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11020337
AP portable supine view of the chest provided. The lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures demonstrate no acute injury. Chronic left rib deformities are again noted.
50848971
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old man with pain status post fall, assess pneumothorax.
Chronic left-sided rib deformities. No signs of acute injury.
11020337
AP upright and lateral views of the chest are obtained. Stable scarring at the right lung base is again noted. Old right rib cage deformity is seen. No evidence of pneumonia or aspiration. Cardiomediastinal silhouette appears normal. Bony structures appear intact. Old right rib cage deformity is unchanged.
51657647
CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___. CLINICAL HISTORY: Seizure, assess for pneumonia.
No acute intrathoracic process, specifically no signs of aspiration.
11020337
The cardiac, mediastinal and hilar contours are normal. Note is made of a prominent epicardial fat pad on the right. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. The previously described bibasilar airspace opacities have resolved. Multiple old right-sided rib fractures are again noted.
52344561
HISTORY: Seizure. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11020337
Mild pulmonary edema has completely resolved. There is very mild bilateral pleural effusion. Right lower lung moderate atelectasis is unchanged since yesterday but new since ___. There is no pneumothorax. Left rib fractures are chronic and healed.
58896668
PA AND LATERAL CHEST X-RAY INDICATION: Patient with edema, effusion, consolidation. COMPARISON: Chest x-rays from ___ to ___.
Resolution of mild pulmonary edema. Mild bilateral pleural effusions. Right moderate lower lung atelectasis.
11020337
Multiple healed bilateral rib fractures are seen. However, there is a right lateral rib fracture with an abrupt discontinuity in the cortex without adjacent cortical thickening which may represent an acute or subacute fracture. Mild blunting of the right costophrenic angle may represent pleural effusion or scarring. There has been a mild increase in right lower lung zone atelectasis overlying the pericardial fat pad. There are no focal areas of consolidation concerning for infection. There is no pneumothorax. The cardiomediastinal silhouette is stable and within normal limits.
56486441
INDICATION: ___-year-old male, status post sliding injury 10 days prior with persistent right-sided pain and tenderness. COMPARISON: Multiple chest radiographs dating back to ___, the most recent ___ and CT abdomen, ___. TECHNIQUE: PA and lateral chest radiographs.
Possible acute lateral right eighth rib fracture, without pneumothorax. Consider a dedicated rib series in order to better evaluate this finding. These findings were reported to Dr. ___ ___ phone by ___ at 12:12 p.m.
11902760
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. Specifically no displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
50495086
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with s/p fall // evaluate for fracture, eval for R lower rib fracture / coccyx fracture COMPARISON: ___
No acute intrathoracic process. No displaced rib fracture. If there is further concern is dedicated rib series may be performed.
11961264
The heart is enlarged, minimally increased from ___. Lung volumes are low which accentuates bronchovascular markings. Given that, there is mild pulmonary vascular congestion and mild to moderate pulmonary edema. No pleural effusion or pneumothorax is seen.
50965243
EXAMINATION: Chest radiographs INDICATION: ___ year old woman with basilar crackles // ? edema TECHNIQUE: AP and lateral views of the chest COMPARISON: Prior radiographs from ___ through ___
Pulmonary vascular congestion with mild to moderate edema. Substantial cardiomegaly
11961264
Heart size is decreased since prior exam. New retrocardiac opacity, atelectasis versus infiltrate. No effusion. Thoracolumbar curve. IVC filter in place.
51589578
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with altered mental status, GNR, GPC from surgical wound // ?consolidation, e/o infectious process TECHNIQUE: Chest single view COMPARISON: ___
New retrocardiac opacity, atelectasis versus infiltrate.
11961264
The lungs are clear without focal consolidation, effusion, or edema. There is mild enlargement of the cardiac silhouette, unchanged. No acute osseous abnormalities. IVC filter is identified in the abdomen. Coils also project over the left upper quadrant.
54634802
INDICATION: ___F with ams, cough // pna? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11961264
Again noted is the retrocardiac opacity without significant change since ___. Cardiac size is enlarged an unchanged. Mild vascular congestion in bilateral bases. Aortic tortuosity again seen. There is no pneumothorax or pleural effusion.
59081327
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with consolidation on previous CXR // interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___
No significant changes in retrocardiac opacity since ___. Mild vascular congestion and bilateral bases.
11961264
Frontal lateral chest radiographs demonstrate low lung volumes, with resultant prominence of the cardiac silhouette and bronchovascular crowding. Allowing for this, heart size is likely normal. There is mild pulmonary edema and vascular congestion. Superimposed on this is increased opacity in the left lung base, which likely represents atelectasis, but an early pneumonia cannot be excluded. There is no large pleural effusion or pneumothorax.
51654747
INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___, ___, ___, and ___.
Left lower lobe opacity likely represents atelectasis, but an early pneumonia cannot be excluded. Mild pulmonary edema and vascular congestion.
11961264
Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. There is a probable small left pleural effusion with adjacent atelectasis. Pneumonia cannot be excluded. The cardiac silhouette remains unchanged. The aorta is tortuous. No pneumothorax.
53152315
INDICATION: ___ year old woman with cirrhosis, fever // ?pneumonia TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___.
Probable small left pleural effusion with adjacent atelectasis. Pneumonia cannot be excluded.
11961264
No focal consolidation, pleural effusion or pneumothorax identified. There is a dextro curvature of the thoracic spine. The size the cardiac silhouette is enlarged but unchanged.
59151329
INDICATION: ___ year old woman with right hip infection // pre-op Surg: ___ (Right hip i d) TECHNIQUE: AP portable chest radiograph COMPARISON: ___
No radiographic evidence of acute cardiopulmonary disease. Enlarged cardiac silhouette, unchanged.
11961264
There is slight interval decrease and tiny right pleural effusion which is now small. The lungs appear otherwise clear. The heart is within normal limits in size. The aorta is tortuous. Mediastinal structures are stable. The bony thorax is grossly intact.
55314833
EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY ___ year old woman with pleural effusion // eval eval COMPARISON: ___
Interval decrease in right pleural effusion.
11961264
No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac, mediastinal, hilar contours are stable.
59127514
HISTORY: Alcoholic cirrhosis question infiltrate. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process. No significant interval change.
