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11888614
AP upright and lateral views the chest. Subtle prominence of the right hilar bronchovascular markings may reflect AP technique. No definite consolidation concerning for pneumonia. No effusion or pneumothorax. No overt edema. Cardiomediastinal silhouette appears normal. No acute bony injuries.
57386788
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with etoh and drug abuse who reports getting punched in the face, has a black eye. COMPARISON: ___.
Limited exam, no acute findings.
11888614
Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. There is no pneumomediastinum. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild pulmonary vascular congestion is seen on ___ exam has resolved. Insterstiail markings appear prominent which may reflect underlying small airways disease or interstitial disease. Clinical correlation is advised. Partially imaged upper abdomen is unremarkable.
50536002
INDICATION: Chest pain and vomiting. Assess for pneumothorax or pneumonia. COMPARISONS: Chest radiograph of ___.
Mild pulmonary vascular congestion seen on ___ exam has resolved.
11888614
The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormalities are detected.
51240157
INDICATION: ___M with chest pain x 1 hour substernal in nature back pain // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. Chest CT ___.
No acute cardiopulmonary process.
11888614
Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.
55517450
INDICATION: ___-year-old man who a partially pulled out PICC line, evaluate position. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE A portable view of the chest.
Retraction of the left PICC now ending in the left brachiocephalic vein. Worsening pulmonary edema.
11888614
There has been little interval change from the prior exam. The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal without evidence of pulmonary edema. Again noted are bilateral ill-defined hazy airspace opacities predominantly within a perihilar distribution, not significantly changed in extent compared to the recent chest radiograph and chest CT. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
50561566
HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and ___. CTA of the chest ___.
No significant interval change in bilateral predominantly perihilar ill-defined airspace opacities which may reflect a multifocal infectious process, but is nonspecific.
11888614
There are nonspecific bibasilar opacities. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified on this limited supine view.
50741129
INDICATION: Chest pain. Evaluate for pneumonia. TECHNIQUE: Single AP upright view of the chest. COMPARISON: Chest radiograph from ___. Chest radiograph from ___.
Nonspecific bibasilar opacities, right worse than left, which are concerning for pneumonia.
11854596
There is dextroscoliosis of the thoracic spine with accompanying tortuosity of the aorta. There is moderate pulmonary vascular congestion without frank pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
51445709
WET READ: ___ ___ ___ 4:02 PM 1. Moderate pulmonary vascular congestion without frank pulmonary edema. 2. No focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with stroke, evaluate for pneumonia. TECHNIQUE: None COMPARISON: None.
Moderate pulmonary vascular congestion without frank pulmonary edema. No focal consolidation.
11104911
There are low lung volumes with associated bronchovascular crowding. No mass or opacity is seen in the lungs. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged, stable from prior exam.
51705498
HISTORY: Altered mental status. COMPARISON: Comparison is made with chest radiographs from ___.
Low lung volumes. No acute cardiopulmonary process.
11104911
PA and lateral views of the chest were provided. A nodular density residing in the right lower lung is most compatible with a nipple shadow. There is no free air below the right hemidiaphragm. There is no focal consolidation, large effusion or pneumothorax. The heart is top normal in size. The mediastinal contour is normal. The imaged osseous structures are intact.
54453022
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old man with epigastric and left upper quadrant abdominal pain for one day with nausea, question free air or pneumonia.
No acute intrathoracic process. No signs of free air below the right hemidiaphragm.
11104911
Dual lead left pectoral generator with 2 leads in the right atrium and right ventricle. Mild degenerative changes of the thoracic spine with osteophyte formation. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
54941437
INDICATION: ___ year old man with new PPM // PPM position TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Dual lead left pectoral and subclavian pacemaker with 2 pacer leads in the right atrium and the right ventricle without evidence of pneumothorax or other complications. Mild degenerative changes in thoracic spine.
11979938
In comparison to the CT chest dated ___, no significant changes are appreciated. There are no suspicious pulmonary nodules or masses. There is a small, linear focus of atelectasis in the right lower lobe. Lungs are otherwise hyperinflated, unchanged since at least ___, but clear without focal consolidation, pleural effusions, or pleural thickening. Heart size is normal. Cardiomediastinal hilar silhouettes are normal.
