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11067735 | Linear bibasilar opacities, right greater than left are most likely atelectasis. Superiorly, lungs are clear. There is no pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 55492820 | INDICATION: ___F with SOB, pancreatitis // pulm edema TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ at 10:47. | Bibasilar opacities likely atelectasis. Small superimposed effusions or infection are possible. |
11278868 | As compared to the prior exam dated ___, there has been minimal significant interval change. The lung volumes are noted to be low. No focal consolidation, pneumothorax, pleural effusion, or pulmonary edema is identified. The right hemi-diaphragm is noted to be elevated, unchanged from prior the previous exam. The heart is normal in size. The aorta is again noted to be calcified and somewhat tortuous. No bony abnormalities are detected. | 56138512 | HISTORY: Malaise, chills, and recurrent fever. Evaluate for possible pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to radiographs dated ___. | No radiographic evidence for acute cardiopulmonary process. Findings were conveyed by Dr. ___ to Dr. ___ ___ telephone at 09:45 on ___, at the time of discovery. |
11101319 | NG tube extends into the stomach but the location of the tip and side port cannot be determined on this radiograph. Heart size is normal. The mediastinal and hilar contours are normal. Mild elevation of pulmonary venous pressure. No focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is increased. | 53319951 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NG tube placed for meds // eval NG tube position COMPARISON: Chest radiographs from___ | The location of the NG tube tip and side port cannot be determined on this radiograph. Another radiograph may be performed with the top of the film around the carina and use of the same technique as for an abdominal image. Mild elevation of pulmonary venous pressure. Increased bibasilar atelectasis. |
11669958 | The lung volumes are low with mild secondary widening of the cardiomediastinal silhouette and mild vascular engorgement. There is no pleural effusion. No pneumothorax. No focal lung consolidation. | 56166181 | INDICATION: Patient with abdominal pain. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: There are no comparison studies available. | No acute cardiothoracic process. |
11486363 | A right subclavian central venous catheter terminates at the mid SVC. The heart size is normal. There is no pneumothorax, focal consolidation, or pleural effusion. Bibasilar linear opacities are unchanged, compatible with atelectasis. | 57452119 | INDICATION: AML, on induction chemotherapy, with new fever. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | Bibasilar atelectasis. No consolidation detected. |
11486363 | There has been interval progression of multifocal bronchopneumonia, with hazy opacities throughout the perihilar regions, and middle/lower lobes. Tiny bilateral pleural effusions are present. Heart size is at the upper limits of normal. | 52528631 | INDICATION: ___-year-old male with AML, treatment failure, and pneumonia. COMPARISON: Chest radiograph from ___ and CT chest from ___. CHEST, PA AND | Interval worsening of multifocal opacities, most likely bronchopneumonia, though recurrent lymphoma can have a similar appearance. |
11486363 | PA and lateral views of the chest were obtained. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54978780 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. HISTORY: Leukemia, assess for CHF. | No acute intrathoracic process. |
11933892 | The endotracheal tube terminates approximately 6 cm above the carina. A nasogastric tube courses through the stomach and out of view. The heart is mildly enlarged. The lung volumes are low, with mild degree of pulmonary edema. There is dense opacity in the retrocardiac left lung base, consistent with collapse and/or consolidation. | 52114862 | INDICATION: ___-year-old man status post intubation, to assess change in the ET tube position. COMPARISON: Chest radiograph done earlier today at ___ hours. SEMI-ERECT PORTABLE CHEST | Interval advancement of the ET tube, with the tip terminating 6 cm above the carina. Mild pulmonary edema and left lower lobe collapse and/or consolidation. |
11933892 | Endotracheal tube ends approximately 8.5 cm above the carina. Nasogastric tube courses through the stomach and out of view. There is mild cardiomegaly. The hilar and mediastinal contours are within normal limits for technique. The lung volumes are low, with dense opacity in the retrocardiac left lower lobe, likely atelectasis. There are diffuse interstial and opacities in both lungs with small areas of confluence bilaterally, likely reflecting pulmonary edema. | 52761173 | WET READ: ___ ___ ___ 1:48 AM 1. Endotracheal tube tip terminates 8.5 cm above the carina. Recommended further advancement for optimal positioning. 2. Mild cardiomegaly and mild pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with GI bleed status post intubation to assess tube placement. COMPARISON: None available. PORTABLE AP CHEST | Endotracheal tube tip terminates 8.5 cm above the carina. Recommended further advancement for optimal positioning. NGT beneath diaphragm, off film. Cardiomegaly. Bilateral opacities, likely reflecting mild pulmonary edema. Left lower lobe collapse and/or consolidation. |
11933892 | A single portable semi-erect chest radiograph was obtained. Low lung volumes accentuate cardiomegaly and prominence of the hilar vasculature and interstitium. Nonetheless, pulmonary vascular congestion has increased. Bibasilar atelectasis and a small left effusion are also present. No new focal consolidation, or pneumothorax is present. A left-sided subclavian catheter tip terminates in the mid SVC. A nasoenteric tube extends inferiorly out of the field of view. | 56152891 | INDICATION: ___-year-old man with cough. COMPARISONS: ___ to ___. | Decreased lung volumes and increased pulmonary vascular congestion. |
11933892 | The endotracheal tube ends approximately 3.5 cm above the carina. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Again seen is stable dense opacity in the retrocardiac left lung base. Also seen are streaky opacities and mild volume loss in the right lung base indicative of atelectasis. There is mild improvement in the pulmonary edema. A small left pleural effusion is likely present. There is no pneumothorax. | 57705965 | INDICATION: ___-year-old man with GI bleed with cuff leak, requiring urgent ET tube replacement. COMPARISON: Chest radiograph done earlier today at 4:47 a.m. PORTABLE AP CHEST | Endotracheal tube is now optimally positioned with the tip 3.5 cm above the carina. |
11933892 | A single portable semi-erect chest radiograph is obtained. Exam is limited by low lung volumes and portable technique. Increased hilar indistinctness and increased azygous distension suggest worsening pulmonary edema. Atelectasis at the left base is unchanged. Retrocardiac opacity is more conspicuous; the left hemidiaphragm is completely obscured. | 50909715 | INDICATION: ___-year-old man with severe right-sided pneumonia and worsening hypoxia. COMPARISONS: ___ to ___. | Interval increase in mild to moderate vascular congestion. Increased retrocardiac opacity could reflect atelectasis versus consolidation. |
11963337 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. A tiny radiodensity projecting over the underside of the right posterior tenth rib does not have definite correlate on lateral view and could potentially represent a small calcified granuloma. There is no pneumothorax, vascular congestion or pleural effusion. | 51840556 | INDICATION: ___-year-old male with chest pain. COMPARISON: None available. | No acute cardiopulmonary process. Tiny radiodensity projecting over the right posterior tenth rib could represent a small calcified granuloma. |
