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

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11731325	Lung volumes are low with fibrotic changes present at the lung bases. In addition there is increased airspace opacities, most pronounced on the right. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. There is no acute osseous abnormality. Calcifications project in the right upper quadrant	56340748	EXAMINATION: Chest radiograph. INDICATION: ___-year-old man with bibasilar crackles, evaluate for pneumonia or CHF. TECHNIQUE: Chest PA and lateral COMPARISON: CTA ___ and chest radiograph ___.	Diffuse increased airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease.
11731325	Since 3 days prior, there are increased interstitial opacities bilaterally, reflect interval development of mild pulmonary edema. The degree of edema and fibrosis could conceivably obscure other parenchymal processes. Mild cardiomegaly is unchanged. Pleural effusions are small, if any.	59915953	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with NASH cirrhosis, pulmonary fibrosis p/w GI bleed now with new ___ requirement // evaluate for pulmonary edema TECHNIQUE: Portable chest COMPARISON: PA and lateral chest radiographs dated ___	New, mild pulmonary edema superimposed on chronic interstitial lung disease.
11828074	PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Subtle opacity at the left lung base as correlated with prior CT abdomen and pelvis from ___ likely reflects atelectasis due to diaphragmatic eventration. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.	52160156	CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a chest radiograph from ___. CLINICAL HISTORY: Fevers and chills, productive cough, question pneumonia.	No definite signs of pneumonia.
11828074	The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	50021708	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11739273	The chest is somewhat underpenetrated due to body habitus. Volumes are slightly low, but there is no focal airspace opacity to suggest pneumonia. There is no pleural abnormality. Soft tissue fullness obliterates the right paratracheal stripe and the lateral view shows posterior displacement of the trachea. These could indicate mediastinal adenopathy or fat depositon. Any prior imaging should be obtained for review prior to requesting CT scan for evaluation.	57200964	INDICATION: Right upper quadrant pain. Evaluate for right lower lobe pneumonia. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiographs of the chest.	Possible mediastinal adenopathy. Check for any prior imaging to see if this is a new finding before requesting Chest CT scan. No evidence of acute cardiopulmonary. abnormality.
11502360	There relatively low lung volumes. There is minimal bibasilar atelectasis without definite focal consolidation. No large pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.	57809115	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with found unresponsive and apneic at game after methadone use* WARNING * Multiple patients with same last name! // ?aspiration TECHNIQUE: Single frontal view of the chest COMPARISON: None	Low lung volumes with minimal basilar atelectasis. No definite focal consolidation. If clinical concern persists, consider dedicated PA and lateral views if patient able.
11095404	The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.	54809263	INDICATION: History: ___M with cough // R/O PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiograph ___. CTA chest ___.	No acute cardiopulmonary abnormality.
11312927	AP and lateral views of the chest. Linear opacity at the left lung base most suggestive of atelectasis. The lungs are otherwise essentially clear. Blunting of the posterior costophrenic angle on the left may represent trace effusion. Cardiac silhouette is within normal limits noting prominent left cardiophrenic fat pad, unchanged. No acute osseous abnormality detected.	58790744	HISTORY: ___-year-old male with syncope. Question cardiomegaly. COMPARISON: Chest CT from ___ and chest x-ray from ___.	No acute cardiopulmonary process. Possible trace left effusion.
11365932	PA and lateral views of the chest. Better lung volumes compared to most recent study. A small left pleural effusion is new. A right double-lumen dialysis catheter ends in the mid SVC. The lungs are clear. There is no evidence of pneumonia. No pulmonary vascular congestion or pulmonary edema. No pneumothorax. Moderate cardiomegaly is stable. Mediastinal and hilar contours are normal.	51601672	PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 12:00 PM 1. Small left pleural effusion. 2. Stable moderate cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: Status post tracheal resection and reconstruction and bronchoscopy, assess for interval change. COMPARISON: Chest radiographs on ___.	Small left pleural effusion. Stable moderate cardiomegaly.
11365932	Right hemodialysis catheter ends at cavoatrial junction. The end of right-sided PICC line is obscured by the hemodialysis catheter, but is ending somewhere in the superior vena cava. Mild pulmonary vascular congestion has improved since ___ with also decrease in size of the right hilum. Moderate cardiomegaly is stable. There is no pneumothorax or pleural effusion. Decrease in size of right paracardiac Morgagni hernia from chest x-ray of ___ to ___ is probably explained by decreased fluid in the hernia due to change from peritoneal dialysis to hemodyalisis.	57008580	PORTABLE AP CHEST X-RAY INDICATION: Right PICC hemodialysis catheter. COMPARISON: Multiple chest x-rays from ___ to ___ and CT scan of ___.	Right hemodialysis catheter is in adequate position. Right-sided PICC line distal end is obscured by the hemodialysis catheter, but is presumed to be in the superior vena cava. Mild pulmonary congestion has improved.
11365932	Assessment of the right upper lobe is limited as the patient's chin and neck obscure this region. Lung volumes are low. Mild cardiomegaly is re- demonstrated with a left ventricular predominance. The aorta remains tortuous. Right subclavian central venous catheter has been removed. There is crowding of the bronchovascular structures due to low lung volumes, though there appears to be mild pulmonary vascular congestion, improved compared to the prior study. No pleural effusion is identified, and no left-sided pneumothorax is seen. Diffuse sclerosis of the osseous structures is compatible with renal osteodystrophy.	52828341	EXAMINATION: CHEST (PORTABLE AP) INDICATION: Hypoxia, respiratory distress. TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: ___	Limited exam. Mild pulmonary vascular congestion. Low lung volumes.
11365932	The lungs are poorly inflated. There is vascular cephalization but no focal opacities concerning for pneumonia. Assessment of the left lung field is limited by stable severe cardiomegaly. A large, fluid filled Morgagni hernia at the right cardiophrenic angle is unchanged. Two tiny locules of air within the hernia are seen in the lateral radiograph which were also present in the CT abdomen from ___. There is no pleural effusion or pneumothorax.	59565663	INDICATION: ___-year-old female with fever and hypotension. Evaluate for pneumonia. COMPARISON: Reference CT abdomen from outside institution from ___, PA and lateral chest radiograph from ___, and CT chest from ___. TECHNIQUE: AP and lateral chest radiograph.	Vascular cephalization but no evidence of acute cardiopulmonary process. Stable large Morgagni hernias with locules of air, unchanged from ___.
11365932	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart continues to be enlarged. The mediastinal contours are normal.	53212827	INDICATION: ___ year old woman with cough TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___, ___, ___ and ___.	No acute cardiopulmonary process. Mild cardiomegaly.
11365932	There is been interval placement of an ET tube which terminates in the right mainstem bronchus. This can be safely retracted approximately 3 cm for proper positioning in the distal trachea. There are again seen low lung volumes. The cardiomediastinal silhouettes are unchanged. There is interval increase in opacification of the left lower lobe which is likely left lower lobe collapse secondary to right mainstem bronchus intubation. Otherwise, there is no change in the lung parenchyma in comparison to prior radiograph. There is no pulmonary vascular congestion. There are no pleural effusions or pneumothoraces.	51979630	EXAMINATION: Portable AP chest x-ray INDICATION: ___ year old woman with respiratory failure s/p intubation // s/p intubation TECHNIQUE: AP projection. COMPARISON: Portable AP chest x-ray obtained ___.	ET tube which terminates in right mainstem bronchus, and requires repositioning. Secondary to this, there is new left lower lobe collapse. Otherwise unchanged chest x-ray.
11201396	The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. Scarring within the lung apices is stable. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. No displaced rib fractures are noted. The patient is status post thyroid surgery with clips noted in the left neck.	53020717	HISTORY: Right-sided rib pain from coughing. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality. No displaced rib fractures are seen. If there is continued concern for rib fracture, then a dedicated rib series is recommended.
11201396	Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. Clips are noted projecting over both breasts and within the left neck. BB marker indicating the site of patient's pain is noted along the right lateral tenth rib. No osseous abnormality is seen in the vicinity of this marker. No displaced fractures are identified involving the ribs.	59276594	EXAMINATION: CHEST (PA AND LAT); RIB, UNILAT (NO CXR) INDICATION: History: ___F with fall, right sided chest wall tenderness TECHNIQUE: Chest PA and lateral, three views of the right-sided ribs COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality. No displaced rib fracture identified.
11144556	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	55205553	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with right ___ finger and ring finger discoloration(blue) with decrease cap refill. // mass? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process. Normal chest x-ray.
11792652	PA and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.	51998280	CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with cough and fever.	No acute cardiopulmonary process.
11539318	The heart size is top normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs remain hyperinflated. Scarring within the lung apices is re- demonstrated. Remainder of the lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities demonstrated.	56849943	HISTORY: Syncope. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11178644	Supine portable view of the chest demonstrate low lung volumes. The left lung base consolidation, may represent atelectasis. No pleural effusion or pneumothorax. Pneumomediastinum and subcutaneous gas in the supraclavicular areas bilaterally extend to superiorly neck. No focal consolidation. No intraperitoneal free air.	50776601	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/hiatal hernia, ___ ulcers, and small bowel nodule (benign on bx) now s/p lap hiatal hernia repair w/fundoplication // evaluate for ptx, to be done in PACU COMPARISON: None.	Pneumomediastinum and subcutaneous gas in the neck is most likely post-surgical. No evidence of pneumothorax or subdiaphragmatic free air.
11178644	Left-sided inferior medial retrocardiac opacity may relate to a hiatal hernia. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.	50968592	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Recent hiatal hernia, one week ago with nausea, vomiting. COMPARISON: ___.	Retrocardiac opacity seen on the frontal view in the inferomedial left hemithorax may be due to hiatal hernia. No focal consolidation. No evidence of free air beneath the diaphragms.
11986449	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.	50886511	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11882795	ET tube terminates 5 cm from the carina. Lung volumes are slightly low but clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Enteric tube has its tip in the stomach but side port near the GE junction.	55524860	INDICATION: Polysubstance abuse and intubated. Evaluate for ET tube placement. COMPARISON: None. TECHNIQUE: Portable semi-upright AP radiograph of the chest.	ET tube 5 cm from the carina. Enteric tube with tip in the stomach but side port at the GE junction.
11948841	Cardiomediastinal silhouette is within normal limits. Calcifications are noted in the aortic arch and along the proximal head and neck vessels. Lungs are symmetrically hyperinflated similar to the prior examination. There is no consolidation or pleural effusion. No pneumothorax.	50792690	INDICATION: History: ___F with confusion, TIA symptoms // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	No evidence of pneumonia. Hyperinflated lungs, suggestive of chronic obstructive pulmonary disease. Calcifications along the aortic arch and proximal head and neck vessels.
