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

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11045233	There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Mild multilevel degenerative changes of visualized thoracic spine are noted.	53261242	WET READ: ___ ___ ___ 4:35 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with intermittent episodes lightheadedness, shortness of breath ; found to be in atrial flutter at PCP sent for further evaluation, evaluate for consolidation or cardiomegaly. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11581260	Single frontal image of the chest again demonstrates large right upper lobe and right middle lobe masses, consistent with multiple previous chest studies and known history of metastatic melanoma to the lungs. There has been interval development of right upper lobe and right lower lobe hazy opacities, which could represent atelectasis or layering pleural effusion; however, in the appropriate clinical context, a developing pneumonia cannot be excluded. The left lung is again seen to be clear with no pleural effusion on the left. The cardiomediastinal silhouette appears to be unchanged, but visualization is limited due to adjacent right lung opacities.	54235194	INDICATION: ___-year-old female with known melanoma metastatic to the lung, now with new oxygen requirement and tachycardia. COMPARISON: Comparison is made with chest radiographs from ___, ___, ___, ___, and CTA chest from ___.	Interval development of right upper lobe and right lower lobe opacities, likely representing layering pleural effusion with a component of atelectasis, but in the appropriate clinical context, cannot exclude a developing pneumonia. These findings were made at 10:20 a.m. on ___ and communicated to the patient's clinical team at 10:20 a.m. on ___ by telephone.
11581260	There is a similar right upper paramediastinal mass as well as a right perihilar mass, compared to prior radiographs, although small differences would be difficult to evaluate and would be better followed by CT imaging. The heart is at the upper limits of normal size. There is similar mild relative elevation of the right hemidiaphragm compared to the left. Although patchy opacities are present in the lower lungs, these are vague and streaky, most suggestive of minor atelectasis. There is no definite pleural effusion or pneumothorax.	54454730	CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: Chest radiograph from ___ and more recent chest CT from ___. TECHNIQUE: Chest, portable AP upright.	No definite evidence of acute disease.
11581260	A single portable frontal chest radiograph was obtained. Lung volumes are low. A large right paratracheal mass is grossly unchanged since ___. A mass in the right major fissure is similar. The moderate right pleural effusion is similar. Cardiomegaly is unchanged. There is no pneumoperitoneum.	56295190	HISTORY: ___-year-old with metastatic melanoma, lower abdominal pain and lower GI bleed. Evaluate for free air. COMPARISON: ___ - ___. Chest CT ___.	No pneumoperitoneum. Extensive metastatic myeloma is grossly similar to priors.
11213682	Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. The mediastinal contour is likely within normal limits. There is crowding of the bronchovascular structures but no pulmonary edema is demonstrated. Streaky opacities in the lung bases likely reflect atelectasis. Infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Single ___ rod is seen within the thoracolumbar spine which demonstrates a moderate S-shaped scoliosis.	55892669	HISTORY: Mental retardation with productive cough, seizures. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None.	Low lung volumes with patchy bibasilar opacities, likely atelectasis. Please note that infection however is not completely excluded.
11213682	Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures without overt pulmonary edema. Retrocardiac patchy opacity may reflect atelectasis, but infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Single ___ rod is seen within the thoracolumbar spine which demonstrates moderate S-shaped scoliosis as before.	50208744	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___	Patchy left basilar opacity, possibly atelectasis but infection cannot be excluded.
11608108	Frontal and lateral radiographs of the chest demonstrate a left chest wall port with the catheter terminating at the cavoatrial junction. There has been no change in the catheter placement since the prior radiograph. Otherwise, the lungs are clear, and the heart, hilar and mediastinal contours are normal. No pleural abnormality is detected.	55641368	HISTORY: Metastatic breast cancer with a port with no blood return. Confirm port placement. COMPARISON: ___.	Stable appearance of left chest wall port with catheter terminating at the cavoatrial junction. These findings were relayed to Dr. ___ at 9:57 a.m.
11595446	Cardiomegaly has improved. The mediastinal silhouette is normal. The bilateral lower lobe opacities have improved. There is small pleural effusion on the right that has improved from prior. The previously seen right apical pneumothorax has resolved. The left pectoral transvenous pacemaker is position with leads in the right atrium and right ventricle. The sternotomy wires are unchanged. No fractures.	58885327	INDICATION: ___ year old man s/p R VATS wedge // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___	Improved bilateral lower lobe opacities and resolution of right apical pneumothorax. Persistent small right pleural effusion.
11131279	In comparison to ___ study the cardiomediastinal silhouette is stable. The hila and pleura are unremarkable. Again seen are multiple left-sided rib fractures and a displaced left clavicular fracture. There is a line along right apical lung which could represent a small pneumothorax though likely could be a finding secondary to displaced rib fragments. There is left basilar atelectasis with overlying opacity which could represent developing superimposed pneumonia in the right clinical setting.	56521978	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with rib fx and L PTX // Questions to be answered: eval for interval change of PTX vs PNA TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___	Stable left rib and displaced clavicular fractures with possible adjacent pneumothorax. Increased left basilar atelectasis with concern for developing superimposed pneumonia of the left lower lobe.
11131279	Multiple left-sided rib fractures as well as a displaced left clavicular fracture are again noted. No discrete pneumothorax is visualized however there is fluid noted over the left lung apex which may reflect a hydropneumothorax. No focal consolidation. The right lung is clear. The size the cardiac silhouette is within normal limits.	53382189	INDICATION: ___ year old man with rib fx and L PTX // eval for interval change. Please obtain at ___ TECHNIQUE: AP portable chest radiograph COMPARISON: Chest radiograph from earlier today	Trace left apical possible hydropneumothorax. No focal consolidation.
11131279	The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. There is re- demonstration of multiple left-sided anterior rib fractures and a displaced left clavicular fracture with probable underlying hematoma. There is re- demonstration of a right apical pneumothorax without evidence of tension pneumothorax. Interval improvement of left lower lobe is seen with stable Send left pleural effusion.	56382556	EXAMINATION: Expiratory standing chest x-ray PA and lateral INDICATION: ___ helmeted cyclist struck by car tx from ___ with multiple L sided rib fractures, communited L clavicle fracture, L hip anterior acetabular fracture, small apical PTX // please obtain standing end expiratory films TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___ and ___.	Stable left rib and displaced clavicular fractures with likely underlying hematoma and stable pneumothorax without mediastinal shift.
11318785	There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable. The imaged upper abdomen is unremarkable.	54580625	HISTORY: Syncope, palpitations and chest pain. Evaluate for pneumonia heart failure. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11967131	The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. No subdiaphragmatic free air is seen.	58669674	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with left sided chest pain and left lower quadrant pain. Evaluate for free air. TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary process.
11646421	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There is mild bibasilar atelectasis. Blunting of the left costophrenic angle is likely secondary to pleural thickening, as seen on prior CT. Heart and mediastinal contours are stable with rightward shift of the trachea secondary to enlarged left lobe of the thyroid, as seen previously. The aorta is tortuous and calcified.	57144706	INDICATION: ___-year-old female with intermittent chest pain and left neck and arm pain. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.	No radiographic evidence for acute cardiopulmonary process.
11486456	Left lower lobe opacity is improving peripherally, but appears more confluent in the central left retrocardiac region. Lungs are otherwise clear, and there are no definite pleural effusion. Cardiomediastinal contours are normal.	53530211	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with delirium, CXR c/f pulm infiltrate // interval imaging COMPARISON: ___	Worsening left retrocardiac opacity, which may be due to atelectasis, aspiration, or developing infection.
11005736	Since the prior chest radiograph, there has been no appreciable difference in the size of the known left pneumothorax. No mediastinal shift or diaphragmatic depression. The lungs are otherwise clear.	50605423	INDICATION: ___ year old man with spontaneous PTX s/p chest tube removal, had enlarging ptx post pull // ?status of PTXCXR at ___ thanks TECHNIQUE: Chest PA and lateral COMPARISON: ___ from earlier in the day	Unchanged moderate left pneumothorax.
11005736	In comparison with a prior chest x-ray dated ___ there is now a reaccumulation of pneumothorax with left-sided pigtail chest tube overlying interface of long and pleural space and associated subsequent mild rightward mediastinal shift. The right lung appears well aerated and clear. The cardiomediastinal silhouette is normal and unchanged.	53108230	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with L spont PTX // check interval changewith CT on waterseal TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___	Interval reaccumulation of pneumothorax and subsequent mild rightward mediastinal shift when compared to most recent study
11005736	Patient is status post left blebectomy and pleurodesis with postoperative changes seen at the left lung apex. Previous left pneumothorax has resolved. There is no pleural effusion. Previous small right apical pneumothorax, unrecognized on ___, has almost completely resolved, not clinically significant. The cardiomediastinal silhouette is normal. The hila and pleura unremarkable. No focal consolidations or pleural effusions are seen.	55160998	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___YM s/p VATS blebectomy and pleurodesis // please eval for interval change TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___.	Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.
11005736	AP portable upright view of the chest. There is a large left-sided pneumothorax with significant collapse of the left lung. There is minimal tracheal deviation to the right though no convincing signs of tension pneumothorax. No pleural effusion. Right lung is clear. Heart size is normal. Bony structures intact.	57108043	WET READ: ___ ___ 12:35 PM Large left pneumothorax, no convincing signs of tension. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with chest pain, decreased breath sounds // ?ptx COMPARISON: None	Large left pneumothorax, no convincing signs of tension.
11005736	AP portable upright view of the chest. There has been interval placement of a left-sided pigtail chest tube with significant re-expansion of the left lung. There is persistent trace left apical pneumothorax seen. Right lung remains well aerated. Cardiomediastinal silhouette is unremarkable. Bony structures are intact.	53761646	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with pneumothorax s/p pigtail COMPARISON: Prior exam from earlier today	Interval placement of the left pigtail chest tube with near complete reexpansion of the left lung with only trace persistent left apical pneumothorax.
11137490	Unchanged, calcific hilar nodes. Normal cardiomediastinal contours. Fully expanded, clear lungs with interval resolution of right basilar process. Normal pleural surfaces.	56855956	EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of chronic lung disease from M. ___ infection, now with cough for 1 month since return from ___. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___ and ___.	No pneumonia. Central nodal calcification denotes remote granulomatous infection; no evidence of active infection.
11137490	PA and lateral views of the chest are provided. The left lung is clear. Subtle opacity is seen within the right lower lung which could represent loculated fissural fluid given its appearance on the lateral projection. Otherwise, the lungs appear clear. Cardiomediastinal silhouette appears normal. Calcified mediastinal lymph nodes are noted. Bony structures are intact. Air-filled loops of large bowel seen beneath the right hemidiaphragm.	56340165	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old man status post pedestrian struck by car with left rib and back pain.	Fissural fluid, likely accounts for subtle opacity at the right lung base. Otherwise, unremarkable.
11137490	Heart size is normal. Calcified right hilar lymph nodes are compatible prior granulomatous disease. The mediastinal and hilar contours are otherwise unchanged. Lungs are hyperinflated with mild upper lobe predominant emphysema again noted. Patchy opacity in the right lung base is new and concerning for pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	58943411	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath, wheezing // pneumonia? TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___, CT chest ___	Patchy opacity in the right lung base concerning for pneumonia. Mild upper lobe predominant centrilobular emphysema.
