidence of acute pneumonic infiltrate.

11544082

Emphysema is severe. Calcific left fibrothorax restricts the volume of the left lung and obscures its structure. There may be a nodule in the right lung at the level of the anterior right fifth rib. A small pneumonia would likely be missed, detectable only by CT scanning. Heart size in normal and there is no pulmonary edema.

54084658

HISTORY: COPD, evaluate for pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, three views.

Severe emphysema. Restrictive calcific left fibrothorax. Possible left lung nodule. Any small pneumonia unrecognizable. Chest CT suggested.

11269475

Cardiomediastinal silhouette is within normal limits. There is mild atelectasis at the left base. There may be a trace pleural effusion in the posterior sulcus. There is no focal consolidation. No pneumothorax. Multiple at acute rib fractures are better seen on the CT scan from earlier today.

55807133

INDICATION: History: ___F with fall and cp // pre op TECHNIQUE: Chest AP and lateral COMPARISON: Chest CT from ___

Minimal atelectasis and possible trace diffusion. No consolidation. Multiple acute rib fractures are better evaluated on the CT scan from earlier today. No pneumothorax.

11475050

There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Dense mitral annular calcifications are noted. No acute osseous abnormalities identified. Median sternotomy wires are intact.

51868004

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with several days exertional CP, concern for unstable angina // Acute cardiopulm process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute intrathoracic process.

11475050

The patient is status post sternotomy. There has been prior aortic valve replacement. The cardiac, mediastinal and hilar contours appear unchanged. There is a new diffuse mild-to-moderate interstitial abnormality most suggestive of congestive heart failure. Streaky left basilar opacities suggest atelectasis. There are small new pleural effusions as well. The bones appear demineralized. Slight loss in height of mid-to-lower lumbar vertebral bodies appears similar. There are two moderate biconcave lower thoracic compression deformities; the more superior, in the mid thoracic spine, appears somewhat increased. Anterior flowing osteophytes are similar along the spine.

56540529

CHEST RADIOGRAPH HISTORY: Shortness of breath, cough, and chest pain. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.

New mild-to-moderate interstitial abnormality, most suggestive of congestive heart failure.

11475050

PA and lateral views of the chest provided. Patient is status post median sternotomy with wires intact and in proper alignment. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal. Mitral annular calcifications are unchanged from ___. Moderate levoscoliosis is unchanged.

58843092

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with 3 days cough, extreme malaise, myalgias. Reports green phelgm. PMHx CHF, Bioprothetic Valve, Aortic Stenosis, Essential Thrombocytopenia, Hypertension, Carotid Stenosis // r/o pneumonia COMPARISON: Chest radiograph ___

No focal consolidations. Mitral annular calcifications are unchanged from ___.

11475050

Resolution of mild pulmonary edema with improvement of mild bilateral pleural effusion. There is still residual small left lower lobe atelectasis. Patient with prior history of median sternotomy with aortic valve replacement. There is heavily calcified mitral annulus.

58557593

PA AND LATERAL CHEST X-RAY INDICATION: Patient with recent CHF followup. COMPARISON: ___.

Resolution of the mild pulmonary edema.

11475050

Frontal and lateral views of the chest demonstrate mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. Aortic arch calcifications are noted. Sternotomy wires are intact. Mitral annular calcifications are noted.

52351330

INDICATION: Worsening dyspnea on exertion. COMPARISONS: ___, ___, ___.

Mild pulmonary vascular congestion.

11620222

There are no old films available for comparison. The heart is mildly enlarged. There is volume loss/early infiltrate in both lower lobes with obscuration of the right mid hemidiaphragm and left heart border. There is mild pulmonary vascular redistribution.

56105924

CHEST HISTORY: CHF.

Bilateral lower lobe infiltrates.

11439618

The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar structures are unremarkable.

57634548

HISTORY: Palpitations, fatigue and chills. Evaluate for pneumonia or cardiomegaly. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11136528

Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified. Degenerative changes noted at the right acromioclavicular joint.

54869484

HISTORY: ___-year-old male status post MVC with right shoulder pain. COMPARISON: ___.

No acute cardiopulmonary process. Consider dedicated shoulder films for better assessment of this area.

11201372

Comparison is made to prior study from ___. Heart size is normal. Lungs are clear. Bony structures are intact.

58801281

CLINICAL HISTORY: ___-year-old woman with cough and positive PPD.

No signs for acute cardiopulmonary process.

11679839

Heart is upper limits of normal in size, and pulmonary vascularity is normal. A vague opacity in the right upper lobe is present, and is difficult to fully characterized due to superimposition of the right scapular margin and absence of a lateral view. Differential diagnosis includes focal aspiration, localized edema, hemorrhage and infection, as well as a pneumonic formal of lung adenocarcinoma. Apparent Tubular calcifications in the left upper quadrant of the abdomen could be vascular or related to the spleen or left kidney.