11948841	The heart size is within normal limits. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. The lungs are mildly hyperinflated but clear. There is no large pleural effusion or pneumothorax. Mild-to-moderate degenerative changes seen in the lower thoracic spine.	59695307	HISTORY: ___-year-old female with near-syncopal episode. STUDY: PA and lateral chest radiograph. COMPARISON: None.	No acute cardiopulmonary process.
11434519	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.	50070037	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough COMPARISON: None	No acute intrathoracic process.
11459376	The cardiomediastinal and hilar contours are stable, with stable cardiomegaly. Mild calcification of the aortic arch is unchanged. A left chest wall AICD device is seen with a single lead terminating in the right ventricle. The lungs are well expanded and clear, without consolidation, pleural effusion, or pneumothorax. Mild pulmonary edema is present.	59953393	INDICATION: ___-year-old woman with increased leg swelling, shortness of breath, and crackles. COMPARISON: Chest radiograph, ___. AP CHEST	Mild pulmonary edema and cardiomegaly.
11459376	Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is similar to prior. Pulmonary vascular markings are indistinct, compatible with mild pulmonary edema, improved since ___. Small blunting of the right costophrenic angle and minimal blunting of the left costophrenic angle are similar to prior. No focal consolidation or pneumothorax. No displaced rib fracture is visualized. Single wire of a left chest wall pacer terminates over the right ventricle.	56800901	INDICATION: ___-year-old female with left lower extremity trauma and chest pain. Evaluate for fracture. COMPARISONS: Multiple prior radiographs, most recently of ___.	Improved pulmonary edema, now mild. Small right and trace left pleural effusions, similar to prior. No displaced rib fracture visualized. Dedicated rib series would increase sensitivity for detection of rib fractures.
11459376	Left-sided single-chamber pacemaker lead terminates in the right ventricle. Heart is moderately enlarged but unchanged. Mediastinal and hilar contours are relatively stable. There is mild pulmonary edema and small bilateral pleural effusions. Streaky opacities in the lung bases likely reflect atelectasis. No pneumothorax is present. There is scarring within the lung apices. No acute osseous abnormality is visualized.	55480025	INDICATION: Shortness of breath. COMPARISON: ___. TECHNIQUE: Upright AP and lateral views of the chest.	Mild congestive heart failure with small bilateral pleural effusions, not significantly changed compared to the prior exam.
11765034	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 stable and unremarkable. Mild thoracic scoliosis is again seen.	53983121	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___.	No acute cardiopulmonary process.
11333637	Again, the lungs are hyperinflated with coarsened interstitial pattern, most consistent with COPD. There is an opacity at the right base, which is mostly linear. Additionally, there are some unchanged calcifications at the left base, which likely represent costochondral cartilage. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The aorta is tortuous and unfolded, unchanged from the prior exam. The heart size is normal.	59938208	INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Frontal and lateral views of the chest were obtained with a total of three exposures.	Unchanged findings consistent with COPD. Linear opacity at the right base is likely atelectasis. In the proper clinical setting, developing pneumonia cannot be completely excluded, however.
11993454	The lungs are hyperinflated but clear of focal consolidation. Linear bibasilar opacities are most suggestive of atelectasis. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities identified.	55872603	INDICATION: ___ year old woman with BL SDH's // pr eop Surg: ___ (L crani SDH evacuation) TECHNIQUE: Single portable view of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11066362	PA and lateral views of the chest provided. There is a retrocardiac opacity which is most compatible with a large hiatal hernia. Coarsened lung markings likely reflects emphysema. No large consolidation effusion or pneumothorax is seen. The heart size appears grossly within normal limits. The thoracic aorta is densely calcified. There is mild prominence of the mediastinum which likely reflect vascular ectasia as well as large right thyroid nodule better assessed on same-day CT of the cervical spine. There is a lower thoracic compression deformity which is seen only on the lateral projection with approximately ___ loss of anterior vertebral body height. Correlate clinically.	57453633	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever and cough, focal rales in right lung // ?PNA COMPARISON: None.	Coarsened lung markings likely reflect emphysema. Large hiatal hernia. Age-indeterminate lower thoracic compression deformity.
11682069	The patient is status post median sternotomy and mitral valve replacement. The cardiomediastinal and hilar contours are stable. Chronic upper zone vascular redistribution without overt edema. Lung volumes are low resulting in crowding of bronchovascular structures, particularly at the lung bases. No effusions or pneumothorax.	52885585	EXAMINATION: Chest radiograph INDICATION: History: ___F with afib , palpitations. // pna? TECHNIQUE: Chest PA and lateral COMPARISON: ___	No definite pneumonia. If clinical suspicion persists, a repeat PA radiograph with improved inspiratory level may be helpful for more complete assessment of the lung bases.
11503464	There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A suture anchor in the right humeral head is unchanged from the prior study.	57033866	WET READ: ___ ___ ___ 10:48 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, evaluate for acute cardiopulmonary disease. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___..	No acute cardiopulmonary process.
11276023	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. The visualized osseous structures are unremarkable. Note is made of a left-sided port which terminates in the mid SVC.	53978500	INDICATION: History: ___M with fever, cancer on Chemotherapy // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and CT from ___.	No acute intrathoracic abnormalities identified.
11276023	A nasogastric tube courses through the esophagus, and although it is very difficult to clearly visualize, it appears to terminate below the level of the diaphragm. The distal side hole port cannot be identified. The visualized lungs are clear. The cardiomediastinal silhouette is stable.	51314521	EXAMINATION: Chest radiograph. INDICATION: History: ___M with SBO, NGT // eval NGT position TECHNIQUE: Single upright portable radiograph the chest is obtained. COMPARISON: Chest radiographs: ___.	NG tube courses below the level of the diaphragm, although distal side hole port is not visualized. Advancement of ___ centimeters would ensure appropriate positioning.
11276023	Frontal and lateral chest radiographs demonstrate a right chest port with the tip terminating in the cavoatrial junction/upper right atrium. The cardiomediastinal silhouette is normal and the lungs fairly well-aerated. There is no focal consolidation, pleural effusion, or pneumothorax. Minimally increased opacity at the left lung base likely represents atelectasis.	57168784	INDICATION: Fever. COMPARISON: Chest radiographs from ___, ___, and ___.	No acute cardiopulmonary process.
11853755	The patient's chin overlies the medial lung apices on 1 of the frontal images is mild blunting the lateral costophrenic angle suggesting small pleural effusions. Prominence of the pulmonary arteries is consistent with pulmonary hypertension. There is also mild to moderate pulmonary edema. Chain suture material is again noted over the medial right upper lung. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. No pneumothorax is seen.	59620379	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F multiple falls. +head strike. pain lower ribs bil. // injury TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ AT 15:39	Small bilateral pleural effusions and pulmonary edema. Evidence of pulmonary hypertension. No obvious displaced rib fracture, however, this study is not sensitive for the detection of rib fracture. If high clinical concern for rib fracture, dedicated rib series or CT is more sensitive.
11853755	PA and lateral views of the chest provided. Suture material is again noted over the right medial upper lung. Lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears stable. There is a stable levo scoliosis of the T-spine. Bony structures otherwise unremarkable.	55346258	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F s/p fall // s/p fall, infectious cause COMPARISON: ___ and ___.	No acute intrathoracic process.
11160387	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.	59452938	FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state back and neck pain. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with MVC, unrestrained, rear ended COMPARISON: None	No acute intrathoracic process.
11544860	Increase in the size of the bilateral pleural effusions, now small to moderate in extent. There are overlying opacities which likely reflect atelectasis and/or consolidation. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. There is calcification of the mitral annulus. A right internal jugular central venous catheter is present, the tip projecting over the superior cavoatrial junction. Marked degenerative changes of the right shoulder.	59057890	INDICATION: ___F s/p recent R colectomy for obstructing colon cancer ___ s/p recent fall from standing s/p L hip ORIF ___, now w abscess cavity near R colectomy anastomosis s/p IR drain now w/ new oxygen requirement // ?PNA ?aspiration TECHNIQUE: AP portable chest radiograph COMPARISON: ___	Increased bilateral pleural effusions with overlying atelectasis and/or consolidation.
11544860	The tip of the endotracheal tube projects over the mid thoracic trachea, approximately 5.6 cm from the carina. A right internal jugular central venous catheter tip extends to the superior cavoatrial junction. Persisting bilateral small to moderate moderate layering pleural effusions with overlying atelectasis. No pneumothorax identified. The size of the cardial mediastinal silhouette is enlarged but unchanged.	50818484	INDICATION: ___ year old woman with respiratory failure, intubated intra-op // confirm ETT placement, eval for cause of hypoxia TECHNIQUE: AP portable chest radiograph COMPARISON: ___	The tip of the endotracheal tube projects 5.6 cm from the carina. No other significant interval change. Persisting bilateral pleural effusions and overlying atelectasis.
11575157	The lungs appear hyperinflated. Right basilar opacity likely reflects atelectasis, however pneumonia could be considered in the appropriate clinical setting. Thickening of the right lateral pleura is noted. The heart is not enlarged. There is no pneumothorax or large pleural effusion.	54168943	WET READ: ___ ___ ___ 3:11 PM 1. Hyperinflated lungs. 2. Right basilar opacity likely reflects atelectasis, however pneumonia could be considered in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with SOB // infiltrate v heart failure v asthma TECHNIQUE: Chest PA and lateral COMPARISON: CT of the chest dated ___ and ___, and chest radiographs dated ___ through ___	Hyperinflated lungs. Right basilar opacity likely reflects atelectasis, however pneumonia could be considered in the appropriate clinical setting.
11575157	A single frontal radiograph of the chest was acquired. There is lucency of the upper lungs with splaying of the vasculature, consistent with emphysema. Streaky linear opacities within both lower lobes are not significantly changed in appearance compared to the prior study from ___, thought to represent subsegmental atelectasis. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. No definite pleural effusions are seen. There is no pneumothorax.	54836611	INDICATION: Shortness of breath. COMPARISON: Chest radiograph from ___.	No acute cardiac or pulmonary process.
11575157	Lung volumes are increased, compatible with history of emphysema. There is mild bibasilar atelectasis. Cardiomediastinal hilar contours are unchanged. No pneumothorax, pulmonary edema, pleural effusion, or consolidation.	54272558	WET READ: ___ ___ ___ 1:11 AM 1. Increased lung volumes consistent with emphysema. 2. No evidence of pneumonia or pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with COPD w/ productive cough, dyspnea, hypoxia to ___% NC // eval ? infiltrate, edema TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiographs dated ___ and ___, and CT chest dated ___. .	Increased lung volumes consistent with emphysema. No evidence of pneumonia or pulmonary edema.
11291471	Compared to the prior study there is no slight improvement in the alveolar edema and slight decrease in bilateral pleural effusions. However there continues to be pulmonary vascular redistribution and small bilateral effusions.	53489819	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ROC s/p VF, pulm edema // pulm edeama TECHNIQUE: Portable chest COMPARISON: ___	Slight improvement in pulmonary edema.
11291471	Since the prior CXR performed yesterday morning, has been interval removal of the endotracheal tube and enteric tube. There are new diffuse alveolar opacities, most likely pulmonary edema. Engorgement of the azygous vein also confirms fluid overload. No large pleural effusions or pneumothorax. Heart size is top normal.	52988198	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with ROC s/p VF, intubated // ? pulm edema / lines TECHNIQUE: Portable chest radiograph COMPARISON: Multiple chest x-rays between ___ through ___	Interval removal of ET tube and enteric tube. New mild to moderate pulmonary edema.
11291471	The endotracheal tube terminates in the upper trachea just distal to the clavicles. An NG tube terminates at the GE junction, and requires advancement by at least 4-5 cm. Layering right pleural effusion is unchanged. Aeration of the left lung base is slightly improved. There is no pneumothorax. Regional bones and soft tissues are unremarkable.	55493073	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male status post cardiac arrest with seizure; evaluate NG and ET tube placement. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___ and dating back to ___.	High-riding NG tube terminating at the level of the GE junction requires advancement by at least 4-5 cm. No significant interval change in layering right pleural effusion. Slight improved aeration at the left lung base is likely due to improving atelectasis.
11291471	Compared to the prior study there is a new NG tube with tip in the stomach. There is slight increase in bilateral lower lobe volume loss with dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion.	52205166	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NGT placed // NGT placement TECHNIQUE: Portable chest COMPARISON: ___.	NG tube with tip in the stomach.
11694074	Partially imaged ventricular peritoneal shunt is seen coursing along the right hemithorax from the neck.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Moderate compression of a lower thoracic vertebral body is stable since the prior study of ___.	59898089	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with ams // please evaluate for acute cp process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11856988	The heart is mildly enlarged. The aortic arch is partly calcified. There is a suspected small left-sided pleural effusion with no definite pleural effusion on the right. There is no evidence for pneumothorax. The lungs appear clear aside from streaky left basilar opacity, probably due to minor atelectasis.	51787658	CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.	No evidence of acute disease.
11856988	There is no new consolidation or pleural effusion. Prominent interstitial lung markings with slightly hyperinflated lungs are in keeping with the provided history of COPD. Minimal left basilar linear atelectasis is unchanged. No pneumothorax. Mild cardiomegaly despite the projection is unchanged. Bones and soft tissues are unremarkable.	57678952	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ y/o M with a history of Waldenstrom's macroglobulinemia, RA on hydroxychloroquine, recent right hip replacement, COPD, and h/o prostate cancer who presented from___ clinic after he was found to have a Hg of 5.0 likely secondary to upper GI bleed. // please rule out infection TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs, most recently ___.	No acute pulmonary disease. Stable mild cardiomegaly. COPD.
11856988	Frontal and lateral views of the chest demonstrate hyperexpansion of the lungs and increased AP diameter of the chest, compatible with patient's underlying chronic obstructive pulmonary disease. The lungs are otherwise clear. No pleural effusion or pneumothorax. Linear opacities in the left lower lobe likely represent scarring. Biapical scarring is also noted. Hilar and mediastinal silhouettes are unremarkable. Aortic arch calcifications are present. Heart is normal in size.	58209747	INDICATION: Patient with bibasilar crackles and shortness of breath. COMPARISONS: ___.	No evidence of acute cardiopulmonary process.
11856988	The heart appears mildly enlarged and perhaps somewhat increased. There is no clear evidence for pulmonary edema, however. The chest appears hyperinflated. Irregular bronchovascular architecture and relative lucency in the upper lungs is suggestive of emphysema. There is volume loss and opacification of some basilar portions of the left lower lobe with a probable small pleural effusion. There was mild scarring previously in the lingula but left lower lobe findings are new on this study.	59195528	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and shortness of breath. COMPARISON: ___ and ___. TECHNIQUE: Chest, PA and lateral.	Left lower lobe opacification suggesting pneumonia. Emphysema.
11856988	Frontal and lateral chest radiographs demonstrate unchanged hyperexpansion of the lungs, with new opacity seen in the lingula. There is no pleural effusion, or pneumothorax. The cardiac silhouette remains mildly enlarged, the mediastinal contours are normal with the exception of calcification of the aortic knob. The pulmonary vasculature is normal.	58296885	HISTORY: ___-year-old male with lower extremity edema and increasing shortness of breath. Assess for CHF. COMPARISON: ___.	No CHF. Increased lingular opacity likely atelectasis. As there is no explanation for this, further evaluation with CT is recommended to exclude an obstructive mass. Findings were entered into the radiology web-based results reporting tool for clinician notification.
11856988	Hyperexpansion of the lungs is again seen, compatible with COPD. The heart is mildly enlarged, increased in size since the ___ exam. The central pulmonary vessels are engorged. There is superimposed mild interstitial edema, slightly worse at the lower lung zones. There is no pneumothorax or pleural effusion.	56689956	INDICATION: Shortness of breath and anemia. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST	COPD with cardiomegaly and mild asymmetric interstitial edema.
11856988	PA and lateral views of the chest are compared to previous exam from ___. There are bibasilar linear opacities suggestive of atelectasis versus scar, similar to prior. The lungs are hyperinflated, but clear of new region of consolidation. Cardiac silhouette is enlarged, but stable in configuration. Osseous and soft tissue structures are unchanged.	57788851	CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with productive cough and shortness of breath.	No definite acute cardiopulmonary process.
11856988	Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs. There is moderate hyperexpansion and lucency consistent with emphysema. There is no pleural effusion or pneumothorax. Minimal linear atelectasis or scar is noted in the left mid lung. The cardiac silhouette is top normal in size, the mediastinal contours are normal, with calcification of the aortic knob present. Pleural thickening or effusion is present on the left.	59819793	HISTORY: ___-year-old male with cough and shortness of breath. Evaluate for infiltrate. COMPARISON: ___.	Emphysema. Atelectasis is a non-specific finding; the examination neither suggests nor excludes the diagnosis of acute pulmonary embolus.
11680064	The lungs demonstrate linear streaky opacities at the bases bilaterally, compatible with atelectasis. There is no focal consolidation concerning for pneumonia. Cardiomediastinal silhouette is normal and there is no pleural effusion or pneumothorax.	58898465	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea. Evaluate for infiltrate. TECHNIQUE: Chest PA and lateral COMPARISON: None	Moderate bibasilar atelectasis, however no evidence of pneumonia or heart failure.
11556551	PA and lateral chest radiographs. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal. There is mild aortic arch calcifications. Aortic root dilation is unchanged.	53546250	HISTORY: Wheezing, dyspnea on exertion COMPARISON: ___ through ___	No acute cardiopulmonary process.
11820032	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present.	52445420	INDICATION: ___-year-old female with chest pain, evaluate for pneumonia or pneumothorax. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE	No acute intrathoracic process.
11719118	The lung volumes are low, resulting in bronchovascular crowding. The lungs appear clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Clips are seen within the left axilla.	58337930	WET READ: ___ ___ ___ 3:25 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with syncope, prolonged QT // pulm edema? cardiomegaly? TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11374750	Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. There is an increase in the bronchovascular markings in both lower lungs, best appreciated on the frontal projection, likely secondary to bronchovascular crowding in the setting of low lung volumes. There is no focal consolidation. The heart appears prominent on the frontal projection, although is suboptimally assessed given the low lung volumes. There are no pleural effusions. No pneumothorax is seen. The mediastinal contours are normal.	50238983	INDICATION: Cough for the past three days as well as right back pain. Evaluate for pneumonia and/or pneumothorax. COMPARISON: None.	Increased bronchovascular markings in both lower lungs, likely related to bronchovascular crowding in the setting of low lung volumes. No focal consolidation.
11137199	PA and lateral views of the chest provided. Lungs are hyperinflated and clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. A chronic right distal clavicle deformity is noted with inferior displacement of the distal fracture fragment. No acute bony findings. Clips in the right upper quadrant noted.	53951531	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough x1 week // eval for infiltrate COMPARISON: Prior exam dated ___.	No acute findings in the chest.
11957184	The lungs are clear with no focal consolidations concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There is mild S-shaped scoliosis of the thoracolumbar spine.	53158878	INDICATION: ___-year-old female with ankylosing spondylitis and severe night sweats. Evaluate for infection. EXAMINATION: PA and lateral chest radiographs. COMPARISONS: ___.	No acute cardiopulmonary process.
11487040	There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Left chest wall pacemaker is present with lead in right ventricle. The osseous structures are unremarkable.	59714176	INDICATION: ___-year-old female with hypotension, evaluate for acute process. COMPARISON: Chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph was provided.	No acute cardiopulmonary process.
11548370	The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is noted.	57431944	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with syncope, hyponatremia // Please evaluate for infectious pathology TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11676740	The cardiomediastinal shadow is normal. There is a linear confluent airspace opacification (most likely atelectasis) seen in the basal aspect of the right lung with an associated effusion. Smaller left-sided effusion with adjacent subsegmental atelectasis. The upper lung zones are clear. No pulmonary edema. Spondylotic changes of the thoracic spine.	50468907	INDICATION: ___ year old man with leukocytosis and fever // Assess for pulmonary edema and effusions. Assess for infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: No priors.	Small bilateral pleural effusions with this adjacent atelectatic changes (right more than left). Although I favor atelectasis to explain the airspace opacification in the right lung base, pneumonia cannot be excluded with absolute certainty.
11064721	Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. There is no evidence of pneumothorax or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign bodies.	53016576	INDICATION: ___-year-old female with intermittent shortness of breath. Rule out cardiopulmonary abnormality. COMPARISONS: Chest radiograph of ___.	No acute cardiopulmonary process.
11080025	AP upright and lateral views of the chest provided. The heart remains markedly enlarged. Marked hilar engorgement is noted with moderate to severe pulmonary edema. Small pleural effusions likely present. No pneumothorax. Bony structures are intact.	56194131	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with dchf, dyspnea on exertion x 2 weeks without pain, weight gain 10lb over past month, bibasilar crackles, concern for CHF exacerbation COMPARISON: Prior study from ___.	Moderate severe pulmonary edema, small pleural effusions, cardiomegaly.
11080025	Lung volumes are low. The cardiac silhouette is enlarged with moderate pulmonary edema and central pulmonary vascular congestion. There are possible small bilateral pleural effusions. There is no pneumothorax.	53028500	INDICATION: ___-year-old female with diastolic congestive heart failure presenting with increased shortness of breath, orthopnea and weight gain. Evaluate for pulmonary edema and consolidation. TECHNIQUE: AP frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___, ___ and ___.	Cardiomegaly with moderate pulmonary edema and possible bilateral small pleural effusions.