11137490	Frontal and lateral views of the chest. There is subtle increased reticular markings at the right lung base laterally which appear chronic. The lungs are clear of new consolidation or large effusion. There may be some residual fluid within the right major fissure inferiorly. Calcified granuloma at the right lung base. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	53187434	CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with shortness of breath and wheezing. COMPARISON: Chest x-ray from ___, and chest CT from ___.	No acute cardiopulmonary process.
11137490	Lungs are overinflated, with diffuse hyperlucency, flattening of the diaphragms, and widening of the retrosternal clear space. Streaky opacities in the right lower lobe are improved from prior examination. No pleural effusions or pneumothorax. Heart size is normal. Multilevel degenerative changes in the thoracic spine.	55292437	INDICATION: ___-year-old male with cough and dyspnea. COMPARISON: ___. CHEST, PA AND	Resolving right lower lobe pneumonia. Chronic obstructive airways disease.
11299326	Frontal and lateral chest radiographs again demonstrate multiple clips projecting over the left hemithorax. The cardiomediastinal silhouette is normal and the lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	52690623	INDICATION: Evaluate for acute intrathoracic process in a patient with pain on deep inspiration. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___.	No acute cardiopulmonary process.
11299326	Surgical clips project over the left hemithorax. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.	53511373	WET READ: ___ ___ 4:56 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with cough // Rule out pneumonia TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11283702	Bibasilar atelectatic changes are noted, but the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at upper limits of normal. No acute fractures are identified.	54575207	INDICATION: Syncope. COMPARISON: None available.	No acute cardiopulmonary process.
11251715	PA and lateral views of the chest provided. In this patient with chronic interstitial lung disease, the overall pattern of peripheral reticular opacity is unchanged. There is no definite evidence for a superimposed pneumonia. No large pleural effusion or pneumothorax is seen. The heart is unchanged in size. Mediastinal contour appears unchanged. Bony structures are intact. Tiny clips project over the right upper quadrant.	53871616	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with weakness COMPARISON: Prior exam dated ___, and ___.	Interstitial lung disease without convincing signs of superimposed pneumonia.
11251715	In the short interval from prior exam, the interstitial markings are ill-defined and prominent compatible with interstitial pulmonary edema. Hilar congestion is also new in the interval. Patient is known to have background fibrosis. No large effusions or pneumothorax. No acute bony abnormalities. Clips noted in the upper abdomen.	54870278	EXAMINATION: CHEST AP and lateral INDICATION: ___M with recent e.coli bacteremia; p/w ? allergic recation. Evaluate for cardiopulmonary process. TECHNIQUE: AP upright and lateral COMPARISON: Chest radiograph ___.	Pulmonary fibrosis now with superimposed pulmonary edema.
11251715	Again seen are prominent interstitial markings compatible with known interstitial lung disease. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Surgical clips are seen in the right upper quadrant.	55669955	EXAMINATION: Chest radiograph. INDICATION: ___ year old man with HCC, here with cough and generalized weakness, fevers, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	Background interstitial lung disease without superimposed focal consolidation.
11251715	There is left lower lobe opacity, new since ___. Small to moderate right pleural effusion is also new. There is background interstitial lung disease. Cardiac silhouette is within normal size.	54797436	EXAMINATION: Chest radiograph INDICATION: ___ year old man with h/o hemochromatosis c/b HCC who presented to OSH for confusion and lethargy, found to have bacteremia. Also c/o acute on chronic SOB. Per OSH CXR report, "questionable LLL infiltrate with significantly elevated R hemidiaphragm" // Presence of pneumonia, pleural effusion, or pulmonary edema to explain acute on chronic SOB? TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___	Left lower lobe opacity and mild to moderate right pleural effusion are new since ___. Background interstitial lung disease is again noted.
11251715	The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There is no pleural effusion or pneumothorax. Moderate interstitial changes associated with known interstitial lung disease appear not significantly. There is no definite superimposed process.	55613555	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea on exertion. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.	Stable findings associated with moderately severe interstitial disease.
11747903	Normal cardiomediastinal and hilar contours. Interstitial opacities at the costophrenic angles bilaterally, new since the remote prior study from ___. No pneumothorax or pleural effusion. Degenerative changes throughout the thoracic spine. There is no free intraperitoneal air.	59447854	WET READ: ___ ___ ___ 11:20 AM New, interstitial, bibasilar opacities since ___ could represent a chronic interstitial process; however, acute infection is also possible. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with epigastric and chest pain. Evaluate for an acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral. COMPARISON: Chest radiograph from ___.	New, interstitial, bibasilar opacities since ___ could represent a chronic interstitial process; however, acute infection is also possible.
11977522	The lungs are hyperexpanded with flattening of the hemidiaphragms compatible with known emphysema. Bilateral interstitial opacities have improved since ___. Heart size is normal. There is dilation and tortuosity of the thoracic aorta with a known saccular aneurysm of the arch. There is no large pleural effusion or pneumothorax. An abdominal aortic stent is partially visualized in the upper abdomen.	59149901	INDICATION: History: ___M with SOB // eval for PNA TECHNIQUE: Portable AP chest COMPARISON: Chest radiographs ___ through ___. CTA torso ___.	Interval improvement of bilateral interstitial opacities. Emphysema.
11977522	Hyperinflated lungs consistent with emphysema. Increased interstitial markings and prominence of the pulmonary vasculature are concerning for early heart failure. No pleural effusion or pneumothorax identified. The cardiac and mediastinal contours are stable. A lobulation of the aortic contour corresponds to a saccular aneurysm of the aortic arch that is better characterized on the prior CT chest.	53217813	CLINICAL INDICATION: Dyspnea, crackles bilaterally. Evaluate for congestive heart failure. COMPARISON: Chest radiograph ___. Chest CT ___. UPRIGHT FRONTAL VIEW OF THE	Prominent interstitial markings, peribronchial cuffing and cephalization concerning for early heart failure.
11240073	The lungs are well expanded. New patchy opacities in the right lower lung are concerning for pneumonia. There may be a more subtle streaky opacity in the left lower lung although this may represent prominent vascular markings. Cardiomediastinal and hilar contours unremarkable. There is no cardiomegaly. There is no pleural effusion pneumothorax.	52256937	EXAMINATION: FRONTAL AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with fever. Evaluate for evidence of pneumonia. TECHNIQUE: AP and lateral chest radiographs COMPARISON: Chest radiograph from ___ and ___.	Findings compatible with right lower lobe pneumonia.
11240073	Interval resolution of right lower lobe pneumonia. Bilateral apical pleural thickening, increased on the left since ___, could represent an apical tumor. Normal cardiomediastinal and hilar contours. Fully expanded, clear lungs.	59015281	EXAMINATION: Chest radiograph INDICATION: ___-year-old man with recent right lower lobe pneumonia and weight loss. Evaluate for resolution of pneumonia and evidence of malignancy. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recent from ___.	Interval resolution of right lower lobe pneumonia. Apparent, asymmetric, apical pleural thickening could reflect a left apical tumor. Consider CT chest for further evaluation of the left apex.
11214411	The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	54554214	EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with cough // acute process? acute process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available.	No acute cardiopulmonary process.
11730127	Apices not included on this study. Heart size is enlarged, which may be due to patient positioning. Mild bibasilar opacities, possibly representing aspiration. There is no pneumothorax or large pleural effusion. There is no acute osseous abnormality.	59818971	INDICATION: ___F with found down, evaluate for pneumonia.. COMPARISON: None Available. TECHNIQUE Portable view of the chest.	Enlarged cardiac silhouette may be secondary to positioning. Bibasilar opacities could be secondary atelectasis although aspiration pneumonia is possible.
11682251	Single portable view of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits for technique. Slightly tortuous thoracic aorta seen with atherosclerotic calcifications. Mitral annular calcifications are also seen. Based on this non-dedicated exam, there is apparent anterior dislocation of the right glenohumeral joint.	52551033	WET READ: ___ ___ 11:02 AM no acute cardiopulmonary process. apparent anterior dislocation of the right glenohumeral joint. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST, ___. HISTORY: ___-year-old female with fever. Question pneumonia. COMPARISON: None.	No acute cardiopulmonary process. Apparent anterior dislocation of the right glenohumeral joint.
11682251	Single AP portable view of the chest was obtained. Subtle perihilar opacities suggest mild vascular engorgement. However, there is subtle patchy opacity over the right upper hemithorax, and underlying infection at this location is not excluded. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are similar with the cardiac silhouette mildly enlarged. No pneumothorax.	57215980	EXAM: Chest single AP portable view. CLINICAL INFORMATION: Dyspnea. COMPARISON: ___ as well as ___.	Subtle patchy lateral right upper lung opacity could be due to infection in the appropriate clinical setting. Perihilar haziness may be due to mild fluid overload.
11682251	Single portable chest radiograph demonstrates Diffuse faint symmetric opacifications; in setting of slight interval increase size of cardiac silhoutette as well as a more prominet azygous vein, findings likely represent early fluid overload. Hilar contours are unchanged. No pleural effusion or pneumothorax identified.	56484364	INDICATION: End-stage dementia, increased work of breathing, and hypoxia. Concern for pneumonia versus aspiration. COMPARISON: Comparison is made to chest radiograph performed ___.	Faint diffuse bilateral lung opacification in setting of increased cardiomegaly and prominent central vessels suggests early fluid overload.
11682251	The lung volumes are low, though there is no focal airspace opacity or evidence of pulmonary edema. There is no pleural effusion or pneumothorax. The aorta is tortuous and calcified, similar to the prior exam. The heart size is at the upper limits of normal. Again, there is dislocation of the right humerus with a displaced fracture through the mid shaft. This is unchanged from the prior exam.	52751885	INDICATION: End-stage dementia and low-grade temperature. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single AP semi-upright view of the chest was obtained.	No acute cardiopulmonary process; specifically, no evidence of pneumonia.
11682251	The cardiac, mediastinal and hilar contours appear unchanged including moderate unfolding of the thoracic aorta. The heart is at the upper limits of normal size. There is no definite pleural effusion or pneumothorax. Air bronchograms can be seen in the medial retrocardiac region which may indicate a subtle left lower lobe opacity. The right humerus shows apparent inferior positioning compared to the glenoid consistent with chronic dislocation not significantly changed since earlier studies.	56611052	CHEST RADIOGRAPHS HISTORY: Altered mental status. Non-verbal. COMPARISONS: ___, and ___. TECHNIQUE: Chest, AP and lateral.	Medial left basilar opacity suggested by vague opacity with air bronchograms, but not well evaluated. Atelectasis but potentially pneumonia could be considered, although this finding is not a definite source for infection.
11322609	The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is mild peribronchial cuffing. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.	59122464	WET READ: ___ ___ ___ 5:44 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with dyspnea, chest pain* WARNING * Multiple patients with same last name! // acute process TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___	Mild peribronchial cuffing can be seen in the setting of reactive airways disease. No acute cardiopulmonary abnormality.
11097779	Frontal and lateral views of the chest obtained. On the lateral view, the right PIC catheter tip projects over the upper arm. Lungs are clear without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pleural effusion.	55807780	INDICATION: Assess for right PIC catheter position. COMPARISONS: Chest radiograph of ___.	Right PIC catheter tip intervally retracted with tip now projecting over right upper arm.
11097779	The heart size is normal. The mediastinal and hilar contours are within normal limits. Within the left lung base, a new streaky airspace opacity is demonstrated and is nonspecific, and could reflect an area of infection and/or atelectasis. No pleural effusion or pneumothorax is present. The right lung is clear. There is minimal scarring within the lung apices. There are no acute osseous abnormalities.	56769453	HISTORY: Pleuritic chest pain and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Streaky opacity within the left lung base, new from the prior exam, which could reflect infection and / or atelectasis.
11421414	Mild enlargement of cardiac silhouette is present. The aorta is diffusely calcified and tortuous. The pulmonary vasculature is not engorged. Patchy opacities in lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine. Bilateral remote posterior rib fractures are noted.	51635033	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with lethargy TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	Patchy atelectasis in the lung bases.
11673319	There is left lower lobe consolidation. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Chronic deformity of the posterior left eighth rib is noted.	56919455	WET READ: ___ ___ ___ 3:39 PM Left lower lobe consolidation compatible with pneumonia. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough, bodyaches, ili // ?pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	Left lower lobe consolidation compatible with pneumonia. Recommend repeat after treatment to document resolution.
11110395	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	51038543	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Seizure. COMPARISON: None.	No acute cardiopulmonary process.
11110395	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.	55252543	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with acute chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11868338	The patient is rotated somewhat to the right. Enlarged cardiomediastinal silhouette is stable. No focal consolidation is seen. There is no pleural effusion. No pneumothorax is seen. The hilar contours are stable.	51437157	FINAL ADDENDUM The history should state AFib, asthma presenting with wheezing, hypoxia. ______________________________________________________________________________ FINAL REPORT HISTORY: AFib, absent presenting with wheezing, hypoxia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	Surgical clips are noted in the right upper quadrant. No significant interval change.
11868338	Lung volumes remain low. In comparison to prior technically limited study, there is new density projecting over the left base though this appears to reflect crowding of the pulmonary vasculature in the setting of low lung volumes. There is no significant change from prior study including no convincing evidence of pneumonia. There is no effusion or pneumothorax. The lungs remain otherwise well aerated. Hilar and cardiomediastinal contours are unchanged, with mild cardiomegaly exaggerated by low lung volumes. There is no pulmonary vascular congestion or edema. Degenerative changes are seen in the thoracic spine. Surgical clips are seen in the right upper quadrant.	57325311	INDICATION: ___-year-old female with persistent cough. Evaluate for pneumonia. COMPARISON: ___. PA AND LATERAL	No significant change from prior study including no convincing evidence of pneumonia. Retrocardiac opacity likely reflects crowding of the pulmonary vasculature, though if there is ongoing concern for infection, follow-up radigraphs could be obtained.
11868338	Moderately severe cardiomegaly is similar to prior. Upper mediastinal contours are stable. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.	59117121	INDICATION: ___F with complaints of feeling unwell, unable to obtain accurate history // Please evaluate for any PNA COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest.	Moderately severe cardiomegaly. No focal consolidation.
11457254	PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. A trace left pleural effusion is seen only on the lateral view. There is no pneumothorax and pulmonary vascularity is normal. Bowel gas pattern in the upper abdomen is nonspecific. There is no evidence of pneumoperitoneum.	50919811	INDICATION: New left-sided pain on deep inspiration in a patient with left mid ureteral injury, now status post percutaneous nephrostomy tube placement. COMPARISON: None available.	Trace left pleural effusion without acute parenchymal abnormality.
11622905	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are seen in the right upper quadrant. No evidence of free air is seen underneath the diaphragms.	50404394	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Breast cancer, on chemotherapy, presenting with left upper quadrant pain and cough. COMPARISON: ___.	No acute cardiopulmonary process.
11622905	The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. Multiple surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy. No acute osseous abnormality is detected.	56772423	INDICATION: Hypotension and abdominal pain. COMPARISON: ___. TECHNIQUE: Portable supine frontal radiograph of the chest.	No acute cardiopulmonary process.
11622905	Portable frontal chest radiograph demonstrates a right internal jugular central venous catheter in unchanged position. As compared to prior chest radiographs from earlier today, there is interval worsening of mild to moderate pulmonary edema. Opacity abutting the minor fissure could reflect aspiration. No large pleural effusion noted. The cardiomediastinal and hilar contours are within normal limits.	55747205	WET READ: ___ ___ ___ 10:23 PM 1. Worsening mild to moderate pulmonary edema. 2. New opacity abutting the minor fissure could reflect aspiration. ______________________________________________________________________________ FINAL REPORT HISTORY: New hypoxia. Question fluid overload. COMPARISON: Prior chest radiographs from ___.	Worsening mild to moderate pulmonary edema. New opacity abutting the minor fissure could reflect aspiration.
11770024	Frontal and lateral views of the chest demonstrate no focal area of consolidation to suggest pneumonia. There is a probable tiny left pleural effusion. The cardiomediastinum and hilar contours are stable. There is no pneumothorax.	51886227	INDICATION: ___ year old woman with cough and weakness, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.	No evidence of pneumonia.
11770024	AP upright portable view of the chest were obtained. There is minimal bibasilar atelectasis, although small component of underlying aspiration could be present. Lingular atelectasis/scarring is seen. Subtle 2-3 mm nodular opacity projecting over the lateral right lung base over the anterior right fifth rib is stable since the prior study from ___. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.	52430662	EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Weakness on left side. COMPARISON: ___.	Basilar atelectasis with possible underlying aspiration. Otherwise, no acute cardiopulmonary process.
11770024	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen along the spine. There is minimal anterior wedging of a mid thoracic vertebral body, stable. There are degenerative changes at the shoulder and acromioclavicular joints. The humeral heads appear high riding, which can be seen in rotator cuff disease, as also seen on the prior study.	59495257	EXAM: Chest AP upright and lateral views. CLINICAL INFORMATION: Fall several days ago with pain. COMPARISON: ___.	No acute cardiopulmonary process.
11168569	There is better aeration of lung fields compared to previous chest radiograph. Previous minimal fluid overload has resolved. The left cardiac device is unchanged in position, and the wires end at the right atrium, right ventricle and left ventricle. No pneumothorax is seen, and the cardiac and mediastinal contours are normal.	50497838	HISTORY: ___-year-old male with coronary artery disease and cardiomyopathy status post biventricular ICD placement. Rule out pneumothorax, evaluate placement. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___.	No pneumothorax. The left BiV-ICD has leads ending in the right atrium, right ventricle, and left ventricle.
11651801	Mild right lower lobe opacity is likely atelectasis. Right hemidiaphragm is elevated. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal size. There is no pneumoperitoneum. A catheter is noted in the right upper abdomen.	52898147	INDICATION: History: ___M with abdominal pain s/p ERCP // Eval for free air TECHNIQUE: Chest PA and lateral COMPARISON: None available	No evidence of pneumoperitoneum.
11651801	The cardiac borders, left hemidiaphragm, and mediastinal contours are normal. There is interval elevation of the right hemidiaphragm with slight costophrenic angle blunting. Posteriorly, overlying the spine, is a wedge-shaped increased opacification.	53696719	EXAMINATION: Chest radiograph INDICATION: ___ year old man with fever // Please evaluate for infiltrate, effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___	Posterior opacification which could represent atelectasis although pneumonia is difficult to exclude in this clinical setting. Slight right costophrenic angle blunting likely represents pleural thickening versus small effusion.
11512496	The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.	56847840	HISTORY: Intermittent chest tightness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. ___ chest CT.	No acute cardiopulmonary process.
11594102	The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear hyperinflated. There is no definite pleural effusion or pneumothorax. Lungs are hyperinflated. Prior bilateral rib fractures appear unchanged. Post-traumatic changes and prior open reduction and fixation of the proximal right humerus, partly visualized, also represent unchanged findings.	51564291	CHEST RADIOGRAPH HISTORY: Suspected COPD exacerbation. Patient with shortness of breath. COMPARISONS: Two days earlier. TECHNIQUE: Chest, portable AP upright.	No definite acute process.
11594102	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 ___. The heart size remains unchanged and is within normal limits. Mild widening and elongation of the thoracic aorta is unaltered. No mediastinal masses are seen. Bilaterally, the lungs demonstrate a rather irregular pulmonary vascular distribution coinciding with multiple areas of increased translucency most marked in the lung bases where they coincide with low positioned and flattened diaphragms. These findings are again indicative of rather advanced COPD/emphysema. Comparison with the previous examination demonstrates increased local markings on the left lung base can be identified on comparison of the lateral views to involve mostly the anterior basal regions, thus representing infiltrates in the periphery of the upper lobe lingula. No new pleural effusion can be identified as the lateral and posterior pleural sinuses are free and there is no evidence of pneumothorax in the apical area.	53497263	TYPE OF EXAMINATION: CHEST PA AND LATERAL. INDICATION: ___-year-old female patient with severe COPD, now with rales on examination. Evaluate for any CHF.	No evidence of cardiac enlargement or pulmonary vascular congestion. General pulmonary findings consistent with advanced COPD as before. A new hazy density in lingula area indicative of exacerbation in this area. Followup examination after successful treatment is recommended in ___ weeks.
11258504	Supine portable chest radiograph was obtained. Endotracheal tube terminates in the mid trachea. Nasogastric tube courses into the stomach and out of view. Right internal jugular catheter terminates in the upper SVC. There is no pneumothorax or pleural effusion. Increasing bibasilar opacities could be due to hypoventilation resulting in atelectasis; however aspiration should be considered. Cardiac size and mediastinal silhouette is unchanged.	50485428	HISTORY: Assess position of the new right IJ catheter. COMPARISON: Chest radiograph from 2 hours prior.	Increasing bibasilar opacities could be due to hypoventilation resulting in atelectasis, however aspiration should be considered.
11258504	NG tube tip is in the stomach. Right IJ line tip is in the SVC. The heart continues to be moderately enlarged and globular in appearance with prominence of the central vasculature. There is no infiltrate.	57198631	HISTORY: Chronic aspiration and pneumonitis status post NG tube placement. COMPARISON: ___.	NG tube in the stomach.
11258504	Endotracheal tube is seen terminating 4 cm above the level of the carina. Enteric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. There are persistent bibasilar opacities, slightly increased on the left, which could be due to a left-sided pleural effusion with atelectasis. Right base atelectasis. The cardiac and mediastinal silhouettes are stable. There are low lung volumes. There is mild central pulmonary vascular engorgement without overt pulmonary edema.	51107661	EXAM: Chest single supine AP portable view. CLINICAL INFORMATION: Intubated with respiratory distress and aspiration. COMPARISON: ___.	Low lung volumes with mild central pulmonary vascular engorgement without overt pulmonary edema. Bibasilar opacities appear increased on the left, possibly representing bibasilar atelectasis with possible pleural effusion on the left.
11258504	New NG tube with the tip in the stomach. The endotracheal tube has been removed. Stable position of right IJ catheter. Otherwise no significant change from the prior radiograph	50372816	WET READ: ___ ___ 9:09 PM New NG tube with the tip in the stomach. The endotracheal tube has been removed. Stable position of right IJ catheter. Otherwise no significant change from the prior radiograph. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: New NG tube. COMPARISON: ___ .	New NG tube with the tip in the stomach.
11258504	Portable AP upright chest radiograph was obtained. The lungs are low in volume with mild bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.	57208874	HISTORY: Respiratory distress. Assess for pneumonia or CHF. COMPARISON: None.	No acute intrathoracic process.
11258504	The cardiomediastinal and hilar contours are stable. The left costophrenic angle is not captured on the image, however there is no large pleural effusion. There is no pneumothorax. Imaged portions of lung fields are clear. Dobbhoff tube is coiled in the stomach with distal tip in the stomach but pointed towards the pylorus. Right IJ catheter is present in unchanged position with tip in the mid SVC.	55492990	WET READ: ___ ___ ___ 5:53 PM Right IJ catheter ends in the low SVC. Dobhoff is coiled in the stomach with its tip near the antrum. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Dobbhoff placement. COMPARISON: Chest radiograph ___, ___.	Dobbhoff with tip in the stomach pointed towards the pylorus. Patient may be positioned right side down to increase likelihood of spontaneous advancement into the duodenum, if desired.