53117923
EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with history of melanoma // Please evaluate disease status TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___ Chest radiographs to ___
No radiographic evidence of intrathoracic metastatic disease or other acute cardiopulmonary abnormalities. Unchanged hyperinflation bilaterally may be consistent with chronic obstructive pulmonary disease.
11024993
There is subtle opacity in the right lung partially obscuring the right cardiac margin also seen on the lateral view suspicious for subtle pneumonia. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits.
59259814
WET READ: ___ ___ ___ 11:21 PM Focal opacity in the right middle lobe compatible with pneumonia in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with dyspnea // eval for acute process TECHNIQUE: PA and lateral views the chest. COMPARISON: None.
Focal opacity in the right middle lobe compatible with pneumonia in the proper clinical setting.
11662819
Moderate cardiomegaly is unchanged. The mediastinal contours are stable. There is perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular engorgement. Additionally, the hila are enlarged bilaterally, compatible with pulmonary arterial hypertension, as seen on the prior CT. No focal consolidation, pleural effusion or pneumothorax is present. There are embolization coils as well as multiple surgical clips noted in the imaged upper abdomen. Diffuse sclerosis of the osseous structures is compatible with patient's history of renal osteodystrophy.
56346474
HISTORY: Cough for 3 weeks, dehydrated. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___. Chest radiograph ___.
Mild pulmonary vascular congestion. No focal consolidation to suggest pneumonia.
11662819
Single portable view of the chest demonstrates severe cardiomegaly. Extensive parenchymal opacities are similar to the prior study. These findings could certainly be seeming eosinophilic lung disease as well as pulmonary edema. No large pleural effusion is noted however small pleural effusions are difficult to exclude. Consolidation in the left lower lobe in the retrocardiac region is likely due to atelectasis.
51457231
HISTORY: ___ year old man with ESRD, tuberous sclerosis on HD, RCC and eosinophilic lung disease with AMS COMPARISON:
Extensive parenchymal opacities bilaterally consistent with pulmonary edema. Cardiomegaly.
11662819
Extensive parenchymal opacities are mostly stable. These findings could be due to eosinophilic lung disease as well as pulmonary edema. Consolidation in the left lower lobe in the retrocardiac region is slightly increasing, likely due to atelectasis. An associated effusion or superimposed infection is difficult to exclude.
51757967
WET READ: ___ ___ 9:11 PM Extensive parenchymal opacities are mostly stable. These findings could be due to eosinophilic lung disease as well as pulmonary edema. Consolidation in the left lower lobe in the retrocardiac region is slightly increasing, likely due to atelectasis. An associated effusion or superimposed infection is difficult to exclude. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: E eosinophilic lung disease with dyspnea and fever. COMPARISON: ___.
Slightly worse appearance, particularly on the left.
11662819
PA and lateral views of the chest. There is a slightly more confluent opacity in the right lower lobe best seen on the frontal radiograph that could represent early pneumonia. Otherwise the lungs appears grossly clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. The mediastinal and hilar contours are normal.
56969598
HISTORY: Cough, evaluate for infiltrate. COMPARISON: ___.
Slightly more confluent right lower lobe opacity may represent atelectasis or early pneumonia. Mildly enlarged heart. These findings were discussed by Dr. ___ with Dr. ___ at 16:36 on ___ via telephone.
11662819
PA and lateral views of the chest were provided. There is a similar overall pattern of vague ground-glass opacities within both lungs which has been previously ascribed to pulmonary edema and again the possibility of pulmonary edema is raised. However, in the correct clinical context, the possibility of an atypical infection is also raised. The heart is moderately enlarged but stable. There is a small left pleural effusion. No pneumothorax. Bony structure is intact. Metallic coils in the upper abdomen noted. A sclerotic appearance of the spine is again noted.
56118578
CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior chest radiograph dated ___ as well as a CT of the chest from ___. CLINICAL HISTORY: Productive cough, shortness of breath, assess infection versus CHF.
Vague ground-glass opacity within the lungs likely reflect pulmonary edema, cannot entirely exclude an atypical pneumonia. Moderate cardiomegaly and small left effusion also noted.
11648676
Lungs are hyperinflated but clear. Cardiomediastinal and hilar contours are unremarkable. A pacemaker device is present, with leads ending in the right atrium and right ventricle. Allowing for slight differences in patient positioning, there has been no significant interval change in the appearance of the pacemaker or associated leads. There is no pneumothorax, pleural effusion, or consolidation.