11080025	Moderate severe cardiomegaly is again noted. Enlarged hila and indistinct pulmonary vascular markings are again seen. No definite focal consolidation identified noting that evaluation particularly left lung base is obscured. There may be small bilateral effusions. No acute osseous abnormalities.	54230023	INDICATION: ___F with SOB and CP // r/o acute process TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___.	Cardiomegaly with enlarged pulmonary arteries, mild pulmonary edema and small bilateral effusions.
11080025	Heart size is mildly enlarged. The mediastinal contours are normal. The pulmonary vasculature is normal. The pulmonary vasculature is mildly engorged. The right hilus is enlarged from the prior exam. The left hilus appears normal. The lungs are hyperinflated. There is no pneumothorax. Blunting of the right costophrenic angle may suggest a small right pleural effusion.	58265478	WET READ: ___ ___ ___ 9:46 AM Mild pulmonary vascular engorgement. Enlargement of the right hilus compared to the most recent prior exam. This could reflect pulmonary arterial hypertension, but recommend chest CT for further assessment.Possible small right pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea x 3 days // r/o PNA, cardiomegaly, ptx, pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ ___	Mild pulmonary vascular engorgement. Enlargement of the right hilus compared to the most recent prior exam. This could reflect pulmonary arterial hypertension, but recommend chest CT for further assessment. Possible small right pleural effusion.
11080025	The heart is mildly enlarged, unchanged from prior study. Retrocardiac opacity in the left lung base could reflect atelectasis alone, however infection is not excluded in the appropriate clinical setting. Right basilar atelectasis again seen. Mediastinal and hilar contours are unchanged, with persistent prominence of the right hilum. There is interval progression of vascular congestion and pulmonary edema can currently be seen	54072225	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with cough and SOB // eval infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___.	Left basilar opacity, possibly atelectasis, however infection is not excluded. Clinical correlation is recommended. Stable mild cardiomegaly and right basilar atelectasis.
11658225	Compared with prior radiographs, the cardiomediastinal silhouette has returned to preoperative appearance on radiographs on ___. There is a tiny right pleural effusion. The lungs are clear without focal consolidation. No pneumothorax. Again seen is a hiatal hernia.	54902473	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F smoker with h/o liposarcoma (right thigh ___) c new RLL lung nodule found on surveillance scanning now s/p R VATS RLL wedge, post 2 week CXR // interval changes TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___, preop radiographs on ___	Cardiomediastinal silhouette is similar to preoperative appearance. Tiny right pleural effusion.
11538528	There are subtle nodular opacities in the lower lobes bilaterally. The cardiac contour is unremarkable. There is tortuosity of the thoracic aorta. There is no pleural effusion or pneumothorax.	58164094	INDICATION: History: ___M with cough and fevers, evaluate for pneumonia.. COMPARISON: Chest radiograph ___. TECHNIQUE Frontal and lateral views of the chest were obtained.	Subtle opacities in the lower lobes bilaterally may represent early pneumonia in the correct clinical setting.
11775843	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.	54889853	EXAMINATION: Chest radiograph INDICATION: ___M with SP SEIZURE. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11469226	PA and lateral views of the chest were provided. Linear densities in the lower lungs likely reflect chronic scarring. No focal consolidation, effusion, or pneumothorax is seen. The lungs are hyperinflated. Cardiomediastinal silhouette appears normal. Bony structures appear intact.	54047278	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest CT from ___. CLINICAL HISTORY: Chest pain, assess for pneumothorax.	No acute findings in the chest.
11129702	PA and lateral views of the chest were provided. The lung volumes are low with bibasilar atelectasis. The possibility of pneumonia in the lower lungs is therefore suboptimally assessed. The mid to upper lungs appear well aerated. The cardiomediastinal silhouette appears grossly stable. The previously noted PICC line has been removed. A drainage catheter projects over the right upper quadrant. No free air below the right hemidiaphragm. Bony structures are intact.	54734525	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___. CLINICAL HISTORY: Abdominal pain and fevers, question consolidation in the lungs.	Bibasilar opacities and atelectasis, pneumonia difficult to exclude. Interval removal of PICC line.
11129702	There is no focal consolidation or pneumothorax. There may be a small right pleural effusion. The cardiomediastinal silhouette is normal. A biliary drain is partially visualized over the right upper quadrant.	59910853	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness, fever // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	Possible small right pleural effusion versus pleural thickening. Otherwise no acute process.
11129702	Frontal and lateral views of the chest. Linear left basilar opacities that is unchanged from prior and may represent atelectasis or scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.	55622670	HISTORY: ___-year-old male with fever. COMPARISON: ___.	No acute cardiopulmonary process, no evidence of pneumonia.
11129702	Heart size is normal. Aorta is mildly tortuous. The pulmonary vasculature is normal and the hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. Clips are demonstrated within the right upper quadrant of the abdomen.	50871084	HISTORY: Fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11129702	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.	51608307	HISTORY: Fever. COMPARISON: Chest radiograph from ___.	Normal radiographs of the chest.
11129702	Single frontal view of the chest was obtained. There is linear lateral left lower lobe opacity likely representing atelectasis/scarring. No focal consolidation seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged residual contrast is seen in the bowel in the left upper quadrant presumed from upper GI series with small bowel follow-through performed one day prior.	52572385	EXAM: Chest single frontal view. CLINICAL INFORMATION: Hypotension, fever. COMPARISON: ___.	No acute cardiopulmonary process.
11129702	Single frontal view of the chest was obtained. There has been placement of a right internal jugular central venous catheter terminating at the low SVC. No evidence of pneumothorax is seen. Minor linear left basilar atelectasis/scarring is again seen. There is no focal consolidation or pleural effusion. Cardiac and mediastinal silhouettes are stable.	55728239	EXAM: Chest, single frontal view. CLINICAL INFORMATION: New right IJ line. COMPARISON: ___.	Interval placement of a right IJ central venous catheter terminating in low SVC without evidence of pneumothorax.
11129702	Cardiomediastinal contours are within normal limits and without change. Areas of linear atelectasis are present at both lung bases. Additional slightly more confluent opacity overlies the lower thoracic spine corresponding to the right retrocardiac region on the PA view. No pleural effusion or pneumothorax.	57086689	PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.	Bibasilar linear atelectasis. Additional patchy opacity in right lower lobe posteriorly may represent atelectasis or pneumonia.
11129702	Minor left base atelectasis/scarring is seen. There is persistent blunting of the right costophrenic angle. There is no new focal consolidation. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	59035290	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever // eval for consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Persistent blunting of the right costophrenic angle. Otherwise, no acute cardiopulmonary process.
11129702	The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.	58670520	EXAMINATION: Chest radiograph. INDICATION: Hypotension and fever. COMPARISON: ___. TECHNIQUE: Chest, AP upright portable.	No evidence of acute disease.
11129702	Single portable radiograph of the chest. There has been interval removal of right internal jugular catheter with the left PICC projecting into the right atrium. It should be pulled back by approximately 4 cm to be appropriately positioned in the low SVC. In comparison to the prior examination, there is otherwise no relevant change with similar lung volumes and no new consolidation identified. No pneumothorax is seen.	58562129	HISTORY: Removal of central venous line. Please evaluate PICC line location. COMPARISON: ___.	Left PICC projecting into the right atrium, which should be retracted by approximately 4 cm to be appropriately positioned at the low SVC.
11579381	The lung volumes are very low, with resultant crowding of the bronchovascular structures. There is no discrete consolidation identified. Additionally, there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. The heart size is top normal. No acute bony abnormality is detected.	51703360	HISTORY: Status post stroke, now with fever. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.	No radiographic evidence for acute cardiopulmonary process.
11525254	The lungs are well-aerated without focal consolidation, pleural effusion or pneumothorax. The heart is normal size, and the mediastinal and hilar contours are normal.	59586810	INDICATION: ___-year-old male with chest pain. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest CT from ___ and chest radiograph from ___.	No acute cardiopulmonary process.
11525254	Compared with prior radiographs on ___, the postoperative cardiomediastinal silhouette has returned to ___ appearance similar to radiograph on ___.The lungs are clear without focal consolidation. There is no vascular congestion or pulmonary edema. No pleural effusion or pneumothorax is seen. Median sternotomy wires are stable in position..	58537546	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___-year-old male status post CABG in ___ with chest pain since ___, worse with breathing TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___, ___	No acute cardiopulmonary process.
11179257	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	52059529	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M immunocompromised, p/w n/v and tactile fevers, please assess for pna // ___M immunocompromised, p/w n/v and tactile fevers, please assess for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11179257	The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	53945172	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hiv, hx of pcp pn___. // please evaluate for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No focal consolidation seen.
11179257	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	54082651	INDICATION: Evaluate for pneumonia in a patient with chest pain, shortness of breath, and fever. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.	No acute cardiopulmonary process.
11179257	Cardiac, mediastinal and hilar contours are normal. Ill-defined patchy opacities are noted in the upper lobes bilaterally. Streaky atelectasis seen in the left lung base. No pleural effusion or pneumothorax is identified. Pulmonary vasculature is normal. No acute osseous abnormality is visualized.	56549138	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___	Patchy opacities in the upper lobes bilaterally may reflect areas of infection or aspiration. Streaky atelectasis in the left lung base.
11179257	PA and lateral views of the chest provided. Ill-defined ground-glass opacity projects over bilateral upper lungs at the apices, as on prior. Remainder of the lungs appear clear, though hyperinflated. Left nipple shadow is noted. No pleural fusion, no pneumothorax, no edema. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	52222812	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with? hx of pcp pn___. COMPARISON: Chest radiographs ___	Biapical opacities persist and remain concerning for PCP or other atypical lung infection. However, if patient has been treated and opacities are not resolving, consider CT to further assess
11179257	The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	50989280	INDICATION: ___M with b/l leg swelling for the past several days as well as orthopnea and dyspnea on exertion for several months. Crackles on exam // ?edema or pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11999903	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.	57771640	INDICATION: ___F with asthma, HTN, HLD with presyncope, back pain, and hypotension. // r/o PNA, widened mediastinum TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.

