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

subject_id stringlengths 8 8	findings stringlengths 93 1.83k	study_id stringlengths 8 8	background stringlengths 10 2.5k	impression stringlengths 16 1.06k
11750945	Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.	58049706	HISTORY: ___-year-old female with influenza like illness for 1 week. Evaluate pneumonia. COMPARISON: None.	No acute cardiopulmonary process.
11097521	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	53337199	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with first time seizure TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11072827	Heart size is normal. Cardiomediastinal silhouette and hilar contours are within normal limits. No CHF, focal infiltrate, or focal consolidation detected. Pleural surfaces are clear without effusion or pneumothorax.	55038893	EXAMINATION: Chest radiograph INDICATION: Fevers and cough. TECHNIQUE: Portable frontal view of the chest. s COMPARISON: None.	No acute cardiopulmonary abnormality.
11728458	PA and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal with no evidence of pleural effusion. There is no pneumothorax. No focal opacity is identified within the lungs. There is no evidence of pulmonary edema.	56102360	HISTORY: Chest pain. Evaluation for acute process. COMPARISON: None available.	No acute cardiopulmonary process.
11852403	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified radiographically, although CT is more sensitive. .	52931886	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with recent MVC with continued chest discomfort // evidence of pneumothroax TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process. No pneumothorax seen.
11557105	The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen within the thoracic spine.	52443367	HISTORY: Fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and ___.	No acute cardiopulmonary abnormality.
11557105	Cardiomediastinal silhouette and hilar contours are normal. The lungs are mildly hyperinflated but otherwise clear. There is no effusion or pneumothorax.	50426148	HISTORY: Dehydration. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: Bubble study is between ___.	Mild hyperinflation of the lungs. Otherwise normal chest radiograph.
11557105	Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pericardial effusion. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	51844569	INDICATION: Patient with palpitations and neutropenia. COMPARISONS: ___.	No evidence of acute cardiopulmonary process.
11557105	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 radiopaque foreign body.	52983135	HISTORY: ___-year-old female with multiple myeloma. COMPARISON: Multiple prior chest radiographs, most recently dated ___.	No acute process in the chest.
11502574	Frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is newly enlarged, likely accentuated due to low lung volumes. Mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.	58131867	WET READ: ___ ___ 8:58 AM 1. No pneumonia. 2. New mild cardiomegaly. WET READ VERSION #1 ___ ___ 7:27 AM 1. Hypoinflated lungs with bilateral lower lobe atelectasis. No pneumonia. 2. Mild enlargement of cardiomediastinal silhouette. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Fever. Assess for infectious process. COMPARISON: Chest radiograph ___.	No pneumonia. New mild cardiomegaly.
11502574	Since the prior exam, the lung volumes are lower. There is no opacity to suggest pneumonia. The azygos vein and pulmonary vessels appear more prominent, consistent with worsening vascular congestion. There is no frank pulmonary edema. No pleural effusion or pneumothorax is identified. Moderate cardiomegaly is unchanged.	50762103	INDICATION: Worsening dyspnea and tachypnea. Evaluate for pneumonia or other change. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiographs from ___ and ___.	Slight interval increase in the degree of vascular congestion. No evidence of pneumonia.
11502574	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical anchors project over the right humerus. No subdiaphragmatic free air is identified.	54195770	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with epigastric pain TECHNIQUE: Upright AP view of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality. No subdiaphragmatic free air.
11528413	Frontal and lateral views of the chest demonstrate slightly low lung volumes. The lungs are, however, clear. There is no pneumothorax, vascular congestion, or pleural effusion. Cardiomediastinal silhouette is within normal limits. Mild unfolding of the thoracic aorta is noted, with arch calcifications. Moderate multilevel thoracic spondylosis is present.	51450305	INDICATION: ___-year-old male with cough and fever. Question acute process. COMPARISON: ___.	No evidence of pneumonia.
11297319	The heart continues to be moderately enlarged with surrounding numerous surgical clips and intact median sternotomy wires. Bilateral interstitial markings have increased suggesting increased interstitial edema. The mediastinal contours continue to be widened.	50824779	HISTORY: ___-year-old woman with possible developing pneumonia, preop chest x-ray for procedure. Evaluate for developing pneumonia in context of low oxygen saturations. TECHNIQUE: Portable AP semi-erect chest radiograph was obtained. COMPARISON: Chest radiograph from ___.	Increased interstitial edema. No pneumonia.
11719758	AP upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. Lung volumes are low with mild left basal atelectasis noted. There are small bilateral pleural effusions. No definite signs of pneumonia or edema. Vascular prominence of the level of the right hilum is unchanged. Aorta is unfolded and calcified. No pneumothorax. Bony structures appear intact.	54304185	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with HFpEF presents with increased ___ edema bilaterally. COMPARISON: ___ and CT dated ___.	Small pleural effusions, stable prominence of the right hilum likely reflecting prominent vasculature.
11135587	Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Interstitial opacities within the lung bases are compatible with chronic fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is visualized. Dextroscoliosis of the thoracic spine is again noted.	53650785	INDICATION: Fever. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	Chronic interstitial abnormality most pronounced at the lung bases. No acute cardiopulmonary abnormality otherwise seen.
11135587	There is no pleural effusion, pneumothorax or focal airspace consolidation. An S-shaped scoliosis of the thoracic spine is again appreciated. The heart size is enlarged, but unchanged. Mild prominence of the basilar interstitium may relate to underlying chronic lung disease. The mediastinal contour is unremarkable.	50537479	INDICATION: ___-year-old male with history of interstitial lung disease and two days of shortness of breath following surgery. Evaluate for consolidations. COMPARISON: Chest radiograph, ___. PA AND LATERAL VIEWS OF THE	Unchanged cardiomegaly without an acute intrathoracic process.
11202976	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.	53480967	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain and lightheadedness. History of transient ischemic attack. TECHNIQUE: Chest, PA and lateral. COMPARISON: Scout view from CT performed on ___.	No evidence of acute disease.
11324378	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with mild cardiomegaly again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	51209200	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/fever, crackles in bases, please eval for occult pna COMPARISON: Prior exam is dated ___.	No signs of pneumonia.
11328899	The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.	58627038	INDICATION: ___ year old woman with presyncope, lupus // evaluate for acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11039251	A 1.8 cm right lower lobe nodule was previously seen on the CT from ___. No new pulmonary nodules are identified. The lungs are otherwise clear. The heart and mediastinal contours are unchanged. A chronic left perihilar opacity is unchanged. There are no pleural effusions. No pneumothorax is seen. Surgical clips are noted in the upper abdomen.	54591413	HISTORY: Intermittent delirium. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. Limited chest CT from ___.	No acute cardiac or pulmonary findings. Unchanged calcified 1.8 cm right lower lobe nodule.
11565136	PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.	58518589	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Palpitations and dyspnea, asthma, assess for cause of dyspnea.	No acute intrathoracic process.
11723888	Since the prior radiograph performed several hours earlier, the left-sided PICC line has been repositioned and now terminates in the mid SVC. There are no other significant changes.	54152491	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with PICC. // Pt had a malpositioned picc,that was flushed ___ ___ TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___ at 11:21	Left-sided PICC line has been repositioned and now terminates in the mid SVC.
11723888	The tip of the left PICC line now points upward along the right of the mediastinum, suggesting that it now terminates in either the azygous vein or right brachiocephalic vein. Lung volumes are low. There is no evidence of pneumonia, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum.	52201484	EXAMINATION: Chest radiograph INDICATION: ___ w/ "excruciting heartburn", mild nausea s/p cystectomy s/p post-op ileus w/p PICC for TPN // r/o acute process TECHNIQUE: Chest radiograph COMPARISON: Chest x-ray ___	No acute cardiopulmonary process. Left-sided PICC line has repositioned, now terminating in the either the azygous vein or right brachiocephalic vein.
11292496	Lung volumes are low. Heart size is mildly enlarged, similar to the previous study. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is not engorged. Streaky opacities are seen in both lung bases without focal consolidation. There may be a trace left pleural effusion. No pneumothorax is present. Sclerotic serpiginous lesion within the left proximal humeral diaphysis is unchanged, possibly an enchondroma or bone infarct.	50552693	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest pressure TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___	Streaky opacities in the lung bases, likely atelectasis, with possible trace left pleural effusion.
11292496	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for calcified granulomas in the right upper lobe and focal scarring in the mid lung. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Calcific proximal left humeral lesion has been present on older radiographs since at least ___ and appears grossly similar.	58678873	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fever and 9 day hospitalization. // Please evaluate for source of fever. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality. Probable enchondroma proximal left humerus. No definite further imaging is necessary in the absence of symptoms given long-term radiographic stability since ___.
11292496	Lungs are low in volume but clear of focal abnormality. No pulmonary edema. No pleural effusions. No pneumothorax. Mild to moderate cardiomegaly likely exaggerated by low lung volumes but unchanged compared to ___. Mediastinal and hilar contours are unremarkable.	55902712	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ y/o with dCHF and increased dyspnea, L base crackles // eval for opacity, effusion. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___.	No pneumonia, pulmonary edema, or pleural effusions. Mild to moderate cardiomegaly unchanged.
11292496	There is hazy opacification of the medial right base which is likely atelectasis, but an early consolidation is difficult to exclude. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac silhouette is mildly enlarged, and stable from the prior exam. There is a stable small calcified pulmonary nodule consistent with a granuloma in the right mid lung.	54280458	INDICATION: Cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph ___.	Probable right basilar atelectasis, although an early consolidation cannot be excluded.
11292496	Previously described right upper lobe opacity has resolved. Lungs are clear except for a small calcified granuloma in the right upper lobe. Cardiomediastinal contours are unchanged. Persistent prominence of main pulmonary artery contour. Lung volumes are increased with flattening of hemidiaphragms suggestive of COPD. There are no pleural effusions or acute skeletal findings.	53875708	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with sputum and left sided crackles, hx ? opacity, pneumonia ___ // evaluate lungs COMPARISON: ___, ___ and ___	Resolution of right upper lobe opacity. Prominent main pulmonary artery contour suggesting the possibility of pulmonary arterial hypertension.
11292496	Heart size remains mildly enlarged. The aorta is calcified at the aortic knob. Mediastinal and hilar contours are unchanged with similar prominence of the main pulmonary artery contour suggestive of enlargement. No pulmonary edema is demonstrated. 5 mm rounded opacity projecting over the right upper lobe is unchanged, likely a tiny granuloma, unchanged. Streaky opacity in the left lower lobe likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	50170062	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with abdominal pain, nausea, vomiting, cough. Fevers, chills. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___	Streaky left lower lobe opacity, likely atelectasis. Unchanged prominence of the main pulmonary artery contour suggestive of enlargement.
