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11038236
AP portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. Subtle retrocardiac opcity may be due to atelectasis. No large pleural effusion, or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged. Minimal perihilar vascular congestion is noted.
58676939
INDICATION: Patient with altered mental status and seizures. Assess for aspiration. COMPARISONS: Chest radiographs from ___ to ___.
Subtle retrocardiac opacity, may represent atelectasis, aspiration or infection in the appropriate clinical setting.
11941242
Lung volumes are low. Retrocardiac opacity with silhouetting of the left hemidiaphragm and lateral border of the descending aorta is nonspecific and could reflect any of a combination of atelectasis, focal pneumonia or even a small effusion. Right infrahilar opacity with slight indistinctness of the right heart border could reflect infection in the appropriate clinical scenario. Apparent elevation of the right hemidiaphragm may be related to positioning and technique versus volume loss. There is cardiomegaly, but no CHF. Aortic calcifications are present. No pneumothorax.
50000014
EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting with weakness. Evaluate for pneumonia. TECHNIQUE: Semi upright AP radiograph view of the chest. COMPARISON: None.
Nonspecific retrocardiac and right middle lobe opacities could reflect atelectasis and/or infection in the appropriate clinical situation. There is cardiomegaly without CHF.
11893901
Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is seen. Mild indentation on the trachea may be secondary to adjacent thyroid nodule. Heart and mediastinal contours are within normal limits. Spinal degenerative changes appear similar, but are incompletely evaluated.
58731324
INDICATION: ___-year-old male with chest pain. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.
No radiographic evidence for acute cardiopulmonary process. Indentation of the trachea may be secondary to thyroid nodule; clinical correlation is recommended. Discussed with Dr. ___ by Dr. ___ ___ by phone at approximately 8:15 a.m. on ___.
11028696
There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Bibasilar atelectasis is noted. The heart is moderately enlarged but unchanged from at least ___. The aorta is tortuous. The hilar contours are unremarkable and similar in appearance to the prior CT. Specifically, there is a prominent right pulmonary vein.
50695389
INDICATION: Altered mental status and syncope, rule out pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CT torso ___.
No acute cardiopulmonary process with unchanged moderate cardiomegaly.
11028696
Cardiac silhouette is enlarged and has increased slightly in size since the prior radiograph. Aorta is tortuous. Increased opacity overlying the lower thoracic spine on the lateral view, and is difficult to localize on the frontal radiograph, but may involve both lower lobes as both hemidiaphragms appear slightly obscured posteriorly. Probable small bilateral pleural effusions are also demonstrated, with slight blunting of the posterior costophrenic angles. Bones are diffusely demineralized. Mild compression deformities in mid thoracic spine, unchanged since CT of ___.
51218404
PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.
No definite findings to suggest active tuberculosis or previous granulomatous infection. Patchy bibasilar opacities could potentially reflect aspiration or bacterial pneumonia in the appropriate clinical setting. Short-term followup radiographs may be helpful to ensure resolution. Small bilateral pleural effusions. Cardiomegaly without evidence of pulmonary edema.
11028696
AP upright and lateral views of the chest were provided. Cardiomegaly is stable and moderate in overall size. Small bilateral pleural effusions are present. There is equivocal evidence for mild interstitial edema. No definite signs of pneumonia. No pneumothorax is seen. The mediastinal contour is stable from prior CT. Bony structures are intact.
55477087
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ and chest CT from ___. CLINICAL HISTORY: Dyspnea, assess for edema or pneumonia.
Cardiomegaly with small bilateral effusions. Possible mild interstitial edema.
11028696
Moderate enlargement of cardiac silhouette is re- demonstrated. The aorta remains tortuous. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal blunting of the costophrenic sulci posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. No focal consolidation or pneumothorax is present. There are moderate multilevel degenerative changes noted in the thoracic spine with unchanged mild compression deformities within 2 adjacent vertebral bodies in the mid thoracic spine resulting in kyphosis.
56905998
EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with syncope TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___
Small bilateral pleural effusions.
11028696
Low lung volumes are present. Cardiac silhouette size is moderately enlarged but similar. Mediastinal and hilar contours are unchanged. Low lung volumes result crowding of bronchovascular structures. There is no overt pulmonary edema. No large pleural effusion or pneumothorax is seen. Bibasilar atelectasis is noted. No acute osseous abnormalities detected. Diffuse demineralization of the osseous structures with mild degenerative changes are again noted throughout the thoracic spine. There is mild compression deformity of 2 adjacent vertebral bodies in the mid thoracic spine, unchanged.
50202907
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with syncope, on amiodarone TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Low lung volumes with bibasilar atelectasis.
11028696
The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly stable. No definite focal consolidation is seen. There is may be a trace pleural effusion although no large pleural effusion is seen. There is no pulmonary edema.
56117298
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with syncope // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No focal consolidation to suggest pneumonia. Possible very trace pleural effusion.
11888000
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
53677067
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, weakness // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11745259
No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Again, there is evidence of pectus excavatum deformity accounting for subtle opacity at the right heart border, less conspicuous as compared to the prior study. No overt pulmonary edema is seen. No displaced fracture is identified.
55812934
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain status post MVC. COMPARISON: ___.
No acute intrathoracic process. Please note that CT is more sensitive in detecting rib and spine fractures.
11745259
PA and lateral views of the chest provided demonstrate a pectus excavatum deformity, which likely accounts for the subtle opacity at the right heart border. The lungs are clear. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No displaced rib fractures are seen. No free air below the right hemidiaphragm.
56309510
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Right anterior low rib tenderness, question pneumothorax or fracture.
No acute findings in the chest.
11073405
Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. Mediastinal contours are normal. Bronchial cuffing and diffuse prominent interstitial markings suggest an interstitial abnormality, possibly bronchitis. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax.
56306664
HISTORY: ___-year-old male with fever, cough, and right-sided chest pain. COMPARISON: None.
Diffuse mild interstitial pulmonary abnormality compatible with bronchitis. Followup chest radiograph indicated if symptoms persist more than two weeks.