11731325

Lung volumes are low with fibrotic changes present at the lung bases. In addition there is increased airspace opacities, most pronounced on the right. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. There is no acute osseous abnormality. Calcifications project in the right upper quadrant

56340748

EXAMINATION: Chest radiograph. INDICATION: ___-year-old man with bibasilar crackles, evaluate for pneumonia or CHF. TECHNIQUE: Chest PA and lateral COMPARISON: CTA ___ and chest radiograph ___.

Diffuse increased airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease.

11731325

Since 3 days prior, there are increased interstitial opacities bilaterally, reflect interval development of mild pulmonary edema. The degree of edema and fibrosis could conceivably obscure other parenchymal processes. Mild cardiomegaly is unchanged. Pleural effusions are small, if any.

59915953

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with NASH cirrhosis, pulmonary fibrosis p/w GI bleed now with new ___ requirement // evaluate for pulmonary edema TECHNIQUE: Portable chest COMPARISON: PA and lateral chest radiographs dated ___

New, mild pulmonary edema superimposed on chronic interstitial lung disease.

11828074

PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Subtle opacity at the left lung base as correlated with prior CT abdomen and pelvis from ___ likely reflects atelectasis due to diaphragmatic eventration. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

52160156

CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a chest radiograph from ___. CLINICAL HISTORY: Fevers and chills, productive cough, question pneumonia.

No definite signs of pneumonia.

11828074

The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

50021708

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

No acute cardiopulmonary process.

11739273

The chest is somewhat underpenetrated due to body habitus. Volumes are slightly low, but there is no focal airspace opacity to suggest pneumonia. There is no pleural abnormality. Soft tissue fullness obliterates the right paratracheal stripe and the lateral view shows posterior displacement of the trachea. These could indicate mediastinal adenopathy or fat depositon. Any prior imaging should be obtained for review prior to requesting CT scan for evaluation.

57200964

INDICATION: Right upper quadrant pain. Evaluate for right lower lobe pneumonia. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiographs of the chest.

Possible mediastinal adenopathy. Check for any prior imaging to see if this is a new finding before requesting Chest CT scan. No evidence of acute cardiopulmonary. abnormality.

11502360

There relatively low lung volumes. There is minimal bibasilar atelectasis without definite focal consolidation. No large pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.

57809115

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with found unresponsive and apneic at game after methadone use*** WARNING *** Multiple patients with same last name! // ?aspiration TECHNIQUE: Single frontal view of the chest COMPARISON: None

Low lung volumes with minimal basilar atelectasis. No definite focal consolidation. If clinical concern persists, consider dedicated PA and lateral views if patient able.

11095404

The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

54809263

INDICATION: History: ___M with cough // R/O PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiograph ___. CTA chest ___.

No acute cardiopulmonary abnormality.

11312927

AP and lateral views of the chest. Linear opacity at the left lung base most suggestive of atelectasis. The lungs are otherwise essentially clear. Blunting of the posterior costophrenic angle on the left may represent trace effusion. Cardiac silhouette is within normal limits noting prominent left cardiophrenic fat pad, unchanged. No acute osseous abnormality detected.

58790744

HISTORY: ___-year-old male with syncope. Question cardiomegaly. COMPARISON: Chest CT from ___ and chest x-ray from ___.

No acute cardiopulmonary process. Possible trace left effusion.

11365932

PA and lateral views of the chest. Better lung volumes compared to most recent study. A small left pleural effusion is new. A right double-lumen dialysis catheter ends in the mid SVC. The lungs are clear. There is no evidence of pneumonia. No pulmonary vascular congestion or pulmonary edema. No pneumothorax. Moderate cardiomegaly is stable. Mediastinal and hilar contours are normal.

51601672

PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 12:00 PM 1. Small left pleural effusion. 2. Stable moderate cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: Status post tracheal resection and reconstruction and bronchoscopy, assess for interval change. COMPARISON: Chest radiographs on ___.

Small left pleural effusion. Stable moderate cardiomegaly.

11365932

Right hemodialysis catheter ends at cavoatrial junction. The end of right-sided PICC line is obscured by the hemodialysis catheter, but is ending somewhere in the superior vena cava. Mild pulmonary vascular congestion has improved since ___ with also decrease in size of the right hilum. Moderate cardiomegaly is stable. There is no pneumothorax or pleural effusion. Decrease in size of right paracardiac Morgagni hernia from chest x-ray of ___ to ___ is probably explained by decreased fluid in the hernia due to change from peritoneal dialysis to hemodyalisis.

57008580

PORTABLE AP CHEST X-RAY INDICATION: Right PICC hemodialysis catheter. COMPARISON: Multiple chest x-rays from ___ to ___ and CT scan of ___.

Right hemodialysis catheter is in adequate position. Right-sided PICC line distal end is obscured by the hemodialysis catheter, but is presumed to be in the superior vena cava. Mild pulmonary congestion has improved.

11365932

Assessment of the right upper lobe is limited as the patient's chin and neck obscure this region. Lung volumes are low. Mild cardiomegaly is re- demonstrated with a left ventricular predominance. The aorta remains tortuous. Right subclavian central venous catheter has been removed. There is crowding of the bronchovascular structures due to low lung volumes, though there appears to be mild pulmonary vascular congestion, improved compared to the prior study. No pleural effusion is identified, and no left-sided pneumothorax is seen. Diffuse sclerosis of the osseous structures is compatible with renal osteodystrophy.

52828341

EXAMINATION: CHEST (PORTABLE AP) INDICATION: Hypoxia, respiratory distress. TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: ___

Limited exam. Mild pulmonary vascular congestion. Low lung volumes.

11365932

The lungs are poorly inflated. There is vascular cephalization but no focal opacities concerning for pneumonia. Assessment of the left lung field is limited by stable severe cardiomegaly. A large, fluid filled Morgagni hernia at the right cardiophrenic angle is unchanged. Two tiny locules of air within the hernia are seen in the lateral radiograph which were also present in the CT abdomen from ___. There is no pleural effusion or pneumothorax.

59565663

INDICATION: ___-year-old female with fever and hypotension. Evaluate for pneumonia. COMPARISON: Reference CT abdomen from outside institution from ___, PA and lateral chest radiograph from ___, and CT chest from ___. TECHNIQUE: AP and lateral chest radiograph.

Vascular cephalization but no evidence of acute cardiopulmonary process. Stable large Morgagni hernias with locules of air, unchanged from ___.

11365932

The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart continues to be enlarged. The mediastinal contours are normal.

53212827

INDICATION: ___ year old woman with cough TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___, ___, ___ and ___.

No acute cardiopulmonary process. Mild cardiomegaly.

11365932

There is been interval placement of an ET tube which terminates in the right mainstem bronchus. This can be safely retracted approximately 3 cm for proper positioning in the distal trachea. There are again seen low lung volumes. The cardiomediastinal silhouettes are unchanged. There is interval increase in opacification of the left lower lobe which is likely left lower lobe collapse secondary to right mainstem bronchus intubation. Otherwise, there is no change in the lung parenchyma in comparison to prior radiograph. There is no pulmonary vascular congestion. There are no pleural effusions or pneumothoraces.

51979630

EXAMINATION: Portable AP chest x-ray INDICATION: ___ year old woman with respiratory failure s/p intubation // s/p intubation TECHNIQUE: AP projection. COMPARISON: Portable AP chest x-ray obtained ___.

ET tube which terminates in right mainstem bronchus, and requires repositioning. Secondary to this, there is new left lower lobe collapse. Otherwise unchanged chest x-ray.

11201396

The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. Scarring within the lung apices is stable. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. No displaced rib fractures are noted. The patient is status post thyroid surgery with clips noted in the left neck.

53020717

HISTORY: Right-sided rib pain from coughing. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality. No displaced rib fractures are seen. If there is continued concern for rib fracture, then a dedicated rib series is recommended.

11201396

Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. Clips are noted projecting over both breasts and within the left neck. BB marker indicating the site of patient's pain is noted along the right lateral tenth rib. No osseous abnormality is seen in the vicinity of this marker. No displaced fractures are identified involving the ribs.

59276594

EXAMINATION: CHEST (PA AND LAT); RIB, UNILAT (NO CXR) INDICATION: History: ___F with fall, right sided chest wall tenderness TECHNIQUE: Chest PA and lateral, three views of the right-sided ribs COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality. No displaced rib fracture identified.

11144556

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

55205553

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with right ___ finger and ring finger discoloration(blue) with decrease cap refill. // mass? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process. Normal chest x-ray.

11792652

PA and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

51998280

CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with cough and fever.

No acute cardiopulmonary process.

11539318

The heart size is top normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs remain hyperinflated. Scarring within the lung apices is re- demonstrated. Remainder of the lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities demonstrated.

56849943

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

No acute cardiopulmonary process.

11178644

Supine portable view of the chest demonstrate low lung volumes. The left lung base consolidation, may represent atelectasis. No pleural effusion or pneumothorax. Pneumomediastinum and subcutaneous gas in the supraclavicular areas bilaterally extend to superiorly neck. No focal consolidation. No intraperitoneal free air.

50776601

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/hiatal hernia, ___ ulcers, and small bowel nodule (benign on bx) now s/p lap hiatal hernia repair w/fundoplication // evaluate for ptx, to be done in PACU COMPARISON: None.

Pneumomediastinum and subcutaneous gas in the neck is most likely post-surgical. No evidence of pneumothorax or subdiaphragmatic free air.

11178644

Left-sided inferior medial retrocardiac opacity may relate to a hiatal hernia. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.

50968592

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Recent hiatal hernia, one week ago with nausea, vomiting. COMPARISON: ___.

Retrocardiac opacity seen on the frontal view in the inferomedial left hemithorax may be due to hiatal hernia. No focal consolidation. No evidence of free air beneath the diaphragms.

11986449

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.

50886511

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11882795

ET tube terminates 5 cm from the carina. Lung volumes are slightly low but clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Enteric tube has its tip in the stomach but side port near the GE junction.

55524860

INDICATION: Polysubstance abuse and intubated. Evaluate for ET tube placement. COMPARISON: None. TECHNIQUE: Portable semi-upright AP radiograph of the chest.

ET tube 5 cm from the carina. Enteric tube with tip in the stomach but side port at the GE junction.

11948841

Cardiomediastinal silhouette is within normal limits. Calcifications are noted in the aortic arch and along the proximal head and neck vessels. Lungs are symmetrically hyperinflated similar to the prior examination. There is no consolidation or pleural effusion. No pneumothorax.

50792690

INDICATION: History: ___F with confusion, TIA symptoms // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

No evidence of pneumonia. Hyperinflated lungs, suggestive of chronic obstructive pulmonary disease. Calcifications along the aortic arch and proximal head and neck vessels.

