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

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11869057	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.	53736301	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP, palpitations, and SOB x 2 days. // ? Cardiomegaly COMPARISON: ___.	No acute intrathoracic process.
11668218	Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine.	53133736	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___	No acute cardiopulmonary abnormality.
11282823	Lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. There is bibasilar atelectasis . No large pleural effusions appreciated on this portable radiograph. There is no pneumothorax.	53698150	EXAMINATION: CHEST RADIOGRAPH INDICATION: Title history of liver cirrhosis presenting with increased shortness of breath and ascites. TECHNIQUE: Portable AP Chest radiograph. COMPARISON: Prior radiograph from ___ and ___.	Low lung volumes with bibasilar atelectasis. No large pleural effusion identified.
11282823	AP portable view of the chest. There is bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax. Mild pulmonary vascular congestion. The cardiomediastinal and hilar contours are normal. There are low lung volumes. The right PICC ends in the mid SVC.	56581416	INDICATION: Cirrhosis complicated by ascites and volume overload, evaluate for edema or effusions. COMPARISON: ___.	Bibasilar atelectasis and low lung volumes. Mild pulmonary vascular congestion.
11282823	Low lung volumes bilaterally. Asymmetrical perihilar opacities are re-demonstrated, but is significantly worse on the left side compared to ___. No large pleural effusions or pneumothorax. The mediastinum and heart are within normal limits. The left PICC line is unchanged in position, with the tip terminating in the low SVC. No acute osseous abnormalities.	57863283	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man PMH sig for cirrhosis, with dypsnea, right sided pleuritic chest pain // eval pnuemonia, effusion, pulm edema TECHNIQUE: Portable Chest radiograph COMPARISON: Multiple chest radiographs and ___, most recently ___.	Asymmetrical perihilar opacities, significantly worse on the left side compared to prior CXR. This most likely represents pulmonary edema, but cannot exclude pneumonia in the appropriate clinical setting.
11282823	A right internal jugular central venous catheter terminates immediately upstream of the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lung volumes are low. The lungs appear clear.	50359878	CHEST RADIOGRAPH HISTORY: Central line placement. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable.	Central venous catheter terminating in the lower superior vena cava. No evidence of acute disease. No pneumothorax.
11057993	The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is an anterior dislocation of the right shoulder.	53908130	CHEST RADIOGRAPHS HISTORY: Seizure and right shoulder pain with limited mobility. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.	No evidence of acute disease. Anterior right shoulder dislocation.
11057993	The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.	57413912	HISTORY: Syncope. COMPARISON: None.	No acute cardiopulmonary process. No evidence of cardiomegaly.
11805066	The large right superior mediastinal mass extending into the right hemithorax is unchanged. Tracheostomy tube in situ. Right main bronchus stent is unchanged. Feeding tube in situ. Right-sided pigtail catheter in situ with no visualized right-sided pleural effusion. Minor left-sided pleural effusion with adjacent atelectatic changes appear similar compared to previous imaging.	51455190	INDICATION: ___ year old woman with large right lung mass dx on this hospitalization has had worsening resp status // effusions, consolidation? TECHNIQUE: Chest PA and lateral COMPARISON: ___.	No significant interval change.
11805066	The left lung is well expanded and clear with small pleural effusion, minimally increased from ___. The large mass obscuring the right upper hemithorax appears unchanged. A large right pleural effusion has been progressively increasing from ___. Tracheostomy tube is midline and feeding tube courses beyond the diaphragm, into the stomach, and out of view inferiorly. Oral contrast is noted within the bowel in the left upper quadrant.	57223047	INDICATION: ___ year old woman with trach in place, large pleural effusions // Evaluate effusions TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiographs since ___, most recently ___. CT of the chest from ___.	Large right and small left pleural effusions increasing from ___. Large mass obscures the right upper hemithorax, unchanged.
11805066	The tracheostomy tubes, chest tube, gastrostomy tube, and the bilateral bronchial stents are unchanged. There is complete opacification of the right lung, which is a progression from previous chest radiograph. The new right lower lung opacification could represent increased pleural effusion and progression of the right lung mass with now more vertical orientation of the right mainstem bronchus. The left lung is clear with persistent lower lobe atelectasis and pleural effusion. No pneumothorax. No fractures.	50431140	INDICATION: ___ year old woman without significant PMH who presents with a new RUL lung mass of undifferentiated large cell carcinoma, with airway compromise and SVC syndrome now s/p 5 cycles XRT, tracheostomy ___, RMSB and LMSB stenting, abx for PNA (never had full course for HACP given low clinical concern) and will pursue palliative chemotherapy as an outpatient. // Stent Migration TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph dated ___.	No bronchial stent migration. Complete opacification of the right hemithorax which may represent progression of the right lung mass and pleural effusion.
11805066	Tracheostomy tube is midline without evidence of complication. Bronchus stent is in the same orientation without dislodgement. The right chest tube is the same location. Compare to ___ at 05:17, there is increased opacification of right upper lobe causing decreased right lung volume. This is more likely due to atelectasis than pneumonia considering the acute change from this morning. There is interval increase in bilateral pleural effusion. There is persistent left lower lobe atelectasis. The cardiomediastinal silhouette is unchanged. No pneumothorax. No fractures.	52164016	INDICATION: ___ year old woman with lung mass now with sudden desat // interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ at 05:17.	Interval increase in right lung opacification likely from atelectasis rather than pneumonia. Worsening bilateral pleural effusion and persistent left lower lobe atelectasis. Monitoring and support devices are all unchanged.
11805066	Tracheostomy tube, bronchial stent, and right chest tube are unchanged. The right hemithorax is completely opacified with air bronchogram likely due to atelectasis. The left lung is well expanded and unchanged. The small left lower lobe atelectasis and pleural effusion are stable. No pneumothorax. The cardiomediastinal silhouette is unchanged.	53472230	INDICATION: ___ year old woman with right lung mass s/p stenting and recently bronched with hypoxia and tachypnea after // interval worsening? TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___.	Complete opacification of the right lung likely due to atelectasis.
11805066	Large mediastinal mass occupying most of the superior aspect of the right hemithorax grossly unchanged. Large right-sided pleural effusion appears similar in size compared to previous imaging. Tracheostomy tube in situ. Improved aeration of the right lower lobe. Right main bronchial stent unchanged in position. The known small left pleural effusion previously noted on CT is not seen on plain film. The nasogastric tube projects over the central mediastinum with its tip incompletely imaged.	55386407	INDICATION: ___ year old woman with hx R lung cancer. // Evaluation pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: ___	Large right pleural effusion and huge upper mediastinal mass unchanged. Improved aeration of the right lower lobe.
11805066	There has been interval removal of the left pleural drainage catheter. The right pleural drainage catheter is unchanged in position. The Dobhoff terminates in the proximal stomach. Tracheostomy tube is unchanged in position. The right main bronchus stent is unchanged in position. Cardiomediastinal silhouette is unchanged. The large mediastinal mass appears unchanged compared to 1 day prior. Bibasilar atelectasis is again noted. There is no pneumothorax or pleural effusion.	59816326	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with trach needs enteral access // eval for dobhoff placement. clinician on floor to place, pls page ___ p___when XRay on floor. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph from ___, ___, ___. Chest CT from ___.	Interval removal of the left pleural drainage catheter. The Dobhoff tube terminates in the proximal stomach. Otherwise, no significant interval change.
11265558	PA and lateral views of the chest were reviewed compared to the prior study. Calcification projecting over the right lower lung is calcification in the left breast that is characterized on CT torso from ___. Normal lungs, heart, pleural and mediastinal surfaces.	58439727	INDICATION: Lethargy and confusion in a patient with a small internal capsule stroke. COMPARISON: Chest radiograph ___. CT torso ___.	No radiographic evidence of pneumonia.
11265558	Unchanged breast calcification projects over the right lower lung. The lungs remain well expanded and clear. The pleural surfaces, cardiac silhouette, and mediastinal contours are normal. The pulmonary vasculature is normal.	50648122	HISTORY: ___-year-old female with prior stroke and concern for cardiopulmonary disease. COMPARISON: ___.	No acute chest abnormality.
11874935	Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.	58799182	HISTORY: Chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, three views.	No acute cardiopulmonary abnormality.
11334972	PA and lateral chest views were obtained with patient upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. Our records do not include a previous chest examination available for comparison.	56044577	DATE: ___. TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with positive PPD, evaluate for tuberculosis for health employment form.	Normal chest findings. No evidence of active or latent tuberculosis in this patient with history of positive PPD.
11651230	The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. The trachea is midline. No acute osseous abnormality is detected.	59893023	INDICATION: ___-year-old woman with history of epilepsy, now with recent seizure, here to evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.	No acute cardiopulmonary process.
11936019	There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.	50680696	WET READ: ___ ___ ___ 7:00 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with NSTEMI, evaluate for acute cardiopulmonary process. TECHNIQUE: Single upright AP chest radiograph COMPARISON: None.	No evidence of acute cardiopulmonary process.
11576607	There is no focal consolidation, no pleural effusion, vascular congestion or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.	59293211	INDICATION: Recent pneumonia in ___ that has resolved but symptoms have returned. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___ and ___.	No acute cardiopulmonary abnormality.
11258100	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.	56940782	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest heaviness, dyspnea, upper back pain COMPARISON: ___	No acute intrathoracic process.
11537729	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient has known right shoulder injury, although not well assessed on this study.	57353294	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall // r/o trauma TECHNIQUE: Single frontal view of the chest COMPARISON: None	Clear lungs. Known right shoulder injury, not well assessed on this study.
11024282	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Position of the ICD remains unchanged. The heart size is normal. The cardiomediastinal silhouette is normal. Retrocardiac linear density is stable, likely scarring. Visualized bony structures are normal.	59240136	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough COMPARISON: Chest radiograph study from ___.	No acute intrathoracic process.
11826927	Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are slightly decreased, exaggerating pulmonary markings, but there is no focal consolidation, pleural effusion, or pneumothorax. Inferior approach large-bore dialysis catheter terminates in the right atrium.	57794314	HISTORY: ___-year-old female with malaise and dizziness. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recently of ___.	No acute cardiopulmonary process.
11826927	The lungs are well expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. A right inferior catheter terminating in the right atrium is slightly lower in position compared to the previous exam.	56107553	INDICATION: ___-year-old woman with shortness of breath and hypotension, question infiltrate. COMPARISON: Multiple chest radiographs, the latest from ___, along the earliest from ___. ONE VIEW OF THE	No acute intrathoracic process.
11826927	Frontal upright AP and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Heart size is normal. Mediastinal silhouette and hilar contours are normal. An inferior approach dialysis catheter ends in the right atrium. There is no acute osseous abnormality. No free air under the right hemidiaphragm.	58955869	HISTORY: Hypotension. COMPARISON: CXR ___, ___; CTA chest ___.	No acute intrathoracic process.
11826927	Compared with the prior radiograph, no significant interval change. The central venous catheter projects from the inferior field of view with tip in the right atrium. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Incidentally noted aortic nipple is unchanged. Left upper extremity graft is partially visualized, along with right upper extremity densely calcified graft or vascular calcifications.	59104023	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with weakness, confusion at dialysis today. Evaluate for acute process. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph ___.	No new focal consolidation concerning for pneumonia. No significant change since ___.
