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

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11581298	A single portable upright chest radiograph was obtained. Since the chest radiograph 7 days ago, moderate pulmonary edema has improved. Opacity seen throughout the lungs, in particular in the right upper lobe were better assessed on CT in ___ at which point the possibility of recurrent infection such as reactivation tuberculosis was considered. A retrocardiac opacity is similar to ___. Cardiomegaly is unchanged.	53658815	HISTORY: ___-year-old woman with chest pain. COMPARISON: Radiographs ___, ___. CT ___	Improvement in mild pulmonary edema. Repeat radiographs after treatment are recommended to re-assess chronic parenchymal changes.
11581298	The patient is status post sternotomy and presumably coronary artery bypass graft surgery, noting anterior mediastinal clips. The cardiac, mediastinal and hilar contours appear stable, including mild to moderate cardiomegaly with a left ventricular configuration. There is no pleural effusion or pneumothorax. In addition to streaky opacities that are stable and suggest background scarring in the right upper lobe, there is mild to moderate pulmonary edema of interstitial type.	52999391	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea. Concern for urosepsis. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.	Findings suggest mild to moderate pulmonary edema.
11037645	Shrapnel is seen projecting over the anterior right upper chest. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54949377	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11636652	Dual lead left-sided pacer device is stable in position. There is persistent left-sided pleural effusion. Left base opacity/ left-sided volume loss are similar in appearance compared to the prior study. Small left apical pneumothorax persists. Extensive left-sided subcutaneous emphysema has decreased slightly in the interval.	57781844	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with effusion on xray. recent lung biopsy and segmental removal // eval for effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Small left apical pneumothorax and left pleural effusion. Left-sided volume loss similar compared to prior study. Extensive left-sided subcutaneous emphysema appears slightly improved compared to the prior study.
11636652	ET tube ends 4.8 cm above the carina. Right jugular line is in upper SVC and NG tube in the stomach. An atrioventricular pacemaker is in adequate position. Bilateral ground-glass opacities have worsened since previous exam; it is heterogeneous and asymmetric, more prominent in the left perihilar region and in the periphery of right upper lower lobe. Left lower lobe collapse has improved since previous exam. Pleural effusions are small if any and there is no pneumothorax.	57017587	PORTABLE AP CHEST X-RAY INDICATION: Patient with HCV cirrhosis, AICD, cardiac arrest, intubated. COMPARISON: ___ to ___.	Tubes and lines are in adequate position. Bilateral heterogeneous ground-glass opacities have worsened since previous exam. The differential diagnosis would include pulmonary edema or pulmonary hemorrhage.
11636652	The patient is status post left upper lobe and left lower lobe segmentectomy. There is volume loss on the left and deviation of the trachea to the left. Increased opacity is seen in the left peritracheal region and left lung base. A left sided chest tube is noted but its distal tip is obscured by a left-sided ICD. The ICD leads are unchanged and in appropriate position. There is possible tiny pneumothorax at the left apex.	57783494	EXAMINATION: Chest x-ray INDICATION: ___ year old woman with lung nodules s/p LUL and LLL segmentectomy. // evaluate chest tube position TECHNIQUE: Portable AP chest COMPARISON: Preoperative chest x-ray from ___	Expected post segmentectomy changes. A possible tiny pneumothorax is seen at the left lung apex. Reviewed with Dr. ___.
11636652	ET tube, right internal jugular catheter, NG tube and pacemaker leads are in unchanged satisfactory position. Bilateral ground-glass opacities have improved compared with prior exam. A small left pleural effusion is unchanged. No pneumothorax. Stable appearance of cardiomediastinal silhouette.	53586681	HISTORY: Worsening pulmonary status now on ventilator again, concern for DAH. Evaluate interval change. COMPARISON: ___	Tubes and lines in adequate position. Bilateral heterogeneous ground-glass opacities have improved compared with yesterday's exam.
11636652	Left-sided pacemaker device has its leads in unchanged position. A left-sided chest tube has been removed. There has been interval worsening in diffuse subcutaneous emphysema now extending in the bilateral chest walls and neck. There is a small left apical pneumothorax. Left retrocardiac opacity likely represents postsurgical changes. There is persistent blunting of the left costophrenic sulcus likely due to a small pleural effusion. Cardiomediastinal silhouette is unremarkable.	55354704	EXAMINATION: AP chest radiograph INDICATION: ___F smoker w/h/o MI, stroke, who has been followed for multiple lung nodules that were found on chest CT (new spiculated nodule 0.7cm LUL and a partial GGN LLL 1.1cm) s/p biopsy // post-pull film, eval for ptx or htx at 2200h TECHNIQUE: AP chest radiograph COMPARISON: Chest x-ray from ___.	Interval removal of a left-sided chest tube with interval worsening of diffuse subcutaneous emphysema extending throughout the chest wall and neck bilaterally. New small left apical pneumothorax. Postsurgical changes in the left lung with unchanged small left pleural effusion. Findings were discussed with ___.
11671656	Portable AP chest radiograph demonstrates elevation of the right hemidiaphragm, similar to prior MR. ___ lungs are clear and there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	59912774	HISTORY: Hypoxemia, concern for pneumonia. COMPARISON: MR-Chest, ___.	No acute cardiopulmonary process.
11153132	Severe cardiomegaly is stable. Mitral annulus is noted. Left pleural effusion and adjacent atelectasis have resolved. Small right effusion and adjacent atelectasis have decreased. Mild vascular congestion has improved. There is no pneumothorax. Sternal wires are aligned	51974935	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F hx mitral valve stenosis s/p repair at ___ c/b unrepairable perivalvular leak, valvular Afib on coumadin, dCHF (LVEF ___% in ___), CAD s/p RCA stent ___, pulmonary hypertension secondary to R to L shunting through an iatrogenic ASD presents with typical cardiac chest pain. // assess for edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___	Resolved left pleural effusion and adjacent atelectasis Improved right effusion and adjacent atelectasis Mild vascular congestion
11153132	AP portable upright view of the chest. Multiple sternal wires, cardiac valve, right-sided PICC, and left-sided pacemaker are unchanged in position since the ___ study. The heart is mildly enlarged. There is no pneumothorax or pleural effusion. Bilateral linear opacities remains stable, likely reflecting atelectasis.	57032513	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute mental status changes. // Signs of aspiration, PNA? COMPARISON: Chest radiograph from ___.	No interval change since ___. Specifically, no superimposed consolidation detected.
11856873	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.	58395892	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever // r/o infectious process COMPARISON: None	No acute intrathoracic process.
11278219	PA and lateral views of the chest provided. Blunting at the right CP angle likely reflects pleural thickening. The 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.	55331992	EXAMINATION: CHEST (PA AND LAT) INDICATION: Right flank pain please rule out pna/ptx COMPARISON: None	No acute intrathoracic process.
11330416	Endotracheal tube approximately terminates 3.8 cm above the carina. NG tube is in the stomach. Left subclavian central venous catheter tip is in the lower SVC. Cardiomediastinal silhouette is unremarkable. Lung volumes are low. There is pulmonary vascular engorgement. Basilar opacities may represent atelectasis however superimposed consolidation cannot be excluded especially at the right base. No large pleural effusion or pneumothorax.	50974608	INDICATION: History: ___F with intubated CVL // palcement TECHNIQUE: Single portable frontal semi-erect view of the chest COMPARISON: None	Appropriate positioning of endotracheal, nasogastric, and left subclavian central venous catheter. In the setting of low lung volumes bibasilar opacities may reflect atelectasis however superimposed consolidation especially at the right base cannot be excluded.
11330416	ET tube is 3.1 cm from the carina. Left subclavian central venous catheter is in the upper SVC as before. Enteric tube is in the stomach. Moderate layering right pleural effusion is unchanged. There is a background of persistent mild pulmonary edema slightly worsened. The heart is mildly enlarged.	50416942	INDICATION: ___ w/ Hep C, pancreatitis, drug/etoh abuse w/ traumatic SDH s/p L crani evacuation L SDH ___ // interval change; pt intubated TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___	Persistent layering right pleural effusion. Mild cardiomegaly with slightly worsened mild pulmonary edema.
11711832	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Lung volumes are low, exaggerating heart and mediastinal contours. The aorta is tortuous. Clips project over the right upper quadrant.	53333961	INDICATION: ___-year-old male with dizziness and fatigue. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were performed.	No radiographic evidence for acute cardiopulmonary process.
11790508	AP upright frontal and lateral views of the chest were obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings, particularly at the lung bases. Mild left base atelectasis. No focal consolidation, large pleural effusion or pneumothorax is seen. The costal and apical margins again appear slightly thickened, which may be due to fat deposition. No evidence of free air beneath the diaphragms.	52336047	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of question perforation, question free air under the diaphragm. COMPARISON: ___.	Low lung volumes, but otherwise no acute cardiopulmonary process. No evidence of free air beneath the diaphragms.
11380364	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	53493141	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with overdose, pls eval pna for medical clearance for psych // History: ___F with overdose, pls eval pna for medical clearance for psych TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11671770	Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.	57496028	INDICATION: Chest pain. Evaluate aortic contour. COMPARISON: No relevant comparisons available.	No pneumonia, edema or effusion. Normal mediastinal contour.
11988196	The costophrenic angles are not fully included on the frontal image. Given this, there is small to moderate right pleural effusion. A trace left pleural effusion is difficult to exclude. The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. Relative lucency at the lung apices may be due to underlying pulmonary emphysema. There is bibasilar atelectasis. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous.	59502355	HISTORY: ___-year-old male with mild cough, generalized weakness. TECHNIQUE: Chest, frontal and lateral views. COMPARISON: None.	Costophrenic angles not fully included on the frontal view. Given this, small-to-moderate right pleural effusion with overlying atelectasis, underlying consolidation can not be excluded. Trace left pleural effusion difficult to exclude. Mild cardiomegaly. COPD and likely pulmonary emphysema.
11988196	The endotracheal tube tip sits just beneath the level of clavicular heads, which is new from prior study. The heart size is large, but stable to prior exam. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. A large calcified lymph node projects just right of midline. The interstitial markings of the lungs show minimally increased prominence as well as prominence of the pulmonary vasculature, compatible with mildly increased interstitial edema. There is no pneumothorax. No displaced rib fracture is apparent.	57266974	HISTORY: ___-year-old male who had been coded and received chest compressions and is now intubated. STUDY: Portable supine AP chest radiograph. COMPARISON: ___.	Mild interstitial edema and endotracheal tube as described above.
