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

subject_id stringlengths 8 8	findings stringlengths 93 1.83k	study_id stringlengths 8 8	background stringlengths 10 2.5k	impression stringlengths 16 1.06k
11375664	The lung volumes are slightly low, with linear segmental atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac size is in the upper limits of normal. The hilar and mediastinal contours are within normal limits. Again seen is a compression deformity of a lower thoracic vertebral body, unchanged since the earlier study from ___.	55637885	INDICATION: ___-year-old man with cough for two weeks, yellow sputum and questionable fevers. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST	No acute cardiopulmonary pathology.
11553956	A portable frontal chest radiograph demonstrates interval increase in a previously seen left pleural effusion, now large with only a small amount of aerated lung in the left lung apex. This appears to exert mass effect upon the mediastinum, which is now shifted to the right. The right lung appears normally aerated without focal consolidation, pleural effusion, or pneumothorax. There is no appreciable left-sided pneumothorax. The visualized upper abdomen is unremarkable.	58516699	INDICATION: Evaluate for pneumonia or pneumothorax in a ___-year-old woman with hypoxia. COMPARISON: Chest radiographs from ___, ___, ___.	Large left pleural effusion exerting mass effect upon the mediastinum, which is now shifted to the right.
11553956	There is a moderate loculated left pleural effusion and left basilar atelectasis. Left pleural thickening is better assessed on PET-CT performed earlier on same day. A right upper lobe of consolidation is better evaluated on CT. There is no frank pulmonary edema. There is no pneumothorax. No chest tube is visualized.	58336134	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chest tube, recent effusion // eval for pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: PET-CT performed earlier on same day on ___	Moderate loculated left pleural effusion with associated left basilar atelectasis, left pleural thickening and new right upper lobe consolidation are better assessed on PET-CT performed earlier on same day.
11553956	The change since the previous exam. Left pleural effusion. Again seen. Right lower lobe atelectasis also seen. The heart is enlarged and the aorta is tortuous as previously.	51430211	EXAMINATION: Chest single view INDICATION: ___ year old woman with pleural effusion and CTX // ? CTX interval eval TECHNIQUE: Portable AP COMPARISON: ___.	Persistent left pleural effusion.
11553956	A small left-sided pleural effusion is new from ___, unexplained. No pleural effusion on the right. No pneumothorax. There is no consolidation or pulmonary edema. Aorta is tortuous. Mild cardiomegaly is unchanged.	53936460	EXAMINATION: Chest radiograph INDICATION: ___-year-old female with intermittent dizziness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Unexplained small left pleural effusion, new from ___.
11553956	The lungs are hyperinflated. The large left pleural effusion has increased in size. There is only minimal aeration within the left upper lung. Faint right basilar opacities noted. Right lung is otherwise clear. No pulmonary edema. Heart size is difficult to assess, however the cardiomediastinal silhouette appears stable compared to the scout images dated ___. Pneumothorax.	52428978	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with lung cancer, h/o effusion, with worsening MS // ? size of effusion, ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___.	Increase in size of the large loculated left pleural effusion with only minimal aeration of the left upper lung. Right basilar opacity, potentially atelectasis noting that developing infection or aspiration are difficult to exclude.
11553956	No significant interval change since ___. There is persistent moderate to large left-sided partially loculated pleural effusion, not significantly changed compared to ___, though increased compared to ___, since removal of the pigtail catheter. The right lung is well expanded and clear. Mediastinal contours, hila and cardiac silhouette are stable from ___. No pneumothorax.	53092614	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with sob. Evaluate chf. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph from ___, ___, ___, ___. Chest CT from ___.	No significant interval change since ___. Persistent moderate to large left-sided partially loculated pleural effusion.
11553956	The left mid to lower lung opacification now has a bulging contour. This likely represents a combination of dense atelectasis from collapse of superior segment of the lower lobe and small to moderate pleural effusion rather than loculated pleural effusion. The remaining left lung is clear without consolidation. The right lung is clear without consolidation. The hila and pulmonary vasculatures are grossly unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. No fractures.	56624038	INDICATION: ___ year old woman with pleural effusion, recent chest tube removal, and new diagnosis of lung adenocarcinoma. // Is effusion loculated, any evidence of hematoma around L chest where chest tube was removed? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	The worsening left lung opacification likely represents a combination of dense atelectasis and small to moderate pleural effusion rather than loculated pleural effusion alone.
11553956	Left basilar chest tube is unchanged in position. Moderately-sized left pleural effusion appears slightly increased from the prior study on ___. No pleural effusion on the right. There is no pneumothorax. Pulmonary vascular congestion is mild. Mild cardiomegaly.	57596441	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chest tube // eval chest tube positioning and effusion TECHNIQUE: Frontal chest radiograph COMPARISON: Portable chest radiograph ___	Left pleural effusion appears slightly larger compared to ___. No pneumothorax.
11553956	There has been interval removal of the left-sided pigtail drainage catheter. Moderate to large left-sided pleural effusion is loculated and larger than on ___. Opacification at the left lung base is unchanged from ___. The right lung is well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are stable from ___. No pneumothorax.	58377612	WET READ: ___ ___ ___ 5:33 AM Moderate to large loculated left-sided pleural effusion is larger since ___. Superinfection cannot be excluded. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with lung cancer, desats at home // ? recurrent effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs since ___, most recently ___.	Moderate to large loculated left-sided pleural effusion is larger since ___. Superinfection cannot be excluded.
11553956	Stable left effusion and left base consolidation. Left chest tube 1 placed. Linear atelectasis in the right base. Cardiomegaly as previously.	54399950	EXAMINATION: Chest single view INDICATION: ___ yo woman with HTN, HLD, CAD and extensive tobacco hx with malignant pleural effusion s/p talc pleurodesis // interval change after chest tube to water seal TECHNIQUE: Portable AP COMPARISON: ___.	Stable appearance of the chest.
11953959	Cardiac contours unchanged. Bibasilar atelectasis again noted. No pleural effusions. No pneumothorax. Left PICC tip in the lower SVC. Posterior vertebral fusion hardware appears intact though partially visualized.	51174071	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p tracheobronchoplasty // Please evaluate for interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___	Bibasilar atelectasis. No pneumothorax.
11953959	As compared to the previous radiograph, there are no relevant changes. Cervical hardware is intact. Pleural and parenchymal scars in the left are stable in appearance. Heart appears normal in size and cardiomediastinal contours are unremarkable. Lungs are clear. No pleural effusions and no pneumothorax.	54762919	INDICATION: ___-year-old woman with tracheobronchomalacia, assess for interval changes. COMPARISON: Series of chest radiographs dating back to ___, most recently from ___. TECHNIQUE: PA and lateral chest radiographs.	No significant changes compared to the PA and lateral study from ___.
11953959	Interval improvement in the right pleural effusion with improved visualization of the right hemidiaphragm and previously seen right mid lung opacity likely represents fluid in the minor fissure as it is now resolved. There remains to be some fluid in the right major fissure. Mild atelectasis noted in the right lung base again noted. Interval mild improvement in small left pleural effusion is also seen with improved visualization of the left hemidiaphragm. Stable postoperative appearance of the trachea. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Left PICC in lower SVC. Vertebral hardware unchanged.	50968888	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // Please evaluate for interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___.	Interval decrease in bilateral pleural effusions
11953959	Minimal right pneumothorax with both apical and anterior components is unchanged. Apical pigtail drains and posterior lateral right lower thoracostomy tubes remain in unchanged position. Minimal right pleural effusion and atelectasis is unchanged. Left lungs grossly clear. Mediastinal and hilar contours are stable. Heart size is normal.	59505278	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute resp distress // r/o ptx TECHNIQUE: Single frontal view of the chest. COMPARISON: Same-day chest radiograph from a few hours earlier.	Unchanged minimal right pneumothorax. No pneumothorax on the left. Minimal right pleural effusion and basilar atelectasis.
11953959	Compared to the prior study the PICC has been repositioned and now terminates in the distal SVC. Fluid again seen in the right major fissure. A linear opacity in the right mid lung may represent atelectasis or fluid in the minor fissure. Linear atelectasis or scarring peripherally in the left lung. There are bilateral pleural effusions, similar in appearance when compared to the prior study. Left lower lobe atelectasis. No pneumothorax seen. Degenerative changes throughout the thoracic spine.	52404880	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p tracheobronchoplasty // Please evaluate for interval changePlease perform at ___, ___ for weekend AM attending rounds and D/C to rehab in AM TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph ___.	Repositioned PICC, now terminating in the distal SVC. Otherwise no significant interval change when compared to the prior study.
11953959	Left PICC with tip traversing superiorly 4.5 cm into the right brachiocephalic vein. If the PICC was repositioned appropriately, then tip well ends in the lower SVC. No pneumothorax. Interval increase in small right pleural effusion with fluid seen in the major fissure and opacity in the right mid lung likely reflects either fluid in the minor fissure or atelectasis. New right lower lobe atelectasis. The cardiac and mediastinal silhouettes are unchanged. Vertebral fixation hardware is unchanged.	55726967	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___	Left PICC tip 4.5 cm into the right brachiocephalic vein. If the PICC was repositioned appropriately, then tip well ends in the lower SVC. Increase in small right pleural effusion with right lower lobe atelectasis.
11953959	Heart size and mediastinum are stable. Right pigtail catheter is in place. Interval decrease in right basal pneumothorax and subcutaneous emphysema of the right chest wall. However, persistence of small right pneumothorax. Right lower lobe atelectasis. Unchanged atelectasis of the left lung. Small right pleural effusion. Stable degenerative disc disease and cervical spinal fusion hardware.	55319676	INDICATION: ___ year old woman with R PTX // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___	Marked improvement of right basal pneumothorax and subcutaneous emphysema of the right chest. Persistence of small right pneumothorax. Small right pleural effusion.
11953959	The lungs are moderately well inflated. There are unchanged bibasilar opacities compatible with atelectasis versus consolidation. Small left pleural effusion. Mild cardiomegaly as before. The 2 right-sided chest tubes are in unchanged position with no residual pneumothorax on this radiograph. Right central venous catheter terminates at the cavoatrial junction. EKG leads overlie the chest wall. Spinal fusion hardware projects over the lower cervical spine as before.	50894148	INDICATION: ___F with recent tracheobroncoplasty for TBM who have apical and basal pneumothoraces. // query pneumonia TECHNIQUE: Single portable AP radiograph of the chest COMPARISON: ___	Moderately well inflated lungs with unchanged bibasilar atelectasis versus consolidation and a small left pleural effusion. Interval resolution of right sided pneumothorax with unchanged position of the 2 right chest tubes. New right central venous catheter terminates at the cavoatrial junction.
11953959	Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Clips and chain sutures are seen within the left mid and lower lung fields. No focal consolidation, pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely assessed.	54359373	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Semi-upright AP view of the chest COMPARISON: ___ chest radiograph	No acute cardiopulmonary abnormality.