58228613
WET READ: ___ ___ 10:44 PM 1. No pneumonia. 2. Pacemaker leads terminate in the right atrium and right ventricle. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with fevers after pacemaker placement // r/o infection, visualize pacemaker TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. , and CTA chest dated ___.
No pneumonia. Pacemaker leads terminate in the right atrium and right ventricle.
11648676
The left pectoral dual chamber pacemaker is positioned with tips terminating in right atrium and right ventricle. No consolidation, pleural effusion, pneumothorax. The hila and pulmonary vasculature are normal. The cardiomediastinal silhouette is normal. No obvious osseous abnormalities.
59292030
INDICATION: ___ year old man s/p dual chamber pacemaker. // lead placement TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Pacer leads terminate in the right atrium and right ventricle. No pneumothorax.
11415514
A nasoenteric enters the stomach with the tip not visualized. Endotracheal tube projects over the mid thoracic trachea approximately 6 cm above the carina in appropriate position. Cardiomediastinal silhouette is unremarkable. There is a patchy right basilar opacity. There is a small left pleural effusion. There is no pneumothorax.
50348814
EXAMINATION: Chest radiograph. INDICATION: ___-year-old man presents from outside hospital intubated, evaluate endotracheal tube position. TECHNIQUE: Portable view of the chest. COMPARISON: None available.
Nasoenteric tube tip within the stomach, the side port is in the mid esophagus. Endotracheal tube tip projects over the mid thoracic trachea. Patchy bibasilar opacity, could represent pneumonia in the correct clinical setting, possibly secondary to aspiration.
11533462
Portable semi-upright radiograph of the chest demonstrates a moderate sized left pleural effusion and bibasilar opacities, which may represent atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. Additional areas of opacity are seen in the right upper lobe, which again may represent atelectasis, aspiration or pneumonia. The cardiac silhouette appears enlarged. No pneumothorax. Nasogastric tube courses into the stomach. Endotracheal tube ends 4.5 cm from the carina.
55839159
WET READ: ___ ___ ___ 1:27 PM 1. Moderate left pleural effusion. 2. Multi focal airspace opacities may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. 3. Unremarkable position of monitoring and support devices ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with ams // eval for aspiration (CXR), ptx, peeval for ICH (head CT) TECHNIQUE: Portable chest x-ray. COMPARISON: None available.
Moderate left pleural effusion. Multifocal airspace opacities may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. Unremarkable position of monitoring and support devices
11386509
The lungs are well expanded. A retrocardiac opacity is better seen in the lateral view. There is also apparent engorgement of the right hilum of unclear significance but hilar adenopathy cannot be completely excluded. The heart is moderately enlarged. There is no pleural effusion pneumothorax.
56852738
EXAMINATION: Chest radiograph INDICATION: ___ year old man with CHF. TECHNIQUE: Chest PA and lateral COMPARISON: None available
Retrocardiac opacity suggestive of left lower lobe pneumonia. Right hilar engorgement and upper zone redistribution may be secondary to vascular congestion in the setting of cardiomegaly.
11386509
Moderate enlargement of the cardiac silhouette is on change from the prior study. Mediastinal contour appears similar. There is mild central pulmonary vascular congestion, likely accentuated by lower lung volumes than on the prior study. Small bilateral pleural effusions, larger on the left, are not substantially changed in size from the previous radiograph. Patchy opacities in the lung bases may reflect areas of atelectasis but infection or aspiration cannot be excluded. There is no pneumothorax. Moderate degenerative changes in the thoracic spine are re- demonstrated.
53522958
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with CHF // evaluate for pulmonary edema TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___
Mild pulmonary vascular congestion and small bilateral pleural effusions, larger on the left, not substantially changed in size from the previous radiograph. Bibasilar patchy opacities may reflect atelectasis, though infection or aspiration cannot be completely excluded.
11699665
The lungs are free of focal consolidations, pleural effusions or pneumothorax. No pulmonary edema. Mediastinum, hila and heart are within normal limits. No acute osseous abnormalities. Right axillary surgical clips are redemonstrated. Patient is status post left mastectomy with the left implant.
52786571
EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with history of left breast cancer status post mastectomy now with decreased exercise tolerance, worsening obstruction on PFTs, family hx pulmonary embolus, ordered for V/Q scan // pre-V/Q scan CXR to evalute for structural, parenchymal abN TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___
No acute intrapulmonary process.