51524574

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p STEMI. // assess for pulmonary edema COMPARISON: None available

Airspace opacity in right upper lobe of uncertain chronicity and etiology as described. Initial further evaluation with dedicated PA and lateral chest radiographs is recommended in the patient's condition permits

11174340

Lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Increased density projecting over left lateral aspect of the chest is compatible with breast implant.

52665135

INDICATION: ___ year old woman with cough // eval for pneumonia, acute process TECHNIQUE: Single portable view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11174340

No focal consolidation and no evidence pneumonia. No pulmonary edema. No pleural effusions or pneumothorax. Bilateral vascular congestion noted. Stable moderate cardiomegaly. No evidence of free air under the diaphragm.

50876982

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F POD4 from open cholecystectomy now w/ increased abd pain, distension, and confusion. // ?pneumonia or air under diaphragm TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___

Mild vascular congestion bilaterally. No evidence pneumonia or free air under the diaphragm.

11192090

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.

53240683

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with chest pain // please evaluate TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: None.

No acute cardiopulmonary abnormality.

11202972

Lung volumes are decreased, accentuating the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Clips in the axilla are seen in the lateral view.

50947605

HISTORY: Cough, shortness of breath. Evaluate for infiltrate. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.

No acute cardiopulmonary process.

11202972

PA and lateral views of the chest were obtained. Heart is top normal in size. Cardiomediastinal contour is stable. Lungs are clear. Right basilar opacities likely represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax.

52968911

INDICATION: ___-year-old woman with shortness of breath and cough. COMPARISON: Multiple prior radiographs, most recently ___.

No acute intrathoracic process.

11202972

PA and lateral views of the chest provided. Multiple surgical clips are noted in the right axilla. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. Pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.

54715677

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with SOB COMPARISON: ___

No acute intrathoracic process.

11649342

Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.

56991616

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

No acute cardiopulmonary abnormality.

11372768

The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.Bony callus about a deformity of the mid left seventh posterior rib is new since the chest radiograph from ___, but does not appear acute.

54269946

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fatigue. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

No evidence of pneumonia. Bony deformity of the left seventh posterior rib does appears chronic.

11372768

The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Again seen is a fracture of the left seventh rib posteriorly with callus formation. Degenerative changes are present throughout the thoracic spine.

56428568

INDICATION: ___-year-old woman with weakness. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___

No acute cardiopulmonary process.

11258835

Aside from a tortuous or aorta unchanged in position, the cardiomediastinal silhouette is unremarkable. The lungs are clear bilaterally. No pleural effusion or pneumothorax is seen.

58620025

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with tachycardia // eval for congestion TECHNIQUE: PA and lateral chest films COMPARISON: ___

No radiographic evidence for congestion is seen.

11523234

The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the abdomen noted on the lateral view. Clip sulcal project over the neck.

57612369

INDICATION: ___F with fever 105 // Eval for pna TECHNIQUE: Frontal and lateral views of the chest COMPARISON: None.

No acute cardiopulmonary process.

11523234

Endotracheal tube tip terminates approximately 4.9 cm from the carina. Lung volumes are low compared to the prior study. This accentuates the cardiomediastinal silhouette size which appears borderline enlarged. Crowding of bronchovascular structures is present without overt pulmonary edema. Hazy and patchy bibasilar opacities likely reflect atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. Clips are seen within the neck bilaterally compatible with recent thyroidectomy.

57767152

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation // evaluate for ETT placement TECHNIQUE: Supine AP view of the chest COMPARISON: ___ at 14:53

Endotracheal tube in standard position. Low lung volumes with bibasilar atelectasis.

11068934

Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is of unknown chronicity. There is adjacent mild atelectasis in the right lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple clips are seen in the right upper quadrant of the abdomen. No subdiaphragmatic free air is present.

51356437

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with right upper quadrant pain, had ERCP 1 week ago // please evaluate for free air TECHNIQUE: Chest PA and lateral COMPARISON: None.

Elevation of the right hemidiaphragm of unknown chronicity with mild adjacent right basilar atelectasis. No subdiaphragmatic free air.

11867181

The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A right Port-A-Cath ends in the right atrium. Gaseous distention of bowel is better assessed on the concurrent CT.

59329286

INDICATION: Constipation. Evaluate for pneumonia. COMPARISON: ___, CT ___. FRONTAL AND LATERAL

No pneumonia, edema, or effusion.

11867181

PA and lateral radiographs demonstrate a minimal left lower lobe opacity, similar to the prior radiographs. This likely represents atelectasis. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

58813862

HISTORY: ___ year old woman with cough and fever. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.

Minimal left basilar atelectasis, similar to the prior study. No evidence of pneumonia.

11867181

The heart size is normal. The aorta is slightly unfolded. Mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal streaky linear opacity in the left lung base likely reflects atelectasis. There are no acute osseous abnormalities.

54610788

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

Minimal left basilar atelectasis.

