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11826496
Patient status post right lower lobe wedge resection. There is been interval placement of a chest tube around the right apex. Small opacity in the right lateral base, in the region of previously-seen 8 mm subpleural nodule in CT from ___ and likely represents hematoma. Minimal left basal atelectasis is seen. Mild cardiomegaly and mediastinal silhouette have appropriate postop appearance. Left-sided PICC terminates in the right atrium, unchanged from prior. No pleural effusion or pneumothorax.
57289053
EXAMINATION: Chest AP upright portable radiograph. INDICATION: ___ year old woman with pulm nodule // ptx effusion TECHNIQUE: Chest upright portable radiograph COMPARISON: Radiographs from ___ and chest CT from ___
6 mm opacity in the right lateral base, likely hematoma. No pneumothorax. No pleural effusion.
11393554
A Port-A-Cath is again noted with tip terminating in the upper SVC. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Note is made of multiple air distended loops of bowel in the upper abdomen.
53890110
INDICATION: ___F with vomiting, obstipation // r/o obstruction TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiograph ___.
No acute cardiopulmonary process. Multiple air distended loops of bowel in the upper abdomen concerning for obstruction.
11393554
Right-sided Port-A-Cath terminates in the upper SVC without evidence of pneumothorax.There is slight blunting of the left costophrenic angle which may be due to a trace pleural effusion with overlying atelectasis. Subtle opacity at the left mid lung is nonspecific, underlying infection not excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
57815924
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with pancreatic ca here w/ ___ edema, DOE, and ___ // pulmonary edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Trace left pleural effusion. Left mid to lower lung opacity is nonspecific but in the appropriate clinical setting, could relate to pneumonia or small airways disease.
11287191
The overall appearance of the lungs is unchanged, with persistent subpleural nodular and reticular opacities. Right hilar opacity also appears unchanged. There is no acute focal consolidation. The cardiomediastinal silhouette is stable.
50004887
WET READ: ___ ___ ___ 4:18 PM No acute focal consolidation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with reported recent hospitalization for lung infection, presenting with cough and crackles R lung base // Eval for PNA or acute lung process TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___ and chest radiographs dated ___ in ___.
No acute focal consolidation.
11287191
AP upright and lateral views of the chest provided. Previously noted skin ___ overlying the right axilla and chest wall have been removed. Increased hazy opacity projecting over the right upper lung likely reflects known seroma in the right chest wall areas of scarring in the right perihilar region appears unchanged. Areas of peripheral scarring in both lungs as better assessed on prior CT appear relatively unchanged. The cardiomediastinal silhouette is stable. Imaged bony structures are intact.
55484222
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with fever, leukocytosis // eval for pna COMPARISON: ___. CT chest from ___.
Findings as above. No convincing evidence for pneumonia.
11287191
When compared to prior, there has been no significant interval change. Changes at the right hilum are compatible with scarring and bronchiectasis. Peripheral opacities in the lungs, right greater than left with an apical predominance are also unchanged. There is no new consolidation or effusion. Cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications are seen at the aortic arch. Left PICC tip projects over the upper SVC. No acute osseous abnormalities.
51023642
INDICATION: ___F with weakness and fevers // r/o acute process, infx TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ chest CT.
No significant interval change, no definite new consolidation.
11287191
The overall appearance of the lungs are unchanged in appearance with subpleural nodular and reticular opacities an upper lobe predominance. The right hilar opacity extending to the periphery of the right lung has increased when compared to the prior examination. No acute focal consolidation. The cardiomediastinal silhouette is unchanged. The lung volumes are stable in appearance.
53663425
INDICATION: ___ year old woman with cough/asthma flare/R ___ ___ // RLL pna TECHNIQUE: Chest PA and lateral COMPARISON: ___
Interval increase in the right hilar opacity, superimposed on chronic peripheral, upper lobe predominant opacities. The differential could include eosinophilic pneumonia if there is a history of asthma.
11287191
There has been interval removal of a left central venous line. ___ again overlie the right chest. There is slight decrease in opacity in the right mid chest with slight improvement of aeration of the right lung. Again seen is lateral pleural thickening along the staple line. Right greater than left biapical pleural thickening is seen. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
52963188
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with cp, sob, hypoxia post op 2 weeks // TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No pulmonary edema. Slight improvement in aeration of the right lung with slight decrease in opacity in the right mid chest and persistent lateral pleural thickening along the staple line.
11941849
Blunting of the left costophrenic angle is chronic, and is consistent with a combination of pleural effusion and collapse of the left lower lobe. Right basal opacity likely reflects atelectasis. No evidence of pulmonary edema or pneumothorax.
54571946
WET READ: ___ ___ 12:31 AM 1. Chronic blunting of the left costophrenic angle appears stable, and is most consistent with a combination of pleural effusion collapse. 2. Right lower lobe atelectasis. 3. No pneumonia or evidence of pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with cough and fever // eval pneumonia or chf TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiographs dated ___ through ___, and CT chest dated ___.
Chronic blunting of the left costophrenic angle appears stable, and is most consistent with a combination of pleural effusion collapse. Right lower lobe atelectasis. No pneumonia or evidence of pulmonary edema.
11941849
Rotated positioning. There is probable background COPD. Allowing for rotation, the cardiomediastinal silhouette is grossly unchanged. There is upper zone redistribution, without overt CHF. There is increased opacity at the left lung base, likely a combination of pleural effusion and underlying collapse and/or consolidation. This appears larger than on ___. The possibility of an associated elevated left hemidiaphragm cannot be excluded. Again seen is a small right pleural effusion, probably similar to the prior study on the lateral view. Elsewhere, no focal infiltrate or consolidation. The patient has an azygos lobe, likely incomplete. Given patient rotation, the possibility of some opacification in the azygos lobe cannot be excluded, though this could be an artifact due to positioning.
52093897
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with WBC ___ and volume overload, OSH record mentions retrocardiac opacity on AP view // pna vs pulm edema COMPARISON: Chest x-ray from ___.
Increased density left base, compatible with left pleural fusion and underlying collapse and/or consolidation. The possibility of elevation of left hemidiaphragm cannot be excluded. Background COPD. Upper zone redistribution without overt CHF. Small right effusion, not grossly changed. Faint opacification of the right azygos lobe, question artifact due to positioning. Attention to this area on followup films is requested.