11948841

The heart size is within normal limits. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. The lungs are mildly hyperinflated but clear. There is no large pleural effusion or pneumothorax. Mild-to-moderate degenerative changes seen in the lower thoracic spine.

59695307

HISTORY: ___-year-old female with near-syncopal episode. STUDY: PA and lateral chest radiograph. COMPARISON: None.

No acute cardiopulmonary process.

11434519

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.

50070037

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough COMPARISON: None

No acute intrathoracic process.

11459376

The cardiomediastinal and hilar contours are stable, with stable cardiomegaly. Mild calcification of the aortic arch is unchanged. A left chest wall AICD device is seen with a single lead terminating in the right ventricle. The lungs are well expanded and clear, without consolidation, pleural effusion, or pneumothorax. Mild pulmonary edema is present.

59953393

INDICATION: ___-year-old woman with increased leg swelling, shortness of breath, and crackles. COMPARISON: Chest radiograph, ___. AP CHEST

Mild pulmonary edema and cardiomegaly.

11459376

Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is similar to prior. Pulmonary vascular markings are indistinct, compatible with mild pulmonary edema, improved since ___. Small blunting of the right costophrenic angle and minimal blunting of the left costophrenic angle are similar to prior. No focal consolidation or pneumothorax. No displaced rib fracture is visualized. Single wire of a left chest wall pacer terminates over the right ventricle.

56800901

INDICATION: ___-year-old female with left lower extremity trauma and chest pain. Evaluate for fracture. COMPARISONS: Multiple prior radiographs, most recently of ___.

Improved pulmonary edema, now mild. Small right and trace left pleural effusions, similar to prior. No displaced rib fracture visualized. Dedicated rib series would increase sensitivity for detection of rib fractures.

11459376

Left-sided single-chamber pacemaker lead terminates in the right ventricle. Heart is moderately enlarged but unchanged. Mediastinal and hilar contours are relatively stable. There is mild pulmonary edema and small bilateral pleural effusions. Streaky opacities in the lung bases likely reflect atelectasis. No pneumothorax is present. There is scarring within the lung apices. No acute osseous abnormality is visualized.

55480025

INDICATION: Shortness of breath. COMPARISON: ___. TECHNIQUE: Upright AP and lateral views of the chest.

Mild congestive heart failure with small bilateral pleural effusions, not significantly changed compared to the prior exam.

11765034

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 stable and unremarkable. Mild thoracic scoliosis is again seen.

53983121

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___.

No acute cardiopulmonary process.

11333637

Again, the lungs are hyperinflated with coarsened interstitial pattern, most consistent with COPD. There is an opacity at the right base, which is mostly linear. Additionally, there are some unchanged calcifications at the left base, which likely represent costochondral cartilage. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The aorta is tortuous and unfolded, unchanged from the prior exam. The heart size is normal.

59938208

INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Frontal and lateral views of the chest were obtained with a total of three exposures.

Unchanged findings consistent with COPD. Linear opacity at the right base is likely atelectasis. In the proper clinical setting, developing pneumonia cannot be completely excluded, however.

11993454

The lungs are hyperinflated but clear of focal consolidation. Linear bibasilar opacities are most suggestive of atelectasis. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities identified.

55872603

INDICATION: ___ year old woman with BL SDH's // pr eop Surg: ___ (L crani SDH evacuation) TECHNIQUE: Single portable view of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11066362

PA and lateral views of the chest provided. There is a retrocardiac opacity which is most compatible with a large hiatal hernia. Coarsened lung markings likely reflects emphysema. No large consolidation effusion or pneumothorax is seen. The heart size appears grossly within normal limits. The thoracic aorta is densely calcified. There is mild prominence of the mediastinum which likely reflect vascular ectasia as well as large right thyroid nodule better assessed on same-day CT of the cervical spine. There is a lower thoracic compression deformity which is seen only on the lateral projection with approximately ___ loss of anterior vertebral body height. Correlate clinically.

57453633

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever and cough, focal rales in right lung // ?PNA COMPARISON: None.

Coarsened lung markings likely reflect emphysema. Large hiatal hernia. Age-indeterminate lower thoracic compression deformity.

11682069

The patient is status post median sternotomy and mitral valve replacement. The cardiomediastinal and hilar contours are stable. Chronic upper zone vascular redistribution without overt edema. Lung volumes are low resulting in crowding of bronchovascular structures, particularly at the lung bases. No effusions or pneumothorax.

52885585

EXAMINATION: Chest radiograph INDICATION: History: ___F with afib , palpitations. // pna? TECHNIQUE: Chest PA and lateral COMPARISON: ___

No definite pneumonia. If clinical suspicion persists, a repeat PA radiograph with improved inspiratory level may be helpful for more complete assessment of the lung bases.

11503464

There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A suture anchor in the right humeral head is unchanged from the prior study.

57033866

WET READ: ___ ___ ___ 10:48 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, evaluate for acute cardiopulmonary disease. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___..

No acute cardiopulmonary process.

11276023

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. The visualized osseous structures are unremarkable. Note is made of a left-sided port which terminates in the mid SVC.

53978500

INDICATION: History: ___M with fever, cancer on Chemotherapy // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and CT from ___.

No acute intrathoracic abnormalities identified.

11276023

A nasogastric tube courses through the esophagus, and although it is very difficult to clearly visualize, it appears to terminate below the level of the diaphragm. The distal side hole port cannot be identified. The visualized lungs are clear. The cardiomediastinal silhouette is stable.

51314521

EXAMINATION: Chest radiograph. INDICATION: History: ___M with SBO, NGT // eval NGT position TECHNIQUE: Single upright portable radiograph the chest is obtained. COMPARISON: Chest radiographs: ___.

NG tube courses below the level of the diaphragm, although distal side hole port is not visualized. Advancement of ___ centimeters would ensure appropriate positioning.

11276023

Frontal and lateral chest radiographs demonstrate a right chest port with the tip terminating in the cavoatrial junction/upper right atrium. The cardiomediastinal silhouette is normal and the lungs fairly well-aerated. There is no focal consolidation, pleural effusion, or pneumothorax. Minimally increased opacity at the left lung base likely represents atelectasis.

57168784

INDICATION: Fever. COMPARISON: Chest radiographs from ___, ___, and ___.

No acute cardiopulmonary process.

11853755

The patient's chin overlies the medial lung apices on 1 of the frontal images is mild blunting the lateral costophrenic angle suggesting small pleural effusions. Prominence of the pulmonary arteries is consistent with pulmonary hypertension. There is also mild to moderate pulmonary edema. Chain suture material is again noted over the medial right upper lung. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. No pneumothorax is seen.

59620379

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F multiple falls. +head strike. pain lower ribs bil. // injury TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ AT 15:39

Small bilateral pleural effusions and pulmonary edema. Evidence of pulmonary hypertension. No obvious displaced rib fracture, however, this study is not sensitive for the detection of rib fracture. If high clinical concern for rib fracture, dedicated rib series or CT is more sensitive.

11853755

PA and lateral views of the chest provided. Suture material is again noted over the right medial upper lung. Lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears stable. There is a stable levo scoliosis of the T-spine. Bony structures otherwise unremarkable.

55346258

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F s/p fall // s/p fall, infectious cause COMPARISON: ___ and ___.

No acute intrathoracic process.

11160387

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.

59452938

FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state back and neck pain. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with MVC, unrestrained, rear ended COMPARISON: None

No acute intrathoracic process.

11544860

Increase in the size of the bilateral pleural effusions, now small to moderate in extent. There are overlying opacities which likely reflect atelectasis and/or consolidation. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. There is calcification of the mitral annulus. A right internal jugular central venous catheter is present, the tip projecting over the superior cavoatrial junction. Marked degenerative changes of the right shoulder.

59057890

INDICATION: ___F s/p recent R colectomy for obstructing colon cancer ___ s/p recent fall from standing s/p L hip ORIF ___, now w abscess cavity near R colectomy anastomosis s/p IR drain now w/ new oxygen requirement // ?PNA ?aspiration TECHNIQUE: AP portable chest radiograph COMPARISON: ___

Increased bilateral pleural effusions with overlying atelectasis and/or consolidation.

11544860

The tip of the endotracheal tube projects over the mid thoracic trachea, approximately 5.6 cm from the carina. A right internal jugular central venous catheter tip extends to the superior cavoatrial junction. Persisting bilateral small to moderate moderate layering pleural effusions with overlying atelectasis. No pneumothorax identified. The size of the cardial mediastinal silhouette is enlarged but unchanged.

50818484

INDICATION: ___ year old woman with respiratory failure, intubated intra-op // confirm ETT placement, eval for cause of hypoxia TECHNIQUE: AP portable chest radiograph COMPARISON: ___

The tip of the endotracheal tube projects 5.6 cm from the carina. No other significant interval change. Persisting bilateral pleural effusions and overlying atelectasis.

11575157

The lungs appear hyperinflated. Right basilar opacity likely reflects atelectasis, however pneumonia could be considered in the appropriate clinical setting. Thickening of the right lateral pleura is noted. The heart is not enlarged. There is no pneumothorax or large pleural effusion.

54168943

WET READ: ___ ___ ___ 3:11 PM 1. Hyperinflated lungs. 2. Right basilar opacity likely reflects atelectasis, however pneumonia could be considered in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with SOB // infiltrate v heart failure v asthma TECHNIQUE: Chest PA and lateral COMPARISON: CT of the chest dated ___ and ___, and chest radiographs dated ___ through ___

Hyperinflated lungs. Right basilar opacity likely reflects atelectasis, however pneumonia could be considered in the appropriate clinical setting.

11575157

A single frontal radiograph of the chest was acquired. There is lucency of the upper lungs with splaying of the vasculature, consistent with emphysema. Streaky linear opacities within both lower lobes are not significantly changed in appearance compared to the prior study from ___, thought to represent subsegmental atelectasis. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. No definite pleural effusions are seen. There is no pneumothorax.

54836611

INDICATION: Shortness of breath. COMPARISON: Chest radiograph from ___.

No acute cardiac or pulmonary process.

11575157

Lung volumes are increased, compatible with history of emphysema. There is mild bibasilar atelectasis. Cardiomediastinal hilar contours are unchanged. No pneumothorax, pulmonary edema, pleural effusion, or consolidation.

54272558

WET READ: ___ ___ ___ 1:11 AM 1. Increased lung volumes consistent with emphysema. 2. No evidence of pneumonia or pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with COPD w/ productive cough, dyspnea, hypoxia to ___% NC // eval ? infiltrate, edema TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiographs dated ___ and ___, and CT chest dated ___. .