11025227 | There is mild cardiomegaly. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. Visualized osseous structures are grossly unremarkable. | 57231466 | INDICATION: ___-year-old female patient with hypertension, hyperlipidemia, presenting with chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | Mild cardiomegaly with no radiographic evidence of an acute cardiopulmonary process. |
11496501 | The lung volumes are low. There is mild right lower lung atelectasis. The heart size is top normal. Mild interstitial pulmonary edema is difficult to exclude. There are no definite pleural effusions. No pneumothorax is seen. A right Port-A-Cath ends in the mid SVC. | 55415994 | INDICATION: Altered mental status with mild hypoxia. History of brain malignancy. COMPARISON: Outside hospital chest radiograph from ___. | Low lung volumes. No focal consolidation. Mild interstitial pulmonary edema is difficult to exclude. |
11496501 | Right-sided Port-A-Cath terminates in the mid SVC. The lungs are low in volume with fullness of the azygos vein and mild interstitial prominence which could reflect early pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. The heart is top-normal in size with normal mediastinal and hilar contours. | 50735719 | HISTORY: Altered mental status. TECHNIQUE: 2 views of the chest. COMPARISON: None. | Possible mild pulmonary edema. |
11849839 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. | 58871368 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Near syncope. COMPARISON: ___. | No acute cardiopulmonary process. |
11849839 | Allowing for patient lordotic positioning, cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no large pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality. | 55325419 | EXAMINATION: Chest radiograph INDICATION: ___-year-old male with hypotension and abdominal pain. TECHNIQUE: Single AP upright portable chest radiograph. COMPARISON: Radiograph dated ___. | No acute intrathoracic abnormality. |
11410807 | The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. Heart size is normal. Mediastinum is not widened. No acute osseous abnormality on this nondedicated exam. | 55222420 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man presenting after fall with pain on deep inspiration. Rule out pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No pneumothorax. No obvious fracture. Dedicated rib films is recommended corresponding to the area of focal exam findings if there is concern of fracture. |
11419836 | PA and lateral chest views were obtained with patient upright position. Poor inspirational effort with high positioned diaphragm conceal portion of cardiac shadow which makes assessment of heart size difficult. On the lateral view in which the inspiration was better, suspicion for cardiomegaly cannot be confirmed. There is no configurational abnormality. The thoracic aorta is of ordinary ___ but slightly elongated. No local contour abnormalities are seen. The pulmonary vasculature is not congested. There are no signs of pleural effusions in either lateral or posterior pleural sinuses. No evidence of acute or chronic pulmonary parenchymal infiltrates are present. No pneumothorax exists in the apical area on the frontal view. Considering patient's history of bilateral lower extremity edema, it is noteworthy that the azygos vein is not distended. Thus, there is no radiographic evidence of right-sided cardiac in-flow impairment. Skeletal structures of the thorax are grossly unremarkable. Our records do not include a previous chest examination available for comparison. | 57258265 | DATE: ___. TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with new bilateral lower extremity edema. Evaluate for volume overload, cardiomegaly. | No evidence of significant cardiomegaly or pulmonary vascular congestion in this patient with history of bilateral lower extremity edema. |
11962475 | The cardiomediastinal and hilar contours are within normal limits. No CHF, focal infiltrate or consolidation, pleural effusion or pneumothorax detected. | 52138603 | EXAMINATION: Chest radiograph INDICATION: History: ___F with 1 week cough, productive sputum // Eval for infectious process TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute pulmonary process. |
11688158 | Lung volumes are low, exaggerating the cardiomediastinal contours, which are otherwise unremarkable. No focal consolidations concerning for pneumonia identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable. | 55095694 | INDICATION: History: ___M with CP // evidence of pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: None. | No evidence of a pneumothorax. |
11651122 | There is no focal consolidation. There is no pleural effusion or pneumothorax. Extensive anterior bridging osteophytes in the thoracic spine may represent DISH. There is preservation of the disc spaces. The previously seen interstitial lung changes are better seen on CT from six days ago. | 55904084 | INDICATION: Cough. COMPARISON: Chest radiograph on ___. Chest CT on ___. | No evidence of acute cardiopulmonary process. Interstitial lung changes are better seen on CT from ___. Extensive anterior bridging osteophytes in the thoracic spine with preservation of the disc spaces may represent DISH. |
11443083 | Portable view of the chest demonstrates clear lungs. Cardiac silhouette is normal size. No pleural effusion or pneumothorax. | 53679402 | HISTORY: Elevated white blood cell count. COMPARISON: ___. | No evidence of pneumonia. |
11443083 | ET tube ends 3.6 cm above the carina. NG tube passes into the stomach and out of view. A new right lower lung opacity is concerning for aspiration or early pneumonia. Normal cardiomediastinal silhouette. No pleural effusion or pneumothorax. | 58165529 | HISTORY: Status post seizure with trauma, evaluate for interval change. COMPARISON: ___. | New right lower lung opacity concerning for aspiration or early pneumonia. Telephone notification to Dr. ___ by Dr. ___ at 11:00 on ___, 10 minutes after discovery. |
11443083 | The cardiac, mediastinal and hilar contours are unremarkable. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax. | 52657995 | INDICATION: ___-year-old male with shortness of breath, evaluate for pneumonia. COMPARISON: Portable chest radiograph ___. PA AND LATERAL CHEST | No acute cardiopulmonary process. |
11716192 | There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is top normal. The hilar and mediastinal structures are unremarkable. | 51828993 | HISTORY: Chest pain and vomiting. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. FRONTAL AND LATERAL VIEWS | No acute cardiopulmonary process. |
11850611 | Single portable frontal chest radiograph demonstrates intact median sternotomy wires. Low lung volumes with bibasilar atelectasis. No pleural effusion or pneumothorax. No focal opacity. Prominent perihilar interstitial opacities with cephalization is post consistent with mild vascular congestion. No focal opacity. Aortic arch calcifications are noted. Mild prominence of the heart size is likely related to low lung volumes and patient positioning. Mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are unremarkable and visualized upper abdomen is within normal limits. | 51218856 | INDICATION: ___M with altered mental status, hypoxia. Assess for pneumonia. COMPARISON: None. | Mild vascular congestion. No evidence of pneumonia. |
