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11967683
2 views were obtained of the chest. The lungs are well expanded with left basilar opacities likely reflecting aspiration on subsequent CT. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.
55647188
HISTORY: Cough and abnormal breath sounds. Assess for pneumonia. COMPARISON: None.
Left basilar opacities, likely aspiration given appearance on subsequent CT vs infection.
11967683
Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Subtle posterior lung base densities are demonstrated corresponding to areas of ground-glass opacity on the recent CT examination likely representing a small component of aspiration and certainly do not look worsened compared to prior study. These densities have no frontal correlate. There are tiny layering posterior bilateral pleural effusions. There is no pneumothorax. Redemonstration of a hiatal hernia.
57449687
HISTORY: Pancreatic adenocarcinoma with biliary obstruction/cholangitis. TECHNIQUE: PA and lateral chest radiograph. 2 views. COMPARISON: ___.
Redemonstration of subtle posterior lung base densities corresponding to ground-glass opacities on prior CT and likely representing aspiration do not appear worsened. Tiny bilateral pleural effusions.
11967683
PA and lateral views of the chest were provided. There has been interval removal of previously noted central venous catheters. There is a tiny left pleural effusion. Otherwise, unremarkable. The cardiomediastinal silhouette appears normal. Bony structures appear intact. No free air below the right hemidiaphragm.
57261728
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Cough, fever, question pneumonia.
Tiny left pleural effusion. Otherwise, unremarkable.
11967683
The heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Patchy bibasilar airspace opacities posteriorly are similar when compared to the previous exam, and could reflect areas of atelectasis or aspiration. Small bilateral pleural effusions appear similar. No acute osseous abnormalities demonstrated, and there is no pneumothorax. Metallic biliary stent is noted in the right upper quadrant of the abdomen.
51787633
HISTORY: Fever, chills, emesis, weakness. History of liver cancer with biliary stent placement. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.
Persistent bibasilar airspace opacities posteriorly could reflect aspiration or atelectasis. Trace bilateral pleural effusions.
11967683
A right internal jugular central line terminates in the right atrium. Lung volumes are slightly low. Prominence of the pulmonary vascular is consistent with pulmonary congestion. Linear opacities at the bases likely represent atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The imaged upper abdomen demonstrates a metallic common bile duct stent. The bones are intact.
51235366
INDICATION: History of central line placement, confirm line placement. COMPARISONS: PA and lateral chest radiographs from ___. TECHNIQUE: Single supine chest radiograph was provided.
Right internal jugular central line within the right atrium. Pulmonary congestion.
11256652
Moderate enlargement of cardiac silhouette is again noted. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal linear opacities in the lung bases and periphery of the right upper lobe likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
54609450
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11256652
AP upright view of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Moderate cardiomegaly is unchanged. No pulmonary edema. No free air below the right hemidiaphragm is seen.
56345658
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with worsening dyspnea // evidence of fluid vs pna COMPARISON: Chest radiographs ___
No acute intrathoracic process.
11086767
There has been interval removal of endotracheal tube. Heart size is normal. There is calcification of the aortic arch. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Again, there is opacity at the right base which is likely atelectasis. No pleural effusion or pneumothorax is seen.
50370815
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with C6 fracture s/p fall // interval change TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiograph on ___.
Persistent right basilar opacity which is likely atelectasis.
11400990
Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar silhouettes. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.
58080272
INDICATION: Epigastric pain, evaluate for cardiac or pulmonary etiology. COMPARISON: Comparison is made to chest radiograph performed ___.
No acute intrathoracic process.
11400990
PA and lateral views of the chest are provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Clips are noted in the right upper quadrant. No free air below the right hemidiaphragm. Bony structures are intact.
57666774
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever, cough, assess for pneumonia.
No signs of pneumonia or other acute intrathoracic process.
11400990
No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Evidence of mediastinal lymphadenopathy appears new compared to prior. Heart size is within normal limits. Small left-sided impression on the trachea may be related to thyroid enlargement and appears unchanged compared to prior.
57906655
HISTORY: ___-year-old female with fever, myalgias, and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___.
Evidence of new mediastinal lymphadenopathy. Possible left thyroid enlargement. Findings reported to ___ by ___ by telephone at 8:00 a.m. on ___ after attending radiologist review and discovery of these findings.
11093869
Patient is status post median sternotomy and cardiac valve replacement. The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable. No pulmonary edema is seen.
51967018
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hx of systolic and diastolic HF, a fib, comes in for bradycardia with a sinus pause of 30 seconds. // ? CHF findings TECHNIQUE: Single frontal view of the chest COMPARISON: ___, earlier today at 14:49
No acute cardiopulmonary process. No significant interval change given differences in patient positioning.
11022826
A new endotracheal tube ends 5 cm above the carina. Asymmetrical, right greater than left, pulmonary edema and pulmonary vascular congestion are new since yesterday. The cardiac silhouette appears enlarged which may be partly due to technique. There is no pleural effusion or pneumothorax. Widening of the mediastinum is likely due to increased intravascular volume and technique. Irregularity of the lateral portion of the seventh rib may represent a fracture.
58470166
INDICATION: ___ year old man with DMI, kidney transplant and VFib arrest on floor // s/p intubation vFib arrest TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___.
The endotracheal tube ends 5 cm above the carinal. Moderate, right greater than left, pulmonary edema and pulmonary vascular congestion are new since yesterday. In the appropriate clinical setting aspiration in the right lung could be present.