11258504	Lung volumes are reduced. The heart size is mild to moderately enlarged but unchanged. The aorta remains tortuous. Hilar contours are normal. There is no pulmonary vascular congestion. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	52083135	HISTORY: Stroke history, tachycardia. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.	Streaky bibasilar airspace opacities most likely reflect atelectasis, but infection is not completely excluded.
11258504	There is stable mild cardiomegaly. There is mild tortuosity of the aorta, otherwise the hilar and mediastinal contours are unremarkable. No focal consolidations concerning for pneumonia are identified. There is no large pleural effusion or pneumothorax. Note is made of mild bibasilar atelectasis.	51920062	INDICATION: History of fever and tachycardia, please evaluate for pneumonia. COMPARISONS: Multiple chest radiographs dated back to ___, most recently from ___. TECHNIQUE: Single AP portable exam of the chest.	No focal consolidation concerning for pneumonia.
11258504	Lung volumes are lower, which accentuates the bronchovascular structures. Persistent opacification of the left lung base, either atelectasis or aspiration. There may be a small left pleural effusion. There is no pneumothorax or definite pleural effusion. Cardiac and mediastinal contours are unchanged and normal. Endotracheal tube is in satisfactory position, 3.2 cm above the carina. A right internal jugular catheter and enteric tube are proper.	58615842	HISTORY: Recent stroke and aspiration event now intubated. Evaluate ET tube. TECHNIQUE: Portable supine frontal chest radiograph. COMPARISON: Chest radiographs ___ image ___.	Exceedingly low lung volumes with persistent left lung consolidation which could be aspiration, pneumonia or atelectasis depending on the clinical setting.
11738153	There is no focal consolidation, pleural effusion or pneumothorax. Dense circular opacities projecting over the left mediastinum likely represent calcified lymph nodes, which were reportedly present based on the reports for prior imaging studies. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	50525964	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x 1 day, hx bronchitis // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs and CT chest images are not available for review at the time of this dictation. Comparison is made to the report on OMR.	No acute cardiopulmonary process. Probable calcified mediastinal nodes. Correlation with prior chest CT would be helpful when available.
11244468	Overall increased density of the bilateral lung bases is likely secondary to soft tissue attenuation. No definite confluent consolidation is identified. There is no pulmonary edema or large pleural effusion. No pneumothorax is evident. Mediastinal and hilar contours are within normal limits. Apparent enlargement of the cardiac silhouette is likely exaggerated due to lowe lung volumes. Mild elevation of the left hemidiaphragm appears unchanged from prior. A known cystic lesion within the left lower lobe is not apparent on this radiographic examination.	51262581	HISTORY: ___-year-old female with history of decortication of the left lung for pneumonia, now presenting with cough productive of sputum. COMPARISON: Chest radiograph from ___ and chest CT from ___. PA AND LATERAL CHEST	Significant overlying soft tissue attenuation, limiting evaluation, though no definite acute cardiopulmonary process. Lung parenchyma can be more fully evaluated on chest CT which is planned for today.
11244468	A portable frontal chest radiograph again demonstrates a right internal jugular catheter terminating in the mid SVC. The patient has been extubated. Lung volumes remain low with exaggeration of the cardiac silhouette and bronchovascular crowding. Even allowing for this, the heart is enlarged. There is persistent mild pulmonary edema, minimally improved compared to the day prior. Bilateral small pleural effusions, left greater than right, are unchanged. No focal consolidation or pneumothorax is appreciated.	55814634	INDICATION: Evaluate for pulmonary edema or infiltrate in a patient with endometrial cancer status post TAH/BSO, requiring BiPAP over night. COMPARISON: Chest radiographs from ___, ___, ___.	Minimally improved mild pulmonary edema.
11244468	Heart size is top-normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.	58483234	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x4 weeks // please evaluate for pneumonia, sarcoid/hilar lymphadenopathy TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs most recent on ___	No acute cardiopulmonary abnormality.
11731363	The cardiac silhouette size is normal. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are hyperinflated with flattening of the diaphragms and relative lucency within the lung apices compatible with underlying emphysema. No pleural effusion or pneumothorax is identified. On the lateral view, there is a patchy opacity identified in the lower lobe, possibly on the left, which could reflect an area of infection. There are no acute osseous abnormalities.	57343819	HISTORY: Productive cough and dyspnea. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	Subtle opacity within the lower lobe on the lateral view, possibly within the left lower lobe. This could reflect an area of developing infection in the correct clinical setting. Emphysema.
11012141	Cardiac silhouette size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No displaced rib fracture is identified. Mild degenerative changes are noted in the thoracic spine.	50271944	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F status post fall with right pleuritic chest pain and tenderness to palpation over ribs ___ // Please eval for rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality. No displaced rib fracture identified.
11863318	Cardiac silhouette appears slightly decreased compared to the prior study and is within normal limits in size. Interval improvement in pulmonary vascular congestion. No new focal areas of consolidation, or evidence of pleural effusion or pneumothorax. Assessment of retrosternal area on lateral view is limited by suboptimal positioning of the patient's arms related to the patient's inability to lift the arm in the setting of recent fracture. Vascular catheter is unchanged in position.	59354416	PA AND LATERAL CHEST OF ___ COMPARISON: Chest x-ray ___.	No radiographic evidence of acute cardiopulmonary process.
11863318	This study is essentially unchanged from prior. The lung volumes are stably low. There are no pleural effusions. There is stable mild-to-moderate pulmonary edema. No evidence of pneumonia. NG tube is observed again in place and unchanged in position.	59743257	INDICATION: A ___-year-old male admitted for cirrhosis, acute kidney injury, and symptoms suspicious for sepsis. COMPARISON: Portable AP semi-erect chest radiograph of ___. TECHNIQUE: Portable supine chest radiograph.	The study is essentially unchanged from prior. No evidence of pneumonia.
11863318	The NG tube is seen appropriately placed entering the GE junction coursing into the body of the stomach and possibly entering the antrum; however, this is not completely visualized in the field of view. Pulmonary edema seen in previous radiograph is unchanged. No pleural effusion or pneumothorax is identified.	56440064	WET READ: ___ ___ ___ 8:36 PM NGT in the body of the stomach. Mild-moderate pulmonary edema, similar. ______________________________________________________________________________ FINAL REPORT INDICATION: A ___-year-old man with altered mental assess, acute kidney injury, liver cirrhosis. Status post NG tube placement. COMPARISON: ___, earlier the same day. TECHNIQUE: AP upright portable radiograph of the chest.	Appropriately placed NG tube. Unchanged pulmonary edema.
11863318	PA and lateral views of the chest were provided. The dialysis catheter is unchanged with tip residing in the region of the right atrium. An electronic device is again seen projecting over the left chest wall. The heart is top normal in size. There is no evidence of pneumonia or CHF. No large effusion is seen. There is a tiny right effusion. Mediastinal contour is stable. Bony structures are intact.	59061789	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Hypotension and shortness of breath.	Top normal heart size and tiny right pleural effusion.
11863318	Again seen is an electronic device projecting over the left lower anterior chest. A right internal jugular central line terminates in the right atrium. The heart is again moderately enlarged, stable in size compared to the prior exam. There is no pleural effusion or pneumothorax. Minimal fluid overload is suspected; however, this is similar to the prior radiograph. Degenerative changes are again seen along the lower thoracic spine.	51794943	INDICATION: History of syncope, likely volume overload. Eval for COPD/consolidations. COMPARISON: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.	No evidence of pneumonia.
11863318	Frontal and lateral views of the chest. Dual lumen right-sided central venous catheter seen with distal tip in the right atrium. There has been improvement of the previously seen pulmonary vascular congestion which is still present. There is no consolidation or pleural effusion. Cardiac silhouette is unchanged. No acute osseous abnormalities detected.	53173643	HISTORY: ___-year-old male with elevated white blood cell count. COMPARISON: ___.	Mild pulmonary vascular congestion, improved since prior. No evidence of consolidation.
11863318	An electronic device projecting over the left lower anterior chest presumably lies outside of the patient. A right internal jugular central venous catheter terminates in the right atrium. The heart is again mild to moderately enlarged. There is no pleural effusion or pneumothorax. Minimal fluid overload is suspected, similar to slightly increased since the prior radiographs, but not substantial. Moderate degenerative changes are similar along the lower thoracic spine.	58951731	CHEST RADIOGRAPHS HISTORY: Syncope. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	Findings suggesting slight fluid overload, but not much, if at all, different than baseline. Cardiomegaly. Electronic device presumably lying outside of the patient.
11514853	No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.	54390282	HISTORY: Weakness. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11712849	Lung volumes are low. Heart size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise grossly unremarkable. No overt pulmonary edema is present. Patchy opacities are seen in both lung bases as well as a linear opacity within the right mid lung field, likely reflective of atelectasis. No large pleural effusion or pneumothorax is present. No displaced fractures are clearly identified.	51147646	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall from wheelchair, SAH and SDH on CT scan TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___	Low lung volumes with bibasilar atelectasis. No acutely displaced fractures visualized.
11465959	Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. No pulmonary vascular congestion is present. Remote right-sided rib fractures are identified.	56102683	EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with massive right lower extremity DVT and no pulmonary symptoms TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	No acute cardiopulmonary abnormality.
11194322	Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.	51228414	HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality.
11194322	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.	51296658	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chills, n/v/d // PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11387438	The lungs demonstrate relatively low lung volumes with probable right basilar atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	58757619	WET READ: ___ ___ 8:36 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: ___F with cough, sore throat // eval for pneumonia TECHNIQUE: Chest AP and lateral COMPARISON: Comparison is made chest radiographs from ___.	No acute cardiopulmonary process.
11387438	PA and lateral views of the chest demonstrate normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.	56666609	CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISON: CT chest from ___.	No evidence of acute cardiopulmonary abnormality.
11077199	The inspiratory lung volumes are appropriate. The interstitial markings of the lungs are normal with interval resolution of pulmonary edema from ___. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits.	57428835	INDICATION: ___-year-old male with atrial fibrillation on warfarin now with hemoptysis, here to evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Chest radiograph, last performed on ___.	No acute cardiopulmonary pathology. Interval resolution of pulmonary edema from ___.
11077199	Heart size is mildly enlarged. The mediastinal contours are unremarkable. There is moderate pulmonary edema with perihilar haziness and vascular indistinctness, slightly more pronounced on the right compared to the left. A moderate right pleural effusion and trace left pleural effusion are present. Patchy right basilar opacity may reflect atelectasis though superimposed infection is not excluded. No pneumothorax is present. There are no acute osseous abnormalities.	54557943	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest CT ___, chest radiograph ___	Moderate pulmonary edema and bilateral pleural effusions, moderate on the right and trace on the left. Patchy right basilar opacity may reflect compressive atelectasis however infection cannot be excluded and followup radiographs after diuresis are recommended.
11440070	Aside from bilateral infrahilar opacities likely representing atelectasis, there is no pleural effusion or focal consolidation. Heart size is within normal limits given the portable technique. Lung volumes are low. Small pneumothorax and right lateral rib fractures are better appreciated on the concurrent CT of the torso.	53361114	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male status post trauma, with pneumothorax. TECHNIQUE: Portable chest radiograph COMPARISON: CT of the torso obtained concurrently	Traumatic findings of right pneumothorax and right lateral rib fractures are better seen on the concurrent CT of the torso.

