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

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11388716	Port-A-Cath remains in place with no change in the position of the tip. The cardiomediastinal contours appear to be normal. The lungs are clear bilaterally without focal consolidation, pleural effusions, or pneumothorax. The bony structures are intact.	59901818	INDICATION: ___-year-old gentleman with a history of bladder cancer status post chemoradiation, presenting with new-onset shortness of breath, rule out infection. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral chest radiographs.	No acute radiographic abnormalities.
11388716	Right-sided Port-A-Cath is again seen, terminating in the proximal to mid SVC. Mild apical pleural thickening is seen. Scarring in the right lateral apical region is again seen. Bibasilar streaky opacities are again seen, most likely representing atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. The hilar contours are stable.	53068124	HISTORY: Productive cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	No significant interval change. Bibasilar streaky opacities again seen, most likely related to atelectasis/scarring.
11388716	Right-sided Port-A-Cath tip terminates in the SVC. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Streaky opacities within the lung bases bilaterally likely reflect atelectasis. Previously noted right apical nodular opacity is no longer visualized, though this area on prior CT was noted to have emphysematous changes. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.	51255419	HISTORY: Shortness of breath. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___. CTA Chest ___.	Mild streaky bibasilar atelectasis.
11388716	Right subclavian infusion port tip is in mid SVC. Mild vascular engorgement with peribronchial cuffing in the absence of cardiomegaly. No pleural effusion, pneumothorax, or focal density. Mediastinal contour is normal and no bony abnormality.	57349511	HISTORY: Male with fever and recently intubated, assess for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Frontal and lateral chest radiographs.	Mild vascular congestion. No radiographic evidence of pneumonia.
11388716	Portable AP upright chest radiograph obtained. Port-A-Cath resides over the right chest wall with catheter tip extending into the expected location of the superior vena cava. The lungs are clear bilaterally without focal consolidation, effusion, or signs of pneumothorax. Upper lobe lucency is compatible with known emphysema. The heart and mediastinal contours appear normal. Bony structures are intact. There are old right rib cage deformities again noted.	55403302	PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ and ___. CLINICAL HISTORY: Short of breath, assess for pneumonia. Also history of TCC of the bladder with metastatic disease.	Emphysema without superimposed pneumonia.
11388716	Frontal and lateral views of the chest. Persistent streaky opacity seen at the left lung base. Elsewhere the lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Right chest wall port is again seen with catheter tip in the upper SVC. Osseous and soft tissue structures are unremarkable.	57289278	HISTORY: ___-year-old male with cough and hypotension on chemotherapy. COMPARISON: ___.	Streaky left basilar opacity as seen on prior could be related to atelectasis however superimposed acute infection is not excluded. Clinical correlation suggested.
11613361	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Minimal right basilar residual atelectasis with adjacent slight blunting of right lateral costophrenic sulcus. The heart is mildly enlarged, unchanged compared to prior study. Aortic valve replacement and atrial appendage clip are again noted. Median sternotomy wires are intact. The aorta is tortuous.	53067951	EXAMINATION: Chest radiograph INDICATION: ___ year old man with history of cardiac surgery for severe aortic stenosis with SOB. // eval for efusion TECHNIQUE: Upright PA and lateral chest radiograph COMPARISON: ___	Minimal right basilar residual atelectasis with adjacent focal pleural thickening or small amount of fluid. Otherwise, no change compared to prior study.
11613361	Cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette mildly enlarged. Patient is status post median sternotomy. There is blunting of the bilateral posterior costophrenic angles, suggesting trace pleural effusions. No focal consolidation is seen. There is no pulmonary edema or pneumothorax.	56191281	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dyspnea // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Trace pleural effusions. Persistent cardiomegaly. No pulmonary edema.
11979534	Moderate cardiomegaly has been stable compared to exams dated back to at least ___. The hilar and mediastinal contours are normal. Redemonstrated is a large left goiter with rightward deviation of the trachea, unchanged compared to the prior exam. There is no large pleural effusion or pneumothorax. Mild bibasilar atelectasis is persistent.	53622090	INDICATION: History of ataxia and nausea. Please evaluate for pneumonia. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: AP and lateral radiographs of the chest.	Stable cardiomegaly. No focal consolidations concerning for pneumonia or pulmonary edema.
11979534	Upright AP and lateral views of the chest demonstrate low lung volumes, accentuating the heart size, which is moderately enlarged. The mediastinal contours are otherwise stable. A large left goiter deviates the trachea, and is unchanged. There is no overt pulmonary edema, pneumothorax, or large pleural effusion. Atelectasis is present at the lung bases, although underlying infection is possible in the appropriate clinical setting.	52869544	HISTORY: ___-year-old male with fatigue. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___.	Moderate cardiomegaly with low lung volumes and bibasilar atelectasis; however underlying infection is possible in the appropriate clinical setting.
11979534	PA and lateral views of the chest were obtained. Lung volumes are low which limits the evaluation. There is top normal heart size with a stable prominence of the mediastinum likely indicating an unfolded thoracic aorta. There is no focal consolidation, effusion, or pneumothorax. A subtle reticulonodular pattern within the lungs could indicate mild pulmonary congestion. Bony structures appear intact. No free air below the right hemidiaphragm.	51323411	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Dyspnea, assess for pulmonary edema.	Possible apparent mild pulmonary vascular congestion, cardiomegaly.
11979534	Aside from bibasilar atelectasis, the lungs are clear. Moderate cardiomegaly is stable. Otherwise, the hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	58570719	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with orthostatic symptoms, stable vitals. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11979534	There are hazy bibasilar opacities. Superiorly, lungs are clear. Moderate cardiac enlargement is unchanged. There is rightward deviation of the trachea at the thoracic inlet due to a known underlying left-sided thyroid enlargement. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities.	57623662	INDICATION: ___M with CKD, HFpEF, CAD presenting w/ nausea, vomiting, lightheadedness. // Please evaluate for pneumonia, signs of volume overload. TECHNIQUE: Single portable view of the chest. COMPARISON: ___ chest x-ray and chest CT from ___.	Hazy bibasilar opacities, potentially atelectasis, infection is not excluded.
11979534	There has been slight interval improvement in degree of lung inflation compared to the prior study. Heart size remains mild to moderately enlarged. Atherosclerotic calcifications are demonstrated in the aorta is mildly tortuous. As seen previously, rightward deviation of the trachea at the thoracic inlet is due to left-sided thyroid enlargement. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy opacities the lung bases may reflect atelectasis, but infection or aspiration is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is detected. No acute osseous abnormality is present.	59315530	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ at 15:08	Slightly improved lung volumes compared to the prior study. Persistent bibasilar patchy airspace opacities which could reflect atelectasis, though infection or aspiration is not excluded in the correct clinical setting.
11326722	PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.	59329366	HISTORY: ___-year-old male with chest pain. COMPARISON: None.	No acute cardiopulmonary process.
11161356	The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	54316309	INDICATION: ___F with CP/SOB. // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11161356	PA and lateral views the chest provided demonstrate no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.	55776976	WET READ: ___ ___ ___ 3:26 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with chest pain // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute intrathoracic process.
11161356	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Vague left basilar opacity only seen on the frontal view without confirmation on the lateral is unchanged from prior thought to most likely represent atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	50967633	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, dyspnea. Evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11993325	Cardiomediastinal and hilar contours are stable. The left costophrenic angle is not captured on this study, however, there does not appear to be a large pleural effusion. There is no pneumothorax. Diffuse increased interstitial markings with paucity of vessels in some areas is consistent with interstitial and emphysematous disease. There is no focal consolidation concerning for pneumonia. Surgical clips in the right axilla are indicative of prior axillary lymph node dissection. Degenerative changes of the right glenohumeral joint are noted.	50255373	INDICATION: Dyspnea. COMPARISON: Chest CT ___, ___.	No acute cardiopulmonary process. Chronic fibrotic and emphysematous changes again noted.
11875785	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.	51313515	CHEST RADIOGRAPHS HISTORY: Seizure. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11875785	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.	51507802	CHEST RADIOGRAPHS HISTORY: Seizure. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11616511	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.	57118739	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough // cough TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No evidence of pneumonia.
11552741	There has been interval intubation with the endotracheal tube tip terminating approximately 3 cm from the carina. The heart size remains moderately enlarged. Mediastinal contours are unchanged with the aorta appearing tortuous and likely dilated. Widening of the superior mediastinal contour also may in part be due to the presence of lymphadenopathy. Hazy opacifications of both lungs likely indicate the presence of moderate-sized layering bilateral pleural effusions. Bibasilar airspace opacities could reflect atelectasis, but infection is difficult to exclude. Peripheral wedge-shaped opacity in the left upper lung field is re- demonstrated. There appears to be mild pulmonary edema. Assessment for pneumothorax is limited on this supine exam though no large pneumothorax is detected.	56284895	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with endotrachial intubation TECHNIQUE: Supine AP view of the chest COMPARISON: ___ at 12:23	Endotracheal tube tip in standard position. Mild pulmonary edema. Layering moderate size bilateral pleural effusions. Bibasilar airspace opacities persist as does a wedge-shaped opacity in the left upper lung field. Tortuous and likely dilated aorta with probable mediastinal lymphadenopathy.
11552741	Interval insertion of a right-sided chest tube, with the tip difficult to see and it courses towards the mediastinum. No pneumothorax. The right internal jugular catheter and ET tube are stable. Interval decrease in the right-sided pleural effusion. The airspace opacity and left effusion have not significantly changed. Mild vascular pulmonary congestion persists with moderate cardiomegaly.	59633067	INDICATION: ___ year old man with hypoxic resp failure and bilateral chest tubes // chest tube placement TECHNIQUE: Chest PA and lateral COMPARISON: ___	Interval insertion of a right-sided chest tube, with the tip difficult to see and it courses towards the mediastinum. Interval decrease in the right pleural effusion.
11552741	Cardiac silhouette size is at least moderately enlarged. The aorta is tortuous, and potentially dilated. There may be mild pulmonary vascular congestion. Lung volumes are low. Bibasilar airspace opacities with moderate size bilateral pleural effusions are demonstrated, likely reflective of compressive atelectasis though infection or aspiration is not excluded. A peripheral wedge-shaped opacity in the left upper lung field may reflect an area of infarction. No large pneumothorax is detected though assessment is limited as the patient's neck and chin project over the left apex. No acute osseous abnormality is visualized. Degenerative changes are seen involving both shoulders and within the imaged thoracic spine.	54312147	WET READ: ___ ___ ___ 4:06 PM 1. Moderate size bilateral pleural effusions with bibasilar atelectasis. Infection or aspiration cannot be completely excluded in the correct clinical setting. 2. Peripheral wedge-shaped opacity in the left upper lung field is concerning for an area of infarction. Further assessment with chest CTA is recommended. * ED URGENT ATTENTION * WET READ VERSION #1 ___ ___ ___ 1:34 PM 1. Small to moderate size bilateral pleural effusions with bibasilar atelectasis. Infection or aspiration cannot be completely excluded in the correct clinical setting. 2. Peripheral wedge-shaped opacity in the left upper lung field is concerning for an area of infarction. Further assessment with chest CTA is recommended. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia, fatigue TECHNIQUE: Portable upright AP view of the chest COMPARISON: None.	Moderate size bilateral pleural effusions with bibasilar atelectasis. Infection or aspiration cannot be completely excluded in the correct clinical setting. Peripheral wedge-shaped opacity in the left upper lung field is concerning for an area of infarction. Further assessment with chest CTA is recommended.