11022826
In comparison to ___ chest radiograph, a cavitary lesion in the superior segment of the right lower lobe is again demonstrated with apparent decrease in size of the intraluminal nodule previously interpreted as suspicious for a mycetoma. 2 adjacent cavitary lesions in the right apex are grossly unchanged. No new or worsening lung abnormalities are detected. Eighth cardiomediastinal contours are stable. Healed bilateral rib fractures are again demonstrated.
55911893
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recent pneumonia, ESRD s/p transplant // eval for interval change in possible R fungal ball
Apparent decrease in size of dependent nodular opacity within cavitary superior segment right lower lobe lesion, possibly representing a mycetoma. This finding and 2 adjacent right apical cavities are somewhat difficult to compare radiographically and CT may thus be considered if precise assessment of interval change is warranted clinically.
11022826
The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. There is a new opacity projecting over the mid spine on the lateral view, somewhat oval and mass-like, and it may correlate with very vague superior opacity in the right suprahilar region. There is slight rightward convex curvature centered along the lower thoracic spine.
50348423
CHEST RADIOGRAPHS HISTORY: Fever. Question infiltrate. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
Right upper lobe opacity suggesting pneumonia, best seen on the lateral view. However, in order to exclude an unusual presentation of a mass, follow-up radiographs are recommended to show resolution within six to eight weeks. Alternatively if complicated infection or neoplasm is suspected clinically, the chest CT may be helpful.
11022826
The endotracheal tube has been removed. Heart is normal size and cardiomediastinal silhouette is stable. There is no focal consolidation, large effusion or pneumothorax.
57317376
INDICATION: ___ year old man post-cardiac arrest and now extubated, possible mass noted in CXR, concern for possible pna // Please assess for interval change TECHNIQUE: Portable AP upright view of the chest COMPARISON: ___
Status post removal of the endotracheal tube, otherwise unchanged.
11643987
Frontal AP and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
54129066
WET READ: ___ ___ ___ 8:41 PM Normal chest. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with new EKG changes, syncope, and overall weakness. s/p fall with syncope TECHNIQUE: Chest AP upright and lateral COMPARISON: ___
No acute intrathoracic process.
11643987
Heart size is mildly enlarged. The ascending thoracic aorta appears somewhat prominent and somewhat tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is present.
51305342
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with history of hypertension presents with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.
Mild cardiomegaly with prominence and mild tortuosity of the ascending thoracic aorta.
11533501
There has been interval removal of a right internal jugular catheter. The heart is mildly enlarged. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous but unchanged. A moderate left pleural effusion is again seen and is larger than on the prior study. There is bibasilar atelectasis, left greater than right. No evidence of pneumothorax.
51341140
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cad // r/o inf, eff TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs on ___ through ___
Moderate left pleural effusion, which has minimally increased from the prior study. Bibasilar atelectasis, left greater than right.
11533501
The patient is status post sternotomy and probably coronary artery bypass graft surgery. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
57912353
EXAMINATION: Chest radiographs. INDICATION: Hypotension. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11947503
PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Subtle hazy opacity adjacent to the right heart border likely represents a epicardial fat in a setting of a mild pectus excavatum deformity. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
54958779
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with no significant PMH, presenting with chest pain // please evaluate for pneumothorax or other abnormality COMPARISON: None
No acute intrathoracic process.
11593310
There is a small left apical pneumothorax. The lungs are clear without focal consolidation. No pleural effusion is seen. The cardiac and mediastinal silhouettes are unremarkable.
53935374
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with LEFT SIDED CP. Evaluate for PTX . TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
Small left apical pneumothorax.
11593310
In comparison with chest radiograph from ___, a small left apical pneumothorax is grossly unchanged. Lungs are otherwise clear without focal consolidation or pleural effusion. Cardiomediastinal silhouette is normal. Pulmonary vasculature is normal. There are no acute osseous abnormalities.
59835650
WET READ: ___ ___ ___ 1:32 PM Unchanged small left apical pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with small pneumothorax on chest radiograph yesterday // eval for progression of pneumothorax TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.
Unchanged small left apical pneumothorax.
11848363
The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
57989880
HISTORY: Fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11520838
No focal consolidation is seen. Minimal basilar atelectasis is noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
56238354
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and knee pain // assess for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11482036
Compared with the prior radiograph, the heart is stably enlarged. Increased interstitial markings and pulmonary vascular congestion suggest interstitial pulmonary edema. There is also a small bilateral pleural effusion. Severe degenerative changes of the right glenohumeral joint are again seen.
58416499
WET READ: ___ ___ ___ 2:48 PM Findings consistent with mild interstitial pulmonary edema with small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with worsening dyspnea. Evaluate for pulmonary edema. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest radiograph from ___ and CT chest from ___.
Findings consistent with mild interstitial pulmonary edema with small bilateral pleural effusions.
11482036
The cardiac mediastinal silhouettes are grossly stable. As seen on prior CT from ___, the ascending aorta and proximal aortic arch is dilated. The cardiac silhouette remains enlarged. Definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.
54530090
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with altered mental status // eval for ICH, pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Persistent enlargement of the cardiomediastinal silhouette in this patient with history of cardiomegaly and aortic dilatation. No focal consolidation to suggest pneumonia.