11953959	A right pigtail catheter again projects over the right hemithorax. Extensive subcutaneous emphysema projects over the right chest. Nonetheless there is a moderate to large right pneumothorax. There are grossly unchanged bilateral pleural effusions with adjacent atelectasis given differences in technique. The size of the cardiac silhouette is within normal limits.	51301571	INDICATION: ___ year old woman with R pigtail catheter in place // this is exam is URGENT due to its need for specific timingplease perform exam at 6:___PM please eval for interval change TECHNIQUE: AP portable chest radiograph COMPARISON: ___	Moderate to large right pneumothorax, increased from prior. A right pigtail catheter is present. Increasing subcutaneous emphysema over the right chest. Findings were communicated to and acknowledged by ___, MD at ___h___ PM via telephone, ___ minutes after discovery of findings by ___, MD.
11953959	Moderately well inflated lungs. Unchanged bibasilar atelectasis. Worsening bilateral pleural effusions. Right sided chest tube is in unchanged position. Persistent subcutaneous emphysema along the right lateral chest wall. Mild cardiomegaly. EKG leads overlie the chest wall. Multilevel degenerative changes of the thoracic spine and spinal fixation hardware projects over the lower cervical spine.	52982034	INDICATION: ___ year old woman s/p tracheoplasty and bronch yesterday with recent PTX s/p CT // Interval Change. Please complete ___ at 6 am TECHNIQUE: Chest PA and lateral COMPARISON: ___	Worsening bilateral pleural effusions with an unchanged right sided chest tube. Bibasilar atelectasis is present. Right lateral chest wall subcutaneous emphysema persists.
11953959	Small right basilar pneumothorax is seen, minimally more prominent compared with ___, and ___ ; not as well seen on ___. Right pleural effusion has decreased. Improved right basilar atelectasis. 2 right chest catheters. Small left pleural effusion, similar. Left basilar opacity has improved since ___. Right IJ central line tip in the low SVC. Decreased heart size, pulmonary vascularity since ___. Postoperative changes cervical spine.	56934209	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F TBM s/p Tracheobronchoplasty w/ Mesh ___ tx OSH for Right PTX // Interval change, Pneumothorax. Please complete at 9 pm TECHNIQUE: Chest two views COMPARISON: ___, ___	Small right basilar pneumothorax. Small left pleural effusion. Bibasilar atelectasis. Decreased heart size, pulmonary vascularity.
11953959	Patient is status post tracheobronchoplasty. Postoperative appearance shows more narrowing in the lower trachea compared to most recent radiograph from 1 day prior but improved appearance of the upper trachea. Bilateral effusions have increased, right greater than left with likely fluid in the right major and minor fissures. Bibasilar atelectasis again noted. No pneumothorax is seen. Postoperative appearance of cardiac and mediastinal silhouettes are unchanged. Left PICC tip in low SVC. Calcified aortic knob. Vertebral hardware unchanged.	52995113	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiographs since ___ through ___.	Bilateral pleural effusions with bibasilar atelectasis increased compared to radiograph from a day prior. Postoperative appearance shows more narrowing of lower trachea with improved upper trachea compared to most recent radiograph.
11953959	No significant interval change since chest radiograph performed earlier on the same day. No pneumothorax is seen. Again vertebra fixation hardware is noted. Cardio mediastinal silhouette is unchanged. Left PICC in mid SVC.	55287449	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // check interval change TECHNIQUE: Chest: PA Frontal and Lateral COMPARISON: Chest radiographs since ___ with most recent ___ performed earlier on the same day.	No interval change since chest radiograph performed earlier in the see and
11953959	Interval removal of the right pleural catheter with a moderate to large right pneumothorax. Subcutaneous emphysema is also present along the right lateral chest wall. Retrocardiac opacity reflect a probable atelectasis. Lower cervical spinal orthopedic hardware.	59114083	INDICATION: ___ year old woman tracheobronchomalacia s/p tracheobronchoplasty // recurrent PTX, post chest tube pull with desats TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day	Interval removal of the right pleural pigtail catheter with a moderate to large right hydro pneumothorax.
11604798	PA and lateral views of the chest were obtained demonstrating clear well- expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.	54452539	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Asthma, productive cough, question pneumonia.	No acute intrathoracic process.
11391086	The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.	50102476	HISTORY: Nonproductive cough, right-sided chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality.
11433169	The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable aside from minimal rightward convex curvature.	55950697	CHEST RADIOGRAPHS HISTORY: Acute onset of shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11780494	Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart is mildly enlarged, as demonstrated on prior PET-CT from ___.	50784628	WET READ: ___ ___ ___ 11:25 AM 1. No acute intrathoracic process. 2. Mild cardiomegaly. WET READ VERSION #1 ___ ___ ___ 9:05 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with lt arm pain and swelling // evaluate of LUL mass/inflitrate TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___, PET-CT ___.	No acute intrathoracic process. Mild cardiomegaly.
11236729	Heart size is normal. Bilateral upper displacement of the hila appears unchanged, consistent with upper lobe volume loss. Bilateral upper lobe reticular and nodular opacities appear similar to the prior study. No new areas of consolidation are identified within the lungs, and there are no pleural effusions.	57056024	INDICATION: ___ year old man with HIV off ART with SOB snd cough // PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph. ___ chest CT	Chronic upper lobe interstitial abnormality with associated volume loss. No radiographic evidence of acute pneumonia.
11748984	Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, are consolidation.	52805851	INDICATION: History: ___F with fall, hip dislocation // eval fracture TECHNIQUE: Portable chest x-ray. COMPARISON: None available.	No acute cardiopulmonary process.
11959315	The cardiomediastinal and hilar contours are stable, with mild enlargement of the cardiac silhouette. The lung volumes are low, but no focal consolidation, pleural effusion, or pneumothorax is seen.	59842574	INDICATION: ___-year-old woman with chest pain and history of cardiomyopathy. COMPARISON: Chest radiograph ___. PORTABLE AP CHEST	No acute cardiopulmonary pathology.
11959315	Frontal and lateral views of the chest were obtained. Per the radiology technologist, the patient had some sort of shoulder injury and could not raise her right arm. The right arm overlies part of the image on the lateral view. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.	54099754	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain and syncope. COMPARISON: ___.	No acute cardiopulmonary process.
11959315	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.	57843111	HISTORY: Difficulty speaking. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: ___.	No acute cardiopulmonary process. No focal consolidation seen.
11959315	There is no focal consolidation, pleural effusion or pneumothorax. Lung volumes are slightly low compared to the prior studies. Cardiac silhouette is mildly enlarged but stable. Mediastinal contour is unremarkable. There are no acute skeletal abnormalities.	57498794	INDICATION: ___-year-old woman status post fall, lightheadedness, question acute process. COMPARISONS: Portable AP radiograph from ___. PA and lateral from ___.	No acute cardiopulmonary process. Mild cardiomegaly, stable.
11146265	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	57152580	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with diaphragmatic-type pain, fever nightly x 3 days // eval ? PNA vs pleural effusion. COMPARISON: Reference CT chest from ___.	No acute intrathoracic process.
11853440	PA and lateral views of the chest were provided. There are midline sternotomy wires and mediastinal clips again noted. A nodular opacity in the left mid lung is less conspicuous than on prior exam and could represent a focus of scarring, though a CT may be obtained to further characterize if it is not completely resolved on followup exams. There are bibasilar opacities, most compatible with bronchovascular crowding given the low lung volumes. No large effusion or pneumothorax. The heart size is top normal. The mediastinal contour is stable, reflective of a somewhat unfolded thoracic aorta. The bony structures are intact. No free air below the right hemidiaphragm.	51134697	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old man with recent CABG, presents with chest pain and shortness of breath, evaluate for fluid overload.	Low lung volumes with lower lung opacities most compatible with bronchovascular crowding. Left mid lung nodular opacity is less conspicuous. Recommend continued followup to resolution. If this opacity does not resolve, a CT should be obtained.
11853440	There is opacification of the left lower lobe consistent with atelectasis and less likely infection. There is a focal opacity in the left mid lung which most likely represents loculated fluid along the major fissure. Mild cardiomegaly is identified and unchanged from the prior study. There is no pulmonary vascular redistribution, edema or pleural effusion seen. There is no pneumothorax.	55704462	HISTORY: Status post CABG. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs, most recent on ___.	Left lower lobe atelectasis and a focal opacity in the left mid lung which most likely represents loculated fluid in the major fissure.
11853440	A right internal jugular vascular sheath remains, but the pulmonary arterial catheter has been removed. Chest tubes have also been removed bilaterally. There is no pneumothorax or pleural effusion. Patchy retrocardiac opacity has improved. Streaky right basilar opacity is similar and suggests minor atelectasis. The patient is status post coronary artery bypass surgery.	56033165	CHEST RADIOGRAPH HISTORY: Recent CABG with removal of chest tubes. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.	Improving left basilar atelectasis. Removal of chest tubes without evidence for pneumothorax.
11853440	Frontal and lateral radiographs of the chest demonstrates stable top-normal heart size and low lung volumes. The nodular opacity in the left mid lung is unchanged, representing scarring. Persistent bibasilar atelectasis. No evidence of pulmonary vascular congestion or edema. No pleural effusion or pneumothorax.	52334035	HISTORY: Chest pain, shortness of breath, received fluids overnight. Evaluate for fluid overload. COMPARISON: Chest radiograph dated ___ and CT chest dated ___.	No evidence of fluid overload.
11001718	The endotracheal and nasogastric tubes are in appropriate position. The lungs are without focal opacity. Bilateral pleural effusions are moderate in size. No pneumothorax. The cardiac and mediastinal contours are normal. No displaced rib fractures identified.	54425042	INDICATION: History: ___M with intubation and IJ line // eval tube/line placement TECHNIQUE: Portable frontal view of the chest. COMPARISON: CT chest ___. Chest radiograph ___.	The endotracheal and nasogastric tubes are in appropriate position. Moderate bilateral pleural effusions.
11135547	AP upright portable chest radiograph is obtained. The lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contour appear normal. Bony structures appear intact.	56581810	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: MVA with facial trauma, assess for intrathoracic trauma.	No acute intrathoracic injuries.
11582633	Cardiomediastinal contours are stable in appearance compared to previous portable radiograph of ___ when consideration is made for differences in positioning. Pulmonary vascularity is normal, and lungs are clear. Lateral left costophrenic sulcus is not well demonstrated but has similar appearance to previous study.	55937820	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SOB acute ___ chest pressure // aortic dissection? PNA? COMPARISON: ___ PA and lateral chest radiograph and ___ portable chest radiograph	No portable radiographic findings to suggest pneumonia or complications of aortic dissection. However, a portable chest radiograph has a low sensitivityive for diagnosing aortic dissection, and dedicated chest CTA may be considered if there remains clinical suspicion for this entity.
11582633	Lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Slight elevation of left hemidiaphragm is unchanged. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable.	52771742	INDICATION: Chest pain. Rule out acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. Chest CTA ___.	No acute cardiopulmonary process.
11582633	There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.	56469427	EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Dyspnea on exertion and chest pain. COMPARISON: ___.	No acute cardiopulmonary process.