11312381 | PA and lateral views of the chest. There are persistent streaky linear opacities at the lung bases compatible with scarring. There is also mild pleural-based scarring at the left lung base laterally. The lungs are clear of consolidation. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected. | 54948208 | HISTORY: ___-year-old man with cough. COMPARISON: ___. Chest CT from ___. | No acute cardiopulmonary process. |
11312381 | The heart is normal in size. The lung volumes are low. There is a patchy left basilar opacity that appears unchanged and is likely due to minor atelectasis or scarring, probably within the lingula. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change aside from removal of a venous catheter. | 53093122 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11312381 | PA and lateral views of the chest were reviewed and compared to the prior study. Mid left lung and bilateral basilar linear opacities are unchanged since ___ and likely represent scarring. Unchanged low lung volumes likely represent chronic volume loss due to scarring. The lungs are clear without focal consolidation, vascular congestion, pleural effusion, or pneumothorax. The heart and mediastinal contours are normal. | 55358607 | INDICATION: Evaluation for pneumonia in a patient with systemic lupus erythematous and end-stage renal disease, on immunosuppressive therapy. COMPARISON: Multiple chest radiographs, the most recent ___ and CT chest, ___. | No radiographic evidence of pneumonia. |
11432100 | The cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. There is no pleural effusion or pneumothorax. The lungs appear clear. | 58821669 | EXAMINATION: Chest radiographs. INDICATION: Weight loss and fatigue. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11946585 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | 56312509 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with new neurological changes // eval for infiltrate, edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11782659 | PA and lateral views of the chest. There is left basilar region of consolidation with a somewhat linear configuration. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. No free air seen below the diaphragm. | 51460053 | HISTORY: ___-year-old male recent trip and pleuritic left-sided chest pain. COMPARISON: None. | Left lower lobe region of consolidation potentially due to atelectasis although infection could be considered in the appropriate clinical setting. |
11707288 | PA and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. A rounded sclerotic focus projecting over the lower T-spine on the lateral view is compatible with a bone island on the prior CT from ___. Cardiomediastinal silhouette is normal. No pneumothorax or effusion. Bony structures are intact. | 51598036 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Continuing cough, question pneumonia. | No acute findings in the chest. |
11707288 | Frontal and lateral views of the chest were obtained. Lungs are hyperinflated. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. Sclerotic focus in the inferior anterior aspect of a lower thoracic vertebral body projecting over inferior anterior lower thoracic vertebral body is stable reportedly, previously characterized as a bone island on prior CT. The cardiac and mediastinal silhouettes are unremarkable. Minimal basilar atelectasis is seen. | 59196150 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dyspnea. COMPARISON: ___. | No acute cardiopulmonary process. |
11770965 | Portable single frontal chest radiograph was obtained. Support and monitoring devices are unchanged in position. A left basal chest tube remains in place. There is a small left apical pneumothorax. No appreciable pneumothorax is seen on the right side. There are increased diffuse bilateral opacities. The cardiomediastinal silhouette and hilar contours are stable. | 57867331 | HISTORY: Patient with right pneumothorax, eval pneumothorax. COMPARISON: Frontal portable chest radiograph performed earlier on the same day on ___. | Small left apical pneumothorax. No right sided pneumothorax appreciated. Increased bilateral opacities, which may reflect worsening pulmonary edema or superimposed pneumonia. |
11770965 | There is a new opacity causing obscuration of the left cardiac border concerning for developing pneumonia. No pleural effusion or pneumothorax is identified. The heart size is top normal. The patient is status post median sternotomy and CABG. A previously seen right internal jugular catheter has been removed. | 55661474 | INDICATION: Shortness of breath. Fever and cough. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___. | Findings concerning for pneumonia, likely within the lingula. |
11770965 | Again seen is moderate cardiomegaly. There is a Swan-Ganz catheter which appears to terminate in the main pulmonary artery. There are bilateral chest tubes which appear to be in appropriate position. The OG tube appears to terminate in the body of the stomach. There is a stable small right pleural effusion. There is stable opacification of the bilateral lung bases likely secondary to pulmonary edema and adjacent mild bibasilar atelectasis. The upper lung zones are not visualized on this exam. | 52119425 | INDICATION: History of pulmonary edema. History of OG tube placement. Please evaluate location of an OG tube. COMPARISONS: Multiple chest radiographs dating back to ___. TECHNIQUE: Single AP portable exam of lower chest. | OG tube appears to extend below the diaphragm with the tip likely in the body of the stomach. |
11762722 | There is mild rightward rotation of the patient on the current radiograph. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. There is no pulmonary vascular congestion. Lungs are hyperinflated. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. | 59035236 | WET READ: ___ ___ ___ 7:46 AM No focal lung consolidations identified. Hyperinflated lungs. WET READ VERSION #1 ___ ___ ___ 3:40 AM Peribronchial cuffing primarily involving the lower lobes is suggestive of small airways inflammation. No focal lung consolidations identified. Hyperinflated lungs. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: History: ___M with asthma exacerbation, ___ symptoms, cough // ? pneumonia TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: Chest x-ray ___. | No focal lung consolidations identified. Hyperinflated lungs. |
11636169 | Evaluation is limited by underlying board and supine positioning. The second radiograph demonstrates ET tube within the right main stem bronchus. Lung volumes are low with mild pulmonary edema. No large pneumothorax is identified on this supine radiograph. There is severe cardiomegaly. The patient is status post median sternotomy with fracture of the second and fourth median sternotomy wires. Epicardial pacing wires are noted. There is gaseous distention of the stomach, partially imaged. | 50819334 | INDICATION: Cardiac arrest. Evaluation for tube position. TECHNIQUE: Supine radiographs of the chest. COMPARISON: None available. | Endotracheal tube within the right main stem bronchus. Pulmonary edema with severe cardiomegaly. Findings regarding ETT discussed with Dr. ___ at 4:20 p.m., ___. |
11529787 | The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. Mild left apical pleural thickening is noted. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is deviated to the right in the neck by a large dominant left thyroid nodule, as seen previously. | 54187540 | HISTORY: Near-syncope and dyspnea, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. Technique: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11529787 | 2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Rightward deviation of the upper trachea due to a large dominant left thyroid nodule is unchanged. | 54637453 | HISTORY: Chest pain. COMPARISON: ___. | No acute intrathoracic process. |