Increased lung volumes consistent with emphysema. No evidence of pneumonia or pulmonary edema.

11291471

Compared to the prior study there is no slight improvement in the alveolar edema and slight decrease in bilateral pleural effusions. However there continues to be pulmonary vascular redistribution and small bilateral effusions.

53489819

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ROC s/p VF, pulm edema // pulm edeama TECHNIQUE: Portable chest COMPARISON: ___

Slight improvement in pulmonary edema.

11291471

Since the prior CXR performed yesterday morning, has been interval removal of the endotracheal tube and enteric tube. There are new diffuse alveolar opacities, most likely pulmonary edema. Engorgement of the azygous vein also confirms fluid overload. No large pleural effusions or pneumothorax. Heart size is top normal.

52988198

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with ROC s/p VF, intubated // ? pulm edema / lines TECHNIQUE: Portable chest radiograph COMPARISON: Multiple chest x-rays between ___ through ___

Interval removal of ET tube and enteric tube. New mild to moderate pulmonary edema.

11291471

The endotracheal tube terminates in the upper trachea just distal to the clavicles. An NG tube terminates at the GE junction, and requires advancement by at least 4-5 cm. Layering right pleural effusion is unchanged. Aeration of the left lung base is slightly improved. There is no pneumothorax. Regional bones and soft tissues are unremarkable.

55493073

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male status post cardiac arrest with seizure; evaluate NG and ET tube placement. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___ and dating back to ___.

High-riding NG tube terminating at the level of the GE junction requires advancement by at least 4-5 cm. No significant interval change in layering right pleural effusion. Slight improved aeration at the left lung base is likely due to improving atelectasis.

11291471

Compared to the prior study there is a new NG tube with tip in the stomach. There is slight increase in bilateral lower lobe volume loss with dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion.

52205166

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NGT placed // NGT placement TECHNIQUE: Portable chest COMPARISON: ___.

NG tube with tip in the stomach.

11694074

Partially imaged ventricular peritoneal shunt is seen coursing along the right hemithorax from the neck.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Moderate compression of a lower thoracic vertebral body is stable since the prior study of ___.

59898089

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with ams // please evaluate for acute cp process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11856988

The heart is mildly enlarged. The aortic arch is partly calcified. There is a suspected small left-sided pleural effusion with no definite pleural effusion on the right. There is no evidence for pneumothorax. The lungs appear clear aside from streaky left basilar opacity, probably due to minor atelectasis.

51787658

CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.

No evidence of acute disease.

11856988

There is no new consolidation or pleural effusion. Prominent interstitial lung markings with slightly hyperinflated lungs are in keeping with the provided history of COPD. Minimal left basilar linear atelectasis is unchanged. No pneumothorax. Mild cardiomegaly despite the projection is unchanged. Bones and soft tissues are unremarkable.

57678952

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ y/o M with a history of Waldenstrom's macroglobulinemia, RA on hydroxychloroquine, recent right hip replacement, COPD, and h/o prostate cancer who presented from___ clinic after he was found to have a Hg of 5.0 likely secondary to upper GI bleed. // please rule out infection TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs, most recently ___.

No acute pulmonary disease. Stable mild cardiomegaly. COPD.

11856988

Frontal and lateral views of the chest demonstrate hyperexpansion of the lungs and increased AP diameter of the chest, compatible with patient's underlying chronic obstructive pulmonary disease. The lungs are otherwise clear. No pleural effusion or pneumothorax. Linear opacities in the left lower lobe likely represent scarring. Biapical scarring is also noted. Hilar and mediastinal silhouettes are unremarkable. Aortic arch calcifications are present. Heart is normal in size.

58209747

INDICATION: Patient with bibasilar crackles and shortness of breath. COMPARISONS: ___.

No evidence of acute cardiopulmonary process.

11856988

The heart appears mildly enlarged and perhaps somewhat increased. There is no clear evidence for pulmonary edema, however. The chest appears hyperinflated. Irregular bronchovascular architecture and relative lucency in the upper lungs is suggestive of emphysema. There is volume loss and opacification of some basilar portions of the left lower lobe with a probable small pleural effusion. There was mild scarring previously in the lingula but left lower lobe findings are new on this study.

59195528

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and shortness of breath. COMPARISON: ___ and ___. TECHNIQUE: Chest, PA and lateral.

Left lower lobe opacification suggesting pneumonia. Emphysema.

11856988

Frontal and lateral chest radiographs demonstrate unchanged hyperexpansion of the lungs, with new opacity seen in the lingula. There is no pleural effusion, or pneumothorax. The cardiac silhouette remains mildly enlarged, the mediastinal contours are normal with the exception of calcification of the aortic knob. The pulmonary vasculature is normal.

58296885

HISTORY: ___-year-old male with lower extremity edema and increasing shortness of breath. Assess for CHF. COMPARISON: ___.

No CHF. Increased lingular opacity likely atelectasis. As there is no explanation for this, further evaluation with CT is recommended to exclude an obstructive mass. Findings were entered into the radiology web-based results reporting tool for clinician notification.

11856988

Hyperexpansion of the lungs is again seen, compatible with COPD. The heart is mildly enlarged, increased in size since the ___ exam. The central pulmonary vessels are engorged. There is superimposed mild interstitial edema, slightly worse at the lower lung zones. There is no pneumothorax or pleural effusion.

56689956

INDICATION: Shortness of breath and anemia. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST

COPD with cardiomegaly and mild asymmetric interstitial edema.

11856988

PA and lateral views of the chest are compared to previous exam from ___. There are bibasilar linear opacities suggestive of atelectasis versus scar, similar to prior. The lungs are hyperinflated, but clear of new region of consolidation. Cardiac silhouette is enlarged, but stable in configuration. Osseous and soft tissue structures are unchanged.

57788851

CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with productive cough and shortness of breath.

No definite acute cardiopulmonary process.

11856988

Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs. There is moderate hyperexpansion and lucency consistent with emphysema. There is no pleural effusion or pneumothorax. Minimal linear atelectasis or scar is noted in the left mid lung. The cardiac silhouette is top normal in size, the mediastinal contours are normal, with calcification of the aortic knob present. Pleural thickening or effusion is present on the left.

59819793

HISTORY: ___-year-old male with cough and shortness of breath. Evaluate for infiltrate. COMPARISON: ___.

Emphysema. Atelectasis is a non-specific finding; the examination neither suggests nor excludes the diagnosis of acute pulmonary embolus.

11680064

The lungs demonstrate linear streaky opacities at the bases bilaterally, compatible with atelectasis. There is no focal consolidation concerning for pneumonia. Cardiomediastinal silhouette is normal and there is no pleural effusion or pneumothorax.

58898465

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea. Evaluate for infiltrate. TECHNIQUE: Chest PA and lateral COMPARISON: None

Moderate bibasilar atelectasis, however no evidence of pneumonia or heart failure.

11556551

PA and lateral chest radiographs. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal. There is mild aortic arch calcifications. Aortic root dilation is unchanged.

53546250

HISTORY: Wheezing, dyspnea on exertion COMPARISON: ___ through ___

No acute cardiopulmonary process.

11820032

The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present.

52445420

INDICATION: ___-year-old female with chest pain, evaluate for pneumonia or pneumothorax. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE

No acute intrathoracic process.

11719118

The lung volumes are low, resulting in bronchovascular crowding. The lungs appear clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Clips are seen within the left axilla.

58337930

WET READ: ___ ___ ___ 3:25 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with syncope, prolonged QT // pulm edema? cardiomegaly? TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11374750

Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. There is an increase in the bronchovascular markings in both lower lungs, best appreciated on the frontal projection, likely secondary to bronchovascular crowding in the setting of low lung volumes. There is no focal consolidation. The heart appears prominent on the frontal projection, although is suboptimally assessed given the low lung volumes. There are no pleural effusions. No pneumothorax is seen. The mediastinal contours are normal.

50238983

INDICATION: Cough for the past three days as well as right back pain. Evaluate for pneumonia and/or pneumothorax. COMPARISON: None.

Increased bronchovascular markings in both lower lungs, likely related to bronchovascular crowding in the setting of low lung volumes. No focal consolidation.

11137199

PA and lateral views of the chest provided. Lungs are hyperinflated and clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. A chronic right distal clavicle deformity is noted with inferior displacement of the distal fracture fragment. No acute bony findings. Clips in the right upper quadrant noted.

53951531

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough x1 week // eval for infiltrate COMPARISON: Prior exam dated ___.

No acute findings in the chest.

11957184

The lungs are clear with no focal consolidations concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There is mild S-shaped scoliosis of the thoracolumbar spine.

53158878

INDICATION: ___-year-old female with ankylosing spondylitis and severe night sweats. Evaluate for infection. EXAMINATION: PA and lateral chest radiographs. COMPARISONS: ___.

No acute cardiopulmonary process.

11487040

There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Left chest wall pacemaker is present with lead in right ventricle. The osseous structures are unremarkable.

59714176

INDICATION: ___-year-old female with hypotension, evaluate for acute process. COMPARISON: Chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph was provided.

No acute cardiopulmonary process.

11548370

The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is noted.

57431944

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with syncope, hyponatremia // Please evaluate for infectious pathology TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11676740

The cardiomediastinal shadow is normal. There is a linear confluent airspace opacification (most likely atelectasis) seen in the basal aspect of the right lung with an associated effusion. Smaller left-sided effusion with adjacent subsegmental atelectasis. The upper lung zones are clear. No pulmonary edema. Spondylotic changes of the thoracic spine.

50468907

INDICATION: ___ year old man with leukocytosis and fever // Assess for pulmonary edema and effusions. Assess for infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: No priors.

Small bilateral pleural effusions with this adjacent atelectatic changes (right more than left). Although I favor atelectasis to explain the airspace opacification in the right lung base, pneumonia cannot be excluded with absolute certainty.

11064721

Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. There is no evidence of pneumothorax or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign bodies.

53016576

INDICATION: ___-year-old female with intermittent shortness of breath. Rule out cardiopulmonary abnormality. COMPARISONS: Chest radiograph of ___.

No acute cardiopulmonary process.

11080025

AP upright and lateral views of the chest provided. The heart remains markedly enlarged. Marked hilar engorgement is noted with moderate to severe pulmonary edema. Small pleural effusions likely present. No pneumothorax. Bony structures are intact.

56194131

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with dchf, dyspnea on exertion x 2 weeks without pain, weight gain 10lb over past month, bibasilar crackles, concern for CHF exacerbation COMPARISON: Prior study from ___.

Moderate severe pulmonary edema, small pleural effusions, cardiomegaly.