11292496	Cardiomediastinal shadow unchanged. Hilar shadows unchanged. Background of increased interstitial markings with a mid to lower lung zone predominance. No consolidation. Round calcification in the right mid lung zone unchanged. No effusions. Mild spondylotic changes of the thoracic spine.	50658444	INDICATION: ___ year old man with Cough for three weeks, crackles RML and RLL please evaluated for PNA. Thank you // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___	Increased interstitial markings with a mid to lower lung zone predominance. In the differential consider interstitial edema (but there is no cardiomegaly, vascular congestion or pleural effusion) or viral/atypical infection.
11292496	Heart size is mildly enlarged with a left ventricular predominance. The aorta is tortuous but unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Calcified granulomas are again seen within the right upper lung field. Focal scarring in the left mid lung field is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Sclerotic lesion within the left proximal humerus may reflect an enchondroma and is unchanged.	53951926	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11524047	The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. Atherosclerotic calcifications are noted along the aortic arch. No displaced rib fractures are seen. Opacification of multiple intervertebral disc spaces can be seen in ochronosis.	58872754	INDICATION: ___-year-old female with acute onset right sided chest pain. Eval for rib fractures. TECHNIQUE: Chest PA and lateral radiographs were obtained. COMPARISON: Chest radiograph from ___ and ___ .	No acute cardiopulmonary process. No rib fractures seen.
11010572	The lung volumes are low. Hazy opacification of the lung bases suggests pleural effusions of substantial size, more conspicuous and probably larger on the left than right side. Fullness of each hilum with indistinct contours is suggestive of perihilar congestion, although mild and unchanged. There is no pneumothorax.	58293079	CHEST RADIOGRAPH HISTORY: Dyspnea. COMPARISONS: Prior radiographs from ___ and outside radiographs and CT from earlier on the same day. TECHNIQUE: Chest, portable AP upright.	Findings suggestive of substantial pleural effusions and mild congestion.
11010572	Single frontal portable view of the chest was obtained. The heart is of top normal size with normal cardiomediastinal contours. The pulmonary vasculature is slightly prominent, compatible with mild pulmonary congestion. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Osseous structures appear unremarkable. A metallic stent overlies the right upper quadrant.	57904894	INDICATION: ___-year-old man with cirrhosis, here with hyponatremia and asterixis. Evaluate for pulmonary process. COMPARISONS: Chest radiograph of ___.	Mild pulmonary congestion. TIPS stent projecting over the right upper quadrant.
11912361	Subtle hazy opacities left lung base may represent early developing infiltrate in the appropriate clinical setting, not definitely identified on prior radiograph ___ and CT ___ of the very low lung bases right lung clear. Small esophageal hiatal hernia, more apparent. Normal heart size, pulmonary vascularity. No effusion. Surgical clips left breast.	56724464	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of breast cancer w/n/v and c/o of SOB w/n/v // infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: ___	Subtle hazy opacity left lung base may represent developing early infiltrate in the appropriate clinical setting. If clinical symptoms persist, follow-up radiograph in 48 hr recommended.
11912361	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.	58746023	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and dyspnea // evidence of pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11912361	The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. A known small esophageal hiatal hernia is better seen on prior radiographs and CT. The osseous structures are stable.	54712582	INDICATION: ___ year old woman with possible pneumonia // follow up TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___. CT from ___.	No acute cardiopulmonary process.
11883130	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Elevation of the right hemidiaphragm is unchanged. Mild degenerative changes are noted involving the thoracic spine. Multiple chronic left-sided rib fractures are again demonstrated with fixation hardware seen involving the left fifth through eighth ribs. Comminuted fracture of the left midclavicle is chronic.	51728947	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with motorcycle crash ___ with residual bony injury, which is unclear, presenting with acute severe left shoulder pain today after getting up from a chair. Tenderness to palpation right shoulder and sternum. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ from outside hospital, chest radiograph from outside hospital ___	No acute cardiopulmonary abnormality. Multiple chronic left-sided rib fractures and comminuted left midclavicular fracture.
11465781	Low lung volumes are noted with secondary crowding of the bronchovascular markings. Right midlung opacity is likely secondary to atelectasis. There is no large confluent consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. There is compression deformity of the mid thoracic spine	54730087	WET READ: ___ ___ ___ 11:28 AM Low lung volumes without definite acute cardiopulmonary process. Compression deformity of a mid thoracic vertebral body could potentially be acute. Clinical correlation regarding site of pain is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with s/p fall, R shoulder abrasion // eval ? pneumonia, effusion, rib injury, shoulder or clavicle injury TECHNIQUE: Frontal lateral views of the chest. COMPARISON: Chest x-ray from earlier the same day at an outside institution	Low lung volumes without definite acute cardiopulmonary process. Compression deformity of a mid thoracic vertebral body could potentially be acute. Clinical correlation regarding site of pain is suggested.
11255133	As compared to the prior examination dated ___, there has been no significant interval change. Redemonstrated are persistent streaky opacities within the right lower lobe, likely chronic and and due to scarring versus atelectasis. There is no evidence of new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Redemonstrated is a small, calcified granuloma within the right upper lobe, stable in appearance. A calcified right axillary lymph node is noted at the periphery of the film. The cardiomediastinal silhouette is stable.	59044912	HISTORY: History of latent TB and bronchiectasis. Now with dyspnea on exertion. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___, and CT chest dated ___.	No radiographic evidence for acute cardiopulmonary process. Chronic right lower lobe opacities, unchanged from prior examinations, and most compatible with scarring versus atelectasis. Findings were conveyed by Dr. ___ she to Dr. ___ ___ telephone at 16:50 on ___, ___ min after discovery.
11347146	Assessment is limited due to patient rotation and positioning. Heart size may be mildly enlarged. Mediastinal and hilar contours are grossly unremarkable. Right lung is clear. There may be patchy opacification in the left lung base. No large pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is visualized, although the osseous structures are diffusely demineralized.	51707947	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypoxia TECHNIQUE: Supine AP view of the chest COMPARISON: None.	Limited exam. Possible patchy opacity in the left lung base, which could reflect atelectasis. Further assessment with dedicated PA and lateral views if the patient is able to would be beneficial for improved assessment of the lung bases.
11778013	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Bibasilar opacities are seen, most likely consistent with atelectasis. There is no pleural effusion or pneumothorax.	59699354	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with n/v poor historian // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute intrathoracic abnormality.
11778013	Enteric tube tip in the mid stomach. Old right rib fracture. Lungs are clear. Normal heart size, pulmonary vascularity.	57533684	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/ dementia and MR, multiple prior abdominal operations, recurrent SBOs managed conservatively, now p/w recurrent SBO // evaluate placement of NGT- tube had been pulled out to 25cc, readvanced to ___ at nares TECHNIQUE: Chest single view COMPARISON: ___ 11:06	Enteric tube tip mid stomach
11772026	The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	54941758	EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with cough // cough cough TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11834749	The lungs are clear. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No displaced fractures. Surgical clips in the right upper quadrant suggest prior cholecystectomy.	57707565	INDICATION: ___F with near syncopal episode\// r/o intraplum process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11119153	In comparison to the prior radiograph on ___, the right IJ catheter has been removed. Median sternotomy wires are intact. Bronchovascular markings are accentuated by low lung volumes. Pulmonary vascular congestion is mild. A small left pleural effusion is similar, or perhaps smaller compared to ___. There is no focal consolidation or pneumothorax. Heart size is mildly enlarged, and postoperative appearance of the cardiomediastinal silhouette is unchanged. There is a prosthetic aortic valve. No acute osseous abnormalities are identified.	58178005	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recent CABG on ___, now with dyspnea and afib with RVR // please eval for edema, infection, or other abnormality TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Stable or improved small left pleural effusion compared to ___. Stable postoperative appearance of the cardiomediastinal silhouette, with mild pulmonary vascular congestion.
11615169	PA and lateral views of the chest were provided. Midline sternotomy wires are again noted. There are bilateral pleural effusions, small, with associated mild pulmonary interstitial edema. There is likely mild basilar atelectasis. The heart and mediastinal contours appear grossly unchanged, though patient rotation to the right limits the evaluation of the mediastinum. Bony structures are intact.	55227980	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Shortness of breath with bilateral lower extremity edema, assess for fluid overload.	Mild edema with small bilateral effusions with lower lobe compressive atelectatic change.
11704848	Comparison is made to prior study from ___. The heart size is normal. Lungs are clear. Bony structures are intact. There are some degenerative changes of the thoracic spine, best seen on the lateral view.	52110863	WET READ: ___ ___ 8:50 PM No acute intrathoracic process. A ___ ___ ______________________________________________________________________________ FINAL REPORT STUDY: PA and lateral chest, ___. CLINICAL HISTORY: Patient with possible acute process.	No acute cardiopulmonary process.
11912824	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.	50638367	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest tightness and shortness of breath today COMPARISON: None	No acute intrathoracic process.
11674792	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.	51461124	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left eye blurriness and facial numbness that has since resolved. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11281603	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.	50100719	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP // eval for PNA COMPARISON: None.	No acute intrathoracic process.
11812774	Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.	57099796	HISTORY: Shortness of breath. COMPARISON: ___.	No acute cardiopulmonary process.
11812774	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.	52126479	INDICATION: ___ year old female with cough, vomiting. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiographs from ___, ___, ___ and ___.	No acute cardiopulmonary process.
11812774	Vague opacities projecting over lung bases on the frontal view and are likely due to overlying soft tissues. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.	53779058	INDICATION: ___F with chest pain and cough after breathing fumes in apartment // eval edema TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11863244	Frontal and lateral views of the chest demonstrate mild cardiomegaly. There are small bilateral pleural effusions, best appreciated on the lateral view. Bibasilar atelectasis is appreciated. There is no pneumothorax or focal airspace consolidation. The mediastinal contours are unremarkable. A left side pacemaker is present with wires terminating over the right atrium and right ventricle. There is no displaced rib fracture appreciated.	58168688	HISTORY: Elbow injury, rule out infiltrates. COMPARISON: None.	Probable small bilateral pleural effusions with bibasilar atelectasis.
11460286	Lungs are clear. Cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion.	55012050	WET READ: ___ ___ ___ 9:30 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with breast ca, on chemo, fever, malaise, fatigue, night sweats. N/V/D. epig TTP, LUQ ttp // eval ? LLL pneumonia, colitis, intraabd abscess TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___	No acute cardiopulmonary abnormality.