11941849
Lordotic positioning. Lungs are overinflated, consistent with COPD. Cardiomediastinal silhouette is probably unchanged, allowing for differences in positioning Again seen is dense opacity in the lower third of left lung, consistent with left lower lobe collapse and/or consolidation, with suspected left pleural effusion. The left hemidiaphragm is obscured. On the right, there is minimal patchy opacity at the right base which is new, question atelectasis, no focus of aspiration or early pneumonic infiltrate cannot be entirely excluded. Minimal blunting of the right costophrenic angle is again seen, possibly slightly more pronounced. Otherwise, the right lung is grossly clear. Again seen is hazy opacity in an incomplete azygos lobe in the right upper zone medially. This area was clear on the ___ CT scan and the apparent hazy density may be due to overlap of the right paratracheal soft tissues. There is upper zone redistribution mild vascular plethora, without other evidence of CHF.
53153589
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with worsening dyspnea // interval comparison COMPARISON: ___ at 07:45. Targeted review of chest CT from ___.
Cardiomegaly. Vascular plethora, which is possibly very slightly improved. Opacity at left base, consistent with collapse and consult and/or consolidation, probably with some degree of pleural fluid. Allowing for differences in positioning, this is overall similar. New patchy opacity at the right base could reflect atelectasis, but a focus of aspiration pneumonitis or early pneumonic infiltrate cannot be excluded. Mild blunting of the right costophrenic angle again noted, possibly slightly larger, consistent with a small right pleural effusion. No pneumothorax detected.
11941849
Heart size is top normal. The aortic arch is calcified. Mediastinal contour is unremarkable. Pulmonary vasculature is not engorged. Lungs appear hyperinflated. Patchy opacities are noted in the lung bases, potentially atelectasis but infection or aspiration cannot be excluded. Trace bilateral pleural effusions are also visualized, left greater than right. No pneumothorax is demonstrated. No acute osseous abnormality is identified.
53516331
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with weakness TECHNIQUE: Portable upright AP view of the chest COMPARISON: None.
Patchy opacities in the lung bases, possibly atelectasis but infection or aspiration are not excluded. Small bilateral pleural effusions.
11440245
The heart is markedly enlarged. Since ___, there is new central pulmonary vascular congestion with mild interstitial edema. There are small bilateral pleural effusions. Bibasilar atelectasis is slightly worse. There is no pneumothorax. A prosthetic valve and multiple intact sternal wires are unchanged in configuration.
55742788
INDICATION: Chest pressure. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST
Cardiomegaly with central vascular congestion and mild interstitial edema, concerning for cardiac decompensation.
11440245
The patient is status post aortic valve replacement. The heart is moderately enlarged. There is no pleural effusion or pneumothorax. There is a patchy opacity in the left lower lobe in the retrocardiac region that is similar to decreased and may correspond to atelectasis associated with a tortuous aorta.
51559323
CHEST RADIOGRAPHS HISTORY: Right vision change. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11665864
AP portable upright view of the chest. Overlying EKG leads are present. Lung volumes are low. Patient rotated to the right. No focal consolidation, large effusion or pneumothorax. There is mild bibasilar atelectasis. No convincing signs of edema. The overall cardiomediastinal silhouette appears unchanged allowing for differences in positioning. Bony structures are intact.
51636370
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with near syncope // eval infiltrate COMPARISON: ___
Mild bibasilar atelectasis, stable mild cardiomegaly. Otherwise unremarkable.
11665864
Bilateral lung volumes are low. Given low lung volumes, presence of any mild pulmonary edema may be exaggerated. Heart size is normal. There is no pleural effusion or pneumothorax.
53067549
CHEST RADIOGRAPH INDICATION: ___-year-old man with pulmonary edema, to evaluate for interval changes TECHNIQUE: Semi-erect portable chest view was read in comparison with the most recent radiograph from ___.
Given low lung volumes, presence of mild pulmonary edema may be exaggerated. No pleural effusion.
11665864
The cardiac and mediastinal silhouettes are stable. There relatively low lung volumes and possible minimal basilar atelectasis. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No pulmonary edema is seen.
57954934
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, cough // acute process TECHNIQUE: Single frontal view of the chest COMPARISON: ___
Basilar atelectasis without definite focal consolidation.
11665864
The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. Aside from minimal atelectasis at each lung base, the lungs appear clear. There is no pleural effusion or pneumothorax.
59094204
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Hyperglycemia, upper respiratory infectious symptoms and foot ulcer. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.
No evidence of acute cardiopulmonary disease.
11665864
Frontal radiograph of the chest is poorly positioned and much of the right lung is not visualized on this radiograph. A new enteric tube is seen along the expected course of the esophagus and then is not well visualized projecting over the mediastinum, however, it appears that the tube crosses the spine at the level of the T10 vertebra and projects to the right, several centimeters in the expected position of the stomach. Repeat radiographs are recommended to confirm this position.
59496788
INDICATION: ___-year-old male with ileus and distention. Now with new NG tube. Confirm NG tube placement. COMPARISON: Comparison is made to radiographs of the chest from ___.
Position of NG tube is difficult to assess on this suboptimal study but it appears to project to the right of the T10 vertebral body in expected distal stomach. Recommend repeat imaging for confirmation of tube placement.
11665864
The lungs are grossly clear without focal consolidation, effusion, or pneumothorax. Lateral view demonstrates low lung volumes with basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
53292762
INDICATION: ___M with dizziness // eval for pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11665864
Frontal and lateral chest radiographs demonstrate low lung volumes with exaggeration of the cardiac silhouette. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
52130349
INDICATION: Evaluate for pneumonia in a patient status post fall. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.
No acute cardiopulmonary process. Low lung volumes.
11738598
PA and lateral views of the chest provided. Lungs are clear. No signs of pneumonia or CHF. No foreign bodies are seen. Cardiomediastinal silhouette is normal. Bony structure is intact. No free air below the right hemidiaphragm.
53229699
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Dysphagia, odynophagia, question pneumonia or mediastinal lymphadenopathy.
No acute findings in the chest.
11579913
PA and lateral chest radiographs demonstrate two surgical clips overlying the right apex and posterior to the trachea. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is an circumscribed anterior opacity in the left hemithorax that probably represents the nipple.
58112463
INDICATION: Cough, congestion. COMPARISON: None.
No acute cardiopulmonary process.
11579913
The intra-aortic balloon pump has been removed. The right Swan-Ganz has been repositioned with tip located in the pulmonary outflow tract. The enteric tube is extending into the stomach with tip beyond the view of the chest radiograph. There is no consolidation. There is increased interstitial opacities with ___ B-lines, consistent with pulmonary edema. There is persistent left lower lobe atelectasis. Bilateral pleural effusions are unchanged. No pneumothorax. The cardiomediastinal silhouette is normal and unchanged. No fractures.