11582633	Study is somewhat limited by body habitus. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.	58090862	EXAMINATION: Chest radiograph INDICATION: Syncope. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11582633	Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen the right. There are no acute osseous abnormalities.	50466475	FINAL ADDENDUM ADDENDUM Comparison study from ___ was available and showed no change. ______________________________________________________________________________ WET READ: ___ ___ ___ 11:29 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: Congestive heart failure, diabetes mellitus type 2, elevated blood sugar. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11582633	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac mediastinal silhouettes are unremarkable. No displaced fracture is seen radiographically.	55863039	HISTORY: Left-sided chest pain. TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11710911	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.	51008641	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11181748	Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.	53610077	INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: ___	Slight interval decrease in right-sided pleural effusion and atelectasis.
11181748	Small right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination.	58227020	EXAMINATION: Chest radiograph. INDICATION: History: ___M s/p thoracentesis with bleeding at site // Please assess for hemothorax TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently ___.	Stable small right pleural effusion.
11181748	A large right pleural effusion is new from the prior study. Superimposed opacity likely represents compressive atelectasis, however infectious process could be considered the proper clinical setting. There is no left pleural effusion. There is mild pulmonary vascular congestion without overt pulmonary edema.	55851177	WET READ: ___ ___ 12:37 PM 1. New large right pleural effusion. 2. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. 3. Mild pulmonary vascular congestion without overt pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (SINGLE VIEW) INDICATION: ___M with chest pain, hx CAD with stent, for acute process Eval for acute process TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___.	New large right pleural effusion. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. Mild pulmonary vascular congestion without overt pulmonary edema.
11181748	Cardiomediastinal silhouette is stable. Moderate right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear. There is no left pleural effusion. No pneumothorax.	53956979	INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: PA and lateral views of the chest COMPARISON: ___	Interval decreased moderate right pleural effusion.
11384291	Fractures of the right seventh, eighth and ninth ribs are demonstrated laterally. There is a small apical pneumothorax, newly appreciated from the recent chest radiograph but evident on prior CT. A right pleural effusion is minimal and better seen on prior CT. Discoid basilar atelectasis bilaterally. Surgical clips in the upper abdomen. The cardiomediastinal contours are normal.	59327215	INDICATION: ___ year old man with right 7,8 and 9th rib fx // f/u x-ray TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and CT from ___.	Small right apical pneumothorax. Persistent right ___, ___ and 9th rib fractures. Minimal right pleural effusion.
11384291	PA and lateral views of the chest provided. Clips in the upper abdomen noted. Faint linear densities the lower lungs most compatible with platelike atelectasis. Otherwise lungs are clear. 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.	51299911	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fall on back and right side. now with pain with inspiration COMPARISON: None	As above. If there is further concern for rib fracture dedicated rib series may be performed to further assess.
11056642	Single AP portable chest radiograph demonstrates prominent bilateral interstitial markings. There is blunting of bilateral costophrenic angles consistent with likely small pleural effusions. The within the right midlung zone, there is a rounded opacity which corresponds to mass seen on same day CT. The mediastinal contour or appears to be wide, consistent with adenopathy, also demonstrated on same day CT. Prominent vasculature likely reflects a component of vascular congestion and mild pulmonary edema.	50453240	INDICATION: ___-year-old female with altered mental status status post fall. TECHNIQUE: Single AP portable view of the chest. COMPARISON: Same day chest CT.	Right lung focal opacity consistent with mass better delineated on same day CT. Prominent interstitial markings and prominent vasculature thought to reflect mild pulmonary edema. Widened mediastinum consistent with adenopathy also demonstrated on same day CT.
11273513	Chest, PA and lateral. The lungs are clear. There is moderate cardiomegaly. The hilar and mediastinal contours are otherwise normal. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal. There are surgical changes associated with the patient's history of CABG. There is a dual-lead implanted pacemaker. The configuration of the device is somewhat unusual in that it appears rotated ___ degrees laterally within the pocket.	55799264	INDICATION: Evaluate for pneumonia in a patient with history of multiple myeloma and CABG, presenting as a transfer after fall and mandibular fracture. COMPARISON: None available.	No acute cardiopulmonary process.
11761621	Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is similar to prior. Redistribution of the pulmonary vasculature is compatible with mild pulmonary congestion. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax is identified. Osseous structures are unremarkable. No radiopaque foreign bodies.	59700999	INDICATION: ___-year-old male with dyspnea. Evaluate for acute cardiopulmonary process. COMPARISONS: Multiple prior chest radiographs, most recently ___.	Mild pulmonary congestion without overt edema. Moderate cardiomegaly.
11761621	AgA mild interstitial abnormality is similar to improved. There is no overt pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and allowing for differences in technique, not significantly changed.	58212999	INDICATION: Chest pain. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained with a total of three exposures.	Similar to improved mild interstitial abnormality; vascular congestion without overt pulmonary edema could be considered versus airway inflammation. Stable mild cardiomegaly.
11761621	Probable mild background hyperinflation. Heart size is mildly enlarged. There is no evidence of pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema.	53151343	HISTORY: Hyperglycemia, rule out pneumonia. COMPARISON: ___ TECHNIQUE: PA and lateral views of the chest.	Mild cardiomegaly without evidence of acute pulmonary process.
11761621	The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The previously noted mild interstitial pulmonary edema has resolved. Minimal atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. Clips project over the left axillary region.	59607535	HISTORY: Confusion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Resolution of previously noted interstitial pulmonary edema. Minimal bibasilar atelectasis.
11761621	PA and lateral views of the chest were obtained. There is stable mild cardiomegaly with mild pulmonary edema which appears similar in pattern to the prior exam. Trace fluid along the fissural planes is noted. No pneumothorax. Bony structures are intact.	59474090	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Cough and fever, assess pneumonia or other acute abnormality.	Mild pulmonary edema, no pneumonia.
11761621	Low lung volumes are low. The heart size is mildly enlarged, and slightly increased compared to the previous exam. The mediastinal contours are unchanged. Crowding of the bronchovascular structures is noted with mild pulmonary vascular congestion. A focal patchy opacity is seen within the right lower lobe, which could reflect an area of atelectasis or infection. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	50701824	HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Low lung volumes with mild pulmonary vascular congestion and patchy right lower lobe on opacity which may reflect atelectasis but pneumonia is not excluded.
11761621	Single portable view of the chest is compared to previous portable exam from ___ and chest x-ray from ___. Despite lower lung volumes, there are increased pulmonary vascular markings seen centrally with re-distribution. There is no confluent consolidation. Cardiac silhouette is stable.	51514003	PORTABLE CHEST ___ HISTORY: ___-year-old male with headache and nausea and vomiting since last night.	Findings suggestive of mild volume overload.
11761621	Moderate cardiomegaly is unchanged since ___. Again seen are hazy widespread opacities, likely representing trace pulmonary edema. There is no pneumothorax, focal consolidation, or pleural effusion.	59067250	INDICATION: Left flank and back pain. COMPARISON: Radiographs available from ___ through ___. FRONTAL AND LATERAL CHEST	Unchanged moderate cardiomegaly with central vascular congestion and trace pulmonary edema.
11761621	The position of right PICC line is unchanged. No failure is present. No acute process. The costophrenic angles are sharp.	52290966	CLINICAL HISTORY: Cough. Patient on dialysis. Evaluate for acute pulmonary process.	No failure, no pneumonia.
11761621	Frontal and lateral views of the chest are compared to previous exam from ___. The lungs are clear of consolidation or effusion. The cardiac silhouette is enlarged but stable. Surgical clips project over the left axilla. Osseous and soft tissue structures are otherwise unremarkable.	53897882	CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with nausea and vomiting.	Cardiomegaly but no definite acute cardiopulmonary process.
11337457	AP and lateral radiographs of the chest demonstrate intact median sternotomy wires and left-sided clips. The lungs are clear, and the cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen. The osseous structures are unremarkable.	53277514	INDICATION: Fatigue and leukocytosis. Evaluate for pneumonia. COMPARISON: None available.	No acute cardiopulmonary process.
11942799	Low lung volumes accentuate the central pulmonary vasculature. Peribronchial cuffing is present in the right juxtahilar region with adjacent nonspecific patchy right infrahilar opacity. An azygos fissure is incidentally noted. There is no consolidation or pneumothorax. A left pleural effusion is small. Cardiac and mediastinal contours are normal. HH	51040959	HISTORY: Left rib pain. COMPARISON: None.	Small left pleural effusion. Right juxtahilar peribronchial cuffing would could reflect bronchitis in the appropriate clinical setting. Adjacent patchy right infrahilar opacity could reflect atelectasis, aspiration, or early pneumonia. Short-term follow-up imaging is recommended.
11942799	PA and lateral views of the chest were provided. There is a large retrocardiac opacity containing ___ air-fluid level which is compatible with a hiatal hernia. The previously detected pleural effusion has resolved. The lungs are clear. The cardiomediastinal silhouette is normal. ___ azygous fissure is noted. Bony structures are intact.	53569049	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Recent rib injury with mild cough, question interval change.	Hiatal hernia, otherwise unremarkable.
11281418	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.	59483755	INDICATION: ___F with weakness // infiltrate? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11281418	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.	58640833	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, stroke sxs // r/o chest infection COMPARISON: ___	No acute intrathoracic process.
11433061	A right chest wall subclavian approach port is noted with tip terminating in standard position at or just below the cavoatrial junction. The line does not appear to have migrated, although is somewhat difficult to assess given absence of conventional chest radiograph after placement of the port. Cardiomediastinal and hilar contours are normal. Elevation of the right hemidiaphragm is persistent. There is no pleural effusion. Lucency at the right lung apex with an apparent pleural line is noted, which may represent a small pneumothorax. There is no focal consolidation concerning for pneumonia. Right lower lobe atelectasis is present. The visualized upper abdomen is unremarkable. Degenerative changes are seen in the thoracic spine. Surgical clips are present in the right breast with asymmetric increase of the right breast tissue, consistent with breast reconstruction. Sclerosis with compression deformity in the T2 vertebral body is again seen, stable compared to the chest CT from ___.	52189234	INDICATION: ___ year old woman with met breast // on long-term trastuzumab therapy, pain at POC site radiating to back. Please evaluate if line has migrated? TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___.	Right chest port in standard position. Possible small right apical pneumothorax. Repeat chest radiograph with expiration views is recommended. During this repeat exam, care should be taken to ensure that nothing is overlying the patient.
11433061	No pneumothorax is identified on today's study. A right-sided chest port catheter terminates in the right atrium. Elevation of the right hemidiaphragm along with streaky atelectasis of the right lower lobe is an unchanged finding. The left lung is clear. No evidence of pleural effusion or pulmonary edema.	58517189	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pneumothorax with increasing pain and shortness of breath // eval for pneumothorax TECHNIQUE: Chest PA and Lateral COMPARISON: Chest CT from ___ and chest x-ray from ___	No evidence of pneumothorax.