11751107	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged VP shunt is noted coursing over the right hemithorax.	50951960	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with altered mental status // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11751107	The ET tube, left apical chest tube, and enteric tube remain in satisfactory position. There is no pneumothorax. Moderate pulmonary edema has slightly increased since the prior exam. A small amount of left chest wall subcutaneous emphysema is again noted, unchanged.	51072986	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with pneumothorax; evaluate for interval change. TECHNIQUE: Single AP view radiograph of the chest from ___. COMPARISON: ___.	No pneumothorax. Increased moderate pulmonary edema. Unchanged left chest wall subcutaneous emphysema.
11751107	The cardiac, mediastinal and hilar contours appear stable including a left ventricular configuration to the heart. A tracheostomy was been removed. A ventriculoperitoneal shunt catheter courses along the anterior chest. The lungs appear clear. There are no pleural effusions or pneumothorax.	56127739	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Altered mental status. COMPARISON: ___.	No evidence of acute disease.
11751107	AP upright and lateral views of the chest provided. VP shunt catheter courses over the right hemi thorax. Clips are noted in the right upper quadrant. The lungs are clear bilaterally demonstrating no signs of pneumonia, effusion, pneumothorax or congestion/ edema. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.	50891780	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with history of stroke presenting with new AMS // evaluate for PNA. COMPARISON: ___.	No acute intrathoracic process. VP shunt tubing noted.
11751107	Endotracheal tube is seen with tip approximately 3 cm from the carinal. There is an enteric tube with side port past the GE junction although tip is not identified. Left sided pleural catheter tip projects over lung apex, however the side port is external to the thoracic cavity. Significant amount of subcutaneous gas seen overlying the left chest wall and neck on both sides. Given low lung volumes the lungs are grossly clear. Cardiomediastinal silhouette cardiac silhouette is within normal limits for technique. Prominence of the upper mediastinum is identified on the right	57510403	WET READ: ___ ___ ___ 4:33 PM Left chest tube side port external to the thoracic cavity. Significant subcutaneous gas projecting over left chest wall and neck. Prominent appearance of the mid/upper mediastinum on the right potentially positional however correlation with CT scan is suggested to exclude underlying hematoma. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with SAH, intubated, chest tube // eval for tube placement TECHNIQUE: Single portable view of the chest. COMPARISON: None.	Left chest tube side port external to the thoracic cavity. Significant subcutaneous gas projecting over left chest wall and neck. Prominent appearance of the mid/upper mediastinum on the right potentially positional however correlation with CT scan is suggested to exclude underlying hematoma.
11751107	VP shunt is partially seen coursing along the right neck, right chest and upper mid abdomen. Lungs are normally expanded and clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The aorta is unfolded. Incidentally, there are surgical clips in the right upper quadrant likely from cholecystectomy.	54121461	WET READ: ___ ___ ___ 12:59 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F s/p fall, hx of aneurysm rupture and VP shunt // rule out intracranial bleeding, fractures TECHNIQUE: Upright AP and lateral chest COMPARISON: Shunt series ___. Chest radiograph ___ and ___.	No acute cardiopulmonary abnormality.
11984271	Two frontal images of the chest demonstrate interval removal of the Dobbhoff tube from the right mainstem bronchus. There is no pneumothorax or other complication seen. Low lung volumes are again seen, which results in bronchovascular crowding. There is no pleural effusion. The cardiomediastinal silhouette is unchanged.	52056679	INDICATION: ___-year-old male with status post Dobbhoff malplacement into lung and subsequent removal, now requiring assessment for pneumothorax. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___.	Removal of Dobbhoff tube from the right mainstem bronchus without pneumothorax or other complication seen. Otherwise, unchanged chest radiograph.
11586698	Compared with the prior radiographs, bibasilar opacities have slightly decreased in extent and severity. Persistent reticular opacities are suggestive of chronic interstitial lung disease, better evaluated on recent CT of ___. Blunting of bilateral costophrenic angles is likely due to pleural thickening. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.	52120140	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough + sputum x 1 week, h/o pulmonary hemorrhage in ___ from granulomatous polyangiitis // r/o pneumonia r/o pneumonia TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___ to ___.	No evidence of acute cardiopulmonary process. Slight improvement in bibasilar airspace opacities. Reticular opacities compatible with chronic interstitial lung disease.
11586698	Reticulation, bronchiectasis and opacification there has increased since ___ consistent with worsening pulmonary fibrosis. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.	56055788	INDICATION: History: ___M with h/o vasculitis presents with fever, cough // ? pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___.	Pulmonary fibrosis has progressed since ___. No focal consolidation concerning for pneumonia.
11586698	Overall, there has been no significant interval change of the bilateral perihilar and lower lung opacities, right greater than left, compared to the most recent prior radiograph. Small bilateral pleural effusions are persistent. There is no pneumothorax. Visualized osseous structures are unremarkable. The cardiomediastinal silhouette is unchanged compared to exams dated back to ___.	51010693	INDICATION: History of vasculitis, pneumonia. Please evaluate for interval change. COMPARISONS: Multiple prior chest radiographs dated back to ___ and chest CT from ___. TECHNIQUE: Single AP portable radiograph of the chest.	Stable bilateral perihilar and lower lung opacities, right greater than left, compared to the prior radiograph from ___.
11586698	Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung volumes are low with chronic interstitial opacities and bronchiectasis at the lung bases and periphery bilaterally, similar to prior. Increased patchy opacities in the lung bases compared to the previous radiograph may reflect superimposed atelectasis. Chronic blunting of the right costophrenic angle suggests chronic pleural thickening. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate degenerative changes in the thoracic spine.	59137337	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___	Chronic fibrosing interstitial lung disease, similar to the previous study. Patchy opacities in lung bases may reflect superimposed atelectasis.
11586698	There are low lung volumes, which results in bronchovascular crowding. The degree of interstitial prominence, bronchiectasis, and opacification is grossly unchanged. There is no focal consolidation concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax.	54613663	WET READ: ___ ___ ___ 2:00 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ILD and vasculitis presenting with fevers, chills and cough for past 6 days // evidence of infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___, and CT of the chest dated ___.	No acute cardiopulmonary process.
11408827	Since the most recent prior radiograph, there is stable moderate cardiomegaly and development of a small right pleural effusion. There is no focal consolidation or pneumothorax. The lungs appear better expanded than on the prior radiograph. Multiple left-sided rib fractures seen on outside hospital CT torso are not clearly seen on this radiograph.	51612181	INDICATION: ___-year-old man with rib fractures, no pneumothorax on CT scan yesterday, question pneumothorax. COMPARISONS: Portable AP chest radiograph from ___. CT torso from___ from ___.	No evidence of pneumothorax. Small right pleural effusion.
11652381	Again seen is a chest tube at the left lung base. On the current examination, there is an apparent small left upper lobe pneumothorax, with calcifications seen along the edge of the lung. There is a tiny left effusion, with possible small left hydro pneumothorax. The dense opacification in the left mid/lower zone is somewhat different n configuration, but overall similar in appearance. The cardiac silhouette is partially obscured by the opacity -- no definite change in the silhouette. There is calcification at the right lung apex, slight offset from the ribs. This is similar to the prior film and could reflect pleural thickening rather than pneumothorax. Hazy opacity at the right lung base laterally could reflect the opacity seen on the recent chest x-ray or alternatively could be artifact due to overlying breast tissue. Minimal blunting of the right costophrenic angle is new, is consistent with a small right pleural effusion. The right lung is otherwise grossly clear. Background parenchymal distortion is likely related to background COPD. Scattered nodular densities are suggestion both lungs, but best demonstrated on the recent CT hand.	57085193	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest tube in place on L due to c/f empyema // Please perform at 5am on ___. chest tube placement, evaluate empyema/pleural effusions/etc COMPARISON: Chest x-ray from ___ at 12:45	Apparent small left apical pneumothorax, new compared with the prior exam. Left chest tube is similar in configuration. Extensive left mid/lower zone opacity is overall similar. New faint hazy opacity in the right base laterally may correspond to a finding on the prior CT or alternatively, could be artifact due to overlying breast tissue. Prominent background COPD/parenchymal scarring. Doubt superimposed CHF.
11652381	Again seen is extensive apical pleural calcifications bilaterally consistent with old tuberculous disease. Opacification in the left mid lung corresponding with previously demonstrated pneumonia with abscess in the lingular lobe has now decreased and likely represents fibrous scarring and healing from the pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	59953463	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with MAC being treated now with cough for 4 weeks // rule out infiltrate, TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___, CT chest ___.	Left midlung opacity likely represents scarring and healing of the lingular lobe necrotizing pneumonia
11652381	AP upright and lateral views the chest were provided. Lungs are hyperinflated which could reflect underlying emphysema. There is biapical pleural parenchymal scarring. There is a severe levoscoliosis of the lumbar spine again noted. Nipple shadows project over the lower lungs. There is a calcified granuloma again seen projecting over the right upper lung. New from prior, is a band like opacity in the left perihilar region with a central lucent ovoid focus. Findings are indeterminate, possibly representing scarring though given that this is a new finding, a nonemergent CT is recommended to further assess. The heart size is normal. Tiny Coronary stents project over the left heart border. The aorta is moderately calcified. No pleural effusion or pneumothorax. Bony structures appear grossly intact.	54494116	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with chest pain, evaluate for structural process. TECHNIQUE: Upright AP and lateral COMPARISON: ___ and left shoulder radiograph from ___.	New band like perihilar opacity in the left mid lung, indeterminate, for which nonemergent CT chest is recommended to further assess.
11652381	Compared to ___, a left-sided pigtail catheter has been placed. There has been essentially complete clearing of the previously seen left effusion. There is minimal underlying patchy opacity, possibly atelectasis. No pneumothorax is identified. The distribution and density of the opacity in the left upper/mid/lower zone is slightly different, but overall similar. Again seen is background hyperinflation/COPD, with extensive parenchymal scarring and extensive biapical pleural calcifications. The cardiomediastinal silhouette is partially obscured, but grossly unchanged. No definite superimposed CHF is identified. The right costophrenic sulcus is grossly clear, without evidence of right pleural effusion. Again noted is severe sigmoid scoliosis and clips over the left neck.	57127905	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p Left sided chest tube // r/o PTX left sided COMPARISON: Chest x-ray from ___. Targeted review of chest CT from ___.	Interval placement of pigtail catheter with essentially complete radiographic clearing of the left effusion. No pneumothorax detected. Extensive opacity in the left lung, corresponding to the extensive airspace consolidation/abscess on the ___ CT scan is slightly different in appearance, but overall similar. Right middle lobe consolidation seen on the recent CT is not well visualized radiographically. Severe background COPD, with dense apical calcifications again noted.