52875975
INDICATION: Ms ___ is an ___F w/ nephrolithiasis, chronic candiduria, and ILC s/p b/l mastectomy now s/p STEMI. Having acute dyspnea // Acute pulmonary process? TECHNIQUE: Chest PA and lateral
The findings are consistent with pulmonary edema. No pneumonia.
11579913
No significant interval change. Tip of nasogastric tube cannot be seen, likely below the diaphragm. Swan-Ganz catheter in the right main pulmonary artery. Intra-aortic balloon catheter in the aortic knob. Left pleural effusion and probably lower lobe atelectasis with no interval change. Small right effusion.
52379384
EXAMINATION: Chest single view INDICATION: ___ year old woman with new onset HF. // PA catheter placement TECHNIQUE: Portable AP COMPARISON: ___.
Stable appearance of the chest. Nasogastric tube probably below the diaphragm.
11579913
There is been interval placement of an enteric tube, its tip terminating coursing below the diaphragm, and terminating in the expected anatomic location of the body of the stomach. Otherwise, there has been no significant interval change. Intra-aortic balloon pump and Swan-Ganz catheter are in stable position. There is a small left effusion with overlying atelectasis versus airspace disease, unchanged.
54293973
EXAMINATION: Portable chest INDICATION: ___ year old woman with STEMI s/p IABP, has difficult swallowing at baseline // New Dobhoff placement TECHNIQUE: Portable supine view of the chest COMPARISON: Portable chest from earlier in the evening
Enteric tube terminating in the expected anatomic location of the body of the stomach. Otherwise, there has been no interval change. Examination and study reviewed with Dr. ___.
11579913
Lung volumes are normal. There is no consolidation. A nodular opacity projects over the left lung there is some entering 2.6 x 2.3 cm, which is new from ___. No correlate on the lateral view is identified, and this may represent a nipple shadow or something projecting over the skin. No evidence of pulmonary edema. Cardiomediastinal contours are normal. Surgical clips are noted along the right apex.
55753134
FINAL ADDENDUM ADDENDUM Regarding impression #2: Upon retrospective review of the earliest available chest radiograph dated ___, the 2.6 cm rounded nodular opacity projecting over the left lung base was also noted on the prior study. Therefore, no additional follow-up is indicated. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with bilat leg swelling // r/o chf TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No pulmonary edema. 2.6 x 2.3 cm rounded nodular opacity projecting over the left lung base, which may represent a nipple shadow or skin lesion. Recommend repeating the chest radiograph with nipple markers, and images should be reviewed by a radiologist before the patient leaves the department.
11579913
Lungs are clear. Heart size is normal. Surgical clips overlying the right apex and right paratracheal region are again seen.
55325551
INDICATION: ___ year old woman with recent surgery p/w AMS // r/o pna COMPARISON: ___
No acute cardiopulmonary process.
11423200
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. There is mild cardiomegaly. The mediastinal contours are normal. The vertebral body heights are maintained in the thoracic spine. No rib fractures identified.
56921279
INDICATION: Motor vehicle crash and low back pain. Evaluate for pneumothorax or fracture. COMPARISONS: None.
No acute cardiopulmonary process. Mild cardiomegaly. No evidence of fracture.
11063065
Enteric tube tip below diaphragm, tip not included. Pulmonary vascular congestion has worsened. Worsened pulmonary edema. New bilateral pleural effusions. Shallow inspiration accentuates heart size and obscures its full visualization. Bibasilar opacities, likely atelectasis, new.
53982816
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with necrotizing pancreatitis and splenic flexure fistulae, now desatting // Assess for intra thoracic pathology TECHNIQUE: Chest single view COMPARISON: ___ 18:05
Worsened pulmonary vascular congestion, pulmonary edema and pleural effusions. Basilar opacities, likely atelectasis.
11063065
An enteric tube courses through the stomach, beyond the inferior borders of the film. Right PICC tip terminates at the junction of the SVC and right atrium. Cardiac silhouette size remains mildly enlarged. The mediastinal contour appears relatively unchanged. Mild pulmonary edema is new in the interval with perihilar haziness and engorgement. No pleural effusion, focal consolidation or pneumothorax is present. Percutaneous catheter projects over the left mid abdomen. No acute osseous abnormality is identified. No subdiaphragmatic air identified.
53033221
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with biliary infection on dapto/meropenem from rehab with recurrent fever, sepsis // eval ? free air, pneumonia TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___
New mild pulmonary edema. No focal consolidation. No subdiaphragmatic free air.
11063065
There are small bilateral pleural effusions, better seen compared the prior radiograph. Right PICC line tip is near cavoatrial junction. Enteric tube tip is not included on the film, is below diaphragm. Shallow inspiration accentuates heart size, pulmonary vascularity.
50570483
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with gallstone pancreatitis (admitted ___ ___) now with worsening abd pain/fever/N/V with worsening peripancreatic fluid collections w/ new locules of air. Nocturnal desats, pleural effusions found on CT, persistent heartburn. // Pls evaluate for-size of pleural effusions-acute intrathoracic process TECHNIQUE: Chest two views COMPARISON: ___
Small bilateral pleural effusions.
11063065
Cardiac size appears more enlarged compared to previous but may be exaggerated by technique and positioning. Increased elevation of the left hemidiaphragm may be indirect evidence of left lower lobe atelectasis. Small effusions if any. Increased pulmonary vascularity bilaterally. There is no pneumothorax. Tip of Dobbhoff tube is in the stomach.
57639414
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with gallstone pancreatitis (admitted ___ ___) now with worsening abd pain/fever/N/V with worsening peripancreatic fluid collections w/ new locules of air. Dobhoff placed bedside at 60cm // Pls evaluate placement of Dobhoff in stomach. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___
Tip of Dobbhoff tube in the distal stomach. Since ___, there has been mild increase in pulmonary vascularity bilaterally along with new elevation of the left hemidiaphragm for which left lower lobe atelectasis cannot be excluded
11988172
Inspiratory volumes are slightly diminished. The right hemidiaphragm is slightly elevated. There is minimal bibasilar atelectasis. There is upper zone redistribution, but no other evidence of CHF. Heart size is at the upper limits of normal. The aorta is calcified and minimally unfolded. Prominence of the right paratracheal soft tissues likely reflects mediastinal fat and vascular structures in a patient of this age. Mild prominence of the pulmonary hila is unchanged compared with chest x-ray from ___ (interval chest CT demonstrated normal pulmonary hila.) No frank consolidation or effusion is identified. There is a vague nodular opacity in the right mid zone laterally overlying the right fourth anterior and right seventh posterior ribs, without corresponding abnormality on the lateral radiograph -- ? artifact due to confluence of osseous shadows. Mild degenerative changes of the thoracic spine are noted.