11529787 | The heart size is normal. The aorta is mildly tortuous, otherwise the hilar and mediastinal contours are normal. The trachea is deviated to the right likely from a dominant left thyroid nodule. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 59185916 | INDICATION: History of chest discomfort and palpitations. Please evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___. | No acute intrathoracic abnormalities identified. Dominant left thyroid nodule, with tracheal deviation to the right, overall similar in appearance compared to the prior exam from ___. |
11539507 | The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. There is a tiny amount of subdiaphragmatic free intraperitoneal air under the right hemidiaphragm, which is an expected finding in a recently postoperative patient. The stomach is moderately distended with air. Visualized bowel loops in the upper abdomen are unremarkable. | 57085061 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p lap ileocecectomy with tachycardia to 145 // please evaluate for respiratory process, free air, or large gastric bubble TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: No prior chest x-ray available for comparison. Correlation made to CT abdomen/ pelvis dated ___. | Tiny amount of expected postoperative free intraperitoneal air under the right hemidiaphragm. Clear lungs. |
11539507 | A PICC line terminates at the cavoatrial junction. There are two pigtail catheters projecting over the left upper quadrant, one lateral and the other shortly to the left of midline. Small bilateral pleural effusions are probably unchanged, again greater on the left than right. The lungs appear clear. There is no pneumothorax. | 51739801 | EXAMINATION: CHEST RADIOGRAPH INDICATION: PICC line placement. TECHNIQUE: Chest, portable AP upright. COMPARISON: Radiographs from ___ and CT dated ___. | PICC line appropriately positioned. Small persistent bilateral pleural effusions. Two pigtail catheters projecting over the left upper quadrant of the abdomen. |
11362126 | The NG tube is unchanged, and its distal end is not included in the exam. The side hole is, however, in the stomach. Left lower lobe pneumonia with small pleural effusion is unchanged. The right lung is unremarkable. ET tube ends 3.1 cm above the carina, and right jugular line is in upper SVC. There is no pneumothorax. | 54874520 | PORTABLE AP CHEST X-RAY INDICATION: Patient with NG tube placement. COMPARISON: ___ at 5:40 a.m. | There is no significant change since previous exam. NG tube is in adequate position. |
11362126 | ET tube is 4.3 cm from the carina. A right IJ central catheter terminates in the mid SVC. NG tube is below the diaphragm. The right lung is clear. On the left, there continues to be extensive opacification involving the lateral aspect of the mid to lower lung zone consistent with pneumonia, and possibly aspiration. The upper lung demonstrates increased aeration. | 58889129 | INDICATION: ___-year-old female with past medical history of COPD and asthma, transferred from outside hospital with left lower lobe pneumonia, went into PEA arrest upon revival to MICU with resuscitation on ___ Sun cooling protocol, position of ET tube. COMPARISONS: Chest radiograph from ___. | ET tube 4.3 cm above the carina. Unchanged apperance of left lower lung zone opacity. |
11362126 | Overall, there is no significant interval change in large left-sided airspace opacification consistent with pneumonia. A relative lucency in the left base likely represents a small amount of aerated lung adjacent to the consolidation. No definite pneumothorax is seen. There may be a small left pleural effusion. The heart size appears within normal limits. An endotracheal tube is in standard position. A right internal jugular central venous catheter tip reaches the upper SVC. An esophageal catheter is in place with tip in the stomach, however, side port likely within the distal esophagus or just at the gastroesophageal junction. | 51229494 | INDICATION: History of COPD. Intubated status post cardiac arrest. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: Radiograph dated ___ obtained at approximately 7:30 p.m. | No significant change in extensive left-sided pneumonia. Esophageal catheter with tip in stomach, however, side port in distal esophagus or at the gastroesophageal junction and should be advanced to ensure side port is within the stomach. |
11362126 | AP single view of the chest has been obtained with patient in semi-erect position. Analysis is performed in direct comparison with the next preceding similar study obtained eight hours earlier during the same day. Positions of previously described ETT and right internal jugular approach central venous line are unchanged. No pneumothorax has developed. The previously identified extensive pulmonary infiltrates in the left hemithorax remain. They have been located on previous CT (___) to involve almost exclusively the left upper lobe and extending into the lingula. These abnormalities persist and have not undergone any major interval change since the next preceding examination. As has been reviewed on previous examinations, pulmonary vasculature never showed any conclusive evidence for marked venous congestion, and there is no evidence for pulmonary congestive edema. On this latest portable image, one can identify a small stent resembling metallic structure, approximately 7 mm wide and 12 mm long, overlying the area of the left main bronchus. It is unclear from the chest film if this relates to any intrabronchial intervention. An NG tube reaches well below the diaphragm and terminates in the moderately gas-distended stomach. | 50128638 | TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old female patient with past medical history of COPD and asthma, transferred from outside hospital with left lower lobe pneumonia. Went into PEA arrest upon arrival to MICU. Status post resuscitation on ___ Sun cooling protocol. Is there any pulmonary edema? | No radiographic evidence of cardiogenic pulmonary edema. |
11362126 | No significant interval change is seen in widespread left-sided opacification consistent with extensive pneumonia. No pneumothorax is identified. A small left pleural effusion may be present. An endotracheal tube is in standard position. A right internal jugular venous catheter tip is in the SVC. An esophageal catheter is in place with tip in the stomach and side port at the region of the gastroesophageal junction. | 53469672 | INDICATION: Status post cardiac arrest and resuscitation. Interval evaluation. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: Multiple prior examinations, most recent of the same date obtained approximately one hour prior. | No significant change in widespread left-sided pneumonia. Esophageal catheter with tip in the stomach and side port at the level of the gastroesophageal junction and should be advanced to ensure side port within the stomach. |
11362126 | There has been a significant improvement of left lower lobe pneumonia. There are only some residual opacities at costodiaphragmatic sulcus. There is no pleural effusion or pneumothorax. NG tube is in adequate position. Right jugular line has been removed. | 53806649 | PORTABLE AP CHEST X-RAY INDICATION: Patient with left lower lobe pneumonia, PEA arrest, extubated, rising white blood cell count despite treatment course for staph pneumonia. COMPARISON: ___. | Significant improvement of left lower lobe pneumonia. |
11707635 | There is no consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air. | 55560888 | EXAMINATION: Chest radiograph INDICATION: History: ___F with assault, pain in R forehead, R lateral orbit, c-spine, focal tenderness to T12/L1 // Eval for acute process, intracranial bleed, facial fracture, rib fracture, spinal fracture TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