11636284	This patient is status post median sternotomy, mitral and aortic valve replacements. Heart size is normal. Mediastinal and hilar contours are within normal limits. Minimal scarring is seen within the right mid lung field. The lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities. Two clips project over the region of the right neck.	59208918	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11704068	PA and lateral views of the chest provided demonstrate no sign of free air below the right hemidiaphragm. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact.	51147193	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Sudden onset of the ascending and mid epigastric pain. Assess for acute intrathoracic process, free air.	No acute findings including no free air below the right hemidiaphragm.
11773394	PA and lateral chest radiograph demonstrate clear lungs bilaterally. Linear opacities at the bases bilaterally, left greater than right, likely reflect atelectasis. There is no pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema. No air under the right hemidiaphragm.	53122045	INDICATION: History: ___F with TIA* WARNING * Multiple patients with same last name! // Evidence of pneumonia or infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None available	Atelectasis at the bases without evidence of acute intrathoracic abnormality.
11947421	Frontal and lateral views of the chest were obtained. Subtle right lower lobe opacity seen on both the frontal and lateral views is worrisome for pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.	55939127	WET READ: ___ ___ ___ 8:42 PM RLL PNA WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, shortness of breath, fever. COMPARISON: None.	Findings worrisome for right lower lobe pneumonia.
11226500	The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.	57777401	HISTORY: ___-year-old male with flu-like illness. STUDY: PA and lateral chest radiograph. COMPARISON: None.	No acute cardiopulmonary process.
11945289	Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is top normal in size. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.	51996445	CLINICAL HISTORY: ___-year-old woman with dyspnea on exertion and wheezing. COMPARISON: No relevant comparisons available.	No acute intrathoracic process.
11945289	PA and lateral views of the chest. There is slightly increased opacity on the lateral film in the lower lobe compared to prior study, likely retrocardiac, which may represent pneumonia. There is no pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.	57572390	INDICATION: Shortness of breath and fever. Evaluate for pneumonia. COMPARISON: ___.	Slightly opacity on the lateral film in the lower lobe compared to prior study, likely retrocardiac, which may represent LLL pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 1015am on ___ by phone.
11945289	There has been no significant interval change. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	57451054	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11945289	PA and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous or soft tissue abnormality.	52401225	HISTORY: ___-year-old female with fever and shortness of breath. COMPARISON: ___.	No acute cardiopulmonary process.
11945289	There has been no significant change since the prior study. Subtle left basilar opacity is similar and could relate to basilar atelectasis. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	53852058	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // acute process TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ and ___	No significant interval change.
11945289	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. There are no acute osseous abnormalities.	55299528	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11945289	The heart size is normal. The hilar and mediastinal contours are normal. In the retrocardiac region, subtle interval increase in density compared to the prior exam is likely positional. There is mild bibasilar atelectasis. There is no large pleural effusion, pneumothorax. The visualized osseous structures are unremarkable.	58696699	INDICATION: History: ___F with CP please evaluate. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs dated back to ___.	Subtle interval increase in density in the retrocardiac region is likely positional, and less likely secondary to a focal consolidation.
11945289	The heart size, mediastinal, and hilar contours are normal. There is bronchial cuffing with increased background density and small irregular opacities, most commonly seen in chronic asthma. No focal consolidation, pleural effusion, or pneumothorax.	59427918	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath. Please evaluate for infectious, ptx. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.	No focal consolidation or pneumothorax. Probable asthma.
11945289	The cardiomediastinal silhouette and pulmonary vasculature are normal. Scattered regions of bronchial cuffing are noted, not significantly different the prior examination. There is no definite focal consolidation. There is no pleural effusion or pneumothorax.	55250023	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough x4 days and h/o asthma // h/o Asthma flu c/o CP TECHNIQUE: Chest PA and lateral COMPARISON: ___	No definite focal consolidation identified.
11948874	The right internal jugular vein central venous catheter ends in the upper right atrium. An enteric tube ends off the imaged portion of the screen, likely within the stomach. The endotracheal tube ends at the thoracic inlet. Sternotomy wires are intact. There is a large opacity throughout the entire right lung likely representing the patient's pneumonia. The left lung is grossly clear. There is no pleural effusion on the left. Evaluation for pleural effusion on the right is limited. There is no pneumothorax.	50435118	INDICATION: Pneumonia. Evaluate endotracheal tube placement. COMPARISON: None available.	Endotracheal tube ends at the thoracic inlet. Large opacity in the right lung, likely representing pneumonia. At time of attending review, the ET tube had been repositioned.
11217246	The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax.	57556300	INDICATION: ___-year-old male with spastic paraparesis with exacerbation, to rule out pneumonia. COMPARISON: Chest radiograph ___. AP AND LATERAL CHEST	No acute cardiopulmonary pathology.
11544910	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	59509672	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Recent upper respiratory infection/bronchitis, today worsened shortness of breath. COMPARISON: None.	No focal consolidation. No pneumothorax. No acute cardiopulmonary process.
11544910	There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.	55126592	WET READ: ___ ___ ___ 5:48 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with CP // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary process.
11417422	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are within normal limits. Atherosclerotic calcifications are noted along the aortic arch. There is moderate-to-severe enlargement of the cardia silhouette. Mild loss of height is noted in a mid thoracic vertebral body. The chronicity is unknown.	57888313	INDICATION: Dyspnea on exertion. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained.	No acute cardiopulmonary process. Moderate-to-severe cardiomegaly.
11792491	Two views were obtained of the chest. Left lower lobe opacity is concerning for developing pneumonia. The reticulonodular opacity in the right lung could also reflect an infectious process with bilateral trace pleural effusions. Heart is mildly enlarged with normal cardiomediastinal contours.	59788954	INDICATION: ___-year-old male with diabetes and fever, assess for pneumonia. COMPARISONS: None.	Left lower lobe pneumonia with possible early right lower lung pneumonia and trace bilateral pleural effusions.
11416422	Right-sided PICC in the mid SVC. The lungs are clear. Heart size top normal. No pleural effusion or pneumothorax.	52897248	INDICATION: ___ year old man with PICC placement from outside // confirm placement TECHNIQUE: Portable COMPARISON: ___	Right PICC in the mid SVC.
11416422	Right PICC with distal tip terminating in the upper SVC, unchanged from previous examination. No pneumothorax, mediastinal widening, or pleural effusions. The lungs are well expanded and clear. The hila and cardiac borders are normal.	55787201	EXAMINATION: Chest radiograph INDICATION: ___ year old man with PICC from outside // check placement please TECHNIQUE: Chest PA and AP COMPARISON: Chest radiograph from ___, ___, ___. CT chest from ___.	Right PICC with distal tip terminating in the upper SVC.
11791817	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	57635892	INDICATION: Evaluate for infiltrate in a ___-year-old man with a smoking history and chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11878471	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. Mild biapical pleural thickening is unchanged. Mild degenerative changes are noted in the mid thoracic spine.	55945513	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval for structural process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11878471	The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	56615324	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with 4 days of constant chest pressure radiating to the back and neck, associated with dyspnea and nausea. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11391341	Mild cardiomegaly has been stable compared to exams dated back to ___. The lung volumes are low resulting in crowding of the bronchovascular structures. The hilar and mediastinal contours are otherwise unremarkable. There is no pulmonary vascular congestion. There may be small bilateral pleural effusions. Mild bibasilar atelectasis is persistent. There is no pneumothorax. The visualized osseous structures are unremarkable. There is no free air under the diaphragm.	50676510	INDICATION: History of sudden onset epigastric pain. Please evaluate for free air. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Single AP portable radiograph of the chest.	No evidence of subdiaphragmatic free air.
11887790	Heart size is mildly enlarged but unchanged. The aorta remains mildly tortuous. The mediastinal and hilar contours are otherwise similar. Pulmonary vasculature is normal. Scarring within the lung apices is unchanged. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with mild multilevel degenerative changes noted.	57914892	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11887790	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.	58094095	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with headache, lightheadedness, dyspnea // evaluate with acute process COMPARISON: ___.	No acute intrathoracic process.
11887790	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.	57186608	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain COMPARISON: ___.	No acute intrathoracic process.
11887790	The heart remains borderline enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta noted. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.	57880714	HISTORY: Productive cough for 5 days. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11887790	Portable AP chest radiograph. Streaky opacities in the lung bases may reflect atelectasis, but infection is not excluded. No overt pulmonary edema is present. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.	50581540	INDICATION: Chest pain. COMPARISON: ___ and ___.	Bibasilar airspace opacities could reflect atelectasis, but infection is not excluded.
11727444	The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no radiopaque foreign body. There is no evidence of pneumomediastinum. No acute osseous abnormalities.	50899606	INDICATION: ___M with throat tightness / globus // r/o intrapulm process, foreign body TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11558309	There is no focal consolidation, pleural effusion, or pneumothorax. There is no recent or non-recent TB. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.	56196465	INDICATION: ___-year-old woman requiring to have screening for TB. No exposure. COMPARISONS: None.	No evidence of recent or non-recent TB.
11703451	The lungs are normally expanded. Slight opacity in the right infrahilar region may reflect atelectasis or aspiration. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The aortic arch is calcified.	51963314	WET READ: ___ ___ 10:32 AM Minimally increased opacity in the right infrahilar region may reflect atelectasis or aspiration. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with s/p syncope, pulseless, rosc // eval for cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Minimall opacity in the right infrahilar region may reflect atelectasis or aspiration.