55724899
HISTORY: Hypoxemia. CHEST, PA AND LATERAL
1) Slightly low lung volumes, but no pulmonary edema or acute focal infiltrate identified. Minimal bibasilar atelectasis. 2) Vague opacity right mid zone seen only on a PA view - ? artifact. Recommend shallow oblique views of the chest for further assessment.
11988172
Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Patchy opacities in the lung bases are slightly progressed and likely reflect atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
59471073
HISTORY: Decreased mental status. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.
Bibasilar atelectasis in the setting of low lung volumes.
11988172
Lung volumes are low. There is stable elevation of the right hemidiaphragm. Small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. An ET tube ends at the level of the lower clavicles. A nasogastric tube enters the stomach, distal tip not visualized. There is no pneumothorax.
55122494
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with influenza, now with VAP // please evaluate VAP TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___.
No significant interval change.
11988172
There is no significant interval change compared to yesterday's radiograph. The support lines and devices are unchanged in position. ET tube is 4.8 cm above the carina. Right PICC line is unchanged in position. Lung volumes remain low. There is a small-to-moderate left pleural effusion, unchanged from prior. Right lung base atelectasis noted. There is no pneumothorax. No evidence of pulmonary edema. Stable cardiomediastinal silhouette.
56980081
EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with hypoxic respiratory falure, intubated // interval imaging TECHNIQUE: Portable chest radiograph COMPARISON: Multiple chest radiograph depicting ___ and ___.
Unchanged appearance of right lung base atelectasis and small-to-moderate left pleural effusion.
11988172
The lungs are well inflated and clear. There may be a 1.4cm retrocardiac nodule just anterior to the lower thoracic spine. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Calcifications of the aortic arch is again noted. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
55201868
INDICATION: ___M with metastatic prostate cancer to rib and T11, presenting with weakness, cough, sore throat evaluate for pneumonia. TECHNIQUE: AP and lateral COMPARISON: Chest radiograph from ___.
No evidence of acute cardiopulmonary process. Possible 1.4cm retrocardiac lung nodule just anterior to the lower thoracic spine.
11669237
PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is top normal. Osseous structures are intact.
54324593
INDICATION: Cough, evaluate acute process. COMPARISONS: Chest radiograph from ___.
No acute cardiopulmonary process.
11669237
Compared to chest radiographs from ___, opacification within left perihilar region and left upper lung has worsened. No new focal consolidations. The right lung is clear. No pleural effusion. No pneumothorax. No central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are stable. Heart is top-normal in size, unchanged. Small hiatus hernia is present.
51070003
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pneumonia after travel to ___ ___, s/p three rounds of antibiotics (Azithromycin X2, prednisone) and now Levofloxacin // Monitor for improvement TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.
Worsening opacification in the left perihilar region/left upper lobe is consistent with pneumonia. Radiographs corresponding to provided history should be obtained and uploaded to PACS for comprehensive evaluation, if possible.
11669237
Heart size is top-normal. Small hiatal hernia is present. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Focal opacity within the left perihilar region/ upper lung field is concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
56036676
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with persistent cough, dyspnea, for the past 3 weeks. No history of smoking, no wheeze. ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ and chest radiograph ___.
Focal opacity in the left perihilar region/upper lung field is concerning for pneumonia. Follow-up radiographs after treatment are recommended to ensure resolution of this finding.
11926278
The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
56958248
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with chest pain. COMPARISON: None available.
No acute cardiopulmonary process.
11768340
Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Minimal atelectasis is seen in the left lung base. Multilevel mild degenerative changes are noted in the thoracic spine.
57004104
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with recent fall TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
No acute cardiopulmonary abnormality.
11238564
There is ill-defined streaky density at the left lung base posteriorly. The right lung is clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact.
57048616
EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY History: ___M with cough and fever // evaluate for infiltrate evaluate for infiltrate COMPARISON: NONE
Left basilar opacity suspicious for pneumonia. Results called to urgent care 14:30
11238564
The lungs are moderately well-expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal opacification worrisome for pneumonia. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormality is detected.
57712650
EXAMINATION: Chest radiographs. INDICATION: ___M with cough, chills // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs: ___.
No acute cardiopulmonary process.
11831341
AP upright and lateral views of the chest provided. Right chest wall AICD is again seen with single lead extending into the region of the right ventricle. Midline sternotomy wires are again noted with mediastinal clips. Cervical fusion hardware is noted in the lower neck. There is mild elevation of the right hemidiaphragm. Bibasilar streaky opacity best seen on the lateral view could represent atelectasis or scarring. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is normal. Imaged bony structures are intact with bilateral AC joint arthropathy noted. No free air seen below the right hemidiaphragm.
58333466
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with new abdominal pain, fever, and hypoxia COMPARISON: None
Bibasilar streaky opacities likely represent atelectasis or scarring. Mild cardiomegaly.
11427270
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. No pulmonary edema is seen.
52064412
HISTORY: Cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11594308
Compared with the earlier chest radiograph, there is persistent patchy airspace opacity in the left lung base. Blunting of the left lateral costophrenic angles compatible with a fat pad. Increased opacity in the right lower lung likely reflects same process of atelectasis. No evidence of pneumothorax. The cardiomediastinal silhouette is unchanged. Calcified, tortuous thoracic aorta is noted.
55785116
WET READ: ___ ___ ___ 6:00 PM Bibasilar opacities likely reflecting combination of atelectasis and effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with hypoxia, ___ edema. Evaluate for pulmonary edema. TECHNIQUE: Chest AP and lateral. COMPARISON: Chest radiograph earlier on the same date and ___.
Bibasilar opacities likely reflecting atelectasis.
11412695
The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. A linear left basilar opacity suggests minor atelectasis. Mild blunting of the left costophrenic angle suggests a persistent pleural effusion. There is no evidence for pleural effusion on the right.
55106141
CHEST RADIOGRAPHS HISTORY: New hypoxia. TECHNIQUE: Chest, AP upright and lateral.
Small left-sided pleural effusion and patchy basilar opacity suggesting atelectasis.
11150645
The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.
59830947
INDICATION: ___-year-old female with chest pain for five days, evaluate for pneumonia. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE
No acute intrathoracic process.
11185210
There are few rounded opacities projecting over the right mid to lower lung, which could be sites of infection, but underlying pulmonary lesions are not excluded. These are not seen on scout image from CT abdomen pelvis from ___. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is a mildly displaced fracture of the posterior lateral left seventh rib which may be acute. A fracture of the lateral left eighth rib demonstrates callus formation and is subacute to old, but new since chest radiograph from ___. The partially imaged left humeral head is high riding, suggesting rotator cuff disease. There is left glenohumeral and acromioclavicular joint degenerative change.
58949457
WET READ: ___ ___ ___ 12:35 AM At least 2 rounded appearing opacities in the right mid to lower lung, new since chest radiograph from ___ and not definitely seen on scout image from CT from ___. While findings may represent foci of pneumonia, pulmonary lesions are not excluded. Recommend non emergent chest CT for further assessment. Mildly displaced fracture of the posterolateral left seventh rib, which may be acute. Subacute to old fracture of the lateral left eighth rib. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with syncope, lightheadedness // infiltrate? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
At least 2 rounded appearing opacities in the right mid to lower lung, new since chest radiograph from ___ and not definitely seen on scout image from CT from ___. While findings may represent foci of pneumonia, pulmonary lesions are not excluded. Recommend non emergent chest CT for further assessment. Mildly displaced fracture of the posterolateral left seventh rib, which may be acute. Subacute to old fracture of the lateral left eighth rib.
11176621
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.
55836896
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with chest pressure, arm "coolness." COMPARISON: None
No acute intrathoracic process.
11607042
Lungs are well expanded and clear. Heart size, mediastinal and hilar contours are normal. No new concerning skeletal abnormalities are detected.
54431646
PA AND LATERAL CHEST OF ___ COMPARISON: ___ chest x-ray.
No radiographic evidence of pneumonia.
11607042
The lungs are free of focal consolidations, pleural effusions or pneumothorax. There is no pulmonary edema. Cardiomediastinal silhouette is within normal limits.
53552618
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with multiple myeloma. Cough for 2 weeks with no improvement with antibiotics. // Multiple myeloma. Cough. R/O pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.
No evidence of pneumonia.
11607042
Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. There is no pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are normal. Pleural surfaces are unremarkable.
55224456
INDICATION: ___ year old woman with sinus pain, chest tightness, and cough with a history of multiple myeloma, assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.
Normal chest radiograph. Specifically, no evidence of pneumonia.
11607042
The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unchanged with superior endplate compression in an upper thoracic level.
59526736
INDICATION: History of fever, nausea and cough. Please evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest.
No acute intrathoracic abnormalities identified.
11649378
Bilateral perihilar pulmonary infiltrates, more prominent on the right, with subpleural sparing, similar compared with prior exam, consider pulmonary edema, hemorrhage, pneumonitis. Increased right basilar opacity, atelectasis versus infiltrate. Small right pleural effusion, similar. Borderline heart size, similar. Sternotomy.
51981635
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with concern for___ transferred from ___, hypoxic with mild hemoptysis // eval for etiology of hypoxia, mild hemoptysis TECHNIQUE: Chest single view COMPARISON: ___ 11:59
Bilateral central pulmonary infiltrates, similar, consider pulmonary edema, hemorrhage, pneumonitis. Increased right basilar opacity, atelectasis versus infiltrate. Small right pleural effusion, similar.
11649378
Lungs are hyperexpanded. Significant increase in central consolidation in the right lung and less in the left lung. Although these are dense consolidations, the sequence of events suggest pulmonary edema and heart failure as patient developed increased vascular congestion, ___ B-lines, and then pulmonary edema since ___. There is no pneumothorax and no large pleural effusions. Cardiac size is enlarged but unchanged. Sternotomy wires again noted.
55784762
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hypoxemia, mild hemoptysis // etiology of hypoxemia and hemoptysis; interval change of opacities and effusion TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___
Significant central consolidation of the right lung and increased opacity of the left lung more consistent with pulmonary edema and heart failure given sequence of events with increasing vascular congestion and pulmonary edema since ___. Cardiomegaly unchanged.
11649378
The patient is status post prior median sternotomy. Interval decrease in the extent of the bilateral predominantly central confluent airspace opacities as well as the interstitial thickening. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is mildly enlarged but unchanged. Calcification of the aortic arch is noted.
50227392
INDICATION: ___ year old man with pneumonia. // Evaluate for shortness of breath. TECHNIQUE: AP portable chest radiograph COMPARISON: ___
Interval decrease in the extent of the bilateral, predominantly central confluent airspace opacities and the peripheral interstitial thickening. No new focal consolidations identified.
11649378
The lungs are well expanded and show mild interstitial opacities along with more confluent opacities in both lower lobes, which are essentially unchanged compared to the previous examination. The cardiac silhouette is top normal. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Sternal wires are intact.
58837384
INDICATION: ___-year-old male with CHF, presenting with chest pain and shortness of breath. COMPARISON: Chest radiograph from ___ at 2:00 a.m. TWO VIEWS OF THE
Mild interstitial edema with bibasilar opacities that could represent atelectasis.
11926128
Right lower lung cavity is unchanged measuring 7.5 x 8.5 cm. Rapidly changing bilateral lung opacities which appeared after cardiac arrest of ___ are moderate-to-severe and have worsened on today's exam. ET tube is in adequate position. Right jugular line ends in lower SVC. There is a neurostimulator of the upper thoracic spine. Left pleural effusion is small. There is no pneumothorax.
55625398
PORTABLE AP CHEST X-RAY INDICATION: Patient with right lower lobe cavitary pneumonia, sepsis. COMPARISON: ___, outside hospital chest CT of ___.
Patient is known with unchanged right lower lung cavity. Rapidly changing bilateral lung opacities since cardiac arrest is probably due to edema which has worsened on today's exam and is moderate to severe.
11291555
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
52962937
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever/chills, cough // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11156042
Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.
50731092
EXAMINATION: Chest radiograph INDICATION: ___-year-old female with jaw pain and palpitations TECHNIQUE: Chest PA and lateral COMPARISON: None relevant
No acute cardiopulmonary process.
11886174
No interval change since radiograph performed 4 hours prior. Again seen are well inflated lungs. Persistent heterogeneous granular opacities within bilateral lung bases noted. Lucencies projecting along the right costophrenic angle and lateral right pleural surface are consistent with blebs. Pleural plaques again noted. There is evidence of severe emphysema. Persistent moderate left basilar pneumothorax is unchanged in size or appearance. No pleural effusion. Heart size, mediastinal contour, and hila are unremarkable. Aortic arch calcifications are present. A right anterior chest wall pacer device with single lead tip within right ventricle again noted.
50130180
WET READ: ___ ___ ___ 6:36 AM 1. No significant change in moderate left basilar pneumothorax. 2. Severe emphysema 3. Progression of bibasilar opacities are worrisome for aspiration or aspiration pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with PTX. Assess progression of PTX TECHNIQUE: Single portable AP chest radiograph. COMPARISON: Chest radiograph ___, ___, ___ CT chest ___
No significant change in moderate left basilar pneumothorax. Severe emphysema Progression of bibasilar opacities are worrisome for aspiration or aspiration pneumonia Pleural plaques consistent with prior asbestosis exposure.
11886174
The heart size is normal with tortuosity of the thoracic aorta with which contains mural atherosclerotic calcifications. The hilar contours are unremarkable. Lungs are clear without focal consolidation worrisome for pneumonia. The hilar contours are normal. A right-sided pectoral implanted single lead pacer is unchanged in position. Again noted are multiple bilateral calcified pleural plaques. There is no pleural effusion or pneumothorax.
57750670
HISTORY: Worsening shortness of breath and dyspnea on exertion. Slight cough and wheezing. TECHNIQUE: AP and lateral chest radiograph. 2 views. COMPARISON: ___.
No focal consolidation worrisome for pneumonia. No evidence of pulmonary edema. Multiple calcified pleural plaques suggestive of prior asbestos exposure.
11886174
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Again seen is a right chest wall pacer device with a single lead projecting over the right ventricle. There is a left lower lateral pneumothorax, new. Lucencies projecting over the right costophrenic angle and along the lateral right pleural surface may reflect blebs, better seen on today's exam compared to ___, versus right-sided pneumothoraces. Diffuse increased interstitial markings are compatible with known severe emphysema. Calcified plaques are likely related to prior asbestos exposure. No definite focal consolidation or pleural effusion is seen. The visualized upper abdomen is unremarkable.
56473814
INDICATION: Evaluate for pneumonia in a patient with cough, shortness of breath, tachypnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___.
Pneumothorax along the left lateral lower lung. Lucencies projecting over the right costophrenic angle and along the lateral right pleural surface may reflect blood is better seen on today's exam compared to ___ versus additional right-sided pneumothoraces.
11886174
The lungs are well inflated. Increased heterogeneous granular opacities within bilateral lung bases. Lucencies projecting along the right costophrenic angle and along lateral right pleural surface may represent blebs. Pleural plaques again noted. There is evidence of severe emphysema. Persistent moderate left basilar pneumothorax. No pleural effusion. No significant change since prior examination. Heart size, mediastinal contour, and hila are unremarkable. Aortic arch calcifications are present. A right anterior chest wall pacer device with single lead tip within the right ventricle.
55553675
WET READ: ___ ___ ___ 3:45 AM 1. Stable moderate left basilar pneumothorax. 2. Evidence of severe emphysema with right costophrenic and lateral right pleural blebs. 3. Increased bibasilar opacities are worrisome for aspiration or aspiration pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with large ptx. Assess for progression of ptx TECHNIQUE: Single portable semi upright frontal chest radiograph. COMPARISON: CT chest without contrast ___, chest radiograph ___, chest radiograph ___.
Stable moderate left basilar pneumothorax. Evidence of severe emphysema with right costophrenic and lateral right pleural blebs. Increased bibasilar opacities are worrisome for aspiration or aspiration pneumonia. Pleural plaques consistent with prior asbestosis exposure.
11273854
Single frontal view of the chest. NG tube remains coiled in the esophagus. Esophageal temperature probe is new. Endotracheal tube terminates in 3.0 cm above the carina. Swan-Ganz catheter is at or just beyond the pulmonic valve. Right atrial cannula is in stable position. Widespread bilateral parenchymal opacities are similar to prior. Widening of the upper mediastinum is stable and consistent with known mediastinal hematoma. Heart size is stable.
55623373
HISTORY: ARDS and cardiogenic shock. COMPARISON: Multiple prior chest radiographs, most recently of ___.
NG tube remains coiled in the esophagus. Similar appearance of widespread bilateral parenchymal opacities. Findings were communicated via phone call by Dr. ___ to Dr. ___ ___ on ___ at 11:___ AM.
11273854
Portable semi-upright radiograph of the chest demonstrates clearing of pulmonary edema, most notable at the bilateral apices. Interval increase in consolidation in the right lower lobe. Stable bilateral pleural effusions. Interval widening of the superior mediastinum posterior to the trachea, suggesting recurrence of edema seen on admission. Heart is top normal in size. Endotracheal tube ends 2.5 cm from the carina. A large bore right-sided internal jugular central venous line ends at the mid SVC. Left-sided PICC line ends in the cavoatrial junction. Nasogastric tube is seen entering the stomach and out of the field of view. A right-sided mid-line ends in the axilla. No pneumothorax.
55534855
HISTORY: ___-year-old female status post cardiac arrest complicated by cardiogenic shock and hypoxemic respiratory failure. Evaluate for interval change. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.
Interval widening of the superior mediastinum posterior to the trachea, suggesting recurrence of edema seen on admission, which raises concern for possible infection. Clearing of pulmonary edema, most notable at the bilateral apices. Interval increase in consolidation in the right lower lobe.
11273854
Endotracheal tube ends 3.8 cm above the carina. Nasogastric tube follows the expected course to the stomach with the tip out of view. Swan-Ganz catheter tip is now in the left pulmonary artery, slightly advanced compared to the prior study. Since ___, pulmonary edema is unchanged with a right pleural effusion and scattered areas of atelectasis. Volume loss at the left lung base. No pneumothorax. Heart size is stable.
56021317
HISTORY: Pulmonary edema on aggressive diuresis. Evaluate for interval change. COMPARISON: CXR ___, ___, CT ___. FRONTAL PORTABLE
Pulmonary edema is similar to ___. Swan-Ganz catheter tip is in the left pulmonary artery, which is slightly advanced compared to ___.
11273854
Single frontal view of the chest. Left PICC terminates in the lower SVC. NG tube has been removed. There has been interval extubation with improvement in bibasilar consolidation. No substantial pleural effusion or pneumothorax. Heart size and cardiomediastinal contours are normal.
