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

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11440070	The small right apical pneumothorax has not increased in size and is perhaps minimally decreased from the prior exam. No evidence of tension. The size of the pneumothorax does not appreciably change with inspiration and expiration. The lungs are otherwise clear. No focal consolidation, pleural effusion, or pulmonary edema. The heart is normal in size. The mediastinum is not widened. Multiple right lateral rib fractures are unchanged.	59565214	EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old man w pneumothorax. // Eval interval change Please standing end expiratory. please complete at 6 am prior to rounds. COMPARISON: Chest radiograph dated ___.	Small right apical pneumothorax, overall unchanged.
11440070	The right chest tube projects over the upper right hemithorax. No pneumothorax. The lungs are clear. No focal consolidation or pleural effusion. Elevation of the right hemidiaphragm persists and may suggest some volume loss. The heart size is normal. Right lateral rib fractures are incompletely imaged .	53462088	EXAMINATION: Portable AP chest radiograph INDICATION: ___M s/p fall with R rib fx, interval chest tube placement; assess for interval change // ___M s/p fall with R rib fx, interval chest tube placement; assess for interval change. please perform at ___ COMPARISON: Multiple chest radiographs from ___ before and after placement of the right chest tube.	No pneumothorax or effusion.
11440070	A small right pneumothorax persists and was not clearly seen on the prior radiograph, suggesting interval increase. No evidence of tension. Platelike atelectasis in the right lower lung is mild. Left infrahilar atelectasis persists. No focal consolidation, pleural effusion, or pulmonary edema. The heart size is normal. Multiple right lateral rib fractures are again noted in better seen on CT. Nonspecific gaseous distension of the imaged bowel without pneumoperitoneum.	58019975	EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with PTX // interval eval COMPARISON: Chest radiograph dated ___. CT chest dated ___.	Slight interval increase in the small right pneumothorax.
11740211	The lungs are essentially clear aside from mild streaky atelectasis at lung bases bilaterally. Cardiomediastinal silhouette is remarkable for tortuosity of the thoracic aorta with possible component of dilation in the ascending portion. No pleural effusion or pneumothorax.	55982795	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with L arm fracture. Preoperative radiograph. TECHNIQUE: Portable upright chest radiograph COMPARISON: Chest radiograph from earlier on same evening	No acute cardiopulmonary process. Tortuous and or dilated thoracic aorta.
11755436	Supine portable AP view of the chest provided. The tip of the endotracheal tube resides 1.2 cm above the carina. Retraction by 1 to 2 cm is advised for more optimal positioning. The NG tube is seen with its tip just beyond the GE junction and advancement would be recommended for more optimal positioning. There is subtle perihilar opacity, which could reflect aspiration or mild congestion. No supine evidence for effusion or pneumothorax. The heart size appears within normal limits. Bony structures appear intact.	50897540	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Posturing, intubated for airway protection, assess ET tube position.	Low-lying endotracheal tube for which retraction by 1 to 2 cm is advised. NG tube should be advanced for more optimal positioning. Perihilar opacity which could reflect mild edema or aspiration in the right clinical setting.
11222855	Heart size is top normal. Mediastinal and hilar contours within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.	54593804	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with abdominal pain and fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11563901	The lungs are clear. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.	51915957	INDICATION: ___-year-old male with dyspnea on exertion, history of asthma, cardiac disease, and obesity. COMPARISON: ___. CHEST, PA AND	No acute cardiopulmonary process.
11563901	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.	56266398	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, confusion // CXR: eval for consolidationCT head: eval for ICH TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11769374	The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.	59653213	CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11055521	There has been interval placement of a left-sided chest tube with tip projecting over the medial aspect of the left lung base. There is continual residual atelectasis in the left lung base with probable small hemothorax, though extent of residual pneumothorax is difficult to assess on this supine study. Extensive subcutaneous gas in the left chest wall persists with subcutaneous emphysema also noted coursing cephalad along the fascial planes of the neck bilaterally. Cardiac and mediastinal contours are similar with no rightward shift of mediastinal structures. Minimal atelectasis is noted in the right lung base. Known multiple left-sided rib fractures are better assessed on the previous CT. Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is again noted.	59212098	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new chest tube placement TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___ at 13:01 chest radiograph, CT chest ___ at 09:43	No substantial interval change status post placement of new left-sided chest tube.
11055521	The left chest tube is in unchanged position, crossing the midline on the frontal view and located retrosternally on the lateral view. Epicardial pacer wires in dual-chamber pacemaker leads are in satisfactory position. Previously seen left apical pneumothorax is not well appreciated secondary to exclusion from the field-of-view. Right apical pneumothorax is small. Moderate left basilar atelectasis persists.	58393571	WET READ: ___ ___ 11:12 AM The left chest tube appears to be located anterior to the heart in within the chest wall and may extend beyond the left pleural lining. The tip of the chest tube still projects over the right thoracic spinal border. There appears to be a new small right apical pneumothorax. Left apex is not included in the image and inhibits the evaluation of the left apical pneumothorax. Spoke with ___, on call resident at 11:20 pm WET READ VERSION #1 ___ ___ 11:23 PM The left chest tube appears to be located anterior to the heart in within the chest wall and may extend beyond the left pleural lining. The tip of the chest tube still projects over the right thoracic spinal border. There appears to be a new small right apical pneumothorax. Left apex is not included in the image and inhibits the evaluation of the left apical pneumothorax. Spoke with ___, on call resident at 11:20 pm ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with multiple rib fractures s/p fall, L chest tube placed at OSH. Please obtain a frontal and a lateral chest xray to evaluate location of the L chest tube. Concern that chest tube is not actually positioned inside the chest (crosses midline on previous film). Lateral view needed to clarify location. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from earlier on the same day	Left chest tube within the thorax, in the retrosternal space, crossing the midline, impinging on the anterior mediastinum.
11321058	Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Retrocardiac streaky opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.	55657511	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea, fatigue, shortness of breath, dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None.	Retrocardiac streaky opacity, likely atelectasis.
11811818	AP single view of the chest obtained with patient in semi-upright position, is analyzed in direct comparison with the next preceding similar study dated ___. Previously existing marked pulmonary congestive pattern almost reaching edema has markedly improved. Presently, there are no signs of new acute parenchymal infiltrates and the lateral pleural sinuses remain free. There is moderate degree of right-sided diaphragm elevation, cause unknown. No pneumothorax is seen.	52988752	TYPE OF EXAMINATION: Chest AP single view. INDICATION: ___-year-old female patient status post fluid resuscitation, interval change of effusion.	Improvement of congestive pattern, new pulmonary abnormalities.
11811818	The heart size is top normal. The hilar and mediastinal contours are within normal limits and unchanged. The aorta is slightly tortuous. The lung volumes are low, resulting in bibasilar atelectasis. However, there is a superimposed right basilar opacity which could represent aspiration or early pneumonia. Linear left basilar opacities reflect atelectasis versus focal scarring, unchanged since the ___ examination, but new neighboring opacities are also concerning for mild aspiration/consolidation. There is no pneumothorax. Blunting of the left costophrenic angle is suggestive of a tiny pleural effusion.	52209525	INDICATION: Likely aspiration. COMPARISON: Radiograph available from ___. FRONTAL CHEST	Right basilar aspiration or consolidation. Possible left basilar consolidation or aspiration. Bibasilar atelectasis in the setting of low lung volumes. Tiny left pleural effusion.
11811818	Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is detected on this single view. Heart and mediastinal contours are within normal limits.	50905732	INDICATION: ___-year-old female with aspirin overdose. COMPARISON: None available. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position.	No radiographic evidence for pulmonary edema.
11115877	Severe enlargement of the cardiac silhouette is similar to prior, and previously seen to be secondary to pericardial effusion. There is elevated pulmonary vascular congestion and likely bilateral small pleural effusions. There is no frank pulmonary edema. There is an additional opacity at the right lung base.	57457297	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with sob, fevers // eval for cardiomegaly, pna TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph on ___, CTA chest on ___	A right basilar consolidation is consistent with pneumonia. Severe enlargement of the cardiac silhouette is similar to prior, and previously seen to be secondary to a pericardial effusion. Elevated pulmonary vascular congestion and likely small bilateral pleural effusions. No frank pulmonary edema.
11115877	The lungs are well expanded. A subtle opacity is seen in the right lung base which likely reflects atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting There is no pleural effusion or pneumothorax. There is severe cardiomegaly, slightly increased from prior exam.	53722348	WET READ: ___ ___ ___ 7:45 AM Subtle opacity in the right lung base which likely reflects atelectasis, but cannot exclude aspiration or pneumonia right clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___F with tachycardia, palpitations // eval for cardiomegaly, consolidation TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___.	Subtle opacity in the right lung base which likely reflects atelectasis, but cannot exclude aspiration or pneumonia right clinical setting.
11115877	The heart size is moderately enlarged. Mediastinal and hilar contours are unremarkable. There is mild crowding of the bronchovascular structures, with mild pulmonary vascular congestion and trace fluid in the right minor fissue. Mild bibasilar atelectasis is noted, but no focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.	53627583	HISTORY: Tachycardia of unknown etiology. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___.	Mild bibasilar atelectasis and probable mild pulmonary vascular congestion.
11115877	Massive enlargement of the cardiac silhouette is again noted. On prior this had been due to a pericardial effusion. There are increased interstitial markings due to a combination of overlying soft tissues and superimposed pulmonary edema. There is no large confluent consolidation or large effusion.	53646379	INDICATION: ___F with dyspnea and b/l leg swelling // acute cardiopulmonary process TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___. \	Enlargement of the cardiac silhouette as on prior, which could be due to a pericardial effusion and possible underlying cardiomegaly as well. Mild pulmonary edema.
11308133	Two frontal images of the chest demonstrate improvement in the bibasilar lung opacities since previous imaging with complete resolution. There is no pleural effusion visualized, but the left costophrenic angle is not completely imaged. There is no pneumothorax. Cardiomediastinal silhouette is unchanged from prior imaging.	52460251	INDICATION: ___-year-old male with high oxygen requirement. COMPARISON: Comparison is made with chest radiograph from ___.	Improvement in bilateral basilar lung opacities since prior imaging. Otherwise, unchanged chest radiograph.
