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

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11893689	Left-sided Port-A-Cath tip terminates in the mid SVC. Rounded opacity projecting in the region of the gastroesophageal junction is compatible with a small hiatal hernia. The cardiac, mediastinal, and hilar contours are otherwise unremarkable. The pulmonary vascularity is normal. The lungs are clear. Chain sutures in the left lower lobe are present. No pleural effusion or pneumothorax is seen, though the extreme right costophrenic angle is excluded from the field of view. There are no acute osseous abnormalities.	52896112	INDICATION: Hypotension. COMPARISON: ___. CT abdomen and pelvis ___. PORTABLE UPRIGHT AP VIEW OF THE	No acute cardiopulmonary abnormality.
11893689	Nasogastric tube tip terminates within the stomach. The remainder of the chest is unchanged. The cardiac, mediastinal, and hilar contours are stable. The lungs are clear. No pleural effusion or pneumothorax is present.	56753773	INDICATION: Small-bowel obstruction in new nasogastric tube placement. COMPARISON: ___ at 16:27. PORTABLE UPRIGHT AP VIEW OF THE	Nasogastric tube tip terminates within the stomach.
11893689	PA and lateral views of the chest are provided. Port-A-Cath resides over the left axilla with catheter tip extending to the level of the low SVC. No free air is seen below the right hemidiaphragm. Partially imaged stent in the left flank region likely represents the ureteral stent. Lungs are clear without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.	59188149	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior CT torso from ___ and chest radiograph from ___. CLINICAL HISTORY: Colon cancer, recent ureteral stent, now with severe abdominal pain, assess for free air.	No acute findings, including no signs of pneumoperitoneum.
11893689	Frontal and lateral chest radiographs compared with CT torso of ___ demonstrate a left chest mediport entering the left subclavian and terminating with its tip in the lower SVC. The lungs are clear. There is no effusion or pneumothorax. The pulmonary vasculature is normal. The heart size is normal, the mediastinal contours are unremarkable. A suture chain is noted in the left lower lobe.	51801595	CLINICAL INFORMATION: ___-year-old male with difficulty swallowing.	No acute cardiopulmonary process.
11893689	Again demonstrated are multiple bilateral metastatic nodules, the largest in the left upper lung field measuring 25 mm, previously 23 mm. There is no consolidation concerning for pneumonia. The heart size, hilar, and mediastinal contours are normal. The left chest wall port is unchanged in the catheter terminates at the cavoatrial junction. No pneumothorax or pleural effusion.	59894830	HISTORY: Altered mental status and hypoxia. COMPARISON: ___	No evidence of pneumonia. Redemonstration of multiple bilateral metastatic nodules.
11893689	Heart size is normal. Mediastinal and hilar contours are unremarkable. Left-sided Port-A-Cath tip terminates in the SVC. Pulmonary vascularity is normal. Left upper lobe pulmonary nodule measuring 6 mm is unchanged. No new focal consolidation, pleural effusion or pneumothorax is present. Dilated loops of small bowel are noted within the upper abdomen. Partially imaged are bilateral nephroureteral stents. There are no acute osseous abnormalities.	54238104	HISTORY: History of colon cancer with dyspnea on exertion and diarrhea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.	Unchanged 6 mm left upper lobe pulmonary nodule. No acute cardiopulmonary abnormality otherwise demonstrated.
11509356	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 mediastinal and hilar contours. Left clavicular fracture is better assessed on concurrently obtained dedicated clavicle views.	56395673	HISTORY: Fall. Arm and clavicular pain. COMPARISON: None.	No acute intrathoracic process. Left clavicle fracture.
11409608	New NG tube has its tip in the stomach but side-port near the GE junction. The lungs show atelectasis at both bases as seen on recent CT, but are otherwise clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild right pleural thickening is nonspecific. 3.5 x 2.1 cm rounded density at the left base likely corresponds to callus from rib fracture as seen on CT. There are multiple bilateral healed rib fractures. The upper abdomen shows multiple dilated loops of small bowel with air-fluid levels.	52647602	INDICATION: New NG tube for small bowel obstruction. Evaluate NG tube placement. COMPARISON: Outside CT of the abdomen ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.	NG tube with tip in the stomach but side-port near the GE junction. Advancing the tube approximately 5 cm would place the side-port safely in the stomach. Multiple dilated loops of small bowel with air-fluid levels compatible with known small bowel obstruction. Mild bibasilar atelectasis as seen on recent CT without evidence of pneumonia.
11141118	The heart is mildly enlarged. There small bilateral pleural effusions and volume loss at both bases. There is pulmonary vascular redistribution. The vertebral bodies are osteopenic with vertebral body height loss most marked in the mid thoracic vertebral bodies which has increased slightly compared to the study from last ___	53676124	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with exertional dyspnea // ? PNA, CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___	CHF, worse compared to prior. Vertebral body compression fractures worse compared to prior
11141118	Mild pulmonary vascular congestion is similar as before. Moderate sized bilateral pleural effusions are slightly increased. Bilateral lower lobe collapse is persistent. No consolidation is noted in the upper lungs. There is no pneumothorax. Cardiac silhouette is obscured by pleural effusions.	55495568	INDICATION: ___ year old woman with MM and amyloid cardiomyopathy // ?pulm edema EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___	Moderate bilateral pleural effusions are slightly increased.Pulmonary vascular congestion is similar as before.
11221230	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.	52158370	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ovarian mass. some lightheadedness, nausea COMPARISON: None	No acute intrathoracic process.
11632345	Heart size is normal. Mediastinal contour is unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Asymmetric enlargement of the left hilar region corresponds to the known posterior perihilar left lower lobe superior segment mass which is somewhat partially obscured on this exam, but appears grossly unchanged compared to the previous CT. Lungs are hyperinflated with emphysematous changes re- demonstrate in the upper lobes. No focal consolidation, pneumothorax, or pleural effusion is demonstrated. No acute osseous abnormality is detected.	50995799	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with newly diagnosed lung cancer with new onset atrial fibrillation TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___	Left posterior perihilar mass within the superior segment of the left lower lobe is grossly unchanged compared to the previous CT. Emphysema. No pneumonia.
11452604	Mild to moderate cardiomegaly is present. The aorta is unfolded. Mediastinal and hilar contours otherwise are unremarkable. Minimal streaky bibasilar airspace opacities likely reflect atelectasis. No pulmonary edema is seen. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are present. There are mild degenerative changes in both acromioclavicular joints.	59069190	HISTORY: Possible pneumonia. TECHNIQUE: Upright AP view of the chest. COMPARISON: None.	Mild patchy bibasilar airspace opacities are likely reflective of atelectasis. Infection, however, is not completely excluded.
11297034	Frontal upright and lateral chest radiographs were obtained. The lungs are well expanded. Cardiomediastinal silhouette is normal. Lungs are clear without focal consolidation or edema. There is no pleural effusion and no pneumothorax.	52184632	INDICATION: Chest pain, evaluate for acute process. COMPARISON: ___.	No acute cardiopulmonary abnormalities.
11187536	The cardiac and mediastinal contours are within normal limits. The lungs are clear. There appears to be oligemia to the right lung base with a cut off of the right lower lobe pulmonary artery (___'s sign), suspicious for a pulmonary embolus. Prominence of the hila is noted bilaterally. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	58706017	INDICATION: Several days of productive cough and dyspnea on exertion. COMPARISON: None. PA AND LATERAL VIEWS OF THE	Oligemia of the right lower lobe suggestive of pulmonary embolus. CTA of the chest is recommended for further evaluation.
11197538	Nasogastric tube tip terminates in the region of the distal stomach. Heart size is unchanged, and within normal limits. The mediastinal and hilar contours are similar. Lungs remain hyperinflated with a persistent moderate size left and tiny right pleural effusions. Compressive atelectasis is noted in both lung bases, as seen previously. No new focal consolidation or pneumothorax is present. There is no acute osseous abnormality. Previously noted right PICC has been removed. There are bilateral breast prostheses.	53428185	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with nasogastric tube placement TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___	Nasogastric tube tip terminates in the distal stomach. Unchanged moderate left and small right pleural effusions with bibasilar atelectasis.
11197538	Right-sided PICC tip terminates at the junction of the low SVC and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Moderate left and small right bilateral pleural effusions are noted with associated bibasilar compressive atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities. A catheter projects over the left upper abdomen.	50744271	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with PICC line from outside hospital TECHNIQUE: Chest PA and lateral COMPARISON: None.	Right PICC tip terminates at the junction of the low SVC and right atrium. Moderate left and small right bilateral pleural effusions with associated compressive bibasilar atelectasis.
11197538	Sequential radiographs demonstrate advancement of a Dobhoff tube from the midesophagus into the stomach with the tip likely located within the gastric antrum. An additional catheter possibly associated with a wound VAC is again seen projecting over the mid abdomen. Moderate left and small right pleural effusions with associated bibasilar compressive atelectasis are unchanged. The remaining lung parenchyma is clear. Heart size is normal. Visualized cardiomediastinal and hilar silhouettes are normal. A right-sided PICC terminates in the right atrium. Bilateral breast implants are again noted.	59034308	WET READ: ___ ___ ___ 1:21 PM The terminal end of a Dobhoff tube projects over the gastric antrum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable chest/upper abdomen radiographs INDICATION: ___F assess Dobhoff placement TECHNIQUE: Portable chest and upper abdomen radiographs COMPARISON: ___ chest radiographs	The terminal end of a Dobhoff tube projects over the gastric antrum. Right PICC tip in the right atrium.
11999659	Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and CABG. Cardiac silhouette size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are unchanged with fullness of the right superior mediastinal contour compatible with a thyroid goiter. There is no pulmonary edema. Linear opacity within the left lung base likely reflects scarring, and appears unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Mild loss of height of a mid thoracic vertebral body is unchanged.	54242464	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, right hip forshortened internally rotated TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest CTA and chest radiograph	No acute cardiopulmonary abnormality.
11909359	The heart size is normal. The hilar and mediastinal contours are normal. Lungs are clear except for small nodular opacities measuring less than 3-mm, relatively dense and most likely consistent with calcified granulomas, suggesting prior granulomatous exposure. Rounded opacities seen on the left between the fourth and fifth ribs, and overlying the right fifth rib, are secondary to buttons overlying the patient seen on the lateral view. No focal consolidations concerning for an acute infection is identified. There is no pleural effusion or pneumothorax.	52770843	HISTORY: History of chest pain. Please evaluate for pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral radiographs of the chest.	No acute intrathoracic abnormalities identified.
11455001	The endotracheal tube is in adequate position at 3.2 cm above the carina. There is right-sided subclavian line projecting in the lower SVC. The NG tube is also in adequate position. The mediastinal and cardiac contour are within normal limits and unchanged. Stability of the mild-to-moderate pleural effusion with bibasilar atelectasis.	53957792	PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. COMPARISON: ___.	The tubes are in adequate position. Stability of the moderate bibasilar atelectasis and pleural effusion.