11699665
There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal contours are normal. Asymmetric breast contours are stable with a left-sided prosthesis. The patient has had a right axillary dissection. An old rib deformity is noted on the left.
53209157
HISTORY: ___-year-old female with chest pain, question pneumonia. COMPARISON: ___.
No evidence of acute cardiopulmonary process.
11699665
Patient is status post left mastectomy with implant and right axillary clips. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. No pulmonary edema is demonstrated. Mild degenerative changes are noted within the imaged thoracic spine.
58363569
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with shortness of breath // r/o pneumonia TECHNIQUE: Chest AP and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11699665
Frontal and lateral radiographs of the chest demonstrate radiopaque surgical clips in the right axilla, likely from breast surgery. Asymmetric breast contour is from left breast prosthesis. The lungs are clear. The cardiac and mediastinal contours are normal. The descending aorta is slightly tortuous. No pneumothorax or pleural effusion is seen.
56375025
HISTORY: Paroxysmal atrial fibrillation and dyspnea on exertion. Evaluate for congestive heart failure or infiltrate. COMPARISON: ___.
No evidence of pneumonia or congestive heart failure.
11699665
Status post left mastectomy with implant. Surgical clips in the right axilla are seen. No abnormalities within the soft tissue of the left axilla.. Normal lung volumes. No consolidation. No pleural effusion. No pneumothorax. Cardiomediastinal borders and hilar structures are normal.
51379981
INDICATION: ___ year old woman s/p L mastectomy has had intermittent discomfort L axilla x ___ year // Cause of L axillary discomfort? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Normal chest radiograph without evidence of abnormality in the left axilla.
11699665
Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple clips are noted in the right axilla with evidence of prior left mastectomy and breast implant.
52714977
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F, orthostatic, with question of right lower lobe rhonchi. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No acute cardiopulmonary abnormality.
11646138
The Dobbhoff tube is now positioned with tip in the stomach. Cardiomediastinal silhouette is normal. The hila are normal. The bilateral pulmonary vasculatures are normal. The lungs are clear. No pleural effusion. No pneumothorax. No fractures.
53332591
INDICATION: ___ year old man POD ___ medulla lesion, s/p dobhoff placement // Evaluate NGT placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
The Dobbhoff tube tip is now in the stomach. Otherwise normal chest radiograph unchanged from prior.
11639395
The lungs are clear bilaterally, without evidence of focal consolidations, pleural effusions or pneumothorax. The heart and mediastinum are within normal limits. An old left mid-clavicular fracture is noted.
50547319
EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with cough x 4 weks // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest x-rays since ___, most recent knee performed in ___.
No acute pulmonary process.
11639395
The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
52528683
INDICATION: Right upper extremity symptoms. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST
No acute intrathoracic process.
11639395
The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Right AC joint separation again noted.
51513693
INDICATION: ___-year-old female with chest pain. Evaluate for acute intrathoracic process. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs.
No acute cardiopulmonary process.
11639395
PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
55949023
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x 3 days // eval for consolidation COMPARISON: Multiple chest radiographs, most recent ___.
No evidence of pneumonia.
11322654
The heart not enlarged. There is slight unfolding of the aorta. Within limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No CHF, focal infiltrate, effusion, or pneumothorax is detected. There is minimal atelectasis at the right lung base.
51178051
WET READ: ___ ___ ___ 4:00 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cough, fever, chest pain // rule-out pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None
No acute pulmonary process identified. No radiographic evidence of pneumonia.
11507904
Frontal and lateral views of the chest demonstrate unchanged ___ rod posterior to the spine and left PICC in place. The cardiomediastinal silhouette is within normal limits. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Trace atelectasis may be present in the left base.
53524827
INDICATION: ___-year-old female with question of pulmonary embolism. COMPARISON: ___.
No evidence of acute cardiopulmonary process.
11526341
Endotracheal tube tip terminates approximately 6.8 cm from the carina. An enteric tube tip is malpositioned, and terminates within the proximal esophagus, with side port at the level of the thoracic inlet. The cardiac silhouette size is borderline enlarged. The mediastinal contours are unremarkable. Patchy ill-defined opacity is noted within the right lung base which could reflect an area of aspiration or pneumonia. There is no large pleural effusion or pneumothorax. No pulmonary edema is present. There are no acute osseous abnormalities.
51556570
WET READ: ___ ___ 9:48 PM 1. Standard position of the endotracheal tube. 2. Malpositioned enteric tube terminating in the proximal esophagus. 3. Patchy ill-defined opacity in the right lung base could reflect an area of aspiration or pneumonia. ______________________________________________________________________________ FINAL REPORT HISTORY: Endotracheal tube placement. TECHNIQUE: Supine AP view of the chest. COMPARISON: None. The patient is currently listed as EU critical.
Standard position of the endotracheal tube. Malpositioned enteric tube terminating in the proximal esophagus. Patchy ill-defined opacity in the right lung base could reflect an area of aspiration or pneumonia.
11121848
A right lower lobe consolidation demonstrates discrete air bronchograms. The left lung is clear. Lung volumes are normal. Cardiomediastinal and hilar contours are normal. The pleural surfaces are normal.
50521619
INDICATION: ___ year old man with ? pna LLL // is the PNA there. TECHNIQUE: Chest PA and lateral COMPARISON: None
Right lower lobe pneumonia. If there were a prior left lower lobe pneumonia, it has resolved however please correlate with appropriate history and outside imaging.
11121848
Compared to chest radiographs from ___, Right lower lobe pneumonia has resolved. No new focal consolidation. There is no pleural effusion, but there is a new, small rounded region of pleural or extrapleural thickening projecting over the anterolateral aspect of the right sixth rib where there appears to be at least one nondisplaced fracture. Clinical correlation advised. Cardiomediastinal and hilar silhouettes are normal.
57674662
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with treated pneumonia, assess for clearing // follow up RLL pneumonia TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.
Resolved right lower lobe pneumonia. Possible new right sixth rib fracture.
11121848
Right lower lobe opacity persists, although may be minimally less dense compared to the prior study. Please note that radiographic resolution is not yet expected as the prior radiograph was performed only 9 days earlier. No new consolidation. There is no pulmonary edema, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities.
54669845
WET READ: ___ ___ ___ 9:44 AM Right lower lobe pneumonia persists, as expected. Recommend follow-up to resolution with a repeat radiograph in ___ weeks. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with persistent cough after previous pneumonia // rule out progression of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Right lower lobe pneumonia persists, as expected. Recommend follow-up to resolution with a repeat radiograph in ___ weeks.
11906002
Low lung volumes are present. Heart size is top-normal. The aorta is unfolded. No definite pulmonary edema is visualized. Diffuse coarse interstitial opacities are noted bilaterally, most pronounced in the left lung base, in a primarily peripheral and basilar distribution compatible with a fibrosing chronic interstitial lung disease. No new focal consolidation, pleural effusion or pneumothorax is clearly identified. There are no acute osseous abnormalities.
59225813
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with severe ILD presenting with increased sputum production and dyspnea on exertion // ?pulmonary edema v. edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___
Diffuse fibrosing chronic interstitial lung disease without definite evidence for superimposed pulmonary edema.
11596063
The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Air is noted throughout the abdomen.
56177033
INDICATION: Evaluation of the patient with dyspnea. COMPARISON: None available.
No acute cardiopulmonary process.
11695819
The lungs are hypoinflated and with persistent mild cephalization consistent with mild vascular congestion. There is persistent hyper lucency of the right hemi thorax, unchanged since ___ and consistent with prior right mastectomy. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Intact median sternotomy wires are noted. There is a left anterior chest ICD device with intact lead tips within the right atrium, right ventricle and coronary sinus, unchanged in appearance since prior examination. Visualized osseous structures are unremarkable.
56721830
EXAMINATION: Chest radiograph. INDICATION: ___F with hypotension. Assess for acute process TECHNIQUE: Single portable upright frontal chest radiograph. COMPARISON: Chest radiograph ___, ___, ___.
Mild vascular congestion with stable mild cardiomegaly.
11264344
No focal consolidation is seen. The lungs are relatively hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right greater tuberosity proximal humeral fracture was better seen on dedicated right shoulder radiographs.
57518173
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with s/p fall onto outstrechted arm // ?fracture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11174233
No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged lap-band in the left upper quadrant.
58678570
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with slight cough and fever. // pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11473436
Heart size, mediastinal and hilar contours are normal. Lungs are slightly overexpanded but grossly clear except for a linear focus of atelectasis in the periphery of the left lower lobe.
56181333
PA AND LATERAL CHEST ___ ___ COMPARISON: ___.
Linear left basilar atelectasis. No evidence of pneumonia.
11473436
The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Multiple clips are seen within the left and right upper quadrants of the abdomen.
59178411
HISTORY: Hypoxia TECHNIQUE: Portable upright AP view of the chest. COMPARISON: Chest radiograph performed at 9:17 on ___.
No acute cardiopulmonary abnormality.
11659202
A nasogastric tube is seen coursing into the stomach, with the side hole noted distal to the gastroesophageal junction. The lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is stable.
52252288
HISTORY: Evaluate nasogastric tube placement. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: None.
NGT in the expected position. No evidence of acute cardiopulmonary process.
11659202
There is interval placement of an NG tube, with tip terminating in the stomach and sideport at the GE junction. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. Elevation of the left hemidiaphragm with an air distended stomach is again noted.
50288839
INDICATION: ___F with SBO s/p NGT. TECHNIQUE: Upright AP view of the chest. COMPARISON: CT abdomen pelvis ___.
NG tube with tip in the stomach and side port at the GE junction. The tube may be advanced slightly to ensure location of side port in the stomach.
11178069
The lungs are clear. The aorta is mildly tortuous, but the cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
54654309
HISTORY: Cough on immunosuppressive medication. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___.
No evidence of acute cardiopulmonary process.
11178069
Left internal jugular central venous catheter appears to terminate in the region of the mid to lower SVC without evidence of pneumothorax. Lung volumes are low. The cardiac and mediastinal silhouettes are grossly stable given differences in lung volume. No definite focal consolidation is seen. There is no pleural effusion.
57997023
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with port, hypotenson // eval line placement TECHNIQUE: Single frontal view of the chest COMPARISON: Able ___ and ___
Left internal jugular central venous catheter terminates in the region of the mid to lower SVC without evidence of pneumothorax.
11942901
PA AND LATERAL VIEWS OF THE CHEST. The previously seen bilateral interstitial opacities are no longer visible. The lungs are grossly clear. There are no pleural effusions or pneumothorax. The cardiac, mediastinal, and hilar contours are normal.
53378802
INDICATION: Bibasilar rales, cough, assess for infiltrate. COMPARISON: Chest radiograph from ___ and ___.
No acute cardiopulmonary abnormality.
11105244
Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified.
53994138
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with 3 weeks of cough, SOB // eval for acute intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No acute cardiopulmonary process.
11888596
Compared to ___, the retrocardiac opacification, probably in the right lower lobe, has resolved. There is no pleural effusion or pneumothorax. No pulmonary edema. Heart size is normal. Mediastinal and hilar contours are normal.
53819235
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pneumonia // eval for resolution of pneumonia, right lower lobe, now on last day of levofloxacin TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.
Resolved retrocardiac, probably right lower lobe, opacification.
11484655
Lung volumes are low,. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
59748043
INDICATION: History: ___F with GERD, constipation, here with 2 days chest pain and point tenderness over right lower ribcage // cause of chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None available
No acute cardiopulmonary process.
11820828
THERE IS PLATELIKE ATELECTASIS IN THE RIGHT LOWER LUNG. OTHERWISE THE LUNGS ARE CLEAR WITHOUT INFILTRATE OR EFFUSION.
56225403
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough and fever // rule out infectious patholoy TECHNIQUE: Chest PA and lateral COMPARISON: GUIDANCE___
PLATELIKE ATELECTASIS IN THE RIGHT LOWER LUNG
11220884
The lungs are hyperinflated and relatively lucent suggesting underlying pulmonary emphysema. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen. Cardiac and mediastinal silhouettes are unremarkable. The mediastinum is not widened. Surgical clips are noted in the region of the right thyroid bed.
59379011
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest pain, hx of aortic ulcer // wide mediastinum TECHNIQUE: Single frontal view of the chest COMPARISON: None
Hyperinflated lungs. The mediastinum is not widened.
11794355
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a small nodular focus projecting over the left mid lung, although likely a summation artifact or focus of sclerosis along the end of the left third rib. The lungs appear otherwise clear.
56574857
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Increased leg weakness. History of multiple sclerosis. TECHNIQUE: Chest, AP and lateral. COMPARISON: ___.
No evidence of acute cardiopulmonary disease. Small apparent nodular opacity, probably artifact; repeat radiographs with AP and lateