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

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11898636	Portable AP semi-erect view of the chest was reviewed and compared to the prior study. An endotracheal tube ends 8-9 cm above the carina and if advanced 2-3 cm would be in the proper location. An upper enteric tube passes into the stomach and off of the radiograph. A right internal jugular venous introduction sheath is visualized. Right lower lung opacity represents platelike atelectasis. Low lung volumes and a possible tiny left pleural effusion are unchanged. Cardiac and mediastinal contours are clearer on today's study.	54767557	INDICATION: Evaluation for pleural effusions in a patient status post abdominal aortic aneurysm repair. COMPARISON: Chest radiograph from ___.	Endotracheal tube ends 8-9 cm above the carina and if advanced 2-3 cm would be in proper position. Persistent low lung volumes and new right lower lung platelike atelectasis.
11898636	Portable upright chest radiograph demonstrates clear lungs except for minimal atelectasis in the right base, with adequate lung volumes. The pleural surfaces are normal. The cardiac silhouette and mediastinal contours are normal.	53480323	HISTORY: ___-year-old male with abdominal aortic aneurysm, for preoperative evaluation. COMPARISON: None.	No acute chest abnormality.
11597838	PA and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged since the prior study with stable mild cardiomegaly. There is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.	56844792	HISTORY: ___-year-old female with chest pain. Evaluation for infiltrate. COMPARISON: Comparison is made to radiographs of the chest from ___.	No acute cardiopulmonary process.
11597838	The lungs are clear. The cardiomediastinal silhouette is stable with mild cardiomegaly. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.	55283955	INDICATION: ___F with 1 wk sinusitis, ? bronchitis with intermittent hemoptysis. // r/o PNA / atypical infection TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11750559	Rotated positioning. NG tube present, tip overlying gastric fundus. The gastric fundus itself is distended and there is elevation the left hemidiaphragm. A right PICC line is present, tip in the region of the SVC/RA junction. No pneumothorax is identified. Compared to the prior study, there improved aeration in the left upper zone, though as noted, the left hemidiaphragm is quite elevated, obscuring the remainder of the lung. The presence of a left-sided effusion is suspected. The mediastinal contours and precise position of the mediastinum are not effectively evaluated. The right hemidiaphragm is obscured and there is likely a right pleural effusion with some degree of right base underlying collapse and/or consolidation. However, the right upper and mid zones are grossly clear. Doubt significant CHF -- previously seen vascular plethora has improved.	51857204	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p hernia/bowel resection, being diuresed // ?interval change COMPARISON: Chest x-ray from ___ at 411	Improved aeration of the left upper lung and improvement in CHF findings. Otherwise, overall appearance is similar. A Ir seen overlying the left lower chest is thought to line a distended gastric fundus, not withstanding the presence of a NG tube there. If clinically indicated, a lateral view could help to confirm that the air is in the gastric fundus.
11750559	The NG tube ends in distended stomach. There is improved aeration of the left lung as compared to ___ with elevation of left hemidiaphragm. Mild pulmonary edema in the right lung is unchanged. Tracheostomy tube is midline. There is no pneumothorax. Cardiac size is indeterminate	52111161	INDICATION: ___ year old man with pneumoperitoneum, s/p NGT replacement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 04:35	NG tube in distended stomach and improved aeration of left lung as compared to ___.
11750559	Appearance of tracheostomy is unchanged. Right PICC terminating in the low SVC. NG tube with tip in the stomach. Complete opacification of the left pneumothorax due to left lung collapse unchanged. Unchanged moderate pulmonary edema. Unchanged small right pleural effusion. Unable to evaluate size of cardiomediastinal silhouette. No pneumothorax is seen.	51974758	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pulmonary edema and pleural effusion, intubated // cardiopulmonary process TECHNIQUE: Portable supine chest radiograph. COMPARISON: Chest radiograph dated ___.	Unchanged appearance of tracheostomy, right PICC, and NG tube. Unchanged appearance of total left lung collapse. Moderate pulmonary edema and small right pleural effusion, also unchanged.
11750559	Patient is rotated to the left. Tracheostomy tube is noted. There is marked elevation of the left hemidiaphragm with concern for a left diaphragmatic hernia containing dilated air-filled gastrointestinal structures, likely stomach and possibly bowel. Adjacent thin lucency is worrisome for pneumoperitoneum which was seen on outside hospital CT earlier today. There is subsequent mediastinal shift to the right. No large pleural effusion is seen. No definite focal consolidation although there may be basilar atelectasis.	58929421	WET READ: ___ ___ 5:34 PM Patient is rotated to the left. Large left-sided diaphragmatic hernia containing dilated air-filled structure, stomach and possibly bowel, with secondary shift of the mediastinum to the right. Evidence of pneumoperitoneum as seen on CT from outside hospital earlier today. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with free air // eval for free air TECHNIQUE: Single frontal view of the chest COMPARISON: No prior chest radiograph.	Patient is rotated to the left. Large left-sided diaphragmatic hernia containing dilated air-filled structure, stomach and possibly bowel, with secondary shift of the mediastinum to the right. Evidence of pneumoperitoneum as seen on CT from outside hospital earlier today.
11750559	The diameter of the tracheostomy tube cuff is consistently greater than the expected diameter of the trachea, suggesting tracheomalacia. Right PICC ends in the low SVC. NG tube in the decompressed stomach. Complete opacification of the left hemithorax due to left lung collapse is unchanged since at least ___ and has occurred previously. The left margins of the cardiomediastinal silhouette are obscured and the volume of any left pleural effusion is indeterminate. A small right pleural effusion is new or increased. The right lung is clear. There is no pneumothorax.	57497173	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ yo M PMHx significant for diaphragmatic paralysis c/b respiratory failure s/p trach now s/p trach exchange ___ trach change and bronch // assess for interval change TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___.	Tracheostomy with hyperexpanded cuff, likely due to tracheomalacia. Appropriate positioning of right PICC and NG tube. Persistent left lung collapse. Chronic severely elevated left hemidiaphragm is probably paralyzed or extremely eventrated. Small right pleural effusion.
11029441	The focal consolidations in the right middle lobe and possibly left lingula region persist but are improved, likely a resolving pneumonia. No evidence of complication, including no abscess or pleural effusion. No new focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura unchanged and unremarkable. Mild, multilevel degenerative changes of thoracic spine with endplate sclerosis and intervertebral disc space narrowing.	53645089	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recent pneuomonia; evaluate for resolution. COMPARISON: Chest radiograph dated ___.	Improving probable right middle lobe and left lingula pneumonia since ___. Follow-up chest radiograph is recommended in 4 weeks to re-evaluate for complete resolution and exclude malignancy.
11029441	The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded with no new focal consolidations. A vague opacity in the right upper lobe is unchanged since ___. There is no pulmonary edema.	59585063	HISTORY: Fever, myalgias. COMPARISON: Chest radiograph ___, ___, ___.	No acute cardiopulmonary proces.
11029441	PA and lateral views of the chest provided. Focal consolidation is seen in the right middle lobe obscuring the right heart border, compatible with pneumonia. Subtle opacity in the left lung base adjacent to the left heart border may represent an early pneumonia in the lingula. Otherwise lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	50182662	WET READ: ___ ___ ___ 6:12 PM Right middle lobe pneumonia and probable early pneumonia in the lingula. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and cough // evaluate for pneumonia COMPARISON: ___. ___.	Right middle lobe pneumonia and probable early pneumonia in the lingula.
11439122	Cardiac and mediastinal silhouettes are stable. Apparent widening of the right superior mediastinum the thoracic inlet is stable, as described previously, due to tortuous head and neck vessels and enlargement of the right lobe of the thyroid. There is persistent chronic blunting of the left costophrenic angle due to pleural scarring. No new focal consolidation is seen. No pneumothorax is seen.	57437744	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough // cough TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No significant interval change. No acute cardiopulmonary process.
11439122	The heart size is top normal. Mediastinal and hilar contours are unchanged with prominence of the right upper mediastinal contour likely due to the presence of a known thyroid goiter. Pulmonary vasculature is not engorged. Small left pleural effusion appears slightly improved with mild adjacent atelectasis. There is no focal consolidation, right pleural effusion or pneumothorax. Mild degenerative changes are seen in the thoracic spine.	53430917	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph, CTA chest ___	Slightly decreased size of small left pleural effusion with adjacent left basilar atelectasis.
11439122	The study is slightly limited due to lordotic positioning. Accounting for this limitation, the cardiac, mediastinal and hilar contours are likely within normal limits. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is clearly noted. Amorphous soft tissue calcification adjacent to the left humeral head likely reflects calcific tendinopathy. No acute osseous abnormalities are visualized.	56943156	HISTORY: Mechanical fall with large laceration on the left knee. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11439122	Study is limited by low lung volumes and slightly lordotic positioning. Within the limitations the cardiomediastinal silhouette and hilar contour is stable. There has been interval development of a small left-sided pleural effusion as well as focal consolidations in the posterior left lower lobe worrisome for infection. No pneumothorax. Amorphous calcification superior to the left humeral head is compatible with calcific tendinosis. No acute bony changes identified.	50203285	WET READ: ___ ___ 12:08 PM Focal consolidations in the left lower lobe worrisome for infection. Small left effusion. ______________________________________________________________________________ FINAL REPORT HISTORY: Fevers and cough. TECHNIQUE: AP and lateral chest radiograph. 2 views. COMPARISON: Multiple chest radiographs dating back to ___.	Focal consolidations in the left lower lobe worrisome for infection. Small left effusion.
11439122	The lungs are clear without focal consolidation definite effusion or edema. Blunting of the left lateral costophrenic angle is compatible with a prominent fat pad seen on prior CT. No acute osseous abnormalities.	56665275	INDICATION: ___M w/ generalized weakness, temp ___.8, vomiting // r/o intrapulm process TECHNIQUE: Single portable view of the chest. COMPARISON: ___ chest x-ray. CT torso from ___.	No acute cardiopulmonary process.
11439122	Cardiac size within normal limits. Some tortuosity of the thoracic aorta is present. There is no evidence of failure. Some atelectasis is present. The left effusion present on the prior chest x-ray of one day earlier has decreased. When compared to the chest x-ray of ___, the perihilar structures appear more prominent and this would suggest some failure is likely present.	50405409	CLINICAL HISTORY: CHF, influenza. Evaluate for failure or pneumonia. CHEST	Some evidence of failure, though decrease in size of left effusion.
11439122	The lungs are mildly hypoinflated with persistent left lower lobe atelectasis and small left pleural effusion. Chronic left atrial contour abnormality is noted. Heart size, mediastinal contour, and hila are otherwise unremarkable.	52317084	EXAMINATION: Chest radiograph. INDICATION: ___M with fall, concern for infection. Assess for infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___ CTA chest ___	Persistent left lower lobe atelectasis and small left pleural effusion.
11407341	The heart is moderately enlarged. The aorta is tortuous and calcified. The hila appear somewhat enlarged bilaterally, but no pulmonary edema is present. Left basilar opacification may reflect atelectasis. Blunting of the costophrenic angles bilaterally suggests small pleural effusions. No pneumothorax is identified. There are no acute osseous abnormalities.	50935444	INDICATION: Fever, weight loss, cough. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest.	No radiographic evidence to suggest tuberculosis. Left basilar opacity may reflect atelectasis. Small bilateral pleural effusions. Enlarged hila bilaterally is suggestive of pulmonary arterial hypertension.
11407341	There has been further aeration of the left lung base. Increased patchy opacification of the right lung base is noted. There is no pleural effusion or pneumothorax. The appearance of the mediastinum is unchanged with dense calcifications in the aortic arch. The cardiac silhouette remains mildly enlarged.	57021762	HISTORY: Altered mental status, dementia and ligated with difficulty ambulating. Evaluate for an acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___.	Increased patchy opacity within the right lung base is likely atelectasis, although, a developing pneumonia cannot be excluded.
11407341	Portable AP upright chest radiograph is obtained. The lung volumes are low. The heart is markedly enlarged. There is obscuration of the retrocardiac space, which could reflect technique. The possibility of tiny bilateral pleural effusions is not excluded. While there is no overt pulmonary edema, there may be minimal interstitial edema. The mediastinal contour is stable. Bony structures are intact.	53712968	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph and chest CT both dated ___. CLINICAL HISTORY: CHF history, assess for pulmonary edema.	Cardiomegaly with possible mild interstitial edema and tiny pleural effusions. Limited exam due to low lung volumes.
11760367	The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified.	59729256	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Status post fall with dizziness and chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: CT from ___.	No evidence of acute cardiopulmonary disease or injury.
11990385	Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen. Posterior fixation hardware is partially visualized in the cervical spine.	50946060	INDICATION: ___F with sob // acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11210651	Single frontal view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.	59348062	EXAM: CHEST, SINGLE FRONTAL VIEW. CLINICAL INFORMATION: ___-year-old male with history of acute tachypnea, question infiltrate. COMPARISON: None.	No acute cardiopulmonary process.
11210651	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear.	55745062	CHEST RADIOGRAPHS HISTORY: Chest pain and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11785297	A frontal chest radiograph demonstrates a nasoenteric to extending below the diaphragm and off the inferior edge of the image, as well as a right approach pigtail catheter overlying the right upper quadrant, presumably within the hepatic abscess. A moderate right pleural effusion, which extends over the right lung apex, is decreased compared to the prior chest radiograph. No obvious focal consolidation or pneumothorax is identified.	58192452	INDICATION: Evaluate for pneumothorax in a patient status post right PTBD internalization, right thoracentesis, and repositioning of a pigtail within a liver abscess. COMPARISON: Chest radiographs from ___, ___, ___.	Moderate right pleural effusion, decreased compared to prior chest radiograph. No pneumothorax visualized.
11785297	Lungs are well expanded. There is a small right pleural effusion. Heart size is normal. The mediastinal and hilar contours are unremarkable. Surgical drain and clips project in the abdomen on the lateral radiograph.	50665282	INDICATION: History: ___M s/p ex-lap hepatic resection p/w fever and cough // r/o infiltrate TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiograph ___	Small right pleural effusion, new compared to prior exam. No definite evidence of pneumonia.
11785297	First image shows Dobbhoff tube terminating just distal to the GE junction, and subsequent image shows Dobbhoff tube terminating in the stomach. Right IJ venous catheter terminates at mid SVC. Pigtail catheter and another catheter inferiorly are noted at right upper quadrant of the abdomen. Moderate right pleural effusion is unchanged. Moderate cardiomegaly is unchanged. Mild pulmonary vessel congestion is similar to prior.	55203003	INDICATION: ___M T4N1 hilar cholangioca s/p L triseg/CBD exc/R-Y HJ ___ c/b recurrent bile leak/abscesses,cholangitis p/w fevers, new hepatic lesions + cancer now s/p metal stent // evaluate dobhoff placement and positioning Contact name: ___, ___: ___ EXAMINATION: CHEST PORT. LINE PLACEMENT TECHNIQUE: Portable Chest radiograph, frontal views COMPARISON: Chest radiograph ___	Dobbhoff tube terminates in the stomach.
11785297	Since ___, new right lower lung focal opacity that obscures the right hemidiaphragm is consistent with pneumonia. Stable small right pleural effusion. The left lung is clear. Stable cardiomediastinal silhouette. The right PICC line is appears intact and is unchanged in position. No pneumothorax or pulmonary edema.	52723035	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w Klatskin s/p L triseg/RNY HJ ___ c/b bile leak (cut surface) wound infection p/w dehiscence s/p ex-lap, washout, liver debridement wound vac placement now postop day 7 with elevated wbc and congested cough // assess for pneumonia. COMPARISON: Chest radiographs dated ___.	New right lower lobe pneumonia. Stable small right pleural effusion.
11785297	An enteric tube descends below the field of view. Pigtail catheter is in stable position, projected over the base of the right hemi thorax. A large right pleural effusion is likely minimally increasing in size from ___, given differences in patient positioning. No pneumothorax is identified. There is some retrocardiac opacity which may represent atelectasis. Right basal opacity also likely represents a component of atelectasis.	53567600	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M T4N1 hilar cholangioca s/p L triseg/CBD exc/R-Y HJ ___ c/b recurrent bile leak/abscesses,cholangitis p/w fevers, now s/p metal stent, abscess drain Internalized R pPTBD w/ hx of R pleural effusion // eval for r pleural effusion TECHNIQUE: AP view of the chest. COMPARISON: Multiple prior radiographs most recent on ___	Large right pleural effusion his likely minimally increased given differences in positioning.
11785297	Single AP view of the chest provided. Right PICC ends in the low SVC. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.	50154080	WET READ: ___ ___ ___ 11:51 AM Right PICC ends just above the superior cavoatrial junction. WET READ VERSION #1 ___ ___ ___ 8:12 PM Right PICC ends just above the superior cavoatrial junction. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man arriving with PICC // Please eval PICC placement COMPARISON: Chest radiograph ___	Right PICC ends in the low SVC. Otherwise, normal chest radiograph.
11785297	The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is mild pulmonary vascular congestion. There is a small right pleural effusion overall unchanged compared to the prior exam. The visualized osseous structures are unremarkable. There is no pneumothorax.	56818389	INDICATION: History: ___M with fevers // Please eval for any pna TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___.	Small right pleural effusion. No focal consolidations concerning for pneumonia identified.
11785297	The lungs are clear consolidation, large effusion or vascular congestion. The cardiac silhouette is top normal in size. No acute osseous abnormalities identified.	59736915	INDICATION: ___M with epigastric pain and EKG changes // R/O CHF, pneumonia, free peritoneal air TECHNIQUE: AP view of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11625962	Frontal and lateral views of the chest. There is mild pulmonary edema superimposed on the known chronic lung disease. A small focal area of opacification is seen at the right lung base. There are small bilateral pleural effusions, best appreciated on the lateral view. No pneumothorax. Cardiac size is moderately enlarged. Coronary stent is also noted. A calcified and tortuous aorta is present.	50010465	INDICATION: Chest pain. Evaluate for effusions, pneumonia or cardiomegaly. COMPARISON: Chest radiograph ___.	Mild pulmonary edema superimposed on known chronic lung disease. Increased opacification right lung base, worrisome for pneumonia in the correct clinical setting.
11625962	Low lung volumes are present. The heart size remains mild to moderately enlarged. The aorta is tortuous and calcified. Widening of the superior mediastinum is compatible with known thyroid goiter, as seen on the prior CT. Increased interstitial markings are re- demonstrated, most pronounced at the lung bases, compatible with the patient's history of chronic interstitial lung disease with superimposed mild interstitial pulmonary edema. More focal opacities within the lung bases could reflect superimposed atelectasis though infection is not completely excluded. No pneumothorax is identified. Is small right pleural effusion may be present. Multilevel degenerative changes in the thoracic spine.	55793707	HISTORY: Productive cough. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest CT ___. Chest radiograph ___.	Mild interstitial pulmonary edema superimposed on a background of chronic interstitial lung disease. More focal patchy opacities in the lung bases likely reflect atelectasis though infection is not completely excluded.
11625962	The lung volumes are low. Since the prior exam, the mild pulmonary edema has improved. A more focal opacity at the right base is present, may represent pneumonia or atelectasis, though appears slightly improved from prior exams. A linear opacity at the left base is likely atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. The heart size is normal.	54618691	INDICATION: Fever and cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. CT of the chest from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained.	Improved pulmonary edema with a persistent right basilar opacity, which may represent pneumonia or atelectasis.
11625962	The heart is moderately enlarged. There is mild pulmonary edema. As compared to prior chest radiograph from ___, there is improved aeration of the right lung base. Persistent bibasilar opacities likely reflect chronic interstitial abnormality as on prior chest CT ___. No new focal consolidations are noted. There are improved bilateral pleural effusions. There is no pneumothorax.	57615339	HISTORY: Chest tightness, dizziness, shortness of breath. Evaluate interval worsening or resolution of PNA. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. TECHNIQUE: PA and lateral chest radiographs.	Mild pulmonary edema. Improved right lung base opacity likely reflecting resolving pneumonia with persistent bibasilar interstitial opacities, which likely relate to known chronic lung disease.
11355690	AP upright frontal and lateral views of the chest were provided. DBS implants are noted in the right and left chest wall anteriorly. Lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. The imaged osseous structures appear intact.	58830530	HISTORY: ___-year-old female with recent placement of a deep brain stimulator, extension wires placed yesterday, presents with chest pain and fever, question pneumonia. COMPARISON: None.	No evidence of pneumonia.
11355690	Bilateral electronic devices project over the chest. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. There is a left-sided PICC line with the tip best seen on the lateral projection. This is likely just at the cavoatrial junction.	51655460	WET READ: ___ ___ ___ 6:14 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with PICC for IV antibiotics ___ lumbar wound, now due for abx dosing // confirm PICC placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11355690	Interstitial markings are increased in the pulmonary vasculature is indistinct. There is no pneumothorax. The cardiac silhouette is prominent but may be exaggerated by AP technique. Mediastinal structures are otherwise unremarkable and appear stable. There are degenerative changes in the spine. Bilateral stimulator generator packs and leads overlie the upper chest and neck as before.	56212113	EXAMINATION: CHEST (PORTABLE AP) INDICATION: evaluate for source of O2 sat ___%, chest tightness TECHNIQUE: AP chest x-ray COMPARISON: ___	Increased interstitial markings, possibly representing edema.
11355690	Left PICC line tip in the upper right atrium, difficult to compared to prior radiograph as it was not well seen previously. Electronic devices bilateral chest, with leads projected over bilateral neck. Linear strand of atelectasis or fibrosis left costophrenic angle. 2 radiopaque densities projected over upper abdomen on lateral radiograph only, may be external to the patient. No infiltrates. No pleural effusions.	55351233	EXAMINATION: Chest x-ray INDICATION: PICC line placement TECHNIQUE: Chest two views COMPARISON: ___ 15:04	Left PICC line tip in the upper right atrium.
11362059	The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is a subtle fracture at the left anterolateral seventh rib, mildly displaced as well as a possible subtle fracture of the left posterolateral eighth rib. In the absence of priors, this is of indeterminate chronicity.	52624011	INDICATION: History of shortness of breath. Left-sided rib fracture after falling off of roof three weeks ago. Please evaluate. COMPARISONS: NONE TECHNIQUE: PA and Lateral radiographs of the chest.	No acute intrathoracic abnormalities identified. Subtle displaced fractures involving the left seventh and eighth ribs of indeterminate chronicity. If there is further concern for rib fractures, a dedicated rib series would be recommended for further evaluation.
11052252	PA and lateral views of the chest. Biapical scarring is again seen, more extensive on the left than on the right. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. Surgical clips project over the left lateral chest wall.	52759610	HISTORY: ___-year-old female with abdominal pain. COMPARISON: ___.	No acute cardiopulmonary process. No free intraperitoneal air.
11002115	There is moderate to large left pleural effusion and small right pleural effusion. There is consolidation of bilateral lung bases, left more than right. Cardiac silhouette is obscured by pleural effusion. Mediastinal and hilar silhouettes are normal size.	52793213	INDICATION: ___ year old woman with Hx of bc, now cough // infiltrate? EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: CT torso ___	There is moderate to large left pleural effusion and small right pleural effusion. There is consolidation of bilateral lung bases, left more than right. Superimposed pneumonia cannot be excluded.
11002115	Cardiac contours are partly obscured by pleural effusions but the cardiac, mediastinal and hilar contours appear similar aside from new moderate perihilar vascular congestive changes. In addition to mild new pulmonary edema, a left-sided pleural effusion appears moderate in size and similar to perhaps mildly increased. Small pleural effusion on the right has increased somewhat.	51288234	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Heart failure. Question pulmonary edema. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.	Some increase in pleural effusions. Mild vascular congestion.
11588466	PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm.	56441814	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Right upper quadrant pain, dizziness.	No acute intrathoracic process.
11108383	There is left lower lobe consolidation. Biapical scarring is noted. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Anterior cervical fixation hardware is partially visualized. Lower thoracic levoscoliosis is identified.	53008449	WET READ: ___ ___ ___ 4:24 PM Left lower lobe consolidation compatible with pneumonia in the proper clinical setting. Followup will be necessary after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with report of pneumonia s/p treatment still symptomatic // Evidence of intrapulmonary process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	Left lower lobe consolidation compatible with pneumonia in the proper clinical setting. Followup will be necessary after treatment to document resolution.
11461411	The lungs are well expanded and clear. The heart is moderately enlarged, with a prominent right atrium, suggesting high pulmonary pressure. The aorta is tortuous. There is no pleural effusion or pneumothorax. A prominent right epicardial fat is noted. No fractures are seen.	52610803	INDICATION: ___-year-old female with left rib pain after fall, worse with inspiration. Evaluate for evidence of fracture. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph.	Moderate cardiomegaly. No evidence of acute cardiopulmonary process or fracture. Of note, this exam is not tailored for evaluation of fine detail of thoracic osseous structures. If there is concern for bony injuries detailed views should be obtained.
11914496	The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax. No displaced rib fractures are seen. Please note that this study is not tailored for evaluation of nondisplaced rib fractures. If there is high clinical concern for the same, dedicated rib series, with a radiopaque marker placed at the site of maximum tenderness is recommended.	52811656	INDICATION: ___-year-old male status post MVC. COMPARISON: None available. AP AND LATERAL CHEST	No acute cardiopulmonary pathology.
11700821	PA and lateral view of the chest shows reduced lung volume with increased opacity at the right lung base, likely right lower lobe, compatible with aspiration. The lung is otherwise clear. Cardiac size is mildly enlarged since ___. There is no pleural effusion or pneumothorax.	51946469	REASON FOR EXAM: ___ years old man with HIV, reports aspirating high-dose of ATRIPLA, now with cough and right-sided chest pain. COMPARISON: Exam is compared to chest x-ray of ___.	New right lung lower lobe opacity is compatible with aspiration. Findings were reported to Dr. ___ at 8:33 a.m.
11729569	Frontal chest radiograph. There now are again diffuse confluent pulmonary opacities. Given prior episodes, this is most consistent with severe pulmonary edema. The heart size cannot be well assessed, and no pleural effusion or pneumothorax is seen.	57541734	INDICATION: Shortness of breath and hypoxia. History of renal cell carcinoma. COMPARISON: Multiple prior chest radiographs from ___ to ___.	Recurrent severe pulmonary edema.
11793027	There is a suggestion of left atrial enlargement without significant cardiomegaly. Thoracic aorta is tortuous. Lungs are clear without evidence of overt pulmonary edema. Right lower lobe calcified granuloma and bilateral calcified hilar lymph nodes suggest prior granulomatous disease. Small left pleural effusion. There are multiple age-indeterminate vertebral compression deformities.	58516396	INDICATION: History of shortness of breath, wheezing, diagnosed at outside hospital with congestive heart failure and apparently improved with Lasix. Assess for any evidence of residual CHF. COMPARISON: No prior studies available for comparison.	Likely left atrial enlargement. No overt pulmonary edema. Small left pleural effusion. Multiple age-indeterminate vertebral compression fractures.
11467523	The heart size is normal. Multiple sternal wires and mediastinal clips denote prior cardiac surgery. A left-sided pacemaker generator pack projects leads into the right atrium and ventricle. Since the ___ examination, there has been resolution of a left basilar opacity. No new opacity is detected. There is no pneumothorax or pleural effusion. The central pulmonary vessels are normal in caliber.	59579385	INDICATION: Cough and dyspnea. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST	No acute intrathoracic process.
11467523	Dual leads from left pectoral pacemaker device through the left transvenous approach end into the right atrium and right ventricle respectively. Aorta is mildly tortuous and mild-to-moderately calcified. Lungs are clear. No opacities concerning for pneumonia or aspiration or pulmonary edema. Heart size is normal. Mediastinal and hilar contours are unremarkable. Opacity along right paratracheal region has been stable since at least ___. Post sugrical changes are seen in thyroid bed.	51456495	CHEST RADIOGRAPH INDICATION: Congestive heart failure, coronary artery disease, to look for findings in the lungs. TECHNIQUE: Portable upright chest view was read in comparison with prior chest radiograph from ___.	No pneumonia or pulmonary edema.
11467523	A single portable chest radiograph was obtained. Bilateral pleural effusions and mild atelectasis have increased since ___. Cardiomegaly is unchanged. There is no consolidation or pneumothorax. Pacing leads, sternotomy wires, vascular clips, and abdominal surgical clips are unchanged.	50151580	INDICATION: ___-year-old man with COPD, pneumonia, and acute respiratory failure. COMPARISON: ___.	Increased bibasilar effusions and atelectasis since ___.
11777223	A new right internal jugular catheter terminates in the mid SVC. Lung volumes are decreased and bibasilar atelectasis, right greater than left, is new. Mild cardiac enlargement is somewhat exaggerated by AP view and low lung volumes. The mediastinum is unchanged. There is no apical pneumothorax or large pleural effusion.	51325053	HISTORY: Status post left hip washout, post central line. TECHNIQUE: Portable AP chest. COMPARISON: Chest radiograph ___.	New right internal jugular catheter terminates in the mid SVC. Lung volumes are decreased and bibasilar atelectasis, right greater than left, is new
11777223	Upright portable radiograph of the chest demonstrates no evidence of pneumothorax or focal consolidation within the lungs. Bibasilar atelectasis is present. There is mild widening of the mediastinum, within normal limits after recent CABG. There has been interval removal of endotracheal tube, pericardial drain, nasogastric tube since the prior study. A right internal jugular venous catheter terminates in the low SVC.	50463180	HISTORY: ___-year-old man status post CABG. Evaluation for pneumothorax. COMPARISON: Comparison is made to radiographs of the chest from ___.	No evidence of pneumothorax. Expected postoperative changes after recent CABG.
11627617	Prominence of the central pulmonary vasculature suggests central vascular engorgement. Left base opacity is seen which may be due to atelectasis and overlap of structures, however consolidation due to pneumonia is difficult to exclude. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Degenerative changes seen at the acromioclavicular joint.	56608029	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with shaking chills and low grade temp // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None	Retrocardiac opacity could be due to overlapping structures, however, consolidation due to pneumonia is not excluded. Central pulmonary vascular engorgement.
11234441	Portable upright radiograph of the chest demonstrates markedly low lung volumes with bibasilar atelectasis. There is a right chest wall Port-A-Cath terminating at the cavoatrial junction. There is no pneumothorax or right sided pleural effusion. A small left pleural effusion is not excluded. The mediastinal contours are normal. There is no evidence of intraperitoneal free air. There are erosive changes at the left distal clavicle. No subdiaphragmatic gas is seen.	52981203	FINAL ADDENDUM Comparison to the previous chest CT from ___ demonstrates numerous osseous metastases including one involving the distal left clavicle, accounting for the destructive lesion seen on the current radiograph. ______________________________________________________________________________ FINAL REPORT HISTORY: Abdominal pain and tachypnea. Evaluate for pneumonia or free abdominal air. COMPARISON: Chest radiograph from ___.	No evidence of pneumonia. Erosive process involving the left distal clavicle, new since ___. Correlate clinically. No subdiaphragmatic gas seen.
11234441	PA and lateral views of the chest were provided. A Port-A-Cath is again seen projecting over the right lower chest with catheter extending into the mid SVC. Previously noted kink within the catheter is improved. The lungs are clear without focal consolidation, effusion, or pneumothorax. No signs of CHF. Cardiomediastinal silhouette is stable. Bony structures appear intact.	51690817	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cancer, on chemotherapy with fever, assess for pneumonia.	No signs of pneumonia.
11429306	PA and lateral views of the chest provided. Clips noted in the right upper quadrant. 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.	55576761	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with 3 days of CP COMPARISON: ___	No acute intrathoracic process.
11429306	The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. There is no evidence of pulmonary vascular congestion. The lungs are clear. There is no pleural effusion or pneumothorax.	56495057	WET READ: ___ ___ 2:48 AM No acute cardiopulmonary abnormality. Clear lungs. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: ___-year-old woman with chest pain, evaluate for pneumonia. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: None available.	No acute cardiopulmonary abnormality. Clear lungs.
11248793	The lungs appear mildly hyperinflated. The right internal jugular catheter is been removed. A left-sided subclavian stent is noted. Linear atelectasis in the left mid lung. Left lower lobe atelectasis, similar in appearance compared to the prior study. There are small bilateral pleural effusions. Surgical clips project over the mediastinum.	51836351	WET READ: ___ ___ ___ 7:24 PM Stable postop for appearance of the chest with alteration of bilateral costophrenic angles likely reflective of pleural effusions, slightly increased relative to prior examination. Linear density projecting over the left midlung zone likely subsegmental atelectasis. There is no were pulmonary edema. No pneumothorax. Vascular stent projects over the left proximal clavicle. A ___ ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p CABG // eval for effusion TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	No significant interval change when compared to the prior study. Small bilateral pleural effusions.
11812637	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.	53413627	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with sob, eval pna. COMPARISON: ___ chest x-ray.	No acute intrathoracic process.
11976982	Again, there is near-complete opacification of the right lung due to a combination of effusion, consolidation, and tumor burden. In the left lung, the patchy rounded opacities have increased since the prior radiograph performed five hours prior. There is likely a trace left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures demonstrate increased density, consistent with diffuse metastatic disease.	59331867	INDICATION: Hemoptysis and worsening shortness of breath. History of lung cancer. COMPARISONS: CTA chest ___. Chest radiograph ___. Multiple chest radiographs dating to ___.	Increasing patchy consolidation of the left lung. Given the short time interval, this change is likely either due to worsening infection, edema, or hemorrhage, rather than tumor spread superimposed on the known metastases. Stable near-complete opacification of the right lung from effusion, consolidation, and tumor burder. Diffuse widespread osseous metastases.
11976982	There is increased opacification over the right lung, likely due to increase in loculated pleural effusion, underlying atelectasis, with concern for worsening of metastatic disease, underlying consolidation or infection not excluded. Increased opacification of the right upper lobe may represent increased tumor spread although infection is not excluded. The patient is rotated to the right, however, library deviation of the trachea suggest partial lung collapse, likely obstruction from tumor. Increasing nodular opacities diffusely throughout the lower left lung is highly concerning for progression of metastatic disease. A small left pleural effusion is difficult to exclude. Diffuse osseous metastases better evaluated on CT.	56169790	WET READ: ___ ___ 7:10 PM Compared to ___: Loculated right pleural effusion is probably larger. There is further opacification of the right upper lobe, which may represent disseminated tumor spread, pneumonia is not excluded. Rightward tracheal deviation suggests partial lung collapse, likely obstructive from tumor. Diffuse nodular opacities in the left lung again likely tumor growth, but acute infection is possible in the right clinical setting. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Lung cancer shortness of breath. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___.	Significant interval increase and opacification of the right lung, probably due to increase in underlying loculated right pleural effusion, but also concerning for progression of metastatic disease. Underlying consolidation due to infection is difficult to exclude.
11230696	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. Bilateral nipple jewelry is seen.	53291795	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, dyspnea // ? acute cardipulm process COMPARISON: ___	No acute intrathoracic process.
11230696	Bibasilar, rounded airspace opacities are noted, more conspicuous on the right. The upper lungs are clear. There is no pleural effusion, pneumothorax, or overt pulmonary edema identified. The right hila is noted to be mildly prominent relative to the prior examination, and likely reflects reactive adenopathy. The cardiac silhouette is within normal limits.	58784688	EXAMINATION: Chest radiograph. INDICATION: History: ___F with cough, asthma exacerbation // evidence of infection TECHNIQUE: Chest PA and lateral COMPARISON: ___.	Bibasilar airspace opacities compatible with multi focal pneumonia. FOLLOWUP CHEST RADIOGRAPH IN 4 WEEKS IS ESSENTIAL EVEN IF THE PATIENT IMPROVES CLINICALLY, TO EXCLUDE A CONDITION OTHER THAN PNEUMONIA.
11230696	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small rounded opacity is seen overlying the right hemithorax. This is most likely due to a nipple shadow or overlapping structures at the costochondral junction. The cardiomediastinal silhouette is normal.	59293671	INDICATION: History of pneumonia diagnosed at an outside hospital. Evaluate for resolution. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.	No acute cardiopulmonary process; specifically, no evidence of pneumonia.
11893554	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	57958033	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough. COMPARISON: ___.	No acute cardiopulmonary process.
11893554	The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.	52360912	INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11233834	The sternotomy wires and a mitral valve prosthesis are constant. There is no pleural effusion, pneumothorax or focal airspace consolidation. Moderate cardiomegaly is unchanged. There is no evidence for pulmonary edema. The mediastinal and hilar contours are stable.	51472843	HISTORY: Chest pain. Evaluate for infection or cardiomegaly. COMPARISON: Chest radiograph ___. FRONTAL AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11233834	The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiac silhouette is moderate-to-severely enlarged. Post-sternotomy wires are noted as well as a mitral valve prosthesis. No acute fractures are identified.	52308071	INDICATION: Evaluation of patient with increased chest tightness. COMPARISON: Chest radiograph from ___.	Stable moderate-to-severe cardiomegaly with no acute cardiopulmonary processes.
11589882	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.	57533367	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Syncope. COMPARISON: None.	No acute cardiopulmonary process.
11628624	Compared to prior radiograph, there has been marked interval improvement in pulmonary edema, with no new consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. Stable cardiomegaly.	58097743	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with ox sat ___%, crackles at RLL // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	Stable cardiomegaly with interval improvement in pulmonary edema and no evidence of pneumonia.
11628624	The heart remains moderately enlarged. There is no new focal consolidation, appreciable pleural effusion or pneumothorax. There is moderate pulmonary edema, which is stable since the prior examination.	58052598	EXAMINATION: Chest radiographs. INDICATION: History: ___M with CHF, ___ edema, 23lb weight gain // Eval for pulmonary edema TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiographs from ___.	Moderate pulmonary edema, stable as compared to prior examination. No focal consolidation.
11628624	There is moderate pulmonary vascular congestion. The cardiac silhouette remains enlarged. The aorta is tortuous and enlarged mediastinal contour is similar in appearance. No large pleural effusion or pneumothorax is seen.	51096665	HISTORY: Dyspnea. TECHNIQUE: AP portable view of the chest. COMPARISON: ___.	Moderate pulmonary vascular congestion and cardiomegaly.
11327250	Frontal and lateral views of the chest demonstrate low lung volumes accentuating bronchovascular crowding. The cardiac silhouette is mildly prominent, but likely accentuated by AP technique. The mediastinal and hilar contours are within normal limits. Lateral view is highly limited due to downcast arms obscuring pulmonary parenchyma. There may be mild perihilar vascular congestion without frank edema. There is no large effusion.	57266155	INDICATION: ___-year-old male with end-stage renal disease. Question pulmonary edema or effusions. COMPARISON: None available.	Minimal perihilar congestion, without frank edema. No pleural effusions.
11378535	A right internal jugular transvenous pacer terminates in the right ventricle. A CoreValve is present within the aortic valve. There are diffuse interstitial opacities consistent with plulmonary edema. A more conlfuent area of opacification is noted in the right upper lobe. The cardiac silhouette is mildly enlarged but unchanged. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The imaged upper abdomen is unremarkable.	51765050	HISTORY: Total aortic valve replacement for aortic stenosis. Evaluate pacing wire in lung fields. TECHNIQUE: Single frontal view chest. COMPARISON: Preoperative chest radiograph ___ and cardiac CT ___.	Moderate pulmonary edema. More confluent opacity in the right upper lobe may reflect gravitational edema versus aspiration. Satisfactory position of a right transvenous pacer.
11378535	AP upright and lateral views of the chest provided. A left chest wall pacer device is again seen with single lead extending into the region of the right ventricle. Aortic CoreValve noted. Cardiomegaly is moderate. Mediastinal contour is stable with aortic calcification. There is mild to moderate pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.	52765915	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with sob COMPARISON: ___	Mild to moderate pulmonary edema. Difficult to exclude a subtle superimposed pneumonia.
11347834	The lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall port is seen with catheter tip in the lower SVC. Surgical clips project over the left axilla and right upper quadrant. No acute osseous abnormalities.	55171557	INDICATION: ___F with power port // placement of power port TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11347834	Lung volumes are relatively low. Left chest wall port is seen with catheter tip at the lower SVC. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the left axilla and right upper quadrant.	53045226	INDICATION: ___F with chest pain // please eval for acute abnormality TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11266795	There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. No acute bony abnormality is detected.	54105976	HISTORY: Shortness of breath, chest tightness, with recent orthopedic surgery. Evaluate for PE. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None.	No evidence of acute cardiopulmonary process.
11093381	Compared to the chest radiograph taken approximately 3 hours ago, there is no significant change. The ET tube terminates approximately 4.2 cm from the carina. An enteric tube is seen below the diaphragm and out of view. The lungs are clear and there is no pleural abnormality. The hilar and mediastinal silhouette are unremarkable.	56060654	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with pt thrashed, want to re-confirm placement* WARNING * Multiple patients with same last name! // ET tube position TECHNIQUE: Portable supine chest radiograph. COMPARISON: Chest radiograph from ___ at 01:46	No significant interval change. ET tube terminating 4.2 cm from the carina, unchanged in position.
11642214	Portable upright radiograph of the chest demonstrates low lung volumes. There is probable left basilar atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion.	59665371	HISTORY: Altered mental status. COMPARISON: Chest radiograph from ___.	Probable left basilar atelectasis. Correlate clinically to exclude possibility of aspiration/pneumonia.
11063824	Frontal views of the chest. Endotracheal tube terminates 2.5 cm above the carina. NG tube terminates in the stomach with its side hole just below the level of the GE junction. Lung volumes are low, exaggerating heart size. The aorta is tortuous and may be enlarged. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Patient is status post CABG. A lower right anterior rib fracture is of uncertain chronicity. There is incompletely imaged lumbar spine dextroconvex scoliosis.	53734820	HISTORY: Found unresponsive status post intubation. COMPARISON: None.	Endotracheal tube terminates 2.5 cm above the carina, and may be withdrawn by 1.5 cm for more optimal position. NG tube terminates in the stomach with its side hole just below the level of the GE junction. Right lower rib anterior fracture of uncertain chronicity.
11063824	Portable frontal radiograph of the chest demonstrates right basilar atelectasis with small right pleural effusion and no pneumothorax. At the right lower lateral aspect of the thoracic cage, there is a subtle change in contour of the rib, possibly indicating the reported rib fracture, although oblique views are recommended for further characterization if rib fractures, if clinically indicated. Cardiomediastinal contours are unchanged.	59478129	HISTORY: Shortness of breath with rib fractures of the right 11th rib. COMPARISON: ___.	Small right pleural effusion with adjacent atelectasis and no pneumothorax.
11063824	Portable single frontal chest radiograph was obtained. A new right IJ central venous line has its tip terminating in the mid SVC at the level of the carina. The tip of the endotracheal tube is situated 4 mm above the carina in appropriate position. A nasogastric tube has its tip terminating in the gastric fundus with the proximal side hole at the GE junction. There is a new focal opacity in the right mid lung. The left lung is clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.	52685370	INDICATION: Patient with new right IJ central venous line, evaluate placement. COMPARISON: Chest radiograph from ___.	Right IJ central venous line with tip terminating in the mid SVC. New focal opacity in the right mid lung, which could indicated pneumonia in the appropriate clinical setting. NG tube with proximal side port at the level of the GE junction and may be advanced further for optimal positioning. Finding #3 was discussed with Dr.___ by Dr.___ ___ telephone at 5:30pm on day of exam.
11063824	Lung is well inflated with increased opacification of the right lower lobe, which is likely atelectasis. In appropriate clinical setting, a superimposed pneumonia should be considered. Left lung is clear. There is no pleural effusion or pneumothorax. Heart is still mildly enlarged. No evidence of rib fractures.	55631788	WET READ: ___ ___ 7:45 PM Again noted is a right posterolateral 11th rib fracture. There is increased opacity at the right lung base suggesting worsening atelectasis. Lucency along the left heart border displays vessels coursing through is likely artifactual. ______________________________________________________________________________ FINAL REPORT PATIENT HISTORY: ___-year-old man with dementia, status post fall with SAH and rib fracture, now with acute hypoxic respiratory failure. Assess for respiratory failure. COMPARISON: Exam is compared to ___.	Increased opacification in the right lower lobe, compatible with atelectasis though superimposed pneumonia might be considered in the appropriate clinical setting. No pneumothorax or pleural effusion.
11063824	An endotracheal tube, nasoenteric catheter and right central venous catheter are all in expected unchanged position. Median sternotomy wires are intact. There is progressive consolidation within the right lower lung, findings concerning for interval aspiration. An associated moderate right effusion is likely. Minimal left lower lobe opacities are likely related to subsegmental atelectasis. There is no pneumothorax. Cardiomediastinal and hilar contours are unchanged.	50805580	HISTORY: ___-year-old male with respiratory failure. COMPARISON: Chest radiographs dating back to ___, most recent from ___ PORTABLE SUPINE CHEST	Increasing right lower lobe consolidation, likely interval aspiration.
11063824	Endotracheal tube, enteric catheter and right approach central venous catheter are in unchanged expected position. As compared to most recent prior, there is new opacification of the left lung base, likely due to interval atelectasis and enlarging left pleural effusion, now moderate. Right lower lobe consolidation and effusion appears unchanged. There is no pneumothorax. Mild enlargement of the cardiomediastinal contours is unchanged.	59192283	INDICATION: ___-year-old male with altered mental status with pneumonia. COMPARISON: Chest radiographs dating back to ___, most recent from ___ PORTABLE SEMI-UPRIGHT FRONTAL CHEST	Unchanged right lung consolidation with effusion. Probable increasing left lower lobe atelectasis and increasing effusion, now moderate.
11063824	Portable semi-upright radiograph of the chest demonstrates stable to slightly improved right-sided pleural effusion with interval increase in left-sided pleural effusion with adjacent atelectasis. A component of the left-sided pleural effusion may now be loculated. Cardiac and mediastinal contours are stable. There has been interval removal of the nasogastric tube and endotracheal tube. A right central venous line is seen with the tip terminating in the mid SVC. Median sternotomy wires are seen in place. There is no pneumothorax.	54520661	HISTORY: ___-year-old man with end-stage dementia and fever and concern for aspiration. Evaluate for new infiltration. COMPARISON: Radiographs of the chest dated ___ through ___.	Stable to slightly improved right-sided pleural effusion and worsening left-sided pleural effusion with adjacent atelectasis and possible component of loculation.
11063824	Portable semi-upright radiograph of the chest demonstrates near complete opacification of the left hemithorax which likely represents a combination of pleural effusion and adjacent atelectasis. There is no major shift of the mediastinum. Over the interval, there has been slight increase in the right-sided pleural effusion, which is still small. A right IJ central venous line is seen with the tip terminating in the distal SVC.	52411692	HISTORY: ___-year-old man with end-stage dementia and new hypoxia. Evaluate for worsening effusion or atelectasis. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.	Near-complete opacification of the left hemithorax indicates enlarging pleural effusion with adjacent atelectasis.
11206626	Diffuse prominence of interstitial markings and vascular congestion noted. Unchanged biapical pleural thickening. The right hilum is prominent. The heart is mildly enlarged. No focal consolidation is identified. There is no pleural effusion or pneumothorax.	54641290	INDICATION: ___-year-old woman with fall and altered mental status, evaluate for acute intrathoracic process. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___.	Mild cardiomegaly and pulmonary edema. No focal consolidation present.
11391144	PA and lateral views of the chest: The lungs are clear. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. The heart size is normal mediastinal contour is unremarkable.	55976472	HISTORY: Fever, evaluate for acute process. COMPARISON: Chest radiographs ___.	No acute cardiopulmonary process.
11391144	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation or pleural effusion. There is no appreciable pneumothorax, although the left lung apex is obscured by an overlying lead. Mild peribronchial wall thickening and streaky perihilar opacities can be seen in the setting of reactive or small airway disease. The visualized upper abdomen is unremarkable.	50728138	INDICATION: Evaluate for pneumothorax or infiltrate in a patient with chest pain and dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.	Mild peribronchial wall thickening in streaky perihilar opacities, which can be seen in the setting of reactive or small airway disease. No focal consolidation to suggest bacterial pneumonia. No appreciable pneumothorax, though the left lung apex is obscured by an overlying lead.
11391144	PA and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.	50891757	INDICATION: Subjective fever and chills status post back surgery, evaluate for pneumonia. COMPARISON: AP view of the chest on ___ and chest radiographs on ___.	No acute cardiopulmonary process.
11391144	Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is appreciated.	53271321	HISTORY: Fall and rib pain. COMPARISON: Multiple prior chest radiographs, most recently of ___.	No displaced rib fracture.
11704987	The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs demonstrate diffuse prominence of the interstitial markings, compatible with chronic interstitial fibrotic lung disease. There is no evidence of pulmonary consolidation. There is no pleural effusion or pneumothorax.	54225515	HISTORY: ___-year-old male with fever. STUDY: PA and lateral chest radiograph. COMPARISON: ___ chest radiograph and ___ chest CT.	Interstitial lung disease, but no focal consolidation.

11898636

Portable AP semi-erect view of the chest was reviewed and compared to the prior study. An endotracheal tube ends 8-9 cm above the carina and if advanced 2-3 cm would be in the proper location. An upper enteric tube passes into the stomach and off of the radiograph. A right internal jugular venous introduction sheath is visualized. Right lower lung opacity represents platelike atelectasis. Low lung volumes and a possible tiny left pleural effusion are unchanged. Cardiac and mediastinal contours are clearer on today's study.

54767557

INDICATION: Evaluation for pleural effusions in a patient status post abdominal aortic aneurysm repair. COMPARISON: Chest radiograph from ___.

Endotracheal tube ends 8-9 cm above the carina and if advanced 2-3 cm would be in proper position. Persistent low lung volumes and new right lower lung platelike atelectasis.

11898636

Portable upright chest radiograph demonstrates clear lungs except for minimal atelectasis in the right base, with adequate lung volumes. The pleural surfaces are normal. The cardiac silhouette and mediastinal contours are normal.

53480323

HISTORY: ___-year-old male with abdominal aortic aneurysm, for preoperative evaluation. COMPARISON: None.

No acute chest abnormality.

11597838

PA and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged since the prior study with stable mild cardiomegaly. There is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.

56844792

HISTORY: ___-year-old female with chest pain. Evaluation for infiltrate. COMPARISON: Comparison is made to radiographs of the chest from ___.

No acute cardiopulmonary process.

11597838

The lungs are clear. The cardiomediastinal silhouette is stable with mild cardiomegaly. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

55283955

INDICATION: ___F with 1 wk sinusitis, ? bronchitis with intermittent hemoptysis. // r/o PNA / atypical infection TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11750559

Rotated positioning. NG tube present, tip overlying gastric fundus. The gastric fundus itself is distended and there is elevation the left hemidiaphragm. A right PICC line is present, tip in the region of the SVC/RA junction. No pneumothorax is identified. Compared to the prior study, there improved aeration in the left upper zone, though as noted, the left hemidiaphragm is quite elevated, obscuring the remainder of the lung. The presence of a left-sided effusion is suspected. The mediastinal contours and precise position of the mediastinum are not effectively evaluated. The right hemidiaphragm is obscured and there is likely a right pleural effusion with some degree of right base underlying collapse and/or consolidation. However, the right upper and mid zones are grossly clear. Doubt significant CHF -- previously seen vascular plethora has improved.

51857204

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p hernia/bowel resection, being diuresed // ?interval change COMPARISON: Chest x-ray from ___ at 411

Improved aeration of the left upper lung and improvement in CHF findings. Otherwise, overall appearance is similar. A Ir seen overlying the left lower chest is thought to line a distended gastric fundus, not withstanding the presence of a NG tube there. If clinically indicated, a lateral view could help to confirm that the air is in the gastric fundus.

11750559

The NG tube ends in distended stomach. There is improved aeration of the left lung as compared to ___ with elevation of left hemidiaphragm. Mild pulmonary edema in the right lung is unchanged. Tracheostomy tube is midline. There is no pneumothorax. Cardiac size is indeterminate

52111161

INDICATION: ___ year old man with pneumoperitoneum, s/p NGT replacement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 04:35

NG tube in distended stomach and improved aeration of left lung as compared to ___.

11750559

Appearance of tracheostomy is unchanged. Right PICC terminating in the low SVC. NG tube with tip in the stomach. Complete opacification of the left pneumothorax due to left lung collapse unchanged. Unchanged moderate pulmonary edema. Unchanged small right pleural effusion. Unable to evaluate size of cardiomediastinal silhouette. No pneumothorax is seen.

51974758

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pulmonary edema and pleural effusion, intubated // cardiopulmonary process TECHNIQUE: Portable supine chest radiograph. COMPARISON: Chest radiograph dated ___.

Unchanged appearance of tracheostomy, right PICC, and NG tube. Unchanged appearance of total left lung collapse. Moderate pulmonary edema and small right pleural effusion, also unchanged.

11750559

Patient is rotated to the left. Tracheostomy tube is noted. There is marked elevation of the left hemidiaphragm with concern for a left diaphragmatic hernia containing dilated air-filled gastrointestinal structures, likely stomach and possibly bowel. Adjacent thin lucency is worrisome for pneumoperitoneum which was seen on outside hospital CT earlier today. There is subsequent mediastinal shift to the right. No large pleural effusion is seen. No definite focal consolidation although there may be basilar atelectasis.

58929421

WET READ: ___ ___ 5:34 PM Patient is rotated to the left. Large left-sided diaphragmatic hernia containing dilated air-filled structure, stomach and possibly bowel, with secondary shift of the mediastinum to the right. Evidence of pneumoperitoneum as seen on CT from outside hospital earlier today. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with free air // eval for free air TECHNIQUE: Single frontal view of the chest COMPARISON: No prior chest radiograph.

Patient is rotated to the left. Large left-sided diaphragmatic hernia containing dilated air-filled structure, stomach and possibly bowel, with secondary shift of the mediastinum to the right. Evidence of pneumoperitoneum as seen on CT from outside hospital earlier today.

11750559

The diameter of the tracheostomy tube cuff is consistently greater than the expected diameter of the trachea, suggesting tracheomalacia. Right PICC ends in the low SVC. NG tube in the decompressed stomach. Complete opacification of the left hemithorax due to left lung collapse is unchanged since at least ___ and has occurred previously. The left margins of the cardiomediastinal silhouette are obscured and the volume of any left pleural effusion is indeterminate. A small right pleural effusion is new or increased. The right lung is clear. There is no pneumothorax.

57497173

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ yo M PMHx significant for diaphragmatic paralysis c/b respiratory failure s/p trach now s/p trach exchange ___ trach change and bronch // assess for interval change TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___.

Tracheostomy with hyperexpanded cuff, likely due to tracheomalacia. Appropriate positioning of right PICC and NG tube. Persistent left lung collapse. Chronic severely elevated left hemidiaphragm is probably paralyzed or extremely eventrated. Small right pleural effusion.

11029441

The focal consolidations in the right middle lobe and possibly left lingula region persist but are improved, likely a resolving pneumonia. No evidence of complication, including no abscess or pleural effusion. No new focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura unchanged and unremarkable. Mild, multilevel degenerative changes of thoracic spine with endplate sclerosis and intervertebral disc space narrowing.

53645089

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recent pneuomonia; evaluate for resolution. COMPARISON: Chest radiograph dated ___.

Improving probable right middle lobe and left lingula pneumonia since ___. Follow-up chest radiograph is recommended in 4 weeks to re-evaluate for complete resolution and exclude malignancy.

11029441

The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded with no new focal consolidations. A vague opacity in the right upper lobe is unchanged since ___. There is no pulmonary edema.

59585063

HISTORY: Fever, myalgias. COMPARISON: Chest radiograph ___, ___, ___.

No acute cardiopulmonary proces.

11029441

PA and lateral views of the chest provided. Focal consolidation is seen in the right middle lobe obscuring the right heart border, compatible with pneumonia. Subtle opacity in the left lung base adjacent to the left heart border may represent an early pneumonia in the lingula. Otherwise lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

50182662

WET READ: ___ ___ ___ 6:12 PM Right middle lobe pneumonia and probable early pneumonia in the lingula. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and cough // evaluate for pneumonia COMPARISON: ___. ___.

Right middle lobe pneumonia and probable early pneumonia in the lingula.

11439122

Cardiac and mediastinal silhouettes are stable. Apparent widening of the right superior mediastinum the thoracic inlet is stable, as described previously, due to tortuous head and neck vessels and enlargement of the right lobe of the thyroid. There is persistent chronic blunting of the left costophrenic angle due to pleural scarring. No new focal consolidation is seen. No pneumothorax is seen.

57437744

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

No significant interval change. No acute cardiopulmonary process.

11439122

The heart size is top normal. Mediastinal and hilar contours are unchanged with prominence of the right upper mediastinal contour likely due to the presence of a known thyroid goiter. Pulmonary vasculature is not engorged. Small left pleural effusion appears slightly improved with mild adjacent atelectasis. There is no focal consolidation, right pleural effusion or pneumothorax. Mild degenerative changes are seen in the thoracic spine.

53430917

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph, CTA chest ___

Slightly decreased size of small left pleural effusion with adjacent left basilar atelectasis.

11439122

The study is slightly limited due to lordotic positioning. Accounting for this limitation, the cardiac, mediastinal and hilar contours are likely within normal limits. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is clearly noted. Amorphous soft tissue calcification adjacent to the left humeral head likely reflects calcific tendinopathy. No acute osseous abnormalities are visualized.

56943156

HISTORY: Mechanical fall with large laceration on the left knee. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11439122

Study is limited by low lung volumes and slightly lordotic positioning. Within the limitations the cardiomediastinal silhouette and hilar contour is stable. There has been interval development of a small left-sided pleural effusion as well as focal consolidations in the posterior left lower lobe worrisome for infection. No pneumothorax. Amorphous calcification superior to the left humeral head is compatible with calcific tendinosis. No acute bony changes identified.

50203285

WET READ: ___ ___ 12:08 PM Focal consolidations in the left lower lobe worrisome for infection. Small left effusion. ______________________________________________________________________________ FINAL REPORT HISTORY: Fevers and cough. TECHNIQUE: AP and lateral chest radiograph. 2 views. COMPARISON: Multiple chest radiographs dating back to ___.

Focal consolidations in the left lower lobe worrisome for infection. Small left effusion.

11439122

The lungs are clear without focal consolidation definite effusion or edema. Blunting of the left lateral costophrenic angle is compatible with a prominent fat pad seen on prior CT. No acute osseous abnormalities.

56665275

INDICATION: ___M w/ generalized weakness, temp ___.8, vomiting // r/o intrapulm process TECHNIQUE: Single portable view of the chest. COMPARISON: ___ chest x-ray. CT torso from ___.

No acute cardiopulmonary process.

11439122

Cardiac size within normal limits. Some tortuosity of the thoracic aorta is present. There is no evidence of failure. Some atelectasis is present. The left effusion present on the prior chest x-ray of one day earlier has decreased. When compared to the chest x-ray of ___, the perihilar structures appear more prominent and this would suggest some failure is likely present.

50405409

CLINICAL HISTORY: CHF, influenza. Evaluate for failure or pneumonia. CHEST

Some evidence of failure, though decrease in size of left effusion.

11439122

The lungs are mildly hypoinflated with persistent left lower lobe atelectasis and small left pleural effusion. Chronic left atrial contour abnormality is noted. Heart size, mediastinal contour, and hila are otherwise unremarkable.

52317084

EXAMINATION: Chest radiograph. INDICATION: ___M with fall, concern for infection. Assess for infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___ CTA chest ___

Persistent left lower lobe atelectasis and small left pleural effusion.

11407341

The heart is moderately enlarged. The aorta is tortuous and calcified. The hila appear somewhat enlarged bilaterally, but no pulmonary edema is present. Left basilar opacification may reflect atelectasis. Blunting of the costophrenic angles bilaterally suggests small pleural effusions. No pneumothorax is identified. There are no acute osseous abnormalities.

50935444

INDICATION: Fever, weight loss, cough. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest.

No radiographic evidence to suggest tuberculosis. Left basilar opacity may reflect atelectasis. Small bilateral pleural effusions. Enlarged hila bilaterally is suggestive of pulmonary arterial hypertension.

11407341

There has been further aeration of the left lung base. Increased patchy opacification of the right lung base is noted. There is no pleural effusion or pneumothorax. The appearance of the mediastinum is unchanged with dense calcifications in the aortic arch. The cardiac silhouette remains mildly enlarged.

57021762

HISTORY: Altered mental status, dementia and ligated with difficulty ambulating. Evaluate for an acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___.

Increased patchy opacity within the right lung base is likely atelectasis, although, a developing pneumonia cannot be excluded.

11407341

Portable AP upright chest radiograph is obtained. The lung volumes are low. The heart is markedly enlarged. There is obscuration of the retrocardiac space, which could reflect technique. The possibility of tiny bilateral pleural effusions is not excluded. While there is no overt pulmonary edema, there may be minimal interstitial edema. The mediastinal contour is stable. Bony structures are intact.

53712968

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph and chest CT both dated ___. CLINICAL HISTORY: CHF history, assess for pulmonary edema.