11455001	The endotracheal tube, the right subclavian line and the nasogastric tube are in unchanged position. Stability of the mild bilateral pleural effusions with bibasilar atelectasis. The very mild cephalization is stable and compatible with volume overload. There is no visible pneumothorax.	54334526	INDICATION: Patient with repair of hiatal hernia, Nissen, intubated. COMPARISON: ___.	There is no significant change since the previous exam.
11455001	As shown in the CT scan, there are new left lower lobe consolidation. There is also bibasilar atelectasis and mild bilateral pleural effusion. Endotracheal tube ends 2.9 cm above carina. Right subclavian line is in lower SVC. There is no pneumothorax. Mediastinal and cardiac contours are unchanged.	50263975	PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. Interval change. COMPARISON: ___ and CT scan of the torso and abdomen ___.	New left lower lobe consolidation. Pneumonia or aspiration has to be considered as shown in CT scan.
11455001	Comparison is made to ___. The lung volumes are low. Allowing for this, the heart is normal in size. The mediastinal contours are stable. There is plate-like atelectasis at the right and left lung base. There is no consolidation.	58196068	CHEST PORTABLE INDICATION: ___-year-old woman with acute respiratory distress. CHEST	Mild bibasilar atelectasis unchanged from ___.
11455001	The endotracheal tube is in adequate position at 3.3 cm above the carina. The right subclavian line and the NG tube are unchanged. There is increased amount of bilateral pleural effusion. There is also worsening of the retrocardiac left atelectasis. There is more cephalization of the pulmonary vessels compatible with a mild volume overload. The mediastinal and cardiac contour are unchanged. There is no visible pneumothorax.	51974389	PORTABLE AP CHEST X-RAY INDICATION: Patient with repair of laparoscopic Nissen. COMPARISON: ___.	Worsening of the bilateral moderate pleural effusion and the left retrocardiac atelectasis. New mild volume overload.
11172413	Single lead left-sided AICD is again seen, stable in position. The cardiac silhouette remains enlarged. Mediastinal contours are stable. There is mild central pulmonary vascular engorgement without overt pulmonary edema. Minor left basilar atelectasis is seen. No focal consolidation, large pleural effusion or pneumothorax is seen.	59205111	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SOB, heart failure // Eval for pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___	Mild central pulmonary vascular engorgement. Enlarged cardiac silhouette.
11172413	AP portable upright view of the chest. AICD again seen with lead extending into the region the right ventricle. Cardiomegaly is again noted with stable mediastinal contour. Hila are slightly congested though there is no frank edema. Mild basal atelectasis without convincing signs of pneumonia, effusion or pneumothorax. Bony structures are intact.	53342864	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hypoxia // eval for acute process COMPARISON: ___	Cardiomegaly with hilar congestion. No overt edema or pneumonia.
11172413	Marked cardiomegaly is unchanged. The cardiac to place generator is present in the left chest with single intact lead terminating in the right ventricle. There is no evidence of retained radiopaque foreign body. The pulmonary vasculature and aorta are within normal limits. Minimal blunting of the costophrenic angles on lateral projection is unchanged may represent trace effusions versus scarring.	55358096	WET READ: ___ ___ 7:58 AM No evidence of retained radiopaque foreign body. Unchanged cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Two view chest radiographs INDICATION: ___ year old man with possible peice of mid line retained after dc'd by pateint. // retention of broken mid line TECHNIQUE: AP and lateral chest radiographs were obtained. COMPARISON: Frontal chest radiograph ___.	No evidence of retained radiopaque foreign body. Unchanged cardiomegaly.
11172413	A left pectoral AICD has a single lead in unchanged position. The inspiratory lung volumes are decreased with resultant accentuation of the cardiomediastinal silhouette. The cardiac silhouette remains enlarged. The mediastinal contours are stable. There is pulmonary vascular congestion with increased bibasilar opacities from the prior study suggesting increased dependent pulmonary edema. No large pleural effusion or pneumothorax is appreciated.	59918427	WET READ: ___ ___ 5:17 AM Increased pulmonary vascular congestion and dependent bibasilar edema compared to ___. No significant pleural effusion. Stable cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, hypoxia // Eval for pulmonary edema Eval for pulmonary edema TECHNIQUE: Portable semi-erect AP view of the chest was obtained. COMPARISON: ___.	Increased pulmonary vascular congestion and dependent bibasilar edema compared to ___. No significant pleural effusion. Stable cardiomegaly.
11172413	There is moderate interstitial pulmonary edema. The central pulmonary vasculature appears engorged. The previously described left posterior basilar opacity is again seen, and may represent atelectasis or pneumonia in the appropriate clinical setting. The heart remains enlarged. The aorta is tortuous. A single lead pacemaker is present with the lead terminating in the right ventricle.	54443904	INDICATION: ___ year old man with new o2 requirement, leukocytosis, CHF // r/o pulm edema vs pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___.	Moderate edema. Previously described left posterior basilar opacity is again seen, and may represent atelectasis or pneumonia in the appropriate clinical setting.
11172413	A single-lead pacemaker device has a lead terminating in the right ventricle, as before. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Mild perihilar congestion is noted, but otherwise, the lungs appear clear.	51430494	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Increased weight and heart failure. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.	Findings suggest mild vascular congestion.
11172413	AP portable upright view of the chest. AICD is unchanged in position with lead extending to the region the right ventricle. The cardiomediastinal silhouette is unchanged with prominent heart size. There is hilar congestion and mild pulmonary edema. No large pleural effusion is seen. There is no pneumothorax. No convincing signs of pneumonia. Bony structures are intact.	51786683	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with shortness of breath increase o2 requirment setting of CHF // eval for pna vs chf COMPARISON: ___	Cardiomegaly with mild pulmonary edema.
11172413	The lung volumes are low and there is pulmonary vascular congestion and interlobular septal thickening consistent interstitial pulmonary edema. There is moderate cardiomegaly. A defibrillator ends in the right atrium. No large pleural effusion or pneumothorax. The mediastinum is widened likely to be due to increased intravascular volume.	59297173	INDICATION: ___M with limited medical history brought in from nursing home w AMS and dyspnea, crackles on lung exam // ? CHF TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___ the	Pulmonary vascular congestion, interstitial edema and cardiomegaly. Right base opacity may represent atelectasis, however, in the correct clinical setting could represent pneumonia.
11172413	Moderate cardiomegaly is unchanged. The AICD is unchanged extending into the right ventricle. No focal consolidation, large effusion or pneumothorax is seen. There is mild central hilar engorgement without frank pulmonary edema. Bony structures appear intact.	58782286	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with hypoxia and dyspnea. Evaluate for pulmonary edema. COMPARISON: Chest radiograph from ___	Mild hilar engorgement without frank pulmonary edema.
11172413	There is a single lead pacemaker terminating in the right ventricle. The heart appears moderately enlarged. Superior vena cava shows new mild distention. There is also a new bilateral hilar congestion. The cardiac, mediastinal and hilar contours are otherwise unchanged. Mild interstitial process suggest pulmonary edema. Left posterior basilar opacity was present before but increased.	51191628	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and lower extremity edema. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___.	Findings suggest mild to moderate pulmonary edema. Increased left posterior basilar opacity, likely compatible with atelectasis; it is difficult to exclude pneumonia, however.
11172413	Again seen is cardiomegaly, with a left-sided single lead pacemaker, not significantly changed. Upper zone redistribution and mild vascular plethora is also again seen. There is as before, there is, increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. Compared with ___, however, there has been some interval obscuration of left hemidiaphragm and of the left costophrenic angle suggesting interval progression of left lower lobe collapse and/or consolidation. A small left effusion cannot be entirely excluded. Minimal patchy opacity at the right lung base, possibly atelectasis, is not significantly changed. No gross right effusion.	52467702	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with increasing white count // eval for infection COMPARISON: Chest x-ray examination from ___ at 12:51	Interval worsening of left lower lobe collapse and/or consolidation. The left hemidiaphragm and left costophrenic angle are now obscured.
11172413	The heart continues to be enlarged with enlarged pulmonary arteries. There is atelectasis at the lung base, and there are no focal consolidations, pleural effusions or pneumothoraces. A left AICD is in appropriate position.	54037081	INDICATION: History: ___M with weight gain, CHF, AMS // acute ___ pulm pathology TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___.	No acute cardiopulmonary process.
11741555	The heart is moderately enlarged. The aorta is mildly tortuous. Superior mediastinum is prominent in this patient with known aortic dissection Compared to the outside exam, the vascular engorgement is worse. There is volume loss at the bases. An underlying infectious infiltrate cannot be excluded.	52003692	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man // eval for pneumonia TECHNIQUE: Portable chest COMPARISON: Outside film from ___.	Recent appearance to the mediastinum compared outside study. Patient has known aortic dissection.
11566126	New volume overload is mild. There is no pneumonia. Mediastinal and cardiac contour are within normal limits. There is no pleural effusion.	58578956	PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough, fever. Fluid resuscitation. Rule out pneumonia. COMPARISON: ___.	New mild volume overload. There is no pneumonia.
11317651	Top normal heart size is exaggerated by low lung volumes. The cardiomediastinal and hilar contours are normal. The lung volumes are low, with mild bibasilar atelectasis. No pleural effusion or pneumothorax is detected. Mild pulmonary vascular congestion is noted, without overt edema.	50223570	INDICATION: Fever COMPARISON: Chest radiograph, ___. PA AND LATERAL CHEST	Low lung volumes, no acute cardiopulmonary pathology.
11620485	Heart size is normal. Mediastinal and hilar contours are unremarkable. Right-sided pacemaker device with leads terminating in right atrium and right ventricle is in unchanged position. The pulmonary vasculature is normal. Lungs are clear. A small hiatal hernia is noted. No pleural effusion or pneumothorax is present.	51598728	HISTORY: Chest tightness, dyspnea. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.	Small hiatal hernia. No acute cardiopulmonary abnormality.
11620485	Comparison with prior studies is severely limited by patient positioning. Allowing for these differences in technique, there may be a small left pleural effusion and increasing retrocardiac atelectasis. The mediastinum is probably unchanged. Repeat radiographs with standard positioning are recommended when clinically indicated. The endotracheal tube ends 1.8 cm from the carina. The right IJ CVC ends at the cavoatrial junction. The enteric tube ends within the decompressed stomach. ___ midline drains and a right pleural drain are in unchanged position. Dual chamber pacemaker leads projecting unchanged standard position. There is no focal consolidation, pneumothorax, or pulmonary edema.	59718820	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p AVR with persistent bloddy chest tube output. // eval for interval change TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___.	Limited study, allowing for this, probable small to moderate left pleural effusion and increasing retrocardiac atelectasis. All lines and tubes in appropriate position.
11620485	The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires, prosthetic aortic valve, and left chest wall dual lead pacing device are noted.	50552412	INDICATION: ___F with fever // Eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No close cardiopulmonary process, no focal consolidation.