11552741	Compared with ___ at 15:46, the right IJ catheter is no longer seen. There is suggestion of a small right apical pneumothorax, new or significantly more pronounced than on compared with the prior study. Again seen is marked cardiomegaly and what appears to be vascular engorgement and CHF, as well as extensive opacity of both lungs, including air bronchograms in the retrocardiac region and obscuration of the left hemidiaphragm Again seen is thickening of the minor fissure with some hazy focal opacity immediately above lateral portion of the minor fissure. The possibility of small bilateral effusions cannot be excluded. The overall degree of vascular engorgement and opacity in the lungs is similar to the prior film.	56805122	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with decreased O2 sat // fluid overload . Review of OMR indicates a history of metastatic lung carcinoma. COMPARISON: From ___ at 15 46	Interval removal of right IJ central line. New or significantly more pronounced small right apical pneumothorax. Cardiomegaly. Allowing for obscuration by surrounding opacities, this is similar to prior. Probable CHF, with interstitial edema, similar to the prior study. The presence of an alveolar component in certain areas cannot be excluded. Left lower lobe collapse and/or consolidation and opacity at the right lung base, similar to the prior film. Neoplastic abnormalities in the lungs would be difficult to distinguish from other opacities radiographically.
11552741	Compared to ___, the left moderate pleural effusion and small right pleural effusion is decreased in size. Possible loculated effusion bordering right pleura is unchanged in size. Moderate cardiomegaly is unchanged in size. An area of focal consolidation in the right upper lobe is concerning for pneumonia.	56559233	INDICATION: ___ year old man with bilateral pleural effusions // pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 11:45 AM	Possible right upper lobe pneumonia.Improved bilateral pleural effusions since ___. Unchanged right loculated effusion.
11046041	The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. A clip is seen projecting over the right proximal clavicle, new in the interval. No acute osseous abnormalities are visualized.	59306560	HISTORY: Left-sided chest pain which is not pleuritic. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___.	No acute cardiopulmonary abnormality.
11446556	Right sided Port-A-Cath tip terminates at the SVC/right atrial junction. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Electronic device is noted projecting over the heart on the lateral view, which is likely external to the patient.	56505965	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, history of multiple myeloma on chemotherapy TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11446556	Lines and Tubes: Right-sided Port-A-Cath terminates at the cavoatrial junction. Left-sided central line terminates in the SVC. Lungs: Well inflated and clear. Pleura: There is no pleural effusion or pneumothorax Mediastinum: There is no cardiomegaly. Mediastinal silhouette is within normal limits. Bony thorax: No interval change.	55264680	INDICATION: ___ year old woman with new fever // eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___	There is no evidence of lobar consolidation or pleural effusion. Lines and tubes as above.
11446556	Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.	53024367	INDICATION: History: ___F with fevers on chemo for MM // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process.
11446556	The right-sided Port-A-Cath terminates in the lower SVC. The lungs are free of focal consolidations, pleural effusions or pneumothorax. There is no pulmonary edema. Cardiomediastinal silhouette is within normal limits.	58803489	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with multiple myeloma // pre bmt TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___	No acute cardiopulmonary process.
11446556	Right chest infusion port line ends close to the CA junction. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No lymphadenopathy. No pleural effusion or pneumothorax is seen.	55238498	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with MM on carfilzomib, fever, dry cough r/o pnia // r/o pnia COMPARISON: Chest radiographs from___	No acute cardiopulmonary abnormality.
11737430	PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size is mildly enlarged but unchanged from multiple priors.	56238976	INDICATION: Leukocytosis. Evaluation for pneumonia. COMPARISON: ___ and ___.	No acute cardiopulmonary process.
11737430	The examination is unchanged without evidence of overt pulmonary edema. Minimal right lower lung atelectasis identified. Stable mild peripheral subpleural lucencies throughout both lungs but with relative sparing of the left lung base. Unchanged cardiomediastinal silhouette. No pleural effusion or pneumothorax identified. Multilevel degenerative changes are noted in the mid thoracic spine.	53804211	HISTORY: Assess for effusion or pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___.	Stable cardiomegaly without evidence of overt pulmonary edema, effusion or pneumonia. Chronic lung changes with pattern suggestive of NSIP.
11737430	Frontal chest radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is top normal with a configuration suggesting left ventricular hypertrophy. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.	57114717	INDICATION: Chest and back pain after fall. Evaluate for pneumonia or fracture. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___.	No acute intrathoracic process.
11737430	Chest PA and lateral radiographs demonstrate unremarkable mediastinal and hilar contours. Cardiac contour is top normal. Low lung volumes noted bilaterally with vascular crowding and bibasilar atelectasis. Faint retrocardiac opacity noted on frontal view likely represents atelectasis or scarring, though cannot entirely exclude infection in the appropriate clinical setting.	53976277	INDICATION: Weakness and malaise; please evaluate for focal infiltrate. COMPARISON: Comparison is made to chest radiograph performed ___.	Top normal cardiac silhouette with faint retrocardiac opacity, likely atelectasis given low lung volumes, cannot entirely exclude pneumonia, but unlikely given the lack of evidence change.
11737430	Frontal and lateral views of the chest were obtained. Mild left mid-to-lower lung atelectasis/scarring is seen. On lateral view, there is upper lobe consolidation seen anteriorly, not well substantiated on the frontal view but may be in the left upper lobe. The right lung is clear. There is no right pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen along the spine.	52060780	EXAM: Chest, single AP upright and lateral views. CLINICAL INFORMATION: Cough and altered mental status. COMPARISON: ___.	Opacity projecting over the anterior upper lungs on the lateral view, not well substantiated on the frontal view but may be in the left upper lobe, could be due to infection or aspiration. Areas of left mid-to-lower lung atelectasis.
11737430	PA and lateral views of the chest are provided. No focal consolidation, effusion, or pneumothorax is seen. Scattered reticular nodular opacities are similar to that seen on prior exam, and likely represent areas of chronic scarring. There is, however, more nodular opacity in the right mid and lower periphery of the lung, which could represent a component of aspiration. Cardiomediastinal silhouette is stable. No pneumothorax. No bony abnormalities.	57940055	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Shortness of breath, found down.	Probable scattered areas of chronic scarring with possible subtle areas of aspiration.
11737430	The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.	51434107	INDICATION: Evaluation of patient with chest pain. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11737430	The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy opacification in the left mid lung suggests atelectasis or scarring, noting that it was already present and similar extent with a somewhat shifting morphology. There is no free air or pneumomediastinum.	57624194	CHEST RADIOGRAPHS HISTORY: Gastroparesis, abdominal pain, and hematemesis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	Similar patchy left mid lung opacity, probably due to atelectasis or scarring, noting the lack of change in absence of pulmonary symptoms. No evidence of free air or pneumomediastinum.
11737430	The cardiac silhouette is mild-to-moderately enlarged with mild tortuosity of the thoracic aorta, unchanged from at least ___. There is prominence of the central pulmonary vasculature with mild interstitial pulmonary edema. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. No definite fracture is identified.	59710904	HISTORY: History of gastroparesis, status post fall. COMPARISON: Multiple chest radiographs dating from ___ through ___. TECHNIQUE: PA and lateral chest radiograph, four views.	Moderate cardiomegaly with mild pulmonary edema. No definite fracture. Please note that conventional radiography is limited for evaluation of chest wall trauma.
11737430	Frontal and lateral views of the chest. Relatively low lung volumes are seen with streaky basilar opacities suggestive of atelectasis. Elsewhere the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is seen.	54719554	HISTORY: ___-year-old female with altered mental status. Question infection. COMPARISON: None.	No definite acute cardiopulmonary process.
11737430	AP chest radiograph provided. Lung volumes are quite low. Heart appears mildly enlarged. There is increased pulmonary opacity noted bilaterally, which in part could be exaggerated due to low lung volumes and bronchovascular crowding, though mild edema is difficult to exclude. Curvilinear calcification projecting over the heart likely reflects mitral annular calcification. The mediastinal contour is poorly assessed. Clips in the right upper quadrant noted.	50056541	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Altered mental status, question pneumonia.	Mild cardiomegaly with probable mild pulmonary edema. Limited exam due to low lung volumes.
11444145	The lungs are clear without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal. There is mid thoracic vertebral body wedgeing, likely age indeterminate.	50581398	HISTORY: ___-year-old male with facial trauma. Question aspiration. COMPARISON: None.	No acute chest abnormality.
11880044	The lungs remain clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. Surgical clips in the upper abdomen are again noted. No acute osseous abnormalities identified. Sclerotic focus in the right humeral head has the appearance of a bone island and is unchanged since ___.	58725570	INDICATION: ___M with fever // eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. ___.	No acute cardiopulmonary process.
11407099	Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable	50270343	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with RUL pna on ___. // f/u pna, resolved? TECHNIQUE: Chest PA and lateral COMPARISON: ___	Resolved right upper lobe pneumonia
11407099	There is a consolidation in the right upper lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	50004217	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough, fever and SOB // pna? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Right upper lobe pneumonia. Recommend follow-up radiographs in 1 month after completion of treatment.
11868667	Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal contours. The lungs are clear. No pleural effusion or pneumothorax evident. Pacemaker leads terminate in the right atrium and ventricle.	50149850	INDICATION: Dyspnea, evaluate for pulmonary edema versus pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___	No acute intrathoracic process.
11868667	Frontal and lateral views of the chest. Lung the lungs are clear of focal consolidation or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. Dual lead pacing device again noted with leads in unchanged position. Surgical clips in the right upper quadrant are again noted. No acute osseous abnormality detected.	51088326	HISTORY: ___-year-old female with CHF weight gain and shortness of breath. COMPARISON: ___.	No acute cardiopulmonary process.
11868667	A left pectoral pacemaker is again seen with dual leads terminating in the right atrium and right ventricle, as before. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette remains mildly enlarged. The mediastinal and hilar contours are within normal limits with mild calcification of the aortic knob. Multiple surgical clips projecting in the right upper quadrant of the abdomen may be related to prior cholecystectomy. No acute osseous abnormality is detected.	51736663	INDICATION: Dyspnea and wheezing, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	No acute cardiopulmonary process.
11868667	AP upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending to the region the right atrium and right ventricle. There is diffuse mild pulmonary edema. Heart size remains mildly prominent. Mediastinal contour is unchanged with atherosclerotic calcifications along the aortic knob. Tracheobronchial tree calcification also noted. No large effusion or pneumothorax. Clips in the upper abdomen noted.	55500242	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with sob // eval pneumonia vs chf COMPARISON: Prior study from ___.	Mild pulmonary edema, mild cardiomegaly. Pacemaker in place.
11868667	No focal pneumonia. No overt pulmonary edema. Minimal pulmonary vascular congestion. Mild to moderate cardiomegaly. No pleural effusion or pneumothorax. Dual lead pacer with the tips in the right atrium and right ventricle.	53702204	INDICATION: ___ year old woman with heart failure, asthma fever with new shortness of breath and destruction // Plum edema vs PNA TECHNIQUE: Portable	No pneumonia. No overt pulmonary edema. Minimal pulmonary vascular congestion.