11826927	Dual lumen central venous catheter tip from an inferior approach terminates within the SVC/right atrial junction. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. Vascular clips are seen within the right axilla with dense vascular calcifications. Additionally a vascular stent is seen within the left axilla.	51449025	HISTORY: Bacteremia. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11826927	A hemodialysis catheter ends in the right atrium from the IVC. Old dialysis fistulas are noted in each arm. The lung volumes are low. Diffuse ground glass opacities, greater on the right, and increased interstitial marking, are new since ___. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.	58293738	INDICATION: ___F with AMS // evidence of infection TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	Findings compatible with mild pulmonary edema likely secondary to fluid overload. A superimposed atypical pneumonia cannot be excluded.
11826927	Portable AP upright chest radiograph was provided. Surgical clips are again noted in the right axilla. A dialysis catheter extending from the IVC into the right atrium is also again noted. Heart size is within normal limits. The mediastinal contour is stable. There is no focal consolidation, effusion or pneumothorax. While there is no overt edema or definite signs for fluid overload, mild hilar congestion is noted. Bony structures are intact. A vascular stent is partially imaged in the left axilla.	56159347	HISTORY: ___-year-old female with nausea, rule out pneumonia. COMPARISON : Prior exam from ___.	Possible mild hilar congestion. Otherwise unremarkable.
11826927	The heart size is normal. The hilar and mediastinal contours are normal. The lungs appear overall clear without evidence of focal consolidations, pleural effusions or pneumothorax. Again seen is a dialysis catheter seen extending from the level of the IVC into the right atrium. A vascular stent is again seen in the left axilla. The visualized osseous structures are unremarkable.	53345293	HISTORY: History of dyspnea on exertion after missed dialysis. Please evaluate for pneumonia or pulmonary edema. COMPARISON: Chest radiograph from ___. Technique: Frontal and lateral radiographs of the chest	No acute intrathoracic abnormalities identified.
11826927	Central venous catheter from an inferior approach terminates in the right atrium and courses through an IVC stent in the upper abdomen. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with a prominent azygos contour. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.	55910843	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypotension, cough TECHNIQUE: Supine AP view of the chest COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11826927	Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. Dialysis catheter extends from the IVC into the right atrium. Dense tubular calcifications in bilateral upper extremities are likely due to renal failure and possible AV-fistula with additional vascular stent projecting over the left axilla.	52969969	INDICATION: End-stage renal disease, HIV, presents with shortness of breath. Assess for infection and effusion. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___.	No acute cardiopulmonary process.
11826927	AP and lateral views of the chest were provided. A dialysis catheter is seen extending from the level of the IVC into the right atrium. Patient is slightly rotated to her right on the frontal projection, limiting evaluation. Allowing for this, the lungs appear clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly within normal limits. A vascular stent is seen in the left axilla adjacent to a hyperdense tubular structure in the left upper arm, likely an old AV fistula.	54383535	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old female with HIV, feeling unwell, hypotensive, assess pneumonia.	No acute findings in the chest.
11826927	Portable AP upright chest radiograph is obtained. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Clips are noted in the right axilla. The heart size is normal. There is an unusual configuration of the mediastinum which is stable from prior exams and likely reflects the extensive collateral vessels due to known left subclavian and brachiocephalic venous stenosis. Bony structures are intact. No free air below the right hemidiaphragm.	55084530	CHEST RADIOGRAPH PERFORMED ON ___ Comparison to chest radiograph from ___ and CTA chest also from that same day. CLINICAL HISTORY: Hypotension and sepsis, assess for pneumonia.	No acute intrathoracic process.
11826927	Central venous catheter projects from the inferior field of view with tip in the right atrium. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Aortic nipple is incidentally noted. No acute osseous abnormalities. Left upper extremity graft is noted as well as right upper extremity vascular calcifications versus graft.	51532562	INDICATION: ___F with cough // evidence of pneumonia TECHNIQUE: Single AP view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11826927	Surgical clips are again seen along the right axilla. A dialysis catheter extends from the IVC into the right atrium. The heart size is within normal limits. No focal consolidation concerning for pneumonia is identified. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.	51916413	INDICATION: History of AFib with RVR. Please evaluate for pneumonia or CHF. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Frontal and lateral radiographs of the chest.	No acute intrathoracic abnormalities identified.
11826927	A single semi-upright AP view of the chest demonstrates interval placement of a large-bore dialysis catheter through an inferior approach, which terminates in the right atrium. Convex bulging of the right mediastinal contour is slightly more conspicuous than on the prior study. The lungs are well inflated and clear bilaterally with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. Right axillary surgical clips are again noted.	57694038	HISTORY: ___-year-old female with hypotension, on dialysis. Evaluation for pneumonia. COMPARISON: Comparison is made to radiograph of the chest from ___.	Thickening and convex bulging of the right mediastinal contour is more prominent than on the prior study. Please correlate with dedicated PA and lateral CXR. No evidence of pneumonia. Inferior approach hemodialysis catheter terminates in the right atrium.
11422163	The lungs are clear focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Coronary artery stent is identified. Tortuous descending thoracic aorta is noted. Possible air-fluid level identified in the distal esophagus on the frontal view which is not visualized on the lateral. Old healed bilateral rib fractures are identified.	55626840	INDICATION: ___F with chest pain now resolved // eval for pneumothorax, other acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11422163	Cardiac congestion has completely resolved, but left moderate pleural effusion with compressive atelectasis is new. There is no pneumothorax. Stable moderate cardiomegaly is seen containing a coronary stent. A healed right sixth rib fracture is unchanged.	50075716	PA AND LATERAL CHEST X-RAY INDICATION: Chronic heart failure, myocardial infarction, shortness of breath, cough, evaluation for pneumonia or pleural effusion. COMPARISON: ___ to ___.	Left moderate pleural effusion with compressive atelectasis is new. There is no pulmonary edema. Stable moderate cardiomegaly. This was discussed with Dr. ___.
11422163	Lung volumes are low, with crowding of bronchovascular markings. There is streaky left lower lobe atelectasis. Enlarged azygos and right central pulmonary veins. Heart size is borderline enlarged. Tortuous aorta. No pleural effusions or pneumothorax. Mild bilateral acromioclavicular arthropathy.	57699601	INDICATION: Chest pain. No prior examinations for comparison. CHEST, PA AND	Left lower lobe atelectasis. Mild central venous congestion.
11422163	PA and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Heart is mildly enlarged. Descending aorta is mildly tortuous. Hilar contours normal. There are no pleural effusions. Old left-sided rib fractures are again seen.	57989643	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough and dyspnea COMPARISON: Chest radiograph from ___.	No acute intrathoracic process.
11186530	The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.	57407693	WET READ: ___ ___ ___ 3:37 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain x2 weeks // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary process.
11009622	The heart size is normal. There is evidence of chronic scarring in the right upper lung, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. The hilar and mediastinal contours are unremarkable. The visualized osseous structures are unremarkable.	51492368	INDICATION: ___-year-old female with a history of diabetes, who presents for evaluation of cough. COMPARISONS: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral chest radiographs of the chest.	No acute abnormalities identified that may explain patient's cough and fever.
11009622	Frontal and lateral views of the chest. The heart size is mildly enlarged, similar to prior. Cardiomediastinal contours are otherwise unremarkable. Calcification of the aortic knob is unchanged. Right lung base linear opacities are similar to prior and consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.	51251058	HISTORY: ___-year-old female with cough. COMPARISON: Multiple prior exams, most recently ___.	No focal consolidation or pleural effusion. Mild cardiomegaly.
11009622	Cardiac silhouette is mild to moderately enlarged. The aorta is calcified. There is central pulmonary vascular engorgement without overt pulmonary edema. Slight blunting of the posterior left costophrenic angle likely relates to to atelectasis, less likely trace pleural effusion. No definite focal consolidation to suggest pneumonia.	54943575	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain, crackles on exam in bases // pna? fluid? TECHNIQUE: AP frontal and lateral views of the chest COMPARISON: None.	Moderate cardiomegaly with central pulmonary vascular engorgement.
11843648	An endotracheal tube terminates 2.5 cm above the carina. Enteric tube descends below the left hemidiaphragm and below the field of view. There is pulmonary vascular congestion and mild pulmonary edema. Lung volumes are low. No pleural effusion or pneumothorax is seen.	55828298	EXAMINATION: Chest rib INDICATION: ___M w/unresponsiveness, emesis, s/p intubation // ___M w/unresponsiveness, emesis, s/p intubation, eval tube placement TECHNIQUE: AP view of the chest COMPARISON: None	Endotracheal tube terminates 2.5 cm above the carina. Mild pulmonary edema and low lung volumes. No pneumothorax.
11371820	Streaky right basilar opacities are likely secondary to atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the right upper quadrant.	57879639	INDICATION: ___F with generalized weakness, vomiting // eval for infection TECHNIQUE: Single supine portable view of the chest. COMPARISON: Film from earlier the same day at 14:28.	No definite acute cardiopulmonary process.
11988352	AP upright and lateral views of the chest provided.There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Chronic left ribcage deformities noted. Chronic compression deformity of L1 noted. No free air below the right hemidiaphragm is seen.	58930061	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with recent falls, L rib pain // fracture or bleed? COMPARISON: MRI abdomen pelvis from ___.	No acute intrathoracic process.
11246402	The patient has been extubated in the interim with interval removal of a nasogastric tube. The position of the left internal jugular catheter is unchanged. Overall, there has been interval improvement of the diffuse bilateral parenchymal opacities, with persistent mild right basilar opacity. Small right pleural effusion is persistent. There is no evidence of a pneumothorax. The cardiomediastinal contours are normal.	56021174	INDICATION: History of HCAP. Please evaluate for interval change. COMPARISONS: Chest radiographs dated back to ___ and CT chest from ___. TECHNIQUE: Portable semi-erect radiograph of the chest.	Interval improvement of mild pulmonary edema, predominantly in the left lung. Persistent right basilar opacity, consistent with patient's known pneumonia.
11246402	Compared to the prior film, the opacity at the right lung base laterally has progressed slightly. Otherwise, I doubt significant interval change. Again seen is the NG tube extending beneath the diaphragm, off the film. Also again seen is a left IJ central line, tip over the right atrium, unchanged -- as before, consider retraction by approximately 4 cm to position at in the lower SVC. Suspect background COPD. There is cardiomegaly with upper zone redistribution and mild diffuse vascular blurring, consistent with CHF. No gross effusion. Densities overlying the lower thoracic spine are consistent with prior kypho- or vertebroplasty.	51334655	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with h/o COPD breast ca, here with respiratory failure and ongoing hypoxia // infiltrate? edema? COMPARISON: Chest x-ray from ___ at 16:40	Progression of opacity at the right base. The differential diagnosis includes aspiration or a pneumonic infiltrate. Otherwise, I doubt significant interval change.
11246402	Endotracheal tube is seen, terminating approximately 2.7 cm above the level of the carina. Perihilar opacities are seen which may be due to some edema over infection, though component of aspiration is not excluded. Mediastinal and hilar adenopathy is better assessed on subsequent CT. The aorta is calcified. No large pleural effusion is seen, although there was small pleural effusion on the CT. No pneumothorax. Cardiac silhouette is top normal. Endotracheal tube terminates approximately 3.7 cm above the carina. An enteric tube courses below the level of the diaphragm, inferior aspect not included on the image.	53436268	EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Shortness of breath, intubated. COMPARISON: None.	Endotracheal tube in appropriate position. Enteric tube courses below the level of the diaphragm, inferior aspect not included on the image. Perihilar opacities may be due to edema; however, infection and/or aspiration are not excluded. Mediastinal and hilar adenopathy better assessed on subsequent CT.
11246402	Again, a left internal jugular catheter terminates deep within the right atrium and could be pulled back approximately 6 cm to reposition in the low SVC. An endotracheal tube terminates 4 cm above the carina and is in appropriate position. The heart size is normal. The mediastinal contour is stable. A previously seen right upper lobe opacity is smaller. Vascular congestion is improved. There is no evidence of pulmonary edema. No evidence of pneumothorax.	58514814	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with COPD, suspected lymphangitic carcinomatosis, concern for volume overload // interval change TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiographs on ___ and chest CT on ___.	Left internal jugular catheter terminates within the right atrium and could be pulled back approximately 6 cm for placement in the low SVC. Decreased size of the right upper lobe opacity, which may have been related to mucoid impaction. Persistent right basilar opacity consistent with pneumonia. No evidence of pulmonary edema.
11442943	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	51719843	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with shortness of breath // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11456797	Cardiac silhouette size remains moderately enlarged with continued aortic tortuosity and calcified atherosclerotic disease at the aortic arch. Volume loss in the left lung is again noted secondary to prior left lower lobectomy. Fiducial markers are again seen in the periphery of the left upper lobe with surrounding opacity compatible with prior CyberKnife radiosurgery treatment, the findings of which appear unchanged compared to the prior radiographic study. Emphysematous changes are again noted in both lungs, with a patchy opacity seen within the right lung base. This could represent an area of atelectasis though developing infection cannot be completely excluded. No overt pulmonary edema is seen, nor is there a large pleural effusion. Pleural thickening about the left hemithorax is unchanged, and there is no pneumothorax. Old left-sided rib fractures are present. There is no free intraperitoneal air seen below the diaphragms.	58990202	INDICATION: Epigastric pain. COMPARISON: ___ chest radiograph and ___ chest CT. UPRIGHT AP AND LATERAL VIEWS OF THE	Post-operative changes and post-treatment changes in the left hemithorax which are similar compared to the prior study. Patchy opacity in the right lung base may reflect an area of developing infection or atelectasis.
11456797	As previously noted, there is left hemithorax volume loss due to prior left lower lobectomy. A consolidative and fibrotic process with associated fiducial markers remains in place laterally in the left upper lung zone. This is stable compared to multiple prior exams. While there is a mild accentuation of the interstitial markings, no focal consolidation or superimposed edema is noted. Mild aortic tortuosity with calcified plaque at the arch is again noted. The cardiac silhouette remains enlarged but stable. No definite effusion or pneumothorax is noted. Degenerative changes are noted throughout the thoracic spine and in bilateral shoulders. No displaced rib fractures are evident. There are no suspicious lucent lesions.	55575740	AP AND LATERAL CHEST ___, AT 18:06 HOURS HISTORY: Trauma from fall with confusion. COMPARISON: Multiple priors, the most recent dated ___. Please note the patient had an intervening chest CT dated ___, which is also available for comparison.	Overall stable chest x-ray examination with slight diminished lung volumes resulting in bronchovascular crowding. There may be mild edema; however, no frank failure is identified.
11802277	As compared to ___, poorly defined opacities in the lower lobes bilaterally have slightly improved. There are associated small bilateral effusions. The cardiac silhouette is unremarkable. No pneumothorax.	55709399	INDICATION: ___ year old man with IPH ___ AVM. Fever. // ___ year old man with IPH ___ AVM. Fever. TECHNIQUE: Chest AP and lateral	Interval improvement in the ill-defined bilateral lower lobe airspace opacities, possibly representing improving aspiration and or infectious pneumonia.
11706568	Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.	55725158	HISTORY: Cough, shortness of breath, recent pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11106897	Midline sternotomy wires and cardiac valve noted. There is interval development of right lower lung consolidation which is compatible with pneumonia. Also noted is mild pulmonary edema. Possible additional area of consolidation in the right upper lobe noted. The heart appears mildly enlarged. A small right effusion is likely present. No pneumothorax is seen.	56417641	HISTORY: Hypertension and chest pain. TECHNIQUE: Semi upright portable chest radiograph. . COMPARISON: ___.	Increase consolidation in the right upper and lower lungs concerning for pneumonia. Probable superimposed pulmonary edema.
11106897	New endotracheal tube terminates 1.7 cm above the carina. There is worsening moderate pulmonary edema, now with central vascular engorgement as well as ___ A and B lines. Right upper and bilateral lower lobe opacities persist. Relative increase in right upper lobe density in this short time interval likely represents redistribution of edema. Moderate cardiomegaly is present. Prosthetic mitral valve and median sternotomy wires. Probable small pleural effusion, though the right costophrenic angle is excluded from the film.	56216474	INDICATION: Intubation. COMPARISON: ___ at 21:18. CHEST, AP	ETT 1.7 cm from carina, please retract 2-4 cm. This was paged to Dr. ___ on ___ at 1 a.m. Worsening moderate pulmonary edema. Concern for underlying pneumonia, particularly in the right lower lobe.
11106897	Patient is status post median sternotomy and mitral valve replacement. Stable cardiomegaly. Improving aeration in both lower lobes with minor residual atelectasis remaining. Additional linear focus of atelectasis in the lingula. Residual small left pleural effusion but no evidence of pneumothorax.	50467363	PA AND LATERAL CHEST ___ COMPARISON: ___ radiograph.	Marked improvement in bibasilar atelectasis. Small residual left pleural effusion.
11634090	PA and lateral views of the chest provided. Moderate cardiomegaly is chronic. Mediastinal contour is normal. There is mild interstitial edema with hilar congestion. No focal consolidation, effusion or pneumothorax.	57436926	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with hypoxia // fluid vs PNA COMPARISON: Multiple chest radiographs, most recent ___	Mild interstitial edema with hilar congestion. Recommend diuresis. If findings do not resolve with diuresis, recommend further evaluation with CT to assess for interstitial lung disease.
11634090	Compared to prior there has been near complete resolution of the hazy opacity in the left lung base. There is no new consolidation. The cardiomediastinal silhouette is within normal limits. Old healed left rib fractures are again noted.	51548308	INDICATION: ___M with cough, fever, SOB // eval for pNA TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	Interval improvement of the opacity in the left lung. No new consolidation.
11634090	PA and lateral views of the chest provided. Emphysema is again noted. There is subtle reticulonodular opacity in the left lower lung which could represent an early pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Chronic left rib deformities are again noted. No free air below the right hemidiaphragm.	50558030	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea on exertion // PNA? pleural effusion COMPARISON: ___.	Subtle reticulonodular opacities in the left lower lung could represent an early pneumonia. Underlying emphysema again noted.
11634090	AP portable upright view of the chest. Cardiomegaly with mild interstitial pulmonary edema is noted. Hilar congestion is noted. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is normal. Bony structures are intact.	56530385	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with dyspnea // acute process COMPARISON: ___.	Cardiomegaly with mild pulmonary edema.
11634090	PA and lateral views of the chest. There is new consolidation on the left localizing to both the upper and lower lobes compatible with pneumonia. The right lung is essentially clear. Cardiomediastinal silhouette is within normal limits. Old healed left side rib fractures are noted.	55330514	WET READ: ___ ___ 12:56 PM Left-sided pneumonia. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with fever x1 day. COMPARISON: ___.	Left-sided pneumonia. Recommend repeat after treatment to document resolution.
11382883	Subtle patchy right base opacity may be due to atelectasis or aspiration. No pleural effusion is seen. The cardiac silhouette is top-normal. The aorta is calcified. No pneumothorax is seen.	53625147	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with multiple falls, shoulder pain. // fracture? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Patchy right base opacity may be due to atelectasis or aspiration.
11382883	Mild pulmonary vascular congestion new since ___. There is no focal opacity, over pulmonary edema, pleural effusion or pneumothorax. The heart size is normal. There are aortic knob calcifications. There degenerative changes in the bilateral glenohumeral joints.	58047440	INDICATION: ___-year-old female with to tachypnea. Evaluate for acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___.	Clear lungs. New, mild pulmonary vascular congestion.
11037118	One portable AP view of the chest. The lungs, heart, mediastinum, and pleural surfaces are normal. There is no evidence of pneumonia, effusion, or atelectasis. There is no pulmonary vascular congestion. No pneumothorax.	54196161	INDICATION: Status post TFN left femur fracture, tachycardia. Evaluate for effusion or atelectasis. COMPARISON: CT torso on ___.	No radiographic evidence of acute cardiopulmonary abnormality.
11152474	The tracheostomy tube is in good position. The right PICC line is unchanged. Stability of the retrocardiac opacity compatible most likely with atelectasis : a superimposed infection or aspiration can be considered in appropriate clinical settings. No pulmonary edema. Mediastinal and cardiac contour unchanged. There is possible left pleural effusion. Patient with a gastrostomy tube. The TNG tube has been removed.	50929331	AP CHEST X-RAY INDICATION: Intubated, pulmonary edema. COMPARISON: ___.	No pulmonary edema Unchangedthe retrocardiac opacities compatible most likely with atelectasis : a superimposed infection or aspiration can be considered in appropriate clinical settings
11152474	Atelectasis is unchanged in the left lower, right lower, and right upper lobes, displacing the minor fissure superiorly. Bilateral pleural effusions are small to moderate and are slightly increased in the interim. Asymmetric pulmonary edema is improving. The cardiac silhouette remains moderately enlarged, the mediastinal contours are unchanged. The pulmonary vasculature is normal. An endotracheal tube, NG tube, right upper extremity PICC, and left axillary catheter are not changed in position.	59673893	HISTORY: ___-year-old female with pulmonary edema, respiratory failure; please evaluate for interval change. COMPARISON: ___, ___, and ___.	Increasing small- to moderate-sized pleural effusions, with unchanged atelectasis. Asymmetric pulmonary edema is improving.
11152474	A portable AP radiograph of the chest demonstrates interval improvement in the mild pulmonary edema. The upper mediastinum is less widened, suggesting reduction in central venous pressure. The heart size is still minimally enlarged, but less so than on the prior study. There is no pneumothorax. There is chronic atelectasis of the left lower lobe of the lung with possible small effusion at this location. The endotracheal tube terminates no less than 2 cm above the carina. An orogastric tube can be seen coursing into the stomach and inferiorly out of the field of view. A right PICC terminates in the low SVC.	54236581	INDICATION: Evaluate status of pulmonary edema in a patient with an intracranial hemorrhage complicated by respiratory arrest due to flash pulmonary edema. COMPARISONS: A series of radiographs dating back to ___, most recently from ___.	Interval improvement in decompensated congestive heart failure compared to yesterday.
11152474	Semi-upright portable chest radiograph demonstrates an interval decrease in lung volume. Confluent opacity at the left lung base remains, likely reflecting combination of left lower lobe collapse and effusion. Elevation of the minor fissure indicated right upper lobe volume loss. A right pleural effusion is improving. Mild pulmonary edema is improving. The cardiac silhouette remains moderately enlarged, the mediastinal contours reflect central venous engorgement. The endotracheal tube is similar in position, and projects no less than 2.2 cm from the level of the carina. A right upper extremity PICC tip projects in the lower SVC. An NG tube tip projects at the level of the gastric antrum.	59292018	HISTORY: ___-year-old female with right parieto-occipital hemorrhage followed by respiratory arrest, question pulmonary edema. COMPARISON: ___, ___, ___.	Decreased lung volumes, with improving mild pulmonary edema. Left lower lobar atelectasis and right upper lobe mild volume loss are similar.
11152474	Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable in appearance compared to the prior study. Lung volumes are slightly increased compared to the prior exam, and there has been improved aeration at both lung bases. Residual opacities persist in the retrocardiac areas and probably represent atelectasis. There are also small pleural effusions, left greater than right.	51959639	PORTABLE SEMI-UPRIGHT CHEST ___ ___ COMPARISON: Radiograph of earlier the same date.	Improving aeration at lung bases with residual retrocardiac opacities. Small pleural effusions, left greater than right.
11152474	The tracheostomy is in adequate position at 4.4 cm above the carina. The right-sided PICC line is ending in the lower superior vena cava. New increased interstitial markings bilaterally, compatible with a mild pulmonary edema. Stability since the end ___ ___ of the retrocardiac opacity, probably compatible with atelectasis. Mild left pleural effusion. A gastrostomy is seen and there is still a curvilinear collection of air in the upper abdomen compatible with residual mild free air. No pneumothorax. Mediastinal and cardiac contour unchanged.	53997457	AP CHEST X-RAY INDICATION: ___-year-old woman intubated, with pulmonary edema. COMPARISON: ___.	There is mild pulmonary edema. The rest is unchanged.