11190372	Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. The lungs are clear. Scarring within the lung apices is is re- demonstrated. No pleural effusion, focal consolidation or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine.	50287096	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11190372	Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.	51201686	HISTORY: Cough and pleurisy. COMPARISON: Multiple prior chest radiographs, most recently of ___.	No acute cardiopulmonary process.
11190372	Biapical pleural thickening is again noted. Multiple bilateral small pulmonary nodules noted on chest CT are not clearly delineated on this study. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Mild degenerative changes are noted throughout the thoracic spine.	55398323	HISTORY: Chest pain. COMPARISON: Chest radiograph from ___ and CT chest from ___.	No acute cardiopulmonary process.
11190372	The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. No obvious osseous abnormalities.	56170215	INDICATION: ___ year old woman with chough and mid scapular back pain in the setting of known Aortic aneurysm // please evaluate for pulmo etiology and also for mediastinal widening TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process. No mediastinal widening.
11879512	PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no focal opacity. There is no evidence of pneumothorax, pulmonary edema, or pleural effusion. No air under the right hemidiaphragm is identified.	55052653	INDICATION: ___F with chest pain // acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available	No acute intrathoracic abnormality.
11619714	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.	51343572	WET READ: ___ ___ ___ 11:35 PM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough // r/o PNA COMPARISON: Chest radiograph ___	No acute intrathoracic process.
11619714	Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. There is mild elevation of the left hemidiaphragm with visualization of gas filled top normal caliber large bowel under the diaphragm.	58839499	HISTORY: Cough. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, four views.	No acute cardiopulmonary abnormality. Mild elevation of the left hemidiaphragm, cause unclear.
11234565	There has been interval removal of the endotracheal tube. The left internal jugular central venous line has a kink 8 cm proximal to the tip. There is continued right lower lobe atelectasis with otherwise clear lungs, displaying low lung volumes. No pleural effusion or pneumothorax is seen. There is no evidence of pulmonary edema.	56842330	INDICATION: Cirrhosis and lower GI bleed with recent intubation. Evaluate for pulmonary edema. COMPARISON: ___.	Interval extubation with improvement in lung volumes but continued right lower lobe atelectasis, and no evidence of pulmonary edema.
11234565	Markedly low lung volumes persist. Patient is status post endotracheal tube placement with tip projecting 2.7 cm above the carina. Pulmonary vasculature appear less distinct, in keeping with mild pulmonary edema. Silhouetting of the left hemidiaphragm, likely represents interval development of a left pleural effusion. There is no large right effusion or pneumothorax. Cardiomediastinal silhouette is stable. Left internal jugular central venous catheter is unchanged.	59948807	INDICATION: ___ year old man with recent IR procedure and received many blood products now intubated, Please eval for interval change, ? pulmonary edema TECHNIQUE: A single portable AP semi-upright view of the chest was obtained. COMPARISON: Multiple prior radiographs, most recently ___	Interval placement of an endotracheal tube with tip projecting 2.7 cm above the carinal, this is appropriately positioned as the patient's head is down. Interval development of mild-to-moderate pulmonary edema and moderate left pleural effusion.
11234565	Left PICC line terminates at the confluence of the left and right brachiocephalic veins. ET tube has been removed. Lung volumes are slightly improved. Mild pulmonary edema is improved. Left pleural effusion appears resolved. There is no pneumothorax. There is no focal airspace opacity to suggest pneumonia. The heart is nonenlarged. Mediastinal hilar contours are normal.	50691540	EXAMINATION: PORTABLE CHEST INDICATION: ___ year old man with PICC line, concern for line displacement // eval line placement TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___, ___, ___, and ___.	Left PICC line terminates at the confluence of the left and right brachiocephalic veins. Mild pulmonary edema is improved. Left pleural effusion is resolved.
11234565	Cardiomediastinal contours are within normal limits and without change. The lungs are clear except for linear atelectasis in the right infrahilar region. Mild elevation of right hemidiaphragm is also noted.	54321281	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with Cirrhosis // please assess for any cardiopulmonary abnormalities. new liver transplant eval COMPARISON: ___.	Linear right basilar atelectasis with adjacent mild elevation of the right hemidiaphragm.
11700052	The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There are no masses, focal consolidations or pleural effusions. There is no pneumothorax.	55053216	INDICATION: ___-year-old man with hyponatremia. Study requested for evaluation of mass. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs.	No radiographic evidence of an acute cardiopulmonary process.
11565342	The patient is rotated slightly to the right. Trachea and other mediastinal structures are unremarkable. There is cardiomegaly. There is evidence of an enlarged left atrium. There is also evidence of an enlarged pulmonary artery which may be reflective of pulmonary hypertension. There is presence of a left upper chest device, with single lead tip projecting over the right ventricle as on prior examination. Also seen is a right upper lobe calcified granuloma, not significantly changed as compared to prior film. No pneumothoraces or effusions seen.	54633018	EXAMINATION: PA and lateral chest x-ray INDICATION: ___ year old man with ICD // ? lead placement, ? intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: Chest PA and lateral dated ___	Normal single lead placement with tip overlying the right ventricle. Evidence of enlarged pulmonary artery and enlarged left atrium. Stable right upper lobe lesion likely representing calcified granuloma, otherwise clear lung fields.
11565342	The lungs are clear of consolidation. Calcific density again projects over the anterior right second rib. Left chest wall single lead pacing device is again noted. Moderate cardiomegaly is unchanged.	57973912	INDICATION: ___M with near syncope // Pulm edema, pna, cardiomeg TECHNIQUE: Single portable view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11565342	The patient has been extubated in the interim, which has resulted in lower lung volumes and increased atelectasis in the right lower lobe. Opacity at the left lung base is likely atelectasis , unchanged. Mediastinal and pleural drains have been removed. Small bilateral pleural effusions are presumed. No pneumothorax. The heart remains mildly enlarged, however, there is no pulmonary edema. Emphysema predominantly upper lobes. Cervical ribs are noted. Left pectoral pacemaker, sternotomy wires and a mitral valve prosthesis are constant. The right internal jugular catheter courses into the mid SVC.	50963902	INDICATION: Mitral valve replacement now status post chest tube removal. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___.	Lower lung volumes after extubation with worsened atelectasis. No pneumothorax.
11565342	There is moderate cardiomegaly, stable. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and without focal consolidation. Pulmonary vasculature is within normal limits. A calcified granuloma in the right upper lobe is again noted. A left axillary single lead pacemaker is present with lead terminating in the right ventricle as expected.	52089888	INDICATION: ___M with chest pain, acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.	No acute cardiopulmonary process. Moderate cardiomegaly.
11207278	Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. The aortic knob appears top normal, stable since the prior study. There are low lung volumes. There is prominence of the perihilar interstitial markings bilaterally consistent with mild pulmonary edema. There has been interval removal of left-sided PICC since the prior study. There is severe compression of a lower thoracic vertebral body, grossly stable as compared to ___. There appears to be blunting of the posterior left costophrenic angle which may be due to a pleural effusion.	58686748	EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Nonsmoker with altered mental status and increased work of breathing and non-productive cough. COMPARISON: ___.	Low lung volumes and mild pulmonary edema. Cardiomegaly. There appears to be blunting of the posterior left costophrenic angle which may be due to a pleural effusion.
11726103	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. Minimal subtle cortical abnormality is seen along the inferior aspect of the left posterolateral ninth rib which could reflect a nondisplaced fracture.	56688745	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with rib pain after trauma // lower left rib pain after trauma TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality. Possible nondisplaced fracture of the left posterolateral ninth rib. Further assessment can be obtained with a dedicated rib series if needed.
11261612	PA and lateral views of the chest. The lungs are clear of consolidation or pneumothorax. Nodular opacities in the lower lungs bilaterally on the frontal view are thought to represent nipple shadows. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.	53168329	HISTORY: ___-year-old male with ETOH with chest pain and palpitations. COMPARISON: None.	No acute cardiopulmonary process.
11109610	Shallow inspiration. Linear perihilar, bibasilar opacities, largely appearance of atelectasis. More prominent opacity left lower lobe medially behind the heart, atelectasis versus pneumonitis. Findings are new since prior exam. Tiny right pleural effusion or thickening. No pneumothorax.	51030092	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman POD1 from robotic myomectomy/cyst removal with shortness of breath, tachycardia, pleuritic chest pain. // rule out pneumonia TECHNIQUE: Portable chest x-ray COMPARISON: Chest x-ray ___	Shallow inspiration. Basilar opacities, largely atelectasis. More prominent opacity left lower lobe, atelectasis versus pneumonitis. Tiny right pleural effusion.
11581298	Since previous exam there is increased interstitial marking compatible with moderate interstitial edema. Mediastinal and cardiac contours are unchanged with mild cardiomegaly. Bilateral pleural effusions are new and small. Left lower lung opacities are mostly compatible with atelectasis. There is no pneumothorax. This patient was already investigated by a CT scan in ___ for multiple bilateral nodularity that are chronic and most prominent in the right upper lobe. Those changes are partly obscured today by pulmonary edema.	52814235	WET READ: ___ ___ 9:46 PM bilateral hazy opacities and probably small pleural effusions, likely due to mild pulmonary edema. heart size upper limits of normal. no pneumothorax. retrocardiac opacity may be atelectasis but infection cannot be excluded. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with inferolateral STEMI, complaining of pleuritic chest pain, evaluation for any consolidation. COMPARISON: ___.	New pulmonary edema is moderate.
11581298	Median sternotomy wires appear intact. Mild cardiomegaly is unchanged. Prominence of the pulmonary vasculature with bilateral hilar haziness and peribronchial cuffing is not significantly changed since the prior study, compatible with pulmonary edema. No pleural effusion or focal consolidation is identified. There is no pneumothorax.	50141164	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with weakness // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiographs from ___.	Mild to moderate pulmonary edema.
11581298	The patient is status post sternotomy. The heart appears mildly enlarged. The pulmonary vasculature shows diffuse moderate prominence with ill definition to vascular margins suggesting pulmonary edema. There is no pleural effusion or pneumothorax.	50519282	EXAMINATION: CHEST RADIOGRAPH INDICATION: Dyspnea on exertion. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright.	Findings suggest mild to moderate pulmonary edema.
11581298	Frontal and lateral radiographs of the chest were acquired. Widespread bilateral interstitial opacities, radiating from the hila, are consistent with mild interstitial pulmonary edema, not significantly changed in severity compared to the prior radiograph from ___, allowing for redistribution. Lung volumes are low. The heart is top normal in size. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. There is no focal consolidation.	59000057	INDICATION: Chest pain, radiating to the back. Evaluate for pneumonia or other acute process. COMPARISON: Chest radiograph from ___.	Mild interstitial pulmonary edema. No focal consolidation.
11581298	The patient is status post median sternotomy and CABG. Lung volumes are reduced. The heart size remains mildly enlarged. Mediastinal contours are unchanged. Mild pulmonary edema is worse compared to the previous exam with peribronchial cuffing noted. Retrocardiac patchy opacity could reflect atelectasis. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Left PICC has been removed.	59240489	HISTORY: EKG changes, asymptomatic. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Mild pulmonary edema. Probable retrocardiac atelectasis.

