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

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11532659	Again seen are small bilateral pleural effusions. Mild interstitial edema is noted. The cardiac silhouette is enlarged but stable in configuration. Prosthetic valve is visualized as well as median sternotomy wires. No acute osseous abnormalities.	58425389	INDICATION: ___F with dyspnea and crackles on lung exam // pneumonia? volume overload? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	Bilateral effusions and mild interstitial edema. Cardiomegaly.
11589088	The heart appears mildly enlarged. Incidental note is made of an azygos fissure consistent with a normal variant. The aorta is calcified. There is no pleural effusion or pneumothorax. Patchy left basilar opacities are probably due to minor atelectasis. The right acromiohumeral interval is effaced, which often suggests rotator cuff pathology. There is no obvious rib fracture. Moderate degenerative changes affect the lower lumbar spine. The bones appear demineralized. The vertebral body heights appear maintained aside from mild probably chronic loss in height of an upper thoracic vertebral body.	53060081	CHEST RADIOGRAPHS HISTORY: Unwitnessed fall. COMPARISONS: None. TECHNIQUE: Chest, AP upright and lateral.	No evidence of injury.
11589088	A portable frontal chest radiograph again demonstrates a left chest wall pacer device with the single lead overlying the right ventricle, unchanged in position. Moderate cardiomegaly is unchanged, as is retrocardiac opacity which is likely related to atelectasis and possible small left pleural effusion. No definite focal consolidation is identified. Moderate pulmonary edema is persistent, but improved compared to the prior radiograph. There is no pneumothorax.	52951376	INDICATION: Evaluate for interval change/resolution of pneumonia versus CHF, in a patient with altered mental status, cough, hypoxia, and leukocytosis. COMPARISON: Chest radiographs from ___, and ___, ___.	Persistent but mildly improved moderate pulmonary edema.
11589088	AP view of the chest provided. Bilateral mild-moderate pulmonary edema is new since prior study from ___. There is associated increased in width of vascular pedicle. Cardiac size may be slightly larger. Obscuration of the left hemidiaphgram likely reflects atelectasis and probably small amount of overlying pleural effusion. Pacemaker wire is in unchanged location.	54833544	WET READ: ___ ___ 5:03 PM New mild-moderate pulmonary edema. Follow-up with conventional radiograph is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with dyspnea // evidence of pnumonia or effusion COMPARISON: Chest radiograph from ___	New mild-moderate pulmonary edema. Follow-up with conventional radiograph is recommended.
11026064	The lungs are clear without focal opacities, pleural effusion, pulmonary edema or pneumothorax. The heart is normal in size, and a hiatal hernia is again seen. Dextroscoliosis is again noted in the thoracic spine.	57413823	HISTORY: Shortness of breath, evaluate for infiltrate. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11026064	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Retrocardiac opacity containing air is compatible with a moderate-sized hiatal hernia, as on prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Marked dextroscoliosis of the T-spine is noted. No free air below the right hemidiaphragm is seen.	58562299	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea on exertion // r/o acute process COMPARISON: ___	No acute intrathoracic process. Dextroscoliosis. Moderate hiatal hernia.
11026064	The heart is normal in size. There is a moderate hiatal hernia. The mediastinal and hilar contours appear otherwise unremarkable. The lungs appear clear. There is no pleural effusion or pneumothorax. Severe rightward convex curvature is centered along the mid thoracic spine.	54771896	CHEST RADIOGRAPH HISTORY: Dyspnea on exertion and pleuritic chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease. Moderate hiatal hernia.
11148895	Frontal and lateral views of the chest demonstrate a stably elevated right hemidiaphragm. Linear atelectasis in the right midlung zone is unchanged. Lung volumes are low, but there are focal consolidations to suggest pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is unchanged.	58013940	INDICATION: evaluate subacute cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	Stable elevation of the right hemidiaphragm. Otherwise, normal chest radiograph.
11841994	The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation or pulmonary edema. The pleural surfaces are smooth, without pleural effusion or pneumothorax.	56025849	INDICATION: ___-year-old immunocompromised male patient with cough and chest tightness. COMPARISON: Chest radiograph of ___.	No acute cardiopulmonary pathology.
11841994	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	50868642	INDICATION: ___-year-old male with ulcerative colitis, on Remicade, with cough and fever. Evaluate for evidence of pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.	Unremarkable chest radiographic examination.
11841994	There is consolidation of the right perihilar region, consistent with pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable.	52145053	HISTORY: Cough and pleuritic chest pain. Rule out pneumonia. COMPARISON: Chest radiographs ___ ___.	Right perihilar pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 11:43 on ___ by telephone ___ min after discovery.
11549535	In the right lower lobe, overlying the ___ posterior rib, there appears to be a nodular density; this may be related to the patient's nipple. Otherwise, the lungs are clear. Cardiac silhouette is normal in size. Aorta is tortuous. There is no pleural effusion or pneumothorax.	53889453	HISTORY: Cough. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.	No evidence of acute cardiopulmonary process. Possible right lower lobe nodule, likely nipple. Recommend repeat radiographs with nipple markers. Findings communicated to the ED QA nurses.
11549535	PA and lateral views of the chest. The lungs, heart, mediastinum, and hilar, and pleural surfaces are normal. There is no evidence of pneumonia.	54329360	INDICATION: Cough and right lower lobe rhonchi. Evaluate for pneumonia. COMPARISON: Chest radiographs on ___.	No evidence of pneumonia.
11904257	The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well-expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.	56458820	HISTORY: ___-year-old male with left lower extremity ischemia who presents for preoperative evaluation. COMPARISON: None. TECHNIQUE: Single AP portable exam of the chest.	No acute abnormalities identified.
11888400	AP upright and lateral views of the chest provided. The lungs appear hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	51998648	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with lightheadedness // eval for infiltrate COMPARISON: None	No acute intrathoracic process.
11129129	Frontal and lateral views of the chest. The tip of the left lateral costophrenic angle is excluded. Nodular symmetric densities projecting over the bilateral lower lungs are consistent with prominent nipples shadows. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.	54703471	HISTORY: Fever and malaise. COMPARISON: None.	No acute cardiopulmonary process. Nipple shadows should not be mistaken for lung nodules.
11554268	Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Prominence of the hila bilaterally may indicate underlying pulmonary arterial enlargement. There is hyperinflation of the lungs with patchy ill-defined opacities noted in both lung bases and both mid lung fields, findings concerning for infection or aspiration. Mild pulmonary vascular engorgement is also likely present. There is a small left pleural effusion. No pneumothorax is identified. No acute osseous abnormalities are seen.	52204119	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___	Patchy ill-defined opacities within the lung bases and midlung fields bilaterally concerning for aspiration or infection, with mild pulmonary vascular engorgement. Small left pleural effusion.
11554268	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The lungs are hyperexpanded likely reflecting chronic pulmonary disease. The heart size is normal. The mediastinal contours are normal.	51175403	INDICATION: ___ year old man with fatigue and longstanding tobacco abuse TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11790230	Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. A 1.1-cm left perihilar calcified nodule, likely a granuloma. The cardiomediastinal silhouette is notable for a tortuous aorta. An abnormal contour to the right aspect of the superior mediastinum which dissappears above the clavicle is likely vascular. The imaged upper abdomen is unremarkable. Compression fractures in the thoracic spine, are age indeterminate. Compression deformity at T12 is stable since ___.	59009704	INDICATION: Altered mental status. Will need infectious workup to rule out pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs were provided.	No evidence of pneumonia. ___-mm calcified nodule in the right upper lobe is likely a granuloma.
11453452	Lung volumes are low. There is no confluent consolidation or effusion. The cardiac silhouette appears enlarged but likely exaggerated by low lung volumes and portable supine technique. No acute osseous abnormalities. No free air seen below the diaphragm.	52771473	INDICATION: ___F with abd pain // free air? PNA? TECHNIQUE: Single portable view chest. COMPARISON: None.	No definite acute cardiopulmonary process.
11453452	Lung volumes are low. Heart size remains moderately enlarged. Mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities are seen in the lung bases likely reflective of atelectasis. No definite focal consolidation, pleural effusion or pneumothorax is present. Marked degenerative changes with diffuse idiopathic skeletal hyperostosis is noted in the imaged thoracolumbar spine. Additionally diffuse increased sclerosis of the vertebral bodies is unchanged compared to the prior CT.	53497232	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with lethargy, headache. Fall 1 week ago with head strike TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph, ___ CT abdomen pelvis	Low lung volumes with probable bibasilar atelectasis. Diffuse increased sclerosis of multiple vertebral bodies within the imaged thoracolumbar spine, unchanged from the prior CT, and clinical correlation with any history of malignancy is recommended.
11414288	There is bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. The aorta is calcified. Mild biapical pleural thickening is seen.	52740701	HISTORY: Chest pain TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process. Bibasilar atelectasis.
11656118	There are multifocal lung opacities including a right basilar opacity which obscures the medial hemidiaphragm and a retrocardiac opacity. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no acute osseous abnormality.	53892093	EXAMINATION: Chest radiograph. INDICATION: ___-year-old with shortness of breath a right-sided chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	Findings concerning for multifocal pneumonia. Possibility of more chronic bibasilar interstitial lung disease and bronchiectasis cannot be resolved without comparison to prior chest radiographs or CT scanning.
11911618	2 views of the chest demonstrates clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.	59963191	HISTORY: Syncope. COMPARISON: None available.	No acute cardiopulmonary process.
11223587	PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination dated ___. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. A right-sided lobus venae azygos is identified and unchanged in appearance. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. When comparison is made with the previous examination, no significant interval change is identified.	54684015	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with productive cough and localizing findings in right lower lobe. Any intrathoracic pathology?	Persistent normal chest findings, thus no evidence of any acute infiltrates.
11176797	The heart is normal in size. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.	54081041	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Pleuritic chest pain. TECHNIQUE: Chest, PA and lateral. Technique: COMPARISON: ___.	No evidence of acute disease.
11176797	PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.	52524731	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever, recent surgery, assess for pneumonia.	No signs of pneumonia or other acute intrathoracic process.
11600855	There is no focal consolidation, effusion, or edema. Streaky suprahilar right opacity is seen. This could be due to atelectasis. There is biapical scarring. Nodular opacity projecting over the left fourth rib at the lung apex cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	56548462	WET READ: ___ ___ 7:48 PM No acute cardiopulmonary process. Nodular opacity over the left lung apex. This could potentially be within the bone or in the parenchyma from pulmonary nodule or scarring. Nonurgent followup chest CT is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with afib with rvr // Eval for infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process. Nodular opacity over the left lung apex. This could potentially be within the bone or in the parenchyma from pulmonary nodule or scarring.
11714475	PA and lateral chest radiograph demonstrates a subtle right middle lobe opacity concerning for pneumonia. There is no pleural effusion. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. Osseous structures are unremarkable.	55062083	INDICATION: ___-year-old with cough. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	Subtle right middle lobe opacity concerning for pneumonia. A follow up radiograph is recommended in ___ weeks following treatment to ensure resolution.
11051753	Portable supine radiograph of the chest. Lung volumes are low causing a crowding of the pulmonary vasculature. The lungs are clear. The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	54450099	HISTORY: Altered mental status in a ___-year-old woman who was recently hospitalized for meningitis and required intubation. COMPARISON: Chest radiograph from ___ and multiple radiographs from ___.	Low lung volumes. No acute cardiopulmonary process.
11051753	Portable supine frontal chest radiograph. An endotracheal tube terminates at the right mainstem orifice. An enteric tube terminates within the stomach. The lung volumes are low, resulting in crowding of bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinum and hilar structures are unremarkable.	59881082	HISTORY: Intubation, evaluate tube placement. COMPARISON: Chest radiograph 6:59 today.	Endotracheal tube within the right mainstem bronchus. Repositioning is recommended. These findings were discussed with Dr. ___ by Dr. ___ at 11:20 on ___ by telephone immediately at the time of discovery.
11415517	There are low lung volumes comes accentuates the bronchovascular markings. Given this, there is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable.	50145052	WET READ: ___ ___ ___ 9:31 AM Low lung volumes accentuate top normal heart size. There is mild pulmonary vascular congestion. No focal consolidation. Bibasilar atelectasis. WET READ VERSION #1 ___ ___ ___ 11:55 PM Low lung volumes accentuate top normal heart size. There is mild pulmonary vascular congestion. No focal consolidation. Bibasilar atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with eosinophil fasciitis with sepsis. // Please evaluate for consolidation, pleural effusion, acute process. TECHNIQUE: Single frontal view of the chest COMPARISON: None	Low lung volumes, which accentuate the bronchovascular markings. Given this, there is mild pulmonary vascular congestion without definite focal consolidation. Mild basilar atelectasis. Top-normal to mildly enlarged cardiac silhouette size, likely accentuated by low lung volumes, and portable AP technique.
11741139	Frontal and lateral views of the chest demonstrate low lung volumes; there is no pleural effusion, focal consolidation or pneumothorax. The ascending aorta appears prominent. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart size is top normal. There is no pulmonary edema.	57323522	INDICATION: Patient with proximal tibial fracture. Study obtained for preoperative planning. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11696506	PA and lateral views of the chest provided. Elevated right hemidiaphragm again noted with associated right basal atelectasis. There is no focal consolidation concerning for pneumonia. No edema, large effusion or pneumothorax. The overall cardiomediastinal silhouette appears unchanged though the right heart borders partially obscured. Bony structures appear intact. Anchors are seen imbedded within the right glenoid fossa.	51293135	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with elevated lactate, infectious workup COMPARISON: ___	As above. No acute findings.
11996658	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	55707280	HISTORY: Cough and fever TECHNIQUE: PA and lateral chest radiographs. COMPARISON: ___	No acute cardiopulmonary process.
11996658	PA and lateral views of the chest provided. Lateral view is somewhat limited due to low lung volumes. 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.	59720212	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, fevers, sob COMPARISON: ___	No acute intrathoracic process.
11651592	There is no focal consolidation, pleural effusion or pneumothorax. The lateral view demonstrates an 24 mm wide lobulated opacity projecting over the lower portion of a mid thoracic vertebral body, which could be osteophytes or a lung nodule. The right hilus and adjacent mediastinal contours are somewhat distorted, possibly enlarged, and could be due to adenopathy. Heart size is top-normal.	59534367	WET READ: ___ ___ ___ 8:11 AM 1. Apparent distortion of the right hilar contour and right cardiac border, raising the possibility of underlying mediastinal lymphadenopathy. 2. Ill-defined opacity projecting over two vertebral bodies, which may represent an osteophyte versus underlying lung nodule. WET READ VERSION #1 ___ ___ ___ 5:27 AM 1. No acute cardiopulmonary process. 2. Sclerotic appearance of a mid thoracic spine intervertebral disc space may reflect degenerative change, although a sclerotic lesion is not entirely excluded. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with a history of left-sided breast cancer status post lumpectomy, now with a new left cerebellar mass concerning for metastatic disease TECHNIQUE: Chest PA and lateral COMPARISON: None available.	Possible right hilar and adjacent mediastinal lymphadenopathy. Possible lung nodule lung nodule.
11153421	Patient is status post median sternotomy and CABG. Heart size is mildly enlarged. Aorta is mildly tortuous and diffusely calcified. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No subdiaphragmatic free air is present. There are mild degenerative changes noted in the thoracic spine.	51029844	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with anemia to 5.7, preop // eval ? free air TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	No acute cardiopulmonary abnormality. No subdiaphragmatic free air.
11478232	Cardiac silhouette size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Patchy opacities are noted in the lung bases, new in the interval. No pleural effusion or pneumothorax is identified. Moderate multilevel degenerative changes are noted in the thoracic spine.	56065250	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Chest radiograph ___ and chest CTA ___	Patchy opacities in the lung bases are nonspecific and may reflect atelectasis.
11478232	The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.	54757221	WET READ: ___ ___ ___ 11:13 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with sob // PNA, effusion? TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___.	No acute cardiopulmonary abnormality.
11091543	Prominent bilateral interstitial markings most notably at the lung bases are unchanged since the study of 2 days ago, and are likely due to emphysema which was partially imaged on the recent cervical spine CT. There is no new consolidation, pleural effusion or pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.	57360331	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male with oxygen desaturations and dyspnea on exertion; evaluate for COPD. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___. Correlation made to cervical spine CT dated ___.	Emphysema with no acute process.
11495809	Left-sided thoracic catheter seen on the study from earlier the same date has been removed and no pneumothorax is seen. The left hemidiaphragm, however remains persistently obscured by overlying fluid and consolidation and right pleural effusion is also present. Cardiomegaly is somewhat obscured by adjacent fluid a consolidation. Cardiac stents and calcified plaque in the thoracic aorta are visible.	58260311	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pericardial and L pleural effusions s/p pleural drain d/c // post-chest drain pull CXR TECHNIQUE: Plain film COMPARISON: ___ and ___.	No pneumothorax status post removal of left-sided chest tube.
11495809	Since the prior radiograph performed yesterday afternoon, there has been slight improvement in the moderate left pleural effusion and small right pleural effusion. There is bibasilar compression atelectasis. No pneumothorax. No hilar lymphadenopathy. Stable cardiomegaly due to known large pericardial effusion.	59752329	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with large pericardial effusion // Per Thorasic Surg Recs - evaluate TB vs. malignancy TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___	Slight improvement in appearance of moderate left and small right pleural effusion. There are no nodules or masses in the visualized portions of the lungs.
11495809	When compared to prior, there has been interval enlargement of the bilateral pleural effusions, small on the right, moderate on the left. There is no visualized pneumothorax. Superiorly the lungs are clear. Right basilar opacity may be due to atelectasis. Cardiac silhouette is difficult to assess. Coronary artery stents are noted. No acute osseous abnormalities.	52705409	INDICATION: ___M with dyspnea // eval infiltrate, effusion, CHF TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___.	Interval enlargement of the bilateral pleural effusions, moderate on the left, small on the right.
11495809	Bilateral pulmonary effusions left greater than right which have slightly increased in size. Atelectasis bilaterally has slightly increased as well. Otherwise, cardiomediastinal is largely unchanged as compared to previous examination. No pneumothorax is seen.	55091814	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p Left mini thoracotomy and pericardial window // check interval change TECHNIQUE: PA and lateral views COMPARISON: ___	Slightly increased atelectasis and bilateral pulmonary effusions.
11806352	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	54532640	INDICATION: Tachycardia. Evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained.	No acute cardiopulmonary process.
11561170	The heart is of normal size with normal cardiomediastinal contours. Small medial right lung base and retrocardiac opacities are new since ___. No pleural effusion or pneumothorax. Pulmonary vascular markings are normal. No radiopaque foreign body.	56992432	HISTORY: Diarrhea, tachycardia. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___ chest radiographs.	New small bibasilar opacities, compatible with infection, atelectasis, or potentially aspiration.
11050845	The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.	57690281	INDICATION: History of fever and cough. Rule out pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest.	No focal consolidation concerning for pneumonia.
11036784	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.	50385355	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: MS flare. COMPARISON: None.	No acute cardiopulmonary process.
11498247	PA and lateral views of the chest provided. There is vague right lower lobe opacity, concerning for developing pneumonia. Rest of lung parenchyma is clear. Moderate cardiomegaly appears chronic. There is no pleural effusion.	50208708	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, fever, sweats COMPARISON: Chest radiograph from ___.	Right lower lobe pneumonia.
11498247	There is blunting of the right costophrenic angle, which could be caused by a small right-sided pleural effusion. There is left base atelectasis. No focal consolidation or pneumothorax is seen. No interstitial changes that might reflect amiodarone toxicity are noted. There is left ventricular enlargement and a large left pulmonary artery is identified.	51293937	INDICATION: ___-year-old female patient with shortness of breath, on amiodarone. Study requested to rule out acute changes. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.	No interstitial changes that might reflect amiodarone toxicity. However, if clinical concern, CT is recommended for further evaluation. Blunting of the right costophrenic angle, which could be caused by a small pleural effusion.
11498247	Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. Increased retrocardiac opacities are not substantiated on the lateral view. Lungs are clear. There is no pleural effusion or pneumothorax.	58187594	HISTORY: Atrial fibrillation with shortness of breath and history of asthma being started on amiodarone. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: ___.	No acute cardiopulmonary process. Stable moderate cardiomegaly.
11498247	PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The overall heart size has not undergone any significant interval change. There are, however, some pleural changes such as the less marked stability of minor and major interlobar fissure, as well as the mild blunting of the lateral pleural sinuses have regressed. This may indicate some hemodynamic improvement with less wetness in the pleural spaces following correction of heart rhythm. No evidence of new pulmonary parenchymal infiltrates and no pneumothorax is seen.	50718529	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient status post cardioversion, presents with dyspnea on exertion, crackles at the bases. Assess for pulmonary edema.	Possibly mild changes in appearance of pleural spaces following successful cardioversion.
11658705	There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal contour is normal.	53604006	WET READ: ___ ___ 7:10 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with chest pain, evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___.	No acute cardiopulmonary process.
11658705	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.	57313620	CHEST RADIOGRAPHS HISTORY: Intermittent burning chest pain and palpitations. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11326324	PA and lateral views of the chest are obtained. An AICD projects over the right chest wall with pacer lead extending into the right ventricle. Abandoned left chest wall pacer leads are present extending into the right heart. The lungs are hyperinflated reflecting known emphysema. Mild reticulation of the lung markings could suggest a component of mild fibrosis. There is blunting of the CP angles bilaterally likely indicative of bilateral pleural effusions. There are no definite signs of pneumonia or CHF. Cardiomediastinal silhouette appears grossly stable. Bony structures are intact. Midline sternotomy wires are also noted.	54725897	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CT from ___. CLINICAL HISTORY: Worsening balance, cough, question pneumonia.	Findings compatible with emphysema and possible underlying chronic lung disease/fibrosis. Small bilateral pleural effusions noted without definite signs of pneumonia.
11152129	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.	53138416	HISTORY: ___-year-old male with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___.	No radiographic evidence for acute cardiopulmonary process.
11048282	The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. There is no free air under the diaphragms.	50982694	INDICATION: Abdominal pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE	No free air under the diaphragms. No acute cardiopulmonary abnormality.
11080996	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	50781044	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob // r/o pna COMPARISON: ___.	No acute intrathoracic process.
11041295	A single portable semi-erect chest radiograph was obtained. Low lung volumes accentuate the pulmonary vasculature. Moderate cardiomegaly is unchanged. The costophrenic angles are blunted. There is no focal consolidation or pneumothorax. There is no new abnormal cardiac and mediastinal contour.	59150289	HISTORY: Hypoxia. COMPARISON: ___, ___.	Stable cardiomegaly. Presence of small pleural effusions is difficult to discern without a lateral projection.
11041295	Lung volumes are moderate inflated, for small bibasilar atelectasis. Small pleural effusion at right base. The heart size is moderatly enlarged, but stable	59466750	HISTORY: ___ year old woman with L hip fx, COPD exacerbation . COMPARISON: Exam is compared with chest x-ray of ___ at 20:56 p.m.	Small bibasilar atelectasis,and right base pleural effusion, but without sign of pneumonia.
11041295	The right lung base opacity has significantly increased in size since ___, with unclear etiology. This was not seen on the most recent CT scan in ___. There are no other and new areas of consolidation, pleural effusions or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	57177993	EXAMINATION: Chest x-ray PA and lateral INDICATION: f/u on opacity // f/u on opacity TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ in CT chest ___	Increasing right lung base opacity of unknown etiology. This should be evaluated with CT chest.
11041295	There is marked rotation of the patient to the right. The lung volumes remain low. No acute focal consolidation. No significant pleural effusions or pneumothorax. Mild cardiomegaly is stable. The aorta is mildly unfolded. No pulmonary edema is demonstrated. Chronic right eventration of the hemidiaphragm with interposition of the liver. Marked kyphosis of the mid thoracic spine.	54955924	INDICATION: ___ year old woman with Leukocytosis, COPD // rule out infiltrate TECHNIQUE: Chest PA and lateral	No acute cardiopulmonary process.
11041295	The lung volumes are very low. Bibasilar patchy airspace opacities could represent aspiration or infection. Trace bilateral pleural effusions are likely present. No pneumothorax. Mild cardiomegaly is stable. The aorta is mildly unfolded. No pulmonary edema is demonstrated.	54434222	INDICATION: History: ___F with shortness of breath TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___	Bibasilar airspace opacities are concerning for infection or aspiration. Bilateral trace pleural effusions.
11041295	AP and lateral views of the chest provided. Lung volumes are low. The heart is mildly enlarged. At the right lung base, a subtle opacity is noted, new from prior exam, indeterminate. No large effusion or pneumothorax is seen. On the lateral view, there is subtle double density overlying the heart. Consider CT to further assess. Mediastinal contour is unremarkable. The bony structures are intact.	59858165	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old woman with cxr for hx copd , sob and wt gain, ? chf // cxr for hx copd , sob and wt gain, ? chf COMPARISON: Prior exam dated ___.	Mild cardiomegaly. Vague opacity at the right lung base, question pneumonia. Please correlate clinically and consider CT to further assess.
11041295	The inspiratory lung volumes remain low, which accentuates the appearance of the pulmonary vasculature. Subtle right base opacity also noted on the recent chest CT and stable since prior radiograph from ___, likely chronic change. There is no new focal consolidation concerning for pneumonia. The bilateral costophrenic angles appear blunted, which is unchanged from the most recent prior study. No pneumothorax is detected. The cardiac silhouette is moderately enlarged but stable. Calcification of the aortic knob and mild tortuosity of the thoracic aorta is unchanged. The mediastinal contours are within normal limits. Hilar contours are stable.	52083763	HISTORY: Hypoxemia and dyspnea, here to evaluate for pneumonia or acute cardiopulmonary process. COMPARISON: CT chest dated ___. Chest radiograph last performed on ___. TECHNIQUE: Portable upright AP radiograph of the chest.	No significant interval change.
11606692	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.	52122130	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with right-sided chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11476016	Right internal jugular central venous catheter tip terminates in the low SVC. No pneumothorax is present. Lung volumes are low with patchy opacities in the lung bases most likely reflective of atelectasis. Heart size is top normal. The aorta is minimally tortuous. Hilar contours are unremarkable. Pulmonary vasculature demonstrates minimal engorgement without frank pulmonary edema. No focal consolidation or pleural effusion is demonstrated. There are no acute osseous abnormalities.	53461894	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M s/p right central line placement TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: None.	Right internal jugular central venous catheter tip in the low SVC. No pneumothorax. Low lung volumes with bibasilar atelectasis.
11134513	The aeration of the right upper lobe appears slightly improved. The right lung base remains densely opacified, with a probable small to moderate right pleural effusion with superimposed atelectasis or consolidation. There may be a small left pleural effusion as well. There is mild to moderate pulmonary edema in the left lung, with moderate pulmonary edema in the right upper lobe. There is no pneumothorax. The postoperative subcutaneous air is unchanged, if slightly redistributed.	54239126	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with increased O2 requirement after RML lobectomy and RLL wedge. // Pls perform PA and lateral films to eval for effusion TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___.	Slight improvement in right upper lobe aeration. Dense opacification of the right lower lung field, with probable small to moderate right pleural effusion and superimposed atelectasis or consolidation.
11235821	The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is essentially normal. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.	53063991	EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old woman with intermittent, left-sided chest pain for the past 3 days, here to evaluate for evidence of heart failure or pneumothorax. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11004544	The heart is mildly enlarged. The mediastinal and hilar contours are remarkable. There is a patchy posterior basilar opacity, likely within the right lower lobe. It is difficult to exclude a trace pleural effusion on the left noting posterior blunting along the costophrenic sulcus. Slight degenerative changes are noted along the thoracic spine.	58593412	CHEST RADIOGRAPHS HISTORY: Fever, weakness and fatigue. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	Patchy right lower lobe opacification, probably compatible with atelectasis noting elevation of the right hemidiaphragm, although pneumonia is hard to entirely exclude.
11540330	The heart size is top normal. Aorta is tortuous. The mediastinal and hilar contours are otherwise are unremarkable. The pulmonary vascularity is normal. Subsegmental atelectasis in the lingula is noted. The remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	53630304	HISTORY: Bradycardia, diaphoresis, nausea and vomiting. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	Subsegmental lingular atelectasis. Otherwise no acute cardiopulmonary abnormality.
11540330	Cardiomediastinal silhouette is stable. Again heart size is top-normal with mild unfolding of the thoracic aorta. Hila are contours are unremarkable. Trace atelectasis is noted at the right lung base and lingula. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.	57828088	EXAMINATION: Chest radiograph INDICATION: Left-sided numbness. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11803134	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 the appear somewhat demineralized diffusely. No free air below the right hemidiaphragm is seen.	56554785	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hyponatremia? // acute process? COMPARISON: None	No acute intrathoracic process.
11294914	PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	50052465	HISTORY: ___-year-old woman with shortness of breath. Evaluate for pneumonia. COMPARISON: None available.	Normal radiographs of the chest.
11100454	There is a heterogeneous opacity in the right middle lobe as well as more linear opacity in the left lower lobe. There is mild cardiomegaly. The hilar and mediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	52983444	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with cough and fever. COMPARISON: None available.	Heterogeneous right middle lobe opacity concerning for early pneumonia. More linear left basilar opacity is likely atelectasis.