11868667	Mild pulmonary edema has improved since ___, but moderate cardiomegaly is stable. Small pleural effusions are presumed. Mediastinal and hilar contours are normal. Transvenous atrioventricular pacer leads follow their expected courses.	50344625	INDICATION: ___ year old woman with CHF exacerbation, not improving // interval changes TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___	Mild pulmonary edema, improved since ___. Moderate cardiomegaly stable.
11868667	Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild to moderate cardiomegaly is again noted, with marked calcification of the aortic knob. The mediastinal and hilar contours are otherwise similar. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Multiple clips are seen in the right upper quadrant the abdomen. There are multilevel degenerative changes in the thoracolumbar spine.	54743151	HISTORY: Dyspnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11868667	Lung volumes are low with secondary apparent widening of the cardiomediastinal silhouette. A pacemaker is seen with leads ending in the right atrium and right ventricle. There is no pneumothorax, no large pleural effusion. There is no free air.	53324185	INDICATION: ___-year-old with obstruction, please assess for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___.	No evidence of pneumonia.
11404878	Cardiomediastinal contours are normal. Lungs are clear, and there are no pleural effusions. Scoliosis is noted as well as degenerative changes in the spine.	57050740	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with slurred speech and h/o of lung nodule // lesions? COMPARISON: None available	No conventional radiographic evidence of lung nodule. Direct comparison to outside radiograph with reported nodule would be helpful for initial further assessment.
11867778	Lung volumes are low. The cardiac silhouette is prominent. Right infrahilar opacity is present with adjacent right retrocardiac consolidation obscuring the medial right diaphragm, which may be seen posteriorly on the lateral view. There is no pleural effusion or pneumothorax.	57785296	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough x1 month // please evaluate for acute intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None.	Right lower lobe opacity may represent pneumonia in the appropriate clinical context.
11090363	AP upright and lateral views of the chest are obtained. Lung volumes are low which limits evaluation somewhat. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. A PICC line in the left arm extends to the level of the superior vena cava, in unchanged position. Cardiomediastinal silhouette appears normal. No pneumothorax is seen. Bony structures are intact. No free air below the right hemidiaphragm.	57040498	CHEST RADIOGRAPH PERFORMED ON ___. Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Chest pain, assess for pneumonia.	No acute intrathoracic process. Unchanged position of PICC line.
11508686	There is a 7 mm nodule projecting over the left lung apex and lateral left first rib. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Lower thoracic dextroscoliosis is noted. No acute osseous abnormalities. There is no free intraperitoneal air.	56680113	WET READ: ___ ___ ___ 4:05 PM No acute cardiopulmonary process. Nodule projecting over the left lung apex and left first rib.Non urgent apical lordotic films to further assess left apical nodular opacity, potentially within the first rib. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with h/o DM, GERD/PUD presenting with severe epigastric pain // eval for PNA, gall bladder pathology TECHNIQUE: PA and lateral views the chest. COMPARISON: None.	No acute cardiopulmonary process. Nodule projecting over the left lung apex and left first rib.
11543836	The previously noted spiculated lesion/scar in the right lower lung zone shows interval decrease in size. Associated right-sided effusion or pleural thickening. Adjacent right middle and lower lobe atelectatic changes. The cardiomediastinal shadow is normal. The left lung is clear.	53616365	INDICATION: ___M w/ enlarging spiculated RLL nodule s/p R VATS lower lobectomy // interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___	Interval decrease in size of the spiculated nodule/ postsurgical changes in the right lower lung zone. Associated right-sided pleural effusion or pleural thickening : A decubitus film may be performed to differentiate between these.
11543836	There is an increased area of opacity in the right lower chest likely due to some fluid accumulation in scar tissue. There is a small right effusion that is also slightly increased in size. There is no definite pneumothorax. On the left there is some mild compressive changes at the bases with small left effusion.	55424826	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p VATS RLL lobectomy // interval change, please do @ ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 16 35	Slight increase in fluid accumulation on the right
11726010	The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Linear and nodular opacities projecting over the the right upper lobe and the soft tissues of the right supraclavicular chest are likely artifactual (possibly due to hair braids or extraneous tubular structures).	52004178	WET READ: ___ ___ 7:06 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with R sided CP x 1 week with dyspnea // eval ? pneumothorax, effusion TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality. Linear and nodular opacities projecting over the right upper lobe and the soft tissues of the right supraclavicular chest are likely artifactual.
11250458	PA and lateral views of the chest were provided. No focal consolidation, effusion or pneumothorax is seen. Calcified granuloma in the left mid lung as well as calcified mediastinal lymph nodes noted. No signs of congestive heart failure. The heart and mediastinal contours normal. Bony structures are intact. No free air below the right hemidiaphragm.	51093508	HISTORY: ___-year-old female with rash. COMPARISON: Prior exam from ___.	No acute intrathoracic process.
11250458	The heart size is normal. The hilar and mediastinal contours are unremarkable. The lung volumes are low. Note is made of bibasilar atelectasis. No focal consolidations concerning for infection is identified. There are no pleural effusions or pneumothoraces. The visualized osseous structures are unremarkable.	56530883	HISTORY: History of syncopal episode. Evaluate for acute process. COMPARISON: Chest radiographs from ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.	No focal consolidations concerning for infection. Bibasilar atelectasis.
11250458	PA and lateral views of the chest are provided. Lung volumes are low with bronchovascular crowding likely accounting for the subtle opacities in the lower lungs. The lungs are otherwise clear. No effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.	55756289	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph dated ___. CLINICAL HISTORY: AMS, stroke evaluation.	Limited, negative. Crowding of bronchovasculature likely accounts for the subtle lower lung opacities.
11532808	Single portable view of the chest demonstrates worsening bilateral opacities particularly at the lung bases. Heart size is stable. No obvious pleural effusion or pneumothorax.	59673617	HISTORY: ___-year-old man with RSV pneumonia. Question worsening airspace disease. COMPARISON: ___.	Worsening bilateral interstitial opacities.
11532808	Right-sided central venous line ends at low SVC. There are no lung opacities concerning for lung infection. Heart size is normal, mediastinal and hilar contours are unremarkable. There is no pleural abnormality.	54524134	CHEST RADIOGRAPH INDICATION: graft versus host of lung, productive cough, to rule out infection. TECHNIQUE: PA and lateral chest views were reviewed in comparison with prior chest radiograph from ___.	No acute abnormality in the chest.
11532808	New bronchial wall thickening without additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. Chronic mild peripheral reticular opacities are better visualized on chest CT. Heart size is top normal with normal mediastinum and hila. No bony abnormality.	57225893	HISTORY: ___-year-old male with history of non-Hodgkin's lymphoma, immunosuppressive, cough. Assess for pneumonia. COMPARISON: Chest CT ___, chest radiograph ___, ___.	Bronchial wall thickening may represent bronchitis. No radiographic evidence of pneumonia. Chronic mild peripheral reticular opacities are better assessed on chest CT.
11532808	Lung volumes are low, exaggerating heart size and bronchovascular markings. Cardiomediastinal contours appear stable with the heart size mildly enlarged. Mild bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema is present.	52265717	INDICATION: ___M with dizziness and ekg changes COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Single frontal view of the chest.	Low lung volumes with mild bibasilar atelectasis.
11532808	Lung volumes remain low. Cardiac silhouette is mildly enlarged but stable in size, and accompanied by mild pulmonary vascular congestion and perihilar haziness as well as peribronchial cuffing and scattered bilateral interstitial opacities. There are no definite pleural effusions.	56123820	PA AND LATERAL CHEST X-RAY OF ___ COMPARISON: Radiographs of ___.	Mild congestive heart failure with minimal interstitial edema. Coexisting viral infection is possible, but there are no lobar areas of consolidation to suggest a bacterial pneumonia.
11532808	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Again, the right hemidiaphragm is slightly elevated in comparison to the left, and unchanged from prior exams. The cardiomediastinal silhouette is normal.	57544241	INDICATION: Non-Hodgkin's lymphoma, on immunosuppression. Presenting with cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.	No acute cardiopulmonary process. Results were discussed with ___ at 9:40 a.m. on ___ via telephone by Dr. ___, ___ minutes after the findings were discovered.
11532808	PA and lateral chest radiographs are limited by low lung volumes which accentuate the interstitial markings. There is no definite pulmonary edema. Cardiomegaly is moderate. There are no abnormal cardiac or mediastinal contours. There is no effusion consolidation or pneumothorax.	51031368	HISTORY: Shortness of breath, palpitations. COMPARISON: ___ through ___.	Low lung volumes accentuate interstitial markings. No definite pneumonia or CHF.
11753181	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.	53993359	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11753181	The cardiomediastinal silhouette is normal. The pleura is unremarkable. The right lung is clear. There is a left perihilar opacification with associated left upper lobe linear atelectasis the could represent pneumonia but given lack of URI symptoms code represent a hilar mass causing obstruction. Recommend chest CT for further evaluation.	52798894	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with good health // patient with rhonchi diffusely in left lung. Right lung clear. no documented fevers. No URI s/s. ?infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to prior studies dating from ___ with the most recent dated ___.	Left perihilar opacification with associated left upper lobe linear atelectasis that could represent pneumonia or a left hilar obstructive mass.
11753181	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The bony structures are unremarkable.	50964294	CHEST RADIOGRAPHS HISTORY: Question pulmonary hemorrhage or congestive heart failure. Patient complains of an electric jolt sensation. COMPARISONS: CT torso from ___ and chest radiographs from ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11251632	As compared to prior chest radiograph from ___, there has been interval improvement of the left lung collapse. There is some residual postobstructive collapse and likely residual accompanying left pleural effusion. There is no pneumothorax. The right lung remains clear.	57140682	INDICATION: ___-year-old male patient with lung adenocarcinoma status post dilation of airways due to white-out of left lung. Study requested for evaluation of interval change. COMPARISON: Prior chest radiograph from ___ at 3:02. TECHNIQUE: Portable AP chest radiograph.	Interval improvement of the left lung collapse.
11251632	There is a focal consolidation in the left lower lobe posteriorly consistent with pneumonia. Compared to prior study, there is also increased opacity within the right middle lobe which may be second site of pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.	55550741	WET READ: ___ ___ ___ 8:07 PM Left lower lobe and right middle lobe consolidations consistent with pneumonia. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Fever and cough, question pneumonia. COMPARISON: Chest radiograph from ___.	Left lower lobe pneumonia. Equivocal early consolidation in the right middle lobe.
11251632	Large left paramediastinal mass is unchanged from ___. No pneumothorax is present. Normal heart size. No focal consolidation or pleural effusion.	55637823	HISTORY: Supraclavicular lymph node biopsy question pneumothorax. COMPARISON: ___.	No pneumothorax. No significant change in large left paramediastinal mass.
11251632	PA and lateral views of the chest were provided. There is a Port-A-Cath residing over the left chest wall with catheter tip in the region of the lower SVC. There is near-complete opacification of the left hemithorax which is unchanged from prior exam. The right lung remains clear without definite signs of pneumonia. The heart and mediastinal contour difficult to assess. The bony structures appear intact.	57357564	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CT torso from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Fever and cough, history of lung cancer, assess for pneumonia.	Near-complete opacification of the left hemithorax similar to prior exam in this patient with known extensive lung cancer. No definite signs of superimposed pneumonia in the right lung.