11152474	Right PICC terminates in the mid-to-lower SVC. Nasogastric tube has been removed. There has been interval increase in moderate-to-severe pulmonary edema with accompanying left-sided effusion as well as left greater than right basal atelectasis. Heart is top normal in size with normal cardiomediastinal contours.	58190386	INDICATION: ___-year-old woman with IPH, with new onset shortness of breath, assess for interval change. COMPARISONS: ___.	Moderate-to-severe pulmonary edema and trace left effusion. Findings were discussed with Dr. ___ by Dr. ___ by phone at ___ on ___.
11152474	Worsening of the bilateral widespread alveolar opacities with thickening of the right minor fissure and progressive bilateral pleural effusion with bibasilar atelectasis. This is mostly compatible with severe pulmonary edema. A tracheostomy is in adequate position. The right-sided PICC line is unchanged and ends in the mid-superior vena cava. There is no pneumothorax. There is a gastrostomy. The mediastinal and cardiac contour are unchanged.	59668795	PORTABLE AP CHEST X-RAY INDICATION: Patient with intracranial hemorrhage. Acute desaturation to ___%. COMPARISON: ___.	There is worsening of the now severe pulmonary edema.
11136204	A dual lead pacemaker is in-situ, unchanged in position compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. The cardiomediastinal contour is normal.	58494903	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p dual chamber PPM and LINQ explant. // assess lead placement and r/o PTx. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process seen.
11136204	Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right ventricle and very proximal right atrium. No focal consolidation is seen. There is slight blunting of the costophrenic angles which may be due to minimal atelectasis versus very trace pleural effusions. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	56568360	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M s/p pacemaker placement 3d ago, on xarelto, fell forward today onto his face. Please evaluate for bleed/CT spine injury/normal positioning of pacemaker leads // ___M s/p pacemaker placement 3d ago, on xarelto, fell forward today onto his face. Please evaluate for bleed/CT spine injury/normal positioning of pacemaker leads TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right ventricle and very proximal right atrium. Atrial lead may be slightly proximal in position. Slight blunting of the bilateral costophrenic angles may be due to minimal atelectasis versus trace pleural effusions.
11512096	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	59767791	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F no PMH p/w fevers // ? PNA / infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11771462	AP semi-upright portable chest radiograph provided. Dual-lead pacer is unchanged. The previously noted opacity in the right lower lung has cleared. There is no large consolidation, effusion or pneumothorax. Old left rib cage deformities are unchanged. The cardiomediastinal silhouette appears stable.	55882688	CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with a prior study from ___. CLINICAL HISTORY: Hypoxia, status post fall.	No acute traumatic injuries.
11480082	A right internal jugular sheath has been removed. Sternotomy wires, mediastinal clips and an aortic valve prosthesis are constant. Substantial infrahilar atelectasis has improved from ___. The small left pleural effusion is unchanged in volume. Mild pulmonary edema and the right pleural effusion have resolved. The heart is borderline enlarged but unchanged, accounting for differences in technique. No pneumothorax.	51922088	INDICATION: Aortic valve replacement and CABG. Evaluate for pleural effusions. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ and ___.	Unchanged small left pleural effusion. Improvement in substantial infrahilar atelectasiss from ___.
11566800	Portable chest. Compared to the prior study, there has been further retraction of the left ribcage with increased displacement of the multiple rib fractures. The lung volume is lower than on the prior study. There is now denser opacity in the lower lung, demonstrated to be pulmonary contusions based on the prior CT. There is more extensive soft tissue air now tracking superiorly into the left neck and inferiorly into the abdomen. The chest tube is unchanged in position. There is no pneumothorax. No pleural effusion is present. The heart and mediastinum are unchanged in appearance. The right lung is clear.	50841599	INDICATION: Evaluate for interval change in traumatic injury to the left chest. COMPARISON: Chest radiograph performed on ___ at 00:44.	Compared to the prior study, there is a decrease in the left lung volume with retraction of the left ribcage causing increased displacement of the multiple rib fractures.
11566800	Moderate to large left hydropneumothorax appears relatively unchanged compared to the previous exam. There is no contralateral shift of mediastinal structures. Subcutaneous emphysema within the left lateral chest wall and abdominal wall is unchanged. Numerous left-sided rib fractures are again demonstrated as well as orthopedic hardware within the left clavicle and cervical spine. Right lung remains clear.	52928125	HISTORY: Recent pneumothorax with hypoxia. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___ at 5:36.	No significant interval change compared to the prior study with a moderate to large left hydropneumothorax and subcutaneous emphysema within the left chest and abdominal wall.
11566800	Small right apical pneumothorax is unchanged measuring 5 mm and the left side measures 10 mm. The left-sided chest tube projects at the left apex. Multiple left-sided rib fractures are unchanged with accompanying subcutaneous air. Left basal consolidation is unchanged.	55795420	PORTABLE AP CHEST X-RAY Chest tube placed to waterseal this a.m., evaluate for interval change. COMPARISON: X-rays from ___.	Small bilateral pneumothorax, left more than right.
11566800	PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding single view portable chest examination ___ ___. Previously identified multiple left-sided displaced rib fractures as well as the surgically treated left-sided clavicular fracture appear all in unchanged position. The previously still present moderate-sized hydropneumothorax has disappeared and there is no evidence of any remaining pneumothorax in the apical area. At the left base; however, there remain pleural thickenings, partially obscuring the diaphragmatic contour continuing in the lateral chest wall, which contains the multiple markedly displaced rib fractures. There is no evidence of any remaining free fluid. The posterior pleural sinuses are free on the lateral view convincingly identified, although the patient was unable to elevate her left arm. No new pulmonary parenchymal abnormalities identified.	55482767	TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with left-sided rib fractures related to motorcycle accident sustained on ___. Evaluate rib fractures.	Remaining chest wall depression in the left hemithorax related to multiple displaced rib fractures and clavicular injury. Previously identified traumatic hydropneumothorax has disappeared. Pleural scar formations remain at base.
11566800	Frontal and lateral chest radiographs were obtained. There is fixation about the left mid clavicular fracture with long plate and multiple screws. Multiple displaced left rib fractures are again seen with some callus formation. There is improved aeration in bilateral lungs, especially at the left lung base. The previous left pleural effusion has resolved. No focal consolidation, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal.	53888035	HISTORY: Patient status post MCC, with rib fractures, eval rib fractures. COMPARISON: ___.	Multiple displaced left rib fractures with some interval healing. Improved aeration of both lungs with interval resolution of left pleural effusion.
11566800	Visualization of the pleural lines at the both lung apices is difficult. Apical pneumothoraces however do not appear appreciably larger. A left-sided chest tube projects at the left apex. Multiple left-sided rib fractures are unchanged. Subcutaneous air along the left lateral chest wall and left neck region remain unchanged. Left basal consolidation appears slightly increased today, likely related to increased pleural fluid.	53151689	INDICATION: ___-year-old woman with left shoulder pain and with increased pain. Study requested for evaluation of new injury. COMPARISON: Prior chest radiographs from ___ through ___. TECHNIQUE: Portable AP chest radiograph.	Difficult visualization of pleural lines at the both lung apices, apical pneumothoraces however do not appear appreciably larger.
11195031	Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Dual lead right-sided pacemaker is again seen with leads unchanged in position or appearance.	58221329	HISTORY: Pacemaker, presyncope, chest pain. COMPARISON: ___.	No acute cardiopulmonary process.
11640097	Frontal and lateral chest radiographs demonstrate an increased opacity projecting over the medial right lower lung. Although this could represent atelectasis, early pneumonia cannot be excluded. Heart size is normal. There is no pleural effusion or pneumothorax.	50020853	INDICATION: Fever and cough. Evaluate for pneumonia. COMPARISON: None available.	Increased opacity projecting over the medial right lower lung could represent atelectasis, but an early pneumonia cannot be excluded.
11907115	Low lung volumes are again noted. Patient's chin obscures visualization of the right lung apex. There is no confluent consolidation, large effusion or overt pulmonary edema. Prior tracheostomy tube is not visualized. The cardiomediastinal silhouette is stable.	54169246	INDICATION: History: ___M with h/o CP, decreased BS on L? // evidence of pnumothorax, effusion TECHNIQUE: Single portable view of the chest. COMPARISON: Chest x-ray from ___.	Low lung volumes without definite superimposed acute cardiopulmonary process.
11907115	A tracheostomy tube is in unchanged position. Compared to the prior study there is improved aeration of the left lower lobe. No pleural effusion or pneumothorax. Persistent low lung volumes with normal heart size.	58245158	INDICATION: ___ year old man with plueral effusion // CXR TECHNIQUE: Chest PA and lateral COMPARISON: ___	Improved aeration of the left lower lobe with no pleural effusion.
11937117	Endotracheal tube is seen, terminating approximately 1.3 cm above the level of the carina, low in position and should be withdrawn approximately 1.5 to 2 cm. Nasogastric tube is seen coursing below the diaphragm, coiling in the left upper quadrant in the expected position of the right ventricle. There is slight increased opacity in the right upper lobe, nonspecific, could be due to aspiration, or pneumonia. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.	59718684	EXAM: Chest single supine AP portable view. CLINICAL INFORMATION: ___-year-old female with history of obtunded, question overdose, intubated for airway protection, evaluate ET tube placement. COMPARISON: ___.	Endotracheal tube terminating 1.3 cm above the level of the carina, slightly low in position and recommend withdrawal by 1.5 to 2 cm. This finding and recommendation discussed with Dr. ___ on ___ via telephone at 8:30PM. Nasogastric tube in appropriate position. Subtle right upper lobe opacity, nonspecific, could be due to aspiration or infection.
11969219	Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.	58442504	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	No radiographic explanation for chest pain.
11194776	Lung volumes are low. Mild bibasilar opacities are noted and likely representative of atelectasis, right greater than left. Otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. There is mild prominence of the pulmonary vasculature without overt edema. Cardiac silhouette appears prominent but stable. Mild degenerative changes visualized throughout the thoracic spine.	52012158	HISTORY: Cough. COMPARISON: Chest radiograph from ___.	Mild bibasilar opacities, right greater than left, are most likely representative of atelectasis. However, pneumonia must be excluded in the proper clinical setting.
11194776	The patient is status post sternotomy and probably coronary artery bypass graft surgery. The lung volumes are low. There is similar cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. Fissures are thickened. There is no definite pleural effusion. Perihilar fullness and, although somewhat heterogeneous, widespread opacification with hazy pulmonary vasculature suggests moderate pulmonary edema. As seen previously, medial right basilar opacity is more confluent than elsewhere so coinciding infectious process is not excluded.	58299148	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and hypoxia. On dialysis. TECHNIQUE: Chest, AP and lateral. COMPARISON: ___.	Findings suggest moderate pulmonary edema. Possible recurrent opacity at the right lung base; developing pneumonia is not excluded.
11194776	The patient is status post sternotomy. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. There is no pleural effusion or pneumothorax. Widespread hazy and interstitial opacities are most suggestive of pulmonary edema including indistinct upper zone re-distribution of pulmonary vasculature. Each hilum appears prominent, particularly the right, including a somewhat rounded appearance. This is probably due to edema, but short-term followup radiographs are recommended in order to exclude a persistent new right hilar contour abnormality.	53947125	CHEST RADIOGRAPHS HISTORY: End-stage renal disease, on hemodialysis, presenting with abdominal pain. COMPARISONS: Chest radiographs from ___. TECHNIQUE: Chest, PA and lateral.	Findings consistent with pulmonary edema. Short-term follow-up radiographs are recommended in order to exclude new contour abnormality in the right hilum, however.
11194776	The lung volumes are low. There is evidence of mild bibasilar atelectasis. The lungs are otherwise clear without evidence of focal consolidation, effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contours are stable. Mild degenerative changes are seen throughout the spine. No displaced rib fractures identified.	52051323	INDICATION: History of fall, anterior chest wall pain and bruising. Rule out rib fractures. COMPARISONS: Radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.	No evidence of a displaced rib fracture. If there is further clinical concern for rib fractures, a rib series would be recommended.

11869057

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.

53736301

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP, palpitations, and SOB x 2 days. // ? Cardiomegaly COMPARISON: ___.

No acute intrathoracic process.

11668218

Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine.

53133736

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

No acute cardiopulmonary abnormality.

11282823

Lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. There is bibasilar atelectasis . No large pleural effusions appreciated on this portable radiograph. There is no pneumothorax.

53698150

EXAMINATION: CHEST RADIOGRAPH INDICATION: Title history of liver cirrhosis presenting with increased shortness of breath and ascites. TECHNIQUE: Portable AP Chest radiograph. COMPARISON: Prior radiograph from ___ and ___.

Low lung volumes with bibasilar atelectasis. No large pleural effusion identified.

11282823

AP portable view of the chest. There is bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax. Mild pulmonary vascular congestion. The cardiomediastinal and hilar contours are normal. There are low lung volumes. The right PICC ends in the mid SVC.

56581416

INDICATION: Cirrhosis complicated by ascites and volume overload, evaluate for edema or effusions. COMPARISON: ___.

Bibasilar atelectasis and low lung volumes. Mild pulmonary vascular congestion.

11282823

Low lung volumes bilaterally. Asymmetrical perihilar opacities are re-demonstrated, but is significantly worse on the left side compared to ___. No large pleural effusions or pneumothorax. The mediastinum and heart are within normal limits. The left PICC line is unchanged in position, with the tip terminating in the low SVC. No acute osseous abnormalities.

57863283

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man PMH sig for cirrhosis, with dypsnea, right sided pleuritic chest pain // eval pnuemonia, effusion, pulm edema TECHNIQUE: Portable Chest radiograph COMPARISON: Multiple chest radiographs and ___, most recently ___.

Asymmetrical perihilar opacities, significantly worse on the left side compared to prior CXR. This most likely represents pulmonary edema, but cannot exclude pneumonia in the appropriate clinical setting.

11282823

A right internal jugular central venous catheter terminates immediately upstream of the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lung volumes are low. The lungs appear clear.

50359878

CHEST RADIOGRAPH HISTORY: Central line placement. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable.

Central venous catheter terminating in the lower superior vena cava. No evidence of acute disease. No pneumothorax.

11057993

The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is an anterior dislocation of the right shoulder.

53908130

CHEST RADIOGRAPHS HISTORY: Seizure and right shoulder pain with limited mobility. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.

No evidence of acute disease. Anterior right shoulder dislocation.

11057993

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

57413912

HISTORY: Syncope. COMPARISON: None.

No acute cardiopulmonary process. No evidence of cardiomegaly.

11805066

The large right superior mediastinal mass extending into the right hemithorax is unchanged. Tracheostomy tube in situ. Right main bronchus stent is unchanged. Feeding tube in situ. Right-sided pigtail catheter in situ with no visualized right-sided pleural effusion. Minor left-sided pleural effusion with adjacent atelectatic changes appear similar compared to previous imaging.

51455190

INDICATION: ___ year old woman with large right lung mass dx on this hospitalization has had worsening resp status // effusions, consolidation? TECHNIQUE: Chest PA and lateral COMPARISON: ___.

No significant interval change.

11805066

The left lung is well expanded and clear with small pleural effusion, minimally increased from ___. The large mass obscuring the right upper hemithorax appears unchanged. A large right pleural effusion has been progressively increasing from ___. Tracheostomy tube is midline and feeding tube courses beyond the diaphragm, into the stomach, and out of view inferiorly. Oral contrast is noted within the bowel in the left upper quadrant.

57223047

INDICATION: ___ year old woman with trach in place, large pleural effusions // Evaluate effusions TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiographs since ___, most recently ___. CT of the chest from ___.

Large right and small left pleural effusions increasing from ___. Large mass obscures the right upper hemithorax, unchanged.

11805066

The tracheostomy tubes, chest tube, gastrostomy tube, and the bilateral bronchial stents are unchanged. There is complete opacification of the right lung, which is a progression from previous chest radiograph. The new right lower lung opacification could represent increased pleural effusion and progression of the right lung mass with now more vertical orientation of the right mainstem bronchus. The left lung is clear with persistent lower lobe atelectasis and pleural effusion. No pneumothorax. No fractures.

50431140

INDICATION: ___ year old woman without significant PMH who presents with a new RUL lung mass of undifferentiated large cell carcinoma, with airway compromise and SVC syndrome now s/p 5 cycles XRT, tracheostomy ___, RMSB and LMSB stenting, abx for PNA (never had full course for HACP given low clinical concern) and will pursue palliative chemotherapy as an outpatient. // Stent Migration TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph dated ___.

No bronchial stent migration. Complete opacification of the right hemithorax which may represent progression of the right lung mass and pleural effusion.

11805066

Tracheostomy tube is midline without evidence of complication. Bronchus stent is in the same orientation without dislodgement. The right chest tube is the same location. Compare to ___ at 05:17, there is increased opacification of right upper lobe causing decreased right lung volume. This is more likely due to atelectasis than pneumonia considering the acute change from this morning. There is interval increase in bilateral pleural effusion. There is persistent left lower lobe atelectasis. The cardiomediastinal silhouette is unchanged. No pneumothorax. No fractures.

52164016

INDICATION: ___ year old woman with lung mass now with sudden desat // interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ at 05:17.

Interval increase in right lung opacification likely from atelectasis rather than pneumonia. Worsening bilateral pleural effusion and persistent left lower lobe atelectasis. Monitoring and support devices are all unchanged.

11805066

Tracheostomy tube, bronchial stent, and right chest tube are unchanged. The right hemithorax is completely opacified with air bronchogram likely due to atelectasis. The left lung is well expanded and unchanged. The small left lower lobe atelectasis and pleural effusion are stable. No pneumothorax. The cardiomediastinal silhouette is unchanged.

53472230

INDICATION: ___ year old woman with right lung mass s/p stenting and recently bronched with hypoxia and tachypnea after // interval worsening? TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___.

Complete opacification of the right lung likely due to atelectasis.

11805066

Large mediastinal mass occupying most of the superior aspect of the right hemithorax grossly unchanged. Large right-sided pleural effusion appears similar in size compared to previous imaging. Tracheostomy tube in situ. Improved aeration of the right lower lobe. Right main bronchial stent unchanged in position. The known small left pleural effusion previously noted on CT is not seen on plain film. The nasogastric tube projects over the central mediastinum with its tip incompletely imaged.

55386407

INDICATION: ___ year old woman with hx R lung cancer. // Evaluation pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: ___

Large right pleural effusion and huge upper mediastinal mass unchanged. Improved aeration of the right lower lobe.

11805066

There has been interval removal of the left pleural drainage catheter. The right pleural drainage catheter is unchanged in position. The Dobhoff terminates in the proximal stomach. Tracheostomy tube is unchanged in position. The right main bronchus stent is unchanged in position. Cardiomediastinal silhouette is unchanged. The large mediastinal mass appears unchanged compared to 1 day prior. Bibasilar atelectasis is again noted. There is no pneumothorax or pleural effusion.

59816326

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with trach needs enteral access // eval for dobhoff placement. clinician on floor to place, pls page ___ p___when XRay on floor. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph from ___, ___, ___. Chest CT from ___.

Interval removal of the left pleural drainage catheter. The Dobhoff tube terminates in the proximal stomach. Otherwise, no significant interval change.

11265558

PA and lateral views of the chest were reviewed compared to the prior study. Calcification projecting over the right lower lung is calcification in the left breast that is characterized on CT torso from ___. Normal lungs, heart, pleural and mediastinal surfaces.

58439727

INDICATION: Lethargy and confusion in a patient with a small internal capsule stroke. COMPARISON: Chest radiograph ___. CT torso ___.

No radiographic evidence of pneumonia.

11265558

Unchanged breast calcification projects over the right lower lung. The lungs remain well expanded and clear. The pleural surfaces, cardiac silhouette, and mediastinal contours are normal. The pulmonary vasculature is normal.

50648122

HISTORY: ___-year-old female with prior stroke and concern for cardiopulmonary disease. COMPARISON: ___.

No acute chest abnormality.

11874935

Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

58799182

HISTORY: Chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, three views.

No acute cardiopulmonary abnormality.

11334972

PA and lateral chest views were obtained with patient upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. Our records do not include a previous chest examination available for comparison.

56044577

DATE: ___. TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with positive PPD, evaluate for tuberculosis for health employment form.

Normal chest findings. No evidence of active or latent tuberculosis in this patient with history of positive PPD.

11651230

The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. The trachea is midline. No acute osseous abnormality is detected.

59893023

INDICATION: ___-year-old woman with history of epilepsy, now with recent seizure, here to evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.

No acute cardiopulmonary process.

11936019

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

50680696

WET READ: ___ ___ ___ 7:00 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with NSTEMI, evaluate for acute cardiopulmonary process. TECHNIQUE: Single upright AP chest radiograph COMPARISON: None.

No evidence of acute cardiopulmonary process.

11576607

There is no focal consolidation, no pleural effusion, vascular congestion or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.

59293211

INDICATION: Recent pneumonia in ___ that has resolved but symptoms have returned. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___ and ___.

No acute cardiopulmonary abnormality.

11258100

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.

56940782

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest heaviness, dyspnea, upper back pain COMPARISON: ___

No acute intrathoracic process.

11537729

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient has known right shoulder injury, although not well assessed on this study.

57353294

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall // r/o trauma TECHNIQUE: Single frontal view of the chest COMPARISON: None

Clear lungs. Known right shoulder injury, not well assessed on this study.

11024282

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Position of the ICD remains unchanged. The heart size is normal. The cardiomediastinal silhouette is normal. Retrocardiac linear density is stable, likely scarring. Visualized bony structures are normal.

59240136

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough COMPARISON: Chest radiograph study from ___.

No acute intrathoracic process.

11826927

Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are slightly decreased, exaggerating pulmonary markings, but there is no focal consolidation, pleural effusion, or pneumothorax. Inferior approach large-bore dialysis catheter terminates in the right atrium.

57794314

HISTORY: ___-year-old female with malaise and dizziness. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recently of ___.

No acute cardiopulmonary process.

11826927

The lungs are well expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. A right inferior catheter terminating in the right atrium is slightly lower in position compared to the previous exam.

56107553

INDICATION: ___-year-old woman with shortness of breath and hypotension, question infiltrate. COMPARISON: Multiple chest radiographs, the latest from ___, along the earliest from ___. ONE VIEW OF THE

No acute intrathoracic process.

11826927

Frontal upright AP and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Heart size is normal. Mediastinal silhouette and hilar contours are normal. An inferior approach dialysis catheter ends in the right atrium. There is no acute osseous abnormality. No free air under the right hemidiaphragm.

58955869

HISTORY: Hypotension. COMPARISON: CXR ___, ___; CTA chest ___.

No acute intrathoracic process.

11826927

Compared with the prior radiograph, no significant interval change. The central venous catheter projects from the inferior field of view with tip in the right atrium. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Incidentally noted aortic nipple is unchanged. Left upper extremity graft is partially visualized, along with right upper extremity densely calcified graft or vascular calcifications.

59104023

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with weakness, confusion at dialysis today. Evaluate for acute process. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph ___.

No new focal consolidation concerning for pneumonia. No significant change since ___.

11826927

Dual lumen central venous catheter tip from an inferior approach terminates within the SVC/right atrial junction. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. Vascular clips are seen within the right axilla with dense vascular calcifications. Additionally a vascular stent is seen within the left axilla.

51449025

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

No acute cardiopulmonary abnormality.

11826927

A hemodialysis catheter ends in the right atrium from the IVC. Old dialysis fistulas are noted in each arm. The lung volumes are low. Diffuse ground glass opacities, greater on the right, and increased interstitial marking, are new since ___. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.

58293738

INDICATION: ___F with AMS // evidence of infection TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

Findings compatible with mild pulmonary edema likely secondary to fluid overload. A superimposed atypical pneumonia cannot be excluded.

11826927

Portable AP upright chest radiograph was provided. Surgical clips are again noted in the right axilla. A dialysis catheter extending from the IVC into the right atrium is also again noted. Heart size is within normal limits. The mediastinal contour is stable. There is no focal consolidation, effusion or pneumothorax. While there is no overt edema or definite signs for fluid overload, mild hilar congestion is noted. Bony structures are intact. A vascular stent is partially imaged in the left axilla.

56159347

HISTORY: ___-year-old female with nausea, rule out pneumonia. COMPARISON : Prior exam from ___.

Possible mild hilar congestion. Otherwise unremarkable.

11826927

The heart size is normal. The hilar and mediastinal contours are normal. The lungs appear overall clear without evidence of focal consolidations, pleural effusions or pneumothorax. Again seen is a dialysis catheter seen extending from the level of the IVC into the right atrium. A vascular stent is again seen in the left axilla. The visualized osseous structures are unremarkable.

53345293

HISTORY: History of dyspnea on exertion after missed dialysis. Please evaluate for pneumonia or pulmonary edema. COMPARISON: Chest radiograph from ___. Technique: Frontal and lateral radiographs of the chest

No acute intrathoracic abnormalities identified.

11826927

Central venous catheter from an inferior approach terminates in the right atrium and courses through an IVC stent in the upper abdomen. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with a prominent azygos contour. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.

55910843

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypotension, cough TECHNIQUE: Supine AP view of the chest COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11826927

Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. Dialysis catheter extends from the IVC into the right atrium. Dense tubular calcifications in bilateral upper extremities are likely due to renal failure and possible AV-fistula with additional vascular stent projecting over the left axilla.

52969969

INDICATION: End-stage renal disease, HIV, presents with shortness of breath. Assess for infection and effusion. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___.

No acute cardiopulmonary process.

11826927

AP and lateral views of the chest were provided. A dialysis catheter is seen extending from the level of the IVC into the right atrium. Patient is slightly rotated to her right on the frontal projection, limiting evaluation. Allowing for this, the lungs appear clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly within normal limits. A vascular stent is seen in the left axilla adjacent to a hyperdense tubular structure in the left upper arm, likely an old AV fistula.

54383535

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old female with HIV, feeling unwell, hypotensive, assess pneumonia.

No acute findings in the chest.

11826927

Portable AP upright chest radiograph is obtained. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Clips are noted in the right axilla. The heart size is normal. There is an unusual configuration of the mediastinum which is stable from prior exams and likely reflects the extensive collateral vessels due to known left subclavian and brachiocephalic venous stenosis. Bony structures are intact. No free air below the right hemidiaphragm.

55084530

CHEST RADIOGRAPH PERFORMED ON ___ Comparison to chest radiograph from ___ and CTA chest also from that same day. CLINICAL HISTORY: Hypotension and sepsis, assess for pneumonia.

No acute intrathoracic process.

11826927

Central venous catheter projects from the inferior field of view with tip in the right atrium. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Aortic nipple is incidentally noted. No acute osseous abnormalities. Left upper extremity graft is noted as well as right upper extremity vascular calcifications versus graft.

51532562

INDICATION: ___F with cough // evidence of pneumonia TECHNIQUE: Single AP view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11826927

Surgical clips are again seen along the right axilla. A dialysis catheter extends from the IVC into the right atrium. The heart size is within normal limits. No focal consolidation concerning for pneumonia is identified. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

51916413

INDICATION: History of AFib with RVR. Please evaluate for pneumonia or CHF. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Frontal and lateral radiographs of the chest.

No acute intrathoracic abnormalities identified.

11826927

A single semi-upright AP view of the chest demonstrates interval placement of a large-bore dialysis catheter through an inferior approach, which terminates in the right atrium. Convex bulging of the right mediastinal contour is slightly more conspicuous than on the prior study. The lungs are well inflated and clear bilaterally with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. Right axillary surgical clips are again noted.

57694038

HISTORY: ___-year-old female with hypotension, on dialysis. Evaluation for pneumonia. COMPARISON: Comparison is made to radiograph of the chest from ___.

Thickening and convex bulging of the right mediastinal contour is more prominent than on the prior study. Please correlate with dedicated PA and lateral CXR. No evidence of pneumonia. Inferior approach hemodialysis catheter terminates in the right atrium.

11422163

The lungs are clear focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Coronary artery stent is identified. Tortuous descending thoracic aorta is noted. Possible air-fluid level identified in the distal esophagus on the frontal view which is not visualized on the lateral. Old healed bilateral rib fractures are identified.

55626840

INDICATION: ___F with chest pain now resolved // eval for pneumothorax, other acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11422163

Cardiac congestion has completely resolved, but left moderate pleural effusion with compressive atelectasis is new. There is no pneumothorax. Stable moderate cardiomegaly is seen containing a coronary stent. A healed right sixth rib fracture is unchanged.

50075716

PA AND LATERAL CHEST X-RAY INDICATION: Chronic heart failure, myocardial infarction, shortness of breath, cough, evaluation for pneumonia or pleural effusion. COMPARISON: ___ to ___.

Left moderate pleural effusion with compressive atelectasis is new. There is no pulmonary edema. Stable moderate cardiomegaly. This was discussed with Dr. ___.

11422163

Lung volumes are low, with crowding of bronchovascular markings. There is streaky left lower lobe atelectasis. Enlarged azygos and right central pulmonary veins. Heart size is borderline enlarged. Tortuous aorta. No pleural effusions or pneumothorax. Mild bilateral acromioclavicular arthropathy.

57699601

INDICATION: Chest pain. No prior examinations for comparison. CHEST, PA AND

Left lower lobe atelectasis. Mild central venous congestion.

11422163

PA and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Heart is mildly enlarged. Descending aorta is mildly tortuous. Hilar contours normal. There are no pleural effusions. Old left-sided rib fractures are again seen.

57989643

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

No acute intrathoracic process.

11186530

The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

57407693

WET READ: ___ ___ ___ 3:37 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain x2 weeks // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary process.

11009622

The heart size is normal. There is evidence of chronic scarring in the right upper lung, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. The hilar and mediastinal contours are unremarkable. The visualized osseous structures are unremarkable.

51492368

INDICATION: ___-year-old female with a history of diabetes, who presents for evaluation of cough. COMPARISONS: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral chest radiographs of the chest.

No acute abnormalities identified that may explain patient's cough and fever.

11009622

Frontal and lateral views of the chest. The heart size is mildly enlarged, similar to prior. Cardiomediastinal contours are otherwise unremarkable. Calcification of the aortic knob is unchanged. Right lung base linear opacities are similar to prior and consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.

51251058

HISTORY: ___-year-old female with cough. COMPARISON: Multiple prior exams, most recently ___.

No focal consolidation or pleural effusion. Mild cardiomegaly.

11009622

Cardiac silhouette is mild to moderately enlarged. The aorta is calcified. There is central pulmonary vascular engorgement without overt pulmonary edema. Slight blunting of the posterior left costophrenic angle likely relates to to atelectasis, less likely trace pleural effusion. No definite focal consolidation to suggest pneumonia.

54943575

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain, crackles on exam in bases // pna? fluid? TECHNIQUE: AP frontal and lateral views of the chest COMPARISON: None.

Moderate cardiomegaly with central pulmonary vascular engorgement.

11843648

An endotracheal tube terminates 2.5 cm above the carina. Enteric tube descends below the left hemidiaphragm and below the field of view. There is pulmonary vascular congestion and mild pulmonary edema. Lung volumes are low. No pleural effusion or pneumothorax is seen.

55828298

EXAMINATION: Chest rib INDICATION: ___M w/unresponsiveness, emesis, s/p intubation // ___M w/unresponsiveness, emesis, s/p intubation, eval tube placement TECHNIQUE: AP view of the chest COMPARISON: None

Endotracheal tube terminates 2.5 cm above the carina. Mild pulmonary edema and low lung volumes. No pneumothorax.

11371820

Streaky right basilar opacities are likely secondary to atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the right upper quadrant.

57879639

INDICATION: ___F with generalized weakness, vomiting // eval for infection TECHNIQUE: Single supine portable view of the chest. COMPARISON: Film from earlier the same day at 14:28.

No definite acute cardiopulmonary process.

11988352

AP upright and lateral views of the chest provided.There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Chronic left ribcage deformities noted. Chronic compression deformity of L1 noted. No free air below the right hemidiaphragm is seen.

58930061

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with recent falls, L rib pain // fracture or bleed? COMPARISON: MRI abdomen pelvis from ___.

No acute intrathoracic process.

11246402

The patient has been extubated in the interim with interval removal of a nasogastric tube. The position of the left internal jugular catheter is unchanged. Overall, there has been interval improvement of the diffuse bilateral parenchymal opacities, with persistent mild right basilar opacity. Small right pleural effusion is persistent. There is no evidence of a pneumothorax. The cardiomediastinal contours are normal.

56021174

INDICATION: History of HCAP. Please evaluate for interval change. COMPARISONS: Chest radiographs dated back to ___ and CT chest from ___. TECHNIQUE: Portable semi-erect radiograph of the chest.

Interval improvement of mild pulmonary edema, predominantly in the left lung. Persistent right basilar opacity, consistent with patient's known pneumonia.

11246402

Compared to the prior film, the opacity at the right lung base laterally has progressed slightly. Otherwise, I doubt significant interval change. Again seen is the NG tube extending beneath the diaphragm, off the film. Also again seen is a left IJ central line, tip over the right atrium, unchanged -- as before, consider retraction by approximately 4 cm to position at in the lower SVC. Suspect background COPD. There is cardiomegaly with upper zone redistribution and mild diffuse vascular blurring, consistent with CHF. No gross effusion. Densities overlying the lower thoracic spine are consistent with prior kypho- or vertebroplasty.

51334655

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with h/o COPD breast ca, here with respiratory failure and ongoing hypoxia // infiltrate? edema? COMPARISON: Chest x-ray from ___ at 16:40

Progression of opacity at the right base. The differential diagnosis includes aspiration or a pneumonic infiltrate. Otherwise, I doubt significant interval change.

11246402

Endotracheal tube is seen, terminating approximately 2.7 cm above the level of the carina. Perihilar opacities are seen which may be due to some edema over infection, though component of aspiration is not excluded. Mediastinal and hilar adenopathy is better assessed on subsequent CT. The aorta is calcified. No large pleural effusion is seen, although there was small pleural effusion on the CT. No pneumothorax. Cardiac silhouette is top normal. Endotracheal tube terminates approximately 3.7 cm above the carina. An enteric tube courses below the level of the diaphragm, inferior aspect not included on the image.

53436268

EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Shortness of breath, intubated. COMPARISON: None.

Endotracheal tube in appropriate position. Enteric tube courses below the level of the diaphragm, inferior aspect not included on the image. Perihilar opacities may be due to edema; however, infection and/or aspiration are not excluded. Mediastinal and hilar adenopathy better assessed on subsequent CT.

11246402

Again, a left internal jugular catheter terminates deep within the right atrium and could be pulled back approximately 6 cm to reposition in the low SVC. An endotracheal tube terminates 4 cm above the carina and is in appropriate position. The heart size is normal. The mediastinal contour is stable. A previously seen right upper lobe opacity is smaller. Vascular congestion is improved. There is no evidence of pulmonary edema. No evidence of pneumothorax.

58514814

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with COPD, suspected lymphangitic carcinomatosis, concern for volume overload // interval change TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiographs on ___ and chest CT on ___.

Left internal jugular catheter terminates within the right atrium and could be pulled back approximately 6 cm for placement in the low SVC. Decreased size of the right upper lobe opacity, which may have been related to mucoid impaction. Persistent right basilar opacity consistent with pneumonia. No evidence of pulmonary edema.