11620485	There is a dual-lead pacemaker/ICD device with leads again terminating in the right atrium and ventricle, respectively. The patient is status post sternotomy and aortic valve replacement. The cardiac, mediastinal and hilar contours appear unchanged. There is persistent extensive left lower lobe opacification which is not specific but could be seen with persistent, although somewhat improved, combination of atelectasis and pleural effusion. Streaky right mid lung opacity was also present before and more suggestive of scarring or atelectasis. A small pleural effusion on the right may have decreased mildly.	56190409	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain status post aortic valve replacement. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___ 4.	Mild improvement in left lower lobe opacity and pleural effusion.
11552029	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.	53589758	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fall, shortness of breath and left rib pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11878137	The patient is status post mitral valve replacement. The cardiac, mediastinal and hilar contours appear stable, including borderline cardiomegaly. There are new small-to-moderate sized bilateral pleural effusions with patchy parenchymal densities and low lung volumes, a setting suggestive that opacities are probably due to associated atelectasis.	56208948	CHEST RADIOGRAPHS HISTORY: Atrial fibrillation and new left leg weakness. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	New small bilateral pleural effusions and associated opacities due to probable atelectasis.
11262225	There has been slight interval decrease in small to moderate left pneumothorax, and a stable small left pleural effusion. The right lung remains clear. The heart and mediastinum are within normal limits. Multiple left rib fractures are also noted.	52090820	EXAMINATION: CHEST (PA AND LAT) INDICATION: Status post ATV accident with multiple rib fractures and left pneumothorax. Evaluate pneumothorax. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___.	Slight interval decrease in small to moderate left pneumothorax. Stable small left pleural effusion. Clear right lung.
11262225	Again seen are multiple left-sided rib fractures as well as left clavicular fracture. The left-sided pneumothorax has increased in size significantly from initial chest x-ray obtained ___. It now measures 2.4 cm from lung apex to apical chest wall. There is no mediastinal shift. There is a stable persistent small left pleural effusion. In comparison to prior study, there is more optimal inspiratory effort. Allowing for changes due to this, the cardiomediastinal silhouettes are stable in appearance. There are no focal lung consolidations. There is no evidence of pulmonary vascular congestion.	51532579	EXAMINATION: PA and lateral chest x-ray. INDICATION: ___ year old man s/p bike accident on ___ with left pneumothorax, now found tohave increased in size on ___ (shoulder films). Recommended CXR to evaluate further // assess interval changes of left-sided pneumothorax TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: PA and lateral chest x-ray from ___, as well as shoulder radiographs obtained ___, and multiple examinations obtained on ___.	Increase in size of the left pneumothorax in comparison to radiographs obtained on ___. No mediastinal shift. Stable small left pleural effusion.
11941187	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.	54213246	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PNA ___- LLL noted on chest CT ___ Distant hx smoking // f/u to pneumonia ___ Rule out any abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality. No current evidence of pneumonia.
11941187	The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.	50830041	INDICATION: Patient with history of asthma, recurrent pneumonia on the left side, today presenting with fever, rule out pneumonia. COMPARISON: Chest x-rays of ___ and chest CT of ___.	There is no evidence of pneumonia.
11941187	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.	53702310	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever, cough, pleuritic chest pain // ?pna COMPARISON: ___	No acute intrathoracic process.
11593651	PA and lateral views of the chest provided. Suture material in the right lower lung relates to prior resection. 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. A chronic left eighth rib deformity is noted.	51049030	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cp, SOB // PNA? COMPARISON: ___	No signs of pneumonia.
11593651	PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.	53920116	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain.	No acute findings in the chest.
11593651	The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs remain clear.	59063582	CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11593651	Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Chronic left eighth rib deformity is again noted.	58832642	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___	No acute cardiopulmonary abnormality.
11593651	No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette is top normal. Coronary artery calcifications/stenting noted	50625912	HISTORY: Weakness, shortness of breath TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process. Please note that tiny centrilobular nodules seen on prior chest CT from ___ are better evaluated on CT.
11593651	PA and lateral views of the chest were provided. Suture are again noted in the right lower lung compatible with prior right middle lobectomy. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.	57152207	HISTORY: ___F with dyspnea, history of prior right middle lobectomy. COMPARISON: ___.	No acute intrathoracic process.
11593651	The lungs are well expanded and clear. The patient is status post right middle lobectomy and chain sutures are seen in the right lower lung. There is slight shift of the heart to the right following the lobectomy. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.	51022782	HISTORY: Shortness of breath. Evaluate for pneumonia. TECHNIQUE: Upright AP and lateral radiographs of the chest. COMPARISON: Multiple prior radiographs of the chest most recent ___.	Stable postsurgical changes without evidence of pneumonia.
11781470	The lungs are slightly hyperexpanded, unchanged from prior radiographs. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild thickening of the pleura at the apices is unchanged. Enteric tube has its tip in the stomach but side port at the GE junction.	51545414	INDICATION: Status post NG tube placement. COMPARISON: Chest radiograph ___. CT abdomen and pelvis ___. TECHNIQUE: Portable semi-upright AP chest.	NG tube terminates in the stomach but the side port is at the GE junction and should be advanced for more optimal positioning.
11323860	Left basilar opacity may reflect atelectasis, and the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. The heart is normal in size. The mediastinal contours are normal. Presumed right lower cervical hardware is visualized.	57533407	INDICATION: ___-year-old male with leukocytosis and pain. Evaluate for pneumonia. TECHNIQUE: AP and lateral chest radiographs were obtained. COMPARISON: Rib series radiographs from ___ and chest CT from ___.	Left basilar retrocardiac opacity which could be due to atelectasis although pneumonia is possible in the proper clinical setting.
11323860	The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities. Surgical material projecting in the posterior subcutaneous tissues of the back.	55251896	INDICATION: ___M with presyncope // eval for signs of pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ chest x-ray and chest CT from ___.	No acute cardiopulmonary process.
11838447	The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.	58770708	INDICATION: Chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	Unchanged top normal heart size. No acute cardiopulmonary process.
11960717	The lungs are clear of pleural effusion or pneumothorax. No definite evidence of pneumonia, but there is a hazy opacity adjacent to the left heart border that is felt to not likely represent pneumonia. The heart size is normal. The mediastinal contours are normal.	55465756	INDICATION: ___-year-old female with hyperglycemia TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.	No definite evidence of pneumonia. Hazy opacity adjacent to left heart border is not likely to represent pneumonia. Though if symptoms develop, a repeat chest radiograph can be obtained for evaluation.
11139755	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air is identified below the hemidiaphragms. Gas is noted in the colon at the splenic flexure.	57345382	INDICATION: Abdominal pain and recent J-tube revision. Evaluate for free air. COMPARISONS: Chest radiograph ___. CT chest ___.	No acute cardiopulmonary process. No evidence of free air below the hemidiaphragms.
11155383	PA and lateral chest radiographs were obtained. Lung volumes are low. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.	55372109	HISTORY: chest pain. COMPARISON: None	No acute cardiopulmonary process.
11210454	There are low lung volumes. The heart size is mildly enlarged. The aorta is slightly tortuous and demonstrates diffuse calcifications. Patchy opacities in the lung bases likely reflect atelectasis. Aspiration or infection cannot be fully excluded. There is no pulmonary edema. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	58255429	HISTORY: Aphasia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Reference chest radiograph ___.	Patchy bibasilar airspace opacities likely reflecting atelectasis though infection or aspiration cannot be excluded.
11210454	Single portable frontal upright image of the chest. The ET tube and NG tube are in good position. Bibasilar opacities are seen, which have increased from prior exam, concerning for pneumonia. There are moderate pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam.	58818462	HISTORY: Rhonchi and hypoxia on a vent. COMPARISON: Comparison is made with chest radiographs from ___.	Increased bibasilar opacities with moderate pleural effusions, concerning for pneumonia.
11210454	Endotracheal tube tip terminates approximately 3 cm from the carina. Enteric tube is seen with its tip and side port in the stomach. Lung volumes are low. The heart size is mildly enlarged. The aorta is diffusely calcified. There is no pulmonary edema. Patchy opacities are noted in both lung bases. These could reflect areas of atelectasis, but infection is not excluded. No large pneumothorax or pleural effusion is seen on this supine exam. There are no acute osseous abnormalities.	59203939	HISTORY: Endotracheal tube placement. TECHNIQUE: Supine AP view of the chest. COMPARISON: None.	Endotracheal and enteric tubes in standard positions. Low lung volumes. Patchy opacities in the lung bases may reflect areas of atelectasis but infection is not excluded.
11200755	Lung volumes are slightly low, causing bronchovascular crowding. However, there is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits.	51971159	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F p/w acute asthma exacerbation. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.	Low lung volumes, but no focal consolidation concerning for pneumonia.
11200755	There is minimal hyperinflation. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	50594379	INDICATION: Shortness of breath. COMPARISONS: Chest radiograph from ___. Chest radiograph from ___. TECHNIQUE: A single upright AP view of the chest was obtained.	Minimal hyperinflation. No evidence of pneumonia.
11200755	Single portable view of the chest. The exam is limited secondary to technique. The lungs are grossly clear. Costophrenic angles are not well seen secondary to technique and overlying soft tissues. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Vertically-oriented metallic linear density projects over the oral cavity, likely a tongue piercing.	58797593	HISTORY: ___-year-old female with shortness of breath. COMPARISON: ___.	No acute cardiopulmonary process.
11200755	The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.	50270705	INDICATION: ___-year-old female with status asthmaticus. Question pneumonia. COMPARISONS: None.	No acute cardiopulmonary process.
11200755	PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.	59772981	INDICATION: Asthma, presenting with dyspnea. COMPARISON: None.	No acute cardiopulmonary process.
11200755	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.	57010260	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recurrent asthma exacerbations, presenting with asthma exacerbation and productive cough. TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11200755	PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.	52314452	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Asthma, with exacerbation, cough and shortness of breath, question pneumonia.	No acute findings in the chest.
11200755	Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are low. There is minimal patchy opacity in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.	55935436	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___	Low lung volumes with minimal atelectasis in the lung bases. No focal consolidation to suggest pneumonia.