11548749
The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
59240661
EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old man with acute onset of lightheadedness and palpitations early this afternoon, here to evaluate for cardiomegaly. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11864106
Large left pleural effusion is mostly unchanged since the radiograph in ___. Compared to the radiograph in ___, there is now increased consolidation in the left mid lung with air bronchograms which corresponds to findings on recent CT chest, concerning for pneumonia. There is no pneumothorax. The right lung is clear. Cardiomediastinal silhouette is unchanged. There are no acute skeletal abnormalities.
52870261
INDICATION: ___-year-old woman with pain and cough after left thoracentesis, evaluate for pneumothorax, left lung expansion. COMPARISONS: CTA chest with and without recons from ___, PA and lateral chest radiograph from ___.
Stable large left pleural effusion. Consolidation in the left mid lung zone with air bronchograms concerning for pneumonia, comparable to recent CT findings. No pneumothorax. These findings were entered into the critical results dashboard by Dr. ___ at 5pm.
11864106
PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The previously identified remaining tiny left-sided apical pneumothorax cannot be identified anymore. The pleural densities on the left base, however, remain with obliteration of the diaphragmatic contours and hazy densities related to the remaining pleural effusion that mostly occupies the posterior pleural sinus on the left side. The next previous examination detectable small air-fluid level related to the remaining postoperative pneumothorax is not seen anymore. The basal pleural densities along the diaphragm may have increased slightly, but no new parenchymal abnormalities are present. The right-sided hemithorax remains unchanged and within normal limits as before.
51288406
TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with non-small cell lung cancer, status post resection, assess for abnormalities.
Improved appearance of previously remaining small postoperative pneumothorax. Significant pleural densities on the left base remain in this patient status post left lower lobectomy. Further followup is recommended.
11864106
PA and lateral views of the chest. There is mild left lower lobe plate-like linear atelectasis. No evidence of pneumonia. The heart size is normal. The left hilum is enlarged. No pleural effusion or pneumothorax.
58834194
WET READ: ___ ___ ___ 3:08 PM 1. No acute cardiopulmonary process. 2. Left hilum is enlarged and was found to have FDG avid lymph node on PET CT on ___. Suggest Chest CT to better assess. ______________________________________________________________________________ FINAL REPORT INDICATION: Dizziness and shortness of breath, assess for infiltrate or effusion. COMPARISON: Chest radiograph on ___, Chest CT on ___ and PET CT on ___.
No acute cardiopulmonary process. Left hilum is enlarged and was found to have FDG avid lymph node on PET CT on ___. Suggest Chest CT to better assess.
11864106
PA and lateral views of the chest were obtained. Patient has history of a prior left lower lobectomy with post-surgical changes in the left hemithorax again noted, not significantly changed from the prior chest radiograph. There is volume loss with shift of midline structures to the left. There is persistent left pleural effusion with left perihilar consolidation likely indicative of scarring and fibrosis in this patient with history of prior XRT. The right lung is hyperinflated and clear. No right pleural effusion.
54597705
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___ and CT chest from ___. CLINICAL HISTORY: ___-year-old woman with history of non-small cell lung cancer status post resection with persistent cough, question worsening consolidation.
Stable exam with post-surgical changes in the left lung without signs of consolidation.
11546219
The cardiac silhouette is within normal limits. The hilar contours are normal. Focal opacity at the right lung base is concerning for pneumonia. Upper lungs are clear. There is no large pleural effusion or pneumothorax.
50887163
WET READ: ___ ___ ___ 10:26 AM Right lower lobe pneumonia. Follow-up chest radiograph is recommended upon completion of treatment to document resolution. ______________________________________________________________________________ FINAL REPORT HISTORY: Question acute cardiopulmonary process. COMPARISON: Chest CTA from ___. TECHNIQUE: Portable frontal chest radiograph.
Right lower lobe pneumonia. Follow-up chest radiograph is recommended upon completion of treatment to document resolution.
11546219
PA and lateral views of the chest. On the lateral view, in the posterior lung, there is a consolidation which is most consistent with pneumonia. It is likely in the left lower lobe. Upper lung zones are clear. Cardiomediastinal and hilar contours are normal. Cervical hardware is seen. No pleural effusion.
54541648
INDICATION: Shortness of breath and cough, evaluate for pneumonia or infiltrate. COMPARISON: ___ at 2:09 a.m.
Lower lobe consolidation, likely on the left, best seen on the lateral view, likely represents pneumonia. The findings were discussed with Dr. ___ by Dr. ___ at 4:32 p.m. on ___ by telephone.
11546219
Portable frontal view of the chest. The lung volumes are low; however, within this limitation, the lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. The two most inferior cervical spine screws are fractured which is new since ___.
53337847
CLINICAL INDICATION: Epigastric pain. COMPARISON: Chest radiograph ___.
Fracture of the two most inferior cervical spine screws is new since ___. No acute intrathoracic process. Comment: ___ discussed with ___ by ___.
11004450
The cardiomediastinal and hilar contours are normal. A right internal jugular approach triple-lumen central catheter tip terminates in the mid SVC. The lungs are well expanded, without consolidation, pleural effusion or pneumothorax.
54186565
INDICATION: ___-year-old woman with AML and recent consolidation chemotherapy, presents with pain with deep breathing. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST
No acute cardiopulmonary pathology.
11004450
A right subclavian approach dual lumen catheter is unchanged in position with the tip terminating at the low SVC. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
54217156
HISTORY: Patient reports accidentally pulling on Hickman catheter. Check placement. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: ___.