Cardiomegaly with possible mild interstitial edema and tiny pleural effusions. Limited exam due to low lung volumes.

11760367

The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified.

59729256

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Status post fall with dizziness and chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: CT from ___.

No evidence of acute cardiopulmonary disease or injury.

11990385

Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen. Posterior fixation hardware is partially visualized in the cervical spine.

50946060

INDICATION: ___F with sob // acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11210651

Single frontal view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

59348062

EXAM: CHEST, SINGLE FRONTAL VIEW. CLINICAL INFORMATION: ___-year-old male with history of acute tachypnea, question infiltrate. COMPARISON: None.

No acute cardiopulmonary process.

11210651

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear.

55745062

CHEST RADIOGRAPHS HISTORY: Chest pain and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11785297

A frontal chest radiograph demonstrates a nasoenteric to extending below the diaphragm and off the inferior edge of the image, as well as a right approach pigtail catheter overlying the right upper quadrant, presumably within the hepatic abscess. A moderate right pleural effusion, which extends over the right lung apex, is decreased compared to the prior chest radiograph. No obvious focal consolidation or pneumothorax is identified.

58192452

INDICATION: Evaluate for pneumothorax in a patient status post right PTBD internalization, right thoracentesis, and repositioning of a pigtail within a liver abscess. COMPARISON: Chest radiographs from ___, ___, ___.

Moderate right pleural effusion, decreased compared to prior chest radiograph. No pneumothorax visualized.

11785297

Lungs are well expanded. There is a small right pleural effusion. Heart size is normal. The mediastinal and hilar contours are unremarkable. Surgical drain and clips project in the abdomen on the lateral radiograph.

50665282

INDICATION: History: ___M s/p ex-lap hepatic resection p/w fever and cough // r/o infiltrate TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiograph ___

Small right pleural effusion, new compared to prior exam. No definite evidence of pneumonia.

11785297

First image shows Dobbhoff tube terminating just distal to the GE junction, and subsequent image shows Dobbhoff tube terminating in the stomach. Right IJ venous catheter terminates at mid SVC. Pigtail catheter and another catheter inferiorly are noted at right upper quadrant of the abdomen. Moderate right pleural effusion is unchanged. Moderate cardiomegaly is unchanged. Mild pulmonary vessel congestion is similar to prior.

55203003

INDICATION: ___M T4N1 hilar cholangioca s/p L triseg/CBD exc/R-Y HJ ___ c/b recurrent bile leak/abscesses,cholangitis p/w fevers, new hepatic lesions + cancer now s/p metal stent // evaluate dobhoff placement and positioning Contact name: ___, ___: ___ EXAMINATION: CHEST PORT. LINE PLACEMENT TECHNIQUE: Portable Chest radiograph, frontal views COMPARISON: Chest radiograph ___

Dobbhoff tube terminates in the stomach.

11785297

Since ___, new right lower lung focal opacity that obscures the right hemidiaphragm is consistent with pneumonia. Stable small right pleural effusion. The left lung is clear. Stable cardiomediastinal silhouette. The right PICC line is appears intact and is unchanged in position. No pneumothorax or pulmonary edema.

52723035

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w Klatskin s/p L triseg/RNY HJ ___ c/b bile leak (cut surface) wound infection p/w dehiscence s/p ex-lap, washout, liver debridement wound vac placement now postop day 7 with elevated wbc and congested cough // assess for pneumonia. COMPARISON: Chest radiographs dated ___.

New right lower lobe pneumonia. Stable small right pleural effusion.

11785297

An enteric tube descends below the field of view. Pigtail catheter is in stable position, projected over the base of the right hemi thorax. A large right pleural effusion is likely minimally increasing in size from ___, given differences in patient positioning. No pneumothorax is identified. There is some retrocardiac opacity which may represent atelectasis. Right basal opacity also likely represents a component of atelectasis.

53567600

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M T4N1 hilar cholangioca s/p L triseg/CBD exc/R-Y HJ ___ c/b recurrent bile leak/abscesses,cholangitis p/w fevers, now s/p metal stent, abscess drain Internalized R pPTBD w/ hx of R pleural effusion // eval for r pleural effusion TECHNIQUE: AP view of the chest. COMPARISON: Multiple prior radiographs most recent on ___

Large right pleural effusion his likely minimally increased given differences in positioning.

11785297

Single AP view of the chest provided. Right PICC ends in the low SVC. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

50154080

WET READ: ___ ___ ___ 11:51 AM Right PICC ends just above the superior cavoatrial junction. WET READ VERSION #1 ___ ___ ___ 8:12 PM Right PICC ends just above the superior cavoatrial junction. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man arriving with PICC // Please eval PICC placement COMPARISON: Chest radiograph ___

Right PICC ends in the low SVC. Otherwise, normal chest radiograph.

11785297

The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is mild pulmonary vascular congestion. There is a small right pleural effusion overall unchanged compared to the prior exam. The visualized osseous structures are unremarkable. There is no pneumothorax.

56818389

INDICATION: History: ___M with fevers // Please eval for any pna TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___.

Small right pleural effusion. No focal consolidations concerning for pneumonia identified.

11785297

The lungs are clear consolidation, large effusion or vascular congestion. The cardiac silhouette is top normal in size. No acute osseous abnormalities identified.

59736915

INDICATION: ___M with epigastric pain and EKG changes // R/O CHF, pneumonia, free peritoneal air TECHNIQUE: AP view of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11625962

Frontal and lateral views of the chest. There is mild pulmonary edema superimposed on the known chronic lung disease. A small focal area of opacification is seen at the right lung base. There are small bilateral pleural effusions, best appreciated on the lateral view. No pneumothorax. Cardiac size is moderately enlarged. Coronary stent is also noted. A calcified and tortuous aorta is present.

50010465

INDICATION: Chest pain. Evaluate for effusions, pneumonia or cardiomegaly. COMPARISON: Chest radiograph ___.

Mild pulmonary edema superimposed on known chronic lung disease. Increased opacification right lung base, worrisome for pneumonia in the correct clinical setting.

11625962

Low lung volumes are present. The heart size remains mild to moderately enlarged. The aorta is tortuous and calcified. Widening of the superior mediastinum is compatible with known thyroid goiter, as seen on the prior CT. Increased interstitial markings are re- demonstrated, most pronounced at the lung bases, compatible with the patient's history of chronic interstitial lung disease with superimposed mild interstitial pulmonary edema. More focal opacities within the lung bases could reflect superimposed atelectasis though infection is not completely excluded. No pneumothorax is identified. Is small right pleural effusion may be present. Multilevel degenerative changes in the thoracic spine.

55793707

HISTORY: Productive cough. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest CT ___. Chest radiograph ___.

Mild interstitial pulmonary edema superimposed on a background of chronic interstitial lung disease. More focal patchy opacities in the lung bases likely reflect atelectasis though infection is not completely excluded.

11625962

The lung volumes are low. Since the prior exam, the mild pulmonary edema has improved. A more focal opacity at the right base is present, may represent pneumonia or atelectasis, though appears slightly improved from prior exams. A linear opacity at the left base is likely atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. The heart size is normal.

54618691

INDICATION: Fever and cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. CT of the chest from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained.

Improved pulmonary edema with a persistent right basilar opacity, which may represent pneumonia or atelectasis.

11625962

The heart is moderately enlarged. There is mild pulmonary edema. As compared to prior chest radiograph from ___, there is improved aeration of the right lung base. Persistent bibasilar opacities likely reflect chronic interstitial abnormality as on prior chest CT ___. No new focal consolidations are noted. There are improved bilateral pleural effusions. There is no pneumothorax.

57615339

HISTORY: Chest tightness, dizziness, shortness of breath. Evaluate interval worsening or resolution of PNA. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. TECHNIQUE: PA and lateral chest radiographs.

Mild pulmonary edema. Improved right lung base opacity likely reflecting resolving pneumonia with persistent bibasilar interstitial opacities, which likely relate to known chronic lung disease.

11355690

AP upright frontal and lateral views of the chest were provided. DBS implants are noted in the right and left chest wall anteriorly. Lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. The imaged osseous structures appear intact.

58830530

HISTORY: ___-year-old female with recent placement of a deep brain stimulator, extension wires placed yesterday, presents with chest pain and fever, question pneumonia. COMPARISON: None.

No evidence of pneumonia.

11355690

Bilateral electronic devices project over the chest. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. There is a left-sided PICC line with the tip best seen on the lateral projection. This is likely just at the cavoatrial junction.

51655460

WET READ: ___ ___ ___ 6:14 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with PICC for IV antibiotics ___ lumbar wound, now due for abx dosing // confirm PICC placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11355690

Interstitial markings are increased in the pulmonary vasculature is indistinct. There is no pneumothorax. The cardiac silhouette is prominent but may be exaggerated by AP technique. Mediastinal structures are otherwise unremarkable and appear stable. There are degenerative changes in the spine. Bilateral stimulator generator packs and leads overlie the upper chest and neck as before.

56212113

EXAMINATION: CHEST (PORTABLE AP) INDICATION: evaluate for source of O2 sat ___%, chest tightness TECHNIQUE: AP chest x-ray COMPARISON: ___

Increased interstitial markings, possibly representing edema.

11355690

Left PICC line tip in the upper right atrium, difficult to compared to prior radiograph as it was not well seen previously. Electronic devices bilateral chest, with leads projected over bilateral neck. Linear strand of atelectasis or fibrosis left costophrenic angle. 2 radiopaque densities projected over upper abdomen on lateral radiograph only, may be external to the patient. No infiltrates. No pleural effusions.

55351233

EXAMINATION: Chest x-ray INDICATION: PICC line placement TECHNIQUE: Chest two views COMPARISON: ___ 15:04

Left PICC line tip in the upper right atrium.

11362059

The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is a subtle fracture at the left anterolateral seventh rib, mildly displaced as well as a possible subtle fracture of the left posterolateral eighth rib. In the absence of priors, this is of indeterminate chronicity.

52624011

INDICATION: History of shortness of breath. Left-sided rib fracture after falling off of roof three weeks ago. Please evaluate. COMPARISONS: NONE TECHNIQUE: PA and Lateral radiographs of the chest.

No acute intrathoracic abnormalities identified. Subtle displaced fractures involving the left seventh and eighth ribs of indeterminate chronicity. If there is further concern for rib fractures, a dedicated rib series would be recommended for further evaluation.

11052252

PA and lateral views of the chest. Biapical scarring is again seen, more extensive on the left than on the right. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. Surgical clips project over the left lateral chest wall.

52759610

HISTORY: ___-year-old female with abdominal pain. COMPARISON: ___.

No acute cardiopulmonary process. No free intraperitoneal air.

11002115

There is moderate to large left pleural effusion and small right pleural effusion. There is consolidation of bilateral lung bases, left more than right. Cardiac silhouette is obscured by pleural effusion. Mediastinal and hilar silhouettes are normal size.

52793213

INDICATION: ___ year old woman with Hx of bc, now cough // infiltrate? EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: CT torso ___

There is moderate to large left pleural effusion and small right pleural effusion. There is consolidation of bilateral lung bases, left more than right. Superimposed pneumonia cannot be excluded.

11002115

Cardiac contours are partly obscured by pleural effusions but the cardiac, mediastinal and hilar contours appear similar aside from new moderate perihilar vascular congestive changes. In addition to mild new pulmonary edema, a left-sided pleural effusion appears moderate in size and similar to perhaps mildly increased. Small pleural effusion on the right has increased somewhat.

51288234

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Heart failure. Question pulmonary edema. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.

Some increase in pleural effusions. Mild vascular congestion.

11588466

PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm.

56441814

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Right upper quadrant pain, dizziness.

No acute intrathoracic process.

11108383

There is left lower lobe consolidation. Biapical scarring is noted. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Anterior cervical fixation hardware is partially visualized. Lower thoracic levoscoliosis is identified.

53008449

WET READ: ___ ___ ___ 4:24 PM Left lower lobe consolidation compatible with pneumonia in the proper clinical setting. Followup will be necessary after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with report of pneumonia s/p treatment still symptomatic // Evidence of intrapulmonary process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

Left lower lobe consolidation compatible with pneumonia in the proper clinical setting. Followup will be necessary after treatment to document resolution.

11461411

The lungs are well expanded and clear. The heart is moderately enlarged, with a prominent right atrium, suggesting high pulmonary pressure. The aorta is tortuous. There is no pleural effusion or pneumothorax. A prominent right epicardial fat is noted. No fractures are seen.