11707635 | The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy. | 53919192 | INDICATION: ___F with 3 days of malaise + cough and congestation // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11707635 | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded. A new subtle opacity at the right medial lung base corresponds with increased opacity overlying the heart on the lateral view, likely represents pneumonia in the correct clinical setting. The upper abdomen is unremarkable. There are no acute osseous abnormalities. | 50566445 | EXAMINATION: Chest radiograph INDICATION: ___F with green productive cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Right middle lobe pneumonia. |
11707635 | Lung volumes are low. Increased airspace opacities noted at the medial right lung base. The upper lung fields and left lung are clear. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits allowing for low lung volumes. | 56085222 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with fever, green sputum diabetes // PNA TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen and pelvis dated ___. | A subtle right lower lobe airspace opacity which may represent atelectasis, although superimposed infection is not excluded in the appropriate clinical context. |
11965752 | Single portable view of the chest. Given differences in technique compared to most recent CT scan, there has been no definite change. Increased interstitial markings seen throughout the lungs particularly at the bases left greater than right has not definitely changed. Low lung volumes are again seen. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected. | 50232183 | HISTORY: ___-year-old male with hypoxia. COMPARISON: Chest x-ray from ___. Chest CT from ___. | No definite acute cardiopulmonary process noting that subtle change could easily be obscured given background of changes compatible with known pulmonary fibrosis. |
11965752 | The inspiratory lung volumes remain low. The bilateral costophrenic angles are visualized and no significant pleural effusion is noted on the lateral view. There is increased opacification of the left lung base, which is new from prior studies of ___. This opacification is seen in the setting of background reticular pattern with predominance in the lung bases, although the upper lungs are also affected. The cardiomediastinal silhouette is accentuated by the low lung volumes but appears within normal limits and unchanged. | 53293984 | WET READ: ___ ___ ___ 4:57 PM Left basilar pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: Cough, here to evaluate for pneumonia. COMPARISON: Prior chest radiographs dated ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | Left basilar pneumonia. Background pulmonary fibrosis and low lung volumes. |
11743551 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen. | 51619800 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with transient numbness // eval cardiomegaly, infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11123456 | A right pleural catheter ends in the right perihilar region, as before. There is a substantially increased moderate right hydropneumothorax. A trace left pleural effusion is new. There is minimal bilateral lower lobe atelectasis. Post-operative changes are seen in the right perihilar region, as before. The heart size is normal. Wedge compression deformities within the thoracic spine are not significantly changed compared to radiographs dating back through ___. | 51475196 | INDICATION: History of lung cancer, status post right upper lobectomy. Assess lung. COMPARISON: Chest radiograph from ___. | Increased moderate right hydropneumothorax. Trace left pleural effusion. Minimal bilateral lower lobe atelectasis. Pertinent findings were discussed with by Dr. ___ by Dr. ___ at 11:31 a.m. via telephone on the day of the study, immediately after discovery of the findings. |
11123456 | The patient is status post right upper lobectomy with unchanged right hilar opacity along the resection margin, grossly similar compared with the prior CT. Heart size is moderately enlarged, increased compared to the previous chest radiograph. Pulmonary vasculature is not engorged. Mediastinal contour is similar. New left basilar opacity is demonstrated with a small to moderate size left pleural effusion. No pneumothorax is identified. There is diffuse demineralization of the osseous structures with multiple compression deformities re- demonstrated, not substantially changed from the previous CT. | 57510538 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath, lung cancer TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ and chest radiograph ___ | New small to moderate size left pleural effusion and left basilar opacity concerning for pneumonia. Right hilar opacity along the resection margin remains concerning for disease recurrence, better assessed on the previous CT. |
11123456 | Small right pleural effusion persists. There has been interval resolution of the left pleural effusion. The amount of air within the right apical postsurgical air-fluid collection has decreased. No focal consolidation is seen. The left lung is both compensatorily and pathologically hyperinflated. Heart and mediastinal contours are stable, with top normal heart size, aortic tortuosity and calcification. Mid thoracic vertebral body compression deformity appears unchanged since at least ___. | 55843582 | HISTORY: ___-year-old female status post VATS right upper lobectomy. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Interval decrease in amount of air within the right apical postsurgical air-fluid collection. Interval resolution of small left pleural effusion with persistent small right basilar pleural effusion. |
11123456 | The cardiac silhouette size remains mild to moderately enlarged. The aorta is tortuous. Right juxtahilar mass resulting in right middle lobe collapse appears unchanged compared to the previous exams. Lungs are hyperinflated with emphysematous changes again demonstrated. Small bilateral pleural effusions persist. Left lower lobe atelectasis is again noted, and no new focal areas of consolidation are present. Scarring within the lung apices is re- demonstrated. The patient is status post right upper lobectomy. No pneumothorax is present. Multiple compression deformities within the mid and lower thoracic and upper lumbar spine are unchanged. | 52867394 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with blood in stool, history of lung cancer status post right upper lobectomy TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___, chest radiograph ___ | No interval change from the previous exam. Similar appearance of right juxta hilar mass and right middle lobe collapse. Small bilateral pleural effusions and left lower lobe atelectasis. |
11123456 | Frontal and lateral views of the chest. Postoperative changes of right upper lobectomy are again seen. The lungs are hyperinflated but clear of consolidation. The appearance of the cardiomediastinal silhouette is unchanged with fullness in the suprahilar region on the right as previously seen. No acute osseous abnormality is identified. Compression deformities in the upper lumbar spine are as previously seen. | 56132771 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with past medical history of lung cancer, currently on XRT, with increased shortness of breath. COMPARISON: PET-CT from ___ and chest x-ray from ___. | No definite acute cardiopulmonary process. |