11975962	PA and lateral views of the chest. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is normal. No displaced fractures identified.	54166241	HISTORY: ___-year-old female with chest pain and back pain. COMPARISON: ___.	No acute cardiopulmonary process.
11975962	Heart size, mediastinal and hilar contours are normal. A subtle area of increased opacity is present overlying the lower thoracic spine on the lateral view, with associated slight indistinctness of the left hemidiaphragm, a change from its sharp contour in ___. Lungs are otherwise clear. Biapical thickening is similar to older radiographs from ___ and attributed to scarring. There are no acute skeletal abnormalities.	54984168	PA AND LATERAL CHEST, ___ COMPARISON: ___.	Subtle left lower lobe opacity suspicious for an early focus of pneumonia. Consider followup radiographs in four to six weeks to ensure resolution. Recommendation entered into radiology communications dashboard on ___.
11466057	The heart is enlarged. Multiple surgical clips are seen projecting over the cardiac silhouette. Median sternotomy wires are noted. There is mild to moderate pulmonary edema superimposed on reticulonodular diffuse opacities which could suggest a chronic lung disease. Blunting of the bilateral costophrenic angles could relate to small pleural effusions. There is no pneumothorax	58330944	EXAMINATION: CHEST RADIOGRAPH INDICATION: CAD, PVD. Prominent crackles at bilateral bases. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available.	Cardiomegaly and mild to moderate pulmonary edema in the background of possible pulmonary fibrosis. Suggest comparison to prior chest imaging, particularly any chest CT scans.
11893036	The lungs are hyperinflated. There are no focal consolidations, pleural effusion or pneumothorax. Subtle prominence of the right pulmonary hilum reflects known mass. A subtle perihilar nodular opacity projecting over the right mid to lower lung may reflect spread of tumor, as seen on the prior PET-CT. The cardiac silhouette is laterally enlarged, which is unchanged. The aorta is tortuous. There is a chronic deformity of the distal left clavicle.	52065516	WET READ: ___ ___ 1:18 PM No acute cardiopulmonary process. The known right hilar mass appears similar to ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with weakness, known lung cancer. Assess for pneumonia. TECHNIQUE: Chest: PA and Lateral COMPARISON: Chest radiographs from ___.	Right hilar mass without convincing evidence for a superimposed pneumonia.
11893036	PA and lateral views of the chest provided. As partially visualized on today's head and neck CTA, there is a mass at the right pulmonary hilum. There is associated collapse of the right middle lobe. Lungs are otherwise clear. No pleural effusion. A posterior Bochdalek's hernia on the right is unchanged. Heart size is normal. Chronic left distal clavicle fracture is again noted. No acute bony abnormalities.	54930234	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with h/o HTN p/w right arm weakness // please evaluate for acute process COMPARISON: Prior chest CT from ___ and chest radiograph from ___. CTA head and neck from today.	Right hilar mass with right middle lobe collapse. CT chest recommended to further assess.
11893036	Heart size remains mild to moderately enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Fracture of the mid/ distal left clavicle with inferior displacement of the distal fracture fragment by approximately 1 shaft width is noted.	51514367	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with right shoulder/clavicle pain after fall TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and CT chest ___	No acute cardiopulmonary abnormality. Displaced mid/distal left clavicular fracture.
11893036	The lungs are hyperinflated. Known right hilar mass appears smaller compared to prior chest x-ray, potentially due to improved aeration. Nipple shadow projects over the right lung base. Known Bochdalek's hernia is seen at the right lung base posteriorly. Moderate cardiac enlargement and tortuosity of the thoracic aorta is unchanged. No acute osseous abnormalities.	56100361	INDICATION: ___F with tachycardia // mass TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest x-ray from ___. PET-CT from ___.	No acute cardiopulmonary process. Known right hilar mass less conspicuous compared to remote prior portable chest x-ray.
11485523	The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Lower thoracic vertebral compression deformities appear unchanged.	55172468	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and malaise. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.	No evidence of acute cardiopulmonary disease.
11485523	The lung volumes are chronically low likely due in part to severe thoracic kyphosis. The air spaces appear clear without evidence of pneumonia. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pleural effusion likely on the left obscures the posterior costophrenic sulcus. As before the thoracic aorta is tortuous. Compression deformities of multiple vertebral bodies are re- demonstrated.	50984095	WET READ: ___ ___ 4:53 PM Small pleural effusion, likely on the left. Otherwise no evidence of acute cardiopulmonary process. WET READ VERSION #___ ___ ___ ___ 4:24 PM No evidence of acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with cough and sob // eval for PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: None available	Small pleural effusion, likely on the left. Otherwise no evidence of acute cardiopulmonary process.
11506732	The lungs are noted to be mildly hyperexpanded. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.	56065607	HISTORY: New onset seizure. Evaluate for aspiration. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None.	No radiographic evidence for acute cardiopulmonary process.
11607556	Chest PA and lateral radiographs demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.	57169050	INDICATION: Chest pain, evaluate for acute process. COMPARISON: Comparison is made to chest radiograph performed ___.	No acute cardiopulmonary process.
11097424	The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. Intact median sternal wires. Considerable calcification of the descending thoracic aorta.	56001721	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left arm and right leg numbness // R/O CHF, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	Considerable calcification of the descending thoracic aorta, but no evidence of edema or pneumonia.
11404276	Study is limited by patient body habitus. Within this limitation, no focal consolidation, pleural effusion or pneumothorax is noted. Bilateral low lung volumes are noted, with accentuation of the cardiac silhouette. Lateral view is largely nondiagnostic.	57916162	INDICATION: ___-year-old with left-sided chest pain, rule out intrathoracic process. COMPARISON: CT torso, ___. PA AND LATERAL CHEST	No evidence of acute cardiopulmonary process.
11814062	The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is mildly enlarged, and the mediastinal contours are normal. A left Port-A-Cath is in stable position with the tip terminating at the cavoatrial junction. No displaced rib fractures are noted.	54739013	INDICATION: ___-year-old female status post fall. Evaluate for fracture or bleed. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and ___.	No acute cardiopulmonary process. Cardiomegaly.
11743890	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are similar throughout the thoracic spine.	56594012	CHEST RADIOGRAPH HISTORY: Cancer and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence for acute disease.
11128113	Single portable frontal view of the chest shows new moderate pulmonary edema. There are small bilateral pleural effusions. No pneumothorax. Cardiac silhouette is mildly enlarged. Mediastinal contours and hilar structures are unremarkable.	56681396	HISTORY: STEMI. Rule out infiltrate. COMPARISON: Chest radiograph ___.	Severe pulmonary edema with small bilateral pleural effusions.
11426924	The patient is status post coronary artery bypass graft surgery. There is also a replaced aortic valve. The heart is mild to moderately enlarged. Unfolding of the thoracic aorta is similar. The cardiac, mediastinal and hilar contours appear unchanged. A diffuse moderate interstitial abnormality suggests pulmonary vascular congestion. There is no pleural effusion or pneumothorax although the right minor fissure is slightly thickened.	57824710	CHEST RADIOGRAPHS HISTORY: Exertional chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	Findings suggesting moderate pulmonary vascular congestion.
11316304	PA and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal. Severe dextroscoliosis.	50353715	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 5 days fever/sweats and productive cough with SaO2 ___% with ambulation // Assess for pneumonia COMPARISON: Chest radiograph ___; CT chest ___	No pneumonia. Severe dextroscoliosis stable from ___.
11951103	The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.	53718859	CLINICAL INDICATION: Ulcerative colitis and anal fissure, possible abscess. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE	No acute intrathoracic process.
11937460	Endotracheal tube tip is 1.2 cm above carina. Bilateral pleural effusions. Bilateral perihilar opacities, favor pulmonary edema. Left basilar consolidation, likely atelectasis. Heart size at the upper limits are normal. No pneumothorax.	54423721	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure // pulmonary edema TECHNIQUE: Chest single COMPARISON: None	ETT 1.2 cm above carina. Bilateral pleural effusions. Perihilar opacities, favor pulmonary edema. Left basilar consolidation, likely atelectasis.
11937460	Compared with the immediate prior radiograph, the left lung base opacity is improved. A layering right pleural effusion with associated atelectasis is new. A moderate left pleural effusion is unchanged. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is largely obscured by effusions and atelectasis at the lung bases. Radiopacity projecting at the level of the right hilar structures may represent the aspirated tooth within the right lower lobe superior segment bronchus.	55040661	INDICATION: ___ year old woman s/p valvuloplasty, now extubated, concern for aspiration PNA, patient also now with missing tooth evaluate for Interval change in L sided consolidation? presence of tooth in lung? TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dating back to ___ and PET scan dated ___.	Interval improvement in left lung base consolidation. Moderate left layering pleural effusion with associated atelectasis. Radiopacity projecting at the level of the right hilum may represent the aspirated tooth.
11910993	Study is limited by flexed neck with chin obscuring upper portions of the lungs. Within this limitation, the cardiac and mediastinal silhouettes appear slightly more prominent on today's study compared to the most recent prior examination which may reflect a combination of positioning and AP lordotic view. Again noted is a markedly unfolded thoracic aorta with a right paratracheal opacity (chest CT from ___ demonstrates an aneurysmal aortic arch and proximal descending thoracic aorta). There is opacification of bilateral lung bases consistent with pleural effusion and atelectasis, small on the right and moderate on the left. Underlying infection cannot be excluded.	53548629	INDICATION: ___-year-old female with shortness of breath, history of asthma and congestive cardiac failure, evaluate for acute process. COMPARISON: Portable AP chest radiograph ___. PORTABLE AP CHEST	Interval slight prominence of the mediastinal silhouette likely accentuated by patient positioning and represents known unfolded thoracic aorta and right paratracheal opacity seen on chest CT from ___. New bilateral pleural effusions, small on the right and moderate on the left, with adjacent compressive atelectasis. Underlying infection cannot be excluded and should be considered in the correct clinical setting. Air-filled loops of bowel not adequately assessed on this image.
11910993	Four frontal images of the chest were obtained. Two of the images demonstrate low lung volumes likely due to poor inspiration. The other two images demonstrate well-expanded lungs. There appears to be improvement of the right base opacification since previous imaging. The left-sided opacification appears similar to previous exams. There is no pneumothorax. There is no pleural effusion on the right. The cardiomediastinal silhouette is consistent with the previously identified massively unfolded aorta and aneurysmal aortic arch and proximal descending thoracic aorta. Aortic calcifications are seen. The aortic valve has been replaced with a porcine valve. Left basilar opacities prohibit full assessment of the cardiac size.	57196074	INDICATION: ___-year-old female with worsening CHF and shortness of breath. COMPARISON: Comparison is made with chest radiographs from ___ and ___.	Right basilar opacity improved since prior imaging. Persistent left basilar opacity. Otherwise, essentially unchanged chest radiograph from prior imaging.
11565803	AP single view of the chest has been obtained with patient in sitting semi-upright position. In comparison with the next preceding chest examination of ___, the ETT has been removed. Previously existing chest tube on the left side and advanced from below has been removed. No pneumothorax has developed in the apical area. Mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. A right-sided internal jugular approach central venous line remains in place. Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.	58056251	TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient status post bypass surgery postoperative day 1, now status post chest tube removal. Evaluate.	No evidence of pneumothorax following chest tube removal.
11565803	Right internal jugular line ends at lower SVC/cavoatrial junction. Patient is status post median sternotomy for CABG with borderline-sized heart and sternal sutures are intact. Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved. Mediastinal and hilar contours are in normal limits.	59027235	CHEST RADIOGRAPH TECHNIQUE: PA and lateral chest radiographs were compared with prior studies from ___ with the most recent from ___.	Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.
11293517	Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.	56805129	HISTORY: ___-year-old male with fever, cough and history of aspiration, evaluate for acute process. COMPARISON: ___.	Acute exacerbation of recurrent CHF. Possible right lower lobe pneumonia in the .
11293517	The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.	57001251	INDICATION: ___-year-old man with nausea, vomiting, and fevers, question pneumonia. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE	New bibasilar opacities could represent atelectasis, sequelae of aspiration or pneumonia.
11293517	PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. Mild cardiomegaly is chronic. The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The atrial, biventricular ICD are unchanged.	51788928	INDICATION: Followup evaluation of CHF exacerbation and possible right lower lobe consolidation seen on chest radiograph from ___.	Resolution of cardiogenic pulmonary edema and right lower lobe consolidation.
11293517	Frontal and lateral chest radiographs demonstrate mediastinal and hilar contours are unremarkable. Stable mild cardiomegaly identified. Mild interstitial edema noted No pleural effusion or pneumothorax. No osseous abnormality identified. Stable positioning of atrioventricular ICD leads. Abandoned leads again noted in the right chest wall. Surgical clips project over the upper mediastinum.	55831566	INDICATION: Cough. Please evaluate for infection. COMPARISON: Comparison is made to chest radiograph performed ___.	Mild cardiomegaly with mild interstitial pulmonary edema.
11293517	AP upright portable chest radiograph is obtained. A left chest wall pacer device is again seen with lead tips extending into the right atrium and ventricle. Abandoned pacing leads are also seen in the right chest wall, extending into the right heart, not significantly changed. The heart is mildly enlarged. The lungs appear clear without definite signs of pneumonia or CHF. No large effusion or pneumothorax is seen. The overall cardiomediastinal silhouette is stable. Bony structures are intact.	55525523	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Near-syncopal episode with hypotension, assess for acute intrathoracic process.	No acute findings in the chest. Stable mild cardiomegaly. Multiple pacer wires are unchanged in position.
11293517	AP upright and lateral views of the chest were provided. Left chest wall pacer pack is again seen with leads extending into the right heart. Abandoned pacing leads are also noted in the right chest wall extending into the right heart. The heart remains moderately enlarged. Lung volumes are low, with equivocal ground-glass opacity on the frontal view, which appears less conspicuous on the lateral view most likely attributable to underpenetrated technique. No gross evidence for pneumonia or pulmonary edema. No large effusions are seen. There is no pneumothorax. Bony structures are intact.	50845269	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Confusion and fever, assess for pneumonia.	Limited study demonstrating moderate cardiomegaly and no overt edema or pneumonia.
11480125	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.	52030305	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain worsen when sitting forward // acute pulmonray process? TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11640157	There is leftward deviation of the cervical trachea. Mediastinum wires and mediastinal clips are unchanged. Heart size is normal. Postoperative cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.	53583079	EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___.	No acute cardiopulmonary abnormality. Leftward deviation of the cervical trachea suggestive of right lobe thyroid enlargement.
11029146	Compared to chest radiographs from ___, there is no relevant change. Minimal atelectasis at the left base is stable. No focal consolidation. No pleural effusion. No pneumothoraces. No pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal.	53690569	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman w/ h/o CLL, now febrile neutropenia // evidence of PNA? TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.	No evidence of pneumonia.
11029146	Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is seen in the region of the lingula. There is mild biapical scarring. Mild degenerative changes are present in the thoracic spine.	57414309	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fatigue // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11778836	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. No displaced fractures are evident.	57362981	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left sided chest pain after reported fall, but has tenderness on both sides of chest wall. No point tenderness to palpation, no ecchymoses. // assess for chest wall injury TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality. No fractures identified. If there is continued concern for a rib fracture, consider a dedicated rib series.
11012882	Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	57403564	HISTORY: Patient with left supraclavicular fullness, rule out structural abnormality or lymphadenopathy. COMPARISON: None available.	No structural abnormality or central lymphadenopathy appreciated.
11852760	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.	51808251	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with heart palp // any CPD TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11807789	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	53344151	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with intermittent L arm pain and weakness and ?new ___ edema. COMPARISON: ___	No acute intrathoracic process.
11807789	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	59955785	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain, arm pain. COMPARISON: None	No acute intrathoracic process.
11921176	The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.	59285359	INDICATION: Shortness of breath and cough. COMPARISON: None. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11449259	There is no focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.	51157715	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with HTN, HLD, presenting with temporal artery pain for 1 week. Has fevers and sweats. Leukocytosis. Looking for source of infection. // infiltrate vs mass TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process. Mild cardiomegaly.
11947526	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	52197802	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with RML and RLL inspiratory crackles, syncope this morning // ___F with RML and RLL inspiratory crackles, syncope this morning COMPARISON: None	No acute intrathoracic process.
11947526	PA and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax.	55301767	INDICATION: ___-year-old woman with chest pain, history of polysubstance abuse, evaluate for pneumonia or pneumothorax. COMPARISON: ___.	No acute intrathoracic abnormality.
11947526	The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.	56107612	HISTORY: Left upper chest pain for 1 day. COMPARISON: None.	No acute cardiopulmonary process.
11947526	As compared to the prior examination dated ___, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.	56105350	EXAMINATION: Chest radiograph. INDICATION: History: ___F with cp, sob started today fever yesterday lungs clear // r/o PNA vs AD TECHNIQUE: Chest PA and lateral COMPARISON: ___.	No evidence of acute cardiopulmonary process.
11947526	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.	50788915	INDICATION: ___-year-old female with influenza like illness TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiographs from ___ and ___.	No acute cardiopulmonary process.
11947526	The lungs are well expanded and clear. The mediastinal and hilar contours are normal. The heart is not enlarged. There is no pleural effusion or pneumothorax.	57341048	INDICATION: Chest pain. Evaluate for cardiopulmonary process. COMPARISON: Chest radiographs ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.	No acute cardiopulmonary abnormality.
11395301	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	59178055	INDICATION: Cough and fever. COMPARISON: None.	No acute cardiopulmonary process.
11795525	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Sternal wires are intact. No definite rib fractures are noted, although if this is a clinical concern, then dedicated rib series with marker at the point of pain is recommended.	52900457	INDICATION: ___-year-old male with recent motor vehicle collision with intermittent back pain. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE	No acute intrathoracic process.
11448249	Heart size is normal. Mediastinal and hilar contours are unremarkable. Within the right cardiophrenic recess, a focal opacity reflects focal eventration of the right hemidiaphragm as seen on the subsequent chest CT. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.	57457906	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___ at 23:34	No acute cardiopulmonary abnormality.
11000183	Again seen is the indwelling right-sided catheter, with tip over distal SVC. In addition, there is a new right-sided PICC line, with tip overlying the right atrium. No pneumothorax detected. Inspiratory volumes are low and the right hemidiaphragm remains elevated, with opacity at the right base, similar to prior. Minimal patchy opacity in the retrocardiac region is improved slightly. No gross effusion is detected on this AP view. No definite change in the cardiomediastinal silhouette. Focal opacity the left upper zone represent artifact due to overlap of the first anterior and fifth posterior left ribs.	50336039	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CNS lymphoma, // assess for pleural effusion prior to giving methotrexate COMPARISON: ___ at 15:58	No gross effusion detected on either side, but smaller posterior effusions would not be apparent on this film. If clinically indicated, a lateral view could help for further assessment of posterior fusions. Continued opacity at the right lung base, similar prior. This is new compared with ___, but similar the most recent prior study. This most likely represents atelectasis, but amount in appropriate clinical setting, an infectious consolidation could have similar appearance. Mild patchy opacity at the left base is improved compared with ___. New right PICC line tip overlies the right atrium. Clinical correlation is requested.
11000183	PA and lateral views of the chest provided. Right chest wall Port-A-Cath is noted with catheter tip in the region of the SVC. There is marked elevation of the right hemidiaphragm. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	58117097	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with lymphoma, in for infectious workup and escalation of therapy // shortness of breath COMPARISON: None	Elevated right hemidiaphragm. Port-A-Cath in appropriate position. Otherwise unremarkable exam.
11000183	Right Port-A-Cath in place. Elevated right hemidiaphragm, stable. Bibasilar opacities, mildly more prominent on the right, likely atelectasis. Pneumonitis cannot be excluded in the appropriate clinical setting. There may be tiny right pleural effusion	51967845	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CNS lymphoma and AMS. Now with new fever. // Eval fever TECHNIQUE: Chest single view COMPARISON: ___	More prominent bibasilar opacities, likely atelectasis; pneumonitis cannot be excluded in the appropriate clinical setting, particularly on the right.
11000183	Mild cardiomegaly vascular congestion is improved when compared to ___ study. Low lung volumes with stable bibasilar atelectasis are stable. A small left pleural effusion is stable.	54898709	EXAMINATION: Portable upright chest x-ray INDICATION: ___ year old woman with s4 dlbcl, tachypnea, now wheezing // aspiration TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to chest x-rays dating from ___ through ___.	No good evidence of aspiration pneumonia.
11074238	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. Fixation plate with screws traverses a right clavicle fracture.	58234115	INDICATION: ___ year old woman with few remaining noises rt base // fup RT LL pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process. No pneumonia.
11339125	The cardiac silhouette is enlarged. Mediastinal contours are normal. There is no focal opacity, pleural effusion or pneumothorax. Mild interstitial prominence is noted which may indicate mild pulmonary edema. There is no free air beneath the right hemidiaphragm.	54374531	CLINICAL INDICATION: Shortness of breath. Evaluation for fluid overload. COMPARISON: None. PORTABLE UPRIGHT FRONTAL VIEW OF THE	Cardiomegaly. Minimal pulmonary edema is difficult to exclude.
11599688	One upright portable chest x-ray. The right PICC line ends in the mid SVC. ICD lead ends likely in the right ventricle; however, the tip is not visualized. There is mild left lower lobe atelectasis. Otherwise, the lungs are clear. There is possible small right pleural effusion.	52856875	INDICATION: PICC line placement. COMPARISON: Chest x-ray on ___.	Right PICC line ends in the mid SVC. Mild left lower lobe atelectasis. Possible small right pleural effusion.
11541295	PA and lateral views of the chest were provided demonstrating no focal consolidation effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.	57010825	HISTORY: ___-year-old female with left-sided chest pain, assess for pneumonia. COMPARISON: Prior exam is dated ___.	No acute intrathoracic process.
11541295	The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. No sub-diaphragmatic intra-abdominal free air. No evidence of hiatal hernia. Overall, no significant change from the prior exam.	59015343	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with a weeks of cough, general malaise, bilateral rib pain. Evaluate for pneumonia. COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process, including no pneumonia.
11541295	PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. No free air seen below the diaphragm.	59725826	HISTORY: ___-year-old with cough and fever. Right upper quadrant tenderness. COMPARISON: None.	No acute cardiopulmonary process.
11541295	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	57132292	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with POTS, MVP, p/w weakness/malaise, cough // Eval for weakness/malaise, cough TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11255143	A single-lead pacemaker device terminates in the right ventricle. A transcutaneous pacer device is also present. The patient is status post mitral valve replacement and sternotomy. The heart appears mildly enlarged. The main pulmonary artery contour is also mildly prominent. There is no pleural effusion or pneumothorax. The lungs appear clear.	50941783	EXAMINATION: CHEST RADIOGRAPHS INDICATION: History of myocardial infarction. Shortness of breath. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.	Status post placement of pacer device and mitral valve replacement. No evidence of acute cardiopulmonary disease.
11904940	Peribronchial wall thickening, particularly in the mid to lower lungs, right greater than left, without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54562125	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with SOB // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Peribronchial wall thickening, particularly in the mid to lower lungs, right greater than left, without definite focal consolidation.
11859954	There is mild emphysema, moderate cardiomegaly, but no pulmonary edema and no pleural effusion. There is no focal consolidation. There is moderate osteopenia, but no vertebral compression fractures.	51022810	INDICATION: ___ -year-old woman with chest pain, dyspnea. Please assess for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: No comparison studies available.	No acute cardiothoracic process. Moderate cardiomegaly, but no edema.
11784093	AP view of the chest. A left Port-A-Cath ends in the upper right atrium, unchanged. There is mild cardiomegaly and increase in diffuse interstitial opacities with bilateral hilar enlargement, which is consistent with mild pulmonary edema, likely due to heart failure. No definite pleural effusions. No pneumothorax.	53640870	INDICATION: Leukocytosis, Afib with RVR, evaluate for pneumonia. COMPARISON: ___.	Increasing mild pulmonary edema and pulmonary vascular engorgement likely due to heart failure.
11784093	A left-sided Port-A-Cath is unchanged with the tip in the upper right atrium. The lung volumes are low. There is no focal consolidation or pulmonary edema. There are trace bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged, and unchanged. A CBD stent and clips are noted in the right upper quadrant.	58225550	INDICATIONS: Neutropenic fever. Evaluate for infection. COMPARISONS: Chest radiograph from ___. CT of the abdomen and pelvis from ___. TECHNIQUE: PA and lateral views of the chest were obtained.	Small bilateral pleural effusions. No evidence of pneumonia.
11506908	Lung volumes are low. The heart size is accentuated due to the presence of low inspiratory lung volumes, appearing borderline enlarged. Mediastinal and hilar contours are normal. No pulmonary edema is demonstrated. Assessment of the lung bases is limited by low lung volumes. Patchy opacities in both lower lobes may reflect atelectasis. No right pleural effusion is demonstrated, and no large left pleural effusion is seen, though a small left pleural effusion is not completely excluded. No pneumothorax is detected.	58534456	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with confusion TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___	Low lung volumes limit assessment of the lung bases. Patchy opacities at the lung bases likely reflect areas of atelectasis though infection cannot be excluded. There may be a trace left pleural effusion. Consider repeat PA and lateral views when the patient can take a deeper inspiration for improved assessment of the lung bases.
11442168	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.	59967116	INDICATION: ___-year-old female with chest tightness yesterday evening. now left arm radiating pain. Evaluate for cardiopulmonary process. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: CT from ___.	No acute cardiopulmonary process.
11112918	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	53961804	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fevers // ? pneumonia COMPARISON: None	No acute intrathoracic process.
11766724	PA and lateral views of the chest provided. Lungs appear hyperinflated with coarsened reticular markings suggesting underlying emphysema. No focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	58948056	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hypoxia // PNA? COMPARISON: None	Emphysema without superimposed acute process.
11766724	The lungs are hyperinflated reflective of chronic pulmonary disease. No focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is noted. The heart is normal in size, and the mediastinal contours are normal. Calcifications along the aortic knob are noted.	52088419	INDICATION: ___-year-old female with fever and abdominal pain. Evaluate for acute process. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and CT from ___.	No acute cardiopulmonary process.
11512104	Lung volumes are low. The heart remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen in the right upper quadrant compatible with prior cholecystectomy. Degenerative changes of the left glenohumeral joint are incompletely assessed.	52398109	HISTORY: Shortness of breath, on BiPAP. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___ and ___.	No acute cardiopulmonary process.
11512104	Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.	51244125	INDICATION: Shortness of breath and cough. COMPARISON: Chest radiograph from ___.	Mild interstitial pulmonary edema. No focal consolidation. Moderate cardiomegaly, not significantly changed. Unchanged small left pleural effusion.
11512104	Moderate enlargement of the cardiac silhouette is again noted, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are within normal limits. Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified. There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged. Multiple clips in the upper abdomen are unchanged.	53379869	HISTORY: Cough, congestion. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	Interval resolution in previous pattern of interstitial pulmonary edema. No radiographic evidence for pneumonia.
11512104	Frontal and lateral views of the chest demonstrate low lung volumes. Moderate pulmonary edema is present. Costophrenic angles are obscured, suggestive of small pleural effusions. Moderate cardiomegaly is noted. Hilar and mediastinal silhouettes are unremarkable. Aortic arch calcifications are seen with tortuosity of the descending aorta. There is no pneumothorax.	56889771	INDICATION: Dyspnea. COMPARISON: Chest radiograph of ___.	Moderate pulmonary edema and cardiomegaly, with associated small bilateral pleural effusions.
11763962	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.	53605430	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F presenting with fever, headache, and myalgias TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute intrathoracic process.
11370949	The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.	52203869	INDICATION: ___F with chest pain // Eval for cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11548762	Persisting but mildly decreased bibasilar opacities likely a combination of layering pleural effusions and overlying atelectasis. Underlying pneumonia can't be excluded. Mild persisting central vascular congestion without pulmonary edema. The patient is status post prior right upper lobe VATS wedge resection of the expected right upper lobe volume loss. The appearance of the cardiac silhouette is. Unchanged	53708101	INDICATION: ___ year old man with respiratory distress // Evaluate for volume overload, pneumonia TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day	Mild interval decrease in EM bibasilar opacities, likely reflecting a combination of pleural effusions and atelectasis. Mild central vascular congestion without frank pulmonary edema.
11548762	Lung volumes are low. Small bilateral pleural effusions, right greater than left. No focal consolidation. No pneumothorax. There is moderate central vascular congestion without evidence of overt pulmonary edema. Bibasilar atelectasis, as well as volume loss in the right upper lobe with ipsilateral tracheal deviation, consistent with prior right upper lobe VATS wedge resection. Mediastinal silhouette is widened, owing to an unfolded descending thoracic aorta. There is heavy calcification of the ascending aorta and aortic knob. Heart size is likely enlarged, though cannot be accurately assessed in the presence of bilateral effusions.	59573589	WET READ: ___ ___ ___ 11:00 AM Low lung volumes. Mild central vascular congestion without overt pulmonary edema. Bibasilar atelectasis, with right upper lobe collapse and ipsilateral tracheal deviation. No focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sob and cyanosis // pulmonary edema TECHNIQUE: Single frontal view of the chest. COMPARISON: None provided.	Moderate central vascular congestion without overt pulmonary edema. Small bilateral pleural effusions, right greater than left. Right upper lobe atelectasis with ipsilateral tracheal deviation consistent with prior right upper lobe VATS wedge resection. Moderate bibasilar atelectasis. Likely moderate cardiomegaly, though heart size cannot be completely assessed in the presence of bilateral effusions.

11440070

The small right apical pneumothorax has not increased in size and is perhaps minimally decreased from the prior exam. No evidence of tension. The size of the pneumothorax does not appreciably change with inspiration and expiration. The lungs are otherwise clear. No focal consolidation, pleural effusion, or pulmonary edema. The heart is normal in size. The mediastinum is not widened. Multiple right lateral rib fractures are unchanged.

59565214

EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old man w pneumothorax. // Eval interval change Please standing end expiratory. please complete at 6 am prior to rounds. COMPARISON: Chest radiograph dated ___.

Small right apical pneumothorax, overall unchanged.

11440070

The right chest tube projects over the upper right hemithorax. No pneumothorax. The lungs are clear. No focal consolidation or pleural effusion. Elevation of the right hemidiaphragm persists and may suggest some volume loss. The heart size is normal. Right lateral rib fractures are incompletely imaged .

53462088

EXAMINATION: Portable AP chest radiograph INDICATION: ___M s/p fall with R rib fx, interval chest tube placement; assess for interval change // ___M s/p fall with R rib fx, interval chest tube placement; assess for interval change. please perform at ___ COMPARISON: Multiple chest radiographs from ___ before and after placement of the right chest tube.

No pneumothorax or effusion.

11440070

A small right pneumothorax persists and was not clearly seen on the prior radiograph, suggesting interval increase. No evidence of tension. Platelike atelectasis in the right lower lung is mild. Left infrahilar atelectasis persists. No focal consolidation, pleural effusion, or pulmonary edema. The heart size is normal. Multiple right lateral rib fractures are again noted in better seen on CT. Nonspecific gaseous distension of the imaged bowel without pneumoperitoneum.

58019975

EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with PTX // interval eval COMPARISON: Chest radiograph dated ___. CT chest dated ___.

Slight interval increase in the small right pneumothorax.

11740211

The lungs are essentially clear aside from mild streaky atelectasis at lung bases bilaterally. Cardiomediastinal silhouette is remarkable for tortuosity of the thoracic aorta with possible component of dilation in the ascending portion. No pleural effusion or pneumothorax.

55982795

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with L arm fracture. Preoperative radiograph. TECHNIQUE: Portable upright chest radiograph COMPARISON: Chest radiograph from earlier on same evening

No acute cardiopulmonary process. Tortuous and or dilated thoracic aorta.

11755436

Supine portable AP view of the chest provided. The tip of the endotracheal tube resides 1.2 cm above the carina. Retraction by 1 to 2 cm is advised for more optimal positioning. The NG tube is seen with its tip just beyond the GE junction and advancement would be recommended for more optimal positioning. There is subtle perihilar opacity, which could reflect aspiration or mild congestion. No supine evidence for effusion or pneumothorax. The heart size appears within normal limits. Bony structures appear intact.

50897540

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Posturing, intubated for airway protection, assess ET tube position.

Low-lying endotracheal tube for which retraction by 1 to 2 cm is advised. NG tube should be advanced for more optimal positioning. Perihilar opacity which could reflect mild edema or aspiration in the right clinical setting.

11222855

Heart size is top normal. Mediastinal and hilar contours within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

54593804

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with abdominal pain and fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11563901

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

51915957

INDICATION: ___-year-old male with dyspnea on exertion, history of asthma, cardiac disease, and obesity. COMPARISON: ___. CHEST, PA AND

No acute cardiopulmonary process.

11563901

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

56266398

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, confusion // CXR: eval for consolidationCT head: eval for ICH TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11769374

The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.

59653213

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

No evidence of acute disease.

11055521

There has been interval placement of a left-sided chest tube with tip projecting over the medial aspect of the left lung base. There is continual residual atelectasis in the left lung base with probable small hemothorax, though extent of residual pneumothorax is difficult to assess on this supine study. Extensive subcutaneous gas in the left chest wall persists with subcutaneous emphysema also noted coursing cephalad along the fascial planes of the neck bilaterally. Cardiac and mediastinal contours are similar with no rightward shift of mediastinal structures. Minimal atelectasis is noted in the right lung base. Known multiple left-sided rib fractures are better assessed on the previous CT. Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is again noted.

59212098

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new chest tube placement TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___ at 13:01 chest radiograph, CT chest ___ at 09:43

No substantial interval change status post placement of new left-sided chest tube.

11055521

The left chest tube is in unchanged position, crossing the midline on the frontal view and located retrosternally on the lateral view. Epicardial pacer wires in dual-chamber pacemaker leads are in satisfactory position. Previously seen left apical pneumothorax is not well appreciated secondary to exclusion from the field-of-view. Right apical pneumothorax is small. Moderate left basilar atelectasis persists.

58393571

WET READ: ___ ___ 11:12 AM The left chest tube appears to be located anterior to the heart in within the chest wall and may extend beyond the left pleural lining. The tip of the chest tube still projects over the right thoracic spinal border. There appears to be a new small right apical pneumothorax. Left apex is not included in the image and inhibits the evaluation of the left apical pneumothorax. Spoke with ___, on call resident at 11:20 pm WET READ VERSION #1 ___ ___ 11:23 PM The left chest tube appears to be located anterior to the heart in within the chest wall and may extend beyond the left pleural lining. The tip of the chest tube still projects over the right thoracic spinal border. There appears to be a new small right apical pneumothorax. Left apex is not included in the image and inhibits the evaluation of the left apical pneumothorax. Spoke with ___, on call resident at 11:20 pm ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with multiple rib fractures s/p fall, L chest tube placed at OSH. Please obtain a frontal and a lateral chest xray to evaluate location of the L chest tube. Concern that chest tube is not actually positioned inside the chest (crosses midline on previous film). Lateral view needed to clarify location. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from earlier on the same day

Left chest tube within the thorax, in the retrosternal space, crossing the midline, impinging on the anterior mediastinum.

11321058

Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Retrocardiac streaky opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

55657511

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea, fatigue, shortness of breath, dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None.

Retrocardiac streaky opacity, likely atelectasis.

11811818

AP single view of the chest obtained with patient in semi-upright position, is analyzed in direct comparison with the next preceding similar study dated ___. Previously existing marked pulmonary congestive pattern almost reaching edema has markedly improved. Presently, there are no signs of new acute parenchymal infiltrates and the lateral pleural sinuses remain free. There is moderate degree of right-sided diaphragm elevation, cause unknown. No pneumothorax is seen.

52988752

TYPE OF EXAMINATION: Chest AP single view. INDICATION: ___-year-old female patient status post fluid resuscitation, interval change of effusion.

Improvement of congestive pattern, new pulmonary abnormalities.

11811818

The heart size is top normal. The hilar and mediastinal contours are within normal limits and unchanged. The aorta is slightly tortuous. The lung volumes are low, resulting in bibasilar atelectasis. However, there is a superimposed right basilar opacity which could represent aspiration or early pneumonia. Linear left basilar opacities reflect atelectasis versus focal scarring, unchanged since the ___ examination, but new neighboring opacities are also concerning for mild aspiration/consolidation. There is no pneumothorax. Blunting of the left costophrenic angle is suggestive of a tiny pleural effusion.

52209525

INDICATION: Likely aspiration. COMPARISON: Radiograph available from ___. FRONTAL CHEST

Right basilar aspiration or consolidation. Possible left basilar consolidation or aspiration. Bibasilar atelectasis in the setting of low lung volumes. Tiny left pleural effusion.

11811818

Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is detected on this single view. Heart and mediastinal contours are within normal limits.

50905732

INDICATION: ___-year-old female with aspirin overdose. COMPARISON: None available. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position.

No radiographic evidence for pulmonary edema.

11115877

Severe enlargement of the cardiac silhouette is similar to prior, and previously seen to be secondary to pericardial effusion. There is elevated pulmonary vascular congestion and likely bilateral small pleural effusions. There is no frank pulmonary edema. There is an additional opacity at the right lung base.

57457297

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with sob, fevers // eval for cardiomegaly, pna TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph on ___, CTA chest on ___

A right basilar consolidation is consistent with pneumonia. Severe enlargement of the cardiac silhouette is similar to prior, and previously seen to be secondary to a pericardial effusion. Elevated pulmonary vascular congestion and likely small bilateral pleural effusions. No frank pulmonary edema.

11115877

The lungs are well expanded. A subtle opacity is seen in the right lung base which likely reflects atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting There is no pleural effusion or pneumothorax. There is severe cardiomegaly, slightly increased from prior exam.

53722348

WET READ: ___ ___ ___ 7:45 AM Subtle opacity in the right lung base which likely reflects atelectasis, but cannot exclude aspiration or pneumonia right clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___F with tachycardia, palpitations // eval for cardiomegaly, consolidation TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___.

Subtle opacity in the right lung base which likely reflects atelectasis, but cannot exclude aspiration or pneumonia right clinical setting.

11115877

The heart size is moderately enlarged. Mediastinal and hilar contours are unremarkable. There is mild crowding of the bronchovascular structures, with mild pulmonary vascular congestion and trace fluid in the right minor fissue. Mild bibasilar atelectasis is noted, but no focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.

53627583

HISTORY: Tachycardia of unknown etiology. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___.

Mild bibasilar atelectasis and probable mild pulmonary vascular congestion.

11115877

Massive enlargement of the cardiac silhouette is again noted. On prior this had been due to a pericardial effusion. There are increased interstitial markings due to a combination of overlying soft tissues and superimposed pulmonary edema. There is no large confluent consolidation or large effusion.

53646379

INDICATION: ___F with dyspnea and b/l leg swelling // acute cardiopulmonary process TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___. \

Enlargement of the cardiac silhouette as on prior, which could be due to a pericardial effusion and possible underlying cardiomegaly as well. Mild pulmonary edema.

11308133

Two frontal images of the chest demonstrate improvement in the bibasilar lung opacities since previous imaging with complete resolution. There is no pleural effusion visualized, but the left costophrenic angle is not completely imaged. There is no pneumothorax. Cardiomediastinal silhouette is unchanged from prior imaging.

52460251

INDICATION: ___-year-old male with high oxygen requirement. COMPARISON: Comparison is made with chest radiograph from ___.

Improvement in bilateral basilar lung opacities since prior imaging. Otherwise, unchanged chest radiograph.

11975962

PA and lateral views of the chest. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is normal. No displaced fractures identified.

54166241

HISTORY: ___-year-old female with chest pain and back pain. COMPARISON: ___.

No acute cardiopulmonary process.

11975962

Heart size, mediastinal and hilar contours are normal. A subtle area of increased opacity is present overlying the lower thoracic spine on the lateral view, with associated slight indistinctness of the left hemidiaphragm, a change from its sharp contour in ___. Lungs are otherwise clear. Biapical thickening is similar to older radiographs from ___ and attributed to scarring. There are no acute skeletal abnormalities.

54984168

PA AND LATERAL CHEST, ___ COMPARISON: ___.

Subtle left lower lobe opacity suspicious for an early focus of pneumonia. Consider followup radiographs in four to six weeks to ensure resolution. Recommendation entered into radiology communications dashboard on ___.

11466057

The heart is enlarged. Multiple surgical clips are seen projecting over the cardiac silhouette. Median sternotomy wires are noted. There is mild to moderate pulmonary edema superimposed on reticulonodular diffuse opacities which could suggest a chronic lung disease. Blunting of the bilateral costophrenic angles could relate to small pleural effusions. There is no pneumothorax

58330944

EXAMINATION: CHEST RADIOGRAPH INDICATION: CAD, PVD. Prominent crackles at bilateral bases. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available.

Cardiomegaly and mild to moderate pulmonary edema in the background of possible pulmonary fibrosis. Suggest comparison to prior chest imaging, particularly any chest CT scans.

11893036

The lungs are hyperinflated. There are no focal consolidations, pleural effusion or pneumothorax. Subtle prominence of the right pulmonary hilum reflects known mass. A subtle perihilar nodular opacity projecting over the right mid to lower lung may reflect spread of tumor, as seen on the prior PET-CT. The cardiac silhouette is laterally enlarged, which is unchanged. The aorta is tortuous. There is a chronic deformity of the distal left clavicle.

52065516

WET READ: ___ ___ 1:18 PM No acute cardiopulmonary process. The known right hilar mass appears similar to ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with weakness, known lung cancer. Assess for pneumonia. TECHNIQUE: Chest: PA and Lateral COMPARISON: Chest radiographs from ___.

Right hilar mass without convincing evidence for a superimposed pneumonia.

11893036

PA and lateral views of the chest provided. As partially visualized on today's head and neck CTA, there is a mass at the right pulmonary hilum. There is associated collapse of the right middle lobe. Lungs are otherwise clear. No pleural effusion. A posterior Bochdalek's hernia on the right is unchanged. Heart size is normal. Chronic left distal clavicle fracture is again noted. No acute bony abnormalities.

54930234

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with h/o HTN p/w right arm weakness // please evaluate for acute process COMPARISON: Prior chest CT from ___ and chest radiograph from ___. CTA head and neck from today.

Right hilar mass with right middle lobe collapse. CT chest recommended to further assess.

11893036

Heart size remains mild to moderately enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Fracture of the mid/ distal left clavicle with inferior displacement of the distal fracture fragment by approximately 1 shaft width is noted.

51514367

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with right shoulder/clavicle pain after fall TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and CT chest ___

No acute cardiopulmonary abnormality. Displaced mid/distal left clavicular fracture.

11893036

The lungs are hyperinflated. Known right hilar mass appears smaller compared to prior chest x-ray, potentially due to improved aeration. Nipple shadow projects over the right lung base. Known Bochdalek's hernia is seen at the right lung base posteriorly. Moderate cardiac enlargement and tortuosity of the thoracic aorta is unchanged. No acute osseous abnormalities.

56100361

INDICATION: ___F with tachycardia // mass TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest x-ray from ___. PET-CT from ___.

No acute cardiopulmonary process. Known right hilar mass less conspicuous compared to remote prior portable chest x-ray.

11485523

The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Lower thoracic vertebral compression deformities appear unchanged.

55172468

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and malaise. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.

No evidence of acute cardiopulmonary disease.

11485523

The lung volumes are chronically low likely due in part to severe thoracic kyphosis. The air spaces appear clear without evidence of pneumonia. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pleural effusion likely on the left obscures the posterior costophrenic sulcus. As before the thoracic aorta is tortuous. Compression deformities of multiple vertebral bodies are re- demonstrated.

50984095

WET READ: ___ ___ 4:53 PM Small pleural effusion, likely on the left. Otherwise no evidence of acute cardiopulmonary process. WET READ VERSION #___ ___ ___ ___ 4:24 PM No evidence of acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with cough and sob // eval for PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: None available

Small pleural effusion, likely on the left. Otherwise no evidence of acute cardiopulmonary process.

11506732

The lungs are noted to be mildly hyperexpanded. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.

56065607

HISTORY: New onset seizure. Evaluate for aspiration. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None.

No radiographic evidence for acute cardiopulmonary process.

11607556

Chest PA and lateral radiographs demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.

57169050

INDICATION: Chest pain, evaluate for acute process. COMPARISON: Comparison is made to chest radiograph performed ___.

No acute cardiopulmonary process.

11097424

The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. Intact median sternal wires. Considerable calcification of the descending thoracic aorta.

56001721

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left arm and right leg numbness // R/O CHF, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

Considerable calcification of the descending thoracic aorta, but no evidence of edema or pneumonia.

11404276

Study is limited by patient body habitus. Within this limitation, no focal consolidation, pleural effusion or pneumothorax is noted. Bilateral low lung volumes are noted, with accentuation of the cardiac silhouette. Lateral view is largely nondiagnostic.

57916162

INDICATION: ___-year-old with left-sided chest pain, rule out intrathoracic process. COMPARISON: CT torso, ___. PA AND LATERAL CHEST

No evidence of acute cardiopulmonary process.

11814062

The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is mildly enlarged, and the mediastinal contours are normal. A left Port-A-Cath is in stable position with the tip terminating at the cavoatrial junction. No displaced rib fractures are noted.

54739013

INDICATION: ___-year-old female status post fall. Evaluate for fracture or bleed. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and ___.

No acute cardiopulmonary process. Cardiomegaly.

11743890

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are similar throughout the thoracic spine.

56594012

CHEST RADIOGRAPH HISTORY: Cancer and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence for acute disease.

11128113

Single portable frontal view of the chest shows new moderate pulmonary edema. There are small bilateral pleural effusions. No pneumothorax. Cardiac silhouette is mildly enlarged. Mediastinal contours and hilar structures are unremarkable.

56681396

HISTORY: STEMI. Rule out infiltrate. COMPARISON: Chest radiograph ___.

Severe pulmonary edema with small bilateral pleural effusions.

11426924

The patient is status post coronary artery bypass graft surgery. There is also a replaced aortic valve. The heart is mild to moderately enlarged. Unfolding of the thoracic aorta is similar. The cardiac, mediastinal and hilar contours appear unchanged. A diffuse moderate interstitial abnormality suggests pulmonary vascular congestion. There is no pleural effusion or pneumothorax although the right minor fissure is slightly thickened.

57824710

CHEST RADIOGRAPHS HISTORY: Exertional chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

Findings suggesting moderate pulmonary vascular congestion.

11316304

PA and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal. Severe dextroscoliosis.

50353715

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 5 days fever/sweats and productive cough with SaO2 ___% with ambulation // Assess for pneumonia COMPARISON: Chest radiograph ___; CT chest ___

No pneumonia. Severe dextroscoliosis stable from ___.

11951103

The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.

53718859

CLINICAL INDICATION: Ulcerative colitis and anal fissure, possible abscess. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE

No acute intrathoracic process.

11937460

Endotracheal tube tip is 1.2 cm above carina. Bilateral pleural effusions. Bilateral perihilar opacities, favor pulmonary edema. Left basilar consolidation, likely atelectasis. Heart size at the upper limits are normal. No pneumothorax.

54423721

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure // pulmonary edema TECHNIQUE: Chest single COMPARISON: None

ETT 1.2 cm above carina. Bilateral pleural effusions. Perihilar opacities, favor pulmonary edema. Left basilar consolidation, likely atelectasis.

11937460

Compared with the immediate prior radiograph, the left lung base opacity is improved. A layering right pleural effusion with associated atelectasis is new. A moderate left pleural effusion is unchanged. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is largely obscured by effusions and atelectasis at the lung bases. Radiopacity projecting at the level of the right hilar structures may represent the aspirated tooth within the right lower lobe superior segment bronchus.

55040661

INDICATION: ___ year old woman s/p valvuloplasty, now extubated, concern for aspiration PNA, patient also now with missing tooth evaluate for Interval change in L sided consolidation? presence of tooth in lung? TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dating back to ___ and PET scan dated ___.

Interval improvement in left lung base consolidation. Moderate left layering pleural effusion with associated atelectasis. Radiopacity projecting at the level of the right hilum may represent the aspirated tooth.

11910993

Study is limited by flexed neck with chin obscuring upper portions of the lungs. Within this limitation, the cardiac and mediastinal silhouettes appear slightly more prominent on today's study compared to the most recent prior examination which may reflect a combination of positioning and AP lordotic view. Again noted is a markedly unfolded thoracic aorta with a right paratracheal opacity (chest CT from ___ demonstrates an aneurysmal aortic arch and proximal descending thoracic aorta). There is opacification of bilateral lung bases consistent with pleural effusion and atelectasis, small on the right and moderate on the left. Underlying infection cannot be excluded.

53548629

INDICATION: ___-year-old female with shortness of breath, history of asthma and congestive cardiac failure, evaluate for acute process. COMPARISON: Portable AP chest radiograph ___. PORTABLE AP CHEST

Interval slight prominence of the mediastinal silhouette likely accentuated by patient positioning and represents known unfolded thoracic aorta and right paratracheal opacity seen on chest CT from ___. New bilateral pleural effusions, small on the right and moderate on the left, with adjacent compressive atelectasis. Underlying infection cannot be excluded and should be considered in the correct clinical setting. Air-filled loops of bowel not adequately assessed on this image.