11577638	Cardiac silhouette size is normal. The aortic knob is calcified and the aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacities are noted in both lung bases, which may reflect atelectasis, but infection is not excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	54946457	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, subjective fevers // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Patchy opacities in lung bases could reflect atelectasis but infection cannot be excluded in the correct clinical setting.
11734877	Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.	58887539	WET READ: ___ ___ ___ 6:34 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with F.B sensation and hoarsness of voice? SOB // role out pneumomediastinum TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No acute cardiopulmonary process.
11722594	The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	59995473	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Hyperinflated, but clear lungs.
11722594	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are hyperinflated to a moderate degree. There is no pleural effusion or pneumothorax, although it is noted that the extreme posterior costophrenic foci are excluded on the lateral view. The lungs appear clear.	53101623	CHEST RADIOGRAPHS HISTORY: Wheezing. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	Hyperinflation. No evidence of acute disease.
11115360	Paucity of the vessels, particularly in the upper lobes, are suggestive of emphysema. The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Median sternotomy wires are unchanged since ___.	52090201	INDICATION: ___ year old man with old smoking history and more shortness of breath. // ? lesions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and chest radiograph from ___	Stable emphysema. No evidence of pneumonia. No acute cardiopulmonary process.
11115360	There is stable appearance of surgical clips and median sternotomy wires from prior CABG as seen on previous radiographs. There is mild DJD in the thoracic spine with multilevel osteophytes without significant interval change. There is mild cardiomegaly best appreciated on lateral view. There is no interval change in the cardiomediastinal contours. There is a paucity of vessels seen in the upper lobes bilaterally which is consistent with centrilobular emphysema as seen on prior CT scan. There are no parenchymal opacities seen. There are no pneumothoraces or effusions.	55426687	EXAMINATION: PA and lateral chest x-ray. INDICATION: ___ year old man with cough and prior smoking history // ? lesion TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: PA and lateral chest x-ray obtained ___.	No lung lesions appreciated. No significant interval changes.
11211939	Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is demonstrated. The aorta is diffusely calcified and tortuous. Lungs are hyperinflated. Hilar contours are similar. No pulmonary vascular engorgement is seen. Tubular opacity within the right upper lobe is unchanged, characterized on the prior CT as an area of mucous plugging. Streaky atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present.	53474083	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with chest pain, shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ and chest CT ___	Streaky bibasilar opacities compatible with atelectasis. Unchanged tubular opacity in the right upper lobe, previously characterized on CT as an area of mucous plugging.
11211939	PA and lateral views of the chest provided demonstrate dual lead pacer unchanged in position. The heart remains mildly enlarged with an unfolded thoracic aorta which contains mural calcification. There is no focal consolidation, effusion, or pneumothorax. There is no free air below the right hemidiaphragm. The bony structures appear intact.	54131429	HISTORY: ___-year-old female with abdominal pain, nausea and vomiting. COMPARISON: ___.	No acute findings including no signs of pneumoperitoneum.
11211939	Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild cardiomegaly is again noted, with diffuse calcification and tortuosity of the thoracic aorta. The mediastinal and hilar contours are otherwise unchanged. There is minimal prominence of the pulmonary vascular markings, suggestive of mild congestion, but no overt pulmonary edema is seen. Subtle patchy opacities in the lung bases may reflect atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	58859219	INDICATION: Dizziness. COMPARISON: Chest radiograph of ___. UPRIGHT AP AND LATERAL VIEWS OF THE	Bibasilar atelectasis. Possible mild pulmonary vascular prominence, but no overt pulmonary edema.
11098155	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.	59989180	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: None.	No evidence of acute cardiopulmonary disease.
11098155	Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	58319865	INDICATION: Persistent cough. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11605699	Frontal AP and lateral views of the chest were obtained. The lateral view is limited by patient's inability to raise her right arm. There is no focal consolidation, or pneumothorax. Blunting of the left costophrenic sulcus is unchanged from ___ and may represent pleural thickening. Tiny rounded calcifications in the right upper lung correspond to a pleural-based plaque with internal calcification on CT chest ___. Mild cardiomegaly is unchanged. The thoracic aorta is tortuous and generally large. The intimal calcification at the aortic knob is far from the edge but unchanged from ___. The bones are diffusely osteopenic. intimal calcification far from edge. doesnt necessarily mean that intima is not elevated (in dissection). film in ___ where teh ao knob looks at least as peculiar.	55359504	CLINICAL HISTORY: ___-year-old woman with lethargy and decreased urine output. Evaluate for pneumonia. COMPARISON: CXR ___, CT Chest ___	No pneumonia or edema. Aortic knob intimal calcification is far from the edge, unchanged from ___. Due to aortic tortuosity, it is uninterpretable. This would warrant further evaluation if there is good clinical evidence for dissection. Finding #2 discussed with Dr. ___ by phone at 7:32am ___.
11944377	In comparison to the chest radiograph obtained 1 day prior, there has been substantial improvement in pulmonary edema. Multiple rib fractures and right clavicular fracture are unchanged. No obvious pneumothorax. There is increased bibasilar atelectasis and new, small, bilateral pleural effusions. Bilateral chest tubes are essentially unchanged in position. An NG tube side port projects just distal to the GE junction. An ET tube terminates 6 cm above the carina.	57869126	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p MCC with multiple traumas // chest tubes, ETT TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___	Substantially improved, now mild, pulmonary edema. Supportive devices, tubes, and lines are appropriately positioned as described above.
11944377	A left-sided chest drain is in-situ, this terminates at the apex. A right-sided chest drain is in-situ, this appears her withdrawn slightly compared to the prior study and there is a side holes that appears to be outside of the pleura. Tiny apical right pneumothorax is unchanged compared to the prior study. Left basilar atelectasis is also unchanged. Multiple bilateral rib fractures and a right clavicle fracture again noted.	58739887	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p MCC // serial eval TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	The right-sided chest turn appears to withdrawn slightly with a side hole marrow lying outside the pleural.
11944377	In comparison to the chest radiograph obtained 1 day prior, there are increasing bibasilar opacities concerning for either atelectasis or developing pneumonia. Small, left pleural effusion is minimally increased. Small, right apical pneumothorax is unchanged. No left pneumothorax. Right and left-sided chest tubes are unchanged and appropriately positioned. Numerous bony fractures are grossly unchanged and better evaluated on CT chest dated ___. Subcutaneous emphysema appears unchanged to minimally improved. An ET tube terminates approximately 5 cm superior to the carina and an enteric tube terminates in the stomach.	59985023	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man intubated // ? change in cardiopulm status TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ CT chest dated ___	Increased or new bibasilar atelectasis or developing pneumonia. Unchanged, small right apical pneumothorax.
11468250	Cardiac, mediastinal, and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is detected.	50901713	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___	No acute cardiopulmonary abnormality.
11952347	The heart size is normal. The hilar and mediastinal contours are normal. There is a 8 mm nodular opacity overlying the right posterior ___ rib. No other focal consolidations are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.	53161368	HISTORY: History of shoulder pain please evaluate chest. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Chest radiograph from ___.	8 mm nodular opacity overlying the right posterior 9th rib. This could be secondary to the patient's nipple. Recommend further evaluation either with nipple markers. ___ were d/w Dr. ___ by Dr. ___ by telephone at 4p on ___.
11194489	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Small osteophytes are present along the thoracic spine.	55184005	CHEST RADIOGRAPHS HISTORY: Productive cough. History of HIV. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11386597	The lungs are hyperinflated. The cardiomediastinal silhouette is unchanged, with multiple mediastinal clips and intact median sternotomy wires. Aortic arch calcifications are again noted. There is no pleural effusion, over pulmonary edema, or pneumothorax. No focal consolidation is identified.	52462666	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with sob // ro infection TECHNIQUE: Chest PA and lateral COMPARISON: ___.	Hyperinflation. No evidence of pneumonia.
11386597	The lungs are well inflated. Mediastinal clips and median sternotomy wires, as well as aortic arch calcifications are unchanged. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. Right glenohumeral degenerative change with osteophyte formation is again noted.	57118522	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with shortness of breath // eval for pna TECHNIQUE: Single upright portable view of the chest is obtained. COMPARISON: CHEST RADIOGRAPHS SINCE ___ MOST RECENTLY ___	No acute cardiopulmonary process.
11385948	Lungs are hyperinflated which could reflect emphysema. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax. Cardiomediastinal silhouette is stable. The aorta is calcified and slightly unfolded. Bilateral apical pleural scarring is unchanged overall. Bones appear grossly intact.	50458886	EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old woman presenting with dizziness; evaluate for infiltrate. TECHNIQUE: PA and lateral radiograph. COMPARISON: Chest radiograph dated ___.	Emphysema, no evidence of pneumonia or edema.
11385948	Heart is upper limits of normal in size, and the aorta is tortuous and calcified, both unchanged. Asymmetrical right apical thickening appears similar since ___, and multifocal areas of apparent parenchymal scarring in the right middle lobe and lingula with associated bronchiectasis, likely reflecting scarring or atypical mycobacterial infection. A new confluent area of opacity has developed in the right upper lobe posteriorly, best visualized on the lateral radiograph superior and posterior to the aortic arch. Lungs remain hyperinflated. No pleural effusion. Bones are diffusely demineralized, and note is made of mild scoliosis.	56120124	PA AND LATERAL CHEST RADIOGRAPHS OF ___ Compared to previous radiographs dating between ___ and ___.	New posterior right upper lobe consolidation suggestive of pneumonia. Followup radiographs in four weeks after completion of antibiotic therapy is suggested to document resolution and to exclude malignancy mimicking a lung infection. Otherwise, stable radiographic appearance of the chest with chronic abnormalities in right middle lobe and lingula, which may be due to scarring or chronic atypical mycobacterial infection.
11103376	Cardiomegaly is again present. Calcifications of the aortic knob are seen. There is mild vascular engorgement, overall improved from ___. There are no pleural effusions. No pneumothorax and no evidence of pneumonia.	55821541	HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.	Cardiomegaly with vascular congestion. No evidence of pneumonia.