11872030 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on this single view. Heart and mediastinal contours appear stable. Healing right 7th rib fracture is noted. No acute fracture is detected. Cervical spine hardware is incompletely evaluated on this study. | 56640220 | HISTORY: ___-year-old male status post fall with subdural hematoma. TECHNIQUE: Frontal radiograph of the chest was obtained portably with the patient in an upright position. COMPARISON: ___. | No acute findings detected on this single frontal view. |
11095671 | The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal. Contrast material is noted throughout the colon consistent with patient's history of oral contrast administration. No free air is noted under the hemidiaphragms. | 55223427 | INDICATION: Evaluation of patient with fever. COMPARISON: CT abdomen and pelvis from ___. | No acute cardiopulmonary process. |
11797487 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54796819 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11797487 | The lungs are grossly clear without focal consolidation, pleural fusion pneumothorax. The heart is normal in size, and there is no pulmonary edema. The mediastinal contours are normal. | 51262262 | INDICATION: ___ year old woman with worsening asthma exacerbation, now productive cough. Evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___, ___. And ___. | No radiographic evidence for pneumonia. |
11266435 | The heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity and hilar contours are normal. Interstitial opacities are noted at both lung bases, suggestive of a chronic changes. No pleural effusion, focal consolidation, or pneumothorax is present. No displaced rib fractures are noted. There are mild degenerative changes of the thoracic spine. | 51458422 | INDICATION: Trauma to lateral right eighth and ninth rib. COMPARISON: None. PA AND LATERAL VIEWS OF THE | No displaced rib fractures noted, though evaluation of the right-sided ribs is somewhat limited. If there is continued clinical concern, a dedicated rib series can be obtained. Interstitial opacities in the lung bases, suggestive of an underlying chronic interstitial lung disease. This can be further assessed with a chest CT. |
11534575 | Heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51971110 | HISTORY: Congestion, fatigue, new onset atrial fibrillation. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11454874 | Right-sided Port-A-Cath is seen terminating in the low SVC without evidence of pneumothorax. There is mild diffuse increase in interstitial markings bilaterally which may be due to mild interstitial edema versus atypical infection. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips overlie the left chest wall and the right upper quadrant. | 53354616 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, fevers, recent chemo // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Mild diffuse increase in interstitial markings bilaterally may be due to mild interstitial edema or atypical infection. |
11725800 | As compared to chest radiograph from earlier today, small pneumothorax in the left apex is more apparent. A left-sided pigtail catheter remains in similar position. Right IJ catheter and nasogastric tube also in similar position with the first side port near the gastroesophageal junction. Bilateral pleural effusions and bibasilar opacities have not suggests unchanged. | 58547298 | INDICATION: ___ year old woman with pneumothorax and hypotension // increase in pneumothorax TECHNIQUE: Portable | Small left-sided hydropneumothorax more apparent than the prior. |
11725800 | As compared to chest radiograph from yesterday, small left apical pneumothorax is unchanged. Bilateral pleural effusions with basilar opacities also have not substantially changed and likely represent a combination of fluid and atelectasis. Support apparatus is unchanged. | 59868254 | INDICATION: ___ year old woman with hydropneumothorax, question pna // interval study TECHNIQUE: Portable | Left hydro pneumothorax has not significantly changed and remains small. |
11725800 | As compared to chest radiograph from the same day, overall no substantial change in the left hydro pneumothorax, pneumomediastinum and substantial subcutaneous air. Left basilar opacities are constant likely atelectasis. Scarring in the right hilus and hyperinflation unchanged. | 50518343 | INDICATION: ___ year old woman with subcutaneous emphysema post op day 6 post L VATS wedge // check interval change TECHNIQUE: Chest PA and lateral | Overall no substantial change of the left hydro pneumothorax. |
11725800 | A small left apical pneumothorax is stable from ___. Small bilateral pleural effusions appear unchanged. Indwelling support and monitoring devices are stable and in appropriate position. Bibasilar and right perihilar opacities are stable. | 52714422 | INDICATION: ___ year old woman with LLL wedge and mediastinal LN dissection // interval change on am rounds TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiographs since ___, most recently ___. CT of the chest from ___. | Small left hydropneumothorax stable from ___. No significant interval change. |
11725800 | Cardiac size is top-normal. Small left pneumothorax has decreased. Small left pleural effusion has increased. left chest tube remains in place. Patient has severe emphysema. Bilateral post radiation changes are again noted. Right upper lobe opacity better evaluated on prior CT from ___. Wedge shaped deformities in mid thoracic vertebral bodies are again noted. Left chest wall subcutaneous emphysema is grossly unchanged | 57170167 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p VATS LLL wedge resection // ?pneumo TECHNIQUE: Chest PA and lateral COMPARISON: ___ | There has been mild interval decrease in the left pneumothorax and minimally increase in small left pleural effusion |
11725800 | Slightly rotated positioning. Compared to the prior study, there has been considerable clearing of the previously seen right apical opacity, suggesting that it represented atelectasis. The right base effusion is probably slightly larger. Again seen is upper zone redistribution and diffuse vascular blurring, consistent with CHF, with small right-greater-than- left pleural effusions and underlying bibasilar collapse and/or consolidation. The presence of pneumonic infiltrate at the bases cannot be excluded. Left pigtail catheter, with extensive left-sided subcutaneous emphysema is again noted. No pneumothorax is identified. ET tube the carina is not well delineated, but the ET tube probably lies between 2.9 and 4.1 cm above the carina. An NG tube is present, tip extending beneath diaphragm, off film. The sideport overlies the stomach. Right IJ line is again seen, tip at cavoatrial junction. | 55367992 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute respiratory failure, PNA // interval change COMPARISON: Chest x-ray from ___ at 05:01 | CHF with right-greater-than-left effusions and underlying bibasilar collapse and/or consolidation. The presence of pneumonic infiltrate at the bases cannot be excluded. Right apical opacity has improved considerably. Right effusion is still small, but larger than on the prior film. Left pigtail catheter similar in configuration. No pneumothorax detected. |