11375664

The lung volumes are slightly low, with linear segmental atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac size is in the upper limits of normal. The hilar and mediastinal contours are within normal limits. Again seen is a compression deformity of a lower thoracic vertebral body, unchanged since the earlier study from ___.

55637885

INDICATION: ___-year-old man with cough for two weeks, yellow sputum and questionable fevers. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST

No acute cardiopulmonary pathology.

11553956

A portable frontal chest radiograph demonstrates interval increase in a previously seen left pleural effusion, now large with only a small amount of aerated lung in the left lung apex. This appears to exert mass effect upon the mediastinum, which is now shifted to the right. The right lung appears normally aerated without focal consolidation, pleural effusion, or pneumothorax. There is no appreciable left-sided pneumothorax. The visualized upper abdomen is unremarkable.

58516699

INDICATION: Evaluate for pneumonia or pneumothorax in a ___-year-old woman with hypoxia. COMPARISON: Chest radiographs from ___, ___, ___.

Large left pleural effusion exerting mass effect upon the mediastinum, which is now shifted to the right.

11553956

There is a moderate loculated left pleural effusion and left basilar atelectasis. Left pleural thickening is better assessed on PET-CT performed earlier on same day. A right upper lobe of consolidation is better evaluated on CT. There is no frank pulmonary edema. There is no pneumothorax. No chest tube is visualized.

58336134

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chest tube, recent effusion // eval for pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: PET-CT performed earlier on same day on ___

Moderate loculated left pleural effusion with associated left basilar atelectasis, left pleural thickening and new right upper lobe consolidation are better assessed on PET-CT performed earlier on same day.

11553956

The change since the previous exam. Left pleural effusion. Again seen. Right lower lobe atelectasis also seen. The heart is enlarged and the aorta is tortuous as previously.

51430211

EXAMINATION: Chest single view INDICATION: ___ year old woman with pleural effusion and CTX // ? CTX interval eval TECHNIQUE: Portable AP COMPARISON: ___.

Persistent left pleural effusion.

11553956

A small left-sided pleural effusion is new from ___, unexplained. No pleural effusion on the right. No pneumothorax. There is no consolidation or pulmonary edema. Aorta is tortuous. Mild cardiomegaly is unchanged.

53936460

EXAMINATION: Chest radiograph INDICATION: ___-year-old female with intermittent dizziness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Unexplained small left pleural effusion, new from ___.

11553956

The lungs are hyperinflated. The large left pleural effusion has increased in size. There is only minimal aeration within the left upper lung. Faint right basilar opacities noted. Right lung is otherwise clear. No pulmonary edema. Heart size is difficult to assess, however the cardiomediastinal silhouette appears stable compared to the scout images dated ___. Pneumothorax.

52428978

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with lung cancer, h/o effusion, with worsening MS // ? size of effusion, ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___.

Increase in size of the large loculated left pleural effusion with only minimal aeration of the left upper lung. Right basilar opacity, potentially atelectasis noting that developing infection or aspiration are difficult to exclude.

11553956

No significant interval change since ___. There is persistent moderate to large left-sided partially loculated pleural effusion, not significantly changed compared to ___, though increased compared to ___, since removal of the pigtail catheter. The right lung is well expanded and clear. Mediastinal contours, hila and cardiac silhouette are stable from ___. No pneumothorax.

53092614

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with sob. Evaluate chf. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph from ___, ___, ___, ___. Chest CT from ___.

No significant interval change since ___. Persistent moderate to large left-sided partially loculated pleural effusion.

11553956

The left mid to lower lung opacification now has a bulging contour. This likely represents a combination of dense atelectasis from collapse of superior segment of the lower lobe and small to moderate pleural effusion rather than loculated pleural effusion. The remaining left lung is clear without consolidation. The right lung is clear without consolidation. The hila and pulmonary vasculatures are grossly unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. No fractures.

56624038

INDICATION: ___ year old woman with pleural effusion, recent chest tube removal, and new diagnosis of lung adenocarcinoma. // Is effusion loculated, any evidence of hematoma around L chest where chest tube was removed? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

The worsening left lung opacification likely represents a combination of dense atelectasis and small to moderate pleural effusion rather than loculated pleural effusion alone.

11553956

Left basilar chest tube is unchanged in position. Moderately-sized left pleural effusion appears slightly increased from the prior study on ___. No pleural effusion on the right. There is no pneumothorax. Pulmonary vascular congestion is mild. Mild cardiomegaly.

57596441

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chest tube // eval chest tube positioning and effusion TECHNIQUE: Frontal chest radiograph COMPARISON: Portable chest radiograph ___

Left pleural effusion appears slightly larger compared to ___. No pneumothorax.

11553956

There has been interval removal of the left-sided pigtail drainage catheter. Moderate to large left-sided pleural effusion is loculated and larger than on ___. Opacification at the left lung base is unchanged from ___. The right lung is well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are stable from ___. No pneumothorax.

58377612

WET READ: ___ ___ ___ 5:33 AM Moderate to large loculated left-sided pleural effusion is larger since ___. Superinfection cannot be excluded. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with lung cancer, desats at home // ? recurrent effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs since ___, most recently ___.

Moderate to large loculated left-sided pleural effusion is larger since ___. Superinfection cannot be excluded.

11553956

Stable left effusion and left base consolidation. Left chest tube 1 placed. Linear atelectasis in the right base. Cardiomegaly as previously.

54399950

EXAMINATION: Chest single view INDICATION: ___ yo woman with HTN, HLD, CAD and extensive tobacco hx with malignant pleural effusion s/p talc pleurodesis // interval change after chest tube to water seal TECHNIQUE: Portable AP COMPARISON: ___.

Stable appearance of the chest.

11953959

Cardiac contours unchanged. Bibasilar atelectasis again noted. No pleural effusions. No pneumothorax. Left PICC tip in the lower SVC. Posterior vertebral fusion hardware appears intact though partially visualized.

51174071

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p tracheobronchoplasty // Please evaluate for interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___

Bibasilar atelectasis. No pneumothorax.

11953959

As compared to the previous radiograph, there are no relevant changes. Cervical hardware is intact. Pleural and parenchymal scars in the left are stable in appearance. Heart appears normal in size and cardiomediastinal contours are unremarkable. Lungs are clear. No pleural effusions and no pneumothorax.

54762919

INDICATION: ___-year-old woman with tracheobronchomalacia, assess for interval changes. COMPARISON: Series of chest radiographs dating back to ___, most recently from ___. TECHNIQUE: PA and lateral chest radiographs.

No significant changes compared to the PA and lateral study from ___.

11953959

Interval improvement in the right pleural effusion with improved visualization of the right hemidiaphragm and previously seen right mid lung opacity likely represents fluid in the minor fissure as it is now resolved. There remains to be some fluid in the right major fissure. Mild atelectasis noted in the right lung base again noted. Interval mild improvement in small left pleural effusion is also seen with improved visualization of the left hemidiaphragm. Stable postoperative appearance of the trachea. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Left PICC in lower SVC. Vertebral hardware unchanged.

50968888

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // Please evaluate for interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___.

Interval decrease in bilateral pleural effusions

11953959

Minimal right pneumothorax with both apical and anterior components is unchanged. Apical pigtail drains and posterior lateral right lower thoracostomy tubes remain in unchanged position. Minimal right pleural effusion and atelectasis is unchanged. Left lungs grossly clear. Mediastinal and hilar contours are stable. Heart size is normal.

59505278

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute resp distress // r/o ptx TECHNIQUE: Single frontal view of the chest. COMPARISON: Same-day chest radiograph from a few hours earlier.

Unchanged minimal right pneumothorax. No pneumothorax on the left. Minimal right pleural effusion and basilar atelectasis.

11953959

Compared to the prior study the PICC has been repositioned and now terminates in the distal SVC. Fluid again seen in the right major fissure. A linear opacity in the right mid lung may represent atelectasis or fluid in the minor fissure. Linear atelectasis or scarring peripherally in the left lung. There are bilateral pleural effusions, similar in appearance when compared to the prior study. Left lower lobe atelectasis. No pneumothorax seen. Degenerative changes throughout the thoracic spine.

52404880

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p tracheobronchoplasty // Please evaluate for interval changePlease perform at ___, ___ for weekend AM attending rounds and D/C to rehab in AM TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph ___.

Repositioned PICC, now terminating in the distal SVC. Otherwise no significant interval change when compared to the prior study.

11953959

Left PICC with tip traversing superiorly 4.5 cm into the right brachiocephalic vein. If the PICC was repositioned appropriately, then tip well ends in the lower SVC. No pneumothorax. Interval increase in small right pleural effusion with fluid seen in the major fissure and opacity in the right mid lung likely reflects either fluid in the minor fissure or atelectasis. New right lower lobe atelectasis. The cardiac and mediastinal silhouettes are unchanged. Vertebral fixation hardware is unchanged.

55726967

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___

Left PICC tip 4.5 cm into the right brachiocephalic vein. If the PICC was repositioned appropriately, then tip well ends in the lower SVC. Increase in small right pleural effusion with right lower lobe atelectasis.

11953959

Heart size and mediastinum are stable. Right pigtail catheter is in place. Interval decrease in right basal pneumothorax and subcutaneous emphysema of the right chest wall. However, persistence of small right pneumothorax. Right lower lobe atelectasis. Unchanged atelectasis of the left lung. Small right pleural effusion. Stable degenerative disc disease and cervical spinal fusion hardware.

55319676

INDICATION: ___ year old woman with R PTX // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___

Marked improvement of right basal pneumothorax and subcutaneous emphysema of the right chest. Persistence of small right pneumothorax. Small right pleural effusion.

11953959

The lungs are moderately well inflated. There are unchanged bibasilar opacities compatible with atelectasis versus consolidation. Small left pleural effusion. Mild cardiomegaly as before. The 2 right-sided chest tubes are in unchanged position with no residual pneumothorax on this radiograph. Right central venous catheter terminates at the cavoatrial junction. EKG leads overlie the chest wall. Spinal fusion hardware projects over the lower cervical spine as before.

50894148

INDICATION: ___F with recent tracheobroncoplasty for TBM who have apical and basal pneumothoraces. // query pneumonia TECHNIQUE: Single portable AP radiograph of the chest COMPARISON: ___

Moderately well inflated lungs with unchanged bibasilar atelectasis versus consolidation and a small left pleural effusion. Interval resolution of right sided pneumothorax with unchanged position of the 2 right chest tubes. New right central venous catheter terminates at the cavoatrial junction.

11953959

Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Clips and chain sutures are seen within the left mid and lower lung fields. No focal consolidation, pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely assessed.

54359373

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Semi-upright AP view of the chest COMPARISON: ___ chest radiograph

No acute cardiopulmonary abnormality.

11953959

A right pigtail catheter again projects over the right hemithorax. Extensive subcutaneous emphysema projects over the right chest. Nonetheless there is a moderate to large right pneumothorax. There are grossly unchanged bilateral pleural effusions with adjacent atelectasis given differences in technique. The size of the cardiac silhouette is within normal limits.