11652381	New focal consolidative opacity is noted within the left upper lobe and lingula compatible with pneumonia. Heart size is unchanged. The mediastinal and hilar contours are similar with diffuse atherosclerotic calcifications of the aorta again noted. Lungs are hyperinflated with chronic pleural calcifications noted at the apices. Moderate left and trace right pleural effusions are noted. Pulmonary vasculature is not engorged. There are moderate degenerative changes noted throughout the thoracic spine along with similar S-shaped scoliosis.	57963616	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___	New focal consolidation in the left upper lobe and lingula concerning for pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding. Moderate left and trace right pleural effusions.
11652381	Tiny left apical pneumothorax has decreased. Multi focal opacities in the left lung have slightly increased. Right lung clear of pneumonia. Severe biapical pleural calcification raise possibility of prior tuberculosis. Heart size is normal.	51595977	INDICATION: ___ year old woman with multifocal PNA, abscess lingula, chest tube removed // Please do in AM. e/o PTX, monitor pleural effusion TECHNIQUE: Chest PA and lateral	Tiny left apical pneumothorax has decreased. Increasing multifocal opacity of the lung.
11395102	No focal consolidation is seen. Incidental note is made of an azygos lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Air-fluid level in the retrocardiac region is most consistent with a hiatal hernia. No pulmonary edema is seen.	59814646	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with leg swelling // eval for pulm edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process. Hiatal hernia. No overt pulmonary edema.
11985705	Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.	50932164	INDICATION: ___-year-old female with shortness breath and fever. Question pneumonia. COMPARISON: None available.	No acute cardiopulmonary process.
11003196	Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	59869631	INDICATION: Palpitations. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11534305	Portable AP view of the chest demonstrates clear lungs. Hilar and mediastinal contours are normal. No pleural abnormality is seen.	55900955	HISTORY: Struck pedestrian. COMPARISON: None available.	No acute cardiopulmonary process.
11430034	AP portable upright view of the chest. Overlying EKG leads are present. The heart remains moderately enlarged. The aorta is calcified and unfolded. There is opacity in the lower lungs which is concerning for aspiration versus pneumonia. Partially layering pleural effusions difficult to exclude in the correct clinical setting. There is prominence of the pulmonary hila which may indicate a component of central pulmonary vascular congestion. No definite pneumothorax. Bony structures appear intact. Calcification adjacent to the left humeral head is again noted compatible with calcific tendinopathy.	50743739	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with known pleural effusions with new O2 requirement. // worsening pleural effusions? traumatic injuries? COMPARISON: Prior study from earlier today.	Stable cardiomegaly with lower lung opacities concerning for pneumonia/ aspiration, versus layering pleural effusions. Pulmonary vascular congestion.
11900468	There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Previously noted cardiomegaly is less conspicuous, potentially due to differences in technique. The descending aorta is tortuous, unchanged. Dense calcification projecting in the subcarinal region corresponds to calcified lymph nodes on the prior chest CT.	57129127	WET READ: ___ ___ ___ 3:57 AM No evidence of acute cardiopulmonary process peer ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with fever, evaluate for infection. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___ and chest CT dated ___.	No evidence of acute cardiopulmonary process.
11900468	The lungs are clear. There is no pneumothorax. The heart appears large but cardiac size may be exaggerated by AP portable technique. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact	58064429	EXAMINATION: CHEST (PORTABLE AP) INDICATION: r/o free air TECHNIQUE: AP chest x-ray COMPARISON: None	No active pulmonary disease. Prominent cardiac silhouette.
11417888	No displaced rib fractures are identified. The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.	56186718	FINAL ADDENDUM Addendum: Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state shortness of breath. ______________________________________________________________________________ FINAL REPORT HISTORY: Status post fall on left elbow and abdomen, concerning for rib fracture. COMPARISON: None.	No fracture or acute cardiopulmonary process.
11266247	There is right middle lobe consolidation. The left lung is clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.	50838718	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough fever and left sided chest pain. Recent hx of pneumonia // r/o LLL infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	New right middle lobe consolidation representing pneumonia.
11563009	PA and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal silhouette including moderate cardiomegaly is unchanged. There is mild pulmonary edema and small bilateral pleural effusions as before. There is no pneumothorax.	54461953	INDICATION: ___-year-old man with elevated BNP, evaluate for effusion. COMPARISON: ___.	Chronic or recurrent biventricular congestive heart failure.
11563009	Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Moderate cardiomegaly is stable. There is mild pulmonary vascular prominence suggestive of mild volume overload. The cardiomediastinal contours are unchanged. There is no pleural effusion, pneumothorax, or consolidation.	55804509	HISTORY: History of heart failure with recent fall and recurrent syncope. Evaluate for heart failure, pneumonia, or injury. COMPARISON: Radiographs of the chest dated ___ and ___.	Mild pulmonary vascular prominence suggestive of mild volume overload.
11798688	Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragms. Again there are extensive fibrotic changes bilaterally, worse in the upper lungs but also seen in the mid and lower lungs. Again there is superior retraction of the hila and bilateral pleural plaques seen, left greater than right. The previously seen right base consolidation has improved in the interval. Cardiac and mediastinal silhouettes are stable.	59317250	EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___.	Chronic changes, as above without definite acute cardiopulmonary process.
11798688	PA and lateral views of the chest. Again seen are extensive fibrotic changes particularly at the lung apices with superior retraction of the hila and bilateral pleural plaques. There is a superimposed new region of consolidation at the right lower lobe laterally worrisome for superimposed acute process. No other new consolidation is identified. Cardiomediastinal silhouette is unchanged in no acute osseous abnormality identified.	58883242	WET READ: ___ ___ 9:44 PM Chronic parenchymal changes and pleural plaques with new right basilar opacity worrisome for superimposed acute process, compatible with pneumonia in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male worsening dyspnea and chest pain. COMPARISON: ___.	Chronic parenchymal changes and pleural plaques with new right basilar opacity worrisome for superimposed acute process, compatible with pneumonia in the proper clinical setting.
11798688	PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described advanced COPD findings persist. Remarkable is a significant progression of parenchymal infiltrates in the left upper lobe area where dense chronic scar formations and bronchiectatic changes were observed earlier. There are no other new pulmonary or cardiac abnormalities observed on this followup chest examination.	53683934	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with severe COPD, fever and cough, evaluate for pneumonia.	Marked local progression of parenchymal densities in the left upper lobe apical area consistent with acute infection. Short followup after treatment is recommended ( approx. one week). Referring physician ___ paged at 4:20 p.m.
11798688	Comparison is made to the prior study from ___. Also compared to the prior CT from ___. There is again seen hyperexpansion and pleural-based calcified densities bilaterally consistent with patient's known asbestos exposure. There is scarring within the lung apices, which appear more prominent within the left upper lobe. No definite consolidation is identified. Heart size is within normal limits.	56790987	WET READ: ___ ___ ___ 8:44 PM Since ___, new opacity in the left upper lobe with elevation of the left hemidiaphram along the left juxtaphrenic ligament, likely due to volume loss. Improved aeration of the right lower lung. Otherwise, little change ______________________________________________________________________________ FINAL REPORT STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with COPD and old lung nodules representing possible embolism.	More confluent opacity in the left upper lobe since prior. Pleural plaques and hyperexpansion compatible with patient's known asbestos exposure.
11798688	PA and lateral chest radiographs. The lungs are still markedly hyperexpanded with biapical consolidation which is overall unchanged in appearance from ___. Using ___ as a baseline, the right apical consolidation is chronic, but the left upper lobe consolidation appeared on ___, subsequently improved, and has now recurred. Internal luciencies are from bronchiectasis, demonstrated on CT of ___. There is no new opacity. Numerous pleural plaques are unchanged and consistent with asbestos exposure. There is no pleural effusion or pneumothorax. The heart size is normal.	55752288	INDICATION: Severe COPD and left apical pneumonia. COMPARISON: Multiple prior chest radiographs from ___. CT-Chest, ___.	Left apical consolidation has not improved from ___. This relatively isolated, changing area has a treatment history suggesting recurrent infection. Chronic, stable right apical consolidation. Severe emphysema and biapical scarring. Asbestos related pleural plaques.
11536267	Semi-upright portable view of the chest demonstrates low lung volumes without pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Large hiatal hernia is noted. Bibasilar opacities are better seen on CT chest of the same date.	57704173	INDICATION: Chest pain. Assess for pneumonia. COMPARISONS: CTA chest of the same date.	No focal consolidation. Large hiatal hernia. Bibasilar opacities are better seen on CTA chest of the same date, which likely reflect aspiration.
11224629	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	50685602	INDICATION: Pedal edema and rales. History of tobacco use. Evaluate for CHF. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained with a total of three exposures.	No acute cardiopulmonary process; specifically, no evidence of pulmonary edema.
11019941	The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are persistently hyperexpanded and clear. There is no pleural effusion or pneumothorax.	58831349	FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state confusion and headache. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with ?confusion stroke // eval for ICH NCHCT eval for pna cxr eval for aneurysm CTA head and neckl TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute intrathoracic abnormality. Hyperexpanded lungs may reflect vigorous inspiratory level or obstructive process such as asthma in the appropriate clinical setting.
11016935	PA and lateral views of the chest provided. Patient is status post CABG with median sternotomy and aortic valve replacement. Moderate-to-severe emphysema with apical predominance. 7 mm nodular opacity in the right upper lobe has not changed. Heart is top-normal in size. No focal consolidation, pleural effusion or pneumothorax. Vertebroplasty changes are seen in the mid-thoracic spine.	51683155	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with chest pain. // Please evaluate for thoracic pathology. COMPARISON: Chest radiograph dated ___ CT chest without contrast ___	No acute intrathoracic process.
11583852	Right chest wall port is seen with catheter tip in the right atrium. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. No free air seen below the diaphragm. Stent is partially visualized in the upper abdomen.	54308957	INDICATION: ___M with pancreatic CA on chemo p/w generalized weakness // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: CT chest from ___.	No acute cardiopulmonary process.
11391424	The lungs are well expanded. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	51722967	EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with fever and tachycardia TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___.	No evidence of acute cardiopulmonary process.
11391424	There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.	57167089	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever on chemo diffuse b cell lymphoma // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11409745	Right Port-A-Cath tip in the upper SVC. There is no catheter kink. Very shallow inspiration. There is stable mild left, new small right pleural effusions effusions. Left basilar opacity has improved. Mildly worsened right basilar opacity, likely atelectasis. Shallow inspiration accentuates heart size, pulmonary vascularity. There is no pneumothorax.	51546774	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with neuroendocrine pancreatic carcinoma presents w/ erythema, edema, and TTP around L Port-a-cath w/ associated L arm swelling and erythema // please evaluate lumen of the port from the site of insertion to the tip TECHNIQUE: Chest two views COMPARISON: ___ 11:46	Bilateral pleural effusions, with improved left basilar opacity. Mildly worsened right basilar opacity, likely atelectasis.