11828460	Again seen are diffuse bilateral hazy opacification of the mid and lower lungs, right greater than left, better assessed on recent CT Chest. Right chest tube is in place. Mediastinal and hilar lymphadenopathy is also better assessed on recent CT. A tiny apical right pneumothorax is noted. Subcutaneous emphysema is expected in the postoperative setting.	55521657	EXAMINATION: Chest radiograph INDICATION: ___ year old man s/p R lung VATS wedge // reexpansion TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___ CTA chest with and without contrast from ___ Diffuse lung disease ___	Unchanged appearance of diffuse bilateral opacities in the mid and lower lungs, correlating to ground glass opacities seen on recent CT. Tiny right apical pneumothorax
11727183	The diaphragms are flattened, suggesting a component of emphysema. A vertical linear abnormality in the medial right upper lung zone is most consistent with bronchiectasis and scarring. Irregular mild linear interstitial opacities in the bilateral bases, right more than left, is most consistent with a chronic interstitial abnormality. There is no focal consolidation to suggest pneumonia. There is no pulmonary edema. Small bilateral pleural effusions are noted, left more than right. There is no pneumothorax. The cardiomediastinal silhouette is normal.	53089671	INDICATION: Mild hypoxia, postop day 2 after oral surgery. Evaluate for cause. TECHNIQUE: PA and lateral views the chest. COMPARISON: None.	No evidence of pneumonia. Probable chronic interstitial abnormality in the base, as well as right upper lobe bronchiectasis and scarring. If further characterization of these abnormalities is needed, a CT of the chest could be obtained. Small bilateral pleural effusions.
11593763	The lung volumes are low. There is mild pulmonary edema. There is no focal airspace opacity. There is no definite pleural effusion. There is no pneumothorax. The mediastinal contours are normal. The cardiac silhouette is enlarged. A fixation plate and screws are noted in the right humerus and incompletely evaluated. No acute fracture is identified.	52369757	INDICATION: Confusion with a history of cirrhosis. COMPARISONS: None. TECHNIQUE: Frontal and lateral views of the chest were obtained with a total three exposures.	Mild pulmonary edema. Mild-to-moderate cardiomegaly.
11593763	Lung volumes are low. The heart size remains mildly enlarged, and likely accentuated due to low lung volumes. Mitral annular calcifications are noted. Mediastinal and hilar contours are unremarkable. Mild no frank pulmonary edema is seen, there is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Streaky bibasilar airspace opacities could reflect atelectasis or chronic changes. No pleural effusion or pneumothorax is identified. Hardware seen within the right proximal humerus.	52164040	HISTORY: Confusion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Low lung volumes. Probable mild pulmonary vascular congestion, similar compared to the prior exam. Streaky bibasilar airspace opacities could reflect atelectasis or chronic changes.
11593763	PA and lateral views of the chest were provided. The lung volumes are low. In this patient with known interstitial lung disease as seen on prior chest CT, there are stable reticular interstitial markings compared with prior exams. No new consolidation, effusion or pneumothorax is seen. The heart size is mildly enlarged. The mediastinal contour is stable. Slight prominence of the right pulmonary hilus is unchanged from prior CT scan. Hardware is again noted in the right proximal humerus. No acute bony abnormalities are detected. The known left distal clavicular fracture is only partially imaged.	56052728	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Confusion, altered mental status, question infection.	Stable interstitial prominence with low lung volumes, likely attributable to underlying chronic interstitial lung disease. Mild stable cardiomegaly. No acute findings.
11593763	Again, there are relatively low lung volumes. Increased interstitial markings bilaterally are similar to prior in this patient with history interstitial lung disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged is hardware in the right humerus. Fracture with lucency along the distal left clavicle again seen, with inferior displacement of the distal fracture fragment which may be slightly increased as compared to the prior study. There is persistent widening of the left acromioclavicular joint.	51156549	HISTORY: Cirrhosis, presenting with confusion, encephalopathy. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ and ___.	Low lung volumes with chronic interstitial changes without definite acute change. Distal left clavicular fracture with widening of the left acromioclavicular joint.
11593763	Single portable chest radiograph is provided. A left PICC terminates at the origin of the SVC and can be advanced 5 cm for better positioning. Again seen are prominent interstitial markings compatible with interstitial lung disease. The heart remains enlarged. There is no focal consolidation, pleural effusion or pneumothorax.	54099081	INDICATION: History of HCV cirrhosis and bacteremia. Question PICC line location. COMPARISONS: Chest radiograph from ___.	Left PICC at the origin of the SVC. Recommend advancement by 5 cm for better positioning. These findings were discussed with ___, IV nurse, ___ ___. ___ ___ telephone at 3 p.m. on ___.
11613444	A portable semi upright frontal chest radiograph demonstrates a left PICC which appears to terminate in the upper right atrium, although this may be related to low lung volumes. If desired, this can be pulled back approximately 2.0 cm to terminate in the low SVC. The remainder of the exam is largely unchanged, with slightly lower lung volumes resulting in increased prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	55433410	INDICATION: Evaluate PICC placement. COMPARISON: Chest radiographs from ___, ___, ___, ___.	The left PICC appears to terminate in the upper right atrium, although this may be related to low lung volumes. If desired, this can be pulled back approximately 2.0 cm to terminate in the low SVC.
11346293	The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal.	55914714	INDICATION: Evaluation of patient with epigastric pain. COMPARISON: None available.	No acute cardiopulmonary process.
11694226	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	53013509	HISTORY: ___ y/o M with chest pain. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None available.	Unremarkable chest radiographic examination.
11404434	The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.	59590414	HISTORY: History of COPD, now requiring preoperative chest radiographs. COMPARISON: None.	No acute cardiopulmonary process.
11629252	There is mild to moderate pulmonary edema. On the lateral view, there is increased opacity projecting over the mid to lower thoracic spine and descending thoracic aorta. This may correspond to increased opacity projecting over the right hilar region on the frontal view. Degree of cardiomegaly which is moderate is similar compared to prior. Median sternotomy wires are noted. Dense atherosclerotic calcifications are noted in the thoracic aorta.	53474554	INDICATION: ___M with cough, fever // r/o PNA TECHNIQUE: AP and lateral views the chest. COMPARISON: ___.	Mild to moderate pulmonary edema. Opacity on the lateral view projecting over the spine. This could be due to superimposed structures (spine, aorta) with superimposed edema although superimposed consolidation from infection or underlying lesion are also possible. Followup will be necessary after treatment for acute issues to ensure resolution.
11527789	Lung volumes are slightly low, but clear. Heart size is exaggerated by AP technique and likely normal, unchanged since ___. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.	59320613	INDICATION: Left shift. Evaluate for evidence of infection. COMPARISON: Chest radiograph, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.	No acute cardiopulmonary abnormality.
11208895	The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. Mild degenerative changes are similar along the mid thoracic spine. There has been no significant change.	59366035	CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary process. Hyperinflation.
11208895	2 views were obtained of the chest. The lungs are mildly hyperexpanded, which can be seen in chronic obstructive pulmonary disease. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.	50920960	HISTORY: Chest pain. COMPARISON: None.	Hyperexpanded lungs without acute intrathoracic process.
11208895	The cardiac, mediastinal and hilar contours are unchanged and within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No displaced fractures are visualized.	55134596	HISTORY: Intoxicated, fall. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11178568	Single AP portable view of the chest demonstrates no focal consolidations. The heart size is normal. The mediastinal contours are unremarkable. No pleural effusion, edema or pneumothorax. Previous right basilar opacities continue to exist as do left basilar opacities suggesting that this may be atelectasis.	52097760	HISTORY: ___-year-old female with altered mental status. COMPARISON: ___.	Bilateral basilar opacities, most likely atelectasis.
11178568	The inspiratory lung volumes are appropriate. Opacities in the right lung base may reflect early pneumonia. There is no significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.	54876296	INDICATION: History of HIV, now with chest pain and cough, here to evaluate for infectious process. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.	Right basilar opacities may reflect early pneumonia.
11059196	A left chest wall dual lead AICD is present. Left mid lung atelectasis is again noted. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.	58659813	INDICATION: ___ year old woman with hypotension and hypoxia post op // Eval for pulm edema TECHNIQUE: AP portable chest radiograph COMPARISON: ___	No significant interval change since the prior examination.
11505559	The initial radiograph demonstrates the tip of the pacer wire projecting over the medial right atrium. The pacer wire is repositioned on subsequent films, and on the final film, the tip projects over the superior aspect of the right atrium. This finding was discussed with Dr. ___, ___ was already aware. Moderate pulmonary edema is unchanged. The enlarged heart size is unchanged.	52927201	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old female with malfunctioning pacing wire. TECHNIQUE: Multiple sequential portable AP view radiographs of the chest from ___. COMPARISON: Prior studies from earlier the same day.	Tip of pacer wire projects over the superior aspect of right atrium. Unchanged moderate pulmonary edema. Unchanged cardiomegaly.
11505559	AP portable upright view of the chest. A transvenous pacing wire is seen entering the right IJ with its tip in the region of the right ventricle. Multiple overlying EKG leads limit the evaluation. Allowing for this, there are coarsened interstitial markings suggestive of underlying emphysema with possibly a component of mild edema. No large effusions are seen. Bony structures are intact.	57695973	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with bradycardia, hypotension, TV pacer placed, assess central line placement COMPARISON: None	Transvenous pacer enters right IJ with tip in region of right ventricle. Probable mild edema superimposed on a background of emphysema.
11505559	The lungs are hyperinflated with increased interstitial lung markings which are most likely due to worsening pulmonary edema. The tip of a single lead pacer projects of the right ventricle. There is no pneumothorax. The heart appears enlarged despite the projection. There is generalized osteopenia.	57378271	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with bradycardia status post pacer wire with runs of NSVT; evaluate for position of temporary pacer wire. TECHNIQUE: Single AP view radiograph of the chest from ___. COMPARISON: ___	Hyperinflated lungs with worsening pulmonary edema. Stable cardiomegaly with appropriately positioned pacer wire.
11900721	Moderate left and small right pleural effusions are seen, appear increased on the left. There is moderate pulmonary edema. The cardiac silhouette remains mildly enlarged. Mediastinal contours are grossly stable. No pneumothorax is seen.	51327386	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // ? effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Increased moderate left pleural effusion. Persistent small right pleural effusion. Pulmonary edema, similar to mildly increased since the prior study.
11900721	Enteric tube extends to the stomach. Multiple embolization coils overlying the right upper quadrant. Marked cardiomegaly is again demonstrated. Tortuous thoracic aorta. Interstitial prominence of the lungs, suggestive of interstitial edema no focal consolidation or pneumothorax.	53378152	EXAMINATION: Portable supine chest INDICATION: ___ year old woman with hepatic encephalopathy s/p NG placement // correct NG placement TECHNIQUE: Portable supine chest COMPARISON: ___ 12:15	Interstitial prominence, concerning for interstitial edema. No focal consolidation or pneumothorax.