11442943

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

51719843

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with shortness of breath // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11456797

Cardiac silhouette size remains moderately enlarged with continued aortic tortuosity and calcified atherosclerotic disease at the aortic arch. Volume loss in the left lung is again noted secondary to prior left lower lobectomy. Fiducial markers are again seen in the periphery of the left upper lobe with surrounding opacity compatible with prior CyberKnife radiosurgery treatment, the findings of which appear unchanged compared to the prior radiographic study. Emphysematous changes are again noted in both lungs, with a patchy opacity seen within the right lung base. This could represent an area of atelectasis though developing infection cannot be completely excluded. No overt pulmonary edema is seen, nor is there a large pleural effusion. Pleural thickening about the left hemithorax is unchanged, and there is no pneumothorax. Old left-sided rib fractures are present. There is no free intraperitoneal air seen below the diaphragms.

58990202

INDICATION: Epigastric pain. COMPARISON: ___ chest radiograph and ___ chest CT. UPRIGHT AP AND LATERAL VIEWS OF THE

Post-operative changes and post-treatment changes in the left hemithorax which are similar compared to the prior study. Patchy opacity in the right lung base may reflect an area of developing infection or atelectasis.

11456797

As previously noted, there is left hemithorax volume loss due to prior left lower lobectomy. A consolidative and fibrotic process with associated fiducial markers remains in place laterally in the left upper lung zone. This is stable compared to multiple prior exams. While there is a mild accentuation of the interstitial markings, no focal consolidation or superimposed edema is noted. Mild aortic tortuosity with calcified plaque at the arch is again noted. The cardiac silhouette remains enlarged but stable. No definite effusion or pneumothorax is noted. Degenerative changes are noted throughout the thoracic spine and in bilateral shoulders. No displaced rib fractures are evident. There are no suspicious lucent lesions.

55575740

AP AND LATERAL CHEST ___, AT 18:06 HOURS HISTORY: Trauma from fall with confusion. COMPARISON: Multiple priors, the most recent dated ___. Please note the patient had an intervening chest CT dated ___, which is also available for comparison.

Overall stable chest x-ray examination with slight diminished lung volumes resulting in bronchovascular crowding. There may be mild edema; however, no frank failure is identified.

11802277

As compared to ___, poorly defined opacities in the lower lobes bilaterally have slightly improved. There are associated small bilateral effusions. The cardiac silhouette is unremarkable. No pneumothorax.

55709399

INDICATION: ___ year old man with IPH ___ AVM. Fever. // ___ year old man with IPH ___ AVM. Fever. TECHNIQUE: Chest AP and lateral

Interval improvement in the ill-defined bilateral lower lobe airspace opacities, possibly representing improving aspiration and or infectious pneumonia.

11706568

Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

55725158

HISTORY: Cough, shortness of breath, recent pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11106897

Midline sternotomy wires and cardiac valve noted. There is interval development of right lower lung consolidation which is compatible with pneumonia. Also noted is mild pulmonary edema. Possible additional area of consolidation in the right upper lobe noted. The heart appears mildly enlarged. A small right effusion is likely present. No pneumothorax is seen.

56417641

HISTORY: Hypertension and chest pain. TECHNIQUE: Semi upright portable chest radiograph. . COMPARISON: ___.

Increase consolidation in the right upper and lower lungs concerning for pneumonia. Probable superimposed pulmonary edema.

11106897

New endotracheal tube terminates 1.7 cm above the carina. There is worsening moderate pulmonary edema, now with central vascular engorgement as well as ___ A and B lines. Right upper and bilateral lower lobe opacities persist. Relative increase in right upper lobe density in this short time interval likely represents redistribution of edema. Moderate cardiomegaly is present. Prosthetic mitral valve and median sternotomy wires. Probable small pleural effusion, though the right costophrenic angle is excluded from the film.

56216474

INDICATION: Intubation. COMPARISON: ___ at 21:18. CHEST, AP

ETT 1.7 cm from carina, please retract 2-4 cm. This was paged to Dr. ___ on ___ at 1 a.m. Worsening moderate pulmonary edema. Concern for underlying pneumonia, particularly in the right lower lobe.

11106897

Patient is status post median sternotomy and mitral valve replacement. Stable cardiomegaly. Improving aeration in both lower lobes with minor residual atelectasis remaining. Additional linear focus of atelectasis in the lingula. Residual small left pleural effusion but no evidence of pneumothorax.

50467363

PA AND LATERAL CHEST ___ COMPARISON: ___ radiograph.

Marked improvement in bibasilar atelectasis. Small residual left pleural effusion.

11634090

PA and lateral views of the chest provided. Moderate cardiomegaly is chronic. Mediastinal contour is normal. There is mild interstitial edema with hilar congestion. No focal consolidation, effusion or pneumothorax.

57436926

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with hypoxia // fluid vs PNA COMPARISON: Multiple chest radiographs, most recent ___

Mild interstitial edema with hilar congestion. Recommend diuresis. If findings do not resolve with diuresis, recommend further evaluation with CT to assess for interstitial lung disease.

11634090

Compared to prior there has been near complete resolution of the hazy opacity in the left lung base. There is no new consolidation. The cardiomediastinal silhouette is within normal limits. Old healed left rib fractures are again noted.

51548308

INDICATION: ___M with cough, fever, SOB // eval for pNA TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

Interval improvement of the opacity in the left lung. No new consolidation.

11634090

PA and lateral views of the chest provided. Emphysema is again noted. There is subtle reticulonodular opacity in the left lower lung which could represent an early pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Chronic left rib deformities are again noted. No free air below the right hemidiaphragm.

50558030

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea on exertion // PNA? pleural effusion COMPARISON: ___.

Subtle reticulonodular opacities in the left lower lung could represent an early pneumonia. Underlying emphysema again noted.

11634090

AP portable upright view of the chest. Cardiomegaly with mild interstitial pulmonary edema is noted. Hilar congestion is noted. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is normal. Bony structures are intact.

56530385

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with dyspnea // acute process COMPARISON: ___.

Cardiomegaly with mild pulmonary edema.

11634090

PA and lateral views of the chest. There is new consolidation on the left localizing to both the upper and lower lobes compatible with pneumonia. The right lung is essentially clear. Cardiomediastinal silhouette is within normal limits. Old healed left side rib fractures are noted.

55330514

WET READ: ___ ___ 12:56 PM Left-sided pneumonia. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with fever x1 day. COMPARISON: ___.

Left-sided pneumonia. Recommend repeat after treatment to document resolution.

11382883

Subtle patchy right base opacity may be due to atelectasis or aspiration. No pleural effusion is seen. The cardiac silhouette is top-normal. The aorta is calcified. No pneumothorax is seen.

53625147

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with multiple falls, shoulder pain. // fracture? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Patchy right base opacity may be due to atelectasis or aspiration.

11382883

Mild pulmonary vascular congestion new since ___. There is no focal opacity, over pulmonary edema, pleural effusion or pneumothorax. The heart size is normal. There are aortic knob calcifications. There degenerative changes in the bilateral glenohumeral joints.

58047440

INDICATION: ___-year-old female with to tachypnea. Evaluate for acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___.

Clear lungs. New, mild pulmonary vascular congestion.

11037118

One portable AP view of the chest. The lungs, heart, mediastinum, and pleural surfaces are normal. There is no evidence of pneumonia, effusion, or atelectasis. There is no pulmonary vascular congestion. No pneumothorax.

54196161

INDICATION: Status post TFN left femur fracture, tachycardia. Evaluate for effusion or atelectasis. COMPARISON: CT torso on ___.

No radiographic evidence of acute cardiopulmonary abnormality.

11152474

The tracheostomy tube is in good position. The right PICC line is unchanged. Stability of the retrocardiac opacity compatible most likely with atelectasis : a superimposed infection or aspiration can be considered in appropriate clinical settings. No pulmonary edema. Mediastinal and cardiac contour unchanged. There is possible left pleural effusion. Patient with a gastrostomy tube. The TNG tube has been removed.

50929331

AP CHEST X-RAY INDICATION: Intubated, pulmonary edema. COMPARISON: ___.

No pulmonary edema Unchangedthe retrocardiac opacities compatible most likely with atelectasis : a superimposed infection or aspiration can be considered in appropriate clinical settings

11152474

Atelectasis is unchanged in the left lower, right lower, and right upper lobes, displacing the minor fissure superiorly. Bilateral pleural effusions are small to moderate and are slightly increased in the interim. Asymmetric pulmonary edema is improving. The cardiac silhouette remains moderately enlarged, the mediastinal contours are unchanged. The pulmonary vasculature is normal. An endotracheal tube, NG tube, right upper extremity PICC, and left axillary catheter are not changed in position.

59673893

HISTORY: ___-year-old female with pulmonary edema, respiratory failure; please evaluate for interval change. COMPARISON: ___, ___, and ___.

Increasing small- to moderate-sized pleural effusions, with unchanged atelectasis. Asymmetric pulmonary edema is improving.

11152474

A portable AP radiograph of the chest demonstrates interval improvement in the mild pulmonary edema. The upper mediastinum is less widened, suggesting reduction in central venous pressure. The heart size is still minimally enlarged, but less so than on the prior study. There is no pneumothorax. There is chronic atelectasis of the left lower lobe of the lung with possible small effusion at this location. The endotracheal tube terminates no less than 2 cm above the carina. An orogastric tube can be seen coursing into the stomach and inferiorly out of the field of view. A right PICC terminates in the low SVC.

54236581

INDICATION: Evaluate status of pulmonary edema in a patient with an intracranial hemorrhage complicated by respiratory arrest due to flash pulmonary edema. COMPARISONS: A series of radiographs dating back to ___, most recently from ___.

Interval improvement in decompensated congestive heart failure compared to yesterday.

11152474

Semi-upright portable chest radiograph demonstrates an interval decrease in lung volume. Confluent opacity at the left lung base remains, likely reflecting combination of left lower lobe collapse and effusion. Elevation of the minor fissure indicated right upper lobe volume loss. A right pleural effusion is improving. Mild pulmonary edema is improving. The cardiac silhouette remains moderately enlarged, the mediastinal contours reflect central venous engorgement. The endotracheal tube is similar in position, and projects no less than 2.2 cm from the level of the carina. A right upper extremity PICC tip projects in the lower SVC. An NG tube tip projects at the level of the gastric antrum.

59292018

HISTORY: ___-year-old female with right parieto-occipital hemorrhage followed by respiratory arrest, question pulmonary edema. COMPARISON: ___, ___, ___.

Decreased lung volumes, with improving mild pulmonary edema. Left lower lobar atelectasis and right upper lobe mild volume loss are similar.

11152474

Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable in appearance compared to the prior study. Lung volumes are slightly increased compared to the prior exam, and there has been improved aeration at both lung bases. Residual opacities persist in the retrocardiac areas and probably represent atelectasis. There are also small pleural effusions, left greater than right.

51959639

PORTABLE SEMI-UPRIGHT CHEST ___ ___ COMPARISON: Radiograph of earlier the same date.

Improving aeration at lung bases with residual retrocardiac opacities. Small pleural effusions, left greater than right.

11152474

The tracheostomy is in adequate position at 4.4 cm above the carina. The right-sided PICC line is ending in the lower superior vena cava. New increased interstitial markings bilaterally, compatible with a mild pulmonary edema. Stability since the end ___ ___ of the retrocardiac opacity, probably compatible with atelectasis. Mild left pleural effusion. A gastrostomy is seen and there is still a curvilinear collection of air in the upper abdomen compatible with residual mild free air. No pneumothorax. Mediastinal and cardiac contour unchanged.

53997457

AP CHEST X-RAY INDICATION: ___-year-old woman intubated, with pulmonary edema. COMPARISON: ___.

There is mild pulmonary edema. The rest is unchanged.

11152474

Right PICC terminates in the mid-to-lower SVC. Nasogastric tube has been removed. There has been interval increase in moderate-to-severe pulmonary edema with accompanying left-sided effusion as well as left greater than right basal atelectasis. Heart is top normal in size with normal cardiomediastinal contours.