11268204	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The mediastinal and hilar contours are unremarkable. The cardiac silhouette is not enlarged.	55129739	HISTORY: Fever and drenching night sweats. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11203493	The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	59220726	INDICATION: Cough and lightheadedness. COMPARISON: None. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11992515	The cardiac, mediastinal and hilar contours are normal. Right hilar lymph node calcifications are re- demonstrated. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.	56945297	HISTORY: Neutropenia and fevers. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11992515	Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal and hilar contours are normal. Lymph node calcifications are again noted inferior to the bronchus intermedius. Calcification in the right upper lobe is unchanged. No pleural effusion or pneumothorax.	55097468	HISTORY: Neutropenic fever, question infiltrate. COMPARISON: ___.	No acute process. Peripheral and central calcification compatible with prior granulomatous disease.
11324462	A single portable upright view of the chest was provided. The lungs are clear. The hila and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	55456031	INDICATION: Shortness of breath. COMPARISON: None available.	Normal radiograph of the chest.
11337191	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded with incidental note made of an azygos lobe. Increased interstitial markings at the lung periphery bilaterally correlate to subpleural interstitial changes seen on prior CT. The upper abdomen is unremarkable in appearance.	52364868	INDICATION: ___ year old woman with h/o stage IICovarian carcinoma now with SOB and crackles on inspiration left lung greater than right lung // please evaluate for worrisome features TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital torso CT ___.	Diffuse chronic interstitial changes, as seen on prior chest CT. No evidence for pleural effusion or pneumonia. No definite evidence of metastatic disease by chest radiograph, although chest CT is more sensitive for detection of metastatic disease.
11337191	Linear right midlung opacity is likely due to atelectasis. Increased opacity in the right paramediastinal region is likely due to consolidation within the azygos lobe. Increased pleural based opacity in the right upper lung laterally is compatible with pleural-based based metastases seen on prior PET-CT. New blunting of the right lateral costophrenic angle on the frontal view may also be due to pleural based disease. Irregular interstitial markings of the periphery of the left lung are better seen on prior CT. Left chest wall Port-A-Cath seen with tip in the region of the low SVC. Cardiac silhouette is stable. Enlarged right hilum is compatible with known malignant adenopathy. No visualized acute osseous abnormality. Destruction of the anterior right upper ribs was better seen on prior CT.	51146498	INDICATION: ___F with weakness, confusion, cough // bleed?infiltrate TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and PET-CT from ___.	Evidence of disease in the chest on the right including pleural-based mass as seen on prior PET-CT. Apparent increased pleural based involvement at the right lung base laterally. Right hilar adenopathy better seen on prior PET. Consolidation within the azygos lobe has progressed since prior PET-CT, potentially atelectasis or due to adjacent pleural based disease.
11722132	Well inflated lungs. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Left mid lung linear atelectasis is noted. Limited assessment of the osseous structures demonstrates rib fractures extending from right posterior second through fifth ribs. Second rib fracture, anterior fracture fragment is anteriorly displaced and demonstrates periosteal reaction consistent with subacute or chronic component. No definite acute fracture identified although correlation with physical exam is suggested. Chronic right clavicular and scapular fractures are identified.	57998159	WET READ: ___ ___ 11:31 PM 1. 3 right posterior rib fractures extending from second through fourth ribs. Third rib fracture may be subacute or chronic in nature. 2. No pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with facial trauma. Assess for pneumothorax. TECHNIQUE: Chest PA and lateral	Right rib fractures extending from second through fifth ribs. Third rib fracture may be subacute or chronic in nature. No definite acute fractures identified however correlation with physical exam is suggested. No pneumothorax.
11564471	The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.	57267496	HISTORY: Epigastric pain, history of achalasia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11041336	Again seen is a left-sided pacemaker with 2 leads terminating in the right atrium and right ventricle. A right internal jugular catheter is seen. There has been interval removal of the endotracheal tube. There is stable mild cardiomegaly. The mediastinal and hilar contours are unchanged. Lung volumes are decreased bilaterally. There is mild, new pulmonary venous congestion bilaterally. There is a new small left pleural effusion. There is no pneumothorax. Subtle opacity at the right base reflects a probable, new, small right pleural effusion with adjacent minimal atelectasis.	50160649	FINAL ADDENDUM ADDENDUM No specific addendum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: AP and lateral chest radiographs. INDICATION: ___-year-old woman with a new dual-chamber pacemaker. TECHNIQUE: AP and lateral chest radiographs COMPARISON: Chest radiographs from ___.	New, minimal pulmonary venous congestion. New, small left pleural effusion with a probable small right pleural effusion.
11041336	The patient is rotated. The ETT tip projects over the midline at the level of the thoracic, third -fourth rib, approximately is 6.5 cm from the carina with the neck and apparent extension. An enteric tube traverses the diaphragm into the left upper quadrant over the expected region of the stomach. A right IJ approach transvenous pacer wire tip projects over the apex of the heart. No pneumothorax, focal consolidation, or pleural effusion. Central pulmonary vascular congestion is mild with suggestion of mild edema in the right lung. The heart size is top-normal. No suspicious osseous lesion. Degenerative changes in the shoulders, AC joints, and thoracic spine are moderate.	54211422	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman who is intubated. Evaluate ETT placement. TECHNIQUE: Portable supine radiograph view of the chest. COMPARISON: None.	ETT in standard position with the neck in extension. Mild heart failure.
11576109	Since the prior exam, there has been significant interval worsening of pulmonary edema, which is now moderate to severe. There is no focal opacity to suggest pneumonia. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.	50929718	INDICATION: Chest pain. Evaluate for an acute process. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiograph from ___.	Moderate to severe pulmonary edema has worsened since the prior examination.
11576109	Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.	59045559	INDICATION: History: ___F with CP // evidence of pneumothorax or wide mediastinum TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently ___	No acute intrathoracic abnormality.
11576109	The cardiomediastinal silhouettes are stable in comparison to priors. The bilateral hila are unremarkable. Again seen is hazy opacity of the left lower lung, likely related to overlying breast tissue, as on multiple prior exams. There is no definite focal lung consolidation. There are low lung volumes. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax. There is no right pleural effusion. A trace left pleural effusion is difficult to exclude given overlying soft tissue.	59652181	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with strong cornary hx due for cath on ___ awoke w/ CP this morning, evaluate for edema or infiltrate. TECHNIQUE: Single AP radiographic view of the chest. COMPARISON: 1. Chest x-ray ___. 2. CTA chest ___. 3. Chest x-ray ___.	No acute cardiopulmonary process. No evidence of pulmonary vascular congestion or pulmonary edema.
11576109	Frontal and lateral radiographs of the chest demonstrate bibasalar atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.	54544595	INDICATION: ___ year old woman with chest pain // ?acute intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No acute cardiopulmonary process.
11576109	ET tube is unchanged approximately 5.6 cm from the carina. Swan-Ganz catheter terminates in the junction of the main and right pulmonary arteries. Lung volumes remain quite low. Mild cardiomegaly and moderate pulmonary edema are unchanged. There are small bilateral pleural effusions. Bibasilar atelectasis, left greater than right, is unchanged.	55450015	INDICATION: ___ year old woman with s/p OPCAB // eval for pneumonia TECHNIQUE: Portable supine AP chest COMPARISON: Chest radiographs ___ through ___	No significant change including persistent moderate pulmonary edema and mild cardiomegaly. A superimposed pneumonia would be difficult to detect in the setting of pulmonary edema. Recommend repeat imaging after diuresis. Moderate bibasilar atelectasis, left greater than right, is unchanged.
11700849	A new area of segmental consolidation has developed in the anterior medial segment of the left lower lobe, and is best visualized on the lateral view. As well as a linear area of atelectasis in the lingula. Lungs are otherwise clear, and cardiomediastinal contours are stable. No definite pleural effusion or pneumothorax.	51258474	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with h/o COPD w/ SOB and productive cough // Please evaluate for PNA COMPARISON: ___	Left lower lobe opacity is concerning for focal pneumonia in the setting of infectious symptoms. Followup radiographs are recommended in ___ weeks after completion of antibiotic therapy to document resolution.
11700849	The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The pulmonary vasculature remains very mildly engorged. There is new plate-like atelectasis at the right base. There is no focal consolidation concerning for pneumonia.	52581499	INDICATION: Aggressive post-operative hydration. COMPARISON: Chest radiograph ___, ___.	Mild pulmonary vasculature engorgement similar to prior. New right basilar atelectasis.
11587177	Moderate cardiomegaly is stable. Mediastinal and hilar contours are unchanged. There is no pneumothorax or large pleural effusion. Elevation of the right hemidiaphragm is chronic. Slightly lower lung volumes than on the most recent prior study may account for bronchovascular crowding at the lung bases. No focal consolidation concerning for pneumonia is seen. There is no pulmonary edema.	58124709	INDICATION: Hypoxia, query CHF or pneumonia. COMPARISON: Chest ___, ___.	No pulmonary edema or focal consolidation concerning for pneumonia.
11587177	Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	56080545	INDICATION: Weakness. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE	No acute cardiopulmonary abnormality.
11587177	Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Mild cardiomegaly persists. Mild perihilar vascular congestion is noted. Retrocardiac opacities likely represents atelectasis.	57289985	INDICATION: Chest pain. COMPARISONS: ___ and ___.	Mild cardiomegaly and perihilar vascular congestion. Left lung base opacities, likely atelectasis.
11587177	There is mild cardiomegaly. The mediastinal contours are stable, with a mildly tortuous thoracic aorta. The lungs are well expanded and clear of pulmonary consolidation, pleural effusion and pneumothorax. Mild prominence of interstitial markings suggest mild interstitial pulmonary edema.	57603408	INDICATION: ___-year-old male with cough and shortness of breath. COMPARISON: Chest radiograph ___. AP UPRIGHT AND LATERAL CHEST	Mild interstitial pulmonary edema.
11587177	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac silhouette is mildly enlarged. No overt pulmonary edema is seen. Mediastinal and hilar contours are unremarkable.	58957172	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Lethargy, aphasia. COMPARISON: ___.	No acute cardiopulmonary process. Borderline to mild cardiomegaly.
11587177	There are relatively low lung volumes and mild bibasilar atelectasis. Slight blunting of the costophrenic angles is most likely due to overlying soft tissue. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette remaining mildly enlarged. No focal consolidation or pneumothorax is seen. While there may be mild central pulmonary vascular engorgement, there is no overt pulmonary edema.	53288737	HISTORY: Dyspnea, cough, fever. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___.	Low lung volumes, which accentuate the bronchovascular markings. Given this, no focal consolidation seen. Persistent mildly enlarged cardiac silhouette.

11532659

Again seen are small bilateral pleural effusions. Mild interstitial edema is noted. The cardiac silhouette is enlarged but stable in configuration. Prosthetic valve is visualized as well as median sternotomy wires. No acute osseous abnormalities.

58425389

INDICATION: ___F with dyspnea and crackles on lung exam // pneumonia? volume overload? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

Bilateral effusions and mild interstitial edema. Cardiomegaly.

11589088

The heart appears mildly enlarged. Incidental note is made of an azygos fissure consistent with a normal variant. The aorta is calcified. There is no pleural effusion or pneumothorax. Patchy left basilar opacities are probably due to minor atelectasis. The right acromiohumeral interval is effaced, which often suggests rotator cuff pathology. There is no obvious rib fracture. Moderate degenerative changes affect the lower lumbar spine. The bones appear demineralized. The vertebral body heights appear maintained aside from mild probably chronic loss in height of an upper thoracic vertebral body.

53060081

CHEST RADIOGRAPHS HISTORY: Unwitnessed fall. COMPARISONS: None. TECHNIQUE: Chest, AP upright and lateral.

No evidence of injury.

11589088

A portable frontal chest radiograph again demonstrates a left chest wall pacer device with the single lead overlying the right ventricle, unchanged in position. Moderate cardiomegaly is unchanged, as is retrocardiac opacity which is likely related to atelectasis and possible small left pleural effusion. No definite focal consolidation is identified. Moderate pulmonary edema is persistent, but improved compared to the prior radiograph. There is no pneumothorax.

52951376

INDICATION: Evaluate for interval change/resolution of pneumonia versus CHF, in a patient with altered mental status, cough, hypoxia, and leukocytosis. COMPARISON: Chest radiographs from ___, and ___, ___.

Persistent but mildly improved moderate pulmonary edema.

11589088

AP view of the chest provided. Bilateral mild-moderate pulmonary edema is new since prior study from ___. There is associated increased in width of vascular pedicle. Cardiac size may be slightly larger. Obscuration of the left hemidiaphgram likely reflects atelectasis and probably small amount of overlying pleural effusion. Pacemaker wire is in unchanged location.

54833544

WET READ: ___ ___ 5:03 PM New mild-moderate pulmonary edema. Follow-up with conventional radiograph is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with dyspnea // evidence of pnumonia or effusion COMPARISON: Chest radiograph from ___

New mild-moderate pulmonary edema. Follow-up with conventional radiograph is recommended.

11026064

The lungs are clear without focal opacities, pleural effusion, pulmonary edema or pneumothorax. The heart is normal in size, and a hiatal hernia is again seen. Dextroscoliosis is again noted in the thoracic spine.

57413823

HISTORY: Shortness of breath, evaluate for infiltrate. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11026064

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Retrocardiac opacity containing air is compatible with a moderate-sized hiatal hernia, as on prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Marked dextroscoliosis of the T-spine is noted. No free air below the right hemidiaphragm is seen.

58562299

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea on exertion // r/o acute process COMPARISON: ___

No acute intrathoracic process. Dextroscoliosis. Moderate hiatal hernia.

11026064

The heart is normal in size. There is a moderate hiatal hernia. The mediastinal and hilar contours appear otherwise unremarkable. The lungs appear clear. There is no pleural effusion or pneumothorax. Severe rightward convex curvature is centered along the mid thoracic spine.

54771896

CHEST RADIOGRAPH HISTORY: Dyspnea on exertion and pleuritic chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease. Moderate hiatal hernia.

11148895

Frontal and lateral views of the chest demonstrate a stably elevated right hemidiaphragm. Linear atelectasis in the right midlung zone is unchanged. Lung volumes are low, but there are focal consolidations to suggest pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is unchanged.

58013940

INDICATION: evaluate subacute cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

Stable elevation of the right hemidiaphragm. Otherwise, normal chest radiograph.

11841994

The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation or pulmonary edema. The pleural surfaces are smooth, without pleural effusion or pneumothorax.

56025849

INDICATION: ___-year-old immunocompromised male patient with cough and chest tightness. COMPARISON: Chest radiograph of ___.

No acute cardiopulmonary pathology.

11841994

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

50868642

INDICATION: ___-year-old male with ulcerative colitis, on Remicade, with cough and fever. Evaluate for evidence of pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.

Unremarkable chest radiographic examination.

11841994

There is consolidation of the right perihilar region, consistent with pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable.

52145053

HISTORY: Cough and pleuritic chest pain. Rule out pneumonia. COMPARISON: Chest radiographs ___ ___.

Right perihilar pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 11:43 on ___ by telephone ___ min after discovery.

11549535

In the right lower lobe, overlying the ___ posterior rib, there appears to be a nodular density; this may be related to the patient's nipple. Otherwise, the lungs are clear. Cardiac silhouette is normal in size. Aorta is tortuous. There is no pleural effusion or pneumothorax.

53889453

HISTORY: Cough. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.

No evidence of acute cardiopulmonary process. Possible right lower lobe nodule, likely nipple. Recommend repeat radiographs with nipple markers. Findings communicated to the ED QA nurses.

11549535

PA and lateral views of the chest. The lungs, heart, mediastinum, and hilar, and pleural surfaces are normal. There is no evidence of pneumonia.

54329360

INDICATION: Cough and right lower lobe rhonchi. Evaluate for pneumonia. COMPARISON: Chest radiographs on ___.

No evidence of pneumonia.

11904257

The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well-expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

56458820

HISTORY: ___-year-old male with left lower extremity ischemia who presents for preoperative evaluation. COMPARISON: None. TECHNIQUE: Single AP portable exam of the chest.

No acute abnormalities identified.

11888400

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

51998648

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with lightheadedness // eval for infiltrate COMPARISON: None

No acute intrathoracic process.

11129129

Frontal and lateral views of the chest. The tip of the left lateral costophrenic angle is excluded. Nodular symmetric densities projecting over the bilateral lower lungs are consistent with prominent nipples shadows. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.

54703471

HISTORY: Fever and malaise. COMPARISON: None.

No acute cardiopulmonary process. Nipple shadows should not be mistaken for lung nodules.

11554268

Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Prominence of the hila bilaterally may indicate underlying pulmonary arterial enlargement. There is hyperinflation of the lungs with patchy ill-defined opacities noted in both lung bases and both mid lung fields, findings concerning for infection or aspiration. Mild pulmonary vascular engorgement is also likely present. There is a small left pleural effusion. No pneumothorax is identified. No acute osseous abnormalities are seen.

52204119

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___

Patchy ill-defined opacities within the lung bases and midlung fields bilaterally concerning for aspiration or infection, with mild pulmonary vascular engorgement. Small left pleural effusion.

11554268

The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The lungs are hyperexpanded likely reflecting chronic pulmonary disease. The heart size is normal. The mediastinal contours are normal.

51175403

INDICATION: ___ year old man with fatigue and longstanding tobacco abuse TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11790230

Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. A 1.1-cm left perihilar calcified nodule, likely a granuloma. The cardiomediastinal silhouette is notable for a tortuous aorta. An abnormal contour to the right aspect of the superior mediastinum which dissappears above the clavicle is likely vascular. The imaged upper abdomen is unremarkable. Compression fractures in the thoracic spine, are age indeterminate. Compression deformity at T12 is stable since ___.

59009704

INDICATION: Altered mental status. Will need infectious workup to rule out pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs were provided.

No evidence of pneumonia. ___-mm calcified nodule in the right upper lobe is likely a granuloma.

11453452

Lung volumes are low. There is no confluent consolidation or effusion. The cardiac silhouette appears enlarged but likely exaggerated by low lung volumes and portable supine technique. No acute osseous abnormalities. No free air seen below the diaphragm.

52771473

INDICATION: ___F with abd pain // free air? PNA? TECHNIQUE: Single portable view chest. COMPARISON: None.

No definite acute cardiopulmonary process.

11453452

Lung volumes are low. Heart size remains moderately enlarged. Mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities are seen in the lung bases likely reflective of atelectasis. No definite focal consolidation, pleural effusion or pneumothorax is present. Marked degenerative changes with diffuse idiopathic skeletal hyperostosis is noted in the imaged thoracolumbar spine. Additionally diffuse increased sclerosis of the vertebral bodies is unchanged compared to the prior CT.

53497232

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with lethargy, headache. Fall 1 week ago with head strike TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph, ___ CT abdomen pelvis

Low lung volumes with probable bibasilar atelectasis. Diffuse increased sclerosis of multiple vertebral bodies within the imaged thoracolumbar spine, unchanged from the prior CT, and clinical correlation with any history of malignancy is recommended.

11414288

There is bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. The aorta is calcified. Mild biapical pleural thickening is seen.

52740701

HISTORY: Chest pain TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process. Bibasilar atelectasis.

11656118

There are multifocal lung opacities including a right basilar opacity which obscures the medial hemidiaphragm and a retrocardiac opacity. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no acute osseous abnormality.

53892093

EXAMINATION: Chest radiograph. INDICATION: ___-year-old with shortness of breath a right-sided chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

Findings concerning for multifocal pneumonia. Possibility of more chronic bibasilar interstitial lung disease and bronchiectasis cannot be resolved without comparison to prior chest radiographs or CT scanning.

11911618

2 views of the chest demonstrates clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.

59963191

HISTORY: Syncope. COMPARISON: None available.

No acute cardiopulmonary process.

11223587

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination dated ___. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. A right-sided lobus venae azygos is identified and unchanged in appearance. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. When comparison is made with the previous examination, no significant interval change is identified.

54684015

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with productive cough and localizing findings in right lower lobe. Any intrathoracic pathology?

Persistent normal chest findings, thus no evidence of any acute infiltrates.

11176797

The heart is normal in size. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

54081041

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Pleuritic chest pain. TECHNIQUE: Chest, PA and lateral. Technique: COMPARISON: ___.

No evidence of acute disease.

11176797

PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

52524731

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever, recent surgery, assess for pneumonia.

No signs of pneumonia or other acute intrathoracic process.

11600855

There is no focal consolidation, effusion, or edema. Streaky suprahilar right opacity is seen. This could be due to atelectasis. There is biapical scarring. Nodular opacity projecting over the left fourth rib at the lung apex cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

56548462

WET READ: ___ ___ 7:48 PM No acute cardiopulmonary process. Nodular opacity over the left lung apex. This could potentially be within the bone or in the parenchyma from pulmonary nodule or scarring. Nonurgent followup chest CT is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with afib with rvr // Eval for infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process. Nodular opacity over the left lung apex. This could potentially be within the bone or in the parenchyma from pulmonary nodule or scarring.

11714475

PA and lateral chest radiograph demonstrates a subtle right middle lobe opacity concerning for pneumonia. There is no pleural effusion. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. Osseous structures are unremarkable.

55062083

INDICATION: ___-year-old with cough. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

Subtle right middle lobe opacity concerning for pneumonia. A follow up radiograph is recommended in ___ weeks following treatment to ensure resolution.

11051753

Portable supine radiograph of the chest. Lung volumes are low causing a crowding of the pulmonary vasculature. The lungs are clear. The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

54450099

HISTORY: Altered mental status in a ___-year-old woman who was recently hospitalized for meningitis and required intubation. COMPARISON: Chest radiograph from ___ and multiple radiographs from ___.

Low lung volumes. No acute cardiopulmonary process.

11051753

Portable supine frontal chest radiograph. An endotracheal tube terminates at the right mainstem orifice. An enteric tube terminates within the stomach. The lung volumes are low, resulting in crowding of bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinum and hilar structures are unremarkable.

59881082

HISTORY: Intubation, evaluate tube placement. COMPARISON: Chest radiograph 6:59 today.

Endotracheal tube within the right mainstem bronchus. Repositioning is recommended. These findings were discussed with Dr. ___ by Dr. ___ at 11:20 on ___ by telephone immediately at the time of discovery.

11415517

There are low lung volumes comes accentuates the bronchovascular markings. Given this, there is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable.

50145052

WET READ: ___ ___ ___ 9:31 AM Low lung volumes accentuate top normal heart size. There is mild pulmonary vascular congestion. No focal consolidation. Bibasilar atelectasis. WET READ VERSION #1 ___ ___ ___ 11:55 PM Low lung volumes accentuate top normal heart size. There is mild pulmonary vascular congestion. No focal consolidation. Bibasilar atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with eosinophil fasciitis with sepsis. // Please evaluate for consolidation, pleural effusion, acute process. TECHNIQUE: Single frontal view of the chest COMPARISON: None

Low lung volumes, which accentuate the bronchovascular markings. Given this, there is mild pulmonary vascular congestion without definite focal consolidation. Mild basilar atelectasis. Top-normal to mildly enlarged cardiac silhouette size, likely accentuated by low lung volumes, and portable AP technique.

11741139

Frontal and lateral views of the chest demonstrate low lung volumes; there is no pleural effusion, focal consolidation or pneumothorax. The ascending aorta appears prominent. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart size is top normal. There is no pulmonary edema.

57323522

INDICATION: Patient with proximal tibial fracture. Study obtained for preoperative planning. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11696506

PA and lateral views of the chest provided. Elevated right hemidiaphragm again noted with associated right basal atelectasis. There is no focal consolidation concerning for pneumonia. No edema, large effusion or pneumothorax. The overall cardiomediastinal silhouette appears unchanged though the right heart borders partially obscured. Bony structures appear intact. Anchors are seen imbedded within the right glenoid fossa.

51293135

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with elevated lactate, infectious workup COMPARISON: ___

As above. No acute findings.

11996658

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

55707280

HISTORY: Cough and fever TECHNIQUE: PA and lateral chest radiographs. COMPARISON: ___

No acute cardiopulmonary process.

11996658

PA and lateral views of the chest provided. Lateral view is somewhat limited due to low lung volumes. 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.

59720212

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, fevers, sob COMPARISON: ___

No acute intrathoracic process.

11651592

There is no focal consolidation, pleural effusion or pneumothorax. The lateral view demonstrates an 24 mm wide lobulated opacity projecting over the lower portion of a mid thoracic vertebral body, which could be osteophytes or a lung nodule. The right hilus and adjacent mediastinal contours are somewhat distorted, possibly enlarged, and could be due to adenopathy. Heart size is top-normal.

59534367

WET READ: ___ ___ ___ 8:11 AM 1. Apparent distortion of the right hilar contour and right cardiac border, raising the possibility of underlying mediastinal lymphadenopathy. 2. Ill-defined opacity projecting over two vertebral bodies, which may represent an osteophyte versus underlying lung nodule. WET READ VERSION #1 ___ ___ ___ 5:27 AM 1. No acute cardiopulmonary process. 2. Sclerotic appearance of a mid thoracic spine intervertebral disc space may reflect degenerative change, although a sclerotic lesion is not entirely excluded. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with a history of left-sided breast cancer status post lumpectomy, now with a new left cerebellar mass concerning for metastatic disease TECHNIQUE: Chest PA and lateral COMPARISON: None available.

Possible right hilar and adjacent mediastinal lymphadenopathy. Possible lung nodule lung nodule.

11153421

Patient is status post median sternotomy and CABG. Heart size is mildly enlarged. Aorta is mildly tortuous and diffusely calcified. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No subdiaphragmatic free air is present. There are mild degenerative changes noted in the thoracic spine.

51029844

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with anemia to 5.7, preop // eval ? free air TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

No acute cardiopulmonary abnormality. No subdiaphragmatic free air.

11478232

Cardiac silhouette size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Patchy opacities are noted in the lung bases, new in the interval. No pleural effusion or pneumothorax is identified. Moderate multilevel degenerative changes are noted in the thoracic spine.

56065250

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Chest radiograph ___ and chest CTA ___

Patchy opacities in the lung bases are nonspecific and may reflect atelectasis.

11478232

The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

54757221

WET READ: ___ ___ ___ 11:13 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with sob // PNA, effusion? TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___.

No acute cardiopulmonary abnormality.

11091543

Prominent bilateral interstitial markings most notably at the lung bases are unchanged since the study of 2 days ago, and are likely due to emphysema which was partially imaged on the recent cervical spine CT. There is no new consolidation, pleural effusion or pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.

57360331

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male with oxygen desaturations and dyspnea on exertion; evaluate for COPD. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___. Correlation made to cervical spine CT dated ___.

Emphysema with no acute process.

11495809

Left-sided thoracic catheter seen on the study from earlier the same date has been removed and no pneumothorax is seen. The left hemidiaphragm, however remains persistently obscured by overlying fluid and consolidation and right pleural effusion is also present. Cardiomegaly is somewhat obscured by adjacent fluid a consolidation. Cardiac stents and calcified plaque in the thoracic aorta are visible.

58260311

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pericardial and L pleural effusions s/p pleural drain d/c // post-chest drain pull CXR TECHNIQUE: Plain film COMPARISON: ___ and ___.

No pneumothorax status post removal of left-sided chest tube.

11495809

Since the prior radiograph performed yesterday afternoon, there has been slight improvement in the moderate left pleural effusion and small right pleural effusion. There is bibasilar compression atelectasis. No pneumothorax. No hilar lymphadenopathy. Stable cardiomegaly due to known large pericardial effusion.

59752329

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with large pericardial effusion // Per Thorasic Surg Recs - evaluate TB vs. malignancy TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___

Slight improvement in appearance of moderate left and small right pleural effusion. There are no nodules or masses in the visualized portions of the lungs.

11495809

When compared to prior, there has been interval enlargement of the bilateral pleural effusions, small on the right, moderate on the left. There is no visualized pneumothorax. Superiorly the lungs are clear. Right basilar opacity may be due to atelectasis. Cardiac silhouette is difficult to assess. Coronary artery stents are noted. No acute osseous abnormalities.

52705409

INDICATION: ___M with dyspnea // eval infiltrate, effusion, CHF TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___.

Interval enlargement of the bilateral pleural effusions, moderate on the left, small on the right.

11495809

Bilateral pulmonary effusions left greater than right which have slightly increased in size. Atelectasis bilaterally has slightly increased as well. Otherwise, cardiomediastinal is largely unchanged as compared to previous examination. No pneumothorax is seen.

55091814

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p Left mini thoracotomy and pericardial window // check interval change TECHNIQUE: PA and lateral views COMPARISON: ___

Slightly increased atelectasis and bilateral pulmonary effusions.

11806352

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

54532640

INDICATION: Tachycardia. Evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained.

No acute cardiopulmonary process.

11561170

The heart is of normal size with normal cardiomediastinal contours. Small medial right lung base and retrocardiac opacities are new since ___. No pleural effusion or pneumothorax. Pulmonary vascular markings are normal. No radiopaque foreign body.

56992432

HISTORY: Diarrhea, tachycardia. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___ chest radiographs.

New small bibasilar opacities, compatible with infection, atelectasis, or potentially aspiration.

11050845

The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.

57690281

INDICATION: History of fever and cough. Rule out pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest.

No focal consolidation concerning for pneumonia.

11036784

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.

50385355

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: MS flare. COMPARISON: None.

No acute cardiopulmonary process.

11498247

PA and lateral views of the chest provided. There is vague right lower lobe opacity, concerning for developing pneumonia. Rest of lung parenchyma is clear. Moderate cardiomegaly appears chronic. There is no pleural effusion.

50208708

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, fever, sweats COMPARISON: Chest radiograph from ___.

Right lower lobe pneumonia.

11498247

There is blunting of the right costophrenic angle, which could be caused by a small right-sided pleural effusion. There is left base atelectasis. No focal consolidation or pneumothorax is seen. No interstitial changes that might reflect amiodarone toxicity are noted. There is left ventricular enlargement and a large left pulmonary artery is identified.

51293937

INDICATION: ___-year-old female patient with shortness of breath, on amiodarone. Study requested to rule out acute changes. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.

No interstitial changes that might reflect amiodarone toxicity. However, if clinical concern, CT is recommended for further evaluation. Blunting of the right costophrenic angle, which could be caused by a small pleural effusion.

11498247

Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. Increased retrocardiac opacities are not substantiated on the lateral view. Lungs are clear. There is no pleural effusion or pneumothorax.

58187594

HISTORY: Atrial fibrillation with shortness of breath and history of asthma being started on amiodarone. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: ___.

No acute cardiopulmonary process. Stable moderate cardiomegaly.

11498247

PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The overall heart size has not undergone any significant interval change. There are, however, some pleural changes such as the less marked stability of minor and major interlobar fissure, as well as the mild blunting of the lateral pleural sinuses have regressed. This may indicate some hemodynamic improvement with less wetness in the pleural spaces following correction of heart rhythm. No evidence of new pulmonary parenchymal infiltrates and no pneumothorax is seen.

50718529

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient status post cardioversion, presents with dyspnea on exertion, crackles at the bases. Assess for pulmonary edema.

Possibly mild changes in appearance of pleural spaces following successful cardioversion.

11658705

There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal contour is normal.

53604006

WET READ: ___ ___ 7:10 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with chest pain, evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___.

No acute cardiopulmonary process.

11658705

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

57313620

CHEST RADIOGRAPHS HISTORY: Intermittent burning chest pain and palpitations. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11326324

PA and lateral views of the chest are obtained. An AICD projects over the right chest wall with pacer lead extending into the right ventricle. Abandoned left chest wall pacer leads are present extending into the right heart. The lungs are hyperinflated reflecting known emphysema. Mild reticulation of the lung markings could suggest a component of mild fibrosis. There is blunting of the CP angles bilaterally likely indicative of bilateral pleural effusions. There are no definite signs of pneumonia or CHF. Cardiomediastinal silhouette appears grossly stable. Bony structures are intact. Midline sternotomy wires are also noted.

54725897

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CT from ___. CLINICAL HISTORY: Worsening balance, cough, question pneumonia.

Findings compatible with emphysema and possible underlying chronic lung disease/fibrosis. Small bilateral pleural effusions noted without definite signs of pneumonia.

11152129

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

53138416

HISTORY: ___-year-old male with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___.

No radiographic evidence for acute cardiopulmonary process.

11048282

The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. There is no free air under the diaphragms.

50982694

INDICATION: Abdominal pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE

No free air under the diaphragms. No acute cardiopulmonary abnormality.

11080996

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

50781044

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob // r/o pna COMPARISON: ___.

No acute intrathoracic process.

11041295

A single portable semi-erect chest radiograph was obtained. Low lung volumes accentuate the pulmonary vasculature. Moderate cardiomegaly is unchanged. The costophrenic angles are blunted. There is no focal consolidation or pneumothorax. There is no new abnormal cardiac and mediastinal contour.

59150289

HISTORY: Hypoxia. COMPARISON: ___, ___.

Stable cardiomegaly. Presence of small pleural effusions is difficult to discern without a lateral projection.

11041295

Lung volumes are moderate inflated, for small bibasilar atelectasis. Small pleural effusion at right base. The heart size is moderatly enlarged, but stable

59466750

HISTORY: ___ year old woman with L hip fx, COPD exacerbation . COMPARISON: Exam is compared with chest x-ray of ___ at 20:56 p.m.

Small bibasilar atelectasis,and right base pleural effusion, but without sign of pneumonia.

11041295

The right lung base opacity has significantly increased in size since ___, with unclear etiology. This was not seen on the most recent CT scan in ___. There are no other and new areas of consolidation, pleural effusions or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

57177993

EXAMINATION: Chest x-ray PA and lateral INDICATION: f/u on opacity // f/u on opacity TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ in CT chest ___

Increasing right lung base opacity of unknown etiology. This should be evaluated with CT chest.

11041295

There is marked rotation of the patient to the right. The lung volumes remain low. No acute focal consolidation. No significant pleural effusions or pneumothorax. Mild cardiomegaly is stable. The aorta is mildly unfolded. No pulmonary edema is demonstrated. Chronic right eventration of the hemidiaphragm with interposition of the liver. Marked kyphosis of the mid thoracic spine.

54955924

INDICATION: ___ year old woman with Leukocytosis, COPD // rule out infiltrate TECHNIQUE: Chest PA and lateral

No acute cardiopulmonary process.

11041295

The lung volumes are very low. Bibasilar patchy airspace opacities could represent aspiration or infection. Trace bilateral pleural effusions are likely present. No pneumothorax. Mild cardiomegaly is stable. The aorta is mildly unfolded. No pulmonary edema is demonstrated.

54434222

INDICATION: History: ___F with shortness of breath TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___

Bibasilar airspace opacities are concerning for infection or aspiration. Bilateral trace pleural effusions.

11041295

AP and lateral views of the chest provided. Lung volumes are low. The heart is mildly enlarged. At the right lung base, a subtle opacity is noted, new from prior exam, indeterminate. No large effusion or pneumothorax is seen. On the lateral view, there is subtle double density overlying the heart. Consider CT to further assess. Mediastinal contour is unremarkable. The bony structures are intact.

59858165

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old woman with cxr for hx copd , sob and wt gain, ? chf // cxr for hx copd , sob and wt gain, ? chf COMPARISON: Prior exam dated ___.

Mild cardiomegaly. Vague opacity at the right lung base, question pneumonia. Please correlate clinically and consider CT to further assess.

11041295

The inspiratory lung volumes remain low, which accentuates the appearance of the pulmonary vasculature. Subtle right base opacity also noted on the recent chest CT and stable since prior radiograph from ___, likely chronic change. There is no new focal consolidation concerning for pneumonia. The bilateral costophrenic angles appear blunted, which is unchanged from the most recent prior study. No pneumothorax is detected. The cardiac silhouette is moderately enlarged but stable. Calcification of the aortic knob and mild tortuosity of the thoracic aorta is unchanged. The mediastinal contours are within normal limits. Hilar contours are stable.

52083763

HISTORY: Hypoxemia and dyspnea, here to evaluate for pneumonia or acute cardiopulmonary process. COMPARISON: CT chest dated ___. Chest radiograph last performed on ___. TECHNIQUE: Portable upright AP radiograph of the chest.

No significant interval change.

11606692

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.

52122130

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with right-sided chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11476016

Right internal jugular central venous catheter tip terminates in the low SVC. No pneumothorax is present. Lung volumes are low with patchy opacities in the lung bases most likely reflective of atelectasis. Heart size is top normal. The aorta is minimally tortuous. Hilar contours are unremarkable. Pulmonary vasculature demonstrates minimal engorgement without frank pulmonary edema. No focal consolidation or pleural effusion is demonstrated. There are no acute osseous abnormalities.

53461894

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M s/p right central line placement TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: None.

Right internal jugular central venous catheter tip in the low SVC. No pneumothorax. Low lung volumes with bibasilar atelectasis.

11134513

The aeration of the right upper lobe appears slightly improved. The right lung base remains densely opacified, with a probable small to moderate right pleural effusion with superimposed atelectasis or consolidation. There may be a small left pleural effusion as well. There is mild to moderate pulmonary edema in the left lung, with moderate pulmonary edema in the right upper lobe. There is no pneumothorax. The postoperative subcutaneous air is unchanged, if slightly redistributed.

54239126

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with increased O2 requirement after RML lobectomy and RLL wedge. // Pls perform PA and lateral films to eval for effusion TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___.

Slight improvement in right upper lobe aeration. Dense opacification of the right lower lung field, with probable small to moderate right pleural effusion and superimposed atelectasis or consolidation.

11235821

The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is essentially normal. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

53063991

EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old woman with intermittent, left-sided chest pain for the past 3 days, here to evaluate for evidence of heart failure or pneumothorax. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11004544

The heart is mildly enlarged. The mediastinal and hilar contours are remarkable. There is a patchy posterior basilar opacity, likely within the right lower lobe. It is difficult to exclude a trace pleural effusion on the left noting posterior blunting along the costophrenic sulcus. Slight degenerative changes are noted along the thoracic spine.

58593412

CHEST RADIOGRAPHS HISTORY: Fever, weakness and fatigue. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

Patchy right lower lobe opacification, probably compatible with atelectasis noting elevation of the right hemidiaphragm, although pneumonia is hard to entirely exclude.

11540330

The heart size is top normal. Aorta is tortuous. The mediastinal and hilar contours are otherwise are unremarkable. The pulmonary vascularity is normal. Subsegmental atelectasis in the lingula is noted. The remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

53630304

HISTORY: Bradycardia, diaphoresis, nausea and vomiting. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

Subsegmental lingular atelectasis. Otherwise no acute cardiopulmonary abnormality.

11540330

Cardiomediastinal silhouette is stable. Again heart size is top-normal with mild unfolding of the thoracic aorta. Hila are contours are unremarkable. Trace atelectasis is noted at the right lung base and lingula. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

57828088

EXAMINATION: Chest radiograph INDICATION: Left-sided numbness. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11803134

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 the appear somewhat demineralized diffusely. No free air below the right hemidiaphragm is seen.

56554785

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hyponatremia? // acute process? COMPARISON: None

No acute intrathoracic process.

11294914

PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

50052465

HISTORY: ___-year-old woman with shortness of breath. Evaluate for pneumonia. COMPARISON: None available.

Normal radiographs of the chest.

11100454

There is a heterogeneous opacity in the right middle lobe as well as more linear opacity in the left lower lobe. There is mild cardiomegaly. The hilar and mediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

52983444

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with cough and fever. COMPARISON: None available.

Heterogeneous right middle lobe opacity concerning for early pneumonia. More linear left basilar opacity is likely atelectasis.

11268204

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The mediastinal and hilar contours are unremarkable. The cardiac silhouette is not enlarged.

55129739

HISTORY: Fever and drenching night sweats. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11203493

The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

59220726

INDICATION: Cough and lightheadedness. COMPARISON: None. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11992515

The cardiac, mediastinal and hilar contours are normal. Right hilar lymph node calcifications are re- demonstrated. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

56945297

HISTORY: Neutropenia and fevers. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11992515

Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal and hilar contours are normal. Lymph node calcifications are again noted inferior to the bronchus intermedius. Calcification in the right upper lobe is unchanged. No pleural effusion or pneumothorax.

55097468

HISTORY: Neutropenic fever, question infiltrate. COMPARISON: ___.

No acute process. Peripheral and central calcification compatible with prior granulomatous disease.

11324462

A single portable upright view of the chest was provided. The lungs are clear. The hila and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

55456031

INDICATION: Shortness of breath. COMPARISON: None available.

Normal radiograph of the chest.

11337191

The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded with incidental note made of an azygos lobe. Increased interstitial markings at the lung periphery bilaterally correlate to subpleural interstitial changes seen on prior CT. The upper abdomen is unremarkable in appearance.

52364868

INDICATION: ___ year old woman with h/o stage IICovarian carcinoma now with SOB and crackles on inspiration left lung greater than right lung // please evaluate for worrisome features TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital torso CT ___.

Diffuse chronic interstitial changes, as seen on prior chest CT. No evidence for pleural effusion or pneumonia. No definite evidence of metastatic disease by chest radiograph, although chest CT is more sensitive for detection of metastatic disease.

11337191

Linear right midlung opacity is likely due to atelectasis. Increased opacity in the right paramediastinal region is likely due to consolidation within the azygos lobe. Increased pleural based opacity in the right upper lung laterally is compatible with pleural-based based metastases seen on prior PET-CT. New blunting of the right lateral costophrenic angle on the frontal view may also be due to pleural based disease. Irregular interstitial markings of the periphery of the left lung are better seen on prior CT. Left chest wall Port-A-Cath seen with tip in the region of the low SVC. Cardiac silhouette is stable. Enlarged right hilum is compatible with known malignant adenopathy. No visualized acute osseous abnormality. Destruction of the anterior right upper ribs was better seen on prior CT.

51146498

INDICATION: ___F with weakness, confusion, cough // bleed?infiltrate TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and PET-CT from ___.

Evidence of disease in the chest on the right including pleural-based mass as seen on prior PET-CT. Apparent increased pleural based involvement at the right lung base laterally. Right hilar adenopathy better seen on prior PET. Consolidation within the azygos lobe has progressed since prior PET-CT, potentially atelectasis or due to adjacent pleural based disease.

11722132

Well inflated lungs. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Left mid lung linear atelectasis is noted. Limited assessment of the osseous structures demonstrates rib fractures extending from right posterior second through fifth ribs. Second rib fracture, anterior fracture fragment is anteriorly displaced and demonstrates periosteal reaction consistent with subacute or chronic component. No definite acute fracture identified although correlation with physical exam is suggested. Chronic right clavicular and scapular fractures are identified.

57998159

WET READ: ___ ___ 11:31 PM 1. 3 right posterior rib fractures extending from second through fourth ribs. Third rib fracture may be subacute or chronic in nature. 2. No pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with facial trauma. Assess for pneumothorax. TECHNIQUE: Chest PA and lateral

Right rib fractures extending from second through fifth ribs. Third rib fracture may be subacute or chronic in nature. No definite acute fractures identified however correlation with physical exam is suggested. No pneumothorax.

11564471

The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

57267496

HISTORY: Epigastric pain, history of achalasia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11041336

Again seen is a left-sided pacemaker with 2 leads terminating in the right atrium and right ventricle. A right internal jugular catheter is seen. There has been interval removal of the endotracheal tube. There is stable mild cardiomegaly. The mediastinal and hilar contours are unchanged. Lung volumes are decreased bilaterally. There is mild, new pulmonary venous congestion bilaterally. There is a new small left pleural effusion. There is no pneumothorax. Subtle opacity at the right base reflects a probable, new, small right pleural effusion with adjacent minimal atelectasis.

50160649

FINAL ADDENDUM ADDENDUM No specific addendum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: AP and lateral chest radiographs. INDICATION: ___-year-old woman with a new dual-chamber pacemaker. TECHNIQUE: AP and lateral chest radiographs COMPARISON: Chest radiographs from ___.

New, minimal pulmonary venous congestion. New, small left pleural effusion with a probable small right pleural effusion.

11041336

The patient is rotated. The ETT tip projects over the midline at the level of the thoracic, third -fourth rib, approximately is 6.5 cm from the carina with the neck and apparent extension. An enteric tube traverses the diaphragm into the left upper quadrant over the expected region of the stomach. A right IJ approach transvenous pacer wire tip projects over the apex of the heart. No pneumothorax, focal consolidation, or pleural effusion. Central pulmonary vascular congestion is mild with suggestion of mild edema in the right lung. The heart size is top-normal. No suspicious osseous lesion. Degenerative changes in the shoulders, AC joints, and thoracic spine are moderate.

54211422

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman who is intubated. Evaluate ETT placement. TECHNIQUE: Portable supine radiograph view of the chest. COMPARISON: None.

ETT in standard position with the neck in extension. Mild heart failure.

11576109

Since the prior exam, there has been significant interval worsening of pulmonary edema, which is now moderate to severe. There is no focal opacity to suggest pneumonia. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.

50929718

INDICATION: Chest pain. Evaluate for an acute process. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiograph from ___.

Moderate to severe pulmonary edema has worsened since the prior examination.

11576109

Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.

59045559

INDICATION: History: ___F with CP // evidence of pneumothorax or wide mediastinum TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently ___

No acute intrathoracic abnormality.

11576109

The cardiomediastinal silhouettes are stable in comparison to priors. The bilateral hila are unremarkable. Again seen is hazy opacity of the left lower lung, likely related to overlying breast tissue, as on multiple prior exams. There is no definite focal lung consolidation. There are low lung volumes. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax. There is no right pleural effusion. A trace left pleural effusion is difficult to exclude given overlying soft tissue.

59652181

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with strong cornary hx due for cath on ___ awoke w/ CP this morning, evaluate for edema or infiltrate. TECHNIQUE: Single AP radiographic view of the chest. COMPARISON: 1. Chest x-ray ___. 2. CTA chest ___. 3. Chest x-ray ___.

No acute cardiopulmonary process. No evidence of pulmonary vascular congestion or pulmonary edema.

11576109

Frontal and lateral radiographs of the chest demonstrate bibasalar atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

54544595

INDICATION: ___ year old woman with chest pain // ?acute intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No acute cardiopulmonary process.

11576109

ET tube is unchanged approximately 5.6 cm from the carina. Swan-Ganz catheter terminates in the junction of the main and right pulmonary arteries. Lung volumes remain quite low. Mild cardiomegaly and moderate pulmonary edema are unchanged. There are small bilateral pleural effusions. Bibasilar atelectasis, left greater than right, is unchanged.

55450015

INDICATION: ___ year old woman with s/p OPCAB // eval for pneumonia TECHNIQUE: Portable supine AP chest COMPARISON: Chest radiographs ___ through ___

No significant change including persistent moderate pulmonary edema and mild cardiomegaly. A superimposed pneumonia would be difficult to detect in the setting of pulmonary edema. Recommend repeat imaging after diuresis. Moderate bibasilar atelectasis, left greater than right, is unchanged.

11700849

A new area of segmental consolidation has developed in the anterior medial segment of the left lower lobe, and is best visualized on the lateral view. As well as a linear area of atelectasis in the lingula. Lungs are otherwise clear, and cardiomediastinal contours are stable. No definite pleural effusion or pneumothorax.

51258474

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with h/o COPD w/ SOB and productive cough // Please evaluate for PNA COMPARISON: ___

Left lower lobe opacity is concerning for focal pneumonia in the setting of infectious symptoms. Followup radiographs are recommended in ___ weeks after completion of antibiotic therapy to document resolution.

11700849

The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The pulmonary vasculature remains very mildly engorged. There is new plate-like atelectasis at the right base. There is no focal consolidation concerning for pneumonia.

52581499

INDICATION: Aggressive post-operative hydration. COMPARISON: Chest radiograph ___, ___.

Mild pulmonary vasculature engorgement similar to prior. New right basilar atelectasis.

11587177

Moderate cardiomegaly is stable. Mediastinal and hilar contours are unchanged. There is no pneumothorax or large pleural effusion. Elevation of the right hemidiaphragm is chronic. Slightly lower lung volumes than on the most recent prior study may account for bronchovascular crowding at the lung bases. No focal consolidation concerning for pneumonia is seen. There is no pulmonary edema.

58124709

INDICATION: Hypoxia, query CHF or pneumonia. COMPARISON: Chest ___, ___.

No pulmonary edema or focal consolidation concerning for pneumonia.

11587177

Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

56080545

INDICATION: Weakness. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE

No acute cardiopulmonary abnormality.

11587177

Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Mild cardiomegaly persists. Mild perihilar vascular congestion is noted. Retrocardiac opacities likely represents atelectasis.

57289985

INDICATION: Chest pain. COMPARISONS: ___ and ___.

Mild cardiomegaly and perihilar vascular congestion. Left lung base opacities, likely atelectasis.

11587177

There is mild cardiomegaly. The mediastinal contours are stable, with a mildly tortuous thoracic aorta. The lungs are well expanded and clear of pulmonary consolidation, pleural effusion and pneumothorax. Mild prominence of interstitial markings suggest mild interstitial pulmonary edema.

57603408

INDICATION: ___-year-old male with cough and shortness of breath. COMPARISON: Chest radiograph ___. AP UPRIGHT AND LATERAL CHEST

Mild interstitial pulmonary edema.

11587177

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac silhouette is mildly enlarged. No overt pulmonary edema is seen. Mediastinal and hilar contours are unremarkable.

58957172

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Lethargy, aphasia. COMPARISON: ___.

No acute cardiopulmonary process. Borderline to mild cardiomegaly.

11587177

There are relatively low lung volumes and mild bibasilar atelectasis. Slight blunting of the costophrenic angles is most likely due to overlying soft tissue. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette remaining mildly enlarged. No focal consolidation or pneumothorax is seen. While there may be mild central pulmonary vascular engorgement, there is no overt pulmonary edema.

53288737

HISTORY: Dyspnea, cough, fever. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___.

Low lung volumes, which accentuate the bronchovascular markings. Given this, no focal consolidation seen. Persistent mildly enlarged cardiac silhouette.