11251632	There is a new large masslike density adjacent to the left paramediastinal position involving the left hila and medial portion of the left upper lobe measuring 3.8 x ___.6 cm. The remaining lungs are clear. The heart size is normal. No pleural effusion or pneumothorax is present.	50802032	HISTORY: Cough, on exam pneumonia in right lower lobe. COMPARISON: ___.	New large left paramediastinal mass. Differential diagnosis includes pulmonary mass, malignancy, or mediastinal mass. Further evaluation with CT is recommended at the earliest convenience. Telephone notification to Dr. ___ by Dr. ___ at 16:18 on ___.
11251632	As compared to prior chest radiograph from ___, a left-sided pigtail catheter has apparently slightly changed in position. Left-sided pleural effusion demonstrates interval improvement with near complete resolution. There has been interval increase of a left perihilar opacity, for which differential diagnosis includes post-obstructive pneumonia. There is atelectasis of the left lung base. The right lung is hyperinflated and clear.	52297137	INDICATION: ___-year-old male patient with post-obstructive pneumonia, pleural effusion with chest tube in place. Study requested for evaluation of interval change. COMPARISON: Prior chest radiograph from ___ through ___ and chest CT from ___.	Near complete resolution of left-sided pleural effusion. Increasing left perihilar opacity for which differential diagnosis includes post-obstructive pneumonia.
11251632	Leftward shift of mediastinal structures is unchanged and due to volume loss in the left upper lobe. Left upper lobe and left upper paramediastinal opacity is compatible with known lung malignancy and changes from prior radiation fibrosis. Small to moderate left pleural effusion persists, but appears decreased in size compared to the previous exam. The cardiac silhouette size also appears somewhat decreased compared to the previous exam, but remains mildly enlarged. There is no pulmonary vascular engorgement or pneumothorax. The right lung is clear. Streaky left basilar opacity likely reflects atelectasis but infection is not excluded. There are no acute osseous abnormalities.	50927551	HISTORY: Fever, history of lung cancer and pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___, chest CTA ___.	Interval decrease in size of the cardiac silhouette suggestive of decreased pericardial effusion. Left pleural effusion also appears decreased in size, now small to moderate in extent. Unchanged opacity within the left upper lobe and left upper paramediastinal region compatible with known malignancy and radiation fibrosis changes. Streaky left basilar opacity likely reflects atelectasis though infection cannot be completely excluded.
11251632	There has been interval removal of the left-sided pleural pigtail catheter. An air-fluid level near the left apex indicates hydropneumothorax. There is no mediastinal shift or diaphragmatic flattening to suggest tension. There is residual small left pleural effusion with associated atelectasis. Consolidation along the medial and lower left lung continues. The right lung is clear.	51946312	HISTORY: ___-year-old male with lung cancer and pleuritic chest pain after removal of chest tube. STUDY: PA and lateral chest radiograph. COMPARISON: ___.	Status post chest tube removal with residual hydropneumothorax without evidence of tension. Continued left-sided pneumonia.
11251632	PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Heart size and mediastinal structures remain unchanged. No evidence of pulmonary vascular congestion. Seen on previous examination, residual air-fluid level in the upper pleural space has disappeared and apparently has been replaced by local minor pleural thickening in the apical area. It is noted that the previously identified pulmonary abnormality presenting left upper lobe carcinoma has not progressed significantly. On the lateral view, we can identify that the previously existing extensive pleural density in the dorsal pleural compartment has regressed and almost disappeared. There is no evidence of any new left-sided pulmonary parenchymal abnormality. The right-sided hemithorax remains unremarkable as before.	55296918	TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with lung carcinoma, evaluate.	Improvement of previously identified left-sided pleural abnormalities. Stable appearance of left-sided pulmonary parenchymal densities identified, previously as representing lung cancer. Right hemithorax remains unremarkable as before.
11251632	There is a Port-A-Cath in place terminating at the lower superior vena cava and stable volume loss of the left lung with a leftward mediastinal shift. There is recurrent opacification of the left lung similar to what was seen on ___ although not present on the more recent CT. This appearance is nonspecific but could be seen with a widespread pneumonia or obstruction. Given the short timeframe of onset, it is unlikely that the opacification primarily reflects any potential recurrent malignancy, although increasing obstruction due to a hilar malignancy is not excluded. There is also probably a new pleural effusion on the left. The right lung remains clear without pleural effusion.	53081508	CHEST RADIOGRAPH HISTORY: Lung cancer. Question pneumonia or other acute change. COMPARISONS: Frontal scout view from CT performed on ___; radiographs from ___ and ___. TECHNIQUE: Chest, portable AP upright.	Recurrent opacification of the residual left lung concerning for superimposed acute infection or obstruction.
11251632	Heart size is normal. There has been interval decrease in size of the left upper lobe and hilar mass. The right hilar and mediastinal contours appear unremarkable. There is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are detected.	57071947	HISTORY: Pre syncope, fall with head strike and head pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___, chest CT ___.	Interval decrease in size of left upper lobe and hilar mass.
11251632	Frontal and lateral chest radiographs were obtained. There is persistent opacity in the left upper lobe, consistent with known left upper lobe collapse and left upper paramediastinal mass, as well as previous radiation therapy. There is slightly increased left pleural effusion and continued elevation of the left hemidiaphragm. The right lung is fully expanded and clear. The cardiomediastinal silhouette is stable. There is no pneumothorax.	51523695	HISTORY: Patient with pleural effusion, evaluate effusion. COMPARISON: ___.	Slightly increased left pleural effusion. Persistent left upper lobe collapse and known left paramediastinal mass with post radiation changes.
11251632	No pneumothorax is seen following thoracentesis. Right-sided PICC line has been removed. Continued elevation of left hemidiaphragm is seen, and left upper paramediastinal opacity is seen consistent with previously seen radiation therapy. The cardiac silhouette is normal, and the right lung is free of consolidation, pleural effusion or edema.	57221856	HISTORY: ___-year-old male with effusion status post thoracentesis with total 250 mL removed. Evaluate pneumothorax. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest x-ray from ___.	No pneumothorax following thoracentesis.
11539456	AP and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted. No displaced fractures identified.	58198858	HISTORY: ___-year-old male status post fall with left arm and leg pain. COMPARISON: ___.	No acute cardiopulmonary process.
11539456	The cardiomediastinal and hilar contours remain stable with post-CABG changes. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.	51998287	INDICATION: Cough for one week. COMPARISON: Chest radiograph ___, ___.	No acute cardiopulmonary process. Dr. ___ ___ these results to Dr. ___ at 11:08 AM on ___ via telephone, ___ minutes after the time of discovery.
11669811	The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The previously described pulmonary nodules are better appreciated on the CT from ___. The heart is normal in size. Prominence of the thoracic aorta with extensive calcifications are overall unchanged from ___. Bilateral prominence of the pulmonary arteries might be consistent with pulmonary hypertension. Moderate, left scoliosis of the thoracic spine is overall unchanged with associated distortion of the thoracic cage. Incompletely visualized posterior fixation hardware in the upper lumbar spine is again noted. Cervical spine anterior fixation hardware are noted.	51911606	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with long history of smoking, now with rheumatoid arthritis, planned to start MTX. Evaluate for evidence of ILD or advanced COPD. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ from an outside facility and uploaded onto PACS. Limited reference is made to the CT chest dated ___.	Hyperinflated lungs. No radiographic evidence of interstitial lung disease. Potential pulmonary hypertension, please correlate with echocardiography.
11449790	There has been interval removal of right IJ catheter. Minimal basilar atelectasis/scarring is seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of a hiatal hernia is seen.	54573345	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with kidney transplant, here with abd pain, needs infectious workup // Please eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11463165	The patient is rotated to the left. There is no focal airspace opacity to suggest pneumonia. Left retrocardiac opacity has improved since the prior study with some residual atelectasis at the left base. There is no focal airspace opacity to suggest pneumonia. Moderate cardiomegaly is unchanged. Apparent widening of the mediastinum is likely due to patient rotation. There is no large pleural effusion or pneumothorax. Left chest wall pacemaker has leads terminating in the right atrium and right ventricle. Mid thoracic compression deformities are similar to prior studies. Although chest radiographs have limited sensitivity for rib fracture, no definite displaced fracture is detected.	54467194	INDICATION: Right leg and hip pain status post fall. Evaluate for evidence of fracture or bleed. COMPARISON: Chest radiograph, ___, ___, ___ and ___. TECHNIQUE: Semi-upright AP and lateral radiographs of the chest.	Patient is rotated to the left. No evidence of acute cardiopulmonary abnormality. Although chest radiographs have limited sensitivity for rib fractures, no displaced fracture is detected.
11463165	Left-sided dual-chamber pacemaker device is again noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is new in the interval. No focal consolidation or pleural effusion is noted. The osseous structures are diffusely demineralized with multiple mid thoracic spine vertebral compression deformities again noted.	50328038	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with cough and fever TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___	No radiographic evidence for pneumonia. Mild pulmonary vascular congestion.
11463165	The showing is slightly suboptimal. Lung apices are not well visualized. The LS, lung volumes are grossly unchanged compared to the prior studies. No definite pleural effusion seen. No pneumothorax or consolidation seen. Coarse interstitial markings may reflect interstitial pulmonary edema.	56681682	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypotension, AMS, concern infectious source // hypotension, concern infection TECHNIQUE: Portable AP chest radiograph. COMPARISON: CT torso ___	Mild pulmonary vascular congestion. No definite consolidation seen.
11463165	The lungs are well-expanded and clear. Moderate cardiomegaly is stable. Anterior wedge deformities in the vertebral bodies of the mid thoracic spine are unchanged. Extensive degenerative changes of the thoracic spine and bilateral shoulders are stable. Left chest wall pacemaker with intact leads appears unchanged.	56594214	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with wheezes and rales // r/o pna, atelectasis, infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. Chest CT from ___.	No evidence of pneumonia. Unchanged moderate cardiomegaly.
11463165	AP upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending to the region the right atrium and right ventricle unchanged. Patient is slightly rotated to the left. The heart appears mildly enlarged. Mediastinum is difficult to assess given rotation. The lungs appear relatively clear. No large effusion or pneumothorax is seen. Significant kyphotic angulation of the thoracic spine is noted. Compression deformities in the T-spine are chronic in better assessed on the prior CT from ___.	54578044	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with syncope // eval for CHF/pneumonia, ICH COMPARISON: ___	No convincing evidence for pneumonia or edema.
11463165	Frontal and lateral chest radiograph demonstrates mildly enlarged cardiac silhouette which is partially obscured by an a dense left lower lobe opacification likely representing a combination of moderate pleural effusion and atelectasis. However, underlying infectious process is not excluded. Mediastinal and hilar contours are unremarkable. Evidence of remote healed anterior right 3rd rib fracture identified. Rounded ossific density projecting adjacent to the right coracoid process may represent a loose body within the joint space. Significant degenerative change identified in the bilateral glenohumeral joints. Compared to ___, there has been interval progression of multiple thoracic and lumbar compression deformities including now almost complete loss of anterior vertebral body height of a mid thoracic vertebrae.	55216830	HISTORY: Fall, cough, crackles on the left. Assess for infiltrate. COMPARISON: Comparison is made to chest radiograph performed ___.	Left lower lobe opacification likely combination of atelectasis and moderate pleural effusion. Underlying infectious process not excluded. Mild cardiomegaly, incompletely assessed by left lower lobe opacification. Interval progression of multiple thoracic and lumbar vertebral compression deformities.
11277318	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.	59812848	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and cough // r/o infltrate COMPARISON: None	No acute intrathoracic process.