11750945

Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.

58049706

HISTORY: ___-year-old female with influenza like illness for 1 week. Evaluate pneumonia. COMPARISON: None.

No acute cardiopulmonary process.

11097521

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

53337199

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

No acute cardiopulmonary abnormality.

11072827

Heart size is normal. Cardiomediastinal silhouette and hilar contours are within normal limits. No CHF, focal infiltrate, or focal consolidation detected. Pleural surfaces are clear without effusion or pneumothorax.

55038893

EXAMINATION: Chest radiograph INDICATION: Fevers and cough. TECHNIQUE: Portable frontal view of the chest. s COMPARISON: None.

No acute cardiopulmonary abnormality.

11728458

PA and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal with no evidence of pleural effusion. There is no pneumothorax. No focal opacity is identified within the lungs. There is no evidence of pulmonary edema.

56102360

HISTORY: Chest pain. Evaluation for acute process. COMPARISON: None available.

No acute cardiopulmonary process.

11852403

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified radiographically, although CT is more sensitive. .

52931886

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with recent MVC with continued chest discomfort // evidence of pneumothroax TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process. No pneumothorax seen.

11557105

The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen within the thoracic spine.

52443367

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

No acute cardiopulmonary abnormality.

11557105

Cardiomediastinal silhouette and hilar contours are normal. The lungs are mildly hyperinflated but otherwise clear. There is no effusion or pneumothorax.

50426148

HISTORY: Dehydration. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: Bubble study is between ___.

Mild hyperinflation of the lungs. Otherwise normal chest radiograph.

11557105

Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pericardial effusion. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

51844569

INDICATION: Patient with palpitations and neutropenia. COMPARISONS: ___.

No evidence of acute cardiopulmonary process.

11557105

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 radiopaque foreign body.

52983135

HISTORY: ___-year-old female with multiple myeloma. COMPARISON: Multiple prior chest radiographs, most recently dated ___.

No acute process in the chest.

11502574

Frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is newly enlarged, likely accentuated due to low lung volumes. Mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

58131867

WET READ: ___ ___ 8:58 AM 1. No pneumonia. 2. New mild cardiomegaly. WET READ VERSION #1 ___ ___ 7:27 AM 1. Hypoinflated lungs with bilateral lower lobe atelectasis. No pneumonia. 2. Mild enlargement of cardiomediastinal silhouette. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Fever. Assess for infectious process. COMPARISON: Chest radiograph ___.

No pneumonia. New mild cardiomegaly.

11502574

Since the prior exam, the lung volumes are lower. There is no opacity to suggest pneumonia. The azygos vein and pulmonary vessels appear more prominent, consistent with worsening vascular congestion. There is no frank pulmonary edema. No pleural effusion or pneumothorax is identified. Moderate cardiomegaly is unchanged.

50762103

INDICATION: Worsening dyspnea and tachypnea. Evaluate for pneumonia or other change. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiographs from ___ and ___.

Slight interval increase in the degree of vascular congestion. No evidence of pneumonia.

11502574

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical anchors project over the right humerus. No subdiaphragmatic free air is identified.

54195770

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with epigastric pain TECHNIQUE: Upright AP view of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality. No subdiaphragmatic free air.

11528413

Frontal and lateral views of the chest demonstrate slightly low lung volumes. The lungs are, however, clear. There is no pneumothorax, vascular congestion, or pleural effusion. Cardiomediastinal silhouette is within normal limits. Mild unfolding of the thoracic aorta is noted, with arch calcifications. Moderate multilevel thoracic spondylosis is present.

51450305

INDICATION: ___-year-old male with cough and fever. Question acute process. COMPARISON: ___.

No evidence of pneumonia.

11297319

The heart continues to be moderately enlarged with surrounding numerous surgical clips and intact median sternotomy wires. Bilateral interstitial markings have increased suggesting increased interstitial edema. The mediastinal contours continue to be widened.

50824779

HISTORY: ___-year-old woman with possible developing pneumonia, preop chest x-ray for procedure. Evaluate for developing pneumonia in context of low oxygen saturations. TECHNIQUE: Portable AP semi-erect chest radiograph was obtained. COMPARISON: Chest radiograph from ___.

Increased interstitial edema. No pneumonia.

11719758

AP upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. Lung volumes are low with mild left basal atelectasis noted. There are small bilateral pleural effusions. No definite signs of pneumonia or edema. Vascular prominence of the level of the right hilum is unchanged. Aorta is unfolded and calcified. No pneumothorax. Bony structures appear intact.

54304185

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with HFpEF presents with increased ___ edema bilaterally. COMPARISON: ___ and CT dated ___.

Small pleural effusions, stable prominence of the right hilum likely reflecting prominent vasculature.

11135587

Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Interstitial opacities within the lung bases are compatible with chronic fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is visualized. Dextroscoliosis of the thoracic spine is again noted.

53650785

INDICATION: Fever. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

Chronic interstitial abnormality most pronounced at the lung bases. No acute cardiopulmonary abnormality otherwise seen.

11135587

There is no pleural effusion, pneumothorax or focal airspace consolidation. An S-shaped scoliosis of the thoracic spine is again appreciated. The heart size is enlarged, but unchanged. Mild prominence of the basilar interstitium may relate to underlying chronic lung disease. The mediastinal contour is unremarkable.

50537479

INDICATION: ___-year-old male with history of interstitial lung disease and two days of shortness of breath following surgery. Evaluate for consolidations. COMPARISON: Chest radiograph, ___. PA AND LATERAL VIEWS OF THE

Unchanged cardiomegaly without an acute intrathoracic process.

11202976

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

53480967

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain and lightheadedness. History of transient ischemic attack. TECHNIQUE: Chest, PA and lateral. COMPARISON: Scout view from CT performed on ___.

No evidence of acute disease.

11324378

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

51209200

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/fever, crackles in bases, please eval for occult pna COMPARISON: Prior exam is dated ___.

No signs of pneumonia.

11328899

The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

58627038

INDICATION: ___ year old woman with presyncope, lupus // evaluate for acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11039251

A 1.8 cm right lower lobe nodule was previously seen on the CT from ___. No new pulmonary nodules are identified. The lungs are otherwise clear. The heart and mediastinal contours are unchanged. A chronic left perihilar opacity is unchanged. There are no pleural effusions. No pneumothorax is seen. Surgical clips are noted in the upper abdomen.

54591413

HISTORY: Intermittent delirium. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. Limited chest CT from ___.

No acute cardiac or pulmonary findings. Unchanged calcified 1.8 cm right lower lobe nodule.

11565136

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

58518589

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Palpitations and dyspnea, asthma, assess for cause of dyspnea.

No acute intrathoracic process.

11723888

Since the prior radiograph performed several hours earlier, the left-sided PICC line has been repositioned and now terminates in the mid SVC. There are no other significant changes.

54152491

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with PICC. // Pt had a malpositioned picc,that was flushed ___ ___ TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___ at 11:21

Left-sided PICC line has been repositioned and now terminates in the mid SVC.

11723888

The tip of the left PICC line now points upward along the right of the mediastinum, suggesting that it now terminates in either the azygous vein or right brachiocephalic vein. Lung volumes are low. There is no evidence of pneumonia, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum.

52201484

EXAMINATION: Chest radiograph INDICATION: ___ w/ "excruciting heartburn", mild nausea s/p cystectomy s/p post-op ileus w/p PICC for TPN // r/o acute process TECHNIQUE: Chest radiograph COMPARISON: Chest x-ray ___

No acute cardiopulmonary process. Left-sided PICC line has repositioned, now terminating in the either the azygous vein or right brachiocephalic vein.

11292496

Lung volumes are low. Heart size is mildly enlarged, similar to the previous study. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is not engorged. Streaky opacities are seen in both lung bases without focal consolidation. There may be a trace left pleural effusion. No pneumothorax is present. Sclerotic serpiginous lesion within the left proximal humeral diaphysis is unchanged, possibly an enchondroma or bone infarct.

50552693

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

Streaky opacities in the lung bases, likely atelectasis, with possible trace left pleural effusion.

11292496

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for calcified granulomas in the right upper lobe and focal scarring in the mid lung. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Calcific proximal left humeral lesion has been present on older radiographs since at least ___ and appears grossly similar.

58678873

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fever and 9 day hospitalization. // Please evaluate for source of fever. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality. Probable enchondroma proximal left humerus. No definite further imaging is necessary in the absence of symptoms given long-term radiographic stability since ___.

11292496

Lungs are low in volume but clear of focal abnormality. No pulmonary edema. No pleural effusions. No pneumothorax. Mild to moderate cardiomegaly likely exaggerated by low lung volumes but unchanged compared to ___. Mediastinal and hilar contours are unremarkable.

55902712

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ y/o with dCHF and increased dyspnea, L base crackles // eval for opacity, effusion. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___.

No pneumonia, pulmonary edema, or pleural effusions. Mild to moderate cardiomegaly unchanged.

11292496

There is hazy opacification of the medial right base which is likely atelectasis, but an early consolidation is difficult to exclude. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac silhouette is mildly enlarged, and stable from the prior exam. There is a stable small calcified pulmonary nodule consistent with a granuloma in the right mid lung.

54280458

INDICATION: Cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph ___.

Probable right basilar atelectasis, although an early consolidation cannot be excluded.

11292496

Previously described right upper lobe opacity has resolved. Lungs are clear except for a small calcified granuloma in the right upper lobe. Cardiomediastinal contours are unchanged. Persistent prominence of main pulmonary artery contour. Lung volumes are increased with flattening of hemidiaphragms suggestive of COPD. There are no pleural effusions or acute skeletal findings.

53875708

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with sputum and left sided crackles, hx ? opacity, pneumonia ___ // evaluate lungs COMPARISON: ___, ___ and ___

Resolution of right upper lobe opacity. Prominent main pulmonary artery contour suggesting the possibility of pulmonary arterial hypertension.

11292496

Heart size remains mildly enlarged. The aorta is calcified at the aortic knob. Mediastinal and hilar contours are unchanged with similar prominence of the main pulmonary artery contour suggestive of enlargement. No pulmonary edema is demonstrated. 5 mm rounded opacity projecting over the right upper lobe is unchanged, likely a tiny granuloma, unchanged. Streaky opacity in the left lower lobe likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

50170062

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with abdominal pain, nausea, vomiting, cough. Fevers, chills. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___

Streaky left lower lobe opacity, likely atelectasis. Unchanged prominence of the main pulmonary artery contour suggestive of enlargement.