11508810

The heart size is top normal. The hilar mediastinal contours are normal. No focal consolidations concerning for infection are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.

55951193

INDICATION: History: ___F with hip fracture // pre-op CXR TECHNIQUE: Portable supine radiograph of the chest. COMPARISON: None.

No acute intrathoracic abnormalities identified.

11984152

The cardiac silhouette is normal in size. The descending aorta is tortuous. The hilar and mediastinal contours are otherwise within normal limits. Mild blunting of left costophrenic angle could be secondary to a small pleural effusion. There is mild bibasilar atelectasis. No new focal consolidation or pneumothorax identified. Air-filled loops of bowel are noted in the left upper quadrant.

58049806

EXAMINATION: Chest radiographs. INDICATION: ___M with CP/SOB ? PNA TECHNIQUE: Chest PA and lateral COMPARISON: Abdominal/pelvic CT from ___ and chest radiograph from ___.

Bibasilar atelectasis and mild blunting of the left costophrenic angle which could be secondary to a small pleural effusion. No new focal consolidation.

11693627

The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. There is no free air beneath the right hemidiaphragm.

53925836

INDICATION: ___-year-old woman with history of ulcerative colitis, now with worsening fever and diarrhea, here to evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.

No acute cardiopulmonary process.

11100401

Chest PA and lateral radiograph demonstrates unremarkable hilar, and cardiac contours. There is a small irregularity in the contour of the aortic arch. Bilateral low lung volumes cause vascular crowding. No focal opacification evident. No pleural effusion or pneumothorax identified. No displaced fractures present.

55642242

INDICATION: Motor vehicle collision, transferred from outside hospital, please evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available for comparison.

Abnormal contour of aortic arch may represent clinically insignificant anatomic variant or represent a significant finding, depending on the mechanism of injury. ___ conveyed these findings to Dr ___ at ___:___ on ___.

11600572

There are low lung volumes. Bibasilar opacities are likely atelectasis, superimposed infection cannot be excluded. Bilateral effusions are small. Cardiomegaly is stable. Right central catheter tip is in the mid SVC. There is no pneumothorax

54053674

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with AML on induction chemo, neutropenic, with cough, crackles and decreased breath sounds in right lung base on exam // Please eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___

Bibasilar opacities likely atelectasis, superimposed infection cannot be excluded. Bilateral effusions

11600572

The lung volume is small. No consolidation. The hila and pulmonary vasculature are normal. No pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged. Mediastinal silhouette is stable.

52885301

INDICATION: ___ year old man s/p stem cell transplant w/persistent tachycardia, r/o infection. // ?PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process.

11600572

Right subclavian catheter ends in the mid SVC. Increasing, mild pulmonary edema with persistent bibasilar atelectasis. Worsening consolidation in the right lower lung may reflect atelectasis or pneumonia. Stable, mild cardiomegaly.

54229104

EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of AML status post chemotherapy, now with neutropenic fever, hypoxia, and tachypnea. Evaluate for pulmonary edema or pneumonia. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___.

Worsening consolidation in the right lower lung could reflect pneumonia. Increasing, mild pulmonary edema.

11600572

Right-sided internal jugular catheter is stable in good position. Mild interstitial pulmonary edema persists. A new peripheral rounded opacity in the right lower lobe could represent loculated pleural fluid versus a peripheral consolidation that is infection or infarction. Left basal opacity and effusion are unchanged.

53954502

INDICATION: ___ year old man with neutropenia fever, fungal pneumonia now with worsenign tachypnea // ? pulm edema vs worsenign pulm infiltrate/infection TECHNIQUE: Portable COMPARISON: ___

Mild interstitial pulmonary edema unchanged. New peripheral rounded opacity in the right lower lobe could be loculated pleural fluid or new infection or infarction.

11875736

The heart is normal in size. There is mild tortuosity of the aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Moderate anterior osteophytes are present along the lower thoracic spine.

59471226

CHEST RADIOGRAPHS HISTORY: Right-sided rib and right upper quadrant pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11958040

There is engorgement of the central vasculature with mild pulmonary edema. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unchanged. Old right rib fractures are again seen.

59435013

HISTORY: Hypoxia, evaluate for pneumonia or volume overload. COMPARISON: Chest radiographs ___. CTA chest ___.

Unchanged mild pulmonary edema.

11958040

Pacer pad overlies to right upper outer chest. No focal consolidation is seen. There is no large pleural although there is slight blunting of the right costophrenic angle and a trace effusion would be difficult to exclude. There is mild-to-moderate pulmonary vascular congestion. The cardiac and mediastinal silhouettes are stable. Slight deformities of the posterior right sixth and seventh ribs may be due to prior rib fractures.

51594350

EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Question widened mediastinum. COMPARISON: ___ earlier the same date at 11:04 a.m. at___.

Stable cardiomediastinal silhouette. Pulmonary vascular congestion.