11388716

Port-A-Cath remains in place with no change in the position of the tip. The cardiomediastinal contours appear to be normal. The lungs are clear bilaterally without focal consolidation, pleural effusions, or pneumothorax. The bony structures are intact.

59901818

INDICATION: ___-year-old gentleman with a history of bladder cancer status post chemoradiation, presenting with new-onset shortness of breath, rule out infection. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral chest radiographs.

No acute radiographic abnormalities.

11388716

Right-sided Port-A-Cath is again seen, terminating in the proximal to mid SVC. Mild apical pleural thickening is seen. Scarring in the right lateral apical region is again seen. Bibasilar streaky opacities are again seen, most likely representing atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. The hilar contours are stable.

53068124

HISTORY: Productive cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

No significant interval change. Bibasilar streaky opacities again seen, most likely related to atelectasis/scarring.

11388716

Right-sided Port-A-Cath tip terminates in the SVC. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Streaky opacities within the lung bases bilaterally likely reflect atelectasis. Previously noted right apical nodular opacity is no longer visualized, though this area on prior CT was noted to have emphysematous changes. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.

51255419

HISTORY: Shortness of breath. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___. CTA Chest ___.

Mild streaky bibasilar atelectasis.

11388716

Right subclavian infusion port tip is in mid SVC. Mild vascular engorgement with peribronchial cuffing in the absence of cardiomegaly. No pleural effusion, pneumothorax, or focal density. Mediastinal contour is normal and no bony abnormality.

57349511

HISTORY: Male with fever and recently intubated, assess for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Frontal and lateral chest radiographs.

Mild vascular congestion. No radiographic evidence of pneumonia.

11388716

Portable AP upright chest radiograph obtained. Port-A-Cath resides over the right chest wall with catheter tip extending into the expected location of the superior vena cava. The lungs are clear bilaterally without focal consolidation, effusion, or signs of pneumothorax. Upper lobe lucency is compatible with known emphysema. The heart and mediastinal contours appear normal. Bony structures are intact. There are old right rib cage deformities again noted.

55403302

PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ and ___. CLINICAL HISTORY: Short of breath, assess for pneumonia. Also history of TCC of the bladder with metastatic disease.

Emphysema without superimposed pneumonia.

11388716

Frontal and lateral views of the chest. Persistent streaky opacity seen at the left lung base. Elsewhere the lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Right chest wall port is again seen with catheter tip in the upper SVC. Osseous and soft tissue structures are unremarkable.

57289278

HISTORY: ___-year-old male with cough and hypotension on chemotherapy. COMPARISON: ___.

Streaky left basilar opacity as seen on prior could be related to atelectasis however superimposed acute infection is not excluded. Clinical correlation suggested.

11613361

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Minimal right basilar residual atelectasis with adjacent slight blunting of right lateral costophrenic sulcus. The heart is mildly enlarged, unchanged compared to prior study. Aortic valve replacement and atrial appendage clip are again noted. Median sternotomy wires are intact. The aorta is tortuous.

53067951

EXAMINATION: Chest radiograph INDICATION: ___ year old man with history of cardiac surgery for severe aortic stenosis with SOB. // eval for efusion TECHNIQUE: Upright PA and lateral chest radiograph COMPARISON: ___

Minimal right basilar residual atelectasis with adjacent focal pleural thickening or small amount of fluid. Otherwise, no change compared to prior study.

11613361

Cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette mildly enlarged. Patient is status post median sternotomy. There is blunting of the bilateral posterior costophrenic angles, suggesting trace pleural effusions. No focal consolidation is seen. There is no pulmonary edema or pneumothorax.

56191281

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dyspnea // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Trace pleural effusions. Persistent cardiomegaly. No pulmonary edema.

11979534

Moderate cardiomegaly has been stable compared to exams dated back to at least ___. The hilar and mediastinal contours are normal. Redemonstrated is a large left goiter with rightward deviation of the trachea, unchanged compared to the prior exam. There is no large pleural effusion or pneumothorax. Mild bibasilar atelectasis is persistent.

53622090

INDICATION: History of ataxia and nausea. Please evaluate for pneumonia. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: AP and lateral radiographs of the chest.

Stable cardiomegaly. No focal consolidations concerning for pneumonia or pulmonary edema.

11979534

Upright AP and lateral views of the chest demonstrate low lung volumes, accentuating the heart size, which is moderately enlarged. The mediastinal contours are otherwise stable. A large left goiter deviates the trachea, and is unchanged. There is no overt pulmonary edema, pneumothorax, or large pleural effusion. Atelectasis is present at the lung bases, although underlying infection is possible in the appropriate clinical setting.

52869544

HISTORY: ___-year-old male with fatigue. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___.

Moderate cardiomegaly with low lung volumes and bibasilar atelectasis; however underlying infection is possible in the appropriate clinical setting.

11979534

PA and lateral views of the chest were obtained. Lung volumes are low which limits the evaluation. There is top normal heart size with a stable prominence of the mediastinum likely indicating an unfolded thoracic aorta. There is no focal consolidation, effusion, or pneumothorax. A subtle reticulonodular pattern within the lungs could indicate mild pulmonary congestion. Bony structures appear intact. No free air below the right hemidiaphragm.

51323411

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Dyspnea, assess for pulmonary edema.

Possible apparent mild pulmonary vascular congestion, cardiomegaly.

11979534

Aside from bibasilar atelectasis, the lungs are clear. Moderate cardiomegaly is stable. Otherwise, the hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

58570719

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with orthostatic symptoms, stable vitals. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11979534

There are hazy bibasilar opacities. Superiorly, lungs are clear. Moderate cardiac enlargement is unchanged. There is rightward deviation of the trachea at the thoracic inlet due to a known underlying left-sided thyroid enlargement. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities.

57623662

INDICATION: ___M with CKD, HFpEF, CAD presenting w/ nausea, vomiting, lightheadedness. // Please evaluate for pneumonia, signs of volume overload. TECHNIQUE: Single portable view of the chest. COMPARISON: ___ chest x-ray and chest CT from ___.

Hazy bibasilar opacities, potentially atelectasis, infection is not excluded.

11979534

There has been slight interval improvement in degree of lung inflation compared to the prior study. Heart size remains mild to moderately enlarged. Atherosclerotic calcifications are demonstrated in the aorta is mildly tortuous. As seen previously, rightward deviation of the trachea at the thoracic inlet is due to left-sided thyroid enlargement. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy opacities the lung bases may reflect atelectasis, but infection or aspiration is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is detected. No acute osseous abnormality is present.

59315530

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ at 15:08

Slightly improved lung volumes compared to the prior study. Persistent bibasilar patchy airspace opacities which could reflect atelectasis, though infection or aspiration is not excluded in the correct clinical setting.

11326722

PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.

59329366

HISTORY: ___-year-old male with chest pain. COMPARISON: None.

No acute cardiopulmonary process.

11161356

The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

54316309

INDICATION: ___F with CP/SOB. // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11161356

PA and lateral views the chest provided demonstrate no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.

55776976

WET READ: ___ ___ ___ 3:26 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with chest pain // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute intrathoracic process.

11161356

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Vague left basilar opacity only seen on the frontal view without confirmation on the lateral is unchanged from prior thought to most likely represent atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

50967633

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, dyspnea. Evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11993325

Cardiomediastinal and hilar contours are stable. The left costophrenic angle is not captured on this study, however, there does not appear to be a large pleural effusion. There is no pneumothorax. Diffuse increased interstitial markings with paucity of vessels in some areas is consistent with interstitial and emphysematous disease. There is no focal consolidation concerning for pneumonia. Surgical clips in the right axilla are indicative of prior axillary lymph node dissection. Degenerative changes of the right glenohumeral joint are noted.

50255373

INDICATION: Dyspnea. COMPARISON: Chest CT ___, ___.

No acute cardiopulmonary process. Chronic fibrotic and emphysematous changes again noted.

11875785

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

51313515

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

No evidence of acute disease.

11875785

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

51507802

CHEST RADIOGRAPHS HISTORY: Seizure. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11616511

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.

57118739

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

No evidence of pneumonia.

11552741

There has been interval intubation with the endotracheal tube tip terminating approximately 3 cm from the carina. The heart size remains moderately enlarged. Mediastinal contours are unchanged with the aorta appearing tortuous and likely dilated. Widening of the superior mediastinal contour also may in part be due to the presence of lymphadenopathy. Hazy opacifications of both lungs likely indicate the presence of moderate-sized layering bilateral pleural effusions. Bibasilar airspace opacities could reflect atelectasis, but infection is difficult to exclude. Peripheral wedge-shaped opacity in the left upper lung field is re- demonstrated. There appears to be mild pulmonary edema. Assessment for pneumothorax is limited on this supine exam though no large pneumothorax is detected.

56284895

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with endotrachial intubation TECHNIQUE: Supine AP view of the chest COMPARISON: ___ at 12:23

Endotracheal tube tip in standard position. Mild pulmonary edema. Layering moderate size bilateral pleural effusions. Bibasilar airspace opacities persist as does a wedge-shaped opacity in the left upper lung field. Tortuous and likely dilated aorta with probable mediastinal lymphadenopathy.

11552741

Interval insertion of a right-sided chest tube, with the tip difficult to see and it courses towards the mediastinum. No pneumothorax. The right internal jugular catheter and ET tube are stable. Interval decrease in the right-sided pleural effusion. The airspace opacity and left effusion have not significantly changed. Mild vascular pulmonary congestion persists with moderate cardiomegaly.

59633067

INDICATION: ___ year old man with hypoxic resp failure and bilateral chest tubes // chest tube placement TECHNIQUE: Chest PA and lateral COMPARISON: ___

Interval insertion of a right-sided chest tube, with the tip difficult to see and it courses towards the mediastinum. Interval decrease in the right pleural effusion.

11552741

Cardiac silhouette size is at least moderately enlarged. The aorta is tortuous, and potentially dilated. There may be mild pulmonary vascular congestion. Lung volumes are low. Bibasilar airspace opacities with moderate size bilateral pleural effusions are demonstrated, likely reflective of compressive atelectasis though infection or aspiration is not excluded. A peripheral wedge-shaped opacity in the left upper lung field may reflect an area of infarction. No large pneumothorax is detected though assessment is limited as the patient's neck and chin project over the left apex. No acute osseous abnormality is visualized. Degenerative changes are seen involving both shoulders and within the imaged thoracic spine.

54312147

WET READ: ___ ___ ___ 4:06 PM 1. Moderate size bilateral pleural effusions with bibasilar atelectasis. Infection or aspiration cannot be completely excluded in the correct clinical setting. 2. Peripheral wedge-shaped opacity in the left upper lung field is concerning for an area of infarction. Further assessment with chest CTA is recommended. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ ___ 1:34 PM 1. Small to moderate size bilateral pleural effusions with bibasilar atelectasis. Infection or aspiration cannot be completely excluded in the correct clinical setting. 2. Peripheral wedge-shaped opacity in the left upper lung field is concerning for an area of infarction. Further assessment with chest CTA is recommended. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia, fatigue TECHNIQUE: Portable upright AP view of the chest COMPARISON: None.

Moderate size bilateral pleural effusions with bibasilar atelectasis. Infection or aspiration cannot be completely excluded in the correct clinical setting. Peripheral wedge-shaped opacity in the left upper lung field is concerning for an area of infarction. Further assessment with chest CTA is recommended.