11045233

There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Mild multilevel degenerative changes of visualized thoracic spine are noted.

53261242

WET READ: ___ ___ ___ 4:35 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with intermittent episodes lightheadedness, shortness of breath ; found to be in atrial flutter at PCP sent for further evaluation, evaluate for consolidation or cardiomegaly. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11581260

Single frontal image of the chest again demonstrates large right upper lobe and right middle lobe masses, consistent with multiple previous chest studies and known history of metastatic melanoma to the lungs. There has been interval development of right upper lobe and right lower lobe hazy opacities, which could represent atelectasis or layering pleural effusion; however, in the appropriate clinical context, a developing pneumonia cannot be excluded. The left lung is again seen to be clear with no pleural effusion on the left. The cardiomediastinal silhouette appears to be unchanged, but visualization is limited due to adjacent right lung opacities.

54235194

INDICATION: ___-year-old female with known melanoma metastatic to the lung, now with new oxygen requirement and tachycardia. COMPARISON: Comparison is made with chest radiographs from ___, ___, ___, ___, and CTA chest from ___.

Interval development of right upper lobe and right lower lobe opacities, likely representing layering pleural effusion with a component of atelectasis, but in the appropriate clinical context, cannot exclude a developing pneumonia. These findings were made at 10:20 a.m. on ___ and communicated to the patient's clinical team at 10:20 a.m. on ___ by telephone.

11581260

There is a similar right upper paramediastinal mass as well as a right perihilar mass, compared to prior radiographs, although small differences would be difficult to evaluate and would be better followed by CT imaging. The heart is at the upper limits of normal size. There is similar mild relative elevation of the right hemidiaphragm compared to the left. Although patchy opacities are present in the lower lungs, these are vague and streaky, most suggestive of minor atelectasis. There is no definite pleural effusion or pneumothorax.

54454730

CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: Chest radiograph from ___ and more recent chest CT from ___. TECHNIQUE: Chest, portable AP upright.

No definite evidence of acute disease.

11581260

A single portable frontal chest radiograph was obtained. Lung volumes are low. A large right paratracheal mass is grossly unchanged since ___. A mass in the right major fissure is similar. The moderate right pleural effusion is similar. Cardiomegaly is unchanged. There is no pneumoperitoneum.

56295190

HISTORY: ___-year-old with metastatic melanoma, lower abdominal pain and lower GI bleed. Evaluate for free air. COMPARISON: ___ - ___. Chest CT ___.

No pneumoperitoneum. Extensive metastatic myeloma is grossly similar to priors.

11213682

Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. The mediastinal contour is likely within normal limits. There is crowding of the bronchovascular structures but no pulmonary edema is demonstrated. Streaky opacities in the lung bases likely reflect atelectasis. Infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Single ___ rod is seen within the thoracolumbar spine which demonstrates a moderate S-shaped scoliosis.

55892669

HISTORY: Mental retardation with productive cough, seizures. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None.

Low lung volumes with patchy bibasilar opacities, likely atelectasis. Please note that infection however is not completely excluded.

11213682

Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures without overt pulmonary edema. Retrocardiac patchy opacity may reflect atelectasis, but infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Single ___ rod is seen within the thoracolumbar spine which demonstrates moderate S-shaped scoliosis as before.

50208744

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

Patchy left basilar opacity, possibly atelectasis but infection cannot be excluded.

11608108

Frontal and lateral radiographs of the chest demonstrate a left chest wall port with the catheter terminating at the cavoatrial junction. There has been no change in the catheter placement since the prior radiograph. Otherwise, the lungs are clear, and the heart, hilar and mediastinal contours are normal. No pleural abnormality is detected.

55641368

HISTORY: Metastatic breast cancer with a port with no blood return. Confirm port placement. COMPARISON: ___.

Stable appearance of left chest wall port with catheter terminating at the cavoatrial junction. These findings were relayed to Dr. ___ at 9:57 a.m.

11595446

Cardiomegaly has improved. The mediastinal silhouette is normal. The bilateral lower lobe opacities have improved. There is small pleural effusion on the right that has improved from prior. The previously seen right apical pneumothorax has resolved. The left pectoral transvenous pacemaker is position with leads in the right atrium and right ventricle. The sternotomy wires are unchanged. No fractures.

58885327

INDICATION: ___ year old man s/p R VATS wedge // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___

Improved bilateral lower lobe opacities and resolution of right apical pneumothorax. Persistent small right pleural effusion.

11131279

In comparison to ___ study the cardiomediastinal silhouette is stable. The hila and pleura are unremarkable. Again seen are multiple left-sided rib fractures and a displaced left clavicular fracture. There is a line along right apical lung which could represent a small pneumothorax though likely could be a finding secondary to displaced rib fragments. There is left basilar atelectasis with overlying opacity which could represent developing superimposed pneumonia in the right clinical setting.

56521978

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with rib fx and L PTX // Questions to be answered: eval for interval change of PTX vs PNA TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___

Stable left rib and displaced clavicular fractures with possible adjacent pneumothorax. Increased left basilar atelectasis with concern for developing superimposed pneumonia of the left lower lobe.

11131279

Multiple left-sided rib fractures as well as a displaced left clavicular fracture are again noted. No discrete pneumothorax is visualized however there is fluid noted over the left lung apex which may reflect a hydropneumothorax. No focal consolidation. The right lung is clear. The size the cardiac silhouette is within normal limits.

53382189

INDICATION: ___ year old man with rib fx and L PTX // eval for interval change. Please obtain at ___ TECHNIQUE: AP portable chest radiograph COMPARISON: Chest radiograph from earlier today

Trace left apical possible hydropneumothorax. No focal consolidation.

11131279

The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. There is re- demonstration of multiple left-sided anterior rib fractures and a displaced left clavicular fracture with probable underlying hematoma. There is re- demonstration of a right apical pneumothorax without evidence of tension pneumothorax. Interval improvement of left lower lobe is seen with stable Send left pleural effusion.

56382556

EXAMINATION: Expiratory standing chest x-ray PA and lateral INDICATION: ___ helmeted cyclist struck by car tx from ___ with multiple L sided rib fractures, communited L clavicle fracture, L hip anterior acetabular fracture, small apical PTX // please obtain standing end expiratory films TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___ and ___.

Stable left rib and displaced clavicular fractures with likely underlying hematoma and stable pneumothorax without mediastinal shift.

11318785

There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable. The imaged upper abdomen is unremarkable.

54580625

HISTORY: Syncope, palpitations and chest pain. Evaluate for pneumonia heart failure. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11967131

The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. No subdiaphragmatic free air is seen.

58669674

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with left sided chest pain and left lower quadrant pain. Evaluate for free air. TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary process.

11646421

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There is mild bibasilar atelectasis. Blunting of the left costophrenic angle is likely secondary to pleural thickening, as seen on prior CT. Heart and mediastinal contours are stable with rightward shift of the trachea secondary to enlarged left lobe of the thyroid, as seen previously. The aorta is tortuous and calcified.

57144706

INDICATION: ___-year-old female with intermittent chest pain and left neck and arm pain. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.

No radiographic evidence for acute cardiopulmonary process.

11486456

Left lower lobe opacity is improving peripherally, but appears more confluent in the central left retrocardiac region. Lungs are otherwise clear, and there are no definite pleural effusion. Cardiomediastinal contours are normal.

53530211

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with delirium, CXR c/f pulm infiltrate // interval imaging COMPARISON: ___

Worsening left retrocardiac opacity, which may be due to atelectasis, aspiration, or developing infection.

11005736

Since the prior chest radiograph, there has been no appreciable difference in the size of the known left pneumothorax. No mediastinal shift or diaphragmatic depression. The lungs are otherwise clear.

50605423

INDICATION: ___ year old man with spontaneous PTX s/p chest tube removal, had enlarging ptx post pull // ?status of PTXCXR at ___ thanks TECHNIQUE: Chest PA and lateral COMPARISON: ___ from earlier in the day

Unchanged moderate left pneumothorax.

11005736

In comparison with a prior chest x-ray dated ___ there is now a reaccumulation of pneumothorax with left-sided pigtail chest tube overlying interface of long and pleural space and associated subsequent mild rightward mediastinal shift. The right lung appears well aerated and clear. The cardiomediastinal silhouette is normal and unchanged.

53108230

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with L spont PTX // check interval changewith CT on waterseal TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___

Interval reaccumulation of pneumothorax and subsequent mild rightward mediastinal shift when compared to most recent study

11005736

Patient is status post left blebectomy and pleurodesis with postoperative changes seen at the left lung apex. Previous left pneumothorax has resolved. There is no pleural effusion. Previous small right apical pneumothorax, unrecognized on ___, has almost completely resolved, not clinically significant. The cardiomediastinal silhouette is normal. The hila and pleura unremarkable. No focal consolidations or pleural effusions are seen.

55160998

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___YM s/p VATS blebectomy and pleurodesis // please eval for interval change TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___.

Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.

11005736

AP portable upright view of the chest. There is a large left-sided pneumothorax with significant collapse of the left lung. There is minimal tracheal deviation to the right though no convincing signs of tension pneumothorax. No pleural effusion. Right lung is clear. Heart size is normal. Bony structures intact.

57108043

WET READ: ___ ___ 12:35 PM Large left pneumothorax, no convincing signs of tension. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with chest pain, decreased breath sounds // ?ptx COMPARISON: None

Large left pneumothorax, no convincing signs of tension.

11005736

AP portable upright view of the chest. There has been interval placement of a left-sided pigtail chest tube with significant re-expansion of the left lung. There is persistent trace left apical pneumothorax seen. Right lung remains well aerated. Cardiomediastinal silhouette is unremarkable. Bony structures are intact.

53761646

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with pneumothorax s/p pigtail COMPARISON: Prior exam from earlier today

Interval placement of the left pigtail chest tube with near complete reexpansion of the left lung with only trace persistent left apical pneumothorax.

11137490

Unchanged, calcific hilar nodes. Normal cardiomediastinal contours. Fully expanded, clear lungs with interval resolution of right basilar process. Normal pleural surfaces.

56855956

EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of chronic lung disease from M. ___ infection, now with cough for 1 month since return from ___. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___ and ___.

No pneumonia. Central nodal calcification denotes remote granulomatous infection; no evidence of active infection.

11137490

PA and lateral views of the chest are provided. The left lung is clear. Subtle opacity is seen within the right lower lung which could represent loculated fissural fluid given its appearance on the lateral projection. Otherwise, the lungs appear clear. Cardiomediastinal silhouette appears normal. Calcified mediastinal lymph nodes are noted. Bony structures are intact. Air-filled loops of large bowel seen beneath the right hemidiaphragm.

56340165

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old man status post pedestrian struck by car with left rib and back pain.

Fissural fluid, likely accounts for subtle opacity at the right lung base. Otherwise, unremarkable.

11137490

Heart size is normal. Calcified right hilar lymph nodes are compatible prior granulomatous disease. The mediastinal and hilar contours are otherwise unchanged. Lungs are hyperinflated with mild upper lobe predominant emphysema again noted. Patchy opacity in the right lung base is new and concerning for pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

58943411

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath, wheezing // pneumonia? TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___, CT chest ___

Patchy opacity in the right lung base concerning for pneumonia. Mild upper lobe predominant centrilobular emphysema.