11725800 | Slightly rotated positioning. An ET tube is present, tip approximately 5.0 cm above the carina. An NG tube is present, tip and sideport overlying the stomach. A right IJ central line is present, tip overlying the distal SVC. A pigtail catheter overlies the left lung. There is extensive subcutaneous emphysema about the chest, left-greater-than- right. This obscures the presence of a subtle pneumothorax, particularly as the patient is supine and no lateral view is available. Allowing for this, no gross pneumothorax is identified. The cardiomediastinal silhouette remains midline. There is hazy and somewhat patchy opacity at both lung bases and probably also a smaller area of faint patchy opacity in the right upper zone. The right and question left cardiophrenic angles are obscured. There is upper zone redistribution and minimal vascular plethora. | 53348228 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pneumonia, pneumothorax // interval change . Review of prior imaging studies yields history of left lower lobe wedge resection and vats. COMPARISON: Chest x-ray from ___ at 22:05 | Left pigtail catheter in place. Extensive subcutaneous emphysema. No gross pneumothorax, but a subtle or anterior pneumothorax may not be apparent. Patchy opacities at both bases are compatible with pneumonic consolidation though atelectasis could be contributing to some degree. Possible small right and equivocal small left effusion. Upper zone redistribution and mild vascular plethora, consistent with early CHF. Small patchy opacity in the right upper zone appears new or more pronounced compared with the film from 1 day earlier, question atelectasis, new focal infiltrate, or area of aspiration pneumonitis. It could also represent an early area of more confluent CHF. |
11725800 | As compared to chest radiograph from 1 day prior, interval increase in the left hydro pneumothorax. There is a small amount of basilar and anterior left pneumothorax. The apical component is difficult to assess to the degree of a percutaneous emphysema. Mild pneumomediastinum. Increasing left basilar opacity and linear opacity extending superiorly can be subsegmental atelectasis. Right hilar distortion and volume loss are chronic. Heart size is normal. Subcutaneous emphysema is extensive. | 55005368 | INDICATION: ___ year old woman with h/o Lung CA s/p LLL wedge resection ___ now w/ diffuse soft tissue air. // Assess for interval change TECHNIQUE: Chest PA and lateral | Increasing left hydro pneumothorax. Stable extensive subcutaneous emphysema. |
11725800 | The cardiac, mediastinal and hilar contours are similar to the prior CT. New right apical opacity is more suggestive of active infection than malignancy. Areas of atelectasis in the superior segment of the right lower lobe as well as the right middle lobe appear similar to the prior examination. Vague opacity is present in the lingula, although the latter is not necessarily changed. The chest appears hyperinflated. There is no pleural effusion or pneumothorax. Two substantial mid thoracic compression deformities appear unchanged. The bones appear demineralized. | 57387939 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: History of small cell lung cancer presenting with hemoptysis. COMPARISON: CT from ___. TECHNIQUE: Chest, PA and lateral. | Impression: New right upper lobe opacity suggesting the possibility of active infection. Post-obstructive pneumonitis could be considered in the setting of some recent concern for increasing right hilar malignancy. |
11725800 | Compared to prior film, a pigtail catheter has been placed, left chest and the previously seen left-sided pneumothorax is no longer visualized. Given the degree of subcutaneous emphysema and supine positioning, a small or anterior pneumothorax minor be apparent on this film. Chain sutures noted in the left upper zone medially. There is patchy opacity in the left infrahilar and left lung base which appears more pronounced than on the prior study. A platelike area of atelectasis has improved. The left costophrenic angle is blunted, which could reflect some pleural fluid. Deformity of the of a left posterior posterolateral mid chest rib is compatible with prior surgery or trauma. Subtle angulation of 2 ribs along the left lower chest raises a question of more recent fractures, the lesion on confirmed on any CT obtained approximately 3 hr earlier. Opacities at the right lung base are again seen, possibly slightly improved. Blunting of the right costophrenic angle is compatible with a small effusion. There is vascular plethora, compatible with CHF. The ET tube , NG tube and right IJ line are nominal in position. | 57728050 | FINAL ADDENDUM ADDENDUM The report finalized under this clip number (clip ___) a few minutes ago, erroneously applies to a different chest x-ray examination, in particular to images obtained under (clip #___), several hours after this study. In fact, the current film (clip ___) shows a hydro pneumothorax along the periphery of the left chest wall, which has subsequently been treated with a pigtail catheter, as seen on the later film. Bilateral parenchymal opacities and probable small bilateral effusions are more completely visualized on the chest CT obtained at 19:07 p.m.. An ET tube and NG tubes are nominal in position. Extensive subcutaneous emphysema is noted. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hydropneumothorax s/p intubation // increase in hydropneumo with positive pressure ventilation? COMPARISON: Chest x-ray from ___ at 17:14 | Interval placement of left-sided pigtail catheter. Previous left-sided pneumothorax no longer visualized.Given the degree of subcutaneous emphysema and supine positioning, a small or anterior pneumothorax minor be apparent on this film. Vascular plethora, compatible with CHF. Bibasilar opacities, compatible with pulmonary infiltrates and/or changes secondary to aspiration. Small bilateral effusions. |
11725800 | Again demonstrated is extensive subcutaneous emphysema, more so within the left chest wall and neck compared to the right, as well as pneumomediastinum and a moderate size left basal lateral hydropneumothorax, all of which appear similar in size and extent compared with the most recent prior chest radiograph with the exception of the pneumomediastinum which appears improved. Heart size remains within normal limits. Mediastinal and hilar contours are unchanged with similar slight rightward shift of the mediastinal structures. The pulmonary vasculature is not engorged. Chain sutures are seen within the left perihilar region compatible with history of prior wedge resection. Lungs are hyperinflated with marked emphysematous changes re- demonstrated. Streaky bibasilar airspace opacities are more pronounced in the interval, and may reflect aspiration or infection. Scarring in the right hilus is unchanged. No acute osseous abnormality is visualized. | 58161476 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with recent lobectomy, now with fever, increased shortness of breath and cough. Assess for infiltrate. TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___ and ___. CT chest ___ from outside institution. | Streaky bibasilar airspace opacities are new in the interval, concerning for aspiration or infection. Interval improvement in extent of pneumomediastinum. Similar degree of extensive subcutaneous emphysema, and moderate size left basal lateral hydro pneumothorax. Emphysema. |
11725800 | The tip of the endotracheal tube is difficult to exactly discern, but appears to be appropriately situated at the level of the thoracic inlet, approximately 5 cm from the carina. Enteric tube tip is within the stomach. As seen previously, there is continued extensive subcutaneous emphysema, pneumomediastinum, and a left basal lateral hydropneumothorax, all similar compared to the most recent previous study. Cardiac and mediastinal contours are unchanged. Scarring within the right hilar region is similar. Patchy opacities in the lung bases appear more pronounced in the interval, and likely reflect aspiration or infection. | 58212350 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation TECHNIQUE: Portable AP view of the chest COMPARISON: Chest radiographs ___ and ___ at 15:29 | Endotracheal and enteric tubes in standard positions. Increased patchy opacities in lung bases concerning for aspiration or infection. |