11552741

Compared with ___ at 15:46, the right IJ catheter is no longer seen. There is suggestion of a small right apical pneumothorax, new or significantly more pronounced than on compared with the prior study. Again seen is marked cardiomegaly and what appears to be vascular engorgement and CHF, as well as extensive opacity of both lungs, including air bronchograms in the retrocardiac region and obscuration of the left hemidiaphragm Again seen is thickening of the minor fissure with some hazy focal opacity immediately above lateral portion of the minor fissure. The possibility of small bilateral effusions cannot be excluded. The overall degree of vascular engorgement and opacity in the lungs is similar to the prior film.

56805122

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with decreased O2 sat // fluid overload . Review of OMR indicates a history of metastatic lung carcinoma. COMPARISON: From ___ at 15 46

Interval removal of right IJ central line. New or significantly more pronounced small right apical pneumothorax. Cardiomegaly. Allowing for obscuration by surrounding opacities, this is similar to prior. Probable CHF, with interstitial edema, similar to the prior study. The presence of an alveolar component in certain areas cannot be excluded. Left lower lobe collapse and/or consolidation and opacity at the right lung base, similar to the prior film. Neoplastic abnormalities in the lungs would be difficult to distinguish from other opacities radiographically.

11552741

Compared to ___, the left moderate pleural effusion and small right pleural effusion is decreased in size. Possible loculated effusion bordering right pleura is unchanged in size. Moderate cardiomegaly is unchanged in size. An area of focal consolidation in the right upper lobe is concerning for pneumonia.

56559233

INDICATION: ___ year old man with bilateral pleural effusions // pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 11:45 AM

Possible right upper lobe pneumonia.Improved bilateral pleural effusions since ___. Unchanged right loculated effusion.

11046041

The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. A clip is seen projecting over the right proximal clavicle, new in the interval. No acute osseous abnormalities are visualized.

59306560

HISTORY: Left-sided chest pain which is not pleuritic. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___.

No acute cardiopulmonary abnormality.

11446556

Right sided Port-A-Cath tip terminates at the SVC/right atrial junction. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Electronic device is noted projecting over the heart on the lateral view, which is likely external to the patient.

56505965

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, history of multiple myeloma on chemotherapy TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11446556

Lines and Tubes: Right-sided Port-A-Cath terminates at the cavoatrial junction. Left-sided central line terminates in the SVC. Lungs: Well inflated and clear. Pleura: There is no pleural effusion or pneumothorax Mediastinum: There is no cardiomegaly. Mediastinal silhouette is within normal limits. Bony thorax: No interval change.

55264680

INDICATION: ___ year old woman with new fever // eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___

There is no evidence of lobar consolidation or pleural effusion. Lines and tubes as above.

11446556

Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

53024367

INDICATION: History: ___F with fevers on chemo for MM // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process.

11446556

The right-sided Port-A-Cath terminates in the lower SVC. The lungs are free of focal consolidations, pleural effusions or pneumothorax. There is no pulmonary edema. Cardiomediastinal silhouette is within normal limits.

58803489

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with multiple myeloma // pre bmt TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___

No acute cardiopulmonary process.

11446556

Right chest infusion port line ends close to the CA junction. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No lymphadenopathy. No pleural effusion or pneumothorax is seen.

55238498

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with MM on carfilzomib, fever, dry cough r/o pnia // r/o pnia COMPARISON: Chest radiographs from___

No acute cardiopulmonary abnormality.

11737430

PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size is mildly enlarged but unchanged from multiple priors.

56238976

INDICATION: Leukocytosis. Evaluation for pneumonia. COMPARISON: ___ and ___.

No acute cardiopulmonary process.

11737430

The examination is unchanged without evidence of overt pulmonary edema. Minimal right lower lung atelectasis identified. Stable mild peripheral subpleural lucencies throughout both lungs but with relative sparing of the left lung base. Unchanged cardiomediastinal silhouette. No pleural effusion or pneumothorax identified. Multilevel degenerative changes are noted in the mid thoracic spine.

53804211

HISTORY: Assess for effusion or pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___.

Stable cardiomegaly without evidence of overt pulmonary edema, effusion or pneumonia. Chronic lung changes with pattern suggestive of NSIP.

11737430

Frontal chest radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is top normal with a configuration suggesting left ventricular hypertrophy. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.

57114717

INDICATION: Chest and back pain after fall. Evaluate for pneumonia or fracture. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___.

No acute intrathoracic process.

11737430

Chest PA and lateral radiographs demonstrate unremarkable mediastinal and hilar contours. Cardiac contour is top normal. Low lung volumes noted bilaterally with vascular crowding and bibasilar atelectasis. Faint retrocardiac opacity noted on frontal view likely represents atelectasis or scarring, though cannot entirely exclude infection in the appropriate clinical setting.

53976277

INDICATION: Weakness and malaise; please evaluate for focal infiltrate. COMPARISON: Comparison is made to chest radiograph performed ___.

Top normal cardiac silhouette with faint retrocardiac opacity, likely atelectasis given low lung volumes, cannot entirely exclude pneumonia, but unlikely given the lack of evidence change.

11737430

Frontal and lateral views of the chest were obtained. Mild left mid-to-lower lung atelectasis/scarring is seen. On lateral view, there is upper lobe consolidation seen anteriorly, not well substantiated on the frontal view but may be in the left upper lobe. The right lung is clear. There is no right pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen along the spine.

52060780

EXAM: Chest, single AP upright and lateral views. CLINICAL INFORMATION: Cough and altered mental status. COMPARISON: ___.

Opacity projecting over the anterior upper lungs on the lateral view, not well substantiated on the frontal view but may be in the left upper lobe, could be due to infection or aspiration. Areas of left mid-to-lower lung atelectasis.

11737430

PA and lateral views of the chest are provided. No focal consolidation, effusion, or pneumothorax is seen. Scattered reticular nodular opacities are similar to that seen on prior exam, and likely represent areas of chronic scarring. There is, however, more nodular opacity in the right mid and lower periphery of the lung, which could represent a component of aspiration. Cardiomediastinal silhouette is stable. No pneumothorax. No bony abnormalities.

57940055

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Shortness of breath, found down.

Probable scattered areas of chronic scarring with possible subtle areas of aspiration.

11737430

The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

51434107

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

No acute cardiopulmonary process.

11737430

The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy opacification in the left mid lung suggests atelectasis or scarring, noting that it was already present and similar extent with a somewhat shifting morphology. There is no free air or pneumomediastinum.

57624194

CHEST RADIOGRAPHS HISTORY: Gastroparesis, abdominal pain, and hematemesis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

Similar patchy left mid lung opacity, probably due to atelectasis or scarring, noting the lack of change in absence of pulmonary symptoms. No evidence of free air or pneumomediastinum.

11737430

The cardiac silhouette is mild-to-moderately enlarged with mild tortuosity of the thoracic aorta, unchanged from at least ___. There is prominence of the central pulmonary vasculature with mild interstitial pulmonary edema. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. No definite fracture is identified.

59710904

HISTORY: History of gastroparesis, status post fall. COMPARISON: Multiple chest radiographs dating from ___ through ___. TECHNIQUE: PA and lateral chest radiograph, four views.

Moderate cardiomegaly with mild pulmonary edema. No definite fracture. Please note that conventional radiography is limited for evaluation of chest wall trauma.

11737430

Frontal and lateral views of the chest. Relatively low lung volumes are seen with streaky basilar opacities suggestive of atelectasis. Elsewhere the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is seen.

54719554

HISTORY: ___-year-old female with altered mental status. Question infection. COMPARISON: None.

No definite acute cardiopulmonary process.

11737430

AP chest radiograph provided. Lung volumes are quite low. Heart appears mildly enlarged. There is increased pulmonary opacity noted bilaterally, which in part could be exaggerated due to low lung volumes and bronchovascular crowding, though mild edema is difficult to exclude. Curvilinear calcification projecting over the heart likely reflects mitral annular calcification. The mediastinal contour is poorly assessed. Clips in the right upper quadrant noted.

50056541

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Altered mental status, question pneumonia.

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

11444145

The lungs are clear without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal. There is mid thoracic vertebral body wedgeing, likely age indeterminate.

50581398

HISTORY: ___-year-old male with facial trauma. Question aspiration. COMPARISON: None.

No acute chest abnormality.

11880044

The lungs remain clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. Surgical clips in the upper abdomen are again noted. No acute osseous abnormalities identified. Sclerotic focus in the right humeral head has the appearance of a bone island and is unchanged since ___.

58725570

INDICATION: ___M with fever // eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. ___.

No acute cardiopulmonary process.

11407099

Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

50270343

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with RUL pna on ___. // f/u pna, resolved? TECHNIQUE: Chest PA and lateral COMPARISON: ___

Resolved right upper lobe pneumonia

11407099

There is a consolidation in the right upper lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

50004217

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough, fever and SOB // pna? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Right upper lobe pneumonia. Recommend follow-up radiographs in 1 month after completion of treatment.

11868667

Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal contours. The lungs are clear. No pleural effusion or pneumothorax evident. Pacemaker leads terminate in the right atrium and ventricle.

50149850

INDICATION: Dyspnea, evaluate for pulmonary edema versus pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___

No acute intrathoracic process.

11868667

Frontal and lateral views of the chest. Lung the lungs are clear of focal consolidation or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. Dual lead pacing device again noted with leads in unchanged position. Surgical clips in the right upper quadrant are again noted. No acute osseous abnormality detected.

51088326

HISTORY: ___-year-old female with CHF weight gain and shortness of breath. COMPARISON: ___.

No acute cardiopulmonary process.

11868667

A left pectoral pacemaker is again seen with dual leads terminating in the right atrium and right ventricle, as before. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette remains mildly enlarged. The mediastinal and hilar contours are within normal limits with mild calcification of the aortic knob. Multiple surgical clips projecting in the right upper quadrant of the abdomen may be related to prior cholecystectomy. No acute osseous abnormality is detected.

51736663

INDICATION: Dyspnea and wheezing, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.

No acute cardiopulmonary process.

11868667

AP upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending to the region the right atrium and right ventricle. There is diffuse mild pulmonary edema. Heart size remains mildly prominent. Mediastinal contour is unchanged with atherosclerotic calcifications along the aortic knob. Tracheobronchial tree calcification also noted. No large effusion or pneumothorax. Clips in the upper abdomen noted.

55500242

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with sob // eval pneumonia vs chf COMPARISON: Prior study from ___.

Mild pulmonary edema, mild cardiomegaly. Pacemaker in place.

11868667

No focal pneumonia. No overt pulmonary edema. Minimal pulmonary vascular congestion. Mild to moderate cardiomegaly. No pleural effusion or pneumothorax. Dual lead pacer with the tips in the right atrium and right ventricle.

53702204

INDICATION: ___ year old woman with heart failure, asthma fever with new shortness of breath and destruction // Plum edema vs PNA TECHNIQUE: Portable

No pneumonia. No overt pulmonary edema. Minimal pulmonary vascular congestion.

11868667

Mild pulmonary edema has improved since ___, but moderate cardiomegaly is stable. Small pleural effusions are presumed. Mediastinal and hilar contours are normal. Transvenous atrioventricular pacer leads follow their expected courses.