51301571

INDICATION: ___ year old woman with R pigtail catheter in place // this is exam is URGENT due to its need for specific timingplease perform exam at 6:___PM please eval for interval change TECHNIQUE: AP portable chest radiograph COMPARISON: ___

Moderate to large right pneumothorax, increased from prior. A right pigtail catheter is present. Increasing subcutaneous emphysema over the right chest. Findings were communicated to and acknowledged by ___, MD at ___h___ PM via telephone, ___ minutes after discovery of findings by ___, MD.

11953959

Moderately well inflated lungs. Unchanged bibasilar atelectasis. Worsening bilateral pleural effusions. Right sided chest tube is in unchanged position. Persistent subcutaneous emphysema along the right lateral chest wall. Mild cardiomegaly. EKG leads overlie the chest wall. Multilevel degenerative changes of the thoracic spine and spinal fixation hardware projects over the lower cervical spine.

52982034

INDICATION: ___ year old woman s/p tracheoplasty and bronch yesterday with recent PTX s/p CT // Interval Change. Please complete ___ at 6 am TECHNIQUE: Chest PA and lateral COMPARISON: ___

Worsening bilateral pleural effusions with an unchanged right sided chest tube. Bibasilar atelectasis is present. Right lateral chest wall subcutaneous emphysema persists.

11953959

Small right basilar pneumothorax is seen, minimally more prominent compared with ___, and ___ ; not as well seen on ___. Right pleural effusion has decreased. Improved right basilar atelectasis. 2 right chest catheters. Small left pleural effusion, similar. Left basilar opacity has improved since ___. Right IJ central line tip in the low SVC. Decreased heart size, pulmonary vascularity since ___. Postoperative changes cervical spine.

56934209

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F TBM s/p Tracheobronchoplasty w/ Mesh ___ tx OSH for Right PTX // Interval change, Pneumothorax. Please complete at 9 pm TECHNIQUE: Chest two views COMPARISON: ___, ___

Small right basilar pneumothorax. Small left pleural effusion. Bibasilar atelectasis. Decreased heart size, pulmonary vascularity.

11953959

Patient is status post tracheobronchoplasty. Postoperative appearance shows more narrowing in the lower trachea compared to most recent radiograph from 1 day prior but improved appearance of the upper trachea. Bilateral effusions have increased, right greater than left with likely fluid in the right major and minor fissures. Bibasilar atelectasis again noted. No pneumothorax is seen. Postoperative appearance of cardiac and mediastinal silhouettes are unchanged. Left PICC tip in low SVC. Calcified aortic knob. Vertebral hardware unchanged.

52995113

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiographs since ___ through ___.

Bilateral pleural effusions with bibasilar atelectasis increased compared to radiograph from a day prior. Postoperative appearance shows more narrowing of lower trachea with improved upper trachea compared to most recent radiograph.

11953959

No significant interval change since chest radiograph performed earlier on the same day. No pneumothorax is seen. Again vertebra fixation hardware is noted. Cardio mediastinal silhouette is unchanged. Left PICC in mid SVC.

55287449

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p tracheobronchoplasty // check interval change TECHNIQUE: Chest: PA Frontal and Lateral COMPARISON: Chest radiographs since ___ with most recent ___ performed earlier on the same day.

No interval change since chest radiograph performed earlier in the see and

11953959

Interval removal of the right pleural catheter with a moderate to large right pneumothorax. Subcutaneous emphysema is also present along the right lateral chest wall. Retrocardiac opacity reflect a probable atelectasis. Lower cervical spinal orthopedic hardware.

59114083

INDICATION: ___ year old woman tracheobronchomalacia s/p tracheobronchoplasty // recurrent PTX, post chest tube pull with desats TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day

Interval removal of the right pleural pigtail catheter with a moderate to large right hydro pneumothorax.

11604798

PA and lateral views of the chest were obtained demonstrating clear well- expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.

54452539

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Asthma, productive cough, question pneumonia.

No acute intrathoracic process.

11391086

The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.

50102476

HISTORY: Nonproductive cough, right-sided chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality.

11433169

The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable aside from minimal rightward convex curvature.

55950697

CHEST RADIOGRAPHS HISTORY: Acute onset of shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11780494

Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart is mildly enlarged, as demonstrated on prior PET-CT from ___.

50784628

WET READ: ___ ___ ___ 11:25 AM 1. No acute intrathoracic process. 2. Mild cardiomegaly. WET READ VERSION #1 ___ ___ ___ 9:05 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with lt arm pain and swelling // evaluate of LUL mass/inflitrate TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___, PET-CT ___.

No acute intrathoracic process. Mild cardiomegaly.

11236729

Heart size is normal. Bilateral upper displacement of the hila appears unchanged, consistent with upper lobe volume loss. Bilateral upper lobe reticular and nodular opacities appear similar to the prior study. No new areas of consolidation are identified within the lungs, and there are no pleural effusions.

57056024

INDICATION: ___ year old man with HIV off ART with SOB snd cough // PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph. ___ chest CT

Chronic upper lobe interstitial abnormality with associated volume loss. No radiographic evidence of acute pneumonia.

11748984

Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, are consolidation.

52805851

INDICATION: History: ___F with fall, hip dislocation // eval fracture TECHNIQUE: Portable chest x-ray. COMPARISON: None available.

No acute cardiopulmonary process.

11959315

The cardiomediastinal and hilar contours are stable, with mild enlargement of the cardiac silhouette. The lung volumes are low, but no focal consolidation, pleural effusion, or pneumothorax is seen.

59842574

INDICATION: ___-year-old woman with chest pain and history of cardiomyopathy. COMPARISON: Chest radiograph ___. PORTABLE AP CHEST

No acute cardiopulmonary pathology.

11959315

Frontal and lateral views of the chest were obtained. Per the radiology technologist, the patient had some sort of shoulder injury and could not raise her right arm. The right arm overlies part of the image on the lateral view. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.

54099754

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain and syncope. COMPARISON: ___.

No acute cardiopulmonary process.

11959315

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

57843111

HISTORY: Difficulty speaking. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: ___.

No acute cardiopulmonary process. No focal consolidation seen.

11959315

There is no focal consolidation, pleural effusion or pneumothorax. Lung volumes are slightly low compared to the prior studies. Cardiac silhouette is mildly enlarged but stable. Mediastinal contour is unremarkable. There are no acute skeletal abnormalities.

57498794

INDICATION: ___-year-old woman status post fall, lightheadedness, question acute process. COMPARISONS: Portable AP radiograph from ___. PA and lateral from ___.

No acute cardiopulmonary process. Mild cardiomegaly, stable.

11146265

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

57152580

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with diaphragmatic-type pain, fever nightly x 3 days // eval ? PNA vs pleural effusion. COMPARISON: Reference CT chest from ___.

No acute intrathoracic process.

11853440

PA and lateral views of the chest were provided. There are midline sternotomy wires and mediastinal clips again noted. A nodular opacity in the left mid lung is less conspicuous than on prior exam and could represent a focus of scarring, though a CT may be obtained to further characterize if it is not completely resolved on followup exams. There are bibasilar opacities, most compatible with bronchovascular crowding given the low lung volumes. No large effusion or pneumothorax. The heart size is top normal. The mediastinal contour is stable, reflective of a somewhat unfolded thoracic aorta. The bony structures are intact. No free air below the right hemidiaphragm.

51134697

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old man with recent CABG, presents with chest pain and shortness of breath, evaluate for fluid overload.

Low lung volumes with lower lung opacities most compatible with bronchovascular crowding. Left mid lung nodular opacity is less conspicuous. Recommend continued followup to resolution. If this opacity does not resolve, a CT should be obtained.

11853440

There is opacification of the left lower lobe consistent with atelectasis and less likely infection. There is a focal opacity in the left mid lung which most likely represents loculated fluid along the major fissure. Mild cardiomegaly is identified and unchanged from the prior study. There is no pulmonary vascular redistribution, edema or pleural effusion seen. There is no pneumothorax.

55704462

HISTORY: Status post CABG. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs, most recent on ___.

Left lower lobe atelectasis and a focal opacity in the left mid lung which most likely represents loculated fluid in the major fissure.

11853440

A right internal jugular vascular sheath remains, but the pulmonary arterial catheter has been removed. Chest tubes have also been removed bilaterally. There is no pneumothorax or pleural effusion. Patchy retrocardiac opacity has improved. Streaky right basilar opacity is similar and suggests minor atelectasis. The patient is status post coronary artery bypass surgery.

56033165

CHEST RADIOGRAPH HISTORY: Recent CABG with removal of chest tubes. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.

Improving left basilar atelectasis. Removal of chest tubes without evidence for pneumothorax.

11853440

Frontal and lateral radiographs of the chest demonstrates stable top-normal heart size and low lung volumes. The nodular opacity in the left mid lung is unchanged, representing scarring. Persistent bibasilar atelectasis. No evidence of pulmonary vascular congestion or edema. No pleural effusion or pneumothorax.

52334035

HISTORY: Chest pain, shortness of breath, received fluids overnight. Evaluate for fluid overload. COMPARISON: Chest radiograph dated ___ and CT chest dated ___.

No evidence of fluid overload.

11001718

The endotracheal and nasogastric tubes are in appropriate position. The lungs are without focal opacity. Bilateral pleural effusions are moderate in size. No pneumothorax. The cardiac and mediastinal contours are normal. No displaced rib fractures identified.

54425042

INDICATION: History: ___M with intubation and IJ line // eval tube/line placement TECHNIQUE: Portable frontal view of the chest. COMPARISON: CT chest ___. Chest radiograph ___.

The endotracheal and nasogastric tubes are in appropriate position. Moderate bilateral pleural effusions.

11135547

AP upright portable chest radiograph is obtained. The lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contour appear normal. Bony structures appear intact.

56581810

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: MVA with facial trauma, assess for intrathoracic trauma.

No acute intrathoracic injuries.

11582633

Cardiomediastinal contours are stable in appearance compared to previous portable radiograph of ___ when consideration is made for differences in positioning. Pulmonary vascularity is normal, and lungs are clear. Lateral left costophrenic sulcus is not well demonstrated but has similar appearance to previous study.

55937820

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SOB acute ___ chest pressure // aortic dissection? PNA? COMPARISON: ___ PA and lateral chest radiograph and ___ portable chest radiograph

No portable radiographic findings to suggest pneumonia or complications of aortic dissection. However, a portable chest radiograph has a low sensitivityive for diagnosing aortic dissection, and dedicated chest CTA may be considered if there remains clinical suspicion for this entity.

11582633

Lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Slight elevation of left hemidiaphragm is unchanged. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable.

52771742

INDICATION: Chest pain. Rule out acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. Chest CTA ___.

No acute cardiopulmonary process.

11582633

There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.

56469427

EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Dyspnea on exertion and chest pain. COMPARISON: ___.

No acute cardiopulmonary process.

11582633

Study is somewhat limited by body habitus. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

58090862

EXAMINATION: Chest radiograph INDICATION: Syncope. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11582633

Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen the right. There are no acute osseous abnormalities.

50466475

FINAL ADDENDUM ADDENDUM Comparison study from ___ was available and showed no change. ______________________________________________________________________________ WET READ: ___ ___ ___ 11:29 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: Congestive heart failure, diabetes mellitus type 2, elevated blood sugar. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11582633

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac mediastinal silhouettes are unremarkable. No displaced fracture is seen radiographically.

55863039

HISTORY: Left-sided chest pain. TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11710911

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.

51008641

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11181748

Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.

53610077

INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: ___

Slight interval decrease in right-sided pleural effusion and atelectasis.

11181748

Small right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination.

58227020

EXAMINATION: Chest radiograph. INDICATION: History: ___M s/p thoracentesis with bleeding at site // Please assess for hemothorax TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently ___.

Stable small right pleural effusion.

11181748

A large right pleural effusion is new from the prior study. Superimposed opacity likely represents compressive atelectasis, however infectious process could be considered the proper clinical setting. There is no left pleural effusion. There is mild pulmonary vascular congestion without overt pulmonary edema.

55851177

WET READ: ___ ___ 12:37 PM 1. New large right pleural effusion. 2. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. 3. Mild pulmonary vascular congestion without overt pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (SINGLE VIEW) INDICATION: ___M with chest pain, hx CAD with stent, for acute process Eval for acute process TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___.

New large right pleural effusion. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. Mild pulmonary vascular congestion without overt pulmonary edema.

11181748

Cardiomediastinal silhouette is stable. Moderate right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear. There is no left pleural effusion. No pneumothorax.

53956979

INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: PA and lateral views of the chest COMPARISON: ___

Interval decreased moderate right pleural effusion.

11384291

Fractures of the right seventh, eighth and ninth ribs are demonstrated laterally. There is a small apical pneumothorax, newly appreciated from the recent chest radiograph but evident on prior CT. A right pleural effusion is minimal and better seen on prior CT. Discoid basilar atelectasis bilaterally. Surgical clips in the upper abdomen. The cardiomediastinal contours are normal.

59327215

INDICATION: ___ year old man with right 7,8 and 9th rib fx // f/u x-ray TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and CT from ___.

Small right apical pneumothorax. Persistent right ___, ___ and 9th rib fractures. Minimal right pleural effusion.

11384291

PA and lateral views of the chest provided. Clips in the upper abdomen noted. Faint linear densities the lower lungs most compatible with platelike atelectasis. Otherwise lungs are clear. 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.

51299911

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fall on back and right side. now with pain with inspiration COMPARISON: None

As above. If there is further concern for rib fracture dedicated rib series may be performed to further assess.

11056642

Single AP portable chest radiograph demonstrates prominent bilateral interstitial markings. There is blunting of bilateral costophrenic angles consistent with likely small pleural effusions. The within the right midlung zone, there is a rounded opacity which corresponds to mass seen on same day CT. The mediastinal contour or appears to be wide, consistent with adenopathy, also demonstrated on same day CT. Prominent vasculature likely reflects a component of vascular congestion and mild pulmonary edema.

50453240

INDICATION: ___-year-old female with altered mental status status post fall. TECHNIQUE: Single AP portable view of the chest. COMPARISON: Same day chest CT.

Right lung focal opacity consistent with mass better delineated on same day CT. Prominent interstitial markings and prominent vasculature thought to reflect mild pulmonary edema. Widened mediastinum consistent with adenopathy also demonstrated on same day CT.

11273513

Chest, PA and lateral. The lungs are clear. There is moderate cardiomegaly. The hilar and mediastinal contours are otherwise normal. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal. There are surgical changes associated with the patient's history of CABG. There is a dual-lead implanted pacemaker. The configuration of the device is somewhat unusual in that it appears rotated ___ degrees laterally within the pocket.

55799264

INDICATION: Evaluate for pneumonia in a patient with history of multiple myeloma and CABG, presenting as a transfer after fall and mandibular fracture. COMPARISON: None available.

No acute cardiopulmonary process.

11761621

Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is similar to prior. Redistribution of the pulmonary vasculature is compatible with mild pulmonary congestion. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax is identified. Osseous structures are unremarkable. No radiopaque foreign bodies.

59700999

INDICATION: ___-year-old male with dyspnea. Evaluate for acute cardiopulmonary process. COMPARISONS: Multiple prior chest radiographs, most recently ___.

Mild pulmonary congestion without overt edema. Moderate cardiomegaly.

11761621

AgA mild interstitial abnormality is similar to improved. There is no overt pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and allowing for differences in technique, not significantly changed.

58212999

INDICATION: Chest pain. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained with a total of three exposures.

Similar to improved mild interstitial abnormality; vascular congestion without overt pulmonary edema could be considered versus airway inflammation. Stable mild cardiomegaly.

11761621

Probable mild background hyperinflation. Heart size is mildly enlarged. There is no evidence of pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema.

53151343

HISTORY: Hyperglycemia, rule out pneumonia. COMPARISON: ___ TECHNIQUE: PA and lateral views of the chest.

Mild cardiomegaly without evidence of acute pulmonary process.

11761621

The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The previously noted mild interstitial pulmonary edema has resolved. Minimal atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. Clips project over the left axillary region.

59607535

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

Resolution of previously noted interstitial pulmonary edema. Minimal bibasilar atelectasis.

11761621

PA and lateral views of the chest were obtained. There is stable mild cardiomegaly with mild pulmonary edema which appears similar in pattern to the prior exam. Trace fluid along the fissural planes is noted. No pneumothorax. Bony structures are intact.

59474090

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Cough and fever, assess pneumonia or other acute abnormality.

Mild pulmonary edema, no pneumonia.

11761621

Low lung volumes are low. The heart size is mildly enlarged, and slightly increased compared to the previous exam. The mediastinal contours are unchanged. Crowding of the bronchovascular structures is noted with mild pulmonary vascular congestion. A focal patchy opacity is seen within the right lower lobe, which could reflect an area of atelectasis or infection. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

50701824

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

Low lung volumes with mild pulmonary vascular congestion and patchy right lower lobe on opacity which may reflect atelectasis but pneumonia is not excluded.

11761621

Single portable view of the chest is compared to previous portable exam from ___ and chest x-ray from ___. Despite lower lung volumes, there are increased pulmonary vascular markings seen centrally with re-distribution. There is no confluent consolidation. Cardiac silhouette is stable.

51514003

PORTABLE CHEST ___ HISTORY: ___-year-old male with headache and nausea and vomiting since last night.

Findings suggestive of mild volume overload.

11761621

Moderate cardiomegaly is unchanged since ___. Again seen are hazy widespread opacities, likely representing trace pulmonary edema. There is no pneumothorax, focal consolidation, or pleural effusion.

59067250

INDICATION: Left flank and back pain. COMPARISON: Radiographs available from ___ through ___. FRONTAL AND LATERAL CHEST

Unchanged moderate cardiomegaly with central vascular congestion and trace pulmonary edema.

11761621

The position of right PICC line is unchanged. No failure is present. No acute process. The costophrenic angles are sharp.

52290966

CLINICAL HISTORY: Cough. Patient on dialysis. Evaluate for acute pulmonary process.

No failure, no pneumonia.

11761621

Frontal and lateral views of the chest are compared to previous exam from ___. The lungs are clear of consolidation or effusion. The cardiac silhouette is enlarged but stable. Surgical clips project over the left axilla. Osseous and soft tissue structures are otherwise unremarkable.

53897882

CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with nausea and vomiting.

Cardiomegaly but no definite acute cardiopulmonary process.

11337457

AP and lateral radiographs of the chest demonstrate intact median sternotomy wires and left-sided clips. The lungs are clear, and the cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen. The osseous structures are unremarkable.

53277514

INDICATION: Fatigue and leukocytosis. Evaluate for pneumonia. COMPARISON: None available.

No acute cardiopulmonary process.

11942799

Low lung volumes accentuate the central pulmonary vasculature. Peribronchial cuffing is present in the right juxtahilar region with adjacent nonspecific patchy right infrahilar opacity. An azygos fissure is incidentally noted. There is no consolidation or pneumothorax. A left pleural effusion is small. Cardiac and mediastinal contours are normal. HH

51040959

HISTORY: Left rib pain. COMPARISON: None.

Small left pleural effusion. Right juxtahilar peribronchial cuffing would could reflect bronchitis in the appropriate clinical setting. Adjacent patchy right infrahilar opacity could reflect atelectasis, aspiration, or early pneumonia. Short-term follow-up imaging is recommended.

11942799

PA and lateral views of the chest were provided. There is a large retrocardiac opacity containing ___ air-fluid level which is compatible with a hiatal hernia. The previously detected pleural effusion has resolved. The lungs are clear. The cardiomediastinal silhouette is normal. ___ azygous fissure is noted. Bony structures are intact.

53569049

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Recent rib injury with mild cough, question interval change.

Hiatal hernia, otherwise unremarkable.

11281418

The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

59483755

INDICATION: ___F with weakness // infiltrate? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11281418

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.

58640833

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, stroke sxs // r/o chest infection COMPARISON: ___

No acute intrathoracic process.

11433061

A right chest wall subclavian approach port is noted with tip terminating in standard position at or just below the cavoatrial junction. The line does not appear to have migrated, although is somewhat difficult to assess given absence of conventional chest radiograph after placement of the port. Cardiomediastinal and hilar contours are normal. Elevation of the right hemidiaphragm is persistent. There is no pleural effusion. Lucency at the right lung apex with an apparent pleural line is noted, which may represent a small pneumothorax. There is no focal consolidation concerning for pneumonia. Right lower lobe atelectasis is present. The visualized upper abdomen is unremarkable. Degenerative changes are seen in the thoracic spine. Surgical clips are present in the right breast with asymmetric increase of the right breast tissue, consistent with breast reconstruction. Sclerosis with compression deformity in the T2 vertebral body is again seen, stable compared to the chest CT from ___.

52189234

INDICATION: ___ year old woman with met breast // on long-term trastuzumab therapy, pain at POC site radiating to back. Please evaluate if line has migrated? TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___.

Right chest port in standard position. Possible small right apical pneumothorax. Repeat chest radiograph with expiration views is recommended. During this repeat exam, care should be taken to ensure that nothing is overlying the patient.

11433061

No pneumothorax is identified on today's study. A right-sided chest port catheter terminates in the right atrium. Elevation of the right hemidiaphragm along with streaky atelectasis of the right lower lobe is an unchanged finding. The left lung is clear. No evidence of pleural effusion or pulmonary edema.

58517189

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pneumothorax with increasing pain and shortness of breath // eval for pneumothorax TECHNIQUE: Chest PA and Lateral COMPARISON: Chest CT from ___ and chest x-ray from ___

No evidence of pneumothorax.

11190372

Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. The lungs are clear. Scarring within the lung apices is is re- demonstrated. No pleural effusion, focal consolidation or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine.

50287096

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

No acute cardiopulmonary abnormality.

11190372

Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

51201686

HISTORY: Cough and pleurisy. COMPARISON: Multiple prior chest radiographs, most recently of ___.

No acute cardiopulmonary process.

11190372

Biapical pleural thickening is again noted. Multiple bilateral small pulmonary nodules noted on chest CT are not clearly delineated on this study. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Mild degenerative changes are noted throughout the thoracic spine.

55398323

HISTORY: Chest pain. COMPARISON: Chest radiograph from ___ and CT chest from ___.

No acute cardiopulmonary process.

11190372

The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. No obvious osseous abnormalities.

56170215

INDICATION: ___ year old woman with chough and mid scapular back pain in the setting of known Aortic aneurysm // please evaluate for pulmo etiology and also for mediastinal widening TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process. No mediastinal widening.

11879512

PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no focal opacity. There is no evidence of pneumothorax, pulmonary edema, or pleural effusion. No air under the right hemidiaphragm is identified.

55052653

INDICATION: ___F with chest pain // acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available

No acute intrathoracic abnormality.

11619714

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.

51343572

WET READ: ___ ___ ___ 11:35 PM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough // r/o PNA COMPARISON: Chest radiograph ___

No acute intrathoracic process.

11619714

Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. There is mild elevation of the left hemidiaphragm with visualization of gas filled top normal caliber large bowel under the diaphragm.

58839499

HISTORY: Cough. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, four views.

No acute cardiopulmonary abnormality. Mild elevation of the left hemidiaphragm, cause unclear.

11234565

There has been interval removal of the endotracheal tube. The left internal jugular central venous line has a kink 8 cm proximal to the tip. There is continued right lower lobe atelectasis with otherwise clear lungs, displaying low lung volumes. No pleural effusion or pneumothorax is seen. There is no evidence of pulmonary edema.

56842330

INDICATION: Cirrhosis and lower GI bleed with recent intubation. Evaluate for pulmonary edema. COMPARISON: ___.

Interval extubation with improvement in lung volumes but continued right lower lobe atelectasis, and no evidence of pulmonary edema.

11234565

Markedly low lung volumes persist. Patient is status post endotracheal tube placement with tip projecting 2.7 cm above the carina. Pulmonary vasculature appear less distinct, in keeping with mild pulmonary edema. Silhouetting of the left hemidiaphragm, likely represents interval development of a left pleural effusion. There is no large right effusion or pneumothorax. Cardiomediastinal silhouette is stable. Left internal jugular central venous catheter is unchanged.

59948807

INDICATION: ___ year old man with recent IR procedure and received many blood products now intubated, Please eval for interval change, ? pulmonary edema TECHNIQUE: A single portable AP semi-upright view of the chest was obtained. COMPARISON: Multiple prior radiographs, most recently ___

Interval placement of an endotracheal tube with tip projecting 2.7 cm above the carinal, this is appropriately positioned as the patient's head is down. Interval development of mild-to-moderate pulmonary edema and moderate left pleural effusion.

11234565

Left PICC line terminates at the confluence of the left and right brachiocephalic veins. ET tube has been removed. Lung volumes are slightly improved. Mild pulmonary edema is improved. Left pleural effusion appears resolved. There is no pneumothorax. There is no focal airspace opacity to suggest pneumonia. The heart is nonenlarged. Mediastinal hilar contours are normal.

50691540

EXAMINATION: PORTABLE CHEST INDICATION: ___ year old man with PICC line, concern for line displacement // eval line placement TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___, ___, ___, and ___.

Left PICC line terminates at the confluence of the left and right brachiocephalic veins. Mild pulmonary edema is improved. Left pleural effusion is resolved.

11234565

Cardiomediastinal contours are within normal limits and without change. The lungs are clear except for linear atelectasis in the right infrahilar region. Mild elevation of right hemidiaphragm is also noted.

54321281

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with Cirrhosis // please assess for any cardiopulmonary abnormalities. new liver transplant eval COMPARISON: ___.

Linear right basilar atelectasis with adjacent mild elevation of the right hemidiaphragm.

11700052

The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There are no masses, focal consolidations or pleural effusions. There is no pneumothorax.

55053216

INDICATION: ___-year-old man with hyponatremia. Study requested for evaluation of mass. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs.

No radiographic evidence of an acute cardiopulmonary process.

11565342

The patient is rotated slightly to the right. Trachea and other mediastinal structures are unremarkable. There is cardiomegaly. There is evidence of an enlarged left atrium. There is also evidence of an enlarged pulmonary artery which may be reflective of pulmonary hypertension. There is presence of a left upper chest device, with single lead tip projecting over the right ventricle as on prior examination. Also seen is a right upper lobe calcified granuloma, not significantly changed as compared to prior film. No pneumothoraces or effusions seen.

54633018

EXAMINATION: PA and lateral chest x-ray INDICATION: ___ year old man with ICD // ? lead placement, ? intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: Chest PA and lateral dated ___

Normal single lead placement with tip overlying the right ventricle. Evidence of enlarged pulmonary artery and enlarged left atrium. Stable right upper lobe lesion likely representing calcified granuloma, otherwise clear lung fields.

11565342

The lungs are clear of consolidation. Calcific density again projects over the anterior right second rib. Left chest wall single lead pacing device is again noted. Moderate cardiomegaly is unchanged.

57973912

INDICATION: ___M with near syncope // Pulm edema, pna, cardiomeg TECHNIQUE: Single portable view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11565342

The patient has been extubated in the interim, which has resulted in lower lung volumes and increased atelectasis in the right lower lobe. Opacity at the left lung base is likely atelectasis , unchanged. Mediastinal and pleural drains have been removed. Small bilateral pleural effusions are presumed. No pneumothorax. The heart remains mildly enlarged, however, there is no pulmonary edema. Emphysema predominantly upper lobes. Cervical ribs are noted. Left pectoral pacemaker, sternotomy wires and a mitral valve prosthesis are constant. The right internal jugular catheter courses into the mid SVC.

50963902

INDICATION: Mitral valve replacement now status post chest tube removal. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___.

Lower lung volumes after extubation with worsened atelectasis. No pneumothorax.

11565342

There is moderate cardiomegaly, stable. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and without focal consolidation. Pulmonary vasculature is within normal limits. A calcified granuloma in the right upper lobe is again noted. A left axillary single lead pacemaker is present with lead terminating in the right ventricle as expected.

52089888

INDICATION: ___M with chest pain, acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.

No acute cardiopulmonary process. Moderate cardiomegaly.

11207278

Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. The aortic knob appears top normal, stable since the prior study. There are low lung volumes. There is prominence of the perihilar interstitial markings bilaterally consistent with mild pulmonary edema. There has been interval removal of left-sided PICC since the prior study. There is severe compression of a lower thoracic vertebral body, grossly stable as compared to ___. There appears to be blunting of the posterior left costophrenic angle which may be due to a pleural effusion.

58686748

EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Nonsmoker with altered mental status and increased work of breathing and non-productive cough. COMPARISON: ___.

Low lung volumes and mild pulmonary edema. Cardiomegaly. There appears to be blunting of the posterior left costophrenic angle which may be due to a pleural effusion.

11726103

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. Minimal subtle cortical abnormality is seen along the inferior aspect of the left posterolateral ninth rib which could reflect a nondisplaced fracture.

56688745

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with rib pain after trauma // lower left rib pain after trauma TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality. Possible nondisplaced fracture of the left posterolateral ninth rib. Further assessment can be obtained with a dedicated rib series if needed.

11261612

PA and lateral views of the chest. The lungs are clear of consolidation or pneumothorax. Nodular opacities in the lower lungs bilaterally on the frontal view are thought to represent nipple shadows. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.

53168329

HISTORY: ___-year-old male with ETOH with chest pain and palpitations. COMPARISON: None.

No acute cardiopulmonary process.

11109610

Shallow inspiration. Linear perihilar, bibasilar opacities, largely appearance of atelectasis. More prominent opacity left lower lobe medially behind the heart, atelectasis versus pneumonitis. Findings are new since prior exam. Tiny right pleural effusion or thickening. No pneumothorax.

51030092

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman POD1 from robotic myomectomy/cyst removal with shortness of breath, tachycardia, pleuritic chest pain. // rule out pneumonia TECHNIQUE: Portable chest x-ray COMPARISON: Chest x-ray ___

Shallow inspiration. Basilar opacities, largely atelectasis. More prominent opacity left lower lobe, atelectasis versus pneumonitis. Tiny right pleural effusion.

11581298

Since previous exam there is increased interstitial marking compatible with moderate interstitial edema. Mediastinal and cardiac contours are unchanged with mild cardiomegaly. Bilateral pleural effusions are new and small. Left lower lung opacities are mostly compatible with atelectasis. There is no pneumothorax. This patient was already investigated by a CT scan in ___ for multiple bilateral nodularity that are chronic and most prominent in the right upper lobe. Those changes are partly obscured today by pulmonary edema.

52814235

WET READ: ___ ___ 9:46 PM bilateral hazy opacities and probably small pleural effusions, likely due to mild pulmonary edema. heart size upper limits of normal. no pneumothorax. retrocardiac opacity may be atelectasis but infection cannot be excluded. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with inferolateral STEMI, complaining of pleuritic chest pain, evaluation for any consolidation. COMPARISON: ___.

New pulmonary edema is moderate.

11581298

Median sternotomy wires appear intact. Mild cardiomegaly is unchanged. Prominence of the pulmonary vasculature with bilateral hilar haziness and peribronchial cuffing is not significantly changed since the prior study, compatible with pulmonary edema. No pleural effusion or focal consolidation is identified. There is no pneumothorax.

50141164

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with weakness // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiographs from ___.

Mild to moderate pulmonary edema.

11581298

The patient is status post sternotomy. The heart appears mildly enlarged. The pulmonary vasculature shows diffuse moderate prominence with ill definition to vascular margins suggesting pulmonary edema. There is no pleural effusion or pneumothorax.

50519282

EXAMINATION: CHEST RADIOGRAPH INDICATION: Dyspnea on exertion. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright.

Findings suggest mild to moderate pulmonary edema.

11581298

Frontal and lateral radiographs of the chest were acquired. Widespread bilateral interstitial opacities, radiating from the hila, are consistent with mild interstitial pulmonary edema, not significantly changed in severity compared to the prior radiograph from ___, allowing for redistribution. Lung volumes are low. The heart is top normal in size. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. There is no focal consolidation.

59000057

INDICATION: Chest pain, radiating to the back. Evaluate for pneumonia or other acute process. COMPARISON: Chest radiograph from ___.

Mild interstitial pulmonary edema. No focal consolidation.

11581298

The patient is status post median sternotomy and CABG. Lung volumes are reduced. The heart size remains mildly enlarged. Mediastinal contours are unchanged. Mild pulmonary edema is worse compared to the previous exam with peribronchial cuffing noted. Retrocardiac patchy opacity could reflect atelectasis. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Left PICC has been removed.

59240489

HISTORY: EKG changes, asymptomatic. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Mild pulmonary edema. Probable retrocardiac atelectasis.