11137490

Frontal and lateral views of the chest. There is subtle increased reticular markings at the right lung base laterally which appear chronic. The lungs are clear of new consolidation or large effusion. There may be some residual fluid within the right major fissure inferiorly. Calcified granuloma at the right lung base. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

53187434

CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with shortness of breath and wheezing. COMPARISON: Chest x-ray from ___, and chest CT from ___.

No acute cardiopulmonary process.

11137490

Lungs are overinflated, with diffuse hyperlucency, flattening of the diaphragms, and widening of the retrosternal clear space. Streaky opacities in the right lower lobe are improved from prior examination. No pleural effusions or pneumothorax. Heart size is normal. Multilevel degenerative changes in the thoracic spine.

55292437

INDICATION: ___-year-old male with cough and dyspnea. COMPARISON: ___. CHEST, PA AND

Resolving right lower lobe pneumonia. Chronic obstructive airways disease.

11299326

Frontal and lateral chest radiographs again demonstrate multiple clips projecting over the left hemithorax. The cardiomediastinal silhouette is normal and the lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

52690623

INDICATION: Evaluate for acute intrathoracic process in a patient with pain on deep inspiration. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___.

No acute cardiopulmonary process.

11299326

Surgical clips project over the left hemithorax. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

53511373

WET READ: ___ ___ 4:56 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with cough // Rule out pneumonia TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11283702

Bibasilar atelectatic changes are noted, but the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at upper limits of normal. No acute fractures are identified.

54575207

INDICATION: Syncope. COMPARISON: None available.

No acute cardiopulmonary process.

11251715

PA and lateral views of the chest provided. In this patient with chronic interstitial lung disease, the overall pattern of peripheral reticular opacity is unchanged. There is no definite evidence for a superimposed pneumonia. No large pleural effusion or pneumothorax is seen. The heart is unchanged in size. Mediastinal contour appears unchanged. Bony structures are intact. Tiny clips project over the right upper quadrant.

53871616

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with weakness COMPARISON: Prior exam dated ___, and ___.

Interstitial lung disease without convincing signs of superimposed pneumonia.

11251715

In the short interval from prior exam, the interstitial markings are ill-defined and prominent compatible with interstitial pulmonary edema. Hilar congestion is also new in the interval. Patient is known to have background fibrosis. No large effusions or pneumothorax. No acute bony abnormalities. Clips noted in the upper abdomen.

54870278

EXAMINATION: CHEST AP and lateral INDICATION: ___M with recent e.coli bacteremia; p/w ? allergic recation. Evaluate for cardiopulmonary process. TECHNIQUE: AP upright and lateral COMPARISON: Chest radiograph ___.

Pulmonary fibrosis now with superimposed pulmonary edema.

11251715

Again seen are prominent interstitial markings compatible with known interstitial lung disease. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Surgical clips are seen in the right upper quadrant.

55669955

EXAMINATION: Chest radiograph. INDICATION: ___ year old man with HCC, here with cough and generalized weakness, fevers, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

Background interstitial lung disease without superimposed focal consolidation.

11251715

There is left lower lobe opacity, new since ___. Small to moderate right pleural effusion is also new. There is background interstitial lung disease. Cardiac silhouette is within normal size.

54797436

EXAMINATION: Chest radiograph INDICATION: ___ year old man with h/o hemochromatosis c/b HCC who presented to OSH for confusion and lethargy, found to have bacteremia. Also c/o acute on chronic SOB. Per OSH CXR report, "questionable LLL infiltrate with significantly elevated R hemidiaphragm" // Presence of pneumonia, pleural effusion, or pulmonary edema to explain acute on chronic SOB? TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___

Left lower lobe opacity and mild to moderate right pleural effusion are new since ___. Background interstitial lung disease is again noted.

11251715

The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There is no pleural effusion or pneumothorax. Moderate interstitial changes associated with known interstitial lung disease appear not significantly. There is no definite superimposed process.

55613555

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea on exertion. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.

Stable findings associated with moderately severe interstitial disease.

11747903

Normal cardiomediastinal and hilar contours. Interstitial opacities at the costophrenic angles bilaterally, new since the remote prior study from ___. No pneumothorax or pleural effusion. Degenerative changes throughout the thoracic spine. There is no free intraperitoneal air.

59447854

WET READ: ___ ___ ___ 11:20 AM New, interstitial, bibasilar opacities since ___ could represent a chronic interstitial process; however, acute infection is also possible. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with epigastric and chest pain. Evaluate for an acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral. COMPARISON: Chest radiograph from ___.

New, interstitial, bibasilar opacities since ___ could represent a chronic interstitial process; however, acute infection is also possible.

11977522

The lungs are hyperexpanded with flattening of the hemidiaphragms compatible with known emphysema. Bilateral interstitial opacities have improved since ___. Heart size is normal. There is dilation and tortuosity of the thoracic aorta with a known saccular aneurysm of the arch. There is no large pleural effusion or pneumothorax. An abdominal aortic stent is partially visualized in the upper abdomen.

59149901

INDICATION: History: ___M with SOB // eval for PNA TECHNIQUE: Portable AP chest COMPARISON: Chest radiographs ___ through ___. CTA torso ___.

Interval improvement of bilateral interstitial opacities. Emphysema.

11977522

Hyperinflated lungs consistent with emphysema. Increased interstitial markings and prominence of the pulmonary vasculature are concerning for early heart failure. No pleural effusion or pneumothorax identified. The cardiac and mediastinal contours are stable. A lobulation of the aortic contour corresponds to a saccular aneurysm of the aortic arch that is better characterized on the prior CT chest.

53217813

CLINICAL INDICATION: Dyspnea, crackles bilaterally. Evaluate for congestive heart failure. COMPARISON: Chest radiograph ___. Chest CT ___. UPRIGHT FRONTAL VIEW OF THE

Prominent interstitial markings, peribronchial cuffing and cephalization concerning for early heart failure.

11240073

The lungs are well expanded. New patchy opacities in the right lower lung are concerning for pneumonia. There may be a more subtle streaky opacity in the left lower lung although this may represent prominent vascular markings. Cardiomediastinal and hilar contours unremarkable. There is no cardiomegaly. There is no pleural effusion pneumothorax.

52256937

EXAMINATION: FRONTAL AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with fever. Evaluate for evidence of pneumonia. TECHNIQUE: AP and lateral chest radiographs COMPARISON: Chest radiograph from ___ and ___.

Findings compatible with right lower lobe pneumonia.

11240073

Interval resolution of right lower lobe pneumonia. Bilateral apical pleural thickening, increased on the left since ___, could represent an apical tumor. Normal cardiomediastinal and hilar contours. Fully expanded, clear lungs.

59015281

EXAMINATION: Chest radiograph INDICATION: ___-year-old man with recent right lower lobe pneumonia and weight loss. Evaluate for resolution of pneumonia and evidence of malignancy. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recent from ___.

Interval resolution of right lower lobe pneumonia. Apparent, asymmetric, apical pleural thickening could reflect a left apical tumor. Consider CT chest for further evaluation of the left apex.

11214411

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

54554214

EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with cough // acute process? acute process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available.

No acute cardiopulmonary process.

11730127

Apices not included on this study. Heart size is enlarged, which may be due to patient positioning. Mild bibasilar opacities, possibly representing aspiration. There is no pneumothorax or large pleural effusion. There is no acute osseous abnormality.

59818971

INDICATION: ___F with found down, evaluate for pneumonia.. COMPARISON: None Available. TECHNIQUE Portable view of the chest.

Enlarged cardiac silhouette may be secondary to positioning. Bibasilar opacities could be secondary atelectasis although aspiration pneumonia is possible.

11682251

Single portable view of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits for technique. Slightly tortuous thoracic aorta seen with atherosclerotic calcifications. Mitral annular calcifications are also seen. Based on this non-dedicated exam, there is apparent anterior dislocation of the right glenohumeral joint.

52551033

WET READ: ___ ___ 11:02 AM no acute cardiopulmonary process. apparent anterior dislocation of the right glenohumeral joint. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST, ___. HISTORY: ___-year-old female with fever. Question pneumonia. COMPARISON: None.

No acute cardiopulmonary process. Apparent anterior dislocation of the right glenohumeral joint.

11682251

Single AP portable view of the chest was obtained. Subtle perihilar opacities suggest mild vascular engorgement. However, there is subtle patchy opacity over the right upper hemithorax, and underlying infection at this location is not excluded. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are similar with the cardiac silhouette mildly enlarged. No pneumothorax.

57215980

EXAM: Chest single AP portable view. CLINICAL INFORMATION: Dyspnea. COMPARISON: ___ as well as ___.

Subtle patchy lateral right upper lung opacity could be due to infection in the appropriate clinical setting. Perihilar haziness may be due to mild fluid overload.

11682251

Single portable chest radiograph demonstrates Diffuse faint symmetric opacifications; in setting of slight interval increase size of cardiac silhoutette as well as a more prominet azygous vein, findings likely represent early fluid overload. Hilar contours are unchanged. No pleural effusion or pneumothorax identified.

56484364

INDICATION: End-stage dementia, increased work of breathing, and hypoxia. Concern for pneumonia versus aspiration. COMPARISON: Comparison is made to chest radiograph performed ___.

Faint diffuse bilateral lung opacification in setting of increased cardiomegaly and prominent central vessels suggests early fluid overload.

11682251

The lung volumes are low, though there is no focal airspace opacity or evidence of pulmonary edema. There is no pleural effusion or pneumothorax. The aorta is tortuous and calcified, similar to the prior exam. The heart size is at the upper limits of normal. Again, there is dislocation of the right humerus with a displaced fracture through the mid shaft. This is unchanged from the prior exam.

52751885

INDICATION: End-stage dementia and low-grade temperature. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single AP semi-upright view of the chest was obtained.

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

11682251

The cardiac, mediastinal and hilar contours appear unchanged including moderate unfolding of the thoracic aorta. The heart is at the upper limits of normal size. There is no definite pleural effusion or pneumothorax. Air bronchograms can be seen in the medial retrocardiac region which may indicate a subtle left lower lobe opacity. The right humerus shows apparent inferior positioning compared to the glenoid consistent with chronic dislocation not significantly changed since earlier studies.

56611052

CHEST RADIOGRAPHS HISTORY: Altered mental status. Non-verbal. COMPARISONS: ___, and ___. TECHNIQUE: Chest, AP and lateral.

Medial left basilar opacity suggested by vague opacity with air bronchograms, but not well evaluated. Atelectasis but potentially pneumonia could be considered, although this finding is not a definite source for infection.

11322609

The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is mild peribronchial cuffing. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

59122464

WET READ: ___ ___ ___ 5:44 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with dyspnea, chest pain*** WARNING *** Multiple patients with same last name! // acute process TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___

Mild peribronchial cuffing can be seen in the setting of reactive airways disease. No acute cardiopulmonary abnormality.

11097779

Frontal and lateral views of the chest obtained. On the lateral view, the right PIC catheter tip projects over the upper arm. Lungs are clear without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pleural effusion.

55807780

INDICATION: Assess for right PIC catheter position. COMPARISONS: Chest radiograph of ___.

Right PIC catheter tip intervally retracted with tip now projecting over right upper arm.

11097779

The heart size is normal. The mediastinal and hilar contours are within normal limits. Within the left lung base, a new streaky airspace opacity is demonstrated and is nonspecific, and could reflect an area of infection and/or atelectasis. No pleural effusion or pneumothorax is present. The right lung is clear. There is minimal scarring within the lung apices. There are no acute osseous abnormalities.

56769453

HISTORY: Pleuritic chest pain and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Streaky opacity within the left lung base, new from the prior exam, which could reflect infection and / or atelectasis.

11421414

Mild enlargement of cardiac silhouette is present. The aorta is diffusely calcified and tortuous. The pulmonary vasculature is not engorged. Patchy opacities in lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine. Bilateral remote posterior rib fractures are noted.

51635033

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with lethargy TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

Patchy atelectasis in the lung bases.

11673319

There is left lower lobe consolidation. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Chronic deformity of the posterior left eighth rib is noted.

56919455

WET READ: ___ ___ ___ 3:39 PM Left lower lobe consolidation compatible with pneumonia. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough, bodyaches, ili // ?pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

Left lower lobe consolidation compatible with pneumonia. Recommend repeat after treatment to document resolution.

11110395

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

51038543

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

No acute cardiopulmonary process.

11110395

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.

55252543

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

No acute cardiopulmonary abnormality.

11868338

The patient is rotated somewhat to the right. Enlarged cardiomediastinal silhouette is stable. No focal consolidation is seen. There is no pleural effusion. No pneumothorax is seen. The hilar contours are stable.

51437157

FINAL ADDENDUM The history should state AFib, asthma presenting with wheezing, hypoxia. ______________________________________________________________________________ FINAL REPORT HISTORY: AFib, absent presenting with wheezing, hypoxia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

Surgical clips are noted in the right upper quadrant. No significant interval change.

11868338

Lung volumes remain low. In comparison to prior technically limited study, there is new density projecting over the left base though this appears to reflect crowding of the pulmonary vasculature in the setting of low lung volumes. There is no significant change from prior study including no convincing evidence of pneumonia. There is no effusion or pneumothorax. The lungs remain otherwise well aerated. Hilar and cardiomediastinal contours are unchanged, with mild cardiomegaly exaggerated by low lung volumes. There is no pulmonary vascular congestion or edema. Degenerative changes are seen in the thoracic spine. Surgical clips are seen in the right upper quadrant.

57325311

INDICATION: ___-year-old female with persistent cough. Evaluate for pneumonia. COMPARISON: ___. PA AND LATERAL

No significant change from prior study including no convincing evidence of pneumonia. Retrocardiac opacity likely reflects crowding of the pulmonary vasculature, though if there is ongoing concern for infection, follow-up radigraphs could be obtained.

11868338

Moderately severe cardiomegaly is similar to prior. Upper mediastinal contours are stable. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

59117121

INDICATION: ___F with complaints of feeling unwell, unable to obtain accurate history // Please evaluate for any PNA COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest.

Moderately severe cardiomegaly. No focal consolidation.

11457254

PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. A trace left pleural effusion is seen only on the lateral view. There is no pneumothorax and pulmonary vascularity is normal. Bowel gas pattern in the upper abdomen is nonspecific. There is no evidence of pneumoperitoneum.

50919811

INDICATION: New left-sided pain on deep inspiration in a patient with left mid ureteral injury, now status post percutaneous nephrostomy tube placement. COMPARISON: None available.

Trace left pleural effusion without acute parenchymal abnormality.

11622905

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are seen in the right upper quadrant. No evidence of free air is seen underneath the diaphragms.

50404394

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Breast cancer, on chemotherapy, presenting with left upper quadrant pain and cough. COMPARISON: ___.

No acute cardiopulmonary process.

11622905

The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. Multiple surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy. No acute osseous abnormality is detected.

56772423

INDICATION: Hypotension and abdominal pain. COMPARISON: ___. TECHNIQUE: Portable supine frontal radiograph of the chest.

No acute cardiopulmonary process.

11622905

Portable frontal chest radiograph demonstrates a right internal jugular central venous catheter in unchanged position. As compared to prior chest radiographs from earlier today, there is interval worsening of mild to moderate pulmonary edema. Opacity abutting the minor fissure could reflect aspiration. No large pleural effusion noted. The cardiomediastinal and hilar contours are within normal limits.

55747205

WET READ: ___ ___ ___ 10:23 PM 1. Worsening mild to moderate pulmonary edema. 2. New opacity abutting the minor fissure could reflect aspiration. ______________________________________________________________________________ FINAL REPORT HISTORY: New hypoxia. Question fluid overload. COMPARISON: Prior chest radiographs from ___.

Worsening mild to moderate pulmonary edema. New opacity abutting the minor fissure could reflect aspiration.

11770024

Frontal and lateral views of the chest demonstrate no focal area of consolidation to suggest pneumonia. There is a probable tiny left pleural effusion. The cardiomediastinum and hilar contours are stable. There is no pneumothorax.

51886227

INDICATION: ___ year old woman with cough and weakness, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.

No evidence of pneumonia.

11770024

AP upright portable view of the chest were obtained. There is minimal bibasilar atelectasis, although small component of underlying aspiration could be present. Lingular atelectasis/scarring is seen. Subtle 2-3 mm nodular opacity projecting over the lateral right lung base over the anterior right fifth rib is stable since the prior study from ___. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.

52430662

EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Weakness on left side. COMPARISON: ___.

Basilar atelectasis with possible underlying aspiration. Otherwise, no acute cardiopulmonary process.

11770024

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen along the spine. There is minimal anterior wedging of a mid thoracic vertebral body, stable. There are degenerative changes at the shoulder and acromioclavicular joints. The humeral heads appear high riding, which can be seen in rotator cuff disease, as also seen on the prior study.

59495257

EXAM: Chest AP upright and lateral views. CLINICAL INFORMATION: Fall several days ago with pain. COMPARISON: ___.

No acute cardiopulmonary process.

11168569

There is better aeration of lung fields compared to previous chest radiograph. Previous minimal fluid overload has resolved. The left cardiac device is unchanged in position, and the wires end at the right atrium, right ventricle and left ventricle. No pneumothorax is seen, and the cardiac and mediastinal contours are normal.

50497838

HISTORY: ___-year-old male with coronary artery disease and cardiomyopathy status post biventricular ICD placement. Rule out pneumothorax, evaluate placement. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___.

No pneumothorax. The left BiV-ICD has leads ending in the right atrium, right ventricle, and left ventricle.

11651801

Mild right lower lobe opacity is likely atelectasis. Right hemidiaphragm is elevated. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal size. There is no pneumoperitoneum. A catheter is noted in the right upper abdomen.

52898147

INDICATION: History: ___M with abdominal pain s/p ERCP // Eval for free air TECHNIQUE: Chest PA and lateral COMPARISON: None available

No evidence of pneumoperitoneum.

11651801

The cardiac borders, left hemidiaphragm, and mediastinal contours are normal. There is interval elevation of the right hemidiaphragm with slight costophrenic angle blunting. Posteriorly, overlying the spine, is a wedge-shaped increased opacification.

53696719

EXAMINATION: Chest radiograph INDICATION: ___ year old man with fever // Please evaluate for infiltrate, effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___

Posterior opacification which could represent atelectasis although pneumonia is difficult to exclude in this clinical setting. Slight right costophrenic angle blunting likely represents pleural thickening versus small effusion.

11512496

The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.

56847840

HISTORY: Intermittent chest tightness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. ___ chest CT.

No acute cardiopulmonary process.

11594102

The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear hyperinflated. There is no definite pleural effusion or pneumothorax. Lungs are hyperinflated. Prior bilateral rib fractures appear unchanged. Post-traumatic changes and prior open reduction and fixation of the proximal right humerus, partly visualized, also represent unchanged findings.

51564291

CHEST RADIOGRAPH HISTORY: Suspected COPD exacerbation. Patient with shortness of breath. COMPARISONS: Two days earlier. TECHNIQUE: Chest, portable AP upright.

No definite acute process.

11594102

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 ___. The heart size remains unchanged and is within normal limits. Mild widening and elongation of the thoracic aorta is unaltered. No mediastinal masses are seen. Bilaterally, the lungs demonstrate a rather irregular pulmonary vascular distribution coinciding with multiple areas of increased translucency most marked in the lung bases where they coincide with low positioned and flattened diaphragms. These findings are again indicative of rather advanced COPD/emphysema. Comparison with the previous examination demonstrates increased local markings on the left lung base can be identified on comparison of the lateral views to involve mostly the anterior basal regions, thus representing infiltrates in the periphery of the upper lobe lingula. No new pleural effusion can be identified as the lateral and posterior pleural sinuses are free and there is no evidence of pneumothorax in the apical area.

53497263

TYPE OF EXAMINATION: CHEST PA AND LATERAL. INDICATION: ___-year-old female patient with severe COPD, now with rales on examination. Evaluate for any CHF.

No evidence of cardiac enlargement or pulmonary vascular congestion. General pulmonary findings consistent with advanced COPD as before. A new hazy density in lingula area indicative of exacerbation in this area. Followup examination after successful treatment is recommended in ___ weeks.

11258504

Supine portable chest radiograph was obtained. Endotracheal tube terminates in the mid trachea. Nasogastric tube courses into the stomach and out of view. Right internal jugular catheter terminates in the upper SVC. There is no pneumothorax or pleural effusion. Increasing bibasilar opacities could be due to hypoventilation resulting in atelectasis; however aspiration should be considered. Cardiac size and mediastinal silhouette is unchanged.

50485428

HISTORY: Assess position of the new right IJ catheter. COMPARISON: Chest radiograph from 2 hours prior.

Increasing bibasilar opacities could be due to hypoventilation resulting in atelectasis, however aspiration should be considered.

11258504

NG tube tip is in the stomach. Right IJ line tip is in the SVC. The heart continues to be moderately enlarged and globular in appearance with prominence of the central vasculature. There is no infiltrate.

57198631

HISTORY: Chronic aspiration and pneumonitis status post NG tube placement. COMPARISON: ___.

NG tube in the stomach.

11258504

Endotracheal tube is seen terminating 4 cm above the level of the carina. Enteric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. There are persistent bibasilar opacities, slightly increased on the left, which could be due to a left-sided pleural effusion with atelectasis. Right base atelectasis. The cardiac and mediastinal silhouettes are stable. There are low lung volumes. There is mild central pulmonary vascular engorgement without overt pulmonary edema.

51107661

EXAM: Chest single supine AP portable view. CLINICAL INFORMATION: Intubated with respiratory distress and aspiration. COMPARISON: ___.

Low lung volumes with mild central pulmonary vascular engorgement without overt pulmonary edema. Bibasilar opacities appear increased on the left, possibly representing bibasilar atelectasis with possible pleural effusion on the left.

11258504

New NG tube with the tip in the stomach. The endotracheal tube has been removed. Stable position of right IJ catheter. Otherwise no significant change from the prior radiograph

50372816

WET READ: ___ ___ 9:09 PM New NG tube with the tip in the stomach. The endotracheal tube has been removed. Stable position of right IJ catheter. Otherwise no significant change from the prior radiograph. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: New NG tube. COMPARISON: ___ .

New NG tube with the tip in the stomach.

11258504

Portable AP upright chest radiograph was obtained. The lungs are low in volume with mild bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

57208874

HISTORY: Respiratory distress. Assess for pneumonia or CHF. COMPARISON: None.

No acute intrathoracic process.

11258504

The cardiomediastinal and hilar contours are stable. The left costophrenic angle is not captured on the image, however there is no large pleural effusion. There is no pneumothorax. Imaged portions of lung fields are clear. Dobbhoff tube is coiled in the stomach with distal tip in the stomach but pointed towards the pylorus. Right IJ catheter is present in unchanged position with tip in the mid SVC.