50344625

INDICATION: ___ year old woman with CHF exacerbation, not improving // interval changes TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___

Mild pulmonary edema, improved since ___. Moderate cardiomegaly stable.

11868667

Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild to moderate cardiomegaly is again noted, with marked calcification of the aortic knob. The mediastinal and hilar contours are otherwise similar. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Multiple clips are seen in the right upper quadrant the abdomen. There are multilevel degenerative changes in the thoracolumbar spine.

54743151

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

No acute cardiopulmonary abnormality.

11868667

Lung volumes are low with secondary apparent widening of the cardiomediastinal silhouette. A pacemaker is seen with leads ending in the right atrium and right ventricle. There is no pneumothorax, no large pleural effusion. There is no free air.

53324185

INDICATION: ___-year-old with obstruction, please assess for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___.

No evidence of pneumonia.

11404878

Cardiomediastinal contours are normal. Lungs are clear, and there are no pleural effusions. Scoliosis is noted as well as degenerative changes in the spine.

57050740

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with slurred speech and h/o of lung nodule // lesions? COMPARISON: None available

No conventional radiographic evidence of lung nodule. Direct comparison to outside radiograph with reported nodule would be helpful for initial further assessment.

11867778

Lung volumes are low. The cardiac silhouette is prominent. Right infrahilar opacity is present with adjacent right retrocardiac consolidation obscuring the medial right diaphragm, which may be seen posteriorly on the lateral view. There is no pleural effusion or pneumothorax.

57785296

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough x1 month // please evaluate for acute intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None.

Right lower lobe opacity may represent pneumonia in the appropriate clinical context.

11090363

AP upright and lateral views of the chest are obtained. Lung volumes are low which limits evaluation somewhat. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. A PICC line in the left arm extends to the level of the superior vena cava, in unchanged position. Cardiomediastinal silhouette appears normal. No pneumothorax is seen. Bony structures are intact. No free air below the right hemidiaphragm.

57040498

CHEST RADIOGRAPH PERFORMED ON ___. Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Chest pain, assess for pneumonia.

No acute intrathoracic process. Unchanged position of PICC line.

11508686

There is a 7 mm nodule projecting over the left lung apex and lateral left first rib. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Lower thoracic dextroscoliosis is noted. No acute osseous abnormalities. There is no free intraperitoneal air.

56680113

WET READ: ___ ___ ___ 4:05 PM No acute cardiopulmonary process. Nodule projecting over the left lung apex and left first rib.Non urgent apical lordotic films to further assess left apical nodular opacity, potentially within the first rib. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with h/o DM, GERD/PUD presenting with severe epigastric pain // eval for PNA, gall bladder pathology TECHNIQUE: PA and lateral views the chest. COMPARISON: None.

No acute cardiopulmonary process. Nodule projecting over the left lung apex and left first rib.

11543836

The previously noted spiculated lesion/scar in the right lower lung zone shows interval decrease in size. Associated right-sided effusion or pleural thickening. Adjacent right middle and lower lobe atelectatic changes. The cardiomediastinal shadow is normal. The left lung is clear.

53616365

INDICATION: ___M w/ enlarging spiculated RLL nodule s/p R VATS lower lobectomy // interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___

Interval decrease in size of the spiculated nodule/ postsurgical changes in the right lower lung zone. Associated right-sided pleural effusion or pleural thickening : A decubitus film may be performed to differentiate between these.

11543836

There is an increased area of opacity in the right lower chest likely due to some fluid accumulation in scar tissue. There is a small right effusion that is also slightly increased in size. There is no definite pneumothorax. On the left there is some mild compressive changes at the bases with small left effusion.

55424826

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p VATS RLL lobectomy // interval change, please do @ ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 16 35

Slight increase in fluid accumulation on the right

11726010

The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Linear and nodular opacities projecting over the the right upper lobe and the soft tissues of the right supraclavicular chest are likely artifactual (possibly due to hair braids or extraneous tubular structures).

52004178

WET READ: ___ ___ 7:06 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with R sided CP x 1 week with dyspnea // eval ? pneumothorax, effusion TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality. Linear and nodular opacities projecting over the right upper lobe and the soft tissues of the right supraclavicular chest are likely artifactual.

11250458

PA and lateral views of the chest were provided. No focal consolidation, effusion or pneumothorax is seen. Calcified granuloma in the left mid lung as well as calcified mediastinal lymph nodes noted. No signs of congestive heart failure. The heart and mediastinal contours normal. Bony structures are intact. No free air below the right hemidiaphragm.

51093508

HISTORY: ___-year-old female with rash. COMPARISON: Prior exam from ___.

No acute intrathoracic process.

11250458

The heart size is normal. The hilar and mediastinal contours are unremarkable. The lung volumes are low. Note is made of bibasilar atelectasis. No focal consolidations concerning for infection is identified. There are no pleural effusions or pneumothoraces. The visualized osseous structures are unremarkable.

56530883

HISTORY: History of syncopal episode. Evaluate for acute process. COMPARISON: Chest radiographs from ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.

No focal consolidations concerning for infection. Bibasilar atelectasis.

11250458

PA and lateral views of the chest are provided. Lung volumes are low with bronchovascular crowding likely accounting for the subtle opacities in the lower lungs. The lungs are otherwise clear. No effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

55756289

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph dated ___. CLINICAL HISTORY: AMS, stroke evaluation.

Limited, negative. Crowding of bronchovasculature likely accounts for the subtle lower lung opacities.

11532808

Single portable view of the chest demonstrates worsening bilateral opacities particularly at the lung bases. Heart size is stable. No obvious pleural effusion or pneumothorax.

59673617

HISTORY: ___-year-old man with RSV pneumonia. Question worsening airspace disease. COMPARISON: ___.

Worsening bilateral interstitial opacities.

11532808

Right-sided central venous line ends at low SVC. There are no lung opacities concerning for lung infection. Heart size is normal, mediastinal and hilar contours are unremarkable. There is no pleural abnormality.

54524134

CHEST RADIOGRAPH INDICATION: graft versus host of lung, productive cough, to rule out infection. TECHNIQUE: PA and lateral chest views were reviewed in comparison with prior chest radiograph from ___.

No acute abnormality in the chest.

11532808

New bronchial wall thickening without additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. Chronic mild peripheral reticular opacities are better visualized on chest CT. Heart size is top normal with normal mediastinum and hila. No bony abnormality.

57225893

HISTORY: ___-year-old male with history of non-Hodgkin's lymphoma, immunosuppressive, cough. Assess for pneumonia. COMPARISON: Chest CT ___, chest radiograph ___, ___.

Bronchial wall thickening may represent bronchitis. No radiographic evidence of pneumonia. Chronic mild peripheral reticular opacities are better assessed on chest CT.

11532808

Lung volumes are low, exaggerating heart size and bronchovascular markings. Cardiomediastinal contours appear stable with the heart size mildly enlarged. Mild bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema is present.

52265717

INDICATION: ___M with dizziness and ekg changes COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Single frontal view of the chest.

Low lung volumes with mild bibasilar atelectasis.

11532808

Lung volumes remain low. Cardiac silhouette is mildly enlarged but stable in size, and accompanied by mild pulmonary vascular congestion and perihilar haziness as well as peribronchial cuffing and scattered bilateral interstitial opacities. There are no definite pleural effusions.

56123820

PA AND LATERAL CHEST X-RAY OF ___ COMPARISON: Radiographs of ___.

Mild congestive heart failure with minimal interstitial edema. Coexisting viral infection is possible, but there are no lobar areas of consolidation to suggest a bacterial pneumonia.

11532808

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Again, the right hemidiaphragm is slightly elevated in comparison to the left, and unchanged from prior exams. The cardiomediastinal silhouette is normal.

57544241

INDICATION: Non-Hodgkin's lymphoma, on immunosuppression. Presenting with cough. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.

No acute cardiopulmonary process. Results were discussed with ___ at 9:40 a.m. on ___ via telephone by Dr. ___, ___ minutes after the findings were discovered.

11532808

PA and lateral chest radiographs are limited by low lung volumes which accentuate the interstitial markings. There is no definite pulmonary edema. Cardiomegaly is moderate. There are no abnormal cardiac or mediastinal contours. There is no effusion consolidation or pneumothorax.

51031368

HISTORY: Shortness of breath, palpitations. COMPARISON: ___ through ___.

Low lung volumes accentuate interstitial markings. No definite pneumonia or CHF.

11753181

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.

53993359

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

No acute cardiopulmonary abnormality.

11753181

The cardiomediastinal silhouette is normal. The pleura is unremarkable. The right lung is clear. There is a left perihilar opacification with associated left upper lobe linear atelectasis the could represent pneumonia but given lack of URI symptoms code represent a hilar mass causing obstruction. Recommend chest CT for further evaluation.

52798894

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with good health // patient with rhonchi diffusely in left lung. Right lung clear. no documented fevers. No URI s/s. ?infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to prior studies dating from ___ with the most recent dated ___.

Left perihilar opacification with associated left upper lobe linear atelectasis that could represent pneumonia or a left hilar obstructive mass.

11753181

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The bony structures are unremarkable.

50964294

CHEST RADIOGRAPHS HISTORY: Question pulmonary hemorrhage or congestive heart failure. Patient complains of an electric jolt sensation. COMPARISONS: CT torso from ___ and chest radiographs from ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11251632

As compared to prior chest radiograph from ___, there has been interval improvement of the left lung collapse. There is some residual postobstructive collapse and likely residual accompanying left pleural effusion. There is no pneumothorax. The right lung remains clear.

57140682

INDICATION: ___-year-old male patient with lung adenocarcinoma status post dilation of airways due to white-out of left lung. Study requested for evaluation of interval change. COMPARISON: Prior chest radiograph from ___ at 3:02. TECHNIQUE: Portable AP chest radiograph.

Interval improvement of the left lung collapse.

11251632

There is a focal consolidation in the left lower lobe posteriorly consistent with pneumonia. Compared to prior study, there is also increased opacity within the right middle lobe which may be second site of pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

55550741

WET READ: ___ ___ ___ 8:07 PM Left lower lobe and right middle lobe consolidations consistent with pneumonia. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Fever and cough, question pneumonia. COMPARISON: Chest radiograph from ___.

Left lower lobe pneumonia. Equivocal early consolidation in the right middle lobe.

11251632

Large left paramediastinal mass is unchanged from ___. No pneumothorax is present. Normal heart size. No focal consolidation or pleural effusion.

55637823

HISTORY: Supraclavicular lymph node biopsy question pneumothorax. COMPARISON: ___.

No pneumothorax. No significant change in large left paramediastinal mass.

11251632

PA and lateral views of the chest were provided. There is a Port-A-Cath residing over the left chest wall with catheter tip in the region of the lower SVC. There is near-complete opacification of the left hemithorax which is unchanged from prior exam. The right lung remains clear without definite signs of pneumonia. The heart and mediastinal contour difficult to assess. The bony structures appear intact.

57357564

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CT torso from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Fever and cough, history of lung cancer, assess for pneumonia.

Near-complete opacification of the left hemithorax similar to prior exam in this patient with known extensive lung cancer. No definite signs of superimposed pneumonia in the right lung.

11251632

There is a new large masslike density adjacent to the left paramediastinal position involving the left hila and medial portion of the left upper lobe measuring 3.8 x ___.6 cm. The remaining lungs are clear. The heart size is normal. No pleural effusion or pneumothorax is present.