52610803

INDICATION: ___-year-old female with left rib pain after fall, worse with inspiration. Evaluate for evidence of fracture. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph.

Moderate cardiomegaly. No evidence of acute cardiopulmonary process or fracture. Of note, this exam is not tailored for evaluation of fine detail of thoracic osseous structures. If there is concern for bony injuries detailed views should be obtained.

11914496

The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax. No displaced rib fractures are seen. Please note that this study is not tailored for evaluation of nondisplaced rib fractures. If there is high clinical concern for the same, dedicated rib series, with a radiopaque marker placed at the site of maximum tenderness is recommended.

52811656

INDICATION: ___-year-old male status post MVC. COMPARISON: None available. AP AND LATERAL CHEST

No acute cardiopulmonary pathology.

11700821

PA and lateral view of the chest shows reduced lung volume with increased opacity at the right lung base, likely right lower lobe, compatible with aspiration. The lung is otherwise clear. Cardiac size is mildly enlarged since ___. There is no pleural effusion or pneumothorax.

51946469

REASON FOR EXAM: ___ years old man with HIV, reports aspirating high-dose of ATRIPLA, now with cough and right-sided chest pain. COMPARISON: Exam is compared to chest x-ray of ___.

New right lung lower lobe opacity is compatible with aspiration. Findings were reported to Dr. ___ at 8:33 a.m.

11729569

Frontal chest radiograph. There now are again diffuse confluent pulmonary opacities. Given prior episodes, this is most consistent with severe pulmonary edema. The heart size cannot be well assessed, and no pleural effusion or pneumothorax is seen.

57541734

INDICATION: Shortness of breath and hypoxia. History of renal cell carcinoma. COMPARISON: Multiple prior chest radiographs from ___ to ___.

Recurrent severe pulmonary edema.

11793027

There is a suggestion of left atrial enlargement without significant cardiomegaly. Thoracic aorta is tortuous. Lungs are clear without evidence of overt pulmonary edema. Right lower lobe calcified granuloma and bilateral calcified hilar lymph nodes suggest prior granulomatous disease. Small left pleural effusion. There are multiple age-indeterminate vertebral compression deformities.

58516396

INDICATION: History of shortness of breath, wheezing, diagnosed at outside hospital with congestive heart failure and apparently improved with Lasix. Assess for any evidence of residual CHF. COMPARISON: No prior studies available for comparison.

Likely left atrial enlargement. No overt pulmonary edema. Small left pleural effusion. Multiple age-indeterminate vertebral compression fractures.

11467523

The heart size is normal. Multiple sternal wires and mediastinal clips denote prior cardiac surgery. A left-sided pacemaker generator pack projects leads into the right atrium and ventricle. Since the ___ examination, there has been resolution of a left basilar opacity. No new opacity is detected. There is no pneumothorax or pleural effusion. The central pulmonary vessels are normal in caliber.

59579385

INDICATION: Cough and dyspnea. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST

No acute intrathoracic process.

11467523

Dual leads from left pectoral pacemaker device through the left transvenous approach end into the right atrium and right ventricle respectively. Aorta is mildly tortuous and mild-to-moderately calcified. Lungs are clear. No opacities concerning for pneumonia or aspiration or pulmonary edema. Heart size is normal. Mediastinal and hilar contours are unremarkable. Opacity along right paratracheal region has been stable since at least ___. Post sugrical changes are seen in thyroid bed.

51456495

CHEST RADIOGRAPH INDICATION: Congestive heart failure, coronary artery disease, to look for findings in the lungs. TECHNIQUE: Portable upright chest view was read in comparison with prior chest radiograph from ___.

No pneumonia or pulmonary edema.

11467523

A single portable chest radiograph was obtained. Bilateral pleural effusions and mild atelectasis have increased since ___. Cardiomegaly is unchanged. There is no consolidation or pneumothorax. Pacing leads, sternotomy wires, vascular clips, and abdominal surgical clips are unchanged.

50151580

INDICATION: ___-year-old man with COPD, pneumonia, and acute respiratory failure. COMPARISON: ___.

Increased bibasilar effusions and atelectasis since ___.

11777223

A new right internal jugular catheter terminates in the mid SVC. Lung volumes are decreased and bibasilar atelectasis, right greater than left, is new. Mild cardiac enlargement is somewhat exaggerated by AP view and low lung volumes. The mediastinum is unchanged. There is no apical pneumothorax or large pleural effusion.

51325053

HISTORY: Status post left hip washout, post central line. TECHNIQUE: Portable AP chest. COMPARISON: Chest radiograph ___.

New right internal jugular catheter terminates in the mid SVC. Lung volumes are decreased and bibasilar atelectasis, right greater than left, is new

11777223

Upright portable radiograph of the chest demonstrates no evidence of pneumothorax or focal consolidation within the lungs. Bibasilar atelectasis is present. There is mild widening of the mediastinum, within normal limits after recent CABG. There has been interval removal of endotracheal tube, pericardial drain, nasogastric tube since the prior study. A right internal jugular venous catheter terminates in the low SVC.

50463180

HISTORY: ___-year-old man status post CABG. Evaluation for pneumothorax. COMPARISON: Comparison is made to radiographs of the chest from ___.

No evidence of pneumothorax. Expected postoperative changes after recent CABG.

11627617

Prominence of the central pulmonary vasculature suggests central vascular engorgement. Left base opacity is seen which may be due to atelectasis and overlap of structures, however consolidation due to pneumonia is difficult to exclude. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Degenerative changes seen at the acromioclavicular joint.

56608029

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with shaking chills and low grade temp // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None

Retrocardiac opacity could be due to overlapping structures, however, consolidation due to pneumonia is not excluded. Central pulmonary vascular engorgement.

11234441

Portable upright radiograph of the chest demonstrates markedly low lung volumes with bibasilar atelectasis. There is a right chest wall Port-A-Cath terminating at the cavoatrial junction. There is no pneumothorax or right sided pleural effusion. A small left pleural effusion is not excluded. The mediastinal contours are normal. There is no evidence of intraperitoneal free air. There are erosive changes at the left distal clavicle. No subdiaphragmatic gas is seen.

52981203

FINAL ADDENDUM Comparison to the previous chest CT from ___ demonstrates numerous osseous metastases including one involving the distal left clavicle, accounting for the destructive lesion seen on the current radiograph. ______________________________________________________________________________ FINAL REPORT HISTORY: Abdominal pain and tachypnea. Evaluate for pneumonia or free abdominal air. COMPARISON: Chest radiograph from ___.

No evidence of pneumonia. Erosive process involving the left distal clavicle, new since ___. Correlate clinically. No subdiaphragmatic gas seen.

11234441

PA and lateral views of the chest were provided. A Port-A-Cath is again seen projecting over the right lower chest with catheter extending into the mid SVC. Previously noted kink within the catheter is improved. The lungs are clear without focal consolidation, effusion, or pneumothorax. No signs of CHF. Cardiomediastinal silhouette is stable. Bony structures appear intact.

51690817

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cancer, on chemotherapy with fever, assess for pneumonia.

No signs of pneumonia.

11429306

PA and lateral views of the chest provided. Clips noted in the right upper quadrant. 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.

55576761

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with 3 days of CP COMPARISON: ___

No acute intrathoracic process.

11429306

The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. There is no evidence of pulmonary vascular congestion. The lungs are clear. There is no pleural effusion or pneumothorax.

56495057

WET READ: ___ ___ 2:48 AM No acute cardiopulmonary abnormality. Clear lungs. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: ___-year-old woman with chest pain, evaluate for pneumonia. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: None available.

No acute cardiopulmonary abnormality. Clear lungs.

11248793

The lungs appear mildly hyperinflated. The right internal jugular catheter is been removed. A left-sided subclavian stent is noted. Linear atelectasis in the left mid lung. Left lower lobe atelectasis, similar in appearance compared to the prior study. There are small bilateral pleural effusions. Surgical clips project over the mediastinum.

51836351

WET READ: ___ ___ ___ 7:24 PM Stable postop for appearance of the chest with alteration of bilateral costophrenic angles likely reflective of pleural effusions, slightly increased relative to prior examination. Linear density projecting over the left midlung zone likely subsegmental atelectasis. There is no were pulmonary edema. No pneumothorax. Vascular stent projects over the left proximal clavicle. A ___ ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p CABG // eval for effusion TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

No significant interval change when compared to the prior study. Small bilateral pleural effusions.

11812637

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.

53413627

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with sob, eval pna. COMPARISON: ___ chest x-ray.

No acute intrathoracic process.

11976982

Again, there is near-complete opacification of the right lung due to a combination of effusion, consolidation, and tumor burden. In the left lung, the patchy rounded opacities have increased since the prior radiograph performed five hours prior. There is likely a trace left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures demonstrate increased density, consistent with diffuse metastatic disease.

59331867

INDICATION: Hemoptysis and worsening shortness of breath. History of lung cancer. COMPARISONS: CTA chest ___. Chest radiograph ___. Multiple chest radiographs dating to ___.

Increasing patchy consolidation of the left lung. Given the short time interval, this change is likely either due to worsening infection, edema, or hemorrhage, rather than tumor spread superimposed on the known metastases. Stable near-complete opacification of the right lung from effusion, consolidation, and tumor burder. Diffuse widespread osseous metastases.

11976982

There is increased opacification over the right lung, likely due to increase in loculated pleural effusion, underlying atelectasis, with concern for worsening of metastatic disease, underlying consolidation or infection not excluded. Increased opacification of the right upper lobe may represent increased tumor spread although infection is not excluded. The patient is rotated to the right, however, library deviation of the trachea suggest partial lung collapse, likely obstruction from tumor. Increasing nodular opacities diffusely throughout the lower left lung is highly concerning for progression of metastatic disease. A small left pleural effusion is difficult to exclude. Diffuse osseous metastases better evaluated on CT.

56169790

WET READ: ___ ___ 7:10 PM Compared to ___: Loculated right pleural effusion is probably larger. There is further opacification of the right upper lobe, which may represent disseminated tumor spread, pneumonia is not excluded. Rightward tracheal deviation suggests partial lung collapse, likely obstructive from tumor. Diffuse nodular opacities in the left lung again likely tumor growth, but acute infection is possible in the right clinical setting. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Lung cancer shortness of breath. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___.

Significant interval increase and opacification of the right lung, probably due to increase in underlying loculated right pleural effusion, but also concerning for progression of metastatic disease. Underlying consolidation due to infection is difficult to exclude.

11230696

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. Bilateral nipple jewelry is seen.

53291795

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, dyspnea // ? acute cardipulm process COMPARISON: ___

No acute intrathoracic process.

11230696

Bibasilar, rounded airspace opacities are noted, more conspicuous on the right. The upper lungs are clear. There is no pleural effusion, pneumothorax, or overt pulmonary edema identified. The right hila is noted to be mildly prominent relative to the prior examination, and likely reflects reactive adenopathy. The cardiac silhouette is within normal limits.

58784688

EXAMINATION: Chest radiograph. INDICATION: History: ___F with cough, asthma exacerbation // evidence of infection TECHNIQUE: Chest PA and lateral COMPARISON: ___.

Bibasilar airspace opacities compatible with multi focal pneumonia. FOLLOWUP CHEST RADIOGRAPH IN 4 WEEKS IS ESSENTIAL EVEN IF THE PATIENT IMPROVES CLINICALLY, TO EXCLUDE A CONDITION OTHER THAN PNEUMONIA.

11230696

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small rounded opacity is seen overlying the right hemithorax. This is most likely due to a nipple shadow or overlapping structures at the costochondral junction. The cardiomediastinal silhouette is normal.

59293671

INDICATION: History of pneumonia diagnosed at an outside hospital. Evaluate for resolution. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.

No acute cardiopulmonary process; specifically, no evidence of pneumonia.

11893554

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

57958033

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

No acute cardiopulmonary process.

11893554

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

52360912

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

No acute cardiopulmonary process.

11233834

The sternotomy wires and a mitral valve prosthesis are constant. There is no pleural effusion, pneumothorax or focal airspace consolidation. Moderate cardiomegaly is unchanged. There is no evidence for pulmonary edema. The mediastinal and hilar contours are stable.

51472843

HISTORY: Chest pain. Evaluate for infection or cardiomegaly. COMPARISON: Chest radiograph ___. FRONTAL AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11233834

The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiac silhouette is moderate-to-severely enlarged. Post-sternotomy wires are noted as well as a mitral valve prosthesis. No acute fractures are identified.