11379931
Mild cardiomegaly is stable in appearance. Increasing confluent opacity has developed in the periphery of the right mid lung, concerning for developing infection in the setting of fever. Worsening patchy and linear opacities in the right lung base and persistent left retrocardiac opacity may reflect atelectasis with or without coexisting pneumonia. Small bilateral pleural effusions persist, left greater than right.
54349347
PA AND LATERAL CHEST ___ COMPARISON: Chest x-ray ___.
Peripheral opacity in right mid lung region, concerning for developing pneumonia in the appropriate clinical setting. Small bilateral pleural effusions, left greater than right, and adjacent basilar lung opacities, most likely represent atelectasis.
11379931
PA and lateral views of the chest were reviewed. Compared to the most recent prior study of ___, lung volumes have improved and persistent bilateral lower lung opacities, greater on the left than on the left represent atelectasis or pneumonia. Moderate cardiomegaly, left atrial enlargement and aortic calcifications are unchanged.
57474427
INDICATION: Bibasilar crackles and a new oxygen requirement. COMPARISON: Multiple chest radiographs, the most recent of ___.
Bilateral lower lung opacities, greater on the left than on the right, represent atelectasis or pneumonia. Moderate cardiomegaly and left atrial enlargement are unchanged. Findings were placed on the critical results dashboard at 5:06PM by Dr. ___ ___.
11379931
The lung volumes are unchanged, with bibasilar atelectasis appearing increased on the left where there are dense air bronchograms. Small left pleural effusion is present. There is mild pulmonary edema. There is no pneumothorax. The cardiac silhouette remains mildly enlarged, the mediastinal contours are exaggerated by portable technique. A PTBD has been placed in the interim. There is no intraperitoneal free air. There has been interval improvement in gaseous distention of the stomach.
58410649
HISTORY: ___-year-old female status post ERCP with pancreatitis. COMPARISON: ___.
Slight increase in bibasilar atelectasis, and unchanged mild pulmonary edema. Interval PTBD placement, without intraperitoneal free air.
11775739
Since the prior radiograph, patient is now s/p RUL and RML VATS wedge resection. There has been interval placement of a right chest tube. There is also a right port that terminates in the right atrium. There is a small right apical pneumothorax with no evidence of tension. Right upper lobe consolidation not seen on the most recent CT chest ___, likely represents post-operative hematoma. Bibasilar opacities are also noted, likely due to atelectasis. No pleural effusions. Stable cardiomediastinal silhouette.
53042439
EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with hip osteosarcoma, now with new R CT after RUL and RML wedge resection today// ? ptx TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___
Small right apical pneumothorax with no evidence of tension. Post-op hematoma in RUL. Recommend continued surveillance to document resolution.
11775739
The right central venous catheter is stable in position. There are new focal parenchymal opacities bilaterally, predominantly in the lower lobes, worrisome for multifocal pneumonia. There may also be underlying pulmonary edema. Mild cardiomegaly. Small bilateral pleural effusions.
50557549
WET READ: ___ ___ ___ 3:03 PM New focal parenchymal opacities bilaterally, predominantly in the lower lobes, worrisome for multifocal pneumonia. There may also be underlying pulmonary edema. Small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with exp // ? pna TECHNIQUE: AP view of the chest. COMPARISON: ___.
New focal parenchymal opacities bilaterally, predominantly in the lower lobes, worrisome for multifocal pneumonia. There may also be underlying pulmonary edema. Small bilateral pleural effusions.
11775739
Compared to the prior study patient has taken a deeper breath. There are persistent bilateral patchy and rounded opacities which may represent multifocal pneumonia and/or pulmonary edema, although these could also represent coalescing metastatic lesions as seen on previous chest CT. A small right pleural effusion is present. There is no pneumothorax.
55017357
INDICATION: ___ year old man with metastatic osteosarcoma with acute on chronic CHF who presented with SOB, evaluate for pulmonary edema TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: Multiple priors with direct comparison made to study from ___ and CT chest from ___
Persistent bilateral rounded and patchy opacities which could represent multifocal pneumonia and/or pulmonary edema versus coalescing metastatic lesions as seen on recent chest CT.
11775739
Since the prior CXR performed earlier this morning, the right chest tube has been removed. Right Port-A-Cath is unchanged in position. The known right apical pneumothorax has decreased in size since yesterday afternoon, but has remained stable since the most recent CXR performed this morning. Within the right hemithorax, there are two new air-fuid levels, compatible with hydropneumothorax. There are likely tiny bilateral pleural effusions. Stable cardiomediastinal silhouette. Elevation of the right hemidiaphragm suggest volume loss.
57885753
EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man s/p RUL/RML wedge // check interval change post CT removal TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ at 05:17
Interval removal of the right chest tube. Stable right apical pneumothorax. Two new air-fluid levels in the right lung, compatible with hydropneumothorax.
11775739
The small right apical pneumothorax was noted on yesterday's CXR has expanded from 22 mm to 27 mm today. No evidence of tension. Postoperative right upper lobe hematoma has largely resolved. However, there is a new parenchymal opacity in the right mid-lung zone, of unclear significance. There is left lower lobe atelectasis. The right-sided port and right chest tube are unchanged in position. Stable cardiomediastinal silhouette. No acute osseous abnormalities.
51657638
EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man s/p RUL,RML wedge on ___ // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___
Interval worsening of small right apical pneumothorax. New right mid-lung opacity. Differential is broad, including partial collapse vs. infection vs. new hematoma. Recommend close attention on follow-up imaging.
11142091
The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Anterior cervical fixation hardware is incompletely visualized, with no obvious malalignment.
53781052
INDICATION: Shortness of breath and cough. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: None.
No acute intrathoracic process.
11652662
Patchy right upper lung opacity seen on the frontal view is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
55427448
WET READ: ___ ___ ___ 3:00 PM Patchy right upper lung opacity seen on the frontal view, worrisome for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough // ?pna TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.
Patchy right upper lung opacity seen on the frontal view, worrisome for pneumonia.
11797249
A right-sided Port-A-Cath is seen, terminating at the cavoatrial junction/distal SVC, without evidence of pneumothorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
53193587
HISTORY: Tachycardia. TECHNIQUE: Frontal view of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11797249
Heart size is within normal limits. The cardiomediastinal silhouette is unremarkable. Lung fields clear. A right chest port terminates in the low SVC.
53098628
WET READ: ___ ___ ___ 9:39 PM No acute cardiopulmonary abnormality.Of note, the patient has known bilateral pulmonary emboli visualized on the subsequent chest CTA. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with SOB and tachycardia. Hx of PE // ?pneumonia, pneumothorax, pulmonary edema TECHNIQUE: Single AP view of the chest. COMPARISON: CTA chest ___.
No acute cardiopulmonary abnormality. Of note, the patient has known bilateral pulmonary emboli visualized on the subsequent chest CTA.
11008084
There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable.
58412267
WET READ: ___ ___ ___ 12:58 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with sob and ruq pain, evaluate for pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___.
No acute cardiopulmonary process.
11392654
Compared to the prior study, there is similar degree of mild pulmonary vascular congestion, with no evidence of pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is unchanged. The lungs are well-expanded. No focal airspace consolidation concerning for pneumonia is identified.
50699494
EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with shortness of breath // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to radiograph the chest from ___.
Mild pulmonary vascular congestion is unchanged. No pneumonia.
11500650
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.
51713992
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left sided chest pain worsening with inspiration / cough COMPARISON: ___
No acute intrathoracic process.
11134374
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Pectus excavatum deformity again noted. The upper abdomen is unremarkable. Mild degenerative changes seen in the thoracic spine.
58439845
INDICATION: History: ___F with epigastric/chest pain // eval pneumonia or other acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.
No acute cardiopulmonary process.
11226405
There are overlying EKG leads. The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Bony structures are intact
52772131
WET READ: ___ ___ ___ 5:44 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with asthma exacerbation. Evaluate for acute cardiopulmonary process. TECHNIQUE: Single portable AP upright of the chest. COMPARISON: Chest radiograph from ___.
No acute intrathoracic process.
11226405
The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
50410953
INDICATION: ___F with chest tightness and cough, evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None.
No acute cardiopulmonary process. Clear lungs.
11655333
The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Vascular calcifications are dense.
51850200
WET READ: ___ ___ ___ 6:09 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with dementia, s/p fall // pna? TECHNIQUE: AP and lateral views. COMPARISON: None
No acute cardiopulmonary abnormality.
11686464
PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
50585267
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from earlier today. CLINICAL HISTORY: Cough, fever, leukocytosis, assess pneumonia.
No signs of pneumonia.
11649885
The lungs are poorly inflated. There is bilateral diffuse airspace and interstitial opacities with an apico-basal gradient, vascular cephalization, bilateral hilar prominence, bilateral small pleural effusions in the setting of stable moderate-to-severe cardiomegaly. No pneumothorax.
53398760
INDICATION: ___-year-old male with hypoxia and cough. Evaluate for acute cardiopulmonary process. COMPARISON: ___ as well as multiple chest radiographs prior to that date. TECHNIQUE: Upright AP and lateral chest radiograph.
Constellation of findings compatible with acute-on-chronic congestive heart failure.
11649885
Mild cardiomegaly is unchanged. Compared with most recent prior radiograph there has been resolution of pulmonary edema. Trace bilateral pleural effusions persist, but are markedly improved from prior. No focal consolidation is present. There is no pneumothorax. No evidence of pulmonary vascular congestion.
57767624
HISTORY: Cough with history of AML, rule out infiltrate. COMPARISON: Chest radiographs from ___ dating back to ___.
No pneumonia. Stable mild cardiomegaly with trace bilateral pleural effusions. Telephone notification to Dr. ___ by Dr. ___ at 15:24 on ___ per request
11649885
There is stable left lower lobe atelectasis. Otherwise, the lungs are clear. The heart size is top normal. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vascular markings are normal.
54121777
PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 7:58 PM Unchanged left basilar atelectasis. No marked change from prior study. ______________________________________________________________________________ FINAL REPORT INDICATION: Evaluate a persistent opacity in left lung base and patient with AML and CHF. COMPARISON: Chest radiographs from ___ and ___. PA AND LATERAL VIEWS OF THE
Unchanged left basilar atelectasis. No marked change from prior study.
11566061
PA and lateral views of the chest provided. The lungs are hyperinflated. 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.
55333907
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever // infiltrate COMPARISON: None
No acute intrathoracic process.
11937068
Left PICC likely terminates in the lower SVC. There are no pleural effusions or pneumothorax. Lungs are clear. The cardiomediastinal and hilar contours are normal.
53394954
INDICATION: ___-year-old male with fever. COMPARISON: ___. CHEST, PA AND
No evidence of pneumonia.
11093087
The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
59272331
INDICATION: ___F with sweats for 1 day. lap chole 6 days ago // r/o PNA TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available.
No acute cardiopulmonary process.
11131740
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There ARE no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change.
59306260
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11286037
The lungs are slightly underinflated. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
50440551
INDICATION: Intermittent chest pain. No comparison studies available. FRONTAL AND LATERAL CHEST
No acute intrathoracic process.
11778630
The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Cluster of small radiopaque densities are seen projecting over the left posterior chest, likely reflecting shrapnel. There are no acute osseous abnormalities.
59769730
HISTORY: Chest pain and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11811925
Left-sided Port-A-Cath terminates at the cavoatrial junction/proximal right atrium. Known medial right upper lobe mass was better assessed on prior studies. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
53137093
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // Eval for pneumonia, pulmonary edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Known medial right upper lobe mass better assessed on prior studies. No new focal consolidation.
11811925
There has been interval removal of a right-sided chest tube since prior radiographs on ___. There is no change in a small right apical pneumothorax. There is mild right pleural fluid and thickening, unchanged. There is subcutaneous emphysema seen on the lateral view. A left-sided Port-A-Cath is unchanged in position.
59483308
EXAMINATION: PA and lateral views of the chest INDICATION: ___F c Stage IIIA RUL NSCLC RUL s/p induction chemoradiotherapy, now s/p open RUL lobectomy // Please obtain at 8:30 AM, eval for interval change s/p chest tube removal TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___
No significant change in small right apical pneumothorax status post right sided chest tube removal.
11811925
Since 1 day prior, mild pulmonary vascular congestion has improved. Medial right upper lobe and right perihilar opacities are essentially unchanged and are concerning for hematoma. The right-sided chest tubes are unchanged in position. No pneumothorax or obvious pleural effusion. Cardiomegaly remains unchanged.
59454080
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with post-op RUL // Please evaluate TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___
Medial right upper lung and right perihilar opacities probably reflect a hematoma. Mild pulmonary vascular congestion has improved.
11811925
Since 1 day prior, medial right upper lung and perihilar opacity is essentially unchanged. 2 right-sided chest tubes remain in place. No pleural effusions. The left lung is clear. Heart size and mediastinal widening are unchanged. No pulmonary vascular congestion or pulmonary edema. A left-sided port/central venous catheter is unchanged and appropriately positioned.
59170152
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman s/p Open RUL lobectomy // AM rounds POD1 TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___
Unchanged media right upper lung and perihilar opacity may be caused by hematoma.
11811925
Since the radiograph obtained 7 hours prior, there is new, mild pulmonary vascular congestion. Pulmonary edema in the right lung is mild. The medial right upper lobe and right perihilar opacities are essentially unchanged, possibly reflecting a hematoma. 2 right-sided chest tubes and a left-sided port are unchanged and appropriately positioned.
58454922
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with complaints of shortness of breath // Please evaluate TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ at 05:14
New mild pulmonary vascular congestion. Medial right upper lung and right perihilar opacities remain concerning for a hematoma.
11531320
Compared with ___, there is no significant change. No evidence of pneumonia. Mild bilateral vascular congestion. Bilateral atelectasis. Elevated left hemidiaphragm. No pleural effusion or pneumothorax is seen. Mild cardiomegaly. Ectatic aorta and enlarged bilateral pulmonary arteries are also seen on previous CT. Mediastinal hilar contours remain unchanged. Thoracolumbar fusion hardware partially visualized and appear intact.
59843514
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with likely pulm HTN, OSA/ OHS with some crackles on exam // eval for pulmonary edema TECHNIQUE: Chest: Upright PA Frontal and Lateral COMPARISON: CT chest ___, chest radiograph ___.
Mild bilateral vascular congestion with mild cardiomegaly but no pleural effusions. Bilateral atelectasis. Ectatic aorta and and large bilateral pulmonary arteries also seen on previous CT.
11531320
Cardiac silhouette size remains moderately enlarged. The mediastinal and hilar contours are several with tortuosity of the thoracic aorta again noted. Mild pulmonary vascular congestion is present without overt pulmonary edema. Streaky opacities in the lung bases likely reflect areas of atelectasis, similar to the previous study. No new focal consolidation, pleural effusion or pneumothorax is seen. Remote bilateral rib fractures are again noted. Partially imaged is posterior fusion hardware spanning the thoracolumbar spine.
58148504
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with CHF, COPD with dyspnea // please evaluate for acute abnormality TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, CT chest ___
Bibasilar patchy opacities, likely atelectasis. Mild pulmonary vascular congestion.
11531320
As compared to ___, cardiomegaly is accompanied by worsening pulmonary vascular congestion without frank pulmonary edema. Confluent right basilar opacity is similar to prior radiograph and earlier chest x-ray of ___, but appears larger compared to ___. Lungs are otherwise remarkable for bibasilar linear scarring. Multiple bilateral healed rib fractures are present, and a spinal stabilization devices again demonstrated.
59634525
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with persistent sob, wheezing, hypoxemia. no fever or cough // ?RAD, ?CHF
Nonspecific opacity at right cardiophrenic angle is most likely due to chronic pleural and parenchymal scarring adjacent to a focal region of diaphragmatic eventration. No new areas of consolidation to suggest pneumonia Cardiomegaly and pulmonary vascular congestion without frank pulmonary edema
11596805
AP portable upright view of the chest. In this patient with left chest tube placement for decompression of a pneumothorax, there is persistent atelectasis in the left lower lung without conspicuous residual pneumothorax. Subcutaneous emphysema is noted in the left lateral chest wall. Otherwise, no significant changes.
56044905
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with pigtail, ptx COMPARISON: Prior exam performed earlier today.
Left chest tube in place, no residual pneumothorax seen. Persistent atelectasis in the left lower lung.
11596805
There has been improvement opacification at the left lung base, with residual linear atelectasis and partial left lower lobe collapse. The right lung is clear. Heart size is normal and there is a small left pleural effusion. Small amount of air adjacent to the left heart border maybe a small amount of pneumomediastinum. Pleural catheter marginates the mediastinum at the level of the AP window. No appreciable pneumothorax..
50542179
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p fall and with pulmonary contusion. Evaluate interval change in pulmonary contusion. TECHNIQUE: Chest PA and lateral
Improvement in the left lung base opacity, with persistent partial left lower lobe collapse. No appreciable left pneumothorax. Pleural catheter marginates the mediastinum. Attention on follow up.
11445908
Right-sided Swan-Ganz catheter near the right pulmonary artery. Dual lead defibrillator in similar position in the right atrium and right ventricle areas. Right-sided PICC terminates in the low SVC. No pulmonary edema. Probable small pleural effusions. No pneumothorax.
54070356
INDICATION: ___ with CAD s/p MI and PCI (LAD and RCA), HFrEF and ischemic cardiomyopathy (LVEF ___%) s/p BiV pacer/ICD, pulmonary hypertension, DM, HTN, and HLD who presented with progressive dyspnea, upper abdominal discomfort and anorexia to ___ concerning for acute decompensated heart failure transferred to ___ with cardiogenic shock (started on milrinone/hydral/sildenafil w/ improvement), optimized in house and now transferred to CCU after ___ placement and evaluation of pulmonary hypertension, cardiac optimization, and consideration for LVAD placement. TECHNIQUE: Portable
No over pulmonary edema. Probable small effusions.
11445908
Compared to prior study there has been interval development of central pulmonary vascular engorgement as well as development of mild interstitial edema, as reflected by peribronchial cuffing. There is likely a tiny right-sided effusion. No focal consolidation worrisome for pneumonia. No pneumothorax. A left-sided ICD in unchanged position.
50332816
HISTORY: Babesiosis; heart failure on gentle fluid now with shortness of breath. TECHNIQUE: Portable frontal chest radiograph single-view. COMPARISON: ___.
Interval development of fluid overload and mild pulmonary edema. Discussed over the telephone with Dr. ___ by Dr. ___ at 10:29 am ___ 15 minutes after discovery.
11445908
The cardiomediastinal contours are stable. There is a pacemaker with the leads in appropriate position. Again seen are diffuse bilateral parenchymal opacities, which appeared to demonstrate slight interval improvement compared to the prior exam. There is no definite pleural effusion. There is no evidence of a pneumothorax. No new focal consolidations concerning for infection are identified.
52722873
INDICATION: History of systolic heart failure, on Lasix. Please evaluate for change in pulmonary edema. COMPARISONS: Chest radiographs dating back to ___. TECHNIQUE: Single AP portable exam of the chest.
Slight interval improvement in the diffuse bilateral parenchymal opacities likely reflect improvement of mild bilateral pulmonary edema.
11445908
Dual lead left-sided AICD is stable in position, with leads extending to the expected positions of the right atrium and right ventricle. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
54665131
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with exertional CP // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No significant interval change. No acute cardiopulmonary process.
11445908
The heart size is normal. The hilar and mediastinal contours are normal. There is a right-sided IJ which terminates in the mid SVC. There is a pacemaker with the leads in appropriate position. Again seen are diffuse bilateral parenchymal opacities which appear to demonstrate slight interval improvement compared to the prior exam. There is no large pleural effusion. There is no evidence of a pneumothorax. No new focal consolidations concerning for infection are identified.
50417455
INDICATION: History of systolic heart failure. Patient with fever and malaise secondary to babesiosis. Please evaluate for interval change. COMPARISONS: Multiple chest radiographs dating back to ___. TECHNIQUE: Single AP portable exam of the chest.
Slight interval improvement in the diffuse bilateral parenchymal opacities compared to the prior exam, likely reflect improvement of mild bilateral pulmonary edema.
11506150
Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are hyperinflated but clear. Pleural surfaces are clear without effusion or pneumothorax.
57414809
EXAMINATION: Chest radiograph INDICATION: Seizures. TECHNIQUE: Chest PA and lateral COMPARISON: None
No acute cardiopulmonary process.
11154374
The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No compression deformity of the thoracic spine.
51931249
WET READ: ___ ___ 2:03 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with fall, R shoulder pain // eval for traumatic injury TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary process.
11386960
The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
53278291
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with CP // evidence of pneumo TECHNIQUE: Chest PA and Lateral COMPARISON: None
No evidence of acute cardiopulmonary process.
11042662
In comparison to the chest radiograph from yesterday, there is increased vascular congestion with mild-to-moderate pulmonary edema. Increased hazy opacification at the right base is likely due to asymmetric edema. There is no definite pleural effusion. There is no pneumothorax. The aorta is calcified and tortuous, and stable. The cardiac size is at the upper limits of normal.
57880554
INDICATION: Abdominal pain with heavy IV fluid resuscitation. Evaluate for overload. COMPARISONS: Chest radiographs from ___ and ___. TECHNIQUE: A single frontal supine view of the chest was obtained.
Worsening mild-to-moderate pulmonary edema
11602064
The two AP upright chest radiographs were obtained with differing degrees of inspiration. Apparent interstitial opacity is most attributable to low lung volumes. The heart size is borderline normal. A lower thoracic vertebra plana compression fracture is new since ___. Mid lumbar compression deformity is similar. Several right posterior rib deformities are new since ___. Degenerative disease of the right shoulder is severe.
58339252
INDICATION: ___-year-old with gait instability, evaluate for pneumonia. COMPARISON: Chest radiograph, ___ and CT torso, ___.
No acute cardiopulmonary process. Age-indeterminate lower thoracic vertebral compression fracture, new since ___.
11800503
A moderate to large left pleural effusion is present. No definite pneumothorax is identified. Left basilar opacification may reflect compressive atelectasis though infection or contusion is difficult to exclude. The right lung appears grossly clear. There is no pulmonary vascular congestion. Heart size is difficult to determine given the presence of the left basilar opacification and pleural effusion. Calcification of the aortic knob is visualized. Displaced fractures of multiple left-sided posterior ribs are noted, likely the left ___, ___, and 10th ribs.
51486663
HISTORY: Left-sided pneumothorax. TECHNIQUE: Upright AP view of the chest. COMPARISON: None.
Moderately large left pleural effusion with left basilar opacification likely reflecting compressive atelectasis though infection or contusion is difficult to exclude. Multiple displaced left-sided rib fractures. No pneumothorax identified.
11744381
Low lung volumes are present. Cardiac silhouette size is mildly enlarged, similar to the prior study. Mediastinal and hilar contours are unremarkable. There is crowding of bronchovascular structures but no overt pulmonary edema. Patchy opacities in lung bases may reflect atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
58503505
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever on immunosuppression, decreased PO intake, nonverbal. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Low lung volumes. Patchy opacities in the lung bases may reflect areas of atelectasis, but infection or aspiration cannot be fully excluded in the correct clinical setting.
11148580
PA and lateral views of the chest demonstrate left central venous catheter with subclavian approach projecting over distal SVC. There is no pneumothorax. Lungs appear hyperinflated. Diffuse emphysema is noted extending into lower lobes. Heterogeneous opacity in the right lung base has resolved. Linear opacity in the right lung base persists. Small right-sided pleural effusion is no longer visualized. There is no left pleural effusion. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.
57164746
INDICATION: Patient with dyspnea, alpha-1 antitrypsin deficiency and possible pneumonia seen on ___ exam. COMPARISONS: Chest radiograph of ___ and CTA chest of ___.
Heterogeneous right lung base opacity has largely resolved. Linear opacity in the right lung base may represent residual pneumonia or atelectasis. Diffuse emphysema extending into lung bases, compatible with the patient's reported history of alpha-1 antitrypsin deficiency.
11148580
A Port-A-Cath terminates at the cavoatrial junction, as before. The heart is normal in size. The mediastinal and hilar contours appear unchanged. Irregular pulmonary architecture again suggests emphysema. Patchy opacities in the right mid to lower lung appear unchanged and are streaky in character, most suggestive of chronic atelectasis or scarring without significant change. There is no pleural effusion or pneumothorax.
59442857
CHEST RADIOGRAPH HISTORY: Fever and shortness of breath. Question pneumonia or effusion. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.
Findings suggesting emphysema without definite evidence for acute disease.
11148580
Left side Port-A-Cath tip terminates in the low SVC. Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs remain hyperinflated with flattening of the diaphragms and lucency of the lungs which is most pronounced in the bases compatible with alpha 1 antitrypsin deficiency. Scarring within the lung bases is unchanged. Blunting of the costophrenic angles posteriorly bilaterally likely reflect chronic pleural thickening. No new focal consolidation, pleural effusion or pneumothorax is present. Mild compression deformities in the thoracic spine are unchanged.
52028133
HISTORY: Alpha 1 antitrypsin deficiency with COPD, altered mental status, hyperglycemia and upper respiratory tract infection. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11148580
Portable frontal chest radiograph shows no pleural effusion, pneumothorax or focal airspace consolidation. Changes of severe panlobular emphysema are again noted and are consistent with the patient's known history of alpha 1 antitrypsin deficiency. Heart size is normal and smaller than prior. There is no evidence of pulmonary edema. Streaky atelectasis/scarring is seen throughout both lungs. A left MediPort catheter terminates in the RA/SVC junction.
50461100
HISTORY: Acute dyspnea, evaluate for pneumonia, edema or pleural effusion. COMPARISON: Chest radiograph ___ and ___. CTA chest ___.
No acute cardiopulmonary process.
11148580
Single frontal view of the chest demonstrates an ET tube ending 5.6 cm above the carina. An enteric tube traverses inferiorly out of view with side port below the GE junction. A left subclavian approach Port-A-Cath has tip terminating in the lower SVC. The heart is prominent. The lungs are mildly hyperinflated, consistent with known emphysema. There is increased hazy opacities in the left upper lung, which likely represents asymmetric edema, versus consolidation. There is also right upper upper lung opacity, raising question of consolidation. There is also subsegmental volume loss in the lower lung zones. Previously seen right lower lobe consolidation has improved.
57284997
INDICATION: ___-year-old male with respiratory distress status post ET tube positioning. Question location. COMPARISON: ___.
Appropriate ET tube positioning. Prominent cardiac contour and increased left greater than right upper lung opacification, likely representing cardiac decompensation and asymmetric edema. Can't exclude supervening infection in the upper lungs. Consider reevaluation following treatment for pulmonary edema. Improving right lower lobe consolidation. Severe emphysema, basal predominant, in keeping with known Alpha-1 antitrypsin deficiency.
11148580
Frontal and lateral views of the chest. Left chest wall port is again seen with tip at the RA/SVC junction. The lungs are hyperexpanded with linear opacities suggestive of underlying scarring. There is no focal consolidation nor effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. Compression deformity in the mid thoracic spine is unchanged dating back to ___. Prior anterior left 7th rib fracture is also seen.
59545224
HISTORY: ___-year-old male with COPD and shortness of breath. COMPARISON: ___. ___.
Findings compatible with patient's known COPD without superimposed consolidation.
11148580
Frontal and lateral views of the chest demonstrate central venous catheter tip projecting over cavoatrial junction. Low lung volumes. Areas of scarring and lucency in the right lung base are noted. Emphysematous changes at the bases are stable. Perihilar vascular congestion is noted. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pneumothorax. Partially imaged upper abdomen is unremarkable. Compression deformities of the thoracic spine are stable. Small bilateral pleural effusions are new. Right lung base confluent opacity has progressed in comparison to prior exams.
54494476
INDICATION: Patient with new CHF. Assess for fluid overload or pneumonia. COMPARISONS: Chest radiograph from ___.
New small bilateral pleural effusions with perihilar vascular congestion. Bibasilar emphysematous changes, compatible with patient's given history of alfa-1 antitrypsin deficiency. Right lung base confluent opacity has progressed in comparison to prior exams and may represent atelectasis or infection in the appropriate setting.
11148580
AP portable view of the chest demonstrates ET tube terminating 6.6 cm above the carina. Nasogastric tube is seen coursing through the esophagus, its tip out of field of view. Left subclavian central venous catheter tip projects over cavoatrial junction. Diffuse bilateral rounded lucencies predominantly at the lung bases signify emphysema, better assessed on CT exam of ___. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. Perihilar vascular congestion is noted. Upper lobe heterogeneous opacities, left greater than right, are unchanged, which may represent infection or asymmetric pulmonary edema. Retrocardia opacity is new since ___.
52786469
INDICATION: Patient with history of alpha-1 antitrypsin deficiency, now with respiratory failure. COMPARISONS: Chest radiographs from ___ to ___ and CTA chest of ___.
Heterogeneous opacities in the upper lungs, left greater than right, not significantly changed since ___ exam. Retrocardiac opacity is new since prior. Above findings may represent asymmetric pulmonary edema or multifocal infection Moderate emphysema with basal predominance, compatible with patient's given history of alpha-1 antitrypsin deficiency.
11148580
Frontal view of the chest was obtained. Left-sided subclavian central venous catheter is again seen terminating at the distal SVC/cavoatrial junction. The lungs remain hyperinflated with flattening of the diaphragms. As compared to the prior study, there is increased opacification in the right lung base which could be due to infection/or aspiration. No focal consolidation is seen in the left. There is slight increased blunting of the right costophrenic angle which could be due to pleural thickening, although trace pleural effusion may be present. The cardiac silhouette is not enlarged. The mediastinal contours are unremarkable.
50711817
EXAM: Chest, frontal views. CLINICAL INFORMATION: ___-year-old male with history of dyspnea, history of COPD. COMPARISON: ___.
COPD. Increased right lung base opacity concerning for pneumonia which could be due to infection and/or aspiration, with possible trace right pleural effusion. Recommend followup to resolution in this patient with emphysema.
11747400
Frontal and lateral views of the chest. Top-normal heart size is similar to prior. Mediastinal contours, including engorgement of the vascular pedicle, are stable. Pulmonary vascular markings are indistinct, consistent with mild pulmonary edema. Small retrocardiac opacity may represent either atelectasis or consolidation. No pneumothorax or large pleural effusion.
58544871
HISTORY: Left-sided chest pain. COMPARISON: Multiple prior chest radiographs, most recently of ___.
Mild pulmonary edema with retrocardiac opacity, either atelectasis or infection.
11747400
Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There are slightly low lung volumes. The aorta is calcified and tortuous. Cardiac silhouette is stable. There is no overt pulmonary edema.
55780901
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain. COMPARISON: ___.
Left basilar atelectasis without definite focal consolidation.
11747400
Fullness and indistinctness of the hila suggest pulmonary vascular engorgement/congestion without overt pulmonary edema. The aorta is calcified and tortuous. The cardiac silhouette is top-normal to mildly enlarged. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax.
53698321
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with left shoulder and hand pain // eval for fracture/dislocation, acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Central pulmonary vascular engorgement/congestion without overt pulmonary edema.
11747400
Moderate to severe cardiomegaly is re- demonstrated. Lung volumes are low. Mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. Small hiatal hernia is present. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes seen in the thoracic spine.
55059629
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with cough TECHNIQUE: AP upright and lateral views of the chest COMPARISON: ___
Bibasilar patchy opacities, likely mild atelectasis.
11747400
The lungs are clear without focal consolidation, effusion, or edema. There is a small hiatal hernia. Mild cardiomegaly is again noted. Atherosclerotic calcifications noted at the aortic arch vessels tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
58688535
INDICATION: ___M with chest pain // eval heart and lungs TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11648537
Interval removal of the endotracheal and gastric tubes. The tip of the left internal jugular central venous catheter projects over the superior cavoatrial junction. Interval decrease in the hazy opacities predominantly in both lung bases. A small peripheral right lower lobe opacity remains present as well as a small amount of presumed atelectasis in the left lower lung zone. Mild persisting pulmonary vascular congestion.
51613207
INDICATION: ___ year old woman s/p extubation with aspiration pneumonia // Evaluate for flash pulmonary edema TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day
Interval extubation and removal of the gastric tube. Decreased diffuse bilateral hazy opacities throughout both lungs with a persisting right peripheral lower lobe opacity and presumed left lower lobe atelectasis.
11648537
Endotracheal tube terminates 4.4 cm above the carina. Left internal jugular catheter is unchanged in position, and terminates in the low SVC. Right lower lobe pneumonia continues to improve. There is streaky atelectasis at the left lung base. No other consolidation. Right pleural effusion is small, if any. No pneumothorax. There is no pulmonary edema. Cardiomediastinal contours are normal.
57418914
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypoxemic respiratory failure // eval for pneumonia, pulm edema TECHNIQUE: Portable chest radiograph COMPARISON: Multiple prior chest radiographs performed between ___ and ___
Continued improvement in right lower lobe pneumonia, without radiographic evidence of heart failure.
11648537
Left IJ central line tip low SVC. Enteric tube has been removed since prior exam. Improved bibasilar opacities. Normal heart size. No effusions.
59044019
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with slight movement IJ reeval position // eval position ij TECHNIQUE: Chest single view COMPARISON: ___
Central line tip low SVC.
11648537
The ETT is approximately 3.9 cm above the carina. Left IJ central venous catheter terminates in cavoatrial junction. The enteric tube terminates in the stomach. The lung volume is small, exaggerating pulmonary vascular markings and the cardiomediastinal silhouette. Right lower lobe opacity is grossly unchanged. Left lower lobe atelectasis is stable. No new consolidation. Small pleural effusion bilaterally is unchanged.
53020290
INDICATION: ___ year old woman intubated // eval int change TECHNIQUE: For chest radiograph. COMPARISON: Chest radiograph dated ___.
Stable chest radiograph with pulmonary vascular markings, bibasilar opacities and cardiac silhouette exaggerated by small lung volume.
11427810
The lungs are clear. The cardiomediastinal silhouette is unremarkable. There are no pleural effusions or pneumothoraces. The bones are intact.
50588424
CLINICAL HISTORY: ___-year-old woman feeling unwell, evaluate for pneumonia. COMPARISON: ___. PA AND LATERAL VIEWS OF THE
No evidence of intrathoracic process.
11914866
PA and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. A few air-fluid levels are seen in bowel in the upper abdomen.
50064966
INDICATION: History of immunosuppression and low blood pressure, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.
No acute cardiopulmonary process. A few air-fluid levels are seen in bowel in the upper abdomen, correlate clinically with signs of obstruction/ileus.
11914866
The posterior left costophrenic angle is blunted, possibly due to a trace pleural effusion. No focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
51262078
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with neuro sx // eval for consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No focal consolidation. Slight blunting of the posterior left costophrenic angle, new since ___, could be due to trace pleural effusion.
11533536
Overlying trauma board limits evaluation. Endotracheal tube tip terminates approximately 4 cm from the carina. An orogastric tube tip is within the stomach. Lung volumes are low. The heart size is mildly enlarged. Mild widening of the superior mediastinum is likely due to supine positioning and low lung volumes. Crowding of the bronchovascular structures is noted. Patchy opacities in the lung bases may reflect atelectasis. No large pleural effusion or pneumothorax is detected on this supine exam. No displaced fractures are evident.
53536218
HISTORY: Syncope with head strike. TECHNIQUE: Supine AP view of the chest. COMPARISON: None at this time as the patient is listed as EU critical.
Standard positioning of the endotracheal and orogastric tubes. Low lung volumes. Patchy opacities in the lung bases may reflect atelectasis.
11658411
PA and lateral views of the chest provided. There is mild atelectasis in the lower lungs. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomegaly is mild. The hila appear stable and overall contour. Bony structures are intact. No free air below the right hemidiaphragm peer
50537834
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left frontal hemorrhagic stroke in ___ s/p evacuation with residual non-fluent aphasia, Seizures disorder, HTN, HLD, Hypothyroidism, CAD, AAA s/p repair, CKD, TAH COMPARISON: ___
Stable mild cardiomegaly. Mild bibasilar atelectasis.
11013655
Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is stable, top normal. The ascending aorta appears slightly prominent, similar to slightly more prominent as compared to the prior study. While this may be due to an unfolded aorta, tortuosity and dilatation of the ascending aorta is not excluded and this could be further evaluated with chest CT with contrast. Mild pulmonary edema is seen. Degenerative changes are seen along the spine including anterior osteophyte.
56653901
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Presyncopal episode. COMPARISON: ___.
Clear lungs. Mild prominence of the ascending aorta which may relate to tortuosity; however, dilatation is not excluded. Findings could be further evaluated with chest CT with contrast.
11948710
Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. A very intense, round opacity projecting over the posterior third rib is likely a bone island. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. No pleural abnormalities.
53791307
EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with new onset muscle weakness // assess for lung mass TECHNIQUE: Chest PA and lateral COMPARISON: None
No radiographic evidence of pulmonary masses or other significant cardiopulmonary abnormalities.
11977439
AP portable upright view of the chest. Since a prior exam, patient has been extubated and there has been removal of the nasogastric tube. The right subclavian central venous catheter is seen with its tip in the mid SVC region. The lungs are clear though volumes are low. The heart is top-normal in size. The mediastinal contour is normal. No pneumothorax or effusion.
58502788
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with SAH, EVD, now with fever // assess for infection COMPARISON: Prior exam dated ___.
Interval extubation and removal of NG tube. Right subclavian central venous catheter in unchanged and appropriate position. Mild cardiomegaly. No signs of pneumonia.
11977439
ET and enteric tubes in standard positions. The heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded clear without focal consolidation.
58817907
INDICATION: ___M, intubated. TECHNIQUE: Portable AP of the chest. COMPARISON: None.
Support devices in standard positions. No acute cardiopulmonary process.
11037978
The lungs remain hyperexpanded but without focal consolidation, pleural effusion, or pneumothorax. Two more nodular opacities in the right lower lung are stable since ___ favoring a benign process. The cardiomediastinal silhouette is unchanged.
52223347
EXAMINATION: Chest radiograph. INDICATION: History: ___M with PMH CAD/HTN p/w back pain // Eval for cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___.
No evidence of acute cardiopulmonary process.
11037978
The lungs are hyperexpanded and show two unchanged right lower lobe nodules. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.
56236297
INDICATION: Smoker with 20 pound unintentional weight loss. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE
No acute intra-thoracic process.
11037978
The cardiac silhouette remains enlarged. The aorta calcified and tortuous. No pleural effusion or pneumothorax is seen. No overt pulmonary edema is. Patchy right base opacity most likely represents overlap of vascular structures although early pneumonia is not excluded in the appropriate clinical setting.
54586490
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest tightness // eval for PNA, CHF TECHNIQUE: Single frontal view of the chest COMPARISON: ___
Patchy right base opacity most likely represents overlap of vascular structures although early pneumonia is not excluded in the appropriate clinical setting.
11037978
The cardiac silhouettes demonstrate borderline cardiomegaly. Both lungs are clear with no focal consolidation or pneumothorax. Trace left pleural effusion cannot be excluded. There is no free air.
56965287
INDICATION: ___-year-old man with epigastric pain, evaluate for free air. COMPARISON: None. FRONTAL AND LATERAL CHEST
No acute cardiopulmonary process.
11939974
Multiple calcified granulomas are noted projecting over the bilateral lung fields, the largest on the right measuring 6 mm and the largest on the left measuring 4 mm, are better assessed on recent CT Chest from ___. The lungs are otherwise clear. The heart size is normal. Median sternotomy wires are intact and well aligned. No pneumothorax, pulmonary edema, or pleural effusion.
58645040
EXAMINATION: Chest radiograph INDICATION: ___ year old man with a h/o upper tract urothelial carcinoma and bladder CA. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___ CT chest without contrast from ___
Multiple calcified granulomas are seen projecting over the bilateral lungs, the largest measuring 6 mm on the right and 4 mm on the left, better assessed on recent CT Chest from ___. Otherwise, no acute cardiopulmonary process.
11939974
The lungs are hyperexpanded but clear. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. A 6 mm right upper lobe nodule is unchanged since ___.
53298831
INDICATION: ___-year-old man with history of HIV, presents with two weeks of loose stool, fatigue and lightheadedness. COMPARISON: Multiple chest radiographs, the latest from ___ and a CT of the chest from ___. TWO VIEWS OF THE
No acute process seen. Hyperinflation
11939974
The patient is status post median sternotomy and CABG. Cardiac, mediastinal and hilar contours are unremarkable, and the heart size is within normal limits. Mild atherosclerotic calcifications are noted at the aortic arch. Scattered calcified nodules are compatible with granulomas, unchanged. No focal consolidation, pleural effusion or pneumothorax is visualized. No displaced fractures are seen. There are mild degenerative changes in the thoracic spine.
52983850
HISTORY: Right-sided chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11899964
There is no focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is somewhat tortuous. The cardiac silhouette is top normal to mildly enlarged. Evidence of DISH is seen along the thoracic spine.
58715201
EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Prior brain cancer and altered mental status. COMPARISON: None currently available for comparison.
No definite acute cardiopulmonary process.
11899964
The lungs demonstrate some vascular crowding but no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Mild aortic tortuosity is present.
54910184
INDICATION: ___-year-old male with weakness. Please evaluate for evidence of pneumonia or congestive heart failure. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.
No acute intrathoracic process.