50802032

HISTORY: Cough, on exam pneumonia in right lower lobe. COMPARISON: ___.

New large left paramediastinal mass. Differential diagnosis includes pulmonary mass, malignancy, or mediastinal mass. Further evaluation with CT is recommended at the earliest convenience. Telephone notification to Dr. ___ by Dr. ___ at 16:18 on ___.

11251632

As compared to prior chest radiograph from ___, a left-sided pigtail catheter has apparently slightly changed in position. Left-sided pleural effusion demonstrates interval improvement with near complete resolution. There has been interval increase of a left perihilar opacity, for which differential diagnosis includes post-obstructive pneumonia. There is atelectasis of the left lung base. The right lung is hyperinflated and clear.

52297137

INDICATION: ___-year-old male patient with post-obstructive pneumonia, pleural effusion with chest tube in place. Study requested for evaluation of interval change. COMPARISON: Prior chest radiograph from ___ through ___ and chest CT from ___.

Near complete resolution of left-sided pleural effusion. Increasing left perihilar opacity for which differential diagnosis includes post-obstructive pneumonia.

11251632

Leftward shift of mediastinal structures is unchanged and due to volume loss in the left upper lobe. Left upper lobe and left upper paramediastinal opacity is compatible with known lung malignancy and changes from prior radiation fibrosis. Small to moderate left pleural effusion persists, but appears decreased in size compared to the previous exam. The cardiac silhouette size also appears somewhat decreased compared to the previous exam, but remains mildly enlarged. There is no pulmonary vascular engorgement or pneumothorax. The right lung is clear. Streaky left basilar opacity likely reflects atelectasis but infection is not excluded. There are no acute osseous abnormalities.

50927551

HISTORY: Fever, history of lung cancer and pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___, chest CTA ___.

Interval decrease in size of the cardiac silhouette suggestive of decreased pericardial effusion. Left pleural effusion also appears decreased in size, now small to moderate in extent. Unchanged opacity within the left upper lobe and left upper paramediastinal region compatible with known malignancy and radiation fibrosis changes. Streaky left basilar opacity likely reflects atelectasis though infection cannot be completely excluded.

11251632

There has been interval removal of the left-sided pleural pigtail catheter. An air-fluid level near the left apex indicates hydropneumothorax. There is no mediastinal shift or diaphragmatic flattening to suggest tension. There is residual small left pleural effusion with associated atelectasis. Consolidation along the medial and lower left lung continues. The right lung is clear.

51946312

HISTORY: ___-year-old male with lung cancer and pleuritic chest pain after removal of chest tube. STUDY: PA and lateral chest radiograph. COMPARISON: ___.

Status post chest tube removal with residual hydropneumothorax without evidence of tension. Continued left-sided pneumonia.

11251632

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Heart size and mediastinal structures remain unchanged. No evidence of pulmonary vascular congestion. Seen on previous examination, residual air-fluid level in the upper pleural space has disappeared and apparently has been replaced by local minor pleural thickening in the apical area. It is noted that the previously identified pulmonary abnormality presenting left upper lobe carcinoma has not progressed significantly. On the lateral view, we can identify that the previously existing extensive pleural density in the dorsal pleural compartment has regressed and almost disappeared. There is no evidence of any new left-sided pulmonary parenchymal abnormality. The right-sided hemithorax remains unremarkable as before.

55296918

TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with lung carcinoma, evaluate.

Improvement of previously identified left-sided pleural abnormalities. Stable appearance of left-sided pulmonary parenchymal densities identified, previously as representing lung cancer. Right hemithorax remains unremarkable as before.

11251632

There is a Port-A-Cath in place terminating at the lower superior vena cava and stable volume loss of the left lung with a leftward mediastinal shift. There is recurrent opacification of the left lung similar to what was seen on ___ although not present on the more recent CT. This appearance is nonspecific but could be seen with a widespread pneumonia or obstruction. Given the short timeframe of onset, it is unlikely that the opacification primarily reflects any potential recurrent malignancy, although increasing obstruction due to a hilar malignancy is not excluded. There is also probably a new pleural effusion on the left. The right lung remains clear without pleural effusion.

53081508

CHEST RADIOGRAPH HISTORY: Lung cancer. Question pneumonia or other acute change. COMPARISONS: Frontal scout view from CT performed on ___; radiographs from ___ and ___. TECHNIQUE: Chest, portable AP upright.

Recurrent opacification of the residual left lung concerning for superimposed acute infection or obstruction.

11251632

Heart size is normal. There has been interval decrease in size of the left upper lobe and hilar mass. The right hilar and mediastinal contours appear unremarkable. There is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are detected.

57071947

HISTORY: Pre syncope, fall with head strike and head pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___, chest CT ___.

Interval decrease in size of left upper lobe and hilar mass.

11251632

Frontal and lateral chest radiographs were obtained. There is persistent opacity in the left upper lobe, consistent with known left upper lobe collapse and left upper paramediastinal mass, as well as previous radiation therapy. There is slightly increased left pleural effusion and continued elevation of the left hemidiaphragm. The right lung is fully expanded and clear. The cardiomediastinal silhouette is stable. There is no pneumothorax.

51523695

HISTORY: Patient with pleural effusion, evaluate effusion. COMPARISON: ___.

Slightly increased left pleural effusion. Persistent left upper lobe collapse and known left paramediastinal mass with post radiation changes.

11251632

No pneumothorax is seen following thoracentesis. Right-sided PICC line has been removed. Continued elevation of left hemidiaphragm is seen, and left upper paramediastinal opacity is seen consistent with previously seen radiation therapy. The cardiac silhouette is normal, and the right lung is free of consolidation, pleural effusion or edema.

57221856

HISTORY: ___-year-old male with effusion status post thoracentesis with total 250 mL removed. Evaluate pneumothorax. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest x-ray from ___.

No pneumothorax following thoracentesis.

11539456

AP and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted. No displaced fractures identified.

58198858

HISTORY: ___-year-old male status post fall with left arm and leg pain. COMPARISON: ___.

No acute cardiopulmonary process.

11539456

The cardiomediastinal and hilar contours remain stable with post-CABG changes. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.

51998287

INDICATION: Cough for one week. COMPARISON: Chest radiograph ___, ___.

No acute cardiopulmonary process. Dr. ___ ___ these results to Dr. ___ at 11:08 AM on ___ via telephone, ___ minutes after the time of discovery.

11669811

The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The previously described pulmonary nodules are better appreciated on the CT from ___. The heart is normal in size. Prominence of the thoracic aorta with extensive calcifications are overall unchanged from ___. Bilateral prominence of the pulmonary arteries might be consistent with pulmonary hypertension. Moderate, left scoliosis of the thoracic spine is overall unchanged with associated distortion of the thoracic cage. Incompletely visualized posterior fixation hardware in the upper lumbar spine is again noted. Cervical spine anterior fixation hardware are noted.

51911606

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with long history of smoking, now with rheumatoid arthritis, planned to start MTX. Evaluate for evidence of ILD or advanced COPD. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ from an outside facility and uploaded onto PACS. Limited reference is made to the CT chest dated ___.

Hyperinflated lungs. No radiographic evidence of interstitial lung disease. Potential pulmonary hypertension, please correlate with echocardiography.

11449790

There has been interval removal of right IJ catheter. Minimal basilar atelectasis/scarring is seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of a hiatal hernia is seen.

54573345

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with kidney transplant, here with abd pain, needs infectious workup // Please eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11463165

The patient is rotated to the left. There is no focal airspace opacity to suggest pneumonia. Left retrocardiac opacity has improved since the prior study with some residual atelectasis at the left base. There is no focal airspace opacity to suggest pneumonia. Moderate cardiomegaly is unchanged. Apparent widening of the mediastinum is likely due to patient rotation. There is no large pleural effusion or pneumothorax. Left chest wall pacemaker has leads terminating in the right atrium and right ventricle. Mid thoracic compression deformities are similar to prior studies. Although chest radiographs have limited sensitivity for rib fracture, no definite displaced fracture is detected.

54467194

INDICATION: Right leg and hip pain status post fall. Evaluate for evidence of fracture or bleed. COMPARISON: Chest radiograph, ___, ___, ___ and ___. TECHNIQUE: Semi-upright AP and lateral radiographs of the chest.

Patient is rotated to the left. No evidence of acute cardiopulmonary abnormality. Although chest radiographs have limited sensitivity for rib fractures, no displaced fracture is detected.

11463165

Left-sided dual-chamber pacemaker device is again noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is new in the interval. No focal consolidation or pleural effusion is noted. The osseous structures are diffusely demineralized with multiple mid thoracic spine vertebral compression deformities again noted.

50328038

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

No radiographic evidence for pneumonia. Mild pulmonary vascular congestion.

11463165

The showing is slightly suboptimal. Lung apices are not well visualized. The LS, lung volumes are grossly unchanged compared to the prior studies. No definite pleural effusion seen. No pneumothorax or consolidation seen. Coarse interstitial markings may reflect interstitial pulmonary edema.

56681682

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypotension, AMS, concern infectious source // hypotension, concern infection TECHNIQUE: Portable AP chest radiograph. COMPARISON: CT torso ___

Mild pulmonary vascular congestion. No definite consolidation seen.

11463165

The lungs are well-expanded and clear. Moderate cardiomegaly is stable. Anterior wedge deformities in the vertebral bodies of the mid thoracic spine are unchanged. Extensive degenerative changes of the thoracic spine and bilateral shoulders are stable. Left chest wall pacemaker with intact leads appears unchanged.

56594214

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with wheezes and rales // r/o pna, atelectasis, infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. Chest CT from ___.

No evidence of pneumonia. Unchanged moderate cardiomegaly.

11463165

AP upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending to the region the right atrium and right ventricle unchanged. Patient is slightly rotated to the left. The heart appears mildly enlarged. Mediastinum is difficult to assess given rotation. The lungs appear relatively clear. No large effusion or pneumothorax is seen. Significant kyphotic angulation of the thoracic spine is noted. Compression deformities in the T-spine are chronic in better assessed on the prior CT from ___.

54578044

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with syncope // eval for CHF/pneumonia, ICH COMPARISON: ___

No convincing evidence for pneumonia or edema.

11463165

Frontal and lateral chest radiograph demonstrates mildly enlarged cardiac silhouette which is partially obscured by an a dense left lower lobe opacification likely representing a combination of moderate pleural effusion and atelectasis. However, underlying infectious process is not excluded. Mediastinal and hilar contours are unremarkable. Evidence of remote healed anterior right 3rd rib fracture identified. Rounded ossific density projecting adjacent to the right coracoid process may represent a loose body within the joint space. Significant degenerative change identified in the bilateral glenohumeral joints. Compared to ___, there has been interval progression of multiple thoracic and lumbar compression deformities including now almost complete loss of anterior vertebral body height of a mid thoracic vertebrae.

55216830

HISTORY: Fall, cough, crackles on the left. Assess for infiltrate. COMPARISON: Comparison is made to chest radiograph performed ___.

Left lower lobe opacification likely combination of atelectasis and moderate pleural effusion. Underlying infectious process not excluded. Mild cardiomegaly, incompletely assessed by left lower lobe opacification. Interval progression of multiple thoracic and lumbar vertebral compression deformities.

11277318

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.

59812848

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and cough // r/o infltrate COMPARISON: None

No acute intrathoracic process.