11292496

Cardiomediastinal shadow unchanged. Hilar shadows unchanged. Background of increased interstitial markings with a mid to lower lung zone predominance. No consolidation. Round calcification in the right mid lung zone unchanged. No effusions. Mild spondylotic changes of the thoracic spine.

50658444

INDICATION: ___ year old man with Cough for three weeks, crackles RML and RLL please evaluated for PNA. Thank you // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___

Increased interstitial markings with a mid to lower lung zone predominance. In the differential consider interstitial edema (but there is no cardiomegaly, vascular congestion or pleural effusion) or viral/atypical infection.

11292496

Heart size is mildly enlarged with a left ventricular predominance. The aorta is tortuous but unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Calcified granulomas are again seen within the right upper lung field. Focal scarring in the left mid lung field is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Sclerotic lesion within the left proximal humerus may reflect an enchondroma and is unchanged.

53951926

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11524047

The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. Atherosclerotic calcifications are noted along the aortic arch. No displaced rib fractures are seen. Opacification of multiple intervertebral disc spaces can be seen in ochronosis.

58872754

INDICATION: ___-year-old female with acute onset right sided chest pain. Eval for rib fractures. TECHNIQUE: Chest PA and lateral radiographs were obtained. COMPARISON: Chest radiograph from ___ and ___ .

No acute cardiopulmonary process. No rib fractures seen.

11010572

The lung volumes are low. Hazy opacification of the lung bases suggests pleural effusions of substantial size, more conspicuous and probably larger on the left than right side. Fullness of each hilum with indistinct contours is suggestive of perihilar congestion, although mild and unchanged. There is no pneumothorax.

58293079

CHEST RADIOGRAPH HISTORY: Dyspnea. COMPARISONS: Prior radiographs from ___ and outside radiographs and CT from earlier on the same day. TECHNIQUE: Chest, portable AP upright.

Findings suggestive of substantial pleural effusions and mild congestion.

11010572

Single frontal portable view of the chest was obtained. The heart is of top normal size with normal cardiomediastinal contours. The pulmonary vasculature is slightly prominent, compatible with mild pulmonary congestion. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Osseous structures appear unremarkable. A metallic stent overlies the right upper quadrant.

57904894

INDICATION: ___-year-old man with cirrhosis, here with hyponatremia and asterixis. Evaluate for pulmonary process. COMPARISONS: Chest radiograph of ___.

Mild pulmonary congestion. TIPS stent projecting over the right upper quadrant.

11912361

Subtle hazy opacities left lung base may represent early developing infiltrate in the appropriate clinical setting, not definitely identified on prior radiograph ___ and CT ___ of the very low lung bases right lung clear. Small esophageal hiatal hernia, more apparent. Normal heart size, pulmonary vascularity. No effusion. Surgical clips left breast.

56724464

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of breast cancer w/n/v and c/o of SOB w/n/v // infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: ___

Subtle hazy opacity left lung base may represent developing early infiltrate in the appropriate clinical setting. If clinical symptoms persist, follow-up radiograph in 48 hr recommended.

11912361

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

58746023

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and dyspnea // evidence of pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11912361

The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. A known small esophageal hiatal hernia is better seen on prior radiographs and CT. The osseous structures are stable.

54712582

INDICATION: ___ year old woman with possible pneumonia // follow up TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___. CT from ___.

No acute cardiopulmonary process.

11883130

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Elevation of the right hemidiaphragm is unchanged. Mild degenerative changes are noted involving the thoracic spine. Multiple chronic left-sided rib fractures are again demonstrated with fixation hardware seen involving the left fifth through eighth ribs. Comminuted fracture of the left midclavicle is chronic.

51728947

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with motorcycle crash ___ with residual bony injury, which is unclear, presenting with acute severe left shoulder pain today after getting up from a chair. Tenderness to palpation right shoulder and sternum. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ from outside hospital, chest radiograph from outside hospital ___

No acute cardiopulmonary abnormality. Multiple chronic left-sided rib fractures and comminuted left midclavicular fracture.

11465781

Low lung volumes are noted with secondary crowding of the bronchovascular markings. Right midlung opacity is likely secondary to atelectasis. There is no large confluent consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. There is compression deformity of the mid thoracic spine

54730087

WET READ: ___ ___ ___ 11:28 AM Low lung volumes without definite acute cardiopulmonary process. Compression deformity of a mid thoracic vertebral body could potentially be acute. Clinical correlation regarding site of pain is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with s/p fall, R shoulder abrasion // eval ? pneumonia, effusion, rib injury, shoulder or clavicle injury TECHNIQUE: Frontal lateral views of the chest. COMPARISON: Chest x-ray from earlier the same day at an outside institution

Low lung volumes without definite acute cardiopulmonary process. Compression deformity of a mid thoracic vertebral body could potentially be acute. Clinical correlation regarding site of pain is suggested.

11255133

As compared to the prior examination dated ___, there has been no significant interval change. Redemonstrated are persistent streaky opacities within the right lower lobe, likely chronic and and due to scarring versus atelectasis. There is no evidence of new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Redemonstrated is a small, calcified granuloma within the right upper lobe, stable in appearance. A calcified right axillary lymph node is noted at the periphery of the film. The cardiomediastinal silhouette is stable.

59044912

HISTORY: History of latent TB and bronchiectasis. Now with dyspnea on exertion. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___, and CT chest dated ___.

No radiographic evidence for acute cardiopulmonary process. Chronic right lower lobe opacities, unchanged from prior examinations, and most compatible with scarring versus atelectasis. Findings were conveyed by Dr. ___ she to Dr. ___ ___ telephone at 16:50 on ___, ___ min after discovery.

11347146

Assessment is limited due to patient rotation and positioning. Heart size may be mildly enlarged. Mediastinal and hilar contours are grossly unremarkable. Right lung is clear. There may be patchy opacification in the left lung base. No large pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is visualized, although the osseous structures are diffusely demineralized.

51707947

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypoxia TECHNIQUE: Supine AP view of the chest COMPARISON: None.

Limited exam. Possible patchy opacity in the left lung base, which could reflect atelectasis. Further assessment with dedicated PA and lateral views if the patient is able to would be beneficial for improved assessment of the lung bases.

11778013

The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Bibasilar opacities are seen, most likely consistent with atelectasis. There is no pleural effusion or pneumothorax.

59699354

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with n/v poor historian // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute intrathoracic abnormality.

11778013

Enteric tube tip in the mid stomach. Old right rib fracture. Lungs are clear. Normal heart size, pulmonary vascularity.

57533684

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/ dementia and MR, multiple prior abdominal operations, recurrent SBOs managed conservatively, now p/w recurrent SBO // evaluate placement of NGT- tube had been pulled out to 25cc, readvanced to ___ at nares TECHNIQUE: Chest single view COMPARISON: ___ 11:06

Enteric tube tip mid stomach

11772026

The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

54941758

EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with cough // cough cough TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11834749

The lungs are clear. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No displaced fractures. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

57707565

INDICATION: ___F with near syncopal episode\// r/o intraplum process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11119153

In comparison to the prior radiograph on ___, the right IJ catheter has been removed. Median sternotomy wires are intact. Bronchovascular markings are accentuated by low lung volumes. Pulmonary vascular congestion is mild. A small left pleural effusion is similar, or perhaps smaller compared to ___. There is no focal consolidation or pneumothorax. Heart size is mildly enlarged, and postoperative appearance of the cardiomediastinal silhouette is unchanged. There is a prosthetic aortic valve. No acute osseous abnormalities are identified.

58178005

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recent CABG on ___, now with dyspnea and afib with RVR // please eval for edema, infection, or other abnormality TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Stable or improved small left pleural effusion compared to ___. Stable postoperative appearance of the cardiomediastinal silhouette, with mild pulmonary vascular congestion.

11615169

PA and lateral views of the chest were provided. Midline sternotomy wires are again noted. There are bilateral pleural effusions, small, with associated mild pulmonary interstitial edema. There is likely mild basilar atelectasis. The heart and mediastinal contours appear grossly unchanged, though patient rotation to the right limits the evaluation of the mediastinum. Bony structures are intact.

55227980

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Shortness of breath with bilateral lower extremity edema, assess for fluid overload.

Mild edema with small bilateral effusions with lower lobe compressive atelectatic change.

11704848

Comparison is made to prior study from ___. The heart size is normal. Lungs are clear. Bony structures are intact. There are some degenerative changes of the thoracic spine, best seen on the lateral view.

52110863

WET READ: ___ ___ 8:50 PM No acute intrathoracic process. A ___ ___ ______________________________________________________________________________ FINAL REPORT STUDY: PA and lateral chest, ___. CLINICAL HISTORY: Patient with possible acute process.

No acute cardiopulmonary process.

11912824

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.

50638367

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest tightness and shortness of breath today COMPARISON: None

No acute intrathoracic process.

11674792

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.

51461124

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left eye blurriness and facial numbness that has since resolved. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11281603

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.

50100719

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP // eval for PNA COMPARISON: None.

No acute intrathoracic process.

11812774

Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

57099796

HISTORY: Shortness of breath. COMPARISON: ___.

No acute cardiopulmonary process.

11812774

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

52126479

INDICATION: ___ year old female with cough, vomiting. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiographs from ___, ___, ___ and ___.

No acute cardiopulmonary process.

11812774

Vague opacities projecting over lung bases on the frontal view and are likely due to overlying soft tissues. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

53779058

INDICATION: ___F with chest pain and cough after breathing fumes in apartment // eval edema TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11863244

Frontal and lateral views of the chest demonstrate mild cardiomegaly. There are small bilateral pleural effusions, best appreciated on the lateral view. Bibasilar atelectasis is appreciated. There is no pneumothorax or focal airspace consolidation. The mediastinal contours are unremarkable. A left side pacemaker is present with wires terminating over the right atrium and right ventricle. There is no displaced rib fracture appreciated.

58168688

HISTORY: Elbow injury, rule out infiltrates. COMPARISON: None.

Probable small bilateral pleural effusions with bibasilar atelectasis.

11460286

Lungs are clear. Cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion.

55012050

WET READ: ___ ___ ___ 9:30 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with breast ca, on chemo, fever, malaise, fatigue, night sweats. N/V/D. epig TTP, LUQ ttp // eval ? LLL pneumonia, colitis, intraabd abscess TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___

No acute cardiopulmonary abnormality.

11751107

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged VP shunt is noted coursing over the right hemithorax.

50951960

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with altered mental status // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11751107

The ET tube, left apical chest tube, and enteric tube remain in satisfactory position. There is no pneumothorax. Moderate pulmonary edema has slightly increased since the prior exam. A small amount of left chest wall subcutaneous emphysema is again noted, unchanged.

51072986

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with pneumothorax; evaluate for interval change. TECHNIQUE: Single AP view radiograph of the chest from ___. COMPARISON: ___.

No pneumothorax. Increased moderate pulmonary edema. Unchanged left chest wall subcutaneous emphysema.

11751107

The cardiac, mediastinal and hilar contours appear stable including a left ventricular configuration to the heart. A tracheostomy was been removed. A ventriculoperitoneal shunt catheter courses along the anterior chest. The lungs appear clear. There are no pleural effusions or pneumothorax.

56127739

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Altered mental status. COMPARISON: ___.

No evidence of acute disease.

11751107

AP upright and lateral views of the chest provided. VP shunt catheter courses over the right hemi thorax. Clips are noted in the right upper quadrant. The lungs are clear bilaterally demonstrating no signs of pneumonia, effusion, pneumothorax or congestion/ edema. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.

50891780

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with history of stroke presenting with new AMS // evaluate for PNA. COMPARISON: ___.

No acute intrathoracic process. VP shunt tubing noted.

11751107

Endotracheal tube is seen with tip approximately 3 cm from the carinal. There is an enteric tube with side port past the GE junction although tip is not identified. Left sided pleural catheter tip projects over lung apex, however the side port is external to the thoracic cavity. Significant amount of subcutaneous gas seen overlying the left chest wall and neck on both sides. Given low lung volumes the lungs are grossly clear. Cardiomediastinal silhouette cardiac silhouette is within normal limits for technique. Prominence of the upper mediastinum is identified on the right

57510403

WET READ: ___ ___ ___ 4:33 PM Left chest tube side port external to the thoracic cavity. Significant subcutaneous gas projecting over left chest wall and neck. Prominent appearance of the mid/upper mediastinum on the right potentially positional however correlation with CT scan is suggested to exclude underlying hematoma. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with SAH, intubated, chest tube // eval for tube placement TECHNIQUE: Single portable view of the chest. COMPARISON: None.

Left chest tube side port external to the thoracic cavity. Significant subcutaneous gas projecting over left chest wall and neck. Prominent appearance of the mid/upper mediastinum on the right potentially positional however correlation with CT scan is suggested to exclude underlying hematoma.

11751107

VP shunt is partially seen coursing along the right neck, right chest and upper mid abdomen. Lungs are normally expanded and clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The aorta is unfolded. Incidentally, there are surgical clips in the right upper quadrant likely from cholecystectomy.

54121461

WET READ: ___ ___ ___ 12:59 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F s/p fall, hx of aneurysm rupture and VP shunt // rule out intracranial bleeding, fractures TECHNIQUE: Upright AP and lateral chest COMPARISON: Shunt series ___. Chest radiograph ___ and ___.

No acute cardiopulmonary abnormality.

11984271

Two frontal images of the chest demonstrate interval removal of the Dobbhoff tube from the right mainstem bronchus. There is no pneumothorax or other complication seen. Low lung volumes are again seen, which results in bronchovascular crowding. There is no pleural effusion. The cardiomediastinal silhouette is unchanged.

52056679

INDICATION: ___-year-old male with status post Dobbhoff malplacement into lung and subsequent removal, now requiring assessment for pneumothorax. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___.

Removal of Dobbhoff tube from the right mainstem bronchus without pneumothorax or other complication seen. Otherwise, unchanged chest radiograph.

11586698

Compared with the prior radiographs, bibasilar opacities have slightly decreased in extent and severity. Persistent reticular opacities are suggestive of chronic interstitial lung disease, better evaluated on recent CT of ___. Blunting of bilateral costophrenic angles is likely due to pleural thickening. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

52120140

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough + sputum x 1 week, h/o pulmonary hemorrhage in ___ from granulomatous polyangiitis // r/o pneumonia r/o pneumonia TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___ to ___.

No evidence of acute cardiopulmonary process. Slight improvement in bibasilar airspace opacities. Reticular opacities compatible with chronic interstitial lung disease.

11586698

Reticulation, bronchiectasis and opacification there has increased since ___ consistent with worsening pulmonary fibrosis. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

56055788

INDICATION: History: ___M with h/o vasculitis presents with fever, cough // ? pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___.

Pulmonary fibrosis has progressed since ___. No focal consolidation concerning for pneumonia.

11586698

Overall, there has been no significant interval change of the bilateral perihilar and lower lung opacities, right greater than left, compared to the most recent prior radiograph. Small bilateral pleural effusions are persistent. There is no pneumothorax. Visualized osseous structures are unremarkable. The cardiomediastinal silhouette is unchanged compared to exams dated back to ___.

51010693

INDICATION: History of vasculitis, pneumonia. Please evaluate for interval change. COMPARISONS: Multiple prior chest radiographs dated back to ___ and chest CT from ___. TECHNIQUE: Single AP portable radiograph of the chest.

Stable bilateral perihilar and lower lung opacities, right greater than left, compared to the prior radiograph from ___.

11586698

Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung volumes are low with chronic interstitial opacities and bronchiectasis at the lung bases and periphery bilaterally, similar to prior. Increased patchy opacities in the lung bases compared to the previous radiograph may reflect superimposed atelectasis. Chronic blunting of the right costophrenic angle suggests chronic pleural thickening. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate degenerative changes in the thoracic spine.

59137337

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

Chronic fibrosing interstitial lung disease, similar to the previous study. Patchy opacities in lung bases may reflect superimposed atelectasis.

11586698

There are low lung volumes, which results in bronchovascular crowding. The degree of interstitial prominence, bronchiectasis, and opacification is grossly unchanged. There is no focal consolidation concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax.

54613663

WET READ: ___ ___ ___ 2:00 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ILD and vasculitis presenting with fevers, chills and cough for past 6 days // evidence of infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___, and CT of the chest dated ___.

No acute cardiopulmonary process.

11408827

Since the most recent prior radiograph, there is stable moderate cardiomegaly and development of a small right pleural effusion. There is no focal consolidation or pneumothorax. The lungs appear better expanded than on the prior radiograph. Multiple left-sided rib fractures seen on outside hospital CT torso are not clearly seen on this radiograph.

51612181

INDICATION: ___-year-old man with rib fractures, no pneumothorax on CT scan yesterday, question pneumothorax. COMPARISONS: Portable AP chest radiograph from ___. CT torso from___ from ___.

No evidence of pneumothorax. Small right pleural effusion.

11652381

Again seen is a chest tube at the left lung base. On the current examination, there is an apparent small left upper lobe pneumothorax, with calcifications seen along the edge of the lung. There is a tiny left effusion, with possible small left hydro pneumothorax. The dense opacification in the left mid/lower zone is somewhat different n configuration, but overall similar in appearance. The cardiac silhouette is partially obscured by the opacity -- no definite change in the silhouette. There is calcification at the right lung apex, slight offset from the ribs. This is similar to the prior film and could reflect pleural thickening rather than pneumothorax. Hazy opacity at the right lung base laterally could reflect the opacity seen on the recent chest x-ray or alternatively could be artifact due to overlying breast tissue. Minimal blunting of the right costophrenic angle is new, is consistent with a small right pleural effusion. The right lung is otherwise grossly clear. Background parenchymal distortion is likely related to background COPD. Scattered nodular densities are suggestion both lungs, but best demonstrated on the recent CT hand.

57085193

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest tube in place on L due to c/f empyema // Please perform at 5am on ___. chest tube placement, evaluate empyema/pleural effusions/etc COMPARISON: Chest x-ray from ___ at 12:45

Apparent small left apical pneumothorax, new compared with the prior exam. Left chest tube is similar in configuration. Extensive left mid/lower zone opacity is overall similar. New faint hazy opacity in the right base laterally may correspond to a finding on the prior CT or alternatively, could be artifact due to overlying breast tissue. Prominent background COPD/parenchymal scarring. Doubt superimposed CHF.

11652381

Again seen is extensive apical pleural calcifications bilaterally consistent with old tuberculous disease. Opacification in the left mid lung corresponding with previously demonstrated pneumonia with abscess in the lingular lobe has now decreased and likely represents fibrous scarring and healing from the pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

59953463

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with MAC being treated now with cough for 4 weeks // rule out infiltrate, TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___, CT chest ___.

Left midlung opacity likely represents scarring and healing of the lingular lobe necrotizing pneumonia

11652381

AP upright and lateral views the chest were provided. Lungs are hyperinflated which could reflect underlying emphysema. There is biapical pleural parenchymal scarring. There is a severe levoscoliosis of the lumbar spine again noted. Nipple shadows project over the lower lungs. There is a calcified granuloma again seen projecting over the right upper lung. New from prior, is a band like opacity in the left perihilar region with a central lucent ovoid focus. Findings are indeterminate, possibly representing scarring though given that this is a new finding, a nonemergent CT is recommended to further assess. The heart size is normal. Tiny Coronary stents project over the left heart border. The aorta is moderately calcified. No pleural effusion or pneumothorax. Bony structures appear grossly intact.

54494116

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with chest pain, evaluate for structural process. TECHNIQUE: Upright AP and lateral COMPARISON: ___ and left shoulder radiograph from ___.

New band like perihilar opacity in the left mid lung, indeterminate, for which nonemergent CT chest is recommended to further assess.

11652381

Compared to ___, a left-sided pigtail catheter has been placed. There has been essentially complete clearing of the previously seen left effusion. There is minimal underlying patchy opacity, possibly atelectasis. No pneumothorax is identified. The distribution and density of the opacity in the left upper/mid/lower zone is slightly different, but overall similar. Again seen is background hyperinflation/COPD, with extensive parenchymal scarring and extensive biapical pleural calcifications. The cardiomediastinal silhouette is partially obscured, but grossly unchanged. No definite superimposed CHF is identified. The right costophrenic sulcus is grossly clear, without evidence of right pleural effusion. Again noted is severe sigmoid scoliosis and clips over the left neck.

57127905

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p Left sided chest tube // r/o PTX left sided COMPARISON: Chest x-ray from ___. Targeted review of chest CT from ___.

Interval placement of pigtail catheter with essentially complete radiographic clearing of the left effusion. No pneumothorax detected. Extensive opacity in the left lung, corresponding to the extensive airspace consolidation/abscess on the ___ CT scan is slightly different in appearance, but overall similar. Right middle lobe consolidation seen on the recent CT is not well visualized radiographically. Severe background COPD, with dense apical calcifications again noted.

11652381

New focal consolidative opacity is noted within the left upper lobe and lingula compatible with pneumonia. Heart size is unchanged. The mediastinal and hilar contours are similar with diffuse atherosclerotic calcifications of the aorta again noted. Lungs are hyperinflated with chronic pleural calcifications noted at the apices. Moderate left and trace right pleural effusions are noted. Pulmonary vasculature is not engorged. There are moderate degenerative changes noted throughout the thoracic spine along with similar S-shaped scoliosis.

57963616

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___

New focal consolidation in the left upper lobe and lingula concerning for pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding. Moderate left and trace right pleural effusions.

11652381

Tiny left apical pneumothorax has decreased. Multi focal opacities in the left lung have slightly increased. Right lung clear of pneumonia. Severe biapical pleural calcification raise possibility of prior tuberculosis. Heart size is normal.

51595977

INDICATION: ___ year old woman with multifocal PNA, abscess lingula, chest tube removed // Please do in AM. e/o PTX, monitor pleural effusion TECHNIQUE: Chest PA and lateral

Tiny left apical pneumothorax has decreased. Increasing multifocal opacity of the lung.

11395102

No focal consolidation is seen. Incidental note is made of an azygos lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Air-fluid level in the retrocardiac region is most consistent with a hiatal hernia. No pulmonary edema is seen.

59814646

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with leg swelling // eval for pulm edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process. Hiatal hernia. No overt pulmonary edema.

11985705

Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.

50932164

INDICATION: ___-year-old female with shortness breath and fever. Question pneumonia. COMPARISON: None available.

No acute cardiopulmonary process.

11003196

Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

59869631

INDICATION: Palpitations. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11534305

Portable AP view of the chest demonstrates clear lungs. Hilar and mediastinal contours are normal. No pleural abnormality is seen.

55900955

HISTORY: Struck pedestrian. COMPARISON: None available.

No acute cardiopulmonary process.

11430034

AP portable upright view of the chest. Overlying EKG leads are present. The heart remains moderately enlarged. The aorta is calcified and unfolded. There is opacity in the lower lungs which is concerning for aspiration versus pneumonia. Partially layering pleural effusions difficult to exclude in the correct clinical setting. There is prominence of the pulmonary hila which may indicate a component of central pulmonary vascular congestion. No definite pneumothorax. Bony structures appear intact. Calcification adjacent to the left humeral head is again noted compatible with calcific tendinopathy.

50743739

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with known pleural effusions with new O2 requirement. // worsening pleural effusions? traumatic injuries? COMPARISON: Prior study from earlier today.

Stable cardiomegaly with lower lung opacities concerning for pneumonia/ aspiration, versus layering pleural effusions. Pulmonary vascular congestion.

11900468

There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Previously noted cardiomegaly is less conspicuous, potentially due to differences in technique. The descending aorta is tortuous, unchanged. Dense calcification projecting in the subcarinal region corresponds to calcified lymph nodes on the prior chest CT.

57129127

WET READ: ___ ___ ___ 3:57 AM No evidence of acute cardiopulmonary process peer ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with fever, evaluate for infection. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___ and chest CT dated ___.

No evidence of acute cardiopulmonary process.

11900468

The lungs are clear. There is no pneumothorax. The heart appears large but cardiac size may be exaggerated by AP portable technique. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact

58064429

EXAMINATION: CHEST (PORTABLE AP) INDICATION: r/o free air TECHNIQUE: AP chest x-ray COMPARISON: None

No active pulmonary disease. Prominent cardiac silhouette.

11417888

No displaced rib fractures are identified. The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.

56186718

FINAL ADDENDUM Addendum: Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state shortness of breath. ______________________________________________________________________________ FINAL REPORT HISTORY: Status post fall on left elbow and abdomen, concerning for rib fracture. COMPARISON: None.

No fracture or acute cardiopulmonary process.

11266247

There is right middle lobe consolidation. The left lung is clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.

50838718

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough fever and left sided chest pain. Recent hx of pneumonia // r/o LLL infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

New right middle lobe consolidation representing pneumonia.

11563009

PA and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal silhouette including moderate cardiomegaly is unchanged. There is mild pulmonary edema and small bilateral pleural effusions as before. There is no pneumothorax.

54461953

INDICATION: ___-year-old man with elevated BNP, evaluate for effusion. COMPARISON: ___.

Chronic or recurrent biventricular congestive heart failure.

11563009

Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Moderate cardiomegaly is stable. There is mild pulmonary vascular prominence suggestive of mild volume overload. The cardiomediastinal contours are unchanged. There is no pleural effusion, pneumothorax, or consolidation.

55804509

HISTORY: History of heart failure with recent fall and recurrent syncope. Evaluate for heart failure, pneumonia, or injury. COMPARISON: Radiographs of the chest dated ___ and ___.

Mild pulmonary vascular prominence suggestive of mild volume overload.

11798688

Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragms. Again there are extensive fibrotic changes bilaterally, worse in the upper lungs but also seen in the mid and lower lungs. Again there is superior retraction of the hila and bilateral pleural plaques seen, left greater than right. The previously seen right base consolidation has improved in the interval. Cardiac and mediastinal silhouettes are stable.

59317250

EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___.

Chronic changes, as above without definite acute cardiopulmonary process.

11798688

PA and lateral views of the chest. Again seen are extensive fibrotic changes particularly at the lung apices with superior retraction of the hila and bilateral pleural plaques. There is a superimposed new region of consolidation at the right lower lobe laterally worrisome for superimposed acute process. No other new consolidation is identified. Cardiomediastinal silhouette is unchanged in no acute osseous abnormality identified.

58883242

WET READ: ___ ___ 9:44 PM Chronic parenchymal changes and pleural plaques with new right basilar opacity worrisome for superimposed acute process, compatible with pneumonia in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male worsening dyspnea and chest pain. COMPARISON: ___.

Chronic parenchymal changes and pleural plaques with new right basilar opacity worrisome for superimposed acute process, compatible with pneumonia in the proper clinical setting.

11798688

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described advanced COPD findings persist. Remarkable is a significant progression of parenchymal infiltrates in the left upper lobe area where dense chronic scar formations and bronchiectatic changes were observed earlier. There are no other new pulmonary or cardiac abnormalities observed on this followup chest examination.

53683934

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with severe COPD, fever and cough, evaluate for pneumonia.

Marked local progression of parenchymal densities in the left upper lobe apical area consistent with acute infection. Short followup after treatment is recommended ( approx. one week). Referring physician ___ paged at 4:20 p.m.

11798688

Comparison is made to the prior study from ___. Also compared to the prior CT from ___. There is again seen hyperexpansion and pleural-based calcified densities bilaterally consistent with patient's known asbestos exposure. There is scarring within the lung apices, which appear more prominent within the left upper lobe. No definite consolidation is identified. Heart size is within normal limits.

56790987

WET READ: ___ ___ ___ 8:44 PM Since ___, new opacity in the left upper lobe with elevation of the left hemidiaphram along the left juxtaphrenic ligament, likely due to volume loss. Improved aeration of the right lower lung. Otherwise, little change ______________________________________________________________________________ FINAL REPORT STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with COPD and old lung nodules representing possible embolism.

More confluent opacity in the left upper lobe since prior. Pleural plaques and hyperexpansion compatible with patient's known asbestos exposure.

11798688

PA and lateral chest radiographs. The lungs are still markedly hyperexpanded with biapical consolidation which is overall unchanged in appearance from ___. Using ___ as a baseline, the right apical consolidation is chronic, but the left upper lobe consolidation appeared on ___, subsequently improved, and has now recurred. Internal luciencies are from bronchiectasis, demonstrated on CT of ___. There is no new opacity. Numerous pleural plaques are unchanged and consistent with asbestos exposure. There is no pleural effusion or pneumothorax. The heart size is normal.

55752288

INDICATION: Severe COPD and left apical pneumonia. COMPARISON: Multiple prior chest radiographs from ___. CT-Chest, ___.

Left apical consolidation has not improved from ___. This relatively isolated, changing area has a treatment history suggesting recurrent infection. Chronic, stable right apical consolidation. Severe emphysema and biapical scarring. Asbestos related pleural plaques.

11536267

Semi-upright portable view of the chest demonstrates low lung volumes without pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Large hiatal hernia is noted. Bibasilar opacities are better seen on CT chest of the same date.

57704173

INDICATION: Chest pain. Assess for pneumonia. COMPARISONS: CTA chest of the same date.

No focal consolidation. Large hiatal hernia. Bibasilar opacities are better seen on CTA chest of the same date, which likely reflect aspiration.

11224629

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

50685602

INDICATION: Pedal edema and rales. History of tobacco use. Evaluate for CHF. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained with a total of three exposures.

No acute cardiopulmonary process; specifically, no evidence of pulmonary edema.

11019941

The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are persistently hyperexpanded and clear. There is no pleural effusion or pneumothorax.

58831349

FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state confusion and headache. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with ?confusion stroke // eval for ICH NCHCT eval for pna cxr eval for aneurysm CTA head and neckl TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute intrathoracic abnormality. Hyperexpanded lungs may reflect vigorous inspiratory level or obstructive process such as asthma in the appropriate clinical setting.

11016935

PA and lateral views of the chest provided. Patient is status post CABG with median sternotomy and aortic valve replacement. Moderate-to-severe emphysema with apical predominance. 7 mm nodular opacity in the right upper lobe has not changed. Heart is top-normal in size. No focal consolidation, pleural effusion or pneumothorax. Vertebroplasty changes are seen in the mid-thoracic spine.

51683155

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with chest pain. // Please evaluate for thoracic pathology. COMPARISON: Chest radiograph dated ___ CT chest without contrast ___

No acute intrathoracic process.

11583852

Right chest wall port is seen with catheter tip in the right atrium. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. No free air seen below the diaphragm. Stent is partially visualized in the upper abdomen.

54308957

INDICATION: ___M with pancreatic CA on chemo p/w generalized weakness // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: CT chest from ___.

No acute cardiopulmonary process.

11391424

The lungs are well expanded. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

51722967

EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with fever and tachycardia TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___.

No evidence of acute cardiopulmonary process.

11391424

There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.

57167089

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever on chemo diffuse b cell lymphoma // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11409745

Right Port-A-Cath tip in the upper SVC. There is no catheter kink. Very shallow inspiration. There is stable mild left, new small right pleural effusions effusions. Left basilar opacity has improved. Mildly worsened right basilar opacity, likely atelectasis. Shallow inspiration accentuates heart size, pulmonary vascularity. There is no pneumothorax.

51546774

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with neuroendocrine pancreatic carcinoma presents w/ erythema, edema, and TTP around L Port-a-cath w/ associated L arm swelling and erythema // please evaluate lumen of the port from the site of insertion to the tip TECHNIQUE: Chest two views COMPARISON: ___ 11:46

Bilateral pleural effusions, with improved left basilar opacity. Mildly worsened right basilar opacity, likely atelectasis.