11080025

Lung volumes are low. The cardiac silhouette is enlarged with moderate pulmonary edema and central pulmonary vascular congestion. There are possible small bilateral pleural effusions. There is no pneumothorax.

53028500

INDICATION: ___-year-old female with diastolic congestive heart failure presenting with increased shortness of breath, orthopnea and weight gain. Evaluate for pulmonary edema and consolidation. TECHNIQUE: AP frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___, ___ and ___.

Cardiomegaly with moderate pulmonary edema and possible bilateral small pleural effusions.

11080025

Moderate severe cardiomegaly is again noted. Enlarged hila and indistinct pulmonary vascular markings are again seen. No definite focal consolidation identified noting that evaluation particularly left lung base is obscured. There may be small bilateral effusions. No acute osseous abnormalities.

54230023

INDICATION: ___F with SOB and CP // r/o acute process TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___.

Cardiomegaly with enlarged pulmonary arteries, mild pulmonary edema and small bilateral effusions.

11080025

Heart size is mildly enlarged. The mediastinal contours are normal. The pulmonary vasculature is normal. The pulmonary vasculature is mildly engorged. The right hilus is enlarged from the prior exam. The left hilus appears normal. The lungs are hyperinflated. There is no pneumothorax. Blunting of the right costophrenic angle may suggest a small right pleural effusion.

58265478

WET READ: ___ ___ ___ 9:46 AM Mild pulmonary vascular engorgement. Enlargement of the right hilus compared to the most recent prior exam. This could reflect pulmonary arterial hypertension, but recommend chest CT for further assessment.Possible small right pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea x 3 days // r/o PNA, cardiomegaly, ptx, pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ ___

Mild pulmonary vascular engorgement. Enlargement of the right hilus compared to the most recent prior exam. This could reflect pulmonary arterial hypertension, but recommend chest CT for further assessment. Possible small right pleural effusion.

11080025

The heart is mildly enlarged, unchanged from prior study. Retrocardiac opacity in the left lung base could reflect atelectasis alone, however infection is not excluded in the appropriate clinical setting. Right basilar atelectasis again seen. Mediastinal and hilar contours are unchanged, with persistent prominence of the right hilum. There is interval progression of vascular congestion and pulmonary edema can currently be seen

54072225

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with cough and SOB // eval infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___.

Left basilar opacity, possibly atelectasis, however infection is not excluded. Clinical correlation is recommended. Stable mild cardiomegaly and right basilar atelectasis.

11658225

Compared with prior radiographs, the cardiomediastinal silhouette has returned to preoperative appearance on radiographs on ___. There is a tiny right pleural effusion. The lungs are clear without focal consolidation. No pneumothorax. Again seen is a hiatal hernia.

54902473

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F smoker with h/o liposarcoma (right thigh ___) c new RLL lung nodule found on surveillance scanning now s/p R VATS RLL wedge, post 2 week CXR // interval changes TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___, preop radiographs on ___

Cardiomediastinal silhouette is similar to preoperative appearance. Tiny right pleural effusion.

11538528

There are subtle nodular opacities in the lower lobes bilaterally. The cardiac contour is unremarkable. There is tortuosity of the thoracic aorta. There is no pleural effusion or pneumothorax.

58164094

INDICATION: History: ___M with cough and fevers, evaluate for pneumonia.. COMPARISON: Chest radiograph ___. TECHNIQUE Frontal and lateral views of the chest were obtained.

Subtle opacities in the lower lobes bilaterally may represent early pneumonia in the correct clinical setting.

11775843

The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

54889853

EXAMINATION: Chest radiograph INDICATION: ___M with SP SEIZURE. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11469226

PA and lateral views of the chest were provided. Linear densities in the lower lungs likely reflect chronic scarring. No focal consolidation, effusion, or pneumothorax is seen. The lungs are hyperinflated. Cardiomediastinal silhouette appears normal. Bony structures appear intact.

54047278

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest CT from ___. CLINICAL HISTORY: Chest pain, assess for pneumothorax.

No acute findings in the chest.

11129702

PA and lateral views of the chest were provided. The lung volumes are low with bibasilar atelectasis. The possibility of pneumonia in the lower lungs is therefore suboptimally assessed. The mid to upper lungs appear well aerated. The cardiomediastinal silhouette appears grossly stable. The previously noted PICC line has been removed. A drainage catheter projects over the right upper quadrant. No free air below the right hemidiaphragm. Bony structures are intact.

54734525

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___. CLINICAL HISTORY: Abdominal pain and fevers, question consolidation in the lungs.

Bibasilar opacities and atelectasis, pneumonia difficult to exclude. Interval removal of PICC line.

11129702

There is no focal consolidation or pneumothorax. There may be a small right pleural effusion. The cardiomediastinal silhouette is normal. A biliary drain is partially visualized over the right upper quadrant.

59910853

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness, fever // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

Possible small right pleural effusion versus pleural thickening. Otherwise no acute process.

11129702

Frontal and lateral views of the chest. Linear left basilar opacities that is unchanged from prior and may represent atelectasis or scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.

55622670

HISTORY: ___-year-old male with fever. COMPARISON: ___.

No acute cardiopulmonary process, no evidence of pneumonia.

11129702

Heart size is normal. Aorta is mildly tortuous. The pulmonary vasculature is normal and the hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. Clips are demonstrated within the right upper quadrant of the abdomen.

50871084

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

No acute cardiopulmonary abnormality.

11129702

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.

51608307

HISTORY: Fever. COMPARISON: Chest radiograph from ___.

Normal radiographs of the chest.

11129702

Single frontal view of the chest was obtained. There is linear lateral left lower lobe opacity likely representing atelectasis/scarring. No focal consolidation seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged residual contrast is seen in the bowel in the left upper quadrant presumed from upper GI series with small bowel follow-through performed one day prior.

52572385

EXAM: Chest single frontal view. CLINICAL INFORMATION: Hypotension, fever. COMPARISON: ___.

No acute cardiopulmonary process.

11129702

Single frontal view of the chest was obtained. There has been placement of a right internal jugular central venous catheter terminating at the low SVC. No evidence of pneumothorax is seen. Minor linear left basilar atelectasis/scarring is again seen. There is no focal consolidation or pleural effusion. Cardiac and mediastinal silhouettes are stable.

55728239

EXAM: Chest, single frontal view. CLINICAL INFORMATION: New right IJ line. COMPARISON: ___.

Interval placement of a right IJ central venous catheter terminating in low SVC without evidence of pneumothorax.

11129702

Cardiomediastinal contours are within normal limits and without change. Areas of linear atelectasis are present at both lung bases. Additional slightly more confluent opacity overlies the lower thoracic spine corresponding to the right retrocardiac region on the PA view. No pleural effusion or pneumothorax.

57086689

PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.

Bibasilar linear atelectasis. Additional patchy opacity in right lower lobe posteriorly may represent atelectasis or pneumonia.

11129702

Minor left base atelectasis/scarring is seen. There is persistent blunting of the right costophrenic angle. There is no new focal consolidation. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

59035290

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever // eval for consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Persistent blunting of the right costophrenic angle. Otherwise, no acute cardiopulmonary process.

11129702

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

58670520

EXAMINATION: Chest radiograph. INDICATION: Hypotension and fever. COMPARISON: ___. TECHNIQUE: Chest, AP upright portable.

No evidence of acute disease.

11129702

Single portable radiograph of the chest. There has been interval removal of right internal jugular catheter with the left PICC projecting into the right atrium. It should be pulled back by approximately 4 cm to be appropriately positioned in the low SVC. In comparison to the prior examination, there is otherwise no relevant change with similar lung volumes and no new consolidation identified. No pneumothorax is seen.

58562129

HISTORY: Removal of central venous line. Please evaluate PICC line location. COMPARISON: ___.

Left PICC projecting into the right atrium, which should be retracted by approximately 4 cm to be appropriately positioned at the low SVC.

11579381

The lung volumes are very low, with resultant crowding of the bronchovascular structures. There is no discrete consolidation identified. Additionally, there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. The heart size is top normal. No acute bony abnormality is detected.

51703360

HISTORY: Status post stroke, now with fever. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.

No radiographic evidence for acute cardiopulmonary process.

11525254

The lungs are well-aerated without focal consolidation, pleural effusion or pneumothorax. The heart is normal size, and the mediastinal and hilar contours are normal.

59586810

INDICATION: ___-year-old male with chest pain. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest CT from ___ and chest radiograph from ___.

No acute cardiopulmonary process.

11525254

Compared with prior radiographs on ___, the postoperative cardiomediastinal silhouette has returned to ___ appearance similar to radiograph on ___.The lungs are clear without focal consolidation. There is no vascular congestion or pulmonary edema. No pleural effusion or pneumothorax is seen. Median sternotomy wires are stable in position..

58537546

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___-year-old male status post CABG in ___ with chest pain since ___, worse with breathing TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___, ___

No acute cardiopulmonary process.

11179257

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

52059529

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M immunocompromised, p/w n/v and tactile fevers, please assess for pna // ___M immunocompromised, p/w n/v and tactile fevers, please assess for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11179257

The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

53945172

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hiv, hx of pcp pn___. // please evaluate for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No focal consolidation seen.

11179257

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

54082651

INDICATION: Evaluate for pneumonia in a patient with chest pain, shortness of breath, and fever. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.

No acute cardiopulmonary process.

11179257

Cardiac, mediastinal and hilar contours are normal. Ill-defined patchy opacities are noted in the upper lobes bilaterally. Streaky atelectasis seen in the left lung base. No pleural effusion or pneumothorax is identified. Pulmonary vasculature is normal. No acute osseous abnormality is visualized.

56549138

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___

Patchy opacities in the upper lobes bilaterally may reflect areas of infection or aspiration. Streaky atelectasis in the left lung base.

11179257

PA and lateral views of the chest provided. Ill-defined ground-glass opacity projects over bilateral upper lungs at the apices, as on prior. Remainder of the lungs appear clear, though hyperinflated. Left nipple shadow is noted. No pleural fusion, no pneumothorax, no edema. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

52222812

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with? hx of pcp pn___. COMPARISON: Chest radiographs ___

Biapical opacities persist and remain concerning for PCP or other atypical lung infection. However, if patient has been treated and opacities are not resolving, consider CT to further assess

11179257

The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

50989280

INDICATION: ___M with b/l leg swelling for the past several days as well as orthopnea and dyspnea on exertion for several months. Crackles on exam // ?edema or pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11999903

The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

57771640

INDICATION: ___F with asthma, HTN, HLD with presyncope, back pain, and hypotension. // r/o PNA, widened mediastinum TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.