50306607
HISTORY: Status post cardiac arrest. COMPARISON: Multiple prior chest radiographs, most recently ___.
Interval extubation with improved bibasilar consolidation.
11273854
Portable semi-upright radiograph of the chest demonstrates persistent bilateral pulmonary edema with stable bilateral pleural effusions and adjacent atelectasis. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax. Endotracheal tube ends 3 cm from the carina. Swan-Ganz catheter tip ends in the left pulmonary artery, unchanged position from the prior study on the same day. Right-sided mid line ends in the axilla. Left-sided PICC line ends in the distal SVC. Nasogastric tube courses into the stomach and out of view.
52229280
HISTORY: ___-year-old female status post left PICC line placement. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.
Left-sided PICC line ends in the distal SVC.
11273854
Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Left-sided pectoral ICD is present with the lead in the region of the right atrium.
59941105
HISTORY: ___-year-old female with recent ICD placement. Evaluate for pneumothorax and assess lead position. COMPARISON: Prior radiographs of the chest dated ___ through ___.
No pneumothorax. Left-sided pectoral ICD in place with the lead in the expected position.
11295346
There is right lateral pleural thickening, similar compared to prior. New blunting of the left lateral and posterior costophrenic angles are compatible with small effusion. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. Right chest wall dual lead pacing device is again noted. Median sternotomy wires are again noted.
57969422
INDICATION: ___M with shortness of breath // acute process? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.
New small left pleural effusion. Otherwise, no change.
11407123
Frontal and lateral views of the chest were obtained. Subtle linear opacity projecting over either the right middle lobe or lingula on the lateral view is not well seen on the frontal view that may represent atelectasis, although an early infectious process is not excluded. No focal consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. The patient is rotated slightly to the right.
52312493
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Cough. COMPARISON: ___.
Subtle patchy mid lung opacity on the lateral view, not well seen on the frontal view may represent atelectasis, although an early infectious process is not excluded in the appropriate clinical setting.
11082479
Compared to prior, there is new focal, masslike, large consolidation in the right upper lobe of, concerning for pneumonia. Heart size is enlarged compared to prior. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Surgical clips are noted in the anterior left breast.
55753598
INDICATION: ___ year old woman with fever and cough, wheezing for 2 days, also hemoptysis. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Radiographs from ___, ___.
Right upper lobe large, masslike consolidation. Given the appearance and the history of hemoptysis , short term repeat chest radiograph in 2 weeks following antibiotic therapy is recommended to document improvement and to detect any complications. Interval mild enlargement of the heart size.
11082479
The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Left breast clips are identified.
55762240
WET READ: ___ ___ 3:35 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough // cough TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray.
No acute cardiopulmonary process.
11082479
Mild opacity in the lingula likely chronic atelectasis, similar to previous imaging. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged with stable cardiomegaly. Surgical clips again noted in left anterior breast. Interval placement of a single lead left pectoral pacemaker with lead placement in right ventricle.
50180803
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough. History of pneumonia // r/o infiltrate TECHNIQUE: Chest: PA Frontal and Lateral COMPARISON: Chest radiograph ___.
No evidence of pneumonia. Cardiomegaly. Chronic atelectasis of the lingula, unchanged from previous
11124186
Lungs are well-expanded with persistent right lower lobe linear opacity consistent with atelectasis or scarring. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
54427592
WET READ: ___ ___ ___ 7:55 AM 1. No acute cardiopulmonary process. Specifically, no pneumonia. 2. Right lower lobe atelectasis atelectasis or scarring. WET READ VERSION #1 ___ ___ ___ 6:40 AM 1. No acute cardiopulmonary process. Specifically, no pneumonia. 2. Right lower lobe atelectasis along the cardiophrenic angle as well as persistent linear atelectasis or scarring in the right lower lobe. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with AMS. Infectious workup for AMS TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. CT chest ___.
No acute cardiopulmonary process. Specifically, no pneumonia. Right lower lobe atelectasis atelectasis or scarring.
11138129
Left basilar opacities may reflect atelectasis and/or consolidation. No pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.
53636831
INDICATION: ___ year old man with C1/C2 fractures, hx multiple system atrophy, increased O2 requirement // Eval for PNA, consolidation TECHNIQUE: AP portable chest radiograph COMPARISON: ___
Left basilar opacities may reflect atelectasis and/or consolidation.
11043541
PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities detected.
58663291
HISTORY: ___-year-old female with epigastric pain. COMPARISON: None.
No acute cardiopulmonary process.
11820335
AP single view of the chest has been obtained with patient in sitting semi-upright position. The patient is now postoperative for right-sided nephrectomy. Since the next preceding chest examination of ___, a right-sided chest tube has been placed entering the right lower chest wall and reaching with the tip in the right apical area. No pneumothorax has developed. No new infiltrates are seen. Heart size unchanged and within normal limits. An NG tube reaches well in to the gas-distended stomach pointing towards the pylorus. No evidence of previous left axillary surgery as before. New metallic surgical clips in right upper abdominal quadrant compatible with described nephrectomy.
51807924
DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient, status post right-sided thoracoabdominal incision for right radical nephrectomy, assess position of right-sided chest tube.
Appropriate location and termination of right-sided chest tube.
11820335
There is no pneumothorax. The previously seen pneumoperitoneum is slightly reduced in volume. The previously seen left chest tube has been removed. Lungs are well expanded and clear bilaterally with no focal consolidation or pleural effusion. The cardiomediastinal silhouette is stable and within normal limits. The pleural surfaces are unremarkable. Numerous surgical clips are seen in the left axilla. Clips are seen in the right upper quadrant, consistent with recent right nephrectomy.
53030712
INDICATION: ___-year-old female with recent removal of chest tube. COMPARISON: Portable upright chest radiograph, ___. TECHNIQUE: AP portable upright chest radiograph.
No pneumothorax. Decreasing pneumoperitoneum.
11270257
Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Bulging of the right mediastinal contour in the region of the ascending aorta could be due to aneurysm or mass. Hilar contours are normal. There is no free air under the diaphragm.
58828381
HISTORY: Cough and chest pain. COMPARISON: No relevant comparisons available.
No pneumonia. Right mediastinal contour abnormality. If there is no prior imaging already explaining this, recommend further evaluation with chest CT. Findings and recommendations discussed with Dr. ___ (ED) at 8am ___.
11240669
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.
53255379
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain // ?pneumonia COMPARISON: Prior exam from ___.
No acute intrathoracic process.
11240669
The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
50640411
EXAMINATION: Chest radiograph INDICATION: History: ___M with CP // r/o cardiopulm abnormality TECHNIQUE: Chest PA and lateral COMPARISON: ___ through ___
No acute cardiopulmonary process.
11240669
AP and lateral chest radiograph demonstrate clear lungs. Overall appearance of the chest similar to prior study performed ___. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion, or pneumothorax. Lungs are slightly hyperinflated.
55401716
INDICATION: History: ___M with chest pain // pna? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___
No acute intrathoracic abnormality.
11240669
The lungs are hyperinflated. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. In comparison to the most recent examination, there is increased right infrahilar opacity, which in the appropriate clinical context, may represent pneumonia. There is no pleural effusion or pneumothorax.
57596737
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/chest pain, please eval for pna, ptx, mediastinal widening // ___M w/chest pain, please eval for pna, ptx, mediastinal widening TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ and ___
Right lower lung pneumonia.
11240669
PA and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. The chest is hyperinflated. Moderate degenerative changes affect each acromioclavicular joint.
51241817
CHEST RADIOGRAPHS INDICATION: CAD status post PCI, now presenting with chest pain and shortness of breath. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___ and ___.
No evidence of acute cardiopulmonary process.
11240669
Compared to ___, interval resolution of previously seen right lower lung pneumonia. Lungs are clear. Lungs are mildly hyperinflated, as before. No pleural effusion. No pneumothorax. Heat size is normal and unchanged.
50841261
WET READ: ___ ___ ___ 9:24 AM No acute intrathoracic abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/chest pain, please eval for mediastinal widening, pulm edema, pna TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute intrathoracic abnormality.
11473466
A skin fold is noted on the left. Cardiomegaly is mild. Mild degenerative changes are noted at the glenohumeral joints, bilaterally.
56143987
WET READ: ___ ___ ___ 11:03 PM No definite focal consolidation. WET READ VERSION #1 ___ ___ ___ 8:18 PM 1. Multiple mild to moderate thoracic vertebral compression deformities appear new or worsened from ___. 2. No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with AMS // infiltrate TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph ___.
No definite focal consolidation.
11473466
There are low lung volumes, which accentuate the bronchovascular markings. Given this, subtle lateral left base opacity is seen which may be due to atelectasis, underlying consolidation is difficult to exclude. No focal consolidation is seen on the right. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There may be minimal pulmonary vascular congestion, likely accentuated by low lung volumes. An ovoid radiopaque structure is seen overlying the epigastric region, to the left of midline, not seen on the lateral view, and may be external to the patient.
52429077
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Low lung volumes, which accentuate the bronchovascular markings. Subtle lateral left base opacity may be due to atelectasis although a focal consolidation is not excluded in the appropriate clinical setting.
11796003
Frontal and lateral views of the chest were obtained. There is prominence of the mediastinum, which could relate to body habitus and mediastinal lipomatosis. However, in the absence of priors for a comparison, underlying lymphadenopathy or other mediastinal process is not excluded. The cardiac silhouette is enlarged. There are low lung volumes, which accentuate the bronchovascular markings. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The degenerative changes are seen along the spine.
50642862
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Cough. COMPARISON: None.
Prominence of the mediastinum may be due to patient body habitus and underlying mediastinal lipomatosis, however, in the absence of priors for comparison, lymphadenopathy or other mediastinal process not excluded. No definite focal consolidation.
11796003
Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged with similar widening of the superior mediastinum, potentially due to mediastinal lipomatosis. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes noted in the thoracic spine.
53790507
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with cough TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___
No acute cardiopulmonary abnormality.
11105131
PA and lateral images of the chest demonstrate well expanded lungs. There is a thin-walled area of increased emphysematous changes at the left lung base consistent with what was previously described. If this area is clinically concerning, could consider a high-resolution CT scan of the chest to look for possible interstitial changes. There is no evidence of acute cardiac or pulmonary process. Visualized osseous structures are unremarkable.
59039303
INDICATION: ___-year-old female with left-sided chest pain and prior history of smoking and pneumothorax. COMPARISON: Comparison is made to chest radiograph from ___.
Thin-walled area of increased emphysematous changes at the left base. If clinically concern, could consider high-resolution CT imaging. No evidence of acute cardiac or pulmonary process.
11689211
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal.
50798368
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M with vomiting, chest pain, hematemesis // eval for free air TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11065923
A right internal jugular catheter is in-situ, the tip is in the mid SVC. The patient is intubated, the endotracheal tube terminates 3 cm above the carina. A nasogastric tube is in-situ, the tip is out of view but below the diaphragm. Left basal opacity is unchanged, likely reflecting atelectasis but superimposed infection cannot be excluded. The right lung base appears clear, there is elevation of the right hemidiaphragm.
50217938
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/ CD h/o L hemicolectomy, most recent s/p completion colectomy; now w anastomotic leak s/p diverting illestomy with open abdomen // Interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___
No significant interval change when compared to the prior study
11065923
an ET tube is in-situ, the tip is approximately 2.9 cm above the carina. An nasogastric tube is in-situ, the tip is not visualized the lies below the left hemidiaphragm. A right internal jugular catheter terminates near the cavoatrial junction. Lung volumes are slightly low with elevation of the right hemidiaphragm. This resulting crowding of the pulmonary bronchovascular structures and likely accounts for the prominence of the pulmonary vasculature. No frank pulmonary edema is seen. No consolidation or pneumothorax. There is minimal bibasilar atelectasis. No definite pleural effusion.
53519274
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with open abdomen, intubated, post-op // cardiopulmonary process TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___
No significant interval change when compared to the prior study.
11065923
The patient has been extubated. There is a right IJ which terminates in the cavoatrial junction. There is an NG tube with the side hole below the diaphragm, however the tip is not visualized on this image. There are bibasilar patchy opacification, worse on the right. The left pleural effusion appears unchanged. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
59821646
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with post-extubation // please evaluate TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___.
Appropriate positioning of right IJ and NG tube. Increasing opacification of right lung base, which may represent atelectasis, aspiration, or pneumonia. Unchanged left pleural effusion.
11862905
The cardiomediastinal silhouette is likely within normal limits, although mild cardiomegaly is difficult to exclude given appearance, likely mildly accentuated due to low lung volumes. The hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. Surgical clips project over the abdomen.
54624170
INDICATION: ___-year-old female with altered mental status, evaluate for evidence of pneumonia. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: None available.
Low lung volumes. Borderline mild cardiomegaly. Otherwise, no acute cardiopulmonary process.