11893689

Left-sided Port-A-Cath tip terminates in the mid SVC. Rounded opacity projecting in the region of the gastroesophageal junction is compatible with a small hiatal hernia. The cardiac, mediastinal, and hilar contours are otherwise unremarkable. The pulmonary vascularity is normal. The lungs are clear. Chain sutures in the left lower lobe are present. No pleural effusion or pneumothorax is seen, though the extreme right costophrenic angle is excluded from the field of view. There are no acute osseous abnormalities.

52896112

INDICATION: Hypotension. COMPARISON: ___. CT abdomen and pelvis ___. PORTABLE UPRIGHT AP VIEW OF THE

No acute cardiopulmonary abnormality.

11893689

Nasogastric tube tip terminates within the stomach. The remainder of the chest is unchanged. The cardiac, mediastinal, and hilar contours are stable. The lungs are clear. No pleural effusion or pneumothorax is present.

56753773

INDICATION: Small-bowel obstruction in new nasogastric tube placement. COMPARISON: ___ at 16:27. PORTABLE UPRIGHT AP VIEW OF THE

Nasogastric tube tip terminates within the stomach.

11893689

PA and lateral views of the chest are provided. Port-A-Cath resides over the left axilla with catheter tip extending to the level of the low SVC. No free air is seen below the right hemidiaphragm. Partially imaged stent in the left flank region likely represents the ureteral stent. Lungs are clear without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.

59188149

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior CT torso from ___ and chest radiograph from ___. CLINICAL HISTORY: Colon cancer, recent ureteral stent, now with severe abdominal pain, assess for free air.

No acute findings, including no signs of pneumoperitoneum.

11893689

Frontal and lateral chest radiographs compared with CT torso of ___ demonstrate a left chest mediport entering the left subclavian and terminating with its tip in the lower SVC. The lungs are clear. There is no effusion or pneumothorax. The pulmonary vasculature is normal. The heart size is normal, the mediastinal contours are unremarkable. A suture chain is noted in the left lower lobe.

51801595

CLINICAL INFORMATION: ___-year-old male with difficulty swallowing.

No acute cardiopulmonary process.

11893689

Again demonstrated are multiple bilateral metastatic nodules, the largest in the left upper lung field measuring 25 mm, previously 23 mm. There is no consolidation concerning for pneumonia. The heart size, hilar, and mediastinal contours are normal. The left chest wall port is unchanged in the catheter terminates at the cavoatrial junction. No pneumothorax or pleural effusion.

59894830

HISTORY: Altered mental status and hypoxia. COMPARISON: ___

No evidence of pneumonia. Redemonstration of multiple bilateral metastatic nodules.

11893689

Heart size is normal. Mediastinal and hilar contours are unremarkable. Left-sided Port-A-Cath tip terminates in the SVC. Pulmonary vascularity is normal. Left upper lobe pulmonary nodule measuring 6 mm is unchanged. No new focal consolidation, pleural effusion or pneumothorax is present. Dilated loops of small bowel are noted within the upper abdomen. Partially imaged are bilateral nephroureteral stents. There are no acute osseous abnormalities.

54238104

HISTORY: History of colon cancer with dyspnea on exertion and diarrhea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.

Unchanged 6 mm left upper lobe pulmonary nodule. No acute cardiopulmonary abnormality otherwise demonstrated.

11509356

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 mediastinal and hilar contours. Left clavicular fracture is better assessed on concurrently obtained dedicated clavicle views.

56395673

HISTORY: Fall. Arm and clavicular pain. COMPARISON: None.

No acute intrathoracic process. Left clavicle fracture.

11409608

New NG tube has its tip in the stomach but side-port near the GE junction. The lungs show atelectasis at both bases as seen on recent CT, but are otherwise clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild right pleural thickening is nonspecific. 3.5 x 2.1 cm rounded density at the left base likely corresponds to callus from rib fracture as seen on CT. There are multiple bilateral healed rib fractures. The upper abdomen shows multiple dilated loops of small bowel with air-fluid levels.

52647602

INDICATION: New NG tube for small bowel obstruction. Evaluate NG tube placement. COMPARISON: Outside CT of the abdomen ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.

NG tube with tip in the stomach but side-port near the GE junction. Advancing the tube approximately 5 cm would place the side-port safely in the stomach. Multiple dilated loops of small bowel with air-fluid levels compatible with known small bowel obstruction. Mild bibasilar atelectasis as seen on recent CT without evidence of pneumonia.

11141118

The heart is mildly enlarged. There small bilateral pleural effusions and volume loss at both bases. There is pulmonary vascular redistribution. The vertebral bodies are osteopenic with vertebral body height loss most marked in the mid thoracic vertebral bodies which has increased slightly compared to the study from last ___

53676124

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with exertional dyspnea // ? PNA, CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___

CHF, worse compared to prior. Vertebral body compression fractures worse compared to prior

11141118

Mild pulmonary vascular congestion is similar as before. Moderate sized bilateral pleural effusions are slightly increased. Bilateral lower lobe collapse is persistent. No consolidation is noted in the upper lungs. There is no pneumothorax. Cardiac silhouette is obscured by pleural effusions.

55495568

INDICATION: ___ year old woman with MM and amyloid cardiomyopathy // ?pulm edema EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___

Moderate bilateral pleural effusions are slightly increased.Pulmonary vascular congestion is similar as before.

11221230

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.

52158370

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ovarian mass. some lightheadedness, nausea COMPARISON: None

No acute intrathoracic process.

11632345

Heart size is normal. Mediastinal contour is unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Asymmetric enlargement of the left hilar region corresponds to the known posterior perihilar left lower lobe superior segment mass which is somewhat partially obscured on this exam, but appears grossly unchanged compared to the previous CT. Lungs are hyperinflated with emphysematous changes re- demonstrate in the upper lobes. No focal consolidation, pneumothorax, or pleural effusion is demonstrated. No acute osseous abnormality is detected.

50995799

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with newly diagnosed lung cancer with new onset atrial fibrillation TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___

Left posterior perihilar mass within the superior segment of the left lower lobe is grossly unchanged compared to the previous CT. Emphysema. No pneumonia.

11452604

Mild to moderate cardiomegaly is present. The aorta is unfolded. Mediastinal and hilar contours otherwise are unremarkable. Minimal streaky bibasilar airspace opacities likely reflect atelectasis. No pulmonary edema is seen. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are present. There are mild degenerative changes in both acromioclavicular joints.

59069190

HISTORY: Possible pneumonia. TECHNIQUE: Upright AP view of the chest. COMPARISON: None.

Mild patchy bibasilar airspace opacities are likely reflective of atelectasis. Infection, however, is not completely excluded.

11297034

Frontal upright and lateral chest radiographs were obtained. The lungs are well expanded. Cardiomediastinal silhouette is normal. Lungs are clear without focal consolidation or edema. There is no pleural effusion and no pneumothorax.

52184632

INDICATION: Chest pain, evaluate for acute process. COMPARISON: ___.

No acute cardiopulmonary abnormalities.

11187536

The cardiac and mediastinal contours are within normal limits. The lungs are clear. There appears to be oligemia to the right lung base with a cut off of the right lower lobe pulmonary artery (___'s sign), suspicious for a pulmonary embolus. Prominence of the hila is noted bilaterally. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

58706017

INDICATION: Several days of productive cough and dyspnea on exertion. COMPARISON: None. PA AND LATERAL VIEWS OF THE

Oligemia of the right lower lobe suggestive of pulmonary embolus. CTA of the chest is recommended for further evaluation.

11197538

Nasogastric tube tip terminates in the region of the distal stomach. Heart size is unchanged, and within normal limits. The mediastinal and hilar contours are similar. Lungs remain hyperinflated with a persistent moderate size left and tiny right pleural effusions. Compressive atelectasis is noted in both lung bases, as seen previously. No new focal consolidation or pneumothorax is present. There is no acute osseous abnormality. Previously noted right PICC has been removed. There are bilateral breast prostheses.

53428185

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with nasogastric tube placement TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___

Nasogastric tube tip terminates in the distal stomach. Unchanged moderate left and small right pleural effusions with bibasilar atelectasis.

11197538

Right-sided PICC tip terminates at the junction of the low SVC and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Moderate left and small right bilateral pleural effusions are noted with associated bibasilar compressive atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities. A catheter projects over the left upper abdomen.

50744271

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with PICC line from outside hospital TECHNIQUE: Chest PA and lateral COMPARISON: None.

Right PICC tip terminates at the junction of the low SVC and right atrium. Moderate left and small right bilateral pleural effusions with associated compressive bibasilar atelectasis.

11197538

Sequential radiographs demonstrate advancement of a Dobhoff tube from the midesophagus into the stomach with the tip likely located within the gastric antrum. An additional catheter possibly associated with a wound VAC is again seen projecting over the mid abdomen. Moderate left and small right pleural effusions with associated bibasilar compressive atelectasis are unchanged. The remaining lung parenchyma is clear. Heart size is normal. Visualized cardiomediastinal and hilar silhouettes are normal. A right-sided PICC terminates in the right atrium. Bilateral breast implants are again noted.

59034308

WET READ: ___ ___ ___ 1:21 PM The terminal end of a Dobhoff tube projects over the gastric antrum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable chest/upper abdomen radiographs INDICATION: ___F assess Dobhoff placement TECHNIQUE: Portable chest and upper abdomen radiographs COMPARISON: ___ chest radiographs

The terminal end of a Dobhoff tube projects over the gastric antrum. Right PICC tip in the right atrium.

11999659

Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and CABG. Cardiac silhouette size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are unchanged with fullness of the right superior mediastinal contour compatible with a thyroid goiter. There is no pulmonary edema. Linear opacity within the left lung base likely reflects scarring, and appears unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Mild loss of height of a mid thoracic vertebral body is unchanged.

54242464

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, right hip forshortened internally rotated TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest CTA and chest radiograph

No acute cardiopulmonary abnormality.

11909359

The heart size is normal. The hilar and mediastinal contours are normal. Lungs are clear except for small nodular opacities measuring less than 3-mm, relatively dense and most likely consistent with calcified granulomas, suggesting prior granulomatous exposure. Rounded opacities seen on the left between the fourth and fifth ribs, and overlying the right fifth rib, are secondary to buttons overlying the patient seen on the lateral view. No focal consolidations concerning for an acute infection is identified. There is no pleural effusion or pneumothorax.

52770843

HISTORY: History of chest pain. Please evaluate for pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral radiographs of the chest.

No acute intrathoracic abnormalities identified.

11455001

The endotracheal tube is in adequate position at 3.2 cm above the carina. There is right-sided subclavian line projecting in the lower SVC. The NG tube is also in adequate position. The mediastinal and cardiac contour are within normal limits and unchanged. Stability of the mild-to-moderate pleural effusion with bibasilar atelectasis.