11103376	Portable AP upright chest radiograph obtained. A right IJ central venous catheter is seen with its tip approximating the low SVC. There is central pulmonary vascular congestion with mild pulmonary edema noted. The heart remains mildly enlarged. No large effusion or pneumothorax is seen. Atherosclerotic calcification along the aortic knob noted. Bony structures are intact.	50957629	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Altered mental status, assess pneumonia or interval change.	Cardiomegaly with pulmonary edema stated, similar to prior exam allowing for slight differences in technique.
11299768	PA and lateral views of the chest. Left chest wall port is seen with catheter tip in the mid SVC. Mild biapical scarring is noted. The lungs are otherwise clear without consolidation or large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.	59834852	HISTORY: ___-year-old male with history of appendiceal adenocarcinoma on chemotherapy. COMPARISON: None.	No acute cardiopulmonary process.
11681682	Two views were obtained of the chest. The examination is limited by poor penetration likely secondary to the patient's body habitus. Within this limitation, the lungs appear well expanded without focal consolidation to suggest infectious process. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours are unchanged.	59505024	HISTORY: Fever, assess for pneumonia. COMPARISON: ___.	No acute intrathoracic process.
11681682	Right-sided dual lumen central venous catheter and left-sided subclavian central venous catheter terminate in the low SVC. Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal contours are grossly unchanged. Crowding of the bronchovascular structures is noted without overt pulmonary edema. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. "Rugger ___" appearance of the thoracic spine is compatible with renal osteodystrophy.	59853433	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea x 1 week, worsening // CHF vs COPD vS pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	Low lung volumes with bibasilar atelectasis.
11060909	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.	54629985	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with PMHx dilated cardiomyopathy p/w SOB/epigastric pain x1week. // ? consolidation. ? heart failure exacerbation COMPARISON: ___	No acute intrathoracic process.
11482361	Minimal left base atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Anterior left shoulder dislocation is noted, better assessed on dedicated left shoulder radiographs. No definite rib fracture is identified.	56338562	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recent fall, pain along left ribs // left rib fractrue TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process. Left shoulder dislocation better assessed on dedicated left shoulder radiographs. No definite rib fracture identified.
11184287	PA AND LATERAL VIEWS OF THE CHEST. There is a heterogeneous opacity in the right lower lobe that is new and concerning for pneumonia. There is also increase in mild interstitial opacity diffusely and this may represent mild interstitial edema. Probably small right pleural effusion. Left lung is clear. ___ be mild left basilar atelectasis. Mediastinal contours are normal. Heart size is normal. No pneumothorax.	54069404	INDICATION: Fever, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.	Likely right lower lobe pneumonia and mild fluid overload.
11067197	Moderate-to-severe cardiomegaly is not associated with pleural effusions or pulmonary edema, but there is vascular engorgement. Some component of this may be due to aggressive fluid resuscitation. The patient has a right-sided dialysis catheter two lumens terminating in the IVC and right atrium respectively. There is a retrocardiac opacity concerning for pneumonia.	52243295	HISTORY: DKA, question pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.	Retrocardiac opacity concerning for pneumonia. Enlargement of the cardiac silhouette either from cardiomegaly or pericardial effusion.
11321997	PA and lateral views of the chest. The right upper lobe mass is again seen measuring 5.7 cm AP x 5.3 cm CC x approximately 5.2 cm TRV. Otherwise, the lungs are clear without evidence of consolidation. Nodular opacities seen on prior CT are not clearly delineated by this chest x-ray. There is no evidence of pulmonary vascular congestion. Cardiomediastinal silhouette and osseous structures are unchanged.	51181054	HISTORY: ___-year-old male with non-small cell lung cancer with shortness of breath. Question CHF. COMPARISON: ___ and CTA chest from ___.	Known right upper lobe mass without visualized superimposed acute cardiopulmonary process.
11236141	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.	58966781	INDICATION: ___-year-old female with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available.	No acute cardiopulmonary process.
11646309	Low lung volumes are unchanged, with marked elevation of the right lung base. There is associated right basilar atelectasis. There is no significant pulmonary edema, or consolidation. The cardiac and mediastinal contours are normal.	54130395	HISTORY: ___-year-old male with metastatic hepatocellular carcinoma and worsening shortness of breath. COMPARISON: ___.	Low lung volumes and right basilar atelectasis, with elevation of the right lung base likely the result of a subdiaphragmatic process rather than subpulmonic effusion.
11772673	Frontal and lateral radiographs of the chest were obtained. A shunt catheter is partially visualized along the right neck, right anterior chest wall and the right abdomen. Lung volumes are low which accentuates normal heart size. Normal mediastinal contours. Bibasilar atelectasis with no focal consolidation, pleural effusion or pneumothorax. No displaced rib fractures are identified.	54419752	HISTORY: Fall, head injury. Evaluate for traumatic injury, pneumothorax, or rib fracture. COMPARISON: None available.	Very low lung volumes with bibasilar atelectasis. No displaced rib fracture; although, standard chest radiographs have low sensitivity for rib fracture.
11525470	AP portable upright view of the chest. Midline sternotomy wires and mediastinal clips are noted. ET tube tip resides 3.1 cm above the carina. Endogastric tube tip extends just beyond the GE junction. Recommend advancement for more optimal positioning. Scattered opacities in the lungs most pronounced in the lower lobes are concerning for multifocal pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal.	55566140	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with intubation // R/O acute process COMPARISON: None	Multifocal pneumonia. ET tube positioned appropriately. OG tube tip just beyond the GE junction. Recommend advancement.
11525470	AP portable upright view of the chest. Interval placement of a left subclavian central venous catheter with its tip in the region of the SVC. Patient remains intubated with the tip of the endotracheal tube residing approximately 3.9 cm above the carinal. The NG tube courses into the left upper quadrant with its tip just beyond the GE junction. Consider advancement of the NG tube for more optimal positioning. Multifocal consolidations remain concerning for pneumonia.	53346895	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with hypotension // Central line placement COMPARISON: Prior exam from earlier today.	Interval placement of left subclavian central venous catheter, tip in the SVC. NG tube may be advanced for more optimal positioning. ET tube positioned appropriately. Multifocal pneumonia.
11419565	PO and lateral views of the chest demonstrate adequate lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	59063454	INDICATION: Poorly controlled blood sugar levels. COMPARISONS: Chest radiograph of ___.	No acute cardiopulmonary process.
11419565	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.	51823068	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: HIV, sweats, and chills. COMPARISON: ___.	No acute cardiopulmonary process. Please note that CT is more sensitive in detecting atypical infection.
11255297	The lungs are clear without focal consolidation, effusion, or edema. Chain sutures project over the left lung base. Retrocardiac opacity with undulating contour is compatible with patulous esophagus and fat Bochdalek's hernia seen on prior CT scan. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.	55626392	INDICATION: ___F with aspiration // pna? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___.	No acute cardiopulmonary process.
11255297	Surgical clips are present along the mediastinum as before. The patient is apparently status post partial gastrectomy. The cardiac, mediastinal and hilar contours appear unchanged. The esophagus appears dilated with an air-fluid level, similar to prior findings. There is persistent patchy opacity in the right lower lobe which has improved somewhat since ___, but with little if any change since the prior day. There is no pleural effusion or pneumothorax. There is similar moderate osteophyte formation along the mid thoracic spine.	54279796	CHEST RADIOGRAPHS HISTORY: Chest pain; recent diagnosis of pneumonia. COMPARISON: Chest radiographs from ___ as well as chest CT from ___. TECHNIQUE: Chest, PA and lateral.	Similar appearance including slightly improved opacification in the right lower lung reflecting pneumonia seen on the prior CT. Marked dilatation of the esophagus with an air-fluid level as seen previously.
11255297	Frontal and lateral radiographs of the chest. Unchanged mild cardiomegaly. Stable postsurgical changes at the left lung base and hiatus hernia. No focal consolidation, pleural effusion or pneumothorax.	56581998	HISTORY: Achalasia with cough and fever for 2 days. Evaluate for aspiration pneumonia. COMPARISON: ___.	No evidence of pneumonia.
11255297	The heart is mildly enlarged. The aorta is partly calcified. The mediastinal and hilar contours appear similar. There is a widespread mild interstitial abnormality suggestive of pulmonary vascular congestion. Patchy opacities in the left lower lung are probably post-operative including visualization of a clip and chain sutures. The only change is increasing fluid within a loculated hydropneumothorax, with corresponding decrease in air, located along the left lateral chest wall, of uncertain significance in the short-term postoperative course. Mild degenerative changes are similar along the thoracic spine. Subcutaneous emphysema along the left lateral chest wall has mostly resolved.	53983257	CHEST RADIOGRAPHS HISTORY: Shortness of breath. Recent VAT. History of COPD. COMPARISONS: Radiographs from ___, ___ and ___, as well as earlier PET-CT dated ___. TECHNIQUE: Chest, PA and lateral.	Increased interstitial abnormality suggesting mild-to-moderate pulmonary congestion. Similar post-operative changes in the left lower hemithorax, aside from increased fluid in a left lateral loculated hydropneumothorax with a corresponding likely decrease in total air content.
11255297	PA and lateral images of the chest demonstrate improvement in the diffuse bilateral opacities from prior imaging. The loculated pleural effusion in the left lower zone has also improved since prior imaging. There remains some opacification in the retrocardiac area. Chain sutures are noted along the left hemidiaphragm. Diffuse lung markings are seen, indicative of elevated pulmonary venous pressure. The cardiomediastinal silhouette is unchanged.	56847382	INDICATION: ___-year-old female with left VATS and left lower lobe wedge. COMPARISON: Comparison is made with chest radiographs from ___ and ___.	Interval improvement in diffuse bilateral lung opacities with some opacification remaining in the retrocardiac area. Improvement of the left-sided loculated pleural effusion.
11255297	The patient just had a recent left lower lobe segmentectomy for lung nodule. There is no pneumothorax. The chest tube projecting in mid left hemithorax with the side port just at the chest wall. New interstitial pulmonary edema is moderate. There is very mild left lower lobe atelectasis. Mediastinal and cardiac contours are within normal limits. Esophageal dilatation is seen on the right side of the trachea in this patient known with achalasia.	56060929	INDICATION: Patient with left lower wedge, rule out pneumothorax. COMPARISON: Pre-op chest x-ray of ___ and PET-CT of ___.	Status post recent left lower lobe segmentectomy for lung nodule. Usual surgical changes are seen. The side port of the left chest tube is just at the chest wall. Moderate pulmonary interstitial edema is new. Dr. ___ has been verbally contacted for the results.

11581298

A single portable upright chest radiograph was obtained. Since the chest radiograph 7 days ago, moderate pulmonary edema has improved. Opacity seen throughout the lungs, in particular in the right upper lobe were better assessed on CT in ___ at which point the possibility of recurrent infection such as reactivation tuberculosis was considered. A retrocardiac opacity is similar to ___. Cardiomegaly is unchanged.

53658815

HISTORY: ___-year-old woman with chest pain. COMPARISON: Radiographs ___, ___. CT ___

Improvement in mild pulmonary edema. Repeat radiographs after treatment are recommended to re-assess chronic parenchymal changes.

11581298

The patient is status post sternotomy and presumably coronary artery bypass graft surgery, noting anterior mediastinal clips. The cardiac, mediastinal and hilar contours appear stable, including mild to moderate cardiomegaly with a left ventricular configuration. There is no pleural effusion or pneumothorax. In addition to streaky opacities that are stable and suggest background scarring in the right upper lobe, there is mild to moderate pulmonary edema of interstitial type.

52999391

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea. Concern for urosepsis. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.

Findings suggest mild to moderate pulmonary edema.

11037645

Shrapnel is seen projecting over the anterior right upper chest. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

54949377

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11636652

Dual lead left-sided pacer device is stable in position. There is persistent left-sided pleural effusion. Left base opacity/ left-sided volume loss are similar in appearance compared to the prior study. Small left apical pneumothorax persists. Extensive left-sided subcutaneous emphysema has decreased slightly in the interval.

57781844

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with effusion on xray. recent lung biopsy and segmental removal // eval for effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Small left apical pneumothorax and left pleural effusion. Left-sided volume loss similar compared to prior study. Extensive left-sided subcutaneous emphysema appears slightly improved compared to the prior study.

11636652

ET tube ends 4.8 cm above the carina. Right jugular line is in upper SVC and NG tube in the stomach. An atrioventricular pacemaker is in adequate position. Bilateral ground-glass opacities have worsened since previous exam; it is heterogeneous and asymmetric, more prominent in the left perihilar region and in the periphery of right upper lower lobe. Left lower lobe collapse has improved since previous exam. Pleural effusions are small if any and there is no pneumothorax.

57017587

PORTABLE AP CHEST X-RAY INDICATION: Patient with HCV cirrhosis, AICD, cardiac arrest, intubated. COMPARISON: ___ to ___.

Tubes and lines are in adequate position. Bilateral heterogeneous ground-glass opacities have worsened since previous exam. The differential diagnosis would include pulmonary edema or pulmonary hemorrhage.

11636652

The patient is status post left upper lobe and left lower lobe segmentectomy. There is volume loss on the left and deviation of the trachea to the left. Increased opacity is seen in the left peritracheal region and left lung base. A left sided chest tube is noted but its distal tip is obscured by a left-sided ICD. The ICD leads are unchanged and in appropriate position. There is possible tiny pneumothorax at the left apex.

57783494

EXAMINATION: Chest x-ray INDICATION: ___ year old woman with lung nodules s/p LUL and LLL segmentectomy. // evaluate chest tube position TECHNIQUE: Portable AP chest COMPARISON: Preoperative chest x-ray from ___

Expected post segmentectomy changes. A possible tiny pneumothorax is seen at the left lung apex. Reviewed with Dr. ___.

11636652

ET tube, right internal jugular catheter, NG tube and pacemaker leads are in unchanged satisfactory position. Bilateral ground-glass opacities have improved compared with prior exam. A small left pleural effusion is unchanged. No pneumothorax. Stable appearance of cardiomediastinal silhouette.

53586681

HISTORY: Worsening pulmonary status now on ventilator again, concern for DAH. Evaluate interval change. COMPARISON: ___

Tubes and lines in adequate position. Bilateral heterogeneous ground-glass opacities have improved compared with yesterday's exam.

11636652

Left-sided pacemaker device has its leads in unchanged position. A left-sided chest tube has been removed. There has been interval worsening in diffuse subcutaneous emphysema now extending in the bilateral chest walls and neck. There is a small left apical pneumothorax. Left retrocardiac opacity likely represents postsurgical changes. There is persistent blunting of the left costophrenic sulcus likely due to a small pleural effusion. Cardiomediastinal silhouette is unremarkable.

55354704

EXAMINATION: AP chest radiograph INDICATION: ___F smoker w/h/o MI, stroke, who has been followed for multiple lung nodules that were found on chest CT (new spiculated nodule 0.7cm LUL and a partial GGN LLL 1.1cm) s/p biopsy // post-pull film, eval for ptx or htx at 2200h TECHNIQUE: AP chest radiograph COMPARISON: Chest x-ray from ___.

Interval removal of a left-sided chest tube with interval worsening of diffuse subcutaneous emphysema extending throughout the chest wall and neck bilaterally. New small left apical pneumothorax. Postsurgical changes in the left lung with unchanged small left pleural effusion. Findings were discussed with ___.

11671656

Portable AP chest radiograph demonstrates elevation of the right hemidiaphragm, similar to prior MR. ___ lungs are clear and there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

59912774

HISTORY: Hypoxemia, concern for pneumonia. COMPARISON: MR-Chest, ___.

No acute cardiopulmonary process.

11153132

Severe cardiomegaly is stable. Mitral annulus is noted. Left pleural effusion and adjacent atelectasis have resolved. Small right effusion and adjacent atelectasis have decreased. Mild vascular congestion has improved. There is no pneumothorax. Sternal wires are aligned

51974935

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F hx mitral valve stenosis s/p repair at ___ c/b unrepairable perivalvular leak, valvular Afib on coumadin, dCHF (LVEF ___% in ___), CAD s/p RCA stent ___, pulmonary hypertension secondary to R to L shunting through an iatrogenic ASD presents with typical cardiac chest pain. // assess for edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___

Resolved left pleural effusion and adjacent atelectasis Improved right effusion and adjacent atelectasis Mild vascular congestion

11153132

AP portable upright view of the chest. Multiple sternal wires, cardiac valve, right-sided PICC, and left-sided pacemaker are unchanged in position since the ___ study. The heart is mildly enlarged. There is no pneumothorax or pleural effusion. Bilateral linear opacities remains stable, likely reflecting atelectasis.

57032513

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute mental status changes. // Signs of aspiration, PNA? COMPARISON: Chest radiograph from ___.

No interval change since ___. Specifically, no superimposed consolidation detected.

11856873

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.

58395892

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever // r/o infectious process COMPARISON: None

No acute intrathoracic process.

11278219

PA and lateral views of the chest provided. Blunting at the right CP angle likely reflects pleural thickening. The 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.

55331992

EXAMINATION: CHEST (PA AND LAT) INDICATION: Right flank pain please rule out pna/ptx COMPARISON: None

No acute intrathoracic process.

11330416

Endotracheal tube approximately terminates 3.8 cm above the carina. NG tube is in the stomach. Left subclavian central venous catheter tip is in the lower SVC. Cardiomediastinal silhouette is unremarkable. Lung volumes are low. There is pulmonary vascular engorgement. Basilar opacities may represent atelectasis however superimposed consolidation cannot be excluded especially at the right base. No large pleural effusion or pneumothorax.

50974608

INDICATION: History: ___F with intubated CVL // palcement TECHNIQUE: Single portable frontal semi-erect view of the chest COMPARISON: None

Appropriate positioning of endotracheal, nasogastric, and left subclavian central venous catheter. In the setting of low lung volumes bibasilar opacities may reflect atelectasis however superimposed consolidation especially at the right base cannot be excluded.

11330416

ET tube is 3.1 cm from the carina. Left subclavian central venous catheter is in the upper SVC as before. Enteric tube is in the stomach. Moderate layering right pleural effusion is unchanged. There is a background of persistent mild pulmonary edema slightly worsened. The heart is mildly enlarged.

50416942

INDICATION: ___ w/ Hep C, pancreatitis, drug/etoh abuse w/ traumatic SDH s/p L crani evacuation L SDH ___ // interval change; pt intubated TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___

Persistent layering right pleural effusion. Mild cardiomegaly with slightly worsened mild pulmonary edema.

11711832

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Lung volumes are low, exaggerating heart and mediastinal contours. The aorta is tortuous. Clips project over the right upper quadrant.

53333961

INDICATION: ___-year-old male with dizziness and fatigue. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were performed.

No radiographic evidence for acute cardiopulmonary process.

11790508

AP upright frontal and lateral views of the chest were obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings, particularly at the lung bases. Mild left base atelectasis. No focal consolidation, large pleural effusion or pneumothorax is seen. The costal and apical margins again appear slightly thickened, which may be due to fat deposition. No evidence of free air beneath the diaphragms.

52336047

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of question perforation, question free air under the diaphragm. COMPARISON: ___.

Low lung volumes, but otherwise no acute cardiopulmonary process. No evidence of free air beneath the diaphragms.

11380364

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

53493141

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with overdose, pls eval pna for medical clearance for psych // History: ___F with overdose, pls eval pna for medical clearance for psych TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11671770

Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

57496028

INDICATION: Chest pain. Evaluate aortic contour. COMPARISON: No relevant comparisons available.

No pneumonia, edema or effusion. Normal mediastinal contour.

11988196

The costophrenic angles are not fully included on the frontal image. Given this, there is small to moderate right pleural effusion. A trace left pleural effusion is difficult to exclude. The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. Relative lucency at the lung apices may be due to underlying pulmonary emphysema. There is bibasilar atelectasis. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous.

59502355

HISTORY: ___-year-old male with mild cough, generalized weakness. TECHNIQUE: Chest, frontal and lateral views. COMPARISON: None.

Costophrenic angles not fully included on the frontal view. Given this, small-to-moderate right pleural effusion with overlying atelectasis, underlying consolidation can not be excluded. Trace left pleural effusion difficult to exclude. Mild cardiomegaly. COPD and likely pulmonary emphysema.

11988196

The endotracheal tube tip sits just beneath the level of clavicular heads, which is new from prior study. The heart size is large, but stable to prior exam. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. A large calcified lymph node projects just right of midline. The interstitial markings of the lungs show minimally increased prominence as well as prominence of the pulmonary vasculature, compatible with mildly increased interstitial edema. There is no pneumothorax. No displaced rib fracture is apparent.

57266974

HISTORY: ___-year-old male who had been coded and received chest compressions and is now intubated. STUDY: Portable supine AP chest radiograph. COMPARISON: ___.

Mild interstitial edema and endotracheal tube as described above.

11636284

This patient is status post median sternotomy, mitral and aortic valve replacements. Heart size is normal. Mediastinal and hilar contours are within normal limits. Minimal scarring is seen within the right mid lung field. The lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities. Two clips project over the region of the right neck.

59208918

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11704068

PA and lateral views of the chest provided demonstrate no sign of free air below the right hemidiaphragm. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact.

51147193

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Sudden onset of the ascending and mid epigastric pain. Assess for acute intrathoracic process, free air.

No acute findings including no free air below the right hemidiaphragm.

11773394

PA and lateral chest radiograph demonstrate clear lungs bilaterally. Linear opacities at the bases bilaterally, left greater than right, likely reflect atelectasis. There is no pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema. No air under the right hemidiaphragm.

53122045

INDICATION: History: ___F with TIA*** WARNING *** Multiple patients with same last name! // Evidence of pneumonia or infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None available

Atelectasis at the bases without evidence of acute intrathoracic abnormality.

11947421

Frontal and lateral views of the chest were obtained. Subtle right lower lobe opacity seen on both the frontal and lateral views is worrisome for pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

55939127

WET READ: ___ ___ ___ 8:42 PM RLL PNA WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, shortness of breath, fever. COMPARISON: None.

Findings worrisome for right lower lobe pneumonia.

11226500

The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

57777401

HISTORY: ___-year-old male with flu-like illness. STUDY: PA and lateral chest radiograph. COMPARISON: None.

No acute cardiopulmonary process.

11945289

Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is top normal in size. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.

51996445

CLINICAL HISTORY: ___-year-old woman with dyspnea on exertion and wheezing. COMPARISON: No relevant comparisons available.

No acute intrathoracic process.

11945289

PA and lateral views of the chest. There is slightly increased opacity on the lateral film in the lower lobe compared to prior study, likely retrocardiac, which may represent pneumonia. There is no pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

57572390

INDICATION: Shortness of breath and fever. Evaluate for pneumonia. COMPARISON: ___.

Slightly opacity on the lateral film in the lower lobe compared to prior study, likely retrocardiac, which may represent LLL pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 1015am on ___ by phone.

11945289

There has been no significant interval change. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

57451054

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11945289

PA and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous or soft tissue abnormality.

52401225

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

No acute cardiopulmonary process.

11945289

There has been no significant change since the prior study. Subtle left basilar opacity is similar and could relate to basilar atelectasis. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

53852058

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

No significant interval change.

11945289

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. There are no acute osseous abnormalities.

55299528

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

No acute cardiopulmonary abnormality.

11945289

The heart size is normal. The hilar and mediastinal contours are normal. In the retrocardiac region, subtle interval increase in density compared to the prior exam is likely positional. There is mild bibasilar atelectasis. There is no large pleural effusion, pneumothorax. The visualized osseous structures are unremarkable.

58696699

INDICATION: History: ___F with CP please evaluate. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs dated back to ___.

Subtle interval increase in density in the retrocardiac region is likely positional, and less likely secondary to a focal consolidation.

11945289

The heart size, mediastinal, and hilar contours are normal. There is bronchial cuffing with increased background density and small irregular opacities, most commonly seen in chronic asthma. No focal consolidation, pleural effusion, or pneumothorax.

59427918

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath. Please evaluate for infectious, ptx. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___.

No focal consolidation or pneumothorax. Probable asthma.

11945289

The cardiomediastinal silhouette and pulmonary vasculature are normal. Scattered regions of bronchial cuffing are noted, not significantly different the prior examination. There is no definite focal consolidation. There is no pleural effusion or pneumothorax.

55250023

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough x4 days and h/o asthma // h/o Asthma flu c/o CP TECHNIQUE: Chest PA and lateral COMPARISON: ___

No definite focal consolidation identified.

11948874

The right internal jugular vein central venous catheter ends in the upper right atrium. An enteric tube ends off the imaged portion of the screen, likely within the stomach. The endotracheal tube ends at the thoracic inlet. Sternotomy wires are intact. There is a large opacity throughout the entire right lung likely representing the patient's pneumonia. The left lung is grossly clear. There is no pleural effusion on the left. Evaluation for pleural effusion on the right is limited. There is no pneumothorax.

50435118

INDICATION: Pneumonia. Evaluate endotracheal tube placement. COMPARISON: None available.

Endotracheal tube ends at the thoracic inlet. Large opacity in the right lung, likely representing pneumonia. At time of attending review, the ET tube had been repositioned.

11217246

The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax.

57556300

INDICATION: ___-year-old male with spastic paraparesis with exacerbation, to rule out pneumonia. COMPARISON: Chest radiograph ___. AP AND LATERAL CHEST

No acute cardiopulmonary pathology.

11544910

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

59509672

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Recent upper respiratory infection/bronchitis, today worsened shortness of breath. COMPARISON: None.

No focal consolidation. No pneumothorax. No acute cardiopulmonary process.

11544910

There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.

55126592

WET READ: ___ ___ ___ 5:48 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with CP // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary process.

11417422

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are within normal limits. Atherosclerotic calcifications are noted along the aortic arch. There is moderate-to-severe enlargement of the cardia silhouette. Mild loss of height is noted in a mid thoracic vertebral body. The chronicity is unknown.

57888313

INDICATION: Dyspnea on exertion. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained.

No acute cardiopulmonary process. Moderate-to-severe cardiomegaly.

11792491

Two views were obtained of the chest. Left lower lobe opacity is concerning for developing pneumonia. The reticulonodular opacity in the right lung could also reflect an infectious process with bilateral trace pleural effusions. Heart is mildly enlarged with normal cardiomediastinal contours.

59788954

INDICATION: ___-year-old male with diabetes and fever, assess for pneumonia. COMPARISONS: None.

Left lower lobe pneumonia with possible early right lower lung pneumonia and trace bilateral pleural effusions.

11416422

Right-sided PICC in the mid SVC. The lungs are clear. Heart size top normal. No pleural effusion or pneumothorax.

52897248

INDICATION: ___ year old man with PICC placement from outside // confirm placement TECHNIQUE: Portable COMPARISON: ___

Right PICC in the mid SVC.

11416422

Right PICC with distal tip terminating in the upper SVC, unchanged from previous examination. No pneumothorax, mediastinal widening, or pleural effusions. The lungs are well expanded and clear. The hila and cardiac borders are normal.

55787201

EXAMINATION: Chest radiograph INDICATION: ___ year old man with PICC from outside // check placement please TECHNIQUE: Chest PA and AP COMPARISON: Chest radiograph from ___, ___, ___. CT chest from ___.

Right PICC with distal tip terminating in the upper SVC.

11791817

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

57635892

INDICATION: Evaluate for infiltrate in a ___-year-old man with a smoking history and chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11878471

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. Mild biapical pleural thickening is unchanged. Mild degenerative changes are noted in the mid thoracic spine.

55945513

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval for structural process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11878471

The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

56615324

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with 4 days of constant chest pressure radiating to the back and neck, associated with dyspnea and nausea. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11391341

Mild cardiomegaly has been stable compared to exams dated back to ___. The lung volumes are low resulting in crowding of the bronchovascular structures. The hilar and mediastinal contours are otherwise unremarkable. There is no pulmonary vascular congestion. There may be small bilateral pleural effusions. Mild bibasilar atelectasis is persistent. There is no pneumothorax. The visualized osseous structures are unremarkable. There is no free air under the diaphragm.

50676510

INDICATION: History of sudden onset epigastric pain. Please evaluate for free air. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Single AP portable radiograph of the chest.

No evidence of subdiaphragmatic free air.

11887790

Heart size is mildly enlarged but unchanged. The aorta remains mildly tortuous. The mediastinal and hilar contours are otherwise similar. Pulmonary vasculature is normal. Scarring within the lung apices is unchanged. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with mild multilevel degenerative changes noted.

57914892

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

No acute cardiopulmonary abnormality.

11887790

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.

58094095

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with headache, lightheadedness, dyspnea // evaluate with acute process COMPARISON: ___.

No acute intrathoracic process.

11887790

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.

57186608

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain COMPARISON: ___.

No acute intrathoracic process.

11887790

The heart remains borderline enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta noted. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

57880714

HISTORY: Productive cough for 5 days. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11887790

Portable AP chest radiograph. Streaky opacities in the lung bases may reflect atelectasis, but infection is not excluded. No overt pulmonary edema is present. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.

50581540

INDICATION: Chest pain. COMPARISON: ___ and ___.

Bibasilar airspace opacities could reflect atelectasis, but infection is not excluded.

11727444

The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no radiopaque foreign body. There is no evidence of pneumomediastinum. No acute osseous abnormalities.

50899606

INDICATION: ___M with throat tightness / globus // r/o intrapulm process, foreign body TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11558309

There is no focal consolidation, pleural effusion, or pneumothorax. There is no recent or non-recent TB. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.

56196465

INDICATION: ___-year-old woman requiring to have screening for TB. No exposure. COMPARISONS: None.

No evidence of recent or non-recent TB.

11703451

The lungs are normally expanded. Slight opacity in the right infrahilar region may reflect atelectasis or aspiration. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The aortic arch is calcified.

51963314

WET READ: ___ ___ 10:32 AM Minimally increased opacity in the right infrahilar region may reflect atelectasis or aspiration. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with s/p syncope, pulseless, rosc // eval for cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Minimall opacity in the right infrahilar region may reflect atelectasis or aspiration.

11577638

Cardiac silhouette size is normal. The aortic knob is calcified and the aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacities are noted in both lung bases, which may reflect atelectasis, but infection is not excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

54946457

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, subjective fevers // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Patchy opacities in lung bases could reflect atelectasis but infection cannot be excluded in the correct clinical setting.