11910993

Four frontal images of the chest were obtained. Two of the images demonstrate low lung volumes likely due to poor inspiration. The other two images demonstrate well-expanded lungs. There appears to be improvement of the right base opacification since previous imaging. The left-sided opacification appears similar to previous exams. There is no pneumothorax. There is no pleural effusion on the right. The cardiomediastinal silhouette is consistent with the previously identified massively unfolded aorta and aneurysmal aortic arch and proximal descending thoracic aorta. Aortic calcifications are seen. The aortic valve has been replaced with a porcine valve. Left basilar opacities prohibit full assessment of the cardiac size.

57196074

INDICATION: ___-year-old female with worsening CHF and shortness of breath. COMPARISON: Comparison is made with chest radiographs from ___ and ___.

Right basilar opacity improved since prior imaging. Persistent left basilar opacity. Otherwise, essentially unchanged chest radiograph from prior imaging.

11565803

AP single view of the chest has been obtained with patient in sitting semi-upright position. In comparison with the next preceding chest examination of ___, the ETT has been removed. Previously existing chest tube on the left side and advanced from below has been removed. No pneumothorax has developed in the apical area. Mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. A right-sided internal jugular approach central venous line remains in place. Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.

58056251

TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient status post bypass surgery postoperative day 1, now status post chest tube removal. Evaluate.

No evidence of pneumothorax following chest tube removal.

11565803

Right internal jugular line ends at lower SVC/cavoatrial junction. Patient is status post median sternotomy for CABG with borderline-sized heart and sternal sutures are intact. Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved. Mediastinal and hilar contours are in normal limits.

59027235

CHEST RADIOGRAPH TECHNIQUE: PA and lateral chest radiographs were compared with prior studies from ___ with the most recent from ___.

Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.

11293517

Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.

56805129

HISTORY: ___-year-old male with fever, cough and history of aspiration, evaluate for acute process. COMPARISON: ___.

Acute exacerbation of recurrent CHF. Possible right lower lobe pneumonia in the .

11293517

The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.

57001251

INDICATION: ___-year-old man with nausea, vomiting, and fevers, question pneumonia. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE

New bibasilar opacities could represent atelectasis, sequelae of aspiration or pneumonia.

11293517

PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. Mild cardiomegaly is chronic. The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The atrial, biventricular ICD are unchanged.

51788928

INDICATION: Followup evaluation of CHF exacerbation and possible right lower lobe consolidation seen on chest radiograph from ___.

Resolution of cardiogenic pulmonary edema and right lower lobe consolidation.

11293517

Frontal and lateral chest radiographs demonstrate mediastinal and hilar contours are unremarkable. Stable mild cardiomegaly identified. Mild interstitial edema noted No pleural effusion or pneumothorax. No osseous abnormality identified. Stable positioning of atrioventricular ICD leads. Abandoned leads again noted in the right chest wall. Surgical clips project over the upper mediastinum.

55831566

INDICATION: Cough. Please evaluate for infection. COMPARISON: Comparison is made to chest radiograph performed ___.

Mild cardiomegaly with mild interstitial pulmonary edema.

11293517

AP upright portable chest radiograph is obtained. A left chest wall pacer device is again seen with lead tips extending into the right atrium and ventricle. Abandoned pacing leads are also seen in the right chest wall, extending into the right heart, not significantly changed. The heart is mildly enlarged. The lungs appear clear without definite signs of pneumonia or CHF. No large effusion or pneumothorax is seen. The overall cardiomediastinal silhouette is stable. Bony structures are intact.

55525523

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Near-syncopal episode with hypotension, assess for acute intrathoracic process.

No acute findings in the chest. Stable mild cardiomegaly. Multiple pacer wires are unchanged in position.

11293517

AP upright and lateral views of the chest were provided. Left chest wall pacer pack is again seen with leads extending into the right heart. Abandoned pacing leads are also noted in the right chest wall extending into the right heart. The heart remains moderately enlarged. Lung volumes are low, with equivocal ground-glass opacity on the frontal view, which appears less conspicuous on the lateral view most likely attributable to underpenetrated technique. No gross evidence for pneumonia or pulmonary edema. No large effusions are seen. There is no pneumothorax. Bony structures are intact.

50845269

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Confusion and fever, assess for pneumonia.

Limited study demonstrating moderate cardiomegaly and no overt edema or pneumonia.

11480125

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.

52030305

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain worsen when sitting forward // acute pulmonray process? TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11640157

There is leftward deviation of the cervical trachea. Mediastinum wires and mediastinal clips are unchanged. Heart size is normal. Postoperative cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

53583079

EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___.

No acute cardiopulmonary abnormality. Leftward deviation of the cervical trachea suggestive of right lobe thyroid enlargement.

11029146

Compared to chest radiographs from ___, there is no relevant change. Minimal atelectasis at the left base is stable. No focal consolidation. No pleural effusion. No pneumothoraces. No pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal.

53690569

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman w/ h/o CLL, now febrile neutropenia // evidence of PNA? TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.

No evidence of pneumonia.

11029146

Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is seen in the region of the lingula. There is mild biapical scarring. Mild degenerative changes are present in the thoracic spine.

57414309

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fatigue // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11778836

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. No displaced fractures are evident.

57362981

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left sided chest pain after reported fall, but has tenderness on both sides of chest wall. No point tenderness to palpation, no ecchymoses. // assess for chest wall injury TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality. No fractures identified. If there is continued concern for a rib fracture, consider a dedicated rib series.

11012882

Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

57403564

HISTORY: Patient with left supraclavicular fullness, rule out structural abnormality or lymphadenopathy. COMPARISON: None available.

No structural abnormality or central lymphadenopathy appreciated.

11852760

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

51808251

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with heart palp // any CPD TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11807789

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

53344151

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with intermittent L arm pain and weakness and ?new ___ edema. COMPARISON: ___

No acute intrathoracic process.

11807789

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

59955785

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain, arm pain. COMPARISON: None

No acute intrathoracic process.

11921176

The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

59285359

INDICATION: Shortness of breath and cough. COMPARISON: None. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11449259

There is no focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.

51157715

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with HTN, HLD, presenting with temporal artery pain for 1 week. Has fevers and sweats. Leukocytosis. Looking for source of infection. // infiltrate vs mass TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process. Mild cardiomegaly.

11947526

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

52197802

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with RML and RLL inspiratory crackles, syncope this morning // ___F with RML and RLL inspiratory crackles, syncope this morning COMPARISON: None

No acute intrathoracic process.

11947526

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

55301767

INDICATION: ___-year-old woman with chest pain, history of polysubstance abuse, evaluate for pneumonia or pneumothorax. COMPARISON: ___.

No acute intrathoracic abnormality.

11947526

The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

56107612

HISTORY: Left upper chest pain for 1 day. COMPARISON: None.

No acute cardiopulmonary process.

11947526

As compared to the prior examination dated ___, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.

56105350

EXAMINATION: Chest radiograph. INDICATION: History: ___F with cp, sob started today fever yesterday lungs clear // r/o PNA vs AD TECHNIQUE: Chest PA and lateral COMPARISON: ___.

No evidence of acute cardiopulmonary process.

11947526

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

50788915

INDICATION: ___-year-old female with influenza like illness TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiographs from ___ and ___.

No acute cardiopulmonary process.

11947526

The lungs are well expanded and clear. The mediastinal and hilar contours are normal. The heart is not enlarged. There is no pleural effusion or pneumothorax.

57341048

INDICATION: Chest pain. Evaluate for cardiopulmonary process. COMPARISON: Chest radiographs ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.

No acute cardiopulmonary abnormality.

11395301

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

59178055

INDICATION: Cough and fever. COMPARISON: None.

No acute cardiopulmonary process.

11795525

The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Sternal wires are intact. No definite rib fractures are noted, although if this is a clinical concern, then dedicated rib series with marker at the point of pain is recommended.

52900457

INDICATION: ___-year-old male with recent motor vehicle collision with intermittent back pain. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE

No acute intrathoracic process.

11448249

Heart size is normal. Mediastinal and hilar contours are unremarkable. Within the right cardiophrenic recess, a focal opacity reflects focal eventration of the right hemidiaphragm as seen on the subsequent chest CT. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.

57457906

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___ at 23:34

No acute cardiopulmonary abnormality.

11000183

Again seen is the indwelling right-sided catheter, with tip over distal SVC. In addition, there is a new right-sided PICC line, with tip overlying the right atrium. No pneumothorax detected. Inspiratory volumes are low and the right hemidiaphragm remains elevated, with opacity at the right base, similar to prior. Minimal patchy opacity in the retrocardiac region is improved slightly. No gross effusion is detected on this AP view. No definite change in the cardiomediastinal silhouette. Focal opacity the left upper zone represent artifact due to overlap of the first anterior and fifth posterior left ribs.

50336039

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CNS lymphoma, // assess for pleural effusion prior to giving methotrexate COMPARISON: ___ at 15:58

No gross effusion detected on either side, but smaller posterior effusions would not be apparent on this film. If clinically indicated, a lateral view could help for further assessment of posterior fusions. Continued opacity at the right lung base, similar prior. This is new compared with ___, but similar the most recent prior study. This most likely represents atelectasis, but amount in appropriate clinical setting, an infectious consolidation could have similar appearance. Mild patchy opacity at the left base is improved compared with ___. New right PICC line tip overlies the right atrium. Clinical correlation is requested.

11000183

PA and lateral views of the chest provided. Right chest wall Port-A-Cath is noted with catheter tip in the region of the SVC. There is marked elevation of the right hemidiaphragm. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

58117097

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with lymphoma, in for infectious workup and escalation of therapy // shortness of breath COMPARISON: None

Elevated right hemidiaphragm. Port-A-Cath in appropriate position. Otherwise unremarkable exam.

11000183

Right Port-A-Cath in place. Elevated right hemidiaphragm, stable. Bibasilar opacities, mildly more prominent on the right, likely atelectasis. Pneumonitis cannot be excluded in the appropriate clinical setting. There may be tiny right pleural effusion

51967845

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CNS lymphoma and AMS. Now with new fever. // Eval fever TECHNIQUE: Chest single view COMPARISON: ___

More prominent bibasilar opacities, likely atelectasis; pneumonitis cannot be excluded in the appropriate clinical setting, particularly on the right.

11000183

Mild cardiomegaly vascular congestion is improved when compared to ___ study. Low lung volumes with stable bibasilar atelectasis are stable. A small left pleural effusion is stable.

54898709

EXAMINATION: Portable upright chest x-ray INDICATION: ___ year old woman with s4 dlbcl, tachypnea, now wheezing // aspiration TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to chest x-rays dating from ___ through ___.

No good evidence of aspiration pneumonia.

11074238

The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. Fixation plate with screws traverses a right clavicle fracture.

58234115

INDICATION: ___ year old woman with few remaining noises rt base // fup RT LL pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process. No pneumonia.

11339125

The cardiac silhouette is enlarged. Mediastinal contours are normal. There is no focal opacity, pleural effusion or pneumothorax. Mild interstitial prominence is noted which may indicate mild pulmonary edema. There is no free air beneath the right hemidiaphragm.

54374531

CLINICAL INDICATION: Shortness of breath. Evaluation for fluid overload. COMPARISON: None. PORTABLE UPRIGHT FRONTAL VIEW OF THE

Cardiomegaly. Minimal pulmonary edema is difficult to exclude.

11599688

One upright portable chest x-ray. The right PICC line ends in the mid SVC. ICD lead ends likely in the right ventricle; however, the tip is not visualized. There is mild left lower lobe atelectasis. Otherwise, the lungs are clear. There is possible small right pleural effusion.

52856875

INDICATION: PICC line placement. COMPARISON: Chest x-ray on ___.

Right PICC line ends in the mid SVC. Mild left lower lobe atelectasis. Possible small right pleural effusion.

11541295

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

57010825

HISTORY: ___-year-old female with left-sided chest pain, assess for pneumonia. COMPARISON: Prior exam is dated ___.

No acute intrathoracic process.

11541295

The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. No sub-diaphragmatic intra-abdominal free air. No evidence of hiatal hernia. Overall, no significant change from the prior exam.

59015343

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with a weeks of cough, general malaise, bilateral rib pain. Evaluate for pneumonia. COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process, including no pneumonia.

11541295

PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. No free air seen below the diaphragm.

59725826

HISTORY: ___-year-old with cough and fever. Right upper quadrant tenderness. COMPARISON: None.

No acute cardiopulmonary process.

11541295

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

57132292

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with POTS, MVP, p/w weakness/malaise, cough // Eval for weakness/malaise, cough TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11255143

A single-lead pacemaker device terminates in the right ventricle. A transcutaneous pacer device is also present. The patient is status post mitral valve replacement and sternotomy. The heart appears mildly enlarged. The main pulmonary artery contour is also mildly prominent. There is no pleural effusion or pneumothorax. The lungs appear clear.

50941783

EXAMINATION: CHEST RADIOGRAPHS INDICATION: History of myocardial infarction. Shortness of breath. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.

Status post placement of pacer device and mitral valve replacement. No evidence of acute cardiopulmonary disease.

11904940

Peribronchial wall thickening, particularly in the mid to lower lungs, right greater than left, without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

54562125

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

Peribronchial wall thickening, particularly in the mid to lower lungs, right greater than left, without definite focal consolidation.

11859954

There is mild emphysema, moderate cardiomegaly, but no pulmonary edema and no pleural effusion. There is no focal consolidation. There is moderate osteopenia, but no vertebral compression fractures.

51022810

INDICATION: ___ -year-old woman with chest pain, dyspnea. Please assess for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: No comparison studies available.

No acute cardiothoracic process. Moderate cardiomegaly, but no edema.

11784093

AP view of the chest. A left Port-A-Cath ends in the upper right atrium, unchanged. There is mild cardiomegaly and increase in diffuse interstitial opacities with bilateral hilar enlargement, which is consistent with mild pulmonary edema, likely due to heart failure. No definite pleural effusions. No pneumothorax.

53640870

INDICATION: Leukocytosis, Afib with RVR, evaluate for pneumonia. COMPARISON: ___.

Increasing mild pulmonary edema and pulmonary vascular engorgement likely due to heart failure.

11784093

A left-sided Port-A-Cath is unchanged with the tip in the upper right atrium. The lung volumes are low. There is no focal consolidation or pulmonary edema. There are trace bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged, and unchanged. A CBD stent and clips are noted in the right upper quadrant.

58225550

INDICATIONS: Neutropenic fever. Evaluate for infection. COMPARISONS: Chest radiograph from ___. CT of the abdomen and pelvis from ___. TECHNIQUE: PA and lateral views of the chest were obtained.

Small bilateral pleural effusions. No evidence of pneumonia.

11506908

Lung volumes are low. The heart size is accentuated due to the presence of low inspiratory lung volumes, appearing borderline enlarged. Mediastinal and hilar contours are normal. No pulmonary edema is demonstrated. Assessment of the lung bases is limited by low lung volumes. Patchy opacities in both lower lobes may reflect atelectasis. No right pleural effusion is demonstrated, and no large left pleural effusion is seen, though a small left pleural effusion is not completely excluded. No pneumothorax is detected.

58534456

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with confusion TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___

Low lung volumes limit assessment of the lung bases. Patchy opacities at the lung bases likely reflect areas of atelectasis though infection cannot be excluded. There may be a trace left pleural effusion. Consider repeat PA and lateral views when the patient can take a deeper inspiration for improved assessment of the lung bases.

11442168

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

59967116

INDICATION: ___-year-old female with chest tightness yesterday evening. now left arm radiating pain. Evaluate for cardiopulmonary process. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: CT from ___.

No acute cardiopulmonary process.

11112918

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

53961804

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fevers // ? pneumonia COMPARISON: None

No acute intrathoracic process.

11766724

PA and lateral views of the chest provided. Lungs appear hyperinflated with coarsened reticular markings suggesting underlying emphysema. No focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

58948056

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hypoxia // PNA? COMPARISON: None

Emphysema without superimposed acute process.

11766724

The lungs are hyperinflated reflective of chronic pulmonary disease. No focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is noted. The heart is normal in size, and the mediastinal contours are normal. Calcifications along the aortic knob are noted.

52088419

INDICATION: ___-year-old female with fever and abdominal pain. Evaluate for acute process. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and CT from ___.

No acute cardiopulmonary process.

11512104

Lung volumes are low. The heart remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen in the right upper quadrant compatible with prior cholecystectomy. Degenerative changes of the left glenohumeral joint are incompletely assessed.

52398109

HISTORY: Shortness of breath, on BiPAP. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___ and ___.

No acute cardiopulmonary process.

11512104

Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.

51244125

INDICATION: Shortness of breath and cough. COMPARISON: Chest radiograph from ___.

Mild interstitial pulmonary edema. No focal consolidation. Moderate cardiomegaly, not significantly changed. Unchanged small left pleural effusion.

11512104

Moderate enlargement of the cardiac silhouette is again noted, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are within normal limits. Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified. There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged. Multiple clips in the upper abdomen are unchanged.

53379869

HISTORY: Cough, congestion. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.

Interval resolution in previous pattern of interstitial pulmonary edema. No radiographic evidence for pneumonia.

11512104

Frontal and lateral views of the chest demonstrate low lung volumes. Moderate pulmonary edema is present. Costophrenic angles are obscured, suggestive of small pleural effusions. Moderate cardiomegaly is noted. Hilar and mediastinal silhouettes are unremarkable. Aortic arch calcifications are seen with tortuosity of the descending aorta. There is no pneumothorax.

56889771

INDICATION: Dyspnea. COMPARISON: Chest radiograph of ___.

Moderate pulmonary edema and cardiomegaly, with associated small bilateral pleural effusions.

11763962

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.

53605430

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F presenting with fever, headache, and myalgias TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute intrathoracic process.

11370949

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

52203869

INDICATION: ___F with chest pain // Eval for cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11548762

Persisting but mildly decreased bibasilar opacities likely a combination of layering pleural effusions and overlying atelectasis. Underlying pneumonia can't be excluded. Mild persisting central vascular congestion without pulmonary edema. The patient is status post prior right upper lobe VATS wedge resection of the expected right upper lobe volume loss. The appearance of the cardiac silhouette is. Unchanged

53708101

INDICATION: ___ year old man with respiratory distress // Evaluate for volume overload, pneumonia TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day

Mild interval decrease in EM bibasilar opacities, likely reflecting a combination of pleural effusions and atelectasis. Mild central vascular congestion without frank pulmonary edema.

11548762

Lung volumes are low. Small bilateral pleural effusions, right greater than left. No focal consolidation. No pneumothorax. There is moderate central vascular congestion without evidence of overt pulmonary edema. Bibasilar atelectasis, as well as volume loss in the right upper lobe with ipsilateral tracheal deviation, consistent with prior right upper lobe VATS wedge resection. Mediastinal silhouette is widened, owing to an unfolded descending thoracic aorta. There is heavy calcification of the ascending aorta and aortic knob. Heart size is likely enlarged, though cannot be accurately assessed in the presence of bilateral effusions.

59573589

WET READ: ___ ___ ___ 11:00 AM Low lung volumes. Mild central vascular congestion without overt pulmonary edema. Bibasilar atelectasis, with right upper lobe collapse and ipsilateral tracheal deviation. No focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sob and cyanosis // pulmonary edema TECHNIQUE: Single frontal view of the chest. COMPARISON: None provided.

Moderate central vascular congestion without overt pulmonary edema. Small bilateral pleural effusions, right greater than left. Right upper lobe atelectasis with ipsilateral tracheal deviation consistent with prior right upper lobe VATS wedge resection. Moderate bibasilar atelectasis. Likely moderate cardiomegaly, though heart size cannot be completely assessed in the presence of bilateral effusions.