Right subclavian dual lumen catheter unchanged in position with tip terminating at the low SVC.
11510952
A right Port-A-Cath ends in the low SVC. Lung volumes are low. There is a small right pleural effusion as well as mild right basilar atelectasis. The lungs are otherwise clear. No pneumothorax is seen. The cardiac and mediastinal contours are normal.
58145738
INDICATION: Chest pain. Evaluate for acute cardiac or pulmonary process. COMPARISON: Chest radiograph from ___.
Small right pleural effusion. Minimal right basilar atelectasis.
11950373
The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation is identified. Basilar opacities may represent atelectasis. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic free air.
50771592
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fever // free air? TECHNIQUE: Portable chest x-ray. COMPARISON: CT chest dated ___
No acute intrathoracic abnormality.
11950373
The lungs appear mildly hyperinflated. Faint reticular nodular opacities at the bilateral bases are unchanged from ___ or slightly increased and likely reflect chronic interstitial changes. No focal consolidation concerning for pneumonia is detected. There is no pleural effusion or pneumothorax. Mild right apical scarring is noted. There is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged with tortuosity of the thoracic aorta. Two rim-calcified densities projecting over the right upper quadrant of the abdomen measuring 2.4 and 2.3 cm are compatible with a large gallstone seen on the prior abdominal ultrasound as ___. Multilevel degenerative changes are noted in the thoracolumbar spine.
50191878
INDICATION: Chest pain for the past four hours, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.
No acute cardiopulmonary process. Cholelithiasis.
11950373
Cardiomediastinal silhouette is within normal limits. Coronary stenting is noted. Pulmonary vasculature is within normal limits. There is no consolidation or pleural effusion. No pneumothorax.
51470117
INDICATION: History: ___F with CAD recent cholecystectomy and ___ swelling bilateral // acute PNA vs edema TECHNIQUE: Single AP upright view of the chest. COMPARISON: Multiple prior chest radiographs, most recently ___
No evidence of pulmonary edema or pneumonia.
11950373
The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
58062686
INDICATION: ___F with CP // evidence of effusion or cardiomegaly TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11950373
The cardiomediastinal and hilar contours are within normal limits. Note is made of coronary artery calcifications. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary nodules identified on prior chest CT are not appreciated on this examination.
57150007
EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with chest pain // presence of infiltrate presence of infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior chest radiograph from ___ and chest CT from ___.
No acute cardiopulmonary process.
11950373
There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
59197122
HISTORY: 5 days of cough and chest pressure. Evaluate for an infectious etiology. TECHNIQUE: Frontal and lateral views chest. COMPARISON: Chest radiographs ___ and ___.
No acute cardiopulmonary process.
11531323
Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. Mild degenerative changes are seen along the spine.
55371067
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of shortness of breath. COMPARISON: None.
No acute cardiopulmonary process.
11260466
Low lung volumes are seen with crowding of the bronchovascular markings. There is no effusion, pneumothorax nor consolidation. Eventration of the right hemidiaphragm is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
54253307
INDICATION: ___F with chest pain // r/o acute process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11258077
An endotracheal tube and enteric catheter are in appropriate and unchanged position. Lung volumes are low resulting in bronchovascular crowding, though no overt interstitial edema is evident. Aeration of the left lung base has improved. Mild basilar atelectasis likely persists. There is no pneumothorax. Cardiomediastinal contours are within normal limits and unchanged.
55261192
INDICATION: ___-year-old pedestrian struck by car with intraparenchymal hemorrhage. Patient is intubated. COMPARISON: Chest radiographs dating back to ___, most recent from ___ and CT torso from ___. PORTABLE FRONTAL CHEST
Standard position of support devices. Improved aeration of the left lower lobe, though mild probable bibasilar atelectasis persists.
11258077
Portable semi-upright radiograph of the chest demonstrates mild left basilar atelectasis. The right lung is clear. There is mild cardiomegaly, which is stable. The endotracheal tube is seen terminating 7 cm above the carina, and could be safely advanced to 2-3 cm for more secure seating. A right PICC line ends in the mid SVC. No pleural effusion or pneumothorax.
50338379
HISTORY: ___-year-old male with intracranial hemorrhage. Evaluate for infiltrate. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.
Mild left basilar atelectasis with no evidence of pneumonia. The endotracheal tube terminates 7 cm above the carina, and could be safely advanced to 2-3 cm for more secure seating.
11172882
Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. There has been an interval increase in the degree of retrocardiac opacity, which may represent developing pneumonia. Right basalar atelectasis is not significantly changed. There is no pneumothorax or significant pleural effusion. Endotracheal tube is less than 2 cm from the carina. A right-sided internal jugular central venous line ends at the mid SVC. The nasogastric tube ends in the stomach with the last sideport above the GE junction.
51579659
HISTORY: ___-year-old man, status post cardiac arrest, status post cooling, now with fever. Evaluate for pneumonia. COMPARISON: Prior radiographs of the chest dated ___ through ___.
Endotracheal tube is less than 2 cm from the carina and should be pulled back 2-3cm. The NG tube ends in the stomach with the last sideport above the GE junction, and should be advanced prior to use. There has been an interval increase in the degree of retrocardiac opacity, which may represent developing pneumonia.
11172882
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There has been interval placement of an ICD, with the lead projecting over the right ventricle. There is no pleural effusion or pneumothorax.
59967202
HISTORY: Status post ICD placement. Evaluate for pneumothorax and lead placement. COMPARISON: Chest radiograph from ___.
Interval placement of an ICD with the lead projecting over the right ventricle. No pneumothorax.
11172882
Single supine view of the chest. There is new right IJ line with catheter tip in the mid SVC. There is no pneumothorax within the confines of a supine exam. Endotracheal tube is seen with tip approximately 2.7 cm from the carina. Nasogastric tube seen with tip in the distal esophagus and should be advanced. Given low lung volumes, the lungs are grossly clear noting crowding in the bronchovascular markings.
52090963
PORTABLE CHEST ON ___. HISTORY: ___-year-old male with right IJ placement. COMPARISON: Chest x-ray from earlier the same day at 12:09 p.m.
New right IJ line with tip in the mid SVC, no pneumothorax within the confines of a supine exam. NG tube tip still in the distal esophagus and should be advanced.
11172882
Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There is a stable-appearing retrocardiac opacity which may represent atelectasis, but superimposed infection cannot be excluded. A small right-sided pleural effusion is present. No pneumothorax. Right internal jugular central venous line ends at the mid SVC.
59201196
HISTORY: ___-year-old man status post cardiac arrest, now extubated with persistent fever. Evaluate for evidence of pneumonia. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.
Stable retrocardiac opacity may represent atelectasis, but superimposed infection cannot be excluded.
11441946
The newly placed tracheostomy tube projects over of the tracheal with its distal-most tip approximately 2 cm from the carina. The ETT and enteric tube have been removed in the interim. The left PICC tip projects over the expected region of the mid to low SVC. The patient is status-post median sternotomy. Persistent but improved left lower lobe atelectasis. Mild interval increase in right lower lobe atelectasis. Probable small right pleural effusion. No significant change in mild edema. Cardiomediastinal silhouette is unchanged. No pneumothorax.
57391321
EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p CABG/trach/PEG ; evaluate trach position/pulm edema. TECHNIQUE: Portable, upright AP radiograph view of the chest. COMPARISON: Chest radiograph dated ___.
Newly placed tracheostomy tube appears in standard position. Interval increase in right lower lobe atelectasis and new small right pleural effusion.
11441946
The cardiac silhouette is significantly enlarged compared to prior AP view. There are increased bilateral pulmonary vasculatures and interstitial markings. There is bilateral pleural effusion. No consolidation. No pneumothorax. The T4 sclerotic lesion and loss of the T7 vertebral height are again appreciated, both present on previous CT. The sternotomy wires are unchanged. The tracheostomy tube has been removed.
59852417
INDICATION: ___ year old man with copd and cad // ?chf TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ and CT chest without contrast date ___.
Findings are consistent with fluid overload. Unchanged T4 sclerotic lesion and loss of the T7 vertebral height previously seen on CT.
11441946
Compared to prior, cardiomegaly has improved, now mild. Increased interstitial markings have also improved. There is bibasilar, left greater than right atelectasis. There is a small hiatal hernia. There is no pneumothorax. Pleural effusion is small, if any. Sclerosis of the T4 vertebral body and moderate compression fracture of T7, essentially unchanged compared to prior chest CT. Multiple healed right rib fractures are again noted. Median sternotomy wires are intact.
52055140
EXAMINATION: Chest radiograph. INDICATION: ___ year old man with CHF and shortness of breath, evaluate for edema. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and chest CT ___.
Compared to chest radiograph from ___, there has been interval improvement in now mild interstitial edema.
11441946
The lungs are hyperinflated, but there is no evidence of pneumonia. Left lower paraspinal round density is unchanged since ___ and could be related to hiatal hernia or tortuosity of the aorta. Mediastinal and cardiac contours are unchanged. There is no pneumothorax or pleural effusion.
55650357
PA AND LATERAL CHEST X-RAY INDICATION: Patient with COPD, worsening dyspnea, cough, rule out pneumonia. COMPARISON: Multiple chest x-rays from ___ through ___.
There is no evidence of pneumonia.
11441946
Patchy opacity is noted in the left lung base, which may reflect either early developing pneumonia or aspiration. Mild bibasilar atelectasis is noted. The heart size is normal. Mild blunting of the left costophrenic angle may reflect a small pleural effusion or mild pleural thickening. A midline tracheostomy is noted. Median sternotomy wires are intact and aligned. No pulmonary edema or pneumothorax.
50663576
WET READ: ___ ___ ___ 2:02 PM Persistent left basilar opacity may reflect either early developing pneumonia or aspiration. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with resp failure // acute process TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___, ___, ___
Persistent left basilar opacity may reflect either pneumonia or aspiration.
11441946
Tracheostomy tube and left PICC are in stable position. Again there median sternotomy wires in place. Compared to the study of ___ bibasilar opacities, right greater than left are unchanged likely combination of small pleural effusions and atelectasis. The cardiomediastinal silhouette is stable. Mild pulmonary edema has slightly worsened.
52324887
INDICATION: ___ year old man with s/p cabg trach and peg // fevers TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___
Unchanged bibasilar opacities, right greater than left likely combination of layering pleural effusions and atelectasis. Mild pulmonary edema has worsened.
11441946
Tracheostomy tube is midline, grossly unchanged in position compared to prior. Median sternotomy wires are intact. Left PICC ends in the mid SVC. There is no focal lung consolidation. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
59990703
EXAMINATION: Chest radiograph INDICATION: ___-year-old man with trach/peg from rehab for concern of PEG site infection, also w/ coarse breath sounds, evaluate for pneumonia TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___.
No evidence of pneumonia.
11441946
The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. There is a small hiatal hernia.
51584065
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with shortness of breath, ex-smoker // assess for infiltrate TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.
Clear lungs. Small hiatal hernia.
11108837
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
50236419
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea and chest pain. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11177152
PA and lateral views of the chest provided. Mild bibasilar atelectasis is noted. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Prominence of the pulmonary hila is unchanged reflecting vascular prominence. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
50952453
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever COMPARISON: ___
Mild bibasilar atelectasis, otherwise unremarkable.
11177152
PA and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. No convincing evidence for pneumonia though lung bases are poorly assessed due to presence of atelectasis. No large effusion or pneumothorax. No convincing signs of edema or congestion. Heart size is difficult to assess. Mediastinal contour is normal. Bony structures are intact. Prominent spurs are noted anteriorly in the lower T-spine.
54644380
EXAMINATION: CHEST (PA AND LAT) INDICATION: Prior exam dated ___ ___M with pleuritic R posterior thoracic back pain, dyspnea, decreased breath sounds RL base COMPARISON: None
Bibasilar atelectasis. No convincing signs of pneumonia.
11317568
Study is limited by patient rotation as well as underpenetration. Additionally, the right costophrenic angle is not included within the field of view provided. Within these limitations, no acute focal consolidation, pleural effusion or pneumothorax is identified. The cardiac and mediastinal silhouettes appear essentially unremarkable.
50702376
INDICATION: ___-year-old man with acute shortness of breath. COMPARISON: PA and lateral chest radiograph ___. PORTABLE AP CHEST
Study limited, no acute intrapulmonary process.
11617211
A frontal chest radiograph demonstrates interval placement of a nasogastric tube, which extends at least into the stomach and out of the field of view. A right-sided PICC is unchanged in position and the remainder of the exam is grossly unchanged.
59770293
HISTORY: Status post nasogastric tube placement. COMPARISON: None.
Nasogastric tube extending at least into the stomach and out of the field of view.
11680008
Heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
55412450
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with possible transient ischemic attack TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11985806
There is a large right-sided pleural effusion and adjacent atelectasis. The left lung is clear. Cardiac size is likely normal. No evidence of pulmonary edema.
58043853
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pleural effusion on right incompletely identified on CT abd/pelvis // Evaluation of plural effusion TECHNIQUE: Chest PA and Lateral COMPARISON: CT abdomen from ___
Large right-sided pleural effusion.
11985806
Compared with the prior chest radiograph, there is new opacification of the right lower lung, consistent with a combination of pleural effusion and atelectasis as seen on his prior radiographs. The left lung remains clear. No evidence of pulmonary edema.
56387945
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with palpitations. Evaluate for pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.
Recurrent right pleural effusion and overlying atelectasis, as was seen on several prior radiographs from ___.
11985806
Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
53082676
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with history of liver cirrhosis and hepatic hydrothorax, s/p TIPS p/w pre-syncope // Please assess for evidence of pneumonia or effusion. TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormalities. Resolved right pleural effusion
11476888
There are mild bibasilar opacities, which may reflect superimposed breast tissue, however atelectasis, aspiration or pneumonia could be considered in the appropriate clinical setting. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion. The endotracheal tube ends 1.2 cm from the carina. Nasogastric tube courses into the stomach and out of the field of view.
55386071
WET READ: ___ ___ ___ 8:07 AM 1. Mild bibasilar opacities may reflect superimposed breast tissue, however atelectasis, aspiration or pneumonia could be considered in the appropriate clinical setting. 2. Endotracheal tube ends 1.2 cm from the carina, and should be repositioned. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with polysubstance overdose s/p intubation // eval for ICH, ETT placement TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: None available.
Mild bibasilar opacities may reflect superimposed breast tissue, however atelectasis, aspiration or pneumonia could be considered in the appropriate clinical setting. Endotracheal tube ends 1.2 cm from the carina, and should be repositioned.
11723732
Frontal and lateral chest radiographs demonstrate moderate cardiomegaly and a tortuous aorta. Coronary artery calcifications are noted on lateral view. There is a small left pleural effusion. No focal opacity or pneumothorax is seen.
50004215
HISTORY: Productive cough. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.
No focal opacity concerning for infection identified. Small left pleural effusion.
11723732
AP upright and lateral views of the chest are provided. Small bilateral pleural effusions are noted on the lateral projection. The cardiomediastinal silhouette is stable. No definite signs of pneumonia or CHF. No free air below the right hemidiaphragm. The imaged osseous structures appear intact.
53981389
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior CT torso from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Cough, question pneumonia.
Small bilateral pleural effusions.
11516539
AP upright and lateral views the chest provided. Lungs are clear and well inflated. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormality. A tiny metallic density projecting over the left upper abdomen which is of unclear etiology. No free air below the right hemidiaphragm.
50773612
INDICATION: ___F with with a fall, vomiting, head strike, head pain, evaluate for intracranial hemorrhage, fractures. TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute intrathoracic process. Punctate hyperdense metallic density in the left upper abdomen, please correlate clinically.
11497498
The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
56313589
HISTORY: Dizziness and headache. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11015728
The lungs are mildly hyperinflated. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged. Again, there are extensive calcifications of the costochondral junctions. There is mild loss of height in several of the mid thoracic vertebral bodies, which is likely chronic. Comparison is difficult, as there is no lateral view in the prior exam. No acute fracture is identified.
53576309
INDICATION: Status post fall, with a missing tooth. Evaluate for traumatic injury or foreign body. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.
No acute cardiopulmonary process. Mild cardiomegaly. Mild loss of height in multiple mid thoracic vertebral bodies is likely chronic. Recommend clinical correlation with symptoms.
11649904
There moderate pulmonary edema with perihilar opacities as well as vascular indistinctness. There are likely small pleural effusions bilaterally. The heart size is enlarged. Calcifications of aorta are noted. Patchy opacities in the lung bases likely reflect atelectasis though infection cannot be excluded in the correct clinical setting. No pneumothorax. A chronic appearing deformity of the right clavicle involving resorption/resection of the distal aspect is noted along with severe degenerative changes of the right glenohumeral joint.
59456308
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status and elevated white count TECHNIQUE: Chest PA and Lateral COMPARISON: None
Moderate cardiomegaly and moderate pulmonary edema with small bilateral pleural effusions. Patchy bibasilar opacities, likely atelectasis, but cannot exclude infection.
11493670
Since the chest radiograph obtained 1 day prior, there has been interval removal of an NG tube and placement of the Dobhoff tube, which terminates in the expected location of the gastric body. Lung volumes are low, but otherwise clear without focal consolidation. Heart size and cardiomediastinal borders are unchanged. There are no pleural effusions.
54280109
EXAMINATION: Portable AP chest radiographs INDICATION: ___ year old man with cirrhosis // ?s/p dubhoff placement TECHNIQUE: Chest portable AP COMPARISON: Portable AP chest radiograph dated ___
A Dobhoff tube terminates within the gastric body.
11493670
Lung volumes are low bilaterally. Lungs are otherwise clear without evidence of focal consolidation or pulmonary edema. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
55936351
EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with ?hepatorenal syndrome being considered for steroid tx, r/o infection // r/o infection TECHNIQUE: Chest PA and lateral COMPARISON: Portable AP chest radiograph dated ___
Low lung volumes, but no evidence of pneumonia or other significant cardiopulmonary abnormalities.
11792886
Lung volumes are slightly decreased. There is no consolidation, effusion, or pneumothorax. Cardiomegaly is unchanged. Old left rib fractures are stable. Right upper quadrant surgical clips are stable.
59233621
INDICATION: Shortness of breath. COMPARISON: ___.
No acute cardiopulmonary process.
11792886
AP and lateral chest radiographs again demonstrate top normal heart size and low lung volumes. However, there is no pulmonary vascular congestion or large pleural effusion. The cardiac, hilar and mediastinal contours are normal. Scattered linear scarring at the lung bases is chronic.
55390567
INDICATION: History of CHF, presenting with shortness of breath. COMPARISON: Multiple priors from ___ to ___.
No acute cardiopulmonary process.
11792886
No focal consolidation, pleural effusion, or pneumothorax is evident on this view. There is no evidence for pulmonary edema. Heart size is enlarged, similar compared to prior. Aortic calcifications are seen. Old left rib fractures are again noted. Surgical clips project over the right upper quadrant.
53274749
INDICATION: ___-year-old female with congestive heart failure and acute shortness of breath. COMPARISON: ___. TECHNIQUE: Frontal radiographs of the chest were obtained.
Stable cardiomegaly without radiographic evidence for acute cardiopulmonary process.
11792886
Lung volumes are low, with crowding of bronchovascular markings. There is no focal consolidation. Continued blunting of the costophrenic angles may represent scarring or small pleural effusions, left greater than right. Mild-to-moderate cardiomegaly persists. There is no evidence of central venous congestion or pulmonary edema.
57316627
INDICATION: ___-year-old female with acute onset dyspnea while sleeping. COMPARISON: ___. CHEST,
Continued mild cardiomegaly, without pulmonary edema. The differential includes dilated cardiomyopathy and pericardial effusion.
11137886
The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
56611594
INDICATION: ___M with sob // eval for ptx TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process, no pneumothorax.
11843355
The cardiac, mediastinal and hilar contours are unremarkable. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax.
51598700
INDICATION: ___-year-old female with chest pain and bradycardia. Evaluate for infection. COMPARISON: ___. PA AND LATERAL CHEST
No evidence of acute cardiopulmonary abnormality.
11405705
The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax.
58292950
INDICATION: ___-year-old male with anxiety and abnormal EKG. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST
No acute cardiopulmonary pathology.
11405705
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.
57180478
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with some mild shortness of breath and chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph
No acute cardiopulmonary abnormality.
11405705
Lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
53207691
INDICATION: ___M with chest congestion // eval acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11152968
Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely moderately enlarged. Mediastinal contours are similar, with tortuosity of the thoracic aorta again noted, and widening of the superior mediastinum, likely due to low lung volumes, with rightward deviation of the trachea. There is crowding of the bronchovascular structures with mild pulmonary vascular congestion. Chronic elevation of the left hemidiaphragm is again noted. Left basilar opacity could reflect atelectasis. There is no pleural effusion or pneumothorax. Extensive glenohumeral joint degenerative changes are again seen bilaterally.
55243060
HISTORY: Chest pain. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___ and ___.
Low lung volumes. Mild pulmonary vascular congestion. Chronic elevation of the left hemidiaphragm with associated left basilar atelectasis.
11152968
Low lung volumes accentuate the cardiac silhouette which remains mildly enlarged. Elevation of the left hemidiaphragm is unchanged with associated left base atelectasis. Cardiomediastinal silhouette and hilar contours are otherwise unchanged. Lungs are grossly clear. No large pleural effusion or pneumothorax. Chronic deformities of bilateral shoulders.
58431179
EXAMINATION: Chest radiograph INDICATION: History of JRA and recent MRSA bacteremia presenting with diarrhea and nausea. Evaluate for pneumonia. TECHNIQUE: Portable frontal view of the chest. COMPARISON: Chest radiographs from ___ through ___.
No acute cardiopulmonary abnormality. Stable elevation of the left hemidiaphragm with associated left base atelectasis.
11152968
Since ___, new opacity in right upper lobe concerning for pneumonia. Unchanged significant cardiomegaly. Chronic elevation of left diaphragmatic surface. Unchanged collapse of the left lower lobe. Unchanged small left pleural effusion. Mild left basilar atelectasis. Rightward deviation of trachea likely due to positioning as there was no mediastinal mass seen on chest CT ___. No pneumothorax.
50942997
INDICATION: ___ year old man with hypoxia // aspiration? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Since ___, new possible right upper lobe pneumonia. Chronic elevation of left hemidiaphragm. Chronic left lower lobe collapse. Unchanged small left pleural effusion.
11949466
AP and lateral views of the chest were viewed. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are clear.
56692907
HISTORY: Altered mental status. COMPARISON: None.
No acute cardiopulmonary process. Mild cardiomegaly.
11981868
The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
57883805
EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ year old man with significant weight loss, intermittent abdominal pain and peristent diarrhea. // Evaluate for malignancy, abnormality. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11308999
The lungs are well expanded and clear. Evaluation of known pulmonary nodules is better assessed on prior CT. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable.
50722639
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with met breast cancer // persistent cough x2 weeks, r/o acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: CT chest from ___.
No evidence of pneumonia.
11952366
PA lateral images of the chest. The lungs are well expanded. Cephalization of the pulmonary vasculature is seen, consistent with pulmonary venous hypertension. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No acute fracture is seen.
52329506
HISTORY: Right-sided chest pain. COMPARISON: Comparison made with chest radiographs from ___ and ___.
Cephalization of the pulmonary vasculature consistent with pulmonary venous hypertension. No acute fracture is seen, however chest radiographs are insensitive for rib fractures. If clinical concern for rib fractures persists, dedicated rib films with markers on any focal point of tenderness would improve detection.
11020337
The lungs are hyperinflated, unchanged. Bilateral lower lobe mild streaky opacities likely reflect atelectasis. No focal consolidation, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. Multiple bilateral rib fracture deformities are similar to at least ___.
59742664
EXAMINATION: Chest radiograph INDICATION: ___-year-old man presenting with presyncopal episode. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. Chest radiograph dated ___.
No acute cardiopulmonary process.
11020337
Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Apart from minimal bibasilar atelectasis, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Multiple old bilateral rib fractures are re- demonstrated.
54638559
HISTORY: Fall, unreliable historian. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11020337
Frontal and lateral views of the chest. Heart size and mediastinal contours are normal. Prominent right-sided epicardial fat pad, as seen on ___ abdomen CT, is stable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Multiple bilaeral rib and right scapular fractures are chronic and stable.
50203696
HISTORY: Seizures. COMPARISON: Multiple prior exams, most recently of ___.
No focal consolidation. Chronic rib and right scapular fractures.
11020337
Post-traumatic findings along the left posterolateral chest wall including pleural thickening appear unchanged. Again there is also a mild to moderate relative elevation of the right hemidiaphragm with a pleural effusion that is probably small to moderate in size on the right and possibly with a small pleural effusion on the left. Streaky left basilar opacity suggests atelectasis. Perihilar fullness and hazy prominent pulmonary vasculature suggest mild-to-moderate pulmonary vascular congestion.
56241281
CHEST RADIOGRAPH HISTORY: Hypoxia. COMPARISONS: ___. TECHNIQUE: Chest, portable AP, semi-upright AP.
Findings most suggestive of congestive heart failure with parenchymal changes and suspected pleural effusions. Streaky left basilar opacity is most suggestive of atelectasis. Similar post-traumatic changes along the left chest wall.
11020337
The lungs are clear with no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Multiple left rib fractures are noted, which likely are present on prior studies.
59099985
HISTORY: Seizure, evaluate for infiltrate. TECHNIQUE: PA and lateral views of the chest were obtained. COMPARISON: Chest radiograph from ___.
No evidence of acute cardiopulmonary process.
11020337
PA and lateral views of the chest are compared to previous CT abdomen from ___ and chest x-ray from ___. Linear opacities at the left lung base suggest atelectasis. Slight increased focal opacity at the right lung base laterally could potentially also be due to atelectasis; however, acute infection is also possible. Increased density at the right cardiophrenic angle is compatible with previously identified prominent epicardial fat. Blunting of the right latter costophrenic angle may be due to small effusion or atelectasis in this region. Cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.
55417696
CHEST, TWO VIEWS ___ HISTORY: ___-year-old man with breakthrough seizure. Evaluate for pneumonia.
Bibasilar opacities, potentially due to atelectasis; however, subtle increased opacity at the right lung base may be due to infection. Clinical correlation is recommended.