11734877

Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

58887539

WET READ: ___ ___ ___ 6:34 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with F.B sensation and hoarsness of voice? SOB // role out pneumomediastinum TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No acute cardiopulmonary process.

11722594

The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

59995473

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Hyperinflated, but clear lungs.

11722594

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are hyperinflated to a moderate degree. There is no pleural effusion or pneumothorax, although it is noted that the extreme posterior costophrenic foci are excluded on the lateral view. The lungs appear clear.

53101623

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

Hyperinflation. No evidence of acute disease.

11115360

Paucity of the vessels, particularly in the upper lobes, are suggestive of emphysema. The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Median sternotomy wires are unchanged since ___.

52090201

INDICATION: ___ year old man with old smoking history and more shortness of breath. // ? lesions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and chest radiograph from ___

Stable emphysema. No evidence of pneumonia. No acute cardiopulmonary process.

11115360

There is stable appearance of surgical clips and median sternotomy wires from prior CABG as seen on previous radiographs. There is mild DJD in the thoracic spine with multilevel osteophytes without significant interval change. There is mild cardiomegaly best appreciated on lateral view. There is no interval change in the cardiomediastinal contours. There is a paucity of vessels seen in the upper lobes bilaterally which is consistent with centrilobular emphysema as seen on prior CT scan. There are no parenchymal opacities seen. There are no pneumothoraces or effusions.

55426687

EXAMINATION: PA and lateral chest x-ray. INDICATION: ___ year old man with cough and prior smoking history // ? lesion TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: PA and lateral chest x-ray obtained ___.

No lung lesions appreciated. No significant interval changes.

11211939

Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is demonstrated. The aorta is diffusely calcified and tortuous. Lungs are hyperinflated. Hilar contours are similar. No pulmonary vascular engorgement is seen. Tubular opacity within the right upper lobe is unchanged, characterized on the prior CT as an area of mucous plugging. Streaky atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present.

53474083

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with chest pain, shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ and chest CT ___

Streaky bibasilar opacities compatible with atelectasis. Unchanged tubular opacity in the right upper lobe, previously characterized on CT as an area of mucous plugging.

11211939

PA and lateral views of the chest provided demonstrate dual lead pacer unchanged in position. The heart remains mildly enlarged with an unfolded thoracic aorta which contains mural calcification. There is no focal consolidation, effusion, or pneumothorax. There is no free air below the right hemidiaphragm. The bony structures appear intact.

54131429

HISTORY: ___-year-old female with abdominal pain, nausea and vomiting. COMPARISON: ___.

No acute findings including no signs of pneumoperitoneum.

11211939

Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild cardiomegaly is again noted, with diffuse calcification and tortuosity of the thoracic aorta. The mediastinal and hilar contours are otherwise unchanged. There is minimal prominence of the pulmonary vascular markings, suggestive of mild congestion, but no overt pulmonary edema is seen. Subtle patchy opacities in the lung bases may reflect atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

58859219

INDICATION: Dizziness. COMPARISON: Chest radiograph of ___. UPRIGHT AP AND LATERAL VIEWS OF THE

Bibasilar atelectasis. Possible mild pulmonary vascular prominence, but no overt pulmonary edema.

11098155

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

59989180

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: None.

No evidence of acute cardiopulmonary disease.

11098155

Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

58319865

INDICATION: Persistent cough. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11605699

Frontal AP and lateral views of the chest were obtained. The lateral view is limited by patient's inability to raise her right arm. There is no focal consolidation, or pneumothorax. Blunting of the left costophrenic sulcus is unchanged from ___ and may represent pleural thickening. Tiny rounded calcifications in the right upper lung correspond to a pleural-based plaque with internal calcification on CT chest ___. Mild cardiomegaly is unchanged. The thoracic aorta is tortuous and generally large. The intimal calcification at the aortic knob is far from the edge but unchanged from ___. The bones are diffusely osteopenic. intimal calcification far from edge. doesnt necessarily mean that intima is not elevated (in dissection). film in ___ where teh ao knob looks at least as peculiar.

55359504

CLINICAL HISTORY: ___-year-old woman with lethargy and decreased urine output. Evaluate for pneumonia. COMPARISON: CXR ___, CT Chest ___

No pneumonia or edema. Aortic knob intimal calcification is far from the edge, unchanged from ___. Due to aortic tortuosity, it is uninterpretable. This would warrant further evaluation if there is good clinical evidence for dissection. Finding #2 discussed with Dr. ___ by phone at 7:32am ___.

11944377

In comparison to the chest radiograph obtained 1 day prior, there has been substantial improvement in pulmonary edema. Multiple rib fractures and right clavicular fracture are unchanged. No obvious pneumothorax. There is increased bibasilar atelectasis and new, small, bilateral pleural effusions. Bilateral chest tubes are essentially unchanged in position. An NG tube side port projects just distal to the GE junction. An ET tube terminates 6 cm above the carina.

57869126

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p MCC with multiple traumas // chest tubes, ETT TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___

Substantially improved, now mild, pulmonary edema. Supportive devices, tubes, and lines are appropriately positioned as described above.

11944377

A left-sided chest drain is in-situ, this terminates at the apex. A right-sided chest drain is in-situ, this appears her withdrawn slightly compared to the prior study and there is a side holes that appears to be outside of the pleura. Tiny apical right pneumothorax is unchanged compared to the prior study. Left basilar atelectasis is also unchanged. Multiple bilateral rib fractures and a right clavicle fracture again noted.

58739887

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p MCC // serial eval TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

The right-sided chest turn appears to withdrawn slightly with a side hole marrow lying outside the pleural.

11944377

In comparison to the chest radiograph obtained 1 day prior, there are increasing bibasilar opacities concerning for either atelectasis or developing pneumonia. Small, left pleural effusion is minimally increased. Small, right apical pneumothorax is unchanged. No left pneumothorax. Right and left-sided chest tubes are unchanged and appropriately positioned. Numerous bony fractures are grossly unchanged and better evaluated on CT chest dated ___. Subcutaneous emphysema appears unchanged to minimally improved. An ET tube terminates approximately 5 cm superior to the carina and an enteric tube terminates in the stomach.

59985023

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man intubated // ? change in cardiopulm status TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ CT chest dated ___

Increased or new bibasilar atelectasis or developing pneumonia. Unchanged, small right apical pneumothorax.

11468250

Cardiac, mediastinal, and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is detected.

50901713

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___

No acute cardiopulmonary abnormality.

11952347

The heart size is normal. The hilar and mediastinal contours are normal. There is a 8 mm nodular opacity overlying the right posterior ___ rib. No other focal consolidations are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

53161368

HISTORY: History of shoulder pain please evaluate chest. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Chest radiograph from ___.

8 mm nodular opacity overlying the right posterior 9th rib. This could be secondary to the patient's nipple. Recommend further evaluation either with nipple markers. ___ were d/w Dr. ___ by Dr. ___ by telephone at 4p on ___.

11194489

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Small osteophytes are present along the thoracic spine.

55184005

CHEST RADIOGRAPHS HISTORY: Productive cough. History of HIV. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11386597

The lungs are hyperinflated. The cardiomediastinal silhouette is unchanged, with multiple mediastinal clips and intact median sternotomy wires. Aortic arch calcifications are again noted. There is no pleural effusion, over pulmonary edema, or pneumothorax. No focal consolidation is identified.

52462666

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with sob // ro infection TECHNIQUE: Chest PA and lateral COMPARISON: ___.

Hyperinflation. No evidence of pneumonia.

11386597

The lungs are well inflated. Mediastinal clips and median sternotomy wires, as well as aortic arch calcifications are unchanged. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. Right glenohumeral degenerative change with osteophyte formation is again noted.

57118522

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with shortness of breath // eval for pna TECHNIQUE: Single upright portable view of the chest is obtained. COMPARISON: CHEST RADIOGRAPHS SINCE ___ MOST RECENTLY ___

No acute cardiopulmonary process.

11385948

Lungs are hyperinflated which could reflect emphysema. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax. Cardiomediastinal silhouette is stable. The aorta is calcified and slightly unfolded. Bilateral apical pleural scarring is unchanged overall. Bones appear grossly intact.

50458886

EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old woman presenting with dizziness; evaluate for infiltrate. TECHNIQUE: PA and lateral radiograph. COMPARISON: Chest radiograph dated ___.

Emphysema, no evidence of pneumonia or edema.

11385948

Heart is upper limits of normal in size, and the aorta is tortuous and calcified, both unchanged. Asymmetrical right apical thickening appears similar since ___, and multifocal areas of apparent parenchymal scarring in the right middle lobe and lingula with associated bronchiectasis, likely reflecting scarring or atypical mycobacterial infection. A new confluent area of opacity has developed in the right upper lobe posteriorly, best visualized on the lateral radiograph superior and posterior to the aortic arch. Lungs remain hyperinflated. No pleural effusion. Bones are diffusely demineralized, and note is made of mild scoliosis.

56120124

PA AND LATERAL CHEST RADIOGRAPHS OF ___ Compared to previous radiographs dating between ___ and ___.

New posterior right upper lobe consolidation suggestive of pneumonia. Followup radiographs in four weeks after completion of antibiotic therapy is suggested to document resolution and to exclude malignancy mimicking a lung infection. Otherwise, stable radiographic appearance of the chest with chronic abnormalities in right middle lobe and lingula, which may be due to scarring or chronic atypical mycobacterial infection.

11103376

Cardiomegaly is again present. Calcifications of the aortic knob are seen. There is mild vascular engorgement, overall improved from ___. There are no pleural effusions. No pneumothorax and no evidence of pneumonia.

55821541

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

Cardiomegaly with vascular congestion. No evidence of pneumonia.

11103376

Portable AP upright chest radiograph obtained. A right IJ central venous catheter is seen with its tip approximating the low SVC. There is central pulmonary vascular congestion with mild pulmonary edema noted. The heart remains mildly enlarged. No large effusion or pneumothorax is seen. Atherosclerotic calcification along the aortic knob noted. Bony structures are intact.

50957629

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Altered mental status, assess pneumonia or interval change.

Cardiomegaly with pulmonary edema stated, similar to prior exam allowing for slight differences in technique.