53957792

PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. COMPARISON: ___.

The tubes are in adequate position. Stability of the moderate bibasilar atelectasis and pleural effusion.

11455001

The endotracheal tube, the right subclavian line and the nasogastric tube are in unchanged position. Stability of the mild bilateral pleural effusions with bibasilar atelectasis. The very mild cephalization is stable and compatible with volume overload. There is no visible pneumothorax.

54334526

INDICATION: Patient with repair of hiatal hernia, Nissen, intubated. COMPARISON: ___.

There is no significant change since the previous exam.

11455001

As shown in the CT scan, there are new left lower lobe consolidation. There is also bibasilar atelectasis and mild bilateral pleural effusion. Endotracheal tube ends 2.9 cm above carina. Right subclavian line is in lower SVC. There is no pneumothorax. Mediastinal and cardiac contours are unchanged.

50263975

PORTABLE AP CHEST X-RAY INDICATION: Patient with respiratory insufficiency. Interval change. COMPARISON: ___ and CT scan of the torso and abdomen ___.

New left lower lobe consolidation. Pneumonia or aspiration has to be considered as shown in CT scan.

11455001

Comparison is made to ___. The lung volumes are low. Allowing for this, the heart is normal in size. The mediastinal contours are stable. There is plate-like atelectasis at the right and left lung base. There is no consolidation.

58196068

CHEST PORTABLE INDICATION: ___-year-old woman with acute respiratory distress. CHEST

Mild bibasilar atelectasis unchanged from ___.

11455001

The endotracheal tube is in adequate position at 3.3 cm above the carina. The right subclavian line and the NG tube are unchanged. There is increased amount of bilateral pleural effusion. There is also worsening of the retrocardiac left atelectasis. There is more cephalization of the pulmonary vessels compatible with a mild volume overload. The mediastinal and cardiac contour are unchanged. There is no visible pneumothorax.

51974389

PORTABLE AP CHEST X-RAY INDICATION: Patient with repair of laparoscopic Nissen. COMPARISON: ___.

Worsening of the bilateral moderate pleural effusion and the left retrocardiac atelectasis. New mild volume overload.

11172413

Single lead left-sided AICD is again seen, stable in position. The cardiac silhouette remains enlarged. Mediastinal contours are stable. There is mild central pulmonary vascular engorgement without overt pulmonary edema. Minor left basilar atelectasis is seen. No focal consolidation, large pleural effusion or pneumothorax is seen.

59205111

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SOB, heart failure // Eval for pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___

Mild central pulmonary vascular engorgement. Enlarged cardiac silhouette.

11172413

AP portable upright view of the chest. AICD again seen with lead extending into the region the right ventricle. Cardiomegaly is again noted with stable mediastinal contour. Hila are slightly congested though there is no frank edema. Mild basal atelectasis without convincing signs of pneumonia, effusion or pneumothorax. Bony structures are intact.

53342864

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hypoxia // eval for acute process COMPARISON: ___

Cardiomegaly with hilar congestion. No overt edema or pneumonia.

11172413

Marked cardiomegaly is unchanged. The cardiac to place generator is present in the left chest with single intact lead terminating in the right ventricle. There is no evidence of retained radiopaque foreign body. The pulmonary vasculature and aorta are within normal limits. Minimal blunting of the costophrenic angles on lateral projection is unchanged may represent trace effusions versus scarring.

55358096

WET READ: ___ ___ 7:58 AM No evidence of retained radiopaque foreign body. Unchanged cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Two view chest radiographs INDICATION: ___ year old man with possible peice of mid line retained after dc'd by pateint. // retention of broken mid line TECHNIQUE: AP and lateral chest radiographs were obtained. COMPARISON: Frontal chest radiograph ___.

No evidence of retained radiopaque foreign body. Unchanged cardiomegaly.

11172413

A left pectoral AICD has a single lead in unchanged position. The inspiratory lung volumes are decreased with resultant accentuation of the cardiomediastinal silhouette. The cardiac silhouette remains enlarged. The mediastinal contours are stable. There is pulmonary vascular congestion with increased bibasilar opacities from the prior study suggesting increased dependent pulmonary edema. No large pleural effusion or pneumothorax is appreciated.

59918427

WET READ: ___ ___ 5:17 AM Increased pulmonary vascular congestion and dependent bibasilar edema compared to ___. No significant pleural effusion. Stable cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, hypoxia // Eval for pulmonary edema Eval for pulmonary edema TECHNIQUE: Portable semi-erect AP view of the chest was obtained. COMPARISON: ___.

Increased pulmonary vascular congestion and dependent bibasilar edema compared to ___. No significant pleural effusion. Stable cardiomegaly.

11172413

There is moderate interstitial pulmonary edema. The central pulmonary vasculature appears engorged. The previously described left posterior basilar opacity is again seen, and may represent atelectasis or pneumonia in the appropriate clinical setting. The heart remains enlarged. The aorta is tortuous. A single lead pacemaker is present with the lead terminating in the right ventricle.

54443904

INDICATION: ___ year old man with new o2 requirement, leukocytosis, CHF // r/o pulm edema vs pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___.

Moderate edema. Previously described left posterior basilar opacity is again seen, and may represent atelectasis or pneumonia in the appropriate clinical setting.

11172413

A single-lead pacemaker device has a lead terminating in the right ventricle, as before. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Mild perihilar congestion is noted, but otherwise, the lungs appear clear.

51430494

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Increased weight and heart failure. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.

Findings suggest mild vascular congestion.

11172413

AP portable upright view of the chest. AICD is unchanged in position with lead extending to the region the right ventricle. The cardiomediastinal silhouette is unchanged with prominent heart size. There is hilar congestion and mild pulmonary edema. No large pleural effusion is seen. There is no pneumothorax. No convincing signs of pneumonia. Bony structures are intact.

51786683

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with shortness of breath increase o2 requirment setting of CHF // eval for pna vs chf COMPARISON: ___

Cardiomegaly with mild pulmonary edema.

11172413

The lung volumes are low and there is pulmonary vascular congestion and interlobular septal thickening consistent interstitial pulmonary edema. There is moderate cardiomegaly. A defibrillator ends in the right atrium. No large pleural effusion or pneumothorax. The mediastinum is widened likely to be due to increased intravascular volume.

59297173

INDICATION: ___M with limited medical history brought in from nursing home w AMS and dyspnea, crackles on lung exam // ? CHF TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___ the

Pulmonary vascular congestion, interstitial edema and cardiomegaly. Right base opacity may represent atelectasis, however, in the correct clinical setting could represent pneumonia.

11172413

Moderate cardiomegaly is unchanged. The AICD is unchanged extending into the right ventricle. No focal consolidation, large effusion or pneumothorax is seen. There is mild central hilar engorgement without frank pulmonary edema. Bony structures appear intact.

58782286

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with hypoxia and dyspnea. Evaluate for pulmonary edema. COMPARISON: Chest radiograph from ___

Mild hilar engorgement without frank pulmonary edema.

11172413

There is a single lead pacemaker terminating in the right ventricle. The heart appears moderately enlarged. Superior vena cava shows new mild distention. There is also a new bilateral hilar congestion. The cardiac, mediastinal and hilar contours are otherwise unchanged. Mild interstitial process suggest pulmonary edema. Left posterior basilar opacity was present before but increased.

51191628

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and lower extremity edema. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___.

Findings suggest mild to moderate pulmonary edema. Increased left posterior basilar opacity, likely compatible with atelectasis; it is difficult to exclude pneumonia, however.

11172413

Again seen is cardiomegaly, with a left-sided single lead pacemaker, not significantly changed. Upper zone redistribution and mild vascular plethora is also again seen. There is as before, there is, increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. Compared with ___, however, there has been some interval obscuration of left hemidiaphragm and of the left costophrenic angle suggesting interval progression of left lower lobe collapse and/or consolidation. A small left effusion cannot be entirely excluded. Minimal patchy opacity at the right lung base, possibly atelectasis, is not significantly changed. No gross right effusion.

52467702

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with increasing white count // eval for infection COMPARISON: Chest x-ray examination from ___ at 12:51

Interval worsening of left lower lobe collapse and/or consolidation. The left hemidiaphragm and left costophrenic angle are now obscured.

11172413

The heart continues to be enlarged with enlarged pulmonary arteries. There is atelectasis at the lung base, and there are no focal consolidations, pleural effusions or pneumothoraces. A left AICD is in appropriate position.

54037081

INDICATION: History: ___M with weight gain, CHF, AMS // acute ___ pulm pathology TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___.

No acute cardiopulmonary process.

11741555

The heart is moderately enlarged. The aorta is mildly tortuous. Superior mediastinum is prominent in this patient with known aortic dissection Compared to the outside exam, the vascular engorgement is worse. There is volume loss at the bases. An underlying infectious infiltrate cannot be excluded.

52003692

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man // eval for pneumonia TECHNIQUE: Portable chest COMPARISON: Outside film from ___.

Recent appearance to the mediastinum compared outside study. Patient has known aortic dissection.

11566126

New volume overload is mild. There is no pneumonia. Mediastinal and cardiac contour are within normal limits. There is no pleural effusion.

58578956

PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough, fever. Fluid resuscitation. Rule out pneumonia. COMPARISON: ___.

New mild volume overload. There is no pneumonia.

11317651

Top normal heart size is exaggerated by low lung volumes. The cardiomediastinal and hilar contours are normal. The lung volumes are low, with mild bibasilar atelectasis. No pleural effusion or pneumothorax is detected. Mild pulmonary vascular congestion is noted, without overt edema.

50223570

INDICATION: Fever COMPARISON: Chest radiograph, ___. PA AND LATERAL CHEST

Low lung volumes, no acute cardiopulmonary pathology.

11620485

Heart size is normal. Mediastinal and hilar contours are unremarkable. Right-sided pacemaker device with leads terminating in right atrium and right ventricle is in unchanged position. The pulmonary vasculature is normal. Lungs are clear. A small hiatal hernia is noted. No pleural effusion or pneumothorax is present.

51598728

HISTORY: Chest tightness, dyspnea. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.

Small hiatal hernia. No acute cardiopulmonary abnormality.

11620485

Comparison with prior studies is severely limited by patient positioning. Allowing for these differences in technique, there may be a small left pleural effusion and increasing retrocardiac atelectasis. The mediastinum is probably unchanged. Repeat radiographs with standard positioning are recommended when clinically indicated. The endotracheal tube ends 1.8 cm from the carina. The right IJ CVC ends at the cavoatrial junction. The enteric tube ends within the decompressed stomach. ___ midline drains and a right pleural drain are in unchanged position. Dual chamber pacemaker leads projecting unchanged standard position. There is no focal consolidation, pneumothorax, or pulmonary edema.