58190386

INDICATION: ___-year-old woman with IPH, with new onset shortness of breath, assess for interval change. COMPARISONS: ___.

Moderate-to-severe pulmonary edema and trace left effusion. Findings were discussed with Dr. ___ by Dr. ___ by phone at ___ on ___.

11152474

Worsening of the bilateral widespread alveolar opacities with thickening of the right minor fissure and progressive bilateral pleural effusion with bibasilar atelectasis. This is mostly compatible with severe pulmonary edema. A tracheostomy is in adequate position. The right-sided PICC line is unchanged and ends in the mid-superior vena cava. There is no pneumothorax. There is a gastrostomy. The mediastinal and cardiac contour are unchanged.

59668795

PORTABLE AP CHEST X-RAY INDICATION: Patient with intracranial hemorrhage. Acute desaturation to ___%. COMPARISON: ___.

There is worsening of the now severe pulmonary edema.

11136204

A dual lead pacemaker is in-situ, unchanged in position compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. The cardiomediastinal contour is normal.

58494903

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p dual chamber PPM and LINQ explant. // assess lead placement and r/o PTx. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process seen.

11136204

Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right ventricle and very proximal right atrium. No focal consolidation is seen. There is slight blunting of the costophrenic angles which may be due to minimal atelectasis versus very trace pleural effusions. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

56568360

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M s/p pacemaker placement 3d ago, on xarelto, fell forward today onto his face. Please evaluate for bleed/CT spine injury/normal positioning of pacemaker leads // ___M s/p pacemaker placement 3d ago, on xarelto, fell forward today onto his face. Please evaluate for bleed/CT spine injury/normal positioning of pacemaker leads TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right ventricle and very proximal right atrium. Atrial lead may be slightly proximal in position. Slight blunting of the bilateral costophrenic angles may be due to minimal atelectasis versus trace pleural effusions.

11512096

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

59767791

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F no PMH p/w fevers // ? PNA / infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11771462

AP semi-upright portable chest radiograph provided. Dual-lead pacer is unchanged. The previously noted opacity in the right lower lung has cleared. There is no large consolidation, effusion or pneumothorax. Old left rib cage deformities are unchanged. The cardiomediastinal silhouette appears stable.

55882688

CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with a prior study from ___. CLINICAL HISTORY: Hypoxia, status post fall.

No acute traumatic injuries.

11480082

A right internal jugular sheath has been removed. Sternotomy wires, mediastinal clips and an aortic valve prosthesis are constant. Substantial infrahilar atelectasis has improved from ___. The small left pleural effusion is unchanged in volume. Mild pulmonary edema and the right pleural effusion have resolved. The heart is borderline enlarged but unchanged, accounting for differences in technique. No pneumothorax.

51922088

INDICATION: Aortic valve replacement and CABG. Evaluate for pleural effusions. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ and ___.

Unchanged small left pleural effusion. Improvement in substantial infrahilar atelectasiss from ___.

11566800

Portable chest. Compared to the prior study, there has been further retraction of the left ribcage with increased displacement of the multiple rib fractures. The lung volume is lower than on the prior study. There is now denser opacity in the lower lung, demonstrated to be pulmonary contusions based on the prior CT. There is more extensive soft tissue air now tracking superiorly into the left neck and inferiorly into the abdomen. The chest tube is unchanged in position. There is no pneumothorax. No pleural effusion is present. The heart and mediastinum are unchanged in appearance. The right lung is clear.

50841599

INDICATION: Evaluate for interval change in traumatic injury to the left chest. COMPARISON: Chest radiograph performed on ___ at 00:44.

Compared to the prior study, there is a decrease in the left lung volume with retraction of the left ribcage causing increased displacement of the multiple rib fractures.

11566800

Moderate to large left hydropneumothorax appears relatively unchanged compared to the previous exam. There is no contralateral shift of mediastinal structures. Subcutaneous emphysema within the left lateral chest wall and abdominal wall is unchanged. Numerous left-sided rib fractures are again demonstrated as well as orthopedic hardware within the left clavicle and cervical spine. Right lung remains clear.

52928125

HISTORY: Recent pneumothorax with hypoxia. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___ at 5:36.

No significant interval change compared to the prior study with a moderate to large left hydropneumothorax and subcutaneous emphysema within the left chest and abdominal wall.

11566800

Small right apical pneumothorax is unchanged measuring 5 mm and the left side measures 10 mm. The left-sided chest tube projects at the left apex. Multiple left-sided rib fractures are unchanged with accompanying subcutaneous air. Left basal consolidation is unchanged.

55795420

PORTABLE AP CHEST X-RAY Chest tube placed to waterseal this a.m., evaluate for interval change. COMPARISON: X-rays from ___.

Small bilateral pneumothorax, left more than right.

11566800

PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding single view portable chest examination ___ ___. Previously identified multiple left-sided displaced rib fractures as well as the surgically treated left-sided clavicular fracture appear all in unchanged position. The previously still present moderate-sized hydropneumothorax has disappeared and there is no evidence of any remaining pneumothorax in the apical area. At the left base; however, there remain pleural thickenings, partially obscuring the diaphragmatic contour continuing in the lateral chest wall, which contains the multiple markedly displaced rib fractures. There is no evidence of any remaining free fluid. The posterior pleural sinuses are free on the lateral view convincingly identified, although the patient was unable to elevate her left arm. No new pulmonary parenchymal abnormalities identified.

55482767

TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with left-sided rib fractures related to motorcycle accident sustained on ___. Evaluate rib fractures.

Remaining chest wall depression in the left hemithorax related to multiple displaced rib fractures and clavicular injury. Previously identified traumatic hydropneumothorax has disappeared. Pleural scar formations remain at base.

11566800

Frontal and lateral chest radiographs were obtained. There is fixation about the left mid clavicular fracture with long plate and multiple screws. Multiple displaced left rib fractures are again seen with some callus formation. There is improved aeration in bilateral lungs, especially at the left lung base. The previous left pleural effusion has resolved. No focal consolidation, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal.

53888035

HISTORY: Patient status post MCC, with rib fractures, eval rib fractures. COMPARISON: ___.

Multiple displaced left rib fractures with some interval healing. Improved aeration of both lungs with interval resolution of left pleural effusion.

11566800

Visualization of the pleural lines at the both lung apices is difficult. Apical pneumothoraces however do not appear appreciably larger. A left-sided chest tube projects at the left apex. Multiple left-sided rib fractures are unchanged. Subcutaneous air along the left lateral chest wall and left neck region remain unchanged. Left basal consolidation appears slightly increased today, likely related to increased pleural fluid.

53151689

INDICATION: ___-year-old woman with left shoulder pain and with increased pain. Study requested for evaluation of new injury. COMPARISON: Prior chest radiographs from ___ through ___. TECHNIQUE: Portable AP chest radiograph.

Difficult visualization of pleural lines at the both lung apices, apical pneumothoraces however do not appear appreciably larger.

11195031

Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Dual lead right-sided pacemaker is again seen with leads unchanged in position or appearance.

58221329

HISTORY: Pacemaker, presyncope, chest pain. COMPARISON: ___.

No acute cardiopulmonary process.

11640097

Frontal and lateral chest radiographs demonstrate an increased opacity projecting over the medial right lower lung. Although this could represent atelectasis, early pneumonia cannot be excluded. Heart size is normal. There is no pleural effusion or pneumothorax.

50020853

INDICATION: Fever and cough. Evaluate for pneumonia. COMPARISON: None available.

Increased opacity projecting over the medial right lower lung could represent atelectasis, but an early pneumonia cannot be excluded.

11907115

Low lung volumes are again noted. Patient's chin obscures visualization of the right lung apex. There is no confluent consolidation, large effusion or overt pulmonary edema. Prior tracheostomy tube is not visualized. The cardiomediastinal silhouette is stable.

54169246

INDICATION: History: ___M with h/o CP, decreased BS on L? // evidence of pnumothorax, effusion TECHNIQUE: Single portable view of the chest. COMPARISON: Chest x-ray from ___.

Low lung volumes without definite superimposed acute cardiopulmonary process.

11907115

A tracheostomy tube is in unchanged position. Compared to the prior study there is improved aeration of the left lower lobe. No pleural effusion or pneumothorax. Persistent low lung volumes with normal heart size.

58245158

INDICATION: ___ year old man with plueral effusion // CXR TECHNIQUE: Chest PA and lateral COMPARISON: ___

Improved aeration of the left lower lobe with no pleural effusion.

11937117

Endotracheal tube is seen, terminating approximately 1.3 cm above the level of the carina, low in position and should be withdrawn approximately 1.5 to 2 cm. Nasogastric tube is seen coursing below the diaphragm, coiling in the left upper quadrant in the expected position of the right ventricle. There is slight increased opacity in the right upper lobe, nonspecific, could be due to aspiration, or pneumonia. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.

59718684

EXAM: Chest single supine AP portable view. CLINICAL INFORMATION: ___-year-old female with history of obtunded, question overdose, intubated for airway protection, evaluate ET tube placement. COMPARISON: ___.

Endotracheal tube terminating 1.3 cm above the level of the carina, slightly low in position and recommend withdrawal by 1.5 to 2 cm. This finding and recommendation discussed with Dr. ___ on ___ via telephone at 8:30PM. Nasogastric tube in appropriate position. Subtle right upper lobe opacity, nonspecific, could be due to aspiration or infection.

11969219

Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

58442504

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.

No radiographic explanation for chest pain.

11194776

Lung volumes are low. Mild bibasilar opacities are noted and likely representative of atelectasis, right greater than left. Otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. There is mild prominence of the pulmonary vasculature without overt edema. Cardiac silhouette appears prominent but stable. Mild degenerative changes visualized throughout the thoracic spine.

52012158

HISTORY: Cough. COMPARISON: Chest radiograph from ___.

Mild bibasilar opacities, right greater than left, are most likely representative of atelectasis. However, pneumonia must be excluded in the proper clinical setting.

11194776

The patient is status post sternotomy and probably coronary artery bypass graft surgery. The lung volumes are low. There is similar cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. Fissures are thickened. There is no definite pleural effusion. Perihilar fullness and, although somewhat heterogeneous, widespread opacification with hazy pulmonary vasculature suggests moderate pulmonary edema. As seen previously, medial right basilar opacity is more confluent than elsewhere so coinciding infectious process is not excluded.

58299148

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and hypoxia. On dialysis. TECHNIQUE: Chest, AP and lateral. COMPARISON: ___.

Findings suggest moderate pulmonary edema. Possible recurrent opacity at the right lung base; developing pneumonia is not excluded.

11194776

The patient is status post sternotomy. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. There is no pleural effusion or pneumothorax. Widespread hazy and interstitial opacities are most suggestive of pulmonary edema including indistinct upper zone re-distribution of pulmonary vasculature. Each hilum appears prominent, particularly the right, including a somewhat rounded appearance. This is probably due to edema, but short-term followup radiographs are recommended in order to exclude a persistent new right hilar contour abnormality.

53947125

CHEST RADIOGRAPHS HISTORY: End-stage renal disease, on hemodialysis, presenting with abdominal pain. COMPARISONS: Chest radiographs from ___. TECHNIQUE: Chest, PA and lateral.

Findings consistent with pulmonary edema. Short-term follow-up radiographs are recommended in order to exclude new contour abnormality in the right hilum, however.

11194776

The lung volumes are low. There is evidence of mild bibasilar atelectasis. The lungs are otherwise clear without evidence of focal consolidation, effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contours are stable. Mild degenerative changes are seen throughout the spine. No displaced rib fractures identified.

52051323

INDICATION: History of fall, anterior chest wall pain and bruising. Rule out rib fractures. COMPARISONS: Radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.

No evidence of a displaced rib fracture. If there is further clinical concern for rib fractures, a rib series would be recommended.