11299768

PA and lateral views of the chest. Left chest wall port is seen with catheter tip in the mid SVC. Mild biapical scarring is noted. The lungs are otherwise clear without consolidation or large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

59834852

HISTORY: ___-year-old male with history of appendiceal adenocarcinoma on chemotherapy. COMPARISON: None.

No acute cardiopulmonary process.

11681682

Two views were obtained of the chest. The examination is limited by poor penetration likely secondary to the patient's body habitus. Within this limitation, the lungs appear well expanded without focal consolidation to suggest infectious process. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours are unchanged.

59505024

HISTORY: Fever, assess for pneumonia. COMPARISON: ___.

No acute intrathoracic process.

11681682

Right-sided dual lumen central venous catheter and left-sided subclavian central venous catheter terminate in the low SVC. Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal contours are grossly unchanged. Crowding of the bronchovascular structures is noted without overt pulmonary edema. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. "Rugger ___" appearance of the thoracic spine is compatible with renal osteodystrophy.

59853433

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea x 1 week, worsening // CHF vs COPD vS pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

Low lung volumes with bibasilar atelectasis.

11060909

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.

54629985

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with PMHx dilated cardiomyopathy p/w SOB/epigastric pain x1week. // ? consolidation. ? heart failure exacerbation COMPARISON: ___

No acute intrathoracic process.

11482361

Minimal left base atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Anterior left shoulder dislocation is noted, better assessed on dedicated left shoulder radiographs. No definite rib fracture is identified.

56338562

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recent fall, pain along left ribs // left rib fractrue TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process. Left shoulder dislocation better assessed on dedicated left shoulder radiographs. No definite rib fracture identified.

11184287

PA AND LATERAL VIEWS OF THE CHEST. There is a heterogeneous opacity in the right lower lobe that is new and concerning for pneumonia. There is also increase in mild interstitial opacity diffusely and this may represent mild interstitial edema. Probably small right pleural effusion. Left lung is clear. ___ be mild left basilar atelectasis. Mediastinal contours are normal. Heart size is normal. No pneumothorax.

54069404

INDICATION: Fever, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.

Likely right lower lobe pneumonia and mild fluid overload.

11067197

Moderate-to-severe cardiomegaly is not associated with pleural effusions or pulmonary edema, but there is vascular engorgement. Some component of this may be due to aggressive fluid resuscitation. The patient has a right-sided dialysis catheter two lumens terminating in the IVC and right atrium respectively. There is a retrocardiac opacity concerning for pneumonia.

52243295

HISTORY: DKA, question pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.

Retrocardiac opacity concerning for pneumonia. Enlargement of the cardiac silhouette either from cardiomegaly or pericardial effusion.

11321997

PA and lateral views of the chest. The right upper lobe mass is again seen measuring 5.7 cm AP x 5.3 cm CC x approximately 5.2 cm TRV. Otherwise, the lungs are clear without evidence of consolidation. Nodular opacities seen on prior CT are not clearly delineated by this chest x-ray. There is no evidence of pulmonary vascular congestion. Cardiomediastinal silhouette and osseous structures are unchanged.

51181054

HISTORY: ___-year-old male with non-small cell lung cancer with shortness of breath. Question CHF. COMPARISON: ___ and CTA chest from ___.

Known right upper lobe mass without visualized superimposed acute cardiopulmonary process.

11236141

The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

58966781

INDICATION: ___-year-old female with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available.

No acute cardiopulmonary process.

11646309

Low lung volumes are unchanged, with marked elevation of the right lung base. There is associated right basilar atelectasis. There is no significant pulmonary edema, or consolidation. The cardiac and mediastinal contours are normal.

54130395

HISTORY: ___-year-old male with metastatic hepatocellular carcinoma and worsening shortness of breath. COMPARISON: ___.

Low lung volumes and right basilar atelectasis, with elevation of the right lung base likely the result of a subdiaphragmatic process rather than subpulmonic effusion.

11772673

Frontal and lateral radiographs of the chest were obtained. A shunt catheter is partially visualized along the right neck, right anterior chest wall and the right abdomen. Lung volumes are low which accentuates normal heart size. Normal mediastinal contours. Bibasilar atelectasis with no focal consolidation, pleural effusion or pneumothorax. No displaced rib fractures are identified.

54419752

HISTORY: Fall, head injury. Evaluate for traumatic injury, pneumothorax, or rib fracture. COMPARISON: None available.

Very low lung volumes with bibasilar atelectasis. No displaced rib fracture; although, standard chest radiographs have low sensitivity for rib fracture.

11525470

AP portable upright view of the chest. Midline sternotomy wires and mediastinal clips are noted. ET tube tip resides 3.1 cm above the carina. Endogastric tube tip extends just beyond the GE junction. Recommend advancement for more optimal positioning. Scattered opacities in the lungs most pronounced in the lower lobes are concerning for multifocal pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal.

55566140

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with intubation // R/O acute process COMPARISON: None

Multifocal pneumonia. ET tube positioned appropriately. OG tube tip just beyond the GE junction. Recommend advancement.

11525470

AP portable upright view of the chest. Interval placement of a left subclavian central venous catheter with its tip in the region of the SVC. Patient remains intubated with the tip of the endotracheal tube residing approximately 3.9 cm above the carinal. The NG tube courses into the left upper quadrant with its tip just beyond the GE junction. Consider advancement of the NG tube for more optimal positioning. Multifocal consolidations remain concerning for pneumonia.

53346895

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with hypotension // Central line placement COMPARISON: Prior exam from earlier today.

Interval placement of left subclavian central venous catheter, tip in the SVC. NG tube may be advanced for more optimal positioning. ET tube positioned appropriately. Multifocal pneumonia.

11419565

PO and lateral views of the chest demonstrate adequate lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

59063454

INDICATION: Poorly controlled blood sugar levels. COMPARISONS: Chest radiograph of ___.

No acute cardiopulmonary process.

11419565

Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

51823068

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: HIV, sweats, and chills. COMPARISON: ___.

No acute cardiopulmonary process. Please note that CT is more sensitive in detecting atypical infection.

11255297

The lungs are clear without focal consolidation, effusion, or edema. Chain sutures project over the left lung base. Retrocardiac opacity with undulating contour is compatible with patulous esophagus and fat Bochdalek's hernia seen on prior CT scan. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

55626392

INDICATION: ___F with aspiration // pna? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___.

No acute cardiopulmonary process.

11255297

Surgical clips are present along the mediastinum as before. The patient is apparently status post partial gastrectomy. The cardiac, mediastinal and hilar contours appear unchanged. The esophagus appears dilated with an air-fluid level, similar to prior findings. There is persistent patchy opacity in the right lower lobe which has improved somewhat since ___, but with little if any change since the prior day. There is no pleural effusion or pneumothorax. There is similar moderate osteophyte formation along the mid thoracic spine.

54279796

CHEST RADIOGRAPHS HISTORY: Chest pain; recent diagnosis of pneumonia. COMPARISON: Chest radiographs from ___ as well as chest CT from ___. TECHNIQUE: Chest, PA and lateral.

Similar appearance including slightly improved opacification in the right lower lung reflecting pneumonia seen on the prior CT. Marked dilatation of the esophagus with an air-fluid level as seen previously.

11255297

Frontal and lateral radiographs of the chest. Unchanged mild cardiomegaly. Stable postsurgical changes at the left lung base and hiatus hernia. No focal consolidation, pleural effusion or pneumothorax.

56581998

HISTORY: Achalasia with cough and fever for 2 days. Evaluate for aspiration pneumonia. COMPARISON: ___.

No evidence of pneumonia.

11255297

The heart is mildly enlarged. The aorta is partly calcified. The mediastinal and hilar contours appear similar. There is a widespread mild interstitial abnormality suggestive of pulmonary vascular congestion. Patchy opacities in the left lower lung are probably post-operative including visualization of a clip and chain sutures. The only change is increasing fluid within a loculated hydropneumothorax, with corresponding decrease in air, located along the left lateral chest wall, of uncertain significance in the short-term postoperative course. Mild degenerative changes are similar along the thoracic spine. Subcutaneous emphysema along the left lateral chest wall has mostly resolved.

53983257

CHEST RADIOGRAPHS HISTORY: Shortness of breath. Recent VAT. History of COPD. COMPARISONS: Radiographs from ___, ___ and ___, as well as earlier PET-CT dated ___. TECHNIQUE: Chest, PA and lateral.

Increased interstitial abnormality suggesting mild-to-moderate pulmonary congestion. Similar post-operative changes in the left lower hemithorax, aside from increased fluid in a left lateral loculated hydropneumothorax with a corresponding likely decrease in total air content.

11255297

PA and lateral images of the chest demonstrate improvement in the diffuse bilateral opacities from prior imaging. The loculated pleural effusion in the left lower zone has also improved since prior imaging. There remains some opacification in the retrocardiac area. Chain sutures are noted along the left hemidiaphragm. Diffuse lung markings are seen, indicative of elevated pulmonary venous pressure. The cardiomediastinal silhouette is unchanged.

56847382

INDICATION: ___-year-old female with left VATS and left lower lobe wedge. COMPARISON: Comparison is made with chest radiographs from ___ and ___.

Interval improvement in diffuse bilateral lung opacities with some opacification remaining in the retrocardiac area. Improvement of the left-sided loculated pleural effusion.

11255297

The patient just had a recent left lower lobe segmentectomy for lung nodule. There is no pneumothorax. The chest tube projecting in mid left hemithorax with the side port just at the chest wall. New interstitial pulmonary edema is moderate. There is very mild left lower lobe atelectasis. Mediastinal and cardiac contours are within normal limits. Esophageal dilatation is seen on the right side of the trachea in this patient known with achalasia.

56060929

INDICATION: Patient with left lower wedge, rule out pneumothorax. COMPARISON: Pre-op chest x-ray of ___ and PET-CT of ___.

Status post recent left lower lobe segmentectomy for lung nodule. Usual surgical changes are seen. The side port of the left chest tube is just at the chest wall. Moderate pulmonary interstitial edema is new. Dr. ___ has been verbally contacted for the results.