11888614 | The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar. | 53774641 | CHEST RADIOGRAPHS HISTORY: Chest pain and left chest wall tenderness. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Similar central pulmonary artery enlargement, for which the possibility of pulmonary hypertension should be considered in the appropriate clinical setting. |
11888614 | The cardiac, mediastinal and hilar contours are within normal limits, and the heart size is normal. Focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both upper lobes, as was noted on the prior CT, but new when compared to the prior chest radiograph. No pleural effusion or pneumothorax is present, and there is no pulmonary vascular congestion. There are no acute osseous abnormalities. | 53383243 | HISTORY: Intoxication, chest tightness and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | Multifocal opacities in both lungs, predominantly within a perihilar distribution, as demonstrated on the prior chest CT. Findings again are nonspecific, but concerning for a multifocal infectious process. |
11888614 | No focal consolidation, pleural effusion, or pneumothorax is seen. Mild pulmonary vascular redistribution persists. Interstitial prominence is likely chronic. Heart and mediastinal contours are within normal limits. | 56780883 | INDICATION: ___-year-old male with chest pain. COMPARISON: Frontal and lateral chest radiographs were obtained. | Pulmonary vascular congestion, a little more congested than his best recent chest radiograph on ___. |
11888614 | The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. | 58444156 | INDICATION: ___-year-old man with chest pain, to rule out pneumothorax. COMPARISON: None available. PA AND LATERAL CHEST | No acute cardiopulmonary pathology, especially no pneumothorax detected. |
11888614 | Frontal and lateral views of the chest were obtained. Prominence of interstitial markings is similar to prior radiograph particularly that on ___. The cardiac, mediastinal, hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. | 58264635 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Chest pain. COMPARISON: ___. | No significant interval change. |
11888614 | Portable upright chest radiograph demonstrates clear, well expanded lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. | 56043754 | HISTORY: ___-year-old male with chest pain, question pneumonia. COMPARISON: ___. | Normal view of the chest. |
11888614 | PA and lateral views of the chest are obtained. There is significant interval improvement in lung aeration. Vague reticular opacities persist in the perihilar regions, possibly representing residual pneumonia. No definite signs of CHF, pleural effusion, or pneumothorax. Heart and mediastinal contours appear normal. Interval removal of the endotracheal and nasogastric tubes. Bony structures are intact. | 57547663 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain, left arm tingling, assess pneumonia or CHF. | Significant improvement in pulmonary aeration with persistent reticular perihilar markings, possibly representing residua of recent pulmonary infection. |
11888614 | An endotracheal tube terminates 5.8 cm above the carina. The heart size is normal. Multifocal consolidations persist since ___. Mild superimposed pulmonary edema has improved and a small left pleural effusion is unchanged. There is no pneumothorax. | 56839405 | INDICATION: ___-year-old male with seizures. COMPARISON: Radiograph available from ___. FRONTAL CHEST | Unchanged multifocal pneumonia. Improved background mild pulmonary edema. Unchanged small left pleural effusion. |
11888614 | Again seen are nonspecific bibasilar opacities, which have increased from ___. The apices of lungs are clear. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. No acute displaced rib fracture identified. | 51840085 | WET READ: ___ ___ 2:41 AM Nonspecific bibasilar opacities, right worse than left, are concerning for pneumonia. These appear progressed from ___. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain // Eval for structural process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___. | Nonspecific bibasilar opacities, right worse than left, are concerning for pneumonia. These appear progressed from ___. |
11888614 | Supine portable AP view of the chest was provided. There is an endotracheal tube which is seen terminating approximately 7.6 cm above the carina. An NG tube tip terminates in the left upper abdomen. There is mild prominence of the bronchovascular markings which could reflect technique though possibility of aspiration is not excluded. No definite pneumothorax or effusion is seen. Cardiomediastinal silhouette appears normal. No bony deformities are seen. | 53769263 | PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Altered mental status, status post seizure, assess tube position. | Appropriately positioned ET and NG tubes. Mild bronchovascular prominence could reflect an element of aspiration. |
11888614 | The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. | 57933100 | INDICATION: History of alcohol abuse, HCV, diabetes, hypertension, hyperlipidemia, depression and coronary artery disease status post MI in ___, now with intoxication and chest pain. COMPARISON: Chest radiograph scan dated ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11888614 | There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary edema has resolved. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. | 58240183 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain, paliptations // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11888614 | AP portable upright view of the chest. Interval intubation noted with the endotracheal tube tip residing approximately 6cm above the carina. The lungs are mostly clear aside from mild lower lung atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette appear stable. Bony structures are intact. | 56703975 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with ETT // eval for ett COMPARISON: Prior exam from same day. | Endotracheal tube in place with its tip 6 cm above the carina. Advancement of endotracheal tube by 1-2 cm may result in more optimal positioning. |
11888614 | Since the prior study the endotracheal tube is been removed. Heterogeneous bilateral opacities predominantly at the lung bases, are essentially unchanged ___. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. | 50746880 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, hypoxia // evaluate for pneumonia, acute process TECHNIQUE: Portable semi upright chest radiograph COMPARISON: ___ | Unchanged bilateral parenchymal opacities since ___, concerning for multifocal pneumonia or aspiration. Consider opportunistic infection given the atypical appearance. |
11888614 | The lungs are well inflated and clear. No focal consolidations identified. The cardiomediastinal silhouette hilar contours are stable. There is no pleural effusion or pneumothorax. | 51017937 | INDICATION: ___M with chest pain, ETOH, evaluate for cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to the study from ___. | No evidence of acute cardiopulmonary process. |
11888614 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. | 54081752 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia*** WARNING *** Multiple patients with same last name! // acute process? TECHNIQUE: Single portable chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
11888614 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Mild reticular denisities are again seen throughout both lungs, less prominent, suggestive of improved chronic interstitial disease. No bony abnormalities are seen. | 52480192 | INDICATION: History of cocaine abuse with chest pain. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
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