52308071

INDICATION: Evaluation of patient with increased chest tightness. COMPARISON: Chest radiograph from ___.

Stable moderate-to-severe cardiomegaly with no acute cardiopulmonary processes.

11589882

Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

57533367

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

No acute cardiopulmonary process.

11628624

Compared to prior radiograph, there has been marked interval improvement in pulmonary edema, with no new consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. Stable cardiomegaly.

58097743

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with ox sat ___%, crackles at RLL // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

Stable cardiomegaly with interval improvement in pulmonary edema and no evidence of pneumonia.

11628624

The heart remains moderately enlarged. There is no new focal consolidation, appreciable pleural effusion or pneumothorax. There is moderate pulmonary edema, which is stable since the prior examination.

58052598

EXAMINATION: Chest radiographs. INDICATION: History: ___M with CHF, ___ edema, 23lb weight gain // Eval for pulmonary edema TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiographs from ___.

Moderate pulmonary edema, stable as compared to prior examination. No focal consolidation.

11628624

There is moderate pulmonary vascular congestion. The cardiac silhouette remains enlarged. The aorta is tortuous and enlarged mediastinal contour is similar in appearance. No large pleural effusion or pneumothorax is seen.

51096665

HISTORY: Dyspnea. TECHNIQUE: AP portable view of the chest. COMPARISON: ___.

Moderate pulmonary vascular congestion and cardiomegaly.

11327250

Frontal and lateral views of the chest demonstrate low lung volumes accentuating bronchovascular crowding. The cardiac silhouette is mildly prominent, but likely accentuated by AP technique. The mediastinal and hilar contours are within normal limits. Lateral view is highly limited due to downcast arms obscuring pulmonary parenchyma. There may be mild perihilar vascular congestion without frank edema. There is no large effusion.

57266155

INDICATION: ___-year-old male with end-stage renal disease. Question pulmonary edema or effusions. COMPARISON: None available.

Minimal perihilar congestion, without frank edema. No pleural effusions.

11378535

A right internal jugular transvenous pacer terminates in the right ventricle. A CoreValve is present within the aortic valve. There are diffuse interstitial opacities consistent with plulmonary edema. A more conlfuent area of opacification is noted in the right upper lobe. The cardiac silhouette is mildly enlarged but unchanged. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The imaged upper abdomen is unremarkable.

51765050

HISTORY: Total aortic valve replacement for aortic stenosis. Evaluate pacing wire in lung fields. TECHNIQUE: Single frontal view chest. COMPARISON: Preoperative chest radiograph ___ and cardiac CT ___.

Moderate pulmonary edema. More confluent opacity in the right upper lobe may reflect gravitational edema versus aspiration. Satisfactory position of a right transvenous pacer.

11378535

AP upright and lateral views of the chest provided. A left chest wall pacer device is again seen with single lead extending into the region of the right ventricle. Aortic CoreValve noted. Cardiomegaly is moderate. Mediastinal contour is stable with aortic calcification. There is mild to moderate pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.

52765915

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with sob COMPARISON: ___

Mild to moderate pulmonary edema. Difficult to exclude a subtle superimposed pneumonia.

11347834

The lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall port is seen with catheter tip in the lower SVC. Surgical clips project over the left axilla and right upper quadrant. No acute osseous abnormalities.

55171557

INDICATION: ___F with power port // placement of power port TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11347834

Lung volumes are relatively low. Left chest wall port is seen with catheter tip at the lower SVC. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the left axilla and right upper quadrant.

53045226

INDICATION: ___F with chest pain // please eval for acute abnormality TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11266795

There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. No acute bony abnormality is detected.

54105976

HISTORY: Shortness of breath, chest tightness, with recent orthopedic surgery. Evaluate for PE. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None.

No evidence of acute cardiopulmonary process.

11093381

Compared to the chest radiograph taken approximately 3 hours ago, there is no significant change. The ET tube terminates approximately 4.2 cm from the carina. An enteric tube is seen below the diaphragm and out of view. The lungs are clear and there is no pleural abnormality. The hilar and mediastinal silhouette are unremarkable.

56060654

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with pt thrashed, want to re-confirm placement*** WARNING *** Multiple patients with same last name! // ET tube position TECHNIQUE: Portable supine chest radiograph. COMPARISON: Chest radiograph from ___ at 01:46

No significant interval change. ET tube terminating 4.2 cm from the carina, unchanged in position.

11642214

Portable upright radiograph of the chest demonstrates low lung volumes. There is probable left basilar atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion.

59665371

HISTORY: Altered mental status. COMPARISON: Chest radiograph from ___.

Probable left basilar atelectasis. Correlate clinically to exclude possibility of aspiration/pneumonia.

11063824

Frontal views of the chest. Endotracheal tube terminates 2.5 cm above the carina. NG tube terminates in the stomach with its side hole just below the level of the GE junction. Lung volumes are low, exaggerating heart size. The aorta is tortuous and may be enlarged. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Patient is status post CABG. A lower right anterior rib fracture is of uncertain chronicity. There is incompletely imaged lumbar spine dextroconvex scoliosis.

53734820

HISTORY: Found unresponsive status post intubation. COMPARISON: None.

Endotracheal tube terminates 2.5 cm above the carina, and may be withdrawn by 1.5 cm for more optimal position. NG tube terminates in the stomach with its side hole just below the level of the GE junction. Right lower rib anterior fracture of uncertain chronicity.

11063824

Portable frontal radiograph of the chest demonstrates right basilar atelectasis with small right pleural effusion and no pneumothorax. At the right lower lateral aspect of the thoracic cage, there is a subtle change in contour of the rib, possibly indicating the reported rib fracture, although oblique views are recommended for further characterization if rib fractures, if clinically indicated. Cardiomediastinal contours are unchanged.

59478129

HISTORY: Shortness of breath with rib fractures of the right 11th rib. COMPARISON: ___.

Small right pleural effusion with adjacent atelectasis and no pneumothorax.

11063824

Portable single frontal chest radiograph was obtained. A new right IJ central venous line has its tip terminating in the mid SVC at the level of the carina. The tip of the endotracheal tube is situated 4 mm above the carina in appropriate position. A nasogastric tube has its tip terminating in the gastric fundus with the proximal side hole at the GE junction. There is a new focal opacity in the right mid lung. The left lung is clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.

52685370

INDICATION: Patient with new right IJ central venous line, evaluate placement. COMPARISON: Chest radiograph from ___.

Right IJ central venous line with tip terminating in the mid SVC. New focal opacity in the right mid lung, which could indicated pneumonia in the appropriate clinical setting. NG tube with proximal side port at the level of the GE junction and may be advanced further for optimal positioning. Finding #3 was discussed with Dr.___ by Dr.___ ___ telephone at 5:30pm on day of exam.

11063824

Lung is well inflated with increased opacification of the right lower lobe, which is likely atelectasis. In appropriate clinical setting, a superimposed pneumonia should be considered. Left lung is clear. There is no pleural effusion or pneumothorax. Heart is still mildly enlarged. No evidence of rib fractures.

55631788

WET READ: ___ ___ 7:45 PM Again noted is a right posterolateral 11th rib fracture. There is increased opacity at the right lung base suggesting worsening atelectasis. Lucency along the left heart border displays vessels coursing through is likely artifactual. ______________________________________________________________________________ FINAL REPORT PATIENT HISTORY: ___-year-old man with dementia, status post fall with SAH and rib fracture, now with acute hypoxic respiratory failure. Assess for respiratory failure. COMPARISON: Exam is compared to ___.

Increased opacification in the right lower lobe, compatible with atelectasis though superimposed pneumonia might be considered in the appropriate clinical setting. No pneumothorax or pleural effusion.

11063824

An endotracheal tube, nasoenteric catheter and right central venous catheter are all in expected unchanged position. Median sternotomy wires are intact. There is progressive consolidation within the right lower lung, findings concerning for interval aspiration. An associated moderate right effusion is likely. Minimal left lower lobe opacities are likely related to subsegmental atelectasis. There is no pneumothorax. Cardiomediastinal and hilar contours are unchanged.

50805580

HISTORY: ___-year-old male with respiratory failure. COMPARISON: Chest radiographs dating back to ___, most recent from ___ PORTABLE SUPINE CHEST

Increasing right lower lobe consolidation, likely interval aspiration.

11063824

Endotracheal tube, enteric catheter and right approach central venous catheter are in unchanged expected position. As compared to most recent prior, there is new opacification of the left lung base, likely due to interval atelectasis and enlarging left pleural effusion, now moderate. Right lower lobe consolidation and effusion appears unchanged. There is no pneumothorax. Mild enlargement of the cardiomediastinal contours is unchanged.

59192283

INDICATION: ___-year-old male with altered mental status with pneumonia. COMPARISON: Chest radiographs dating back to ___, most recent from ___ PORTABLE SEMI-UPRIGHT FRONTAL CHEST

Unchanged right lung consolidation with effusion. Probable increasing left lower lobe atelectasis and increasing effusion, now moderate.

11063824

Portable semi-upright radiograph of the chest demonstrates stable to slightly improved right-sided pleural effusion with interval increase in left-sided pleural effusion with adjacent atelectasis. A component of the left-sided pleural effusion may now be loculated. Cardiac and mediastinal contours are stable. There has been interval removal of the nasogastric tube and endotracheal tube. A right central venous line is seen with the tip terminating in the mid SVC. Median sternotomy wires are seen in place. There is no pneumothorax.

54520661

HISTORY: ___-year-old man with end-stage dementia and fever and concern for aspiration. Evaluate for new infiltration. COMPARISON: Radiographs of the chest dated ___ through ___.

Stable to slightly improved right-sided pleural effusion and worsening left-sided pleural effusion with adjacent atelectasis and possible component of loculation.

11063824

Portable semi-upright radiograph of the chest demonstrates near complete opacification of the left hemithorax which likely represents a combination of pleural effusion and adjacent atelectasis. There is no major shift of the mediastinum. Over the interval, there has been slight increase in the right-sided pleural effusion, which is still small. A right IJ central venous line is seen with the tip terminating in the distal SVC.

52411692

HISTORY: ___-year-old man with end-stage dementia and new hypoxia. Evaluate for worsening effusion or atelectasis. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.

Near-complete opacification of the left hemithorax indicates enlarging pleural effusion with adjacent atelectasis.

11206626

Diffuse prominence of interstitial markings and vascular congestion noted. Unchanged biapical pleural thickening. The right hilum is prominent. The heart is mildly enlarged. No focal consolidation is identified. There is no pleural effusion or pneumothorax.

54641290

INDICATION: ___-year-old woman with fall and altered mental status, evaluate for acute intrathoracic process. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___.

Mild cardiomegaly and pulmonary edema. No focal consolidation present.

11391144

PA and lateral views of the chest: The lungs are clear. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. The heart size is normal mediastinal contour is unremarkable.

55976472

HISTORY: Fever, evaluate for acute process. COMPARISON: Chest radiographs ___.

No acute cardiopulmonary process.

11391144

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation or pleural effusion. There is no appreciable pneumothorax, although the left lung apex is obscured by an overlying lead. Mild peribronchial wall thickening and streaky perihilar opacities can be seen in the setting of reactive or small airway disease. The visualized upper abdomen is unremarkable.

50728138

INDICATION: Evaluate for pneumothorax or infiltrate in a patient with chest pain and dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.

Mild peribronchial wall thickening in streaky perihilar opacities, which can be seen in the setting of reactive or small airway disease. No focal consolidation to suggest bacterial pneumonia. No appreciable pneumothorax, though the left lung apex is obscured by an overlying lead.

11391144

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

50891757

INDICATION: Subjective fever and chills status post back surgery, evaluate for pneumonia. COMPARISON: AP view of the chest on ___ and chest radiographs on ___.

No acute cardiopulmonary process.

11391144

Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is appreciated.

53271321

HISTORY: Fall and rib pain. COMPARISON: Multiple prior chest radiographs, most recently of ___.

No displaced rib fracture.

11704987

The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs demonstrate diffuse prominence of the interstitial markings, compatible with chronic interstitial fibrotic lung disease. There is no evidence of pulmonary consolidation. There is no pleural effusion or pneumothorax.

54225515

HISTORY: ___-year-old male with fever. STUDY: PA and lateral chest radiograph. COMPARISON: ___ chest radiograph and ___ chest CT.

Interstitial lung disease, but no focal consolidation.