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11040709
Initial radiograph shows the endotracheal tube terminating 6.5 cm from the carina. The tube was subsequently repositioned and the followup image shows the endotracheal tube terminating 4.3 cm above the carina in appropriate position. There are bilateral perihilar opacities with a "bat-wing" appearance which likely reflects neurogenic edema versus severe aspiration. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax.
55305964
INDICATION: Status post intubation at outside hospital, evaluate for tube placement. TECHNIQUE: Portable frontal chest radiograph and supine and semi upright position. COMPARISON: None available.
Endotracheal tube terminating 4.3 cm above the carina in appropriate position. Moderate neurogenic edema and/or severe aspiration.
11539026
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Bibasilar atelectasis is again redemonstrated. Pulmonary vasculature is within normal limits.
55577942
INDICATION: Post-cardiac arrest. COMPARISON: CT abdomen and pelvis, ___.
Bibasilar atelectasis. No other acute findings.
11387449
Two frontal chest radiographs were obtained with patient positioned upright. In comparison to two days ago, there is slight improvement in lower lung aeration. There is elevation of the right hemidiaphragm. No definite signs of pneumonia or CHF. There may be a tiny residual right pleural effusion. Cardiomediastinal silhouette is stable. Bony structures are intact. There is no free air below the right hemidiaphragm.
52124482
CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior chest radiograph from ___. CLINICAL HISTORY: Metastatic melanoma, tachycardia, and tachypnea, question pneumonia or fluid overload.
Possible tiny right pleural effusion. Low lung volumes. No definite signs of pneumonia or CHF.
11611745
Portable chest radiograph demonstrates interval removal of endotracheal tube and nasogastric tube. Stable bilateral pleural effusions, left greater than right with unchanged associated atelectasis, left greater than right. Possible minimal pulmonary edema is unchanged. Left heart border is somewhat obscured by overlying colon; otherwise cardiomediastinal borders are normal. No pneumothorax evident. Stable severe scoliosis and thoracolumbar fusion hardware.
54723414
INDICATION: Recent extubation. Please assess for interval change. COMPARISON: Comparison is made to multiple chest radiographs, most recently dated ___.
Interval extubation. Stable bilateral pleural effusions, large on the left and small on the right. Possible minimal pulmonary edema.
11611745
Portable AP view of the chest demonstrates ET tube terminating 3.9 cm above the carina. Nasogastric tube is positioned in the stomach. Low lung volumes. Costophrenic angles is obscured, suggestive of small pleural effusions. No pneumothorax is present. Hilar and mediastinal silhouettes are unremarkable. Moderate pulmonary edema appears minimally progressed since prior, expecially in the upper lobes. Left lung base consolidation likely represents atelectasis. Spinal fixation hardware is noted.
51629376
INDICATION: Patient with urosepsis. COMPARISONS: Chest radiograph of ___.
In comparison to ___ pleural exam, there is minimal interval progression of moderate pulmonary edema. Stable small bilateral pleural effusions and left lung base atelectasis.
11611745
Rotated positioning, low lung volumes. An ET tube is present, tip approximately 4.8 cm above the carina. An NG tube is present, tip beneath diaphragm, overlying stomach. Extensive spinal hardware noted. The heart borders are obscured, but the heart is probably not enlarged. There are diffuse opacities throughout both lungs, with denser left retrocardiac opacity and obscuration of left-greater-than-right hemidiaphragms. Possibility of small effusions cannot be excluded. Compared with ___ at 20:18 p.m.and allowing for technical differences, there has been possible increase in the degree of hazy opacity in the right and left mid zones, reflecting worsening CHF. Otherwise, findings are overall similar.
50861346
HISTORY: Septic shock, recently intubated, question interval change. CHEST, SINGLE AP PORTABLE
ET tube as described. Left lower lobe collapse and/or consolidation, unchanged. Hazy opacity in both lungs, slightly worse in the midzones, most suggestive of worsening CHF. Possibility of underlying infectious infiltrate is difficult to exclude. Possible small bilateral effusions.
11611745
The patient is severely rotated and kyphotic. Lower thoracic fusion hardware is unchanged in orientation. A left-sided IJ catheter terminates at the mid SVC. The endotracheal tube has been advanced, now terminating 3.3 cm above the carina. An orogastric tube terminates within the stomach. Severe left lower lobe atelectasis is unchanged in appearance. Superimposed mild-to-moderate pulmonary edema is stable. The heart is enlarged. There is no pneumothorax.
52805132
INDICATION: Advancement of ET tube. COMPARISON: Radiograph available from ___. FRONTAL CHEST
ET tube advanced, now terminating 3.3 cm above the carina Severe left lower lobe atelectasis and moderate edema, both stable.
11611745
An endotracheal tube terminates approximately 1.5 cm above the carina. The lung volumes are low, obscuring cardiac borders, although the heart is probably normal in size. There is moderate-to-severe elevation of the diaphragm with coinciding dilatation of the viscus in the left upper quadrant, probably the splenic flexure of the colon. A splenic shadow is not clearly visualized. Patchy left basilar opacity may be associated with atelectasis, but is not entirely specific or characterized here. In addition, there is mild diffuse interstitial abnormalities suggesting pulmonary edema. The patient has a leftward convex spinal curvature with fixation devices to the partly imaged and characterized along the lower thoracic and upper lumbar spines.
54601462
CHEST RADIOGRAPH HISTORY: Intubation. COMPARISONS: None. TECHNIQUE: Chest, supine AP portable.
Endotracheal tube terminating approximately 1.5 cm above the carina. If clinically indicated, the tube could be retracted somewhat for more optimal positioning. Left basilar opacity with elevation of the left hemidiaphragm, suggestive of volume loss. Findings suggesting moderate pulmonary edema. Prominent air-filled viscus in the left upper quadrant, suggesting moderate distal colonic distension. Clinical correlation suggested.
11880464
No focal consolidation, pleural effusion or evidence pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There may be a very minimal pulmonary vascular congestion.
51069527
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with ___ edema // eval for pulm edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.
Possible very minimal pulmonary vascular congestion. Otherwise, no acute cardiopulmonary process seen.
11021643
Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Pulmonary vascular congestion seen without overt pulmonary edema. Cardiac silhouette which is enlarged is unchanged. Median sternotomy wires again noted. No acute osseous abnormality is identified. Surgical clips identified in the upper abdomen.
56879769
CHEST, TWO VIEWS, ___. HISTORY: ___-year-old female with chest pain and productive cough. COMPARISON: ___.
Pulmonary vascular congestion. No focal consolidation.
11021643
Frontal and lateral views of the chest were obtained. The heart is mildly enlarged, similar to prior. Pulmonary vasculature is mildly engorged and indistinct vascular markings are compatible with mild pulmonary edema. No focal pulmonary consolidation, pleural effusion, or pneumothorax. Median sternotomy wires are intact. Multiple upper abdominal clips are identified. Numerous mediastinal clips are similar to prior. Osseous structures are unremarkable.
50820950
INDICATION: ___-year-old female with chest pain, hyperglycemia, and cough. Evaluate for pneumonia. COMPARISONS: Multiple prior chest radiographs, most recently of ___.
Mild pulmonary edema. No pleural effusion or focal consolidation.
11021643
The patient is status post median sternotomy and CABG. The cardiomediastinal silhouette is stable. Relatively linear left base retrocardiac opacity most likely represents atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes are seen at the left shoulder and left acromioclavicular joints.
58022881
HISTORY: Coronary artery disease status post CABG presenting with hyperglycemia and chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11021643
Frontal and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is mild persistent pulmonary vascular congestion without frank pulmonary edema. Cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires are again noted. No acute osseous abnormality is detected. Surgical clips project over the abdomen.
53090501
CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with chest pain and fever. Question pneumonia. COMPARISON: ___.
No significant interval change. No focal consolidation.
11021643
CABG changes are noted, with median sternotomy wires and mediastinal clips. Mild-to-moderate cardiomegaly is unchanged. There is no pulmonary edema, pleural effusion, or pneumothorax. Lungs are well expanded and clear. Mild degenerative changes in the thoracic spine and right glenohumeral joint.
55388887
INDICATION: ___-year-old female with chest pain. COMPARISON: ___. CHEST, PA AND
Mild cardiomegaly. No acute process.
11021643
Frontal and lateral radiographs of the chest demonstrate stable moderate enlargement of the cardiac silhouette. No pleural effusion or pneumothorax. Unchanged mild pulmonary vascular congestion. No focal consolidation.
59536987
HISTORY: Chest pain. Question pneumonia. COMPARISON: ___.
Unchanged mild pulmonary vascular congestion. No pneumonia.
11021643
AP and lateral views of the chest were provided. Midline sternotomy wires are noted. There is mild perihilar opacity which represents central airways inflammatory process or possibly an atypical pneumonia. Please note this finding is equivocal and possibility of crowded bronchovasculature is also considered. No lobar consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. Degenerative changes of the right shoulder noted. Clips in the upper abdomen noted.
56624283
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ as well as CTA chest from ___. CLINICAL HISTORY: Cough, chest pain, question pneumonia.
Subtle perihilar opacity could represent an atypical pneumonia or airways inflammation. Please correlate clinically. No lobar consolidation or convincing signs of CHF.
11021643
Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. Degenerative changes are seen along the spine.
53243699
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // pulmonary edema? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11021643
There is a new focal consolidation at the right lung base as well as a hazy left mid lung opacity. The lungs are otherwise clear without effusion or overt edema. Moderate cardiac enlargement is unchanged given differences in projection. No acute osseous abnormalities identified. Catheter seen in the upper abdomen compatible with patient's lumboperitoneal shunt.
57993194
INDICATION: ___F with ILI // eval for pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.
Regions of consolidation at the right lung base and left mid lung which could represent pneumonia in the proper clinical setting.
11021643
Heart size is top normal. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded. No overt signs of pulmonary edema are noted. There is no focal consolidation concerning for pneumonia. Median sternotomy wires are noted, as well as surgical clips projecting over the upper abdomen. Median sternotomy wires are intact
58632765
INDICATION: ___F with cough, sob // eval pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___.
No focal consolidation concerning for pneumonia or overt signs of pulmonary edema. Top-normal heart size.
11021643
AP and lateral views of the chest are provided. Patient is rotated to her right. Midline sternotomy wires and mediastinal clips are noted. Clips are also noted in the upper abdomen as well as a catheter tube. Lungs are clear. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
56190022
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Left facial pain and headache.
No acute findings in the chest.
11021643
PA and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. The heart is normal in size, though stable. There is no frank edema, effusion or pneumothorax. Subtle retrocardiac opacity on the frontal projection is not substantiated on the lateral projection and could represent slight changes in ventilation. Mediastinal contour is unchanged. Bony structures are intact. A catheter is seen projecting over the left hemiabdomen.
54398913
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam dated ___. CLINICAL HISTORY: Productive cough, dyspnea for three days and crackles halfway up in the left lung, question pneumonia or pulmonary edema.
Top normal heart size without convincing signs of pneumonia or CHF.
11021643
Mild cardiomegaly appears slightly improved compared to the prior exam from ___. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
57387714
INDICATION: History of diffuse body weakness, chest pain. Please evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest.
No evidence of pneumonia. Mild pulmonary vascular congestion with interval improvement of mild cardiomegaly compared to the prior exam from ___.
11021643
PA and lateral views of the chest provided. Midline sternotomy wires are again seen. Lung volumes are somewhat low though allowing for this, the lungs are clear. Subtle linear peripheral opacities in the left upper lung are unchanged and could reflect subtle areas of perifissural scarring. No effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Imaged bony structures are intact.
56710800
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with abd pain, cough, CHF // Eval for pulmonary edema COMPARISON: ___ chest x-ray and CT chest from ___.
No acute intrathoracic process.
11021643
The patient is status post coronary artery bypass graft surgery. The heart appears mildly enlarged. The vascular pedicle is widened suggesting fluid overload. Mild central hazy pulmonary vascular prominence suggests slight congestion, but less striking than on the recent prior examination with reduced perihilar fullness. The lungs appear hyperinflated. Streaky left mid lung opacities suggest minor atelectasis.
56624985
CHEST RADIOGRAPHS HISTORY: Cough and pleuritic chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
Findings suggesting mild vascular congestion.
11021643
Cardiomediastinal and hilar contours are unchanged since the prior radiograph. Lung volumes are somewhat low, but clear without pleural effusion or pneumothorax. No focal consolidation. Unchanged linear peripheral opacities in the left upper lung may be due to scarring.
51832526
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob. Eval for pna. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, and ___.
No acute cardiopulmonary process.
11021643
Patient is status post median sternotomy and CABG. Mild enlargement of the cardiac silhouette is decreased compared to the prior study. Similarly is, previous pulmonary edema has improved with only mild pulmonary vascular congestion seen on the current exam. The aorta is mildly tortuous. Hilar contours are unremarkable. No pneumothorax or pleural effusion is identified, with resolution of the previously seen right pleural effusion. There are multilevel mild to moderate degenerative changes noted in the thoracic spine.
57289427
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CHF, diabetes on insulin presents with malaise TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___
Interval improvement in previous pattern of pulmonary edema, now with only mild pulmonary vascular congestion. Resolution of previously noted right pleural effusion.
11021643
PA and lateral views of the chest provided. Midline sternotomy wires are again noted. The heart is mildly enlarged. The lung volumes are low. There is mild interstitial pulmonary edema, similar in overall appearance as compared with the recent prior exam. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is unchanged. Bony structures are intact.
57048011
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with SOB COMPARISON: ___
Mild cardiomegaly with mild interstitial pulmonary edema.
11021643
Frontal and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. Prominent interstitial markings have improved since prior. Cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires are again noted. Hypertrophic changes seen in the spine. Surgical clips project in the upper abdomen.
58602290
CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with history of coronary artery disease with chest pain. COMPARISON: ___.
No acute cardiopulmonary process.
11021643
Portable single frontal chest radiograph was obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.
55390294
HISTORY: Patient with blood pressure difference between arms, evaluate mediastinal widening or other acute process. COMPARISON: ___.
No widening of cardiomediastinal silhouette or other acute cardiopulmonary process.
11021643
PA and lateral views of the chest provided. Midline sternotomy wires again noted. There is mild interstitial pulmonary edema. The heart remains top-normal in size. No large effusion, pneumothorax or signs of pneumonia. Mild degenerative spurring is seen in the thoracic spine anteriorly. Degenerative changes also partially imaged at the left shoulder.
55959301
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP SOB // ro PNA COMPARISON: ___
Top normal heart size with mild interstitial pulmonary edema.
11021643
The patient is rotated slightly to the right. The patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes are seen at the partially imaged acromioclavicular and glenohumeral joints.
58276834
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and subjective fever // eval for pneumonia, CHF TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process. No significant interval change.
11021643
The patient is status post median sternotomy and CABG. Moderate cardiomegaly persists. The mediastinal contours are unchanged. There is mild upper zone vascular redistribution and pulmonary vascular congestion, similar when compared to the previous exam. No pleural effusion, focal consolidation or pneumothorax is demonstrated. Multilevel degenerative changes are noted in the thoracic spine with anterior osteophytes. Several clips are also noted within the upper abdomen.
51920808
HISTORY: History coronary artery disease with chest pain and right colon. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ and ___
Mild pulmonary vascular congestion.
11021643
The patient is status post median sternotomy and CABG. Heart is moderately enlarged but unchanged. The aorta is tortuous. The mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. Several clips are noted within the upper abdomen. Mild degenerative changes are seen in the thoracic spine.
58355516
HISTORY: Cough and chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11021643
AP portable upright view of the chest. Mild cardiomegaly is again noted. Midline sternotomy wires and mediastinal clips are present. Increased retrocardiac opacity is concerning for a left lower lobe pneumonia. Band like opacity in the right mid lung may represent atelectasis. No large effusion or pneumothorax is seen. Imaged osseous structures are intact.
51547615
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cough, fever, dyspnea // PNA? COMPARISON: ___
Mild cardiomegaly, retrocardiac opacity concerning for left lower lobe pneumonia. Right midlung atelectasis.
11021643
The cardiac silhouette is mildly enlarged. Median sternotomy wires are again noted. There is mild pulmonary vascular congestion. No overt pulmonary edema noted. No focal consolidations concerning for pneumonia identified. No pleural effusion or pneumothorax seen.
52368910
HISTORY: Chest pain, dyspnea. Question acute cardiopulmonary disease. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.
Mild pulmonary vascular congestion and mild cardiomegaly. No focal consolidation concerning for pneumonia.
11021643
Patient is status post median sternotomy and CABG. Heart size remains mild to moderately enlarged. The aorta is tortuous and calcified. Mild pulmonary edema is slightly improved from the previous study. No focal consolidation, pleural effusion or pneumothorax is identified. Subsegmental atelectasis is demonstrated within the right lung base. There are mild degenerative changes in the thoracic spine. Multiple clips are seen within the right upper quadrant of the abdomen.
58319562
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, also with worsening asthma, please evaluate for mediastinal widening, pneumothorax, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Mild pulmonary edema, slightly improved from the previous study.
11021643
The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is enlarged but similar compared to prior. Coronary artery stents are identified. Median sternotomy wires are noted. No acute osseous abnormalities.
54487205
INDICATION: ___F with intermittent dyspnea, hf // eval for effusion, pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11021643
There is mild to moderate pulmonary edema, increased from ___. Moderate cardiomegaly is unchanged. Prominent vascular pedicle and bronchial cuffing is noted. There is bibasilar mild atelectasis. There is no pleural effusion.
52339249
INDICATION: ___ year old woman with CAD s/p PCI and CABG with flash pulmonary edema and heart failure exacerbation // compare to prior EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___
There is mild to moderate pulmonary edema, increased from ___
11021643
AP upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. The heart is mildly enlarged. The lung volumes are low, limiting evaluation. There is no overt sign of pneumonia or CHF. No large effusion or pneumothorax. Bony structures appear intact with degenerative changes at bilateral AC joints. No free air below the right hemidiaphragm.
52358433
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain.
Stable mild cardiomegaly without convincing sign of pneumonia or CHF.
11021643
The patient is status post sternotomy and presumably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. The heart is mildly enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear unchanged with mildly exaggerated kyphotic curvature and small-to-moderate anterior osteophytes. There has been no significant change.
54817343
CHEST RADIOGRAPHS HISTORY: Cough, chest pain, and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11021643
PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. 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.
59788629
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ab pain and tenderness, chest pain // acute process>? COMPARISON: ___.
No acute intrathoracic process.
11021643
The patient is status post median sternotomy and CABG. Moderate enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are stable. Mild pulmonary vascular congestion is noted. No pleural effusion or pneumothorax is present. Multilevel degenerative changes within the thoracic spine are re- demonstrated. There are several clips are noted within the upper abdomen.
53178677
HISTORY: Recent hospitalization now with nausea, vomiting, epigastric pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.
Mild pulmonary vascular congestion.
11021643
PA and lateral views of the chest provided. Midline sternotomy wires are noted. In this patient with recent pneumonia, there is overall improvement. Mild residual reticular opacities are noted with a perihilar distribution raising potential concern for mild edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact. Clips noted in the upper abdomen.
52214498
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with productive cough, chest discomfort, CAD history COMPARISON: Prior exam from ___ and ___.
Interval improvement with mild perihilar reticular opacity which could represent edema or atypical infection.
11021643
There are median sternotomy wires which appear intact. There are surgical clips projecting over the mediastinum. Lung volumes are somewhat low, and there is prominence of the pulmonary vasculature without frank pulmonary edema. There is no focal airspace opacity. There is no pleural effusion or pneumothorax. Given AP technique, the heart size is likely normal. There are significant degenerative changes at the AC and glenohumeral joints bilaterally.
56726608
INDICATION: Chest pain and nausea. Evaluate for pneumonia. COMPARISON: Chest radiograph ___, ___, ___ and ___. TECHNIQUE: Upright AP and lateral radiograph of the chest.
Persistent pulmonary vascular congestion without frank pulmonary edema. No focal airspace opacity to suggest pneumonia.
11021643
There is slightly increased mild pulmonary vascular congestion compared to 5 hr prior. Left lower lobe opacification is similar to prior. Moderate cardiomegaly is unchanged.
53903086
INDICATION: ___ year old woman with chest pain and shortness of breath // eval for flash pulm edema EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view. COMPARISON: Chest radiograph ___ 5:29 am
Slightly increased mild pulmonary vascular congestion compared to 5 hr prior.
11021643
There is coalescence of opacity in the left lower lung, concerning for pneumonia. The opacity is increased compared to ___. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is similar to prior.
55090029
INDICATION: ___ year old woman with systolic heart failure and pnemonia s/p diuresis // evaluate for interval change in pulmonary edema EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___
There is coalescence of opacity in the left lower lung, concerning for progressive pneumonia.
11021643
AP and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is unchanged given differences in positioning. Degenerative change seen at the shoulders bilaterally. Median sternotomy wires again noted.
59042783
HISTORY: ___-year-old female with chest pain. COMPARISON: ___.
No acute cardiopulmonary process.
11021643
The lungs are clear. There is no pneumothorax, pleural effusion or focal airspace consolidation to suggest pneumonia. Midline sternotomy wires and CABG ___ are noted. Clips are noted in the abdomen. The lumbar peritoneal shunt is noted in the left upper quadrant. There are mild degenerative changes of thoracic spine marked by anterior osteophytosis.
59618298
INDICATION: Chest pain, evaluate for acute cardiopulmonary process. COMPARISONS: ___. PA AND LATERAL VIEWS OF THE
No acute cardiopulmonary process.
11021643
PA and lateral views of the chest provided. Midline sternotomy wires again noted. The heart remains mildly enlarged. The mediastinal contour is unchanged. The lungs are clear of focal consolidation, effusion or pneumothorax. No edema or congestion. Bony structures are intact.
55924082
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with s/p fall, persistent headache COMPARISON: ___ and chest CT from ___.
Stable mild cardiomegaly without superimposed pneumonia or edema.
11021643
The lungs are clear. No confluent opacities are identified. There is no pulmonary edema or pleural effusions. No pneumothorax or pneumomediastinum is evident. Cardiomediastinal contours are within normal limits and unchanged from prior. Median sternotomy wires appear intact. A lumbar peritoneal shunt catheter is partially imaged in the left upper quadrant. Surgical clips are visualized in the right upper quadrant.
59851038
HISTORY: ___-year-old female with elevated lactate. Assess for pneumonia. COMPARISON: Chest radiographs dating back to ___, most recent from ___. FRONTAL AND LATERAL CHEST
No acute cardiopulmonary process. No evidence of pneumonia.
11021643
The patient is status post coronary artery bypass graft surgery. Moderate cardiomegaly appears unchanged. The mediastinal and hilar contours appear stable. The pulmonary interstitium is slightly prominent, but this seems to be a background appearance without evidence for superimposed acute process. There is no pleural effusion or pneumothorax. No focal opacity is present. Mild degenerative changes are similar along the mid thoracic spine.
54678632
CHEST RADIOGRAPHS HISTORY: Chest pain. History of coronary artery bypass graft surgery. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11391664
There has been significant interval improvement in the now subtle right middle and lower lobe airspace consolidation, compatible with resolving pneumonia. Additionally, there has been improvement in a now minimal right pleural effusion. The remainder of the lungs are essentially clear without pneumothorax, pulmonary edema, or additional focus of consolidation. The cardiomediastinal silhouette is stable.
50321534
HISTORY: Pneumonia follow up. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.
Resolving right middle and lower lobe pneumonia. Minimal right pleural
11391664
The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. A rounded contour adjacent to the right heart border was previously characterized as a pericardial cyst. There is no pleural effusion or pneumothorax.
51733131
INDICATION: ___-year-old man with hypertension worse than baseline, evaluate for widened mediastinum. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___.
No acute cardiopulmonary process. No mediastinal widening.
11391664
There is opacity within the right middle lobe which is consistent with pneumonia. There is no pleural effusion or pneumothorax. Heart is normal in size and the mediastinal and hilar structures are unremarkable. No large hiatal hernia appreciated on this study.
51035496
HISTORY: Hematemesis. Evaluate for mediastinal widening or hiatal hernia. COMPARISON: Chest radiograph ___ and ___. FINDINGS: FRONTAL AND LATERAL VIEWS OF THE
Right middle lobe pneumonia. Followup chest radiograph in 6 weeks is recommended to document resolution.
11391664
The previously seen right lung opacity has now resolved. The rounded opacity adjacent to the right heart border is consistent with the previously demonstrated pericardial cyst. Top normal heart size with normal mediastinal and hilar contours. No pleural effusion or pneumothorax.
50232804
INDICATION: ___ year old woman with recent pneumonia at ___ // ? resolution TECHNIQUE: Chest PA and lateral COMPARISON: ___
Resolution of previously seen right lower lobe pneumonia.
11216730
Bilateral pigtail catheters are unchanged in appearance. A right Port-A-Cath ends in the low SVC. A large right pleural effusion is unchanged. Pleural fluid tracks upward along the pleural surface towards the apex. There is no pneumothorax. A small left pleural effusion is presumed. There is no new consolidation or edema. The cardiomediastinal silhouette is stable.
58268631
INDICATION: History of esophageal cancer. Air leak on chest tube. Evaluate for pneumothorax. COMPARISONS: Chest radiograph ___ at 4 a.m. Chest radiograph ___.
Stable large right pleural effusion. No pneumothorax.
11216730
Pigtail catheter seen in place in the right pleural cavity with stable right-sided pleural effusion and lower lobe atelectasis. Right-sided Port-A-Cath appropriately positioned and unchanged in position with tip near the cavoatrial junction. The left lung is grossly clear. Cardiomediastinal silhouette within normal limits. No pneumothorax is seen.
58490949
INDICATION: Right chest tube, persistent pleural effusion. COMPARISON: Portable AP chest radiograph ___. TECHNIQUE: PA and lateral chest radiographs.
Right-sided pleural effusion and lower lobe atelectasis, essentially unchanged.
11216730
There is no change from the prior study from ___, with mild vascular engorgement of the pulmonary vasculature, right pleural effusion, also accumulating at the minor fissure, and right atelectasis. The cardiomediastinal silhouette and hila are normal. A NG tube ends in the chest within a gastric pull-up.
52831053
WET READ: ___ ___ 9:08 PM 1. No evidence of pneumonia. 2. Right pleural effusion, unchanged from ___. 3. NGT ends in the distal esophagus. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old with esophagectomy and right lower lobe pneumonia on outside hospital chest x-ray. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___.
No evidnece of pneumonia. NG tube ends in the gastric pull-up within the chest. Right pleural effusion, unchanged from ___.
11216730
Heart size remains mildly enlarged. Patient is status post esophagectomy and gastric pull-through with unchanged mediastinal contour. Hilar contours are normal, and pulmonary vasculature is normal. New small left pleural effusion is present with ill-defined patchy opacity in the left lung base. Right lung is clear. No pneumothorax is detected. No acute osseous abnormalities seen.
51863838
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, ___ chest CT
New small left pleural effusion with patchy left basilar opacity, a finding which may reflect developing infection in the correct clinical setting.
11216730
Bilateral pigtail catheters are unchanged in appearance. A persistent large right pleural effusion is unchanged with adjacent atelectasis. A right central venous catheter ends in the low SVC. There is no new consolidation or edema. Pleural fluid tracks upwards towards the right apex. There is no pneumothorax. The cardiomediastinal silhouette is stable.
56258795
INDICATION: Esophageal cancer, status post esophagectomy. Evaluate for interval change. COMPARISONS: Chest radiograph, ___. Chest CT, ___. Chest radiograph, ___.
Stable large right pleural effusion. No pneumothorax.
11032631
AP portable upright view of the chest. No pleural effusion is seen. No focal consolidation. Heart size is within normal limits. Mediastinal prominence reflect 's an unfolded thoracic aorta in this patient with known type B aortic dissection. Imaged bony structures are intact.
50509614
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with type b dissection // eval effusions COMPARISON: Outside hospital CTA chest from earlier today.
In this patient with known type B aortic dissection, no acute findings are evident on chest radiograph.
11728513
There are low lung volumes accounting for some bronchovascular crowding. Bibasilar opacities likely represent atelectasis. No other focal opacities are seen. Blunting of the left costophrenic angle is secondary to a prominent epicardial fat pad that is better seen in subsequent CT. There is no pleural effusion or pneumothorax. There is no evidence of abdominal free air. A tortuous aorta is present. The cardiomediastinal contour is unremarkable.
52660392
INDICATION: ___-year-old male with epigastric and substernal pain. Evaluate for evidence of free air or pneumothorax. COMPARISON: Subsequent chest CT performed during this admission. TECHNIQUE: Portable frontal chest radiograph.
No evidence of acute cardiopulmonary process.
11187130
The inspiratory lung volumes are appropriate. The lungs are clear, there is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar silhouettes are within normal limits. The trachea is midline. No acute displaced or healed rib fractures are identified. The visualized upper abdomen is unremarkable.
52004476
INDICATION: Painless lump over the left lower rib for the past five days, here to evaluate for chest trauma. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.
No acute displaced or healed rib fractures based on a nondedicated exam.
11993984
Nerve stimulator generator pack projects over the left chest wall with lead coursing cephalad into the left aspect of the neck. There are low lung volumes. The heart size is normal, the mediastinal and hilar contours are unremarkable. There is mild crowding of the bronchovascular structures. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
54495269
INDICATION: Intractable epilepsy with increasing seizure frequency and behavioral outbursts. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE
No acute cardiopulmonary abnormality.
11109493
Since the prior radiograph, there has been no significant change. There is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is unremarkable. Median sternotomy wires are intact. There are surgical clips overlying the heart. Osseous structures are unremarkable.
58070940
INDICATION: ___-year-old man with severe triscuspid regurg, borderline elevated pulmonary artery systolic hypertension, evaluate for possible under-diagnosed pulmonary disease contributing to right-sided heart disease. COMPARISON: PA and lateral chest radiograph from ___.
No acute pulmonary process.
11917288
The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
56893815
CHEST RADIOGRAPHS HISTORY: Shortness of breath and chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11266941
Portable AP chest radiograph. Lung volumes are low with bibasilar atelectasis. NG tube tip is in the stomach and the side hole is at the level of the GE junction. Enlarged right lobe of the thyroid shifts the upper trachea to the left. There is no pleural effusion or pneumothorax. The heart size is normal.
56072028
INDICATION: Small-bowel obstruction. Evaluation of NG tube placement. COMPARISON: Chest radiograph, ___ and ___. CT chest, ___.
NG tube tip is in the stomach. However, the sidehole is at level of GE junction and can be advanced several centimeters for better positioning. Findings were discussed by Dr. ___ with Dr. ___ by phone at 9:29 a.m.
11674564
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
52530792
INDICATION: Productive cough. Evaluate for infectious process. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained.
No acute cardiopulmonary process.
11850430
Enteric tube is seen, coursing over expected location of the right mainstem bronchus into the right lower lobe bronchus. Recommend removal. There is a large hiatal hernia with adjacent atelectasis. Blunting of the right costophrenic angle may be due to overlying soft tissue and atelectasis versus small pleural effusion. There is mild left base atelectasis. The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly unremarkable. There is no pulmonary edema. No pneumothorax is seen.
59558536
WET READ: ___ ___ ___:___ PM Enteric tube in right lower lobe airway. Recommend removal. Dr. ___ paged. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with epigastric pain, large hiatal hernia // Eval NGT placement TECHNIQUE: Single frontal view of the chest COMPARISON: None
Enteric tube in right lower lobe airway. Recommend removal.
11746412
The lungs are clear, with low volumes. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
55514005
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with no significant PMH presents with anterior neck pain radiating. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.
No evidence for pneumonia.
11987390
Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.
54362772
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with overdose // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process identified.
11380368
There has been post-thoracentesis improvement of a moderate right pleural effusion. No pneumothorax is seen. Extensive destruction of multiple right ribs is unchanged from prior examination and compatible with known history of metastatic prostate cancer. The heart size is normal. The hilar and mediastinal contours are within normal limits.
55373235
INDICATION: Right pleural effusion status post thoracentesis. COMPARISON: Radiograph available from ___. FRONTAL CHEST
1) Post-thoracentesis with improvement of a moderate right pleural effusion. No pneumothorax. 2) Destructive right rib metastases.
11161769
Both lungs are well expanded and clear. There are no lung opacities of concern. Heart size is normal. Mediastinal and hilar contours are unremarkable. Both pleural spaces are normal.
51375940
CHEST RADIOGRAPH INDICATION: Unexplained fever, rule out lesion or pneumonia. TECHNIQUE: PA and lateral chest views were reviewed. No prior chest radiographs were available for comparison.
No evidence of pneumonia or focal lesions in the lung.
11508535
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.
52500885
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11508535
The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
54910637
INDICATION: ___M with sudden onset left-sided cp wafter lifting a heavy box // Obvious fracture or acute cardiopulmonary process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11206414
Frontal and lateral views of the chest demonstrate a small left apical pneumothorax measuring and 10 mm. The lungs are clear. There is a small to moderate left pleural effusion with associated atelectasis. The cardiomediastinal and hilar contours are unchanged. Left rib and clavicular fractures are unchanged.
50943596
INDICATION: ___ year old man with L-rib and clavicle fx's, small L-apical ptx, now w/ dyspnea, new O2 requirement. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.
Residual small left apical pneumothorax. Small to moderate left pleural effusion.
11451979
Severe pulmonary edema is unchanged with slightly increased cardiomediastinal silhouette. Internal jugular catheter now terminates appropriately within the upper SVC. There is no pneumothorax. Small bilateral pleural effusions are noted.
55974724
INDICATION: ___-year-old male with history of end-stage renal disease, recent non-ST elevated myocardial infarction, now with flash edema. COMPARISON: Multiple chest radiographs dating back to ___, most recent chest radiograph taken earlier the same day. TECHNIQUE: Supine portable AP chest radiograph.
Slightly worsening pulmonary edema with increase in cardiomegaly consistent with severe volume overload. Hemodialysis would not be contraindicated given these findings.
11451979
Semi-upright portable view of the chest demonstrates interval removal of an endotracheal tube. Swan-Ganz catheter is in unchanged position. Sternotomy wires appear intact. Extensive diffuse bilateral heterogeneous opacities are significantly progressed from prior exam, compatible. Small pleural effusions cannot be excluded. There is no pneumothorax. The hilar and mediastinal silhouettes are unchanged. Cardiomegaly is mild to moderate.
58022852
INDICATION: Patient with worsening shortness of breath. Assess for worsening pneumonia or edema. COMPARISONS: Chest radiographs of the same date, ___ and ___.
In comparison to study obtained 12 hours prior, there is significant interval progression of pulmonary edema, which is now severe.
11483216
PA and lateral chest radiographs were obtained. Lungs remain hyperinflated. A small to moderate left pleural effusion is unchanged. There is no new consolidation or pneumothorax. Cardiac and mediastinal contours are normal. Thoracic spine degenerative changes are stable.
55077326
HISTORY: Worsening cough and history of gastric cancer. COMPARISON: Radiographs ___ particularly in ___. And pelvis CT ___.
Minimal increase of a small left pleural effusion. Persistently hyperinflated lungs compatible with emphysema.
11483216
The cardiac silhouette is normal in size. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Hyperinflation of the lungs with emphysematous changes are again noted. Small left pleural effusion appears unchanged from the prior exam. There is minimal left basilar atelectasis. No focal consolidation or pneumothorax is detected. Degenerative changes are noted in both glenohumeral and acromioclavicular joints, as well as at multiple levels within the thoracic spine. A catheter is incompletely imaged within the right upper quadrant of the abdomen.
52040256
HISTORY: Leukocytosis, history of gastric cancer on chemotherapy. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___.
Small left pleural effusion, unchanged, with associated left basilar atelectasis. Emphysema.
11483216
Cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. Blunting of left costophrenic angle is chronic, and likely relates to chronic pleural thickening. Lungs are hyperinflated with mild emphysematous changes again noted at the lung apices. No pneumothorax or pleural effusion is detected, and there is no new focal consolidation. Mild degenerative changes are seen throughout the thoracic spine.
54361765
HISTORY: Gastric cancer, fatigue, increased oxygen requirement. TECHNIQUE: PA and lateral views of the chest. COMPARISON: CT torso ___ and chest radiograph ___.
No significant interval change from prior with chronic left costophrenic angle blunting likely reflecting pleural thickening. No pneumonia or metastatic disease identified. Emphysema.
11483216
Heart size is normal. Mediastinal and hilar contours are unchanged. Right PICC has been removed. Lungs remain hyperinflated with emphysematous changes again noted. Small left pleural effusion is similar compared to the prior study. There is no focal consolidation or pneumothorax. Minimal left basilar atelectasis is present. There are mild degenerative changes in the thoracic spine.
50831392
INDICATION: Fever, on chemotherapy. COMPARISON: ___. TECHNIQUE: Upright AP and lateral views of the chest.
Small left pleural effusion. Persistently hyperinflated lungs with emphysema.
11483216
Portable AP semi-upright view of the chest was reviewed and compared to the prior study. A moderate left pleural effusion is unchanged. A left-sided PICC line is extrathoracic and projects over the left axilla. Unchanged consolidation in the left upper lobe obscures aortic knob and is likely pneumonia. The right lung is clear. A tiny right pleural effusion is unchanged. The heart size is normal.
54951143
INDICATION: Evaluation of new line placement. COMPARISON: Two chest radiographs, the most recent of ___.
A left PICC line is extrathoracic and projects over the left axilla. Unchanged moderate left pleural effusion. Unchanged left upper lobe consodliation is likely pneumonia.
11052692
PA and lateral views of the chest were obtained. The lungs are clear and well inflated. No focal consolidation, effusion, or pneumothorax is seen. The cardiomediastinal silhouette is stable with an unfolded thoracic aorta redemonstrated. Imaged osseous structures are intact. There is degenerative disease at the right shoulder.
58959678
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Vomiting, assess for pneumonia or aspiration.
No sign of pneumonia or aspiration.
11149455
Frontal and lateral views of the chest. The cardiomediastinal silhouette is within normal limits. There is no radiographic evidence of lymphadenopathy. There is no focal infiltrate, pneumothorax, vascular congestion or pleural effusion.
54706330
INDICATION: ___-year-old male with night sweats. Question lymphadenopathy. COMPARISON: None available.
No radiographic evidence of mediastinal lymphadenopathy.
11081047
Heart size is enlarged but stable. Mediastinal contours demonstrate pulmonary vascular congestion. Unfolded aorta is again noted. Since the prior radiograph, new bibasilar patchy opacities could represent atelectasis, however pneumonia is not excluded. No large pleural effusion or pneumothorax. Small amount of fluid is seen in the right minor fissure.
55846086
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cough, AMS // infectious process TECHNIQUE: Portable upright chest radiograph COMPARISON: ___
Since ___, new patchy bibasilar opacities which could reflect atelectasis, however infection is not excluded. Moderate pulmonary vascular congestion.
11237402
Right middle lobe opacity is identified and better characterized on CTA dated ___. When compared to radiograph dated ___, there has been no significant interval changes. No focal consolidation suggestive of interval development of pneumonia is identified. Cardiomediastinal and hilar contours are stable in appearance. There is no overt pulmonary edema. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
58589768
INDICATION: ___-year-old male with shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ as well as CTA chest dated ___.
Stable appearance of right middle lobe opacification better delineated on CTA chest dated ___.
11227287
Left-sided PleurX catheter and chest tubes are unchanged in position. There is significant increase in the left chest wall and left base of neck subcutaneous air. Correlation for air leak is recommended. Heart size and retrocardiac atelectasis is unchanged. Diffuse increase in interstitial opacity of the left lung is again seen. Left effusion and atelectasis is slightly worse than on the prior study. The right lung is clear. No right-sided effusion.
56854944
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with malignant pleural effusion s/p pleuroscopy, pleurX catheter and chest tube placement. Evaluate interval change. TECHNIQUE: Portable upright chest radiograph COMPARISON: Chest radiograph from ___
Significant interval increase in left chest wall and base of neck subcutaneous air, for which correlation with side port positioning of the PleurX and chest tube is recommended. Interval increase in left effusion and adjacent atelectasis.
11227287
No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. The heart size is normal.
57390379
INDICATION: Chest congestion. TECHNIQUE: Two views of the chest. COMPARISON: None available.
No acute cardiopulmary process.
11227287
Left chest tube projects over the left lower lung. No appreciable left pleural effusion. Diffuse opacification of the left lung is likely a combination of lymphangitic spread of tumor and superinfection. Heart size is stable. Right lung is clear.
50933418
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/ NSCLC and malignant L pleural effusion w/ increased oxygen requirement // evaluate evolution of effusion and position of chest tube TECHNIQUE: PA and lateral COMPARISON: Multiple prior
No appreciable left pleural effusion. Diffuse left lung opacification.
11227287
Compared with ___, the left pleural effusion is markedly smaller, with some probable pleural fluid along the medial aspect of the lower left lung. A chest tube is in place at the left lung base. There is a probable tiny left apical pneumothorax. Again seen is a spiculated opacity in the left suprahilar region, with surrounding hazy opacity in the left upper zone, consistent with known mass. The right lung is grossly clear, without CHF, infiltrate, effusion, or pneumothorax. The mediastinum remains midline.
53325118
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left loculated pleural effusion and spiculated lung mass now s/p diagnostic thoracentesis and chest tube. Please assess for pneumothorax // Assess for pneumothorax COMPARISON: None.
Marked interval improvement in the left pleural effusion, with left lung base chest tube now in place. Probable tiny left apical pneumothorax. Otherwise, I doubt significant interval change.
11227287
Cardiac silhouette size is normal. Volume loss in the left lung is re- demonstrated with leftward shift of mediastinal structures again noted. Nodular and interstitial opacities are again seen throughout the left lung, most pronounced in the left lung base, along with left suprahilar mass compatible with known malignancy. Left-sided pleural thickening is seen diffusely with a small to moderate size left pleural effusion. No pulmonary edema, or right-sided focal consolidation, right-sided pleural effusion, or pneumothorax is identified. Known osseous metastatic lesions within the thoracic spine are better seen on the prior CT.
54216873
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and head CT ___
Re- demonstration of a left suprahilar mass compatible with known malignancy with lymphangitic spread in the left lung and continued diffuse left-sided pleural thickening with a small to moderate left pleural effusion. No new focal consolidation identified in the right lung.
11227287
Again seen is a pigtail type chest tube at the base of the left lung. No pneumothorax is detected. As before, there are increased markings in left upper zone, with faint density correspond to the known spiculated mass there. Associated with this, there is poor definition of the left superior hilum. Also again seen is increased density at to left base. This could represent a combination of left lower lobe collapse and/or consolidation and possible small amount pleural fluid. The appearance is similar, possibly slightly worse, compared 1 day earlier. Minimal atelectasis at the right lung base again noted. Otherwise, the right lung is grossly clear. No CHF or focal infiltrate identified. The cardiomediastinal silhouette is unchanged .
55096736
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with possible lung cancer, small stable pneumothoroax, and loculated L pleural effusion // How does PTX compare and Loculated pleural effusion to prior? COMPARISON: Chest x-ray from ___ at 07:36
Equivocal slight worsening of opacity at the left lung base. Otherwise, doubt significant change compared with ___ at 07:36.
11227287
When compared to chest CT, there has been no significant interval change. Moderate size left sided pleural effusion is again seen. Fluid is seen at the base with loculated components extending more superiorly. There is a left suprahilar mass concerning for underlying malignancy. Left upper lung opacities at the apex are as seen on prior CT and could potentially represent lymphangitic spread of tumor. Right lung is clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
56092875
INDICATION: ___M with pleural effsuon // eval for pleural effusion extent TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT from earlier the same day.
Moderate left pleural effusion with some loculated components seen superiorly. Left suprahilar mass concerning for malignancy
11252741
The tracheostomy tube is in appropriate position. There is no radiographic evidence of complications. Mild-to-moderate cardiomegaly is stable compared to the prior exam. There appears to be interval increase in opacification at the left lung base likely secondary to pneumonia. No large pleural effusion is identified. No pneumothorax.
53053099
INDICATION: History of trach and previous left lower lobe pneumonia, please evaluate. COMPARISONS: Multiple chest radiographs dated back to ___.
Interval increase in consolidation at the left lung base concerning for pneumonia.
11252741
Large right pleural effusion has improved with better visualization of the right lower lung. Basilar consolidation representing pneumonia are unchanged. Cardiac contour is mildly enlarged, and mediastinal contours are unchanged. ET tube is in appropriate position, and the left PICC line is in the mid SVC.
52742109
HISTORY: ___-year-old man intubated for pneumonia. Evaluate for progression of pneumonia. TECHNIQUE: Portable AP supine frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___.
Mild improvement of large right pleural effusion. Opacities representing pneumonias are stable.
11214611
Tracheostomy tube is unchanged in position. Right central line tip position is stable. All a small to moderate right pleural effusion has slightly increased from the prior study and there is now fluid in the fissure. There is a small left pleural effusion. Patchy opacities in the right lower lobe may represent infectious process. There is retrocardiac atelectasis. The cardiomediastinal silhouette is stable.
59261888
EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with hx esophageal cancer s/p radiation therapy with obstructive mass impinging on trachea s/p tracheostomy, now with new dyspnea TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph from ___. CT chest from ___
Bilateral pleural effusions and atelectasis increased. 3,Patchy opacities in the right lower lobe could be within the pull-through however airspace opacities are also possible. Follow-up is recommended. This study was reviewed with Dr. ___, ___ radiologist.
11214611
As compared to chest radiograph dated ___, frontal and lateral chest radiographs demonstrate interval removal of enteric tube. The right Port-A-Cath is seen in unchanged position with its tip in the low superior vena cava. The bilateral lungs are well expanded without new focal consolidations. Prior right loculated pleural fluid largely resolved. Stable cardiomegaly. There is no pneumothorax.
50455422
HISTORY: ___-year-old male status post esophagectomy. Evaluate interval change. COMPARISON: Chest radiograph dated ___.
Decreased right pleural fluid with well-expanded clear lungs.
11214611
The tip of the right chest wall power injectable Port-A-Cath projects over the cavoatrial junction. A tracheostomy tube is present. There is a layering left pleural effusion with subjacent atelectasis. Patchy airspace opacities throughout both lungs are unchanged. No pneumothorax is identified. The size appearance of the cardiac silhouette is unchanged.
53908103
INDICATION: ___ year old man with TE fistula, trach in place. // evidence of aspiration or focal consolidation? TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day
Left pleural effusion with subjacent atelectasis, and/or consolidation in the proper clinical context.
11214611
Right-sided prepectoral Port-A-Cath in situ with the tip seen in the distal SVC. Evidence of previous gastric pull-through. Air-fluid level seen in the distal stomach (intrathoracic). The density projecting over the lower vertebral bodies is presumed to be a fluid-filled stomach. There is attenuation of the cervical esophagus with shift to the left in keeping with known peritracheal adenopathy. Widening of the right paratracheal stripe in keeping with paratracheal adenopathy. Chronic, healed right-sided rib fractures. No airspace consolidation. No pleural effusions. No pulmonary edema.
52654828
INDICATION: ___ year old man with esophageal adenocarcinoma, here with worsening dysphagia // R/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: No recent prior radiographs
Attenuation of the cervical trachea secondary to peritracheal lymph nodes as known. No new areas of airspace consolidation to suggest pneumonia. This preliminary report was reviewed with Dr. ___, ___ radiologist.