59718820

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p AVR with persistent bloddy chest tube output. // eval for interval change TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___.

Limited study, allowing for this, probable small to moderate left pleural effusion and increasing retrocardiac atelectasis. All lines and tubes in appropriate position.

11620485

The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires, prosthetic aortic valve, and left chest wall dual lead pacing device are noted.

50552412

INDICATION: ___F with fever // Eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No close cardiopulmonary process, no focal consolidation.

11620485

There is a dual-lead pacemaker/ICD device with leads again terminating in the right atrium and ventricle, respectively. The patient is status post sternotomy and aortic valve replacement. The cardiac, mediastinal and hilar contours appear unchanged. There is persistent extensive left lower lobe opacification which is not specific but could be seen with persistent, although somewhat improved, combination of atelectasis and pleural effusion. Streaky right mid lung opacity was also present before and more suggestive of scarring or atelectasis. A small pleural effusion on the right may have decreased mildly.

56190409

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain status post aortic valve replacement. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___ 4.

Mild improvement in left lower lobe opacity and pleural effusion.

11552029

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.

53589758

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fall, shortness of breath and left rib pain TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11878137

The patient is status post mitral valve replacement. The cardiac, mediastinal and hilar contours appear stable, including borderline cardiomegaly. There are new small-to-moderate sized bilateral pleural effusions with patchy parenchymal densities and low lung volumes, a setting suggestive that opacities are probably due to associated atelectasis.

56208948

CHEST RADIOGRAPHS HISTORY: Atrial fibrillation and new left leg weakness. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

New small bilateral pleural effusions and associated opacities due to probable atelectasis.

11262225

There has been slight interval decrease in small to moderate left pneumothorax, and a stable small left pleural effusion. The right lung remains clear. The heart and mediastinum are within normal limits. Multiple left rib fractures are also noted.

52090820

EXAMINATION: CHEST (PA AND LAT) INDICATION: Status post ATV accident with multiple rib fractures and left pneumothorax. Evaluate pneumothorax. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___.

Slight interval decrease in small to moderate left pneumothorax. Stable small left pleural effusion. Clear right lung.

11262225

Again seen are multiple left-sided rib fractures as well as left clavicular fracture. The left-sided pneumothorax has increased in size significantly from initial chest x-ray obtained ___. It now measures 2.4 cm from lung apex to apical chest wall. There is no mediastinal shift. There is a stable persistent small left pleural effusion. In comparison to prior study, there is more optimal inspiratory effort. Allowing for changes due to this, the cardiomediastinal silhouettes are stable in appearance. There are no focal lung consolidations. There is no evidence of pulmonary vascular congestion.

51532579

EXAMINATION: PA and lateral chest x-ray. INDICATION: ___ year old man s/p bike accident on ___ with left pneumothorax, now found tohave increased in size on ___ (shoulder films). Recommended CXR to evaluate further // assess interval changes of left-sided pneumothorax TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: PA and lateral chest x-ray from ___, as well as shoulder radiographs obtained ___, and multiple examinations obtained on ___.

Increase in size of the left pneumothorax in comparison to radiographs obtained on ___. No mediastinal shift. Stable small left pleural effusion.

11941187

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.

54213246

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PNA ___- LLL noted on chest CT ___ Distant hx smoking // f/u to pneumonia ___ Rule out any abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality. No current evidence of pneumonia.

11941187

The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

50830041

INDICATION: Patient with history of asthma, recurrent pneumonia on the left side, today presenting with fever, rule out pneumonia. COMPARISON: Chest x-rays of ___ and chest CT of ___.

There is no evidence of pneumonia.

11941187

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.

53702310

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever, cough, pleuritic chest pain // ?pna COMPARISON: ___

No acute intrathoracic process.

11593651

PA and lateral views of the chest provided. Suture material in the right lower lung relates to prior resection. 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. A chronic left eighth rib deformity is noted.

51049030

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cp, SOB // PNA? COMPARISON: ___

No signs of pneumonia.

11593651

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

53920116

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain.

No acute findings in the chest.

11593651

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

59063582

CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11593651

Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Chronic left eighth rib deformity is again noted.

58832642

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___

No acute cardiopulmonary abnormality.

11593651

No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette is top normal. Coronary artery calcifications/stenting noted

50625912

HISTORY: Weakness, shortness of breath TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process. Please note that tiny centrilobular nodules seen on prior chest CT from ___ are better evaluated on CT.

11593651

PA and lateral views of the chest were provided. Suture are again noted in the right lower lung compatible with prior right middle lobectomy. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

57152207

HISTORY: ___F with dyspnea, history of prior right middle lobectomy. COMPARISON: ___.

No acute intrathoracic process.

11593651

The lungs are well expanded and clear. The patient is status post right middle lobectomy and chain sutures are seen in the right lower lung. There is slight shift of the heart to the right following the lobectomy. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.

51022782

HISTORY: Shortness of breath. Evaluate for pneumonia. TECHNIQUE: Upright AP and lateral radiographs of the chest. COMPARISON: Multiple prior radiographs of the chest most recent ___.

Stable postsurgical changes without evidence of pneumonia.

11781470

The lungs are slightly hyperexpanded, unchanged from prior radiographs. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild thickening of the pleura at the apices is unchanged. Enteric tube has its tip in the stomach but side port at the GE junction.

51545414

INDICATION: Status post NG tube placement. COMPARISON: Chest radiograph ___. CT abdomen and pelvis ___. TECHNIQUE: Portable semi-upright AP chest.

NG tube terminates in the stomach but the side port is at the GE junction and should be advanced for more optimal positioning.

11323860

Left basilar opacity may reflect atelectasis, and the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. The heart is normal in size. The mediastinal contours are normal. Presumed right lower cervical hardware is visualized.

57533407

INDICATION: ___-year-old male with leukocytosis and pain. Evaluate for pneumonia. TECHNIQUE: AP and lateral chest radiographs were obtained. COMPARISON: Rib series radiographs from ___ and chest CT from ___.

Left basilar retrocardiac opacity which could be due to atelectasis although pneumonia is possible in the proper clinical setting.

11323860

The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities. Surgical material projecting in the posterior subcutaneous tissues of the back.

55251896

INDICATION: ___M with presyncope // eval for signs of pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ chest x-ray and chest CT from ___.

No acute cardiopulmonary process.

11838447

The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

58770708

INDICATION: Chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.

Unchanged top normal heart size. No acute cardiopulmonary process.

11960717

The lungs are clear of pleural effusion or pneumothorax. No definite evidence of pneumonia, but there is a hazy opacity adjacent to the left heart border that is felt to not likely represent pneumonia. The heart size is normal. The mediastinal contours are normal.

55465756

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

No definite evidence of pneumonia. Hazy opacity adjacent to left heart border is not likely to represent pneumonia. Though if symptoms develop, a repeat chest radiograph can be obtained for evaluation.

11139755

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air is identified below the hemidiaphragms. Gas is noted in the colon at the splenic flexure.

57345382

INDICATION: Abdominal pain and recent J-tube revision. Evaluate for free air. COMPARISONS: Chest radiograph ___. CT chest ___.

No acute cardiopulmonary process. No evidence of free air below the hemidiaphragms.

11155383

PA and lateral chest radiographs were obtained. Lung volumes are low. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

55372109

HISTORY: chest pain. COMPARISON: None

No acute cardiopulmonary process.

11210454

There are low lung volumes. The heart size is mildly enlarged. The aorta is slightly tortuous and demonstrates diffuse calcifications. Patchy opacities in the lung bases likely reflect atelectasis. Aspiration or infection cannot be fully excluded. There is no pulmonary edema. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

58255429

HISTORY: Aphasia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Reference chest radiograph ___.

Patchy bibasilar airspace opacities likely reflecting atelectasis though infection or aspiration cannot be excluded.

11210454

Single portable frontal upright image of the chest. The ET tube and NG tube are in good position. Bibasilar opacities are seen, which have increased from prior exam, concerning for pneumonia. There are moderate pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam.

58818462

HISTORY: Rhonchi and hypoxia on a vent. COMPARISON: Comparison is made with chest radiographs from ___.

Increased bibasilar opacities with moderate pleural effusions, concerning for pneumonia.

11210454

Endotracheal tube tip terminates approximately 3 cm from the carina. Enteric tube is seen with its tip and side port in the stomach. Lung volumes are low. The heart size is mildly enlarged. The aorta is diffusely calcified. There is no pulmonary edema. Patchy opacities are noted in both lung bases. These could reflect areas of atelectasis, but infection is not excluded. No large pneumothorax or pleural effusion is seen on this supine exam. There are no acute osseous abnormalities.

59203939

HISTORY: Endotracheal tube placement. TECHNIQUE: Supine AP view of the chest. COMPARISON: None.

Endotracheal and enteric tubes in standard positions. Low lung volumes. Patchy opacities in the lung bases may reflect areas of atelectasis but infection is not excluded.

11200755

Lung volumes are slightly low, causing bronchovascular crowding. However, there is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits.

51971159

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F p/w acute asthma exacerbation. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.

Low lung volumes, but no focal consolidation concerning for pneumonia.

11200755

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

50594379

INDICATION: Shortness of breath. COMPARISONS: Chest radiograph from ___. Chest radiograph from ___. TECHNIQUE: A single upright AP view of the chest was obtained.

Minimal hyperinflation. No evidence of pneumonia.

11200755

Single portable view of the chest. The exam is limited secondary to technique. The lungs are grossly clear. Costophrenic angles are not well seen secondary to technique and overlying soft tissues. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Vertically-oriented metallic linear density projects over the oral cavity, likely a tongue piercing.

58797593

HISTORY: ___-year-old female with shortness of breath. COMPARISON: ___.

No acute cardiopulmonary process.

11200755

The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.

50270705

INDICATION: ___-year-old female with status asthmaticus. Question pneumonia. COMPARISONS: None.

No acute cardiopulmonary process.

11200755

PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.

59772981

INDICATION: Asthma, presenting with dyspnea. COMPARISON: None.

No acute cardiopulmonary process.

11200755

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.

57010260

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recurrent asthma exacerbations, presenting with asthma exacerbation and productive cough. TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11200755

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

52314452

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Asthma, with exacerbation, cough and shortness of breath, question pneumonia.

No acute findings in the chest.

11200755

Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are low. There is minimal patchy opacity in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.

55935436

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___

Low lung volumes with minimal atelectasis in the lung bases. No focal consolidation to suggest pneumonia.

11828460

Again seen are diffuse bilateral hazy opacification of the mid and lower lungs, right greater than left, better assessed on recent CT Chest. Right chest tube is in place. Mediastinal and hilar lymphadenopathy is also better assessed on recent CT. A tiny apical right pneumothorax is noted. Subcutaneous emphysema is expected in the postoperative setting.