11819931
2 views were obtained of the chest. The lungs are well expanded with right apical cavity, surrounding scarring and right pleural thickening, better assessed on subsequent chest CT, consistent with a now known prior history of tuberculosis. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
59143013
HISTORY: Chest pain, assess for pneumonia. COMPARISON: Subsequently obtained chest CT.
No acute intrathoracic process with sequelae of prior pleural/pulmonary tuberculosis infection in the right lung.
11450948
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
50067829
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with history of aspiration pneumonia in ___ now with similar symptoms // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No evidence of pneumonia. No acute cardiopulmonary process.
11626035
A tracheostomy catheter terminates at the level of the carina and should be re-adjusted. A large caliber central venous catheter from a right approach terminates at the cavoatrial junction. There are low lung volumes bilaterally resulting in bronchovascular crowding. An opacity within the left base may be a combination of atelectasis and effusion, though infection cannot be excluded. No pneumothorax is evident. There is no interstitial pulmonary edema. Mediastinal and hilar contours are within normal limits. A rounded density in the right glenoid may be a bone island.
58036584
HISTORY: ___-year-old male with tracheostomy, now with thick secretions suctioned from the tube. COMPARISON: None available PORTABLE FRONTAL CHEST
Left basilar opacity, likely a combination of pleural fluid and atelectasis, though infection remains within the differential. Low position of the tracheostomy tip at the carina. Re-adjustment recommended. The above findings and recommendations were communicated to Dr. ___ at 12:18 pm on ___ by telephone by Dr. ___. The patient was already scheduled to have intraoperative replacement of the tracheostomy later in the same day.
11626035
Left lower lobe consolidation and small pleural effusion have improved since the previous exam. There is no new lung consolidation. Mild pulmonary edema has also resolved. Right-sided PICC line and right-sided Port-A-Cath end in mid SVC. Tracheostomy is in adequate position. There is no pneumothorax. There is deformity of left acromion could be sequela from prior trauma. A dedicated study could be done if needed.
52580199
PORTABLE AP CHEST X-RAY INDICATION: Patient with hypoxia, interval change. COMPARISON: Multiple chest x-rays from ___ to ___.
Improvement of left lower lobe consolidation and small pleural effusion. Resolution of mild pulmonary edema.
11626035
Left lower lobe consolidation is unchanged from ___. Right Port-A-Cath and tracheostomy tube are in stable position. The cardiomediastinal silhouette is unchanged. There is no pneumothorax.
57914669
HISTORY: Respiratory failure. COMPARISON: ___ - ___.
Left lower lobe consolidation representing atelectasis or pneumonia, less likely pleural effusion given its recent appearance.
11626035
The patient is slightly rotated to the right. The right Port-A-Cath is in stable position. Lung volumes remain low with basilar atelectasis, though improved on the left. The cardiomediastinal silhouette is stable. There is no pneumothorax.
54703911
HISTORY: Axial brain injury and increased secretions. Concern for aspiration or pneumonia. COMPARISON: ___.
Improved left basilar atelectasis compared to ___, less likely pneumonia.
11995284
In comparison to the prior radiograph, a single semi-erect portable view of the chest demonstrates significantly lower lung volumes. Bibasilar opacities are most consistent with atelectasis, although in the correct clinical setting, pneumonia could certainly be considered. There are possible small bilateral pleural effusions. Patient is status post median sternotomy and CABG. Cardiac size is exaggerated by the AP view as well as the lower lung volumes but given these appears relatively stable. Crowding of the bronchovascular structures is present, with possible mild pulmonary vascular congestion. No pneumothorax. Heterotopic ossification is again noted along the inferior margin of the right glenoid.
53433967
HISTORY: ___-year-old man with fevers and altered mental status. Question pneumonia. COMPARISON: ___ and multiple prior other radiographs.
Low lung volumes accentuating both pulmonary vasculature as well as bibasilar atelectasis. Underlying pneumonia is certainly a possibility in the correct clinical setting. Possible small bilateral pleural effusions.
11995284
PA and lateral views of the chest. There is elevation of the right hemidiaphragm. There is a small right pleural effusion. There is mild pulmonary edema. No pneumothorax. Sternotomy wires and mediastinal clips are stable. There is at least mild cardiomegaly. There is an unchanged right glenoid spur.
52725902
INDICATION: Altered mental status. COMPARISON: Chest radiograph on ___.
Mild pulmonary edema. Elevated right hemidiaphragm with a small right pleural effusion.
11995284
Mild-to-moderate pulmonary edema has slightly worsened. The vessels are also more prominent and the heart contour still enlarged. The lung volumes are very low with bibasilar atelectasis and probable accompanying small pleural effusion. This patient had prior sternotomy for CABG.
54456665
PORTABLE AP CHEST X-RAY INDICATION: Patient with hypoxemia, interval change. COMPARISON: ___ to ___.
Slight worsening of mild-to-moderate pulmonary edema. Unchanged bibasilar volume loss with accompanying small pleural effusion.
11995284
Again low lung volumes contribute to bibasilar opacities which could be atelectasis, but certainly pneumonia should be considered. Right IJ line terminates in the low SVC. No pneumothorax. Median sternotomy wires, mediastinal clips, and cardiac silhouette are all stable. Possible small bilateral pleural effusions may be present. Crowding of the bronchovascular structures persists, and mild pulmonary vascular engorgement may be present. Patient is status post CABG and median sternotomy.
56368512
HISTORY: ___-year-old man with right IJ placement. COMPARISON: Prior radiograph from one hour before on ___.
New right IJ placement without evidence of pneumothorax, terminating in the low SVC. Bibasilar opacities concerning for pneumonia versus atelectasis.
11995284
An AP and lateral view of the chest shows no focal airspace consolidation, pleural effusion, pulmonary edema, or pneumothorax. The right hemidiaphragm is mildly elevated, and unchanged from the prior exam. The patient is status post a median sternotomy and aortic valve replacement. The wires are intact. The cardiomediastinal silhouette is unchanged. A large osseous spur is noted at the right gleno-humeral joint and unchanged from prior exams.
53291844
INDICATION: Intermittent chest pain. COMPARISONS: Chest radiograph ___. CTA chest ___.
No acute cardiopulmonary process.
11995284
There has been interval placement of a tunneled dialysis catheter with the tip terminating in the low right atrium. A left PICC has been slightly retracted with the tip now terminating at the level of the carina in the mid SVC. The patient is status post median sternotomy. The inspiratory lung volumes remain extremely low. There is increased opacification of the right lung base in comparison to the most recent prior study likely reflecting a combination of increased pleural fluid and underlying atelectasis. Left basilar atelectasis is unchanged. A small left pleural effusion is also noted with slightly increased left basilar atelectasis. No pneumothorax is detected. The cardiomediastinal silhouette is incompletely evaluated due to bibasilar opacification but is likely unchanged.
59238952
INDICATION: Left PICC with clinical concern for change in position, here to evaluate PICC placement. COMPARISON: Chest radiograph dated ___. Fluoroscopic spot images from tunneled dialysis line placement dated ___. TECHNIQUE: Portable upright AP radiograph of the chest.
Left PICC minimally retracted in comparison to ___ with tip still in mid SVC. Interval placement of right HD catheter with tip in low right atrium. Increased opacification of the bilateral bases on the right greater than the left likely reflecting increased pleural effusion and underlying atelectasis.
11995284
PA and lateral views of the chest are provided demonstrating midline sternotomy wires, mediastinal clips, and prosthetic cardiac valve. There is slight elevation of the right hemidiaphragm which is stable. The heart remains top normal in size with interval development of mild interstitial edema. The hilar vasculature is congested. No pneumothorax. Tiny right pleural effusion noted. No clear signs of pneumonia. Bony structures are intact. Degenerative spurring along the inferior right glenohumeral joint again noted.
57065134
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Shortness of breath, cough, assess pneumonia or fluid overload.
Mild interstitial edema, new from prior exam. No convincing signs of pneumonia.
11995284
Frontal radiograph of the chest demonstrates low lung volumes with elevation of the right hemidiaphragm as seen previously. There is no focal consolidation, pneumothorax, significant pulmonary edema or pleural effusion. The right subclavian line ends in the mid SVC. Median sternotomy wires are unchanged in position. The heart size is unchanged.
55557693
INDICATION: ___-year-old man with GI bleed and NSTEMI. Now with leukocytosis. Afebrile. Evaluation for pneumonia. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___.
No evidence of pneumonia. No significant change since the prior study.
11995284
In comparison with the study of ___, there is increasing opacification at the right base with silhouetting of the hemidiaphragm and meniscus formation, consistent with pleural effusion and volume loss in the lower lung. Less prominent retrocardiac opacification with blunting of the left costophrenic angle, consistent with volume loss in the lower lobe and small pleural effusion. Central catheter remains in position in this patient with intact midline sternal wires following CABG procedure.
57233018
HISTORY: MI with sepsis.
Worsening right basilar atelectasis and effusion.
11105803
Lung volumes are low. There is no definite focal consolidation. There is right hilar enlargement. The cardiomediastinal silhouette is within normal limits. Excreted contrast is identified within the kidneys. Surgical clips seen in the right upper quadrant. No acute osseous abnormalities identified.
52674205
WET READ: ___ ___ ___ 9:22 AM Low lung volumes without definite acute cardiopulmonary process. Right hilar enlargement could be accentuated by technique however repeat with PA and lateral suggested when patient is amenable. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with hypoxia // eval for PNA, CHF TECHNIQUE: Single portable view of the chest. COMPARISON: None.
Low lung volumes without definite acute cardiopulmonary process. Right hilar enlargement could be accentuated by technique however repeat with PA and lateral suggested when patient is amenable.
11061304
Portable semi-upright radiograph of the chest demonstrates bibasilar atelectasis, right greater than left. Indistinctness of the hila and baso-apical blood flow redistribution is consistent with mild pulmonary edema. The heart is mildly enlarged. Calcification of the aortic knob. No pneumothorax, consolidation, or pleural effusion.
53500787
INDICATION: History: ___F with vtach // eval for pulm edema TECHNIQUE: Portable chest x-ray. COMPARISON: None available.
Mild pulmonary edema. Mild cardiomegaly.
11806528
Frontal and lateral views of the chest. Enteric tube is no longer visualized. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
59686823
HISTORY: ___-year-old female with altered mental status. Question pneumonia. COMPARISON: ___.
No acute cardiopulmonary process.
11806528
PA and lateral views of the chest provided. There has been interval development of a large right pleural effusion with associated compressive atelectasis of the right middle and right lower lobes and the lower portion of the right upper lobe. The cause of this effusion is unclear. The left lung is clear. Right heart border cannot be defined in therefore heart size is difficult to assess. No pneumothorax is seen. Bony structures are intact.
55312343
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with progressive dyspnea // acute pulm process COMPARISON: Prior exam dated ___.
New large right pleural effusion with associated compressive atelectasis in the right middle and lower lobes. Thoracentesis may be considered.
11806528
Large right pleural effusion is minimally increased in size compared to the prior exam. Right basilar opacity likely reflects compressive atelectasis. The heart size is difficult to assess given the presence of the large right pleural effusion. Mediastinal contour where visualized appears unchanged with similar leftward shift of mediastinal structures. No pulmonary edema is seen. The left lung is clear. No pneumothorax is identified.
56519003
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with liver failure secondary to hepatitis-C presents with shortness of breath and abdominal distension TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph
Minimal increase in size of large right pleural effusion with right basilar opacity likely reflective of compressive atelectasis.
11660800
ET tube is approximately 7 cm from the carina and can be advanced for better seating. Patient is status post median sternotomy. Cardiomediastinal silhouette is grossly enlarged. Bilateral opacities are consistent with pulmonary edema as well as left pleural effusion and atelectasis. These are slightly worse from the prior study.
54567684
HISTORY: ___-year-old man status post intubation. Evaluate for ET tube placement. COMPARISON: Multiple prior studies, most recent ___.
Slightly elevated ET tube at 7 cm from the carina. Worsening bilateral opacities concerning for increasing edema and left lower lobe/retrocardiac opacity concerning for worsening atelectasis.
11660800
AP upright portable chest radiograph obtained. Midline sternotomy wires are again noted. There is left basilar opacities which are compatible with worsening effusion and consolidation. The right lung is clear. Overall, cardiomediastinal silhouette is stable. Bony structures are intact. There is a left arm PICC line with tip in unchanged position within the expected position of the SVC.
57658440
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: CABG, endocarditis, upper GI bleed, question pneumonia or pulmonary edema.
Slight increased opacity at the left lung base is concerning for worsening effusion and consolidation.
11660800
Single portable chest radiograph is limited by extensive soft tissue. Cardiomegaly is mild. There is no focal consolidation, effusion, or pneumothorax.
59435212
INDICATION: ___-year-old man with possible meningitis, myopathy, demand ischemia.
Limited portable radiograph due to body habitus. No acute cardiopulmonary process.
11635000
The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.Calcifications of the aortic knob are unchanged.
52183860
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain. R/o acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___.
No acute cardiopulmonary process.
11635000
The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. Minimal atelectasis at the left lung base. Aortic knob calcifications are mild, unchanged. The heart size is normal, unchanged. The mediastinum is not widened. Mild dextroconvex scoliosis of the thoracic spine is overall unchanged. No evidence of aacute rib fracture on this nondedicated exam, but note is made of apparent healed lower rib fractures bilaterally at the left tenth and right ninth ribs. Multilevel degenerative changes of the thoracic spine are overall similar. Degenerative changes of the left AC joint are mild.
56342480
EXAMINATION: Chest radiograph INDICATION: History: ___F with fall yesterday now with hallucinations. Evaluate for pneumonia or rib fractures. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
No acute cardiothoracic process. No evidence of rib fracture on this nondedicated exam. If clinical suspicion persists, consider dedicated rib radiographs.
11424300
The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. A fracture of the proximal left humerus is not imaged in detail on this examination, but is better characterized on a separate series from the same day. Mild degenerative changes affect the lower thoracic spine.
50302206
CHEST RADIOGRAPHS HISTORY: Cough and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11819712
An endotracheal tube terminates above the level of the carina. The side hole of the oro-gastric tube is around the level of the GE junction. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. No displaced rib fracture is apparent.
59544539
HISTORY: ___-year-old man with right intracranial hemorrhage. COMPARISON: None.
No acute cardiopulmonary process. Oro-gastric tube side-port at the level around the GE junction and should be advanced so that it is well within the stomach. Findings and recommendation discussed with Dr ___ by Dr. ___ ___ via phone at ___ on ___.
11724340
New small left apical pneumothorax without mediastinal shift. Mild increase in left lower lobe plate-like atelectasis. Cardiomediastinal silhouette is mildly enlarged and is normal for postop findings. Stable small left pleural effusion without pulmonary edema. Right lung is clear and sternotomy wires are in correct position. I
56766963
HISTORY: Status post cardiac surgery. Assess for pneumothorax. COMPARISON: Chest radiograph: ___, ___ and ___. TECHNIQUE: Single frontal portable chest radiograph.
New small left apical pneumothorax. Results were conveyed via telephone by Dr. ___ to primary team on ___ within 10 minutes of results.
11724340
The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Apart from minimal atelectasis within the left lung base, lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. There are minimal degenerative changes in the thoracic spine. Multiple clips are seen in the right upper quadrant of the abdomen.
56999764
HISTORY: Dyspnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11724340
AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. There is status post sternotomy as before. Significant increase of heart size is observed, but there is no evidence of increased pulmonary vascular congestion. Since the next preceding study of ___, a left-sided chest tube advanced from below has been removed. The lungs remain well aerated and no pneumothorax can be identified in the apical area of the left-sided hemithorax. Mild degree of blunting of the left lateral pleural sinus is noted.
55646923
TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with removal of chest tube, evaluate for pneumothorax or effusion.
Postoperative increase of heart size to moderate degree, no evidence of pulmonary vascular congestion and no pneumothorax following left-sided chest tube removal. Referring physician, ___, ___ #___, was paged at 1:15 p.m., but not available.
11795801
The heart is top normal in size. The hilar and mediastinal contours are unchanged since ___. The aorta is moderately calcified and tortuous. Coarse interstitial markings are seen bilaterally, reflecting chronic underlying disease. The central pulmonary vessels are congested and there is suggestion of mild superimposed edema or fluid overload. There is no pneumothorax, large pleural effusion, or definite focal consolidation.
51031849
INDICATION: Dyspnea. COMPARISON: Chest radiograph available from ___. FRONTAL CHEST
Chronic interstitial lung disease, as seen on the prior chest radiograph from ___, with mild superimposed opacification suggesting pulmonary vascular congestion.
11399106
Heart size is normal. The aorta remains tortuous. The mediastinal and hilar contours are otherwise within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine. A fiducial marker again projects over the midline T7-T8 intervertebral disc space.
51128961
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with seizure activity, HIV with CD4 280 TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___
No acute cardiopulmonary abnormality.
11087917
Cardiomediastinal and hilar contours unremarkable. Again seen is a right lower lobe mass with increased opacification at the right lung base with a small right pleural effusion, which are expected changes post-bronchoscopy. There is no left pleural effusion. Emphysematous changes at the lung apices limits assessment, but no pneumothorax is seen.
55057432
INDICATION: Status post bronchoscopy for right lower lobe mass, assess for pneumothorax. COMPARISON: Chest CT, ___.
No pneumothorax. Expected changes at the right lung base post bronchoscopy.
11087917
PA and lateral chest radiographs were obtained. When compared to prior radiograph dated ___, there has been no significant change. Unchanged right hilar/ mid lung fibrosis is noted with adjacent fiducial marker in this patient reflect prior radiation treatment. The remainder of the chest appears clear with no focal opacity compatible with pneumonia. There is no pleural effusion. Cardiomediastinal and hilar contours are otherwise stable in appearance.
56875560
INDICATION: ___-year-old female with non-small cell lung cancer, presents with increased cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ obtain as well as CT chest dated ___.
Stable overall appearance of the chest with right mid lung fibrosis. No evidence of superimposed pneumonia.
11087917
The opacity in the right mid lung and medial right upper lung has significantly improved with associated improved aeration of the right upper lung since ___ after the placement of a chest tube. The chest tube tip remains in the right upper hemithorax, unchanged in position since ___. Stable small right apical pneumothorax without evidence of tension. Stable large right pleural effusion. The left lung is clear and unchanged from the prior exam. The heart size is normal. Stable mild levoconvex scoliosis of the thoracic spine resulting in associated apparent mild tortuosity of the descending aorta.
59439025
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pleural effusion. COMPARISON: Chest radiographs dated ___ and ___.
Significant interval improvement in the right upper lung opacity with improved right upper lung aeration since ___. Stable large right pleural effusion since at least ___. Stable small right apical pneumothorax since ___.
11087917
Within the posterior aspect of the superior segment of the right lower lobe there is a 3.5 x 2.5 cm rounded opacity which is new from ___. There is no pleural effusion or pneumothorax. The main pulmonary arteries remain enlarged, consistent with pulmonary arterial hypertension. A calcified aorta is unchanged. The cardiac silhouette is normal in size.
50421110
HISTORY: COPD with persistent cough. Evaluate for pneumonia air fluid. COMPARISON: Chest radiograph ___.
3.5 cm rounded opacity within the superior segment of the right lower lobe could be a lung mass such as bronchogenic carcinoma or lung abscess. Further evaluation with cross-sectional imaging is recommended. These findings were discussed with Dr. ___ by Dr. ___ on ___ at 15:40 by telephone ___ minutes after discovery.
11087917
Compared to prior chest x-ray, there has been interval increase in size of the right-sided pleural effusion although given differences in technique it has not dramatically changed since interval CT scan. The right pleural catheter is in unchanged position. There is no visualized pneumothorax. The left lung remains clear without consolidation or effusion. Cardiomediastinal silhouette is difficult to assess.
52924121
INDICATION: ___F with tachypnea, hx of pleural effusions, lung CA // eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest x-ray from ___ and chest CT from ___.
Large right pleural effusion which given differences in technique is not significantly changed since recent CT scan. Underlying consolidation due to some combination of atelectasis and known mass is difficult to assess. Superimposed infection can not be excluded.
11087917
Still moderate to large right pleural effusion has decreased from prior CT, has markedly increased from ___. Right perihilar masslike consolidation has worsened. There is no pneumothorax. Cardiomediastinal contours cannot be assessed. The left lung is grossly clear
55910861
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with new effusion s/p ___ // ? PTX TECHNIQUE: Chest PA and lateral COMPARISON: CT ___ and chest x-ray ___
No evidence of pneumothorax. Moderate to large Right pleural effusion
11568109
The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax.
53447205
WET READ: ___ ___ 8:05 PM No definite focal consolidation to suggest pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with flu-like symptoms, productive cough, fever // Evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___
No definite focal consolidation to suggest pneumonia.
11292711
The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
52068348
INDICATION: ___-year-old man with shortness of breath and pleuritic chest pain, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___
No acute cardiopulmonary process.
11886426
PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
52288945
HISTORY: ___-year-old male with cough. COMPARISON: None.
No acute cardiopulmonary process.
11907554
There are patchy bilateral, predominately bibasilar opacities with some additionally seen in the upper lungs, right greater than left. Cardiomediastinal silhouette is within normal limits for technique. Blunting of the posterior costophrenic angles suggests small bilateral pleural effusions. No acute osseous abnormalities. Surgical clips project over the abdomen. Hiatal hernia is suspected.
52724815
WET READ: ___ ___ ___ 3:49 PM Bilateral regions of consolidation which at the bases may be secondary to atelectasis although more superiorly, superimposed infection would certainly be be possible. Small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with dyspnea // eval for pna TECHNIQUE: AP and lateral views the chest. COMPARISON: None.
Bilateral regions of consolidation which at the bases may be secondary to atelectasis although more superiorly, superimposed infection would certainly be be possible. Small bilateral pleural effusions.
11736829
A single upright portable chest radiograph was obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Mediastinal contours are normal.
57544985
INDICATION: ___-year-old man with productive cough. COMPARISONS: None.
No acute cardiopulmonary process.
11934652
Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, as are the hilar contours.
54878230
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: COPD, weakness and uncoordination. COMPARISON: ___.
No acute cardiopulmonary process.
11656152
The heart is at the upper limits of normal size. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Surgical clip projecting over the right upper quadrant of the abdomen suggest prior cholecystectomy.
58349420
CHEST RADIOGRAPHS HISTORY: Right-sided chest pain, status post fall, worse at the inferior costal margin immediately lateral to the xiphoid. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11177105
AP view of the chest. Electronic device overlies the right lung base. Where visualized, the lungs are clear of consolidation. The cardiomediastinal silhouette is within normal limits given technique and rotation. No acute osseous abnormalities identified.
58550825
HISTORY: ___-year-old female with altered mental status. COMPARISON: None.
No definite acute cardiopulmonary process.
11384370
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine.
54331083
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of cough, fever, wheezing. COMPARISON: None.
No acute cardiopulmonary process.
11079199
Left lower lobe consolidation is worrisome for pneumonia. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
50909799
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, fever, L shoulder blade pain // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Left lower lobe consolidation worrisome for pneumonia.
11921423
The heart is borderline in size. The mediastinal and hilar contours are unremarkable. Nipple shadows are visible bilaterally, but the lungs appear clear. There are no pleural effusions or pneumothorax.
59537430
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Stroke symptoms. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.
No evidence of acute cardiopulmonary disease.
11921423
PA and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is seen. Thoracic aorta is mildly widened and slightly elongated but not excessive for patient's age. A few aortic wall calcifications are identified but no local contour abnormality is present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Mild degree of degenerative changes are seen in the thoracic spine as well as in the shoulder areas but skeletal structures are otherwise unremarkable. Our records do not include a previous chest examination available for comparison.
59864795
DATE: ___. TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with weight loss of unknown course. No appetite and nausea, evaluate for tumor.
No significant cardiovascular or pulmonary abnormalities are identified in this elderly female patient with unexplained weight loss. No tumor suspicious lesions are found.
11921423
PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable and the heart size appears top-normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
52421887
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob COMPARISON: ___
Stable top-normal heart size. No evidence of pneumonia or edema.
11150693
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.
55761175
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with 2 weeks of fevers and chills, now with productive cough TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11626997
Exam is limited secondary to low lung volumes and overlying soft tissues, the lateral view is particularly limited due to patient's arms overlying the thoracic cavity. There is no large confluent consolidation or overt pulmonary edema. Posterior costophrenic angles are not well seen potentially technical although underlying effusions are possible. Median sternotomy wires are noted. Dense atherosclerotic calcifications as well as probable coronary artery stents are seen. No acute osseous abnormalities. Multiple surgical clips seen in the upper abdomen.
55844928
INDICATION: ___F with progrssive dyspnea, likel CHF, would like to r/o infiltrate // infilrate? edema? TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest CT and chest x-ray from ___
Limited exam. Densities at the posterior costophrenic angles potentially in part technical and due to overlying soft tissues although underlying effusion or other process would be difficult to exclude. No definite correlate identified on the frontal view.
11626997
Single AP view of the chest provided. Patient is status post median sternotomy. Wires are intact and properly aligned. A right lung base patchy infiltrate is concerning for pneumonia. No pneumothorax. Hilar contours are normal. Moderate cardiomegaly is unchanged. Mild vascular congestion and atelectatic change at the lung bases is unchanged.
54932731
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with altered mental status, fever // pneumonia? COMPARISON: Chest radiograph ___
A new, right lung base patchy infiltrate is concerning for pneumonia. Moderate cardiomegaly, mild vascular congestion and atelectatic change is unchanged from ___.
11626997
The lung volumes are low. The patient is status post CABG with median sternotomy wires and mediastinal clips noted. Clips in left upper quadrant are appreciated. A retrocardiac opacity may represent atelectasis or pneumonia in the correct clinical setting. There is no pleural effusion or pneumothorax.
50131378
INDICATION: ___-year-old female with hyperglycemia, evaluate for pneumonia. COMPARISONS: Chest radiographs, ___ and ___. SINGLE FRONTAL VIEW OF THE
A left retrocardiac opacity may represent atelectasis or pneumonia in the correct clinical setting.
11626997
A single portable semi-erect chest radiograph is obtained. Lung volumes are low. A retrocardiac opacity has improved since ___. The right lung is clear. There is no effusion or pneumothorax. Cardiomegaly is mild.
50856334
INDICATION: ___-year-old woman with new fever. Evaluate for infiltrate. COMPARISONS: ___ to ___.
Retrocardiac opacity most likely represents atelectasis and is improved since ___.
11626997
Median sternotomy wires and mediastinal clips. Mild cardiomegaly is unchanged. The aorta is tortuous and calcified. Slight improvement in vascular congestion. No focal consolidation or pleural effusions. Mild bilateral acromioclavicular and glenohumeral arthropathy.
57964106
INDICATION: Bradycardia. COMPARISON: ___. CHEST, AP AND
Mild cardiomegaly, with slight improvement of pulmonary vascular congestion.
11626997
There is mild interstitial edema as well as left lower lobe atelectasis. The cardiac silhouette remains severely enlarged. There is no pleural effusion or pneumothorax. Calcifications of the coronary arteries and aortic arch are noted. Median sternotomy wires and surgical clips project over the mediastinum. Surgical clips are also seen projecting over the left upper abdomen. Mild loss of height of several thoracic vertebral bodies are again noted on the lateral view.
53127019
INDICATION: Wheezing after transfusion, evaluate for acute process. TECHNIQUE: AP and lateral views were obtained. COMPARISON: Multiple prior chest radiographs which are comparison made to the study from ___.
Mild interstitial edema and severe cardiomegaly.
11626997
PA and lateral views of the chest provided. Cardiomegaly is again noted with midline sternotomy wires and multiple mediastinal clips. Mild hilar engorgement is noted, without overt signs of edema. No large effusion or pneumothorax. No focal opacity concerning for pneumonia. Bony structures are intact. Clips in the left upper quadrant noted.
53725225
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fevers COMPARISON: Prior exam from ___.
Cardiomegaly with hilar congestion. No definite signs of pneumonia.
11626997
Again seen are median sternotomy wires and mediastinal clips. The mild cardiomegaly is unchanged. The aorta is tortuous. The overall degree of vascular congestion appears slightly improved in the interim. There are no focal consolidations. There is no pneumothorax. There are no pleural effusions.
59800513
INDICATION: ___-year-old female with wheezing and crackles, who presents for evaluation of asthma, CHF, and volume overload. COMPARISONS: Chest radiographs from ___, ___, ___, and ___. TECHNIQUE: PA and lateral radiographs of the chest.
No acute interval changes to explain patient's new wheezing and crackles.
11626997
Patient is status post median sternotomy, CABG, and stent placement. Moderate cardiomegaly is re- demonstrated. The aorta is diffusely calcified. There is mild pulmonary vascular congestion, slightly improved in the interval. Streaky opacities in the left lung base likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is present, but a small left pleural effusion may be present. . Multiple clips are noted within the upper abdomen, more so on the left. Mild to moderate multilevel degenerative changes are demonstrated in the thoracic spine.
54805746
EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with congestive heart failure, presents with failure to thrive, shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Portable AP view of the chest ___
Mild pulmonary vascular congestion and left basilar atelectasis. Probable small left pleural effusion.
11626997
Patient is status post median sternotomy and CABG. Severe cardiomegaly is re- demonstrated. The aorta is tortuous. There is no pulmonary vascular congestion. There is minimal atelectasis in the left lung base. No pleural effusion, focal consolidation or pneumothorax is present. Multiple clips are seen in the left upper quadrant of the abdomen. There is diffuse demineralization of the osseous structures with mild right loss of height of several thoracic vertebral bodies in the lower thoracic spine.
51139147
INDICATION: History: ___F with crackles bilaterally TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___
Mild left basilar atelectasis. No pulmonary edema.
11884698
The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
57072281
INDICATION: ___F with etoh and heroin use presenting with heroin overdose. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available
No acute cardiopulmonary process.
11135350
Since the chest radiographs obtained 3 days prior, there has been a significant increase in left lung atelectasis with leftward mediastinal shift. Patient positioning does not account for all apparent mediastinal shift. Unable to assess for concomitant left pleural effusions or consolidation. The right lung is fully expanded and clear.
53277637
EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old woman with resp distress // ? pulmonary edema TECHNIQUE: Chest portable AP COMPARISON: Portable AP chest radiographs dated ___
Subtotal left lung collapse with significant leftward mediastinal shift concerning for an airway obstruction such as an endobronchial lesion, foreign body, or mucous plug.
11135350
Since the chest radiograph obtained 1 day prior, there is substantial improvement in aeration throughout the left lung. Subtotal collapse has resolved with minimal residual atelectasis of the apex and lung base. Right lung is fully expanded and clear. No obvious consolidations. Moderate cardiomegaly is unchanged. Pleural effusions small, if any.
58767809
EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old woman with atelectasis // ? atelectasis TECHNIQUE: Chest portable AP COMPARISON: Portable AP chest radiograph dated ___
Substantially increased left lung aeration with minimal residual atelectasis of the left apex and left lung base.
11135350
AP upright and lateral views of the chest provided. Tiny clips in the left axilla are again noted. The heart remains mildly enlarged. There is no focal consolidation, large effusion, or pneumothorax. A rounded density at the right pulmonary hilum likely represents a large vessel en face. No convincing signs of pneumonia or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
53762826
EXAMINATION: CHEST (AP upright AND LAT) INDICATION: ___F with s/p gastronomy ___ p.w fever asphasic from history unable to give history // r/o underlying infection, pna vs divertitilciis, g-tube infection COMPARISON: ___.
Mild cardiomegaly. Otherwise unremarkable.
11135350
Assessment is somewhat limited due to marked patient rotation. The endotracheal tube tip is 2 cm above the carina. A right internal jugular catheter terminates in the distal SVC. There is persistent left lower lobe atelectasis. The heart remains enlarged. Bilateral pleural effusions are similar in appearance when compared to the prior study. Airspace opacity at the right lung base may reflect either atelectasis or infection.
53036339
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year woman with PMHx of CVA c/b aphasia, dementia (AOx1 at baseline), dysphagia s/p gastrostomy tube, transferred from SNF with increased work of breathing. // Assess for interval changes. Failed SBT ___ secretions. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___.
Bibasilar atelectasis versus consolidation. Otherwise no significant interval change when compared to the prior study.
11135350
ET tube is seen with tip approximately 1.8 cm from the carina. Enteric tube seen passing below the inferior field of view. Lower lung volumes are noted on the current exam with bilateral parenchymal opacities which could be due to edema or infection. Prominence of the right hilum is again noted. Moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning. No acute osseous abnormalities. Surgical clips project over the left chest wall/axilla.
57437729
INDICATION: ___F with dyspnea // eval for acute process TECHNIQUE: Single portable supine view of the chest. COMPARISON: ___.
ET and enteric tubes as above. Cardiomegaly with bilateral parenchymal opacities potentially infection or edema.
11884747
PA and lateral views of the chest provided. When compared with the prior cardiac MRI, there is a similar pattern of hilar and perihilar opacity consistent with known sarcoidosis. Difficult to exclude a subtle superimposed pneumonia. No large effusion or pneumothorax. No convincing signs of edema. Heart size appears unchanged. Bony structures are intact.
58550721
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with DOE 3wk s/p cardiac ablation, history of sarcoid COMPARISON: Prior cardiac MRI from ___.
Bilateral hilar and perihilar opacities similar in appearance from prior cardiac MR likely reflects known sarcoid. Difficult to exclude a superimposed pneumonia though overall pattern is largely unchanged allowing for differences in technique.
11458583
The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax.
51224093
CHEST RADIOGRAPH HISTORY: New onset of chest pain. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright.
No evidence of acute disease.
11970980
Single frontal view of the chest. The tip of a new left PICC is oriented superiorly, terminating in the right brachiocephalic vein. Tracheostomy and right sided central venous catheter are stable. Mediastinal clips and sternotomy wires are intact. Heart size and mediastinal contours are stable. Left lower lobe collapse persists. Right pleural effusion slightly increased with adjacent atelectasis. No pneumothorax.
50755798
HISTORY: Tracheostomy. COMPARISON: Multiple prior chest radiographs, most recently ___.
New left PICC terminates in the right brachiocephalic vein. Subsequent radiographs demonstrate proper position of the PICC. Persistent left lower lobe collapse. Slightly enlarged right pleural effusion with adjacent atelectasis.
11970980
An endotracheal tube has been removed and replaced with a new tracheostomy. The upper mediastinal and tracheal contours are not optimally, but the tracheostomy appears within normal limits. A left-sided PICC line and right internal jugular venous catheter appear unchanged. There is still a chest tube in the left lower hemithorax, where there is persistent retrocardiac opacification and a pleural effusion, not significantly changed. A pigtail catheter has been removed from the more inferior left lower lateral hemithorax, however. The lungs appear otherwise essentially clear. There is no pneumothorax. No mediastinal air is identified. The cardiac, mediastinal and hilar contours appear stable.
50088970
CHEST RADIOGRAPH HISTORY: Status post tracheostomy placement. COMPARISONS: Prior day. TECHNIQUE: Chest, portable AP.
Status post tracheostomy. Status post removal of one of two left-sided chest tubes. No other significant change.
11970980
The patient is status post median sternotomy. Heart is upper limits of normal in size, and mediastinal and hilar contours are normal. Persistent left lower lobe atelectasis but improvement in right basilar atelectasis and apparent decrease in size of bilateral pleural effusions, which are now small, left greater than right.
58360552
PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.
Decreased pleural effusions and improved aeration at right lung base.
11970980
An endotracheal tube terminates 2.1 cm above the level of the carina. A nasoenteric catheter courses below the diaphragm, and is at least within the stomach, though the tip is incompletely imaged. The tip of a right PICC remains too low at the level of the right atrium, proximal repositioning is again recommended. There has been interval removal of a right internal jugular catheter. Left lower lobe collapse is unchanged from prior examination. A moderate right pleural effusion appears stable. There is persistent pulmonary vascular congestion, without overt interstitial edema, unchanged from prior. Moderate cardiomegaly is unchanged. There is no pneumothorax. Median sternotomy wires appear intact.
57881919
HISTORY: ___-year-old male status post cardiac surgery (VSD repair after MI, now presenting with increased work of breathing. COMPARISON: Chest radiographs dating back to ___, most recent from ___. SUPINE PORTABLE FRONTAL CHEST
Right PICC at the level of the right atrium. Proximal repositioning is recommended. Standard position of all other support devices. Persistent left lower lobe collapse. Unchanged moderate right pleural effusion with central pulmonary vascular congestion. Dr. ___ communicated the above results to Dr. ___ at 9:47 time on ___ via telephone, 5 minutes after discovery.
11970980
Single frontal view of the chest. Tracheostomy and right-sided central venous catheter are stable. Left PICC is now oriented appropriately, terminating in the upper-mid SVC. Pulmonary vascular markings are more indistinct in comparison to the prior exam with increased vessel engorgement. Moderate-sized right pleural effusion with adjacent atelectasis is stable since the prior exam. Left lower lobe collapse and small left pleural effusion are stable. The cardiomediastinal contours are unchanged.
56385208
HISTORY: Fever. COMPARISON: Multiple prior chest radiographs, most recently ___.
Slight interval increase in pulmonary vascular congestion. Left PICC now terminates in the upper-mid SVC. Stable moderate right and small left pleural effusions with adjacent atelectasis.
11970980
Chest tubes have been removed from each hemithorax. Lines, tubes and drains appear otherwise unchanged. There is a new moderate pneumothorax on the right. The pleural edge is retracted from the chest wall by about 3.5 cm. There was already mild shift of mediastinal structures to the left associated with volume loss, probably related to retrocardiac opacification suggesting substantial left lower lobe atelectasis, but the degree of shift is unchanged. There is a small pneumothorax on the left, probably unchanged. Small pleural effusions are difficult to exclude. The cardiac, mediastinal and hilar contours appear stable.
57722237
CHEST RADIOGRAPH HISTORY: Status post VSD repair and CABG and bilateral chest tube removals. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, portable AP upright.
Status post chest tube removal with a new moderate-sized pneumothorax on the right and unchanged small left-sided pneumothorax. Findings discussed with Dr. ___ by telephone.
11970980
Since prior exam, the patient has been extubated and NG tube has been removed. Right jugular line ends in the right atrium and is unchanged. Moderate bilateral pleural effusion with bibasilar atelectasis is stable. There is no pneumothorax. Mediastinal and cardiac contour mild enlargement is unchanged in this patient with recent sternotomy.
57300823
PORTABLE AP CHEST X-RAY INDICATION: Patient with post MI, VSD repair, effusions. COMPARISON: ___.
Except for extubation and NG tube removal, there is no significant change since prior exam.
11970980
Lordotic positioning. The patient is status post sternotomy. An orogastric-type tube is present, extending beneath the diaphragm, off the film. An ET tube is present, tip approximately 2.6 cm above the carina. A right-sided PICC line is present, tip at SVC/RA junction. \ There is prominence of the cardiomediastinal silhouette, with sternotomy wires, unchanged. There are low-inspiratory volumes. There is left lower lobe collapse and/or consolidation, probably with a small left effusion. There is upper zone redistribution, consistent with vascular plethora, although likely accentuated by low lung volumes. Patchy opacity right lung base.
54162143
HISTORY: Intubated, likely pneumonia, question interval change. CHEST, SINGLE AP
Compared with ___ at 17:33 p.m., no gross interval change.
11970980
AP upright portable chest radiograph was provided. Midline sternotomy wires are noted. A chest tube at the left lung base is again noted. A left upper extremity access PICC line is seen with its tip in the region of the SVC, though tip is poorly visualized due to slight patient rotation. Tracheostomy tube projects over the mediastinum. Retrocardiac opacity at the left lung base is compatible with effusion and consolidation. There is a small right pleural effusion also noted with probable mild compressive right lower lobe atelectasis. Mild edema is also likely present with mild pulmonary vascular congestion. The heart size cannot be assessed. No large pneumothorax is seen. Bony structures appear intact.
51481151
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CT of the chest from ___. CLINICAL HISTORY: tracheostomy tube with left chest tube, empyema with recent open VSD repair, assess for pneumonia, empyema and PICC placement.
Mild pulmonary edema with bilateral pleural effusions and lower lobe consolidations, left greater than right.
11970980
This is a rotated film with the patient leaning towards the right. There is a right-sided effusion layering laterally. This is likely increased compared to prior, but absolute changes are difficult to assess due to change in position. There is dense retrocardiac opacity compatible with volume loss/infiltrate/effusion involving the left lower lung. Please note that a left chest tube is in place; however, the port of the chest tube is projecting outside the chest wall. There is mild pulmonary vascular re-distribution and some hazy alveolar infiltrates affecting the upper lobes.
59787647
CHEST ON ___ HISTORY: Chest tube, emphysema and cough, question change.
Fluid overload. An underlying infectious infiltrate cannot be excluded. The chest tube is not optimally positioned.
11970980
When compared to prior chest radiograph obtained 1 hour prior, there has been interval placement of a right-sided chest tube with prior identified right moderate pneumothorax now near resolved. There is no pneumothorax of the left. Bilateral lungs appear largely unchanged. A right-sided internal jugular venous catheter is seen with its tip terminating in the mid superior vena cava. An enteric tube is seen descending in an uncomplicated course with its terminal end not in the field of view.
52815004
HISTORY: ___-year-old male status post VSD repair. Evaluate for pneumothorax. COMPARISON: Chest radiograph dated ___ at 13 46.
Interval placement of right chest tube with near resolution of right-sided pneumothorax.
11970980
Portable AP upright chest radiograph was obtained. The right internal jugular central venous catheter terminates in the right atrium as on the previous examination. The nasointestinal feeding tube courses into the proximal duodenum and out of view. The lung volumes are low with increased bilateral moderate-to-severe pulmonary edema and accompanying moderate pleural effusions. Dense bibasilar atelectasis is also noted with unchanged large but obscured cardiac silhouette. Sternotomy wires appear intact without pneumothorax.
52010571
INDICATION: ___-year-old man with VSD and MI with shortness of breath. COMPARISONS: ___.
Increased moderate-to-severe pulmonary edema and moderate-sized bilateral pleural effusions.
11040709
A left chest tube, tracheostomy tube, and right PICC line are unchanged. There is a small residual lateral and apical left pneumothorax with a moderate left pleural effusion. The right pleural effusion has improved. The cardiomediastinal and hilar contours are normal.
52330934
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SAH and new ptx on ___. Evaluate chest tube placement. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs from ___.
Small residual left lateral apical pneumothorax with unchanged chest tube position. Improved right pleural effusion.
11040709
A left subclavian central venous catheter ends in the mid SVC. An endotracheal tube ends in the mid-trachea. A nasogastric tube extends into the stomach, distal tip not visualized. Moderate layering bilateral pleural effusions with associated bibasilar subsegmental atelectasis are unchanged. The heart and mediastinum are within normal limits despite the projection. There is no pneumothorax.
56130198
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SAH; ?stability TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___.
No significant interval change.
11040709
There is interval progression of perihilar opacities in the upper lung zones which likely reflects worsening neurogenic edema versus severe aspiration. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Endotracheal tube remains in appropriate position terminating 3.2 cm from the carina.
52503320
INDICATION: ___F with hypoxia despite FiO2 100%, assess for reasons of hypoxia while intubated, rule out fluid overloaded. TECHNIQUE: Single portable frontal chest radiograph in semi upright position. COMPARISON: Chest radiograph performed earlier on the same day at 01:37.
Interval worsening of neurogenic edema and/or severe aspiration.