55492990

WET READ: ___ ___ ___ 5:53 PM Right IJ catheter ends in the low SVC. Dobhoff is coiled in the stomach with its tip near the antrum. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Dobbhoff placement. COMPARISON: Chest radiograph ___, ___.

Dobbhoff with tip in the stomach pointed towards the pylorus. Patient may be positioned right side down to increase likelihood of spontaneous advancement into the duodenum, if desired.

11258504

Lung volumes are reduced. The heart size is mild to moderately enlarged but unchanged. The aorta remains tortuous. Hilar contours are normal. There is no pulmonary vascular congestion. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

52083135

HISTORY: Stroke history, tachycardia. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.

Streaky bibasilar airspace opacities most likely reflect atelectasis, but infection is not completely excluded.

11258504

There is stable mild cardiomegaly. There is mild tortuosity of the aorta, otherwise the hilar and mediastinal contours are unremarkable. No focal consolidations concerning for pneumonia are identified. There is no large pleural effusion or pneumothorax. Note is made of mild bibasilar atelectasis.

51920062

INDICATION: History of fever and tachycardia, please evaluate for pneumonia. COMPARISONS: Multiple chest radiographs dated back to ___, most recently from ___. TECHNIQUE: Single AP portable exam of the chest.

No focal consolidation concerning for pneumonia.

11258504

Lung volumes are lower, which accentuates the bronchovascular structures. Persistent opacification of the left lung base, either atelectasis or aspiration. There may be a small left pleural effusion. There is no pneumothorax or definite pleural effusion. Cardiac and mediastinal contours are unchanged and normal. Endotracheal tube is in satisfactory position, 3.2 cm above the carina. A right internal jugular catheter and enteric tube are proper.

58615842

HISTORY: Recent stroke and aspiration event now intubated. Evaluate ET tube. TECHNIQUE: Portable supine frontal chest radiograph. COMPARISON: Chest radiographs ___ image ___.

Exceedingly low lung volumes with persistent left lung consolidation which could be aspiration, pneumonia or atelectasis depending on the clinical setting.

11738153

There is no focal consolidation, pleural effusion or pneumothorax. Dense circular opacities projecting over the left mediastinum likely represent calcified lymph nodes, which were reportedly present based on the reports for prior imaging studies. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

50525964

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x 1 day, hx bronchitis // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs and CT chest images are not available for review at the time of this dictation. Comparison is made to the report on OMR.

No acute cardiopulmonary process. Probable calcified mediastinal nodes. Correlation with prior chest CT would be helpful when available.

11244468

Overall increased density of the bilateral lung bases is likely secondary to soft tissue attenuation. No definite confluent consolidation is identified. There is no pulmonary edema or large pleural effusion. No pneumothorax is evident. Mediastinal and hilar contours are within normal limits. Apparent enlargement of the cardiac silhouette is likely exaggerated due to lowe lung volumes. Mild elevation of the left hemidiaphragm appears unchanged from prior. A known cystic lesion within the left lower lobe is not apparent on this radiographic examination.

51262581

HISTORY: ___-year-old female with history of decortication of the left lung for pneumonia, now presenting with cough productive of sputum. COMPARISON: Chest radiograph from ___ and chest CT from ___. PA AND LATERAL CHEST

Significant overlying soft tissue attenuation, limiting evaluation, though no definite acute cardiopulmonary process. Lung parenchyma can be more fully evaluated on chest CT which is planned for today.

11244468

A portable frontal chest radiograph again demonstrates a right internal jugular catheter terminating in the mid SVC. The patient has been extubated. Lung volumes remain low with exaggeration of the cardiac silhouette and bronchovascular crowding. Even allowing for this, the heart is enlarged. There is persistent mild pulmonary edema, minimally improved compared to the day prior. Bilateral small pleural effusions, left greater than right, are unchanged. No focal consolidation or pneumothorax is appreciated.

55814634

INDICATION: Evaluate for pulmonary edema or infiltrate in a patient with endometrial cancer status post TAH/BSO, requiring BiPAP over night. COMPARISON: Chest radiographs from ___, ___, ___.

Minimally improved mild pulmonary edema.

11244468

Heart size is top-normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.

58483234

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x4 weeks // please evaluate for pneumonia, sarcoid/hilar lymphadenopathy TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs most recent on ___

No acute cardiopulmonary abnormality.

11731363

The cardiac silhouette size is normal. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are hyperinflated with flattening of the diaphragms and relative lucency within the lung apices compatible with underlying emphysema. No pleural effusion or pneumothorax is identified. On the lateral view, there is a patchy opacity identified in the lower lobe, possibly on the left, which could reflect an area of infection. There are no acute osseous abnormalities.

57343819

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

Subtle opacity within the lower lobe on the lateral view, possibly within the left lower lobe. This could reflect an area of developing infection in the correct clinical setting. Emphysema.

11012141

Cardiac silhouette size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No displaced rib fracture is identified. Mild degenerative changes are noted in the thoracic spine.

50271944

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F status post fall with right pleuritic chest pain and tenderness to palpation over ribs ___ // Please eval for rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality. No displaced rib fracture identified.

11863318

Cardiac silhouette appears slightly decreased compared to the prior study and is within normal limits in size. Interval improvement in pulmonary vascular congestion. No new focal areas of consolidation, or evidence of pleural effusion or pneumothorax. Assessment of retrosternal area on lateral view is limited by suboptimal positioning of the patient's arms related to the patient's inability to lift the arm in the setting of recent fracture. Vascular catheter is unchanged in position.

59354416

PA AND LATERAL CHEST OF ___ COMPARISON: Chest x-ray ___.

No radiographic evidence of acute cardiopulmonary process.

11863318

This study is essentially unchanged from prior. The lung volumes are stably low. There are no pleural effusions. There is stable mild-to-moderate pulmonary edema. No evidence of pneumonia. NG tube is observed again in place and unchanged in position.

59743257

INDICATION: A ___-year-old male admitted for cirrhosis, acute kidney injury, and symptoms suspicious for sepsis. COMPARISON: Portable AP semi-erect chest radiograph of ___. TECHNIQUE: Portable supine chest radiograph.

The study is essentially unchanged from prior. No evidence of pneumonia.

11863318

The NG tube is seen appropriately placed entering the GE junction coursing into the body of the stomach and possibly entering the antrum; however, this is not completely visualized in the field of view. Pulmonary edema seen in previous radiograph is unchanged. No pleural effusion or pneumothorax is identified.

56440064

WET READ: ___ ___ ___ 8:36 PM NGT in the body of the stomach. Mild-moderate pulmonary edema, similar. ______________________________________________________________________________ FINAL REPORT INDICATION: A ___-year-old man with altered mental assess, acute kidney injury, liver cirrhosis. Status post NG tube placement. COMPARISON: ___, earlier the same day. TECHNIQUE: AP upright portable radiograph of the chest.

Appropriately placed NG tube. Unchanged pulmonary edema.

11863318

PA and lateral views of the chest were provided. The dialysis catheter is unchanged with tip residing in the region of the right atrium. An electronic device is again seen projecting over the left chest wall. The heart is top normal in size. There is no evidence of pneumonia or CHF. No large effusion is seen. There is a tiny right effusion. Mediastinal contour is stable. Bony structures are intact.

59061789

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Hypotension and shortness of breath.

Top normal heart size and tiny right pleural effusion.

11863318

Again seen is an electronic device projecting over the left lower anterior chest. A right internal jugular central line terminates in the right atrium. The heart is again moderately enlarged, stable in size compared to the prior exam. There is no pleural effusion or pneumothorax. Minimal fluid overload is suspected; however, this is similar to the prior radiograph. Degenerative changes are again seen along the lower thoracic spine.

51794943

INDICATION: History of syncope, likely volume overload. Eval for COPD/consolidations. COMPARISON: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.

No evidence of pneumonia.

11863318

Frontal and lateral views of the chest. Dual lumen right-sided central venous catheter seen with distal tip in the right atrium. There has been improvement of the previously seen pulmonary vascular congestion which is still present. There is no consolidation or pleural effusion. Cardiac silhouette is unchanged. No acute osseous abnormalities detected.

53173643

HISTORY: ___-year-old male with elevated white blood cell count. COMPARISON: ___.

Mild pulmonary vascular congestion, improved since prior. No evidence of consolidation.

11863318

An electronic device projecting over the left lower anterior chest presumably lies outside of the patient. A right internal jugular central venous catheter terminates in the right atrium. The heart is again mild to moderately enlarged. There is no pleural effusion or pneumothorax. Minimal fluid overload is suspected, similar to slightly increased since the prior radiographs, but not substantial. Moderate degenerative changes are similar along the lower thoracic spine.

58951731

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

Findings suggesting slight fluid overload, but not much, if at all, different than baseline. Cardiomegaly. Electronic device presumably lying outside of the patient.

11514853

No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.

54390282

HISTORY: Weakness. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11712849

Lung volumes are low. Heart size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise grossly unremarkable. No overt pulmonary edema is present. Patchy opacities are seen in both lung bases as well as a linear opacity within the right mid lung field, likely reflective of atelectasis. No large pleural effusion or pneumothorax is present. No displaced fractures are clearly identified.

51147646

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall from wheelchair, SAH and SDH on CT scan TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___

Low lung volumes with bibasilar atelectasis. No acutely displaced fractures visualized.

11465959

Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. No pulmonary vascular congestion is present. Remote right-sided rib fractures are identified.

56102683

EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with massive right lower extremity DVT and no pulmonary symptoms TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

No acute cardiopulmonary abnormality.

11194322

Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

51228414

HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality.

11194322

No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

51296658

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chills, n/v/d // PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11387438

The lungs demonstrate relatively low lung volumes with probable right basilar atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

58757619

WET READ: ___ ___ 8:36 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: ___F with cough, sore throat // eval for pneumonia TECHNIQUE: Chest AP and lateral COMPARISON: Comparison is made chest radiographs from ___.

No acute cardiopulmonary process.

11387438

PA and lateral views of the chest demonstrate normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.

56666609

CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISON: CT chest from ___.

No evidence of acute cardiopulmonary abnormality.

11077199

The inspiratory lung volumes are appropriate. The interstitial markings of the lungs are normal with interval resolution of pulmonary edema from ___. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits.

57428835

INDICATION: ___-year-old male with atrial fibrillation on warfarin now with hemoptysis, here to evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Chest radiograph, last performed on ___.

No acute cardiopulmonary pathology. Interval resolution of pulmonary edema from ___.

11077199

Heart size is mildly enlarged. The mediastinal contours are unremarkable. There is moderate pulmonary edema with perihilar haziness and vascular indistinctness, slightly more pronounced on the right compared to the left. A moderate right pleural effusion and trace left pleural effusion are present. Patchy right basilar opacity may reflect atelectasis though superimposed infection is not excluded. No pneumothorax is present. There are no acute osseous abnormalities.

54557943

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

Moderate pulmonary edema and bilateral pleural effusions, moderate on the right and trace on the left. Patchy right basilar opacity may reflect compressive atelectasis however infection cannot be excluded and followup radiographs after diuresis are recommended.

11440070

Aside from bilateral infrahilar opacities likely representing atelectasis, there is no pleural effusion or focal consolidation. Heart size is within normal limits given the portable technique. Lung volumes are low. Small pneumothorax and right lateral rib fractures are better appreciated on the concurrent CT of the torso.

53361114

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male status post trauma, with pneumothorax. TECHNIQUE: Portable chest radiograph COMPARISON: CT of the torso obtained concurrently

Traumatic findings of right pneumothorax and right lateral rib fractures are better seen on the concurrent CT of the torso.