55521657

EXAMINATION: Chest radiograph INDICATION: ___ year old man s/p R lung VATS wedge // reexpansion TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___ CTA chest with and without contrast from ___ Diffuse lung disease ___

Unchanged appearance of diffuse bilateral opacities in the mid and lower lungs, correlating to ground glass opacities seen on recent CT. Tiny right apical pneumothorax

11727183

The diaphragms are flattened, suggesting a component of emphysema. A vertical linear abnormality in the medial right upper lung zone is most consistent with bronchiectasis and scarring. Irregular mild linear interstitial opacities in the bilateral bases, right more than left, is most consistent with a chronic interstitial abnormality. There is no focal consolidation to suggest pneumonia. There is no pulmonary edema. Small bilateral pleural effusions are noted, left more than right. There is no pneumothorax. The cardiomediastinal silhouette is normal.

53089671

INDICATION: Mild hypoxia, postop day 2 after oral surgery. Evaluate for cause. TECHNIQUE: PA and lateral views the chest. COMPARISON: None.

No evidence of pneumonia. Probable chronic interstitial abnormality in the base, as well as right upper lobe bronchiectasis and scarring. If further characterization of these abnormalities is needed, a CT of the chest could be obtained. Small bilateral pleural effusions.

11593763

The lung volumes are low. There is mild pulmonary edema. There is no focal airspace opacity. There is no definite pleural effusion. There is no pneumothorax. The mediastinal contours are normal. The cardiac silhouette is enlarged. A fixation plate and screws are noted in the right humerus and incompletely evaluated. No acute fracture is identified.

52369757

INDICATION: Confusion with a history of cirrhosis. COMPARISONS: None. TECHNIQUE: Frontal and lateral views of the chest were obtained with a total three exposures.

Mild pulmonary edema. Mild-to-moderate cardiomegaly.

11593763

Lung volumes are low. The heart size remains mildly enlarged, and likely accentuated due to low lung volumes. Mitral annular calcifications are noted. Mediastinal and hilar contours are unremarkable. Mild no frank pulmonary edema is seen, there is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Streaky bibasilar airspace opacities could reflect atelectasis or chronic changes. No pleural effusion or pneumothorax is identified. Hardware seen within the right proximal humerus.

52164040

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

Low lung volumes. Probable mild pulmonary vascular congestion, similar compared to the prior exam. Streaky bibasilar airspace opacities could reflect atelectasis or chronic changes.

11593763

PA and lateral views of the chest were provided. The lung volumes are low. In this patient with known interstitial lung disease as seen on prior chest CT, there are stable reticular interstitial markings compared with prior exams. No new consolidation, effusion or pneumothorax is seen. The heart size is mildly enlarged. The mediastinal contour is stable. Slight prominence of the right pulmonary hilus is unchanged from prior CT scan. Hardware is again noted in the right proximal humerus. No acute bony abnormalities are detected. The known left distal clavicular fracture is only partially imaged.

56052728

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Confusion, altered mental status, question infection.

Stable interstitial prominence with low lung volumes, likely attributable to underlying chronic interstitial lung disease. Mild stable cardiomegaly. No acute findings.

11593763

Again, there are relatively low lung volumes. Increased interstitial markings bilaterally are similar to prior in this patient with history interstitial lung disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged is hardware in the right humerus. Fracture with lucency along the distal left clavicle again seen, with inferior displacement of the distal fracture fragment which may be slightly increased as compared to the prior study. There is persistent widening of the left acromioclavicular joint.

51156549

HISTORY: Cirrhosis, presenting with confusion, encephalopathy. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ and ___.

Low lung volumes with chronic interstitial changes without definite acute change. Distal left clavicular fracture with widening of the left acromioclavicular joint.

11593763

Single portable chest radiograph is provided. A left PICC terminates at the origin of the SVC and can be advanced 5 cm for better positioning. Again seen are prominent interstitial markings compatible with interstitial lung disease. The heart remains enlarged. There is no focal consolidation, pleural effusion or pneumothorax.

54099081

INDICATION: History of HCV cirrhosis and bacteremia. Question PICC line location. COMPARISONS: Chest radiograph from ___.

Left PICC at the origin of the SVC. Recommend advancement by 5 cm for better positioning. These findings were discussed with ___, IV nurse, ___ ___. ___ ___ telephone at 3 p.m. on ___.

11613444

A portable semi upright frontal chest radiograph demonstrates a left PICC which appears to terminate in the upper right atrium, although this may be related to low lung volumes. If desired, this can be pulled back approximately 2.0 cm to terminate in the low SVC. The remainder of the exam is largely unchanged, with slightly lower lung volumes resulting in increased prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

55433410

INDICATION: Evaluate PICC placement. COMPARISON: Chest radiographs from ___, ___, ___, ___.

The left PICC appears to terminate in the upper right atrium, although this may be related to low lung volumes. If desired, this can be pulled back approximately 2.0 cm to terminate in the low SVC.

11346293

The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal.

55914714

INDICATION: Evaluation of patient with epigastric pain. COMPARISON: None available.

No acute cardiopulmonary process.

11694226

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

53013509

HISTORY: ___ y/o M with chest pain. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None available.

Unremarkable chest radiographic examination.

11404434

The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.

59590414

HISTORY: History of COPD, now requiring preoperative chest radiographs. COMPARISON: None.

No acute cardiopulmonary process.

11629252

There is mild to moderate pulmonary edema. On the lateral view, there is increased opacity projecting over the mid to lower thoracic spine and descending thoracic aorta. This may correspond to increased opacity projecting over the right hilar region on the frontal view. Degree of cardiomegaly which is moderate is similar compared to prior. Median sternotomy wires are noted. Dense atherosclerotic calcifications are noted in the thoracic aorta.

53474554

INDICATION: ___M with cough, fever // r/o PNA TECHNIQUE: AP and lateral views the chest. COMPARISON: ___.

Mild to moderate pulmonary edema. Opacity on the lateral view projecting over the spine. This could be due to superimposed structures (spine, aorta) with superimposed edema although superimposed consolidation from infection or underlying lesion are also possible. Followup will be necessary after treatment for acute issues to ensure resolution.

11527789

Lung volumes are slightly low, but clear. Heart size is exaggerated by AP technique and likely normal, unchanged since ___. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

59320613

INDICATION: Left shift. Evaluate for evidence of infection. COMPARISON: Chest radiograph, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.

No acute cardiopulmonary abnormality.

11208895

The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. Mild degenerative changes are similar along the mid thoracic spine. There has been no significant change.

59366035

CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary process. Hyperinflation.

11208895

2 views were obtained of the chest. The lungs are mildly hyperexpanded, which can be seen in chronic obstructive pulmonary disease. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

50920960

HISTORY: Chest pain. COMPARISON: None.

Hyperexpanded lungs without acute intrathoracic process.

11208895

The cardiac, mediastinal and hilar contours are unchanged and within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No displaced fractures are visualized.

55134596

HISTORY: Intoxicated, fall. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11178568

Single AP portable view of the chest demonstrates no focal consolidations. The heart size is normal. The mediastinal contours are unremarkable. No pleural effusion, edema or pneumothorax. Previous right basilar opacities continue to exist as do left basilar opacities suggesting that this may be atelectasis.

52097760

HISTORY: ___-year-old female with altered mental status. COMPARISON: ___.

Bilateral basilar opacities, most likely atelectasis.

11178568

The inspiratory lung volumes are appropriate. Opacities in the right lung base may reflect early pneumonia. There is no significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.

54876296

INDICATION: History of HIV, now with chest pain and cough, here to evaluate for infectious process. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest.

Right basilar opacities may reflect early pneumonia.

11059196

A left chest wall dual lead AICD is present. Left mid lung atelectasis is again noted. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.

58659813

INDICATION: ___ year old woman with hypotension and hypoxia post op // Eval for pulm edema TECHNIQUE: AP portable chest radiograph COMPARISON: ___

No significant interval change since the prior examination.

11505559

The initial radiograph demonstrates the tip of the pacer wire projecting over the medial right atrium. The pacer wire is repositioned on subsequent films, and on the final film, the tip projects over the superior aspect of the right atrium. This finding was discussed with Dr. ___, ___ was already aware. Moderate pulmonary edema is unchanged. The enlarged heart size is unchanged.

52927201

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old female with malfunctioning pacing wire. TECHNIQUE: Multiple sequential portable AP view radiographs of the chest from ___. COMPARISON: Prior studies from earlier the same day.

Tip of pacer wire projects over the superior aspect of right atrium. Unchanged moderate pulmonary edema. Unchanged cardiomegaly.

11505559

AP portable upright view of the chest. A transvenous pacing wire is seen entering the right IJ with its tip in the region of the right ventricle. Multiple overlying EKG leads limit the evaluation. Allowing for this, there are coarsened interstitial markings suggestive of underlying emphysema with possibly a component of mild edema. No large effusions are seen. Bony structures are intact.

57695973

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with bradycardia, hypotension, TV pacer placed, assess central line placement COMPARISON: None

Transvenous pacer enters right IJ with tip in region of right ventricle. Probable mild edema superimposed on a background of emphysema.

11505559

The lungs are hyperinflated with increased interstitial lung markings which are most likely due to worsening pulmonary edema. The tip of a single lead pacer projects of the right ventricle. There is no pneumothorax. The heart appears enlarged despite the projection. There is generalized osteopenia.

57378271

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with bradycardia status post pacer wire with runs of NSVT; evaluate for position of temporary pacer wire. TECHNIQUE: Single AP view radiograph of the chest from ___. COMPARISON: ___

Hyperinflated lungs with worsening pulmonary edema. Stable cardiomegaly with appropriately positioned pacer wire.

11900721

Moderate left and small right pleural effusions are seen, appear increased on the left. There is moderate pulmonary edema. The cardiac silhouette remains mildly enlarged. Mediastinal contours are grossly stable. No pneumothorax is seen.

51327386

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // ? effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Increased moderate left pleural effusion. Persistent small right pleural effusion. Pulmonary edema, similar to mildly increased since the prior study.

11900721

Enteric tube extends to the stomach. Multiple embolization coils overlying the right upper quadrant. Marked cardiomegaly is again demonstrated. Tortuous thoracic aorta. Interstitial prominence of the lungs, suggestive of interstitial edema no focal consolidation or pneumothorax.

53378152

EXAMINATION: Portable supine chest INDICATION: ___ year old woman with hepatic encephalopathy s/p NG placement // correct NG placement TECHNIQUE: Portable supine chest COMPARISON: ___ 12:15

Interstitial prominence, concerning for interstitial edema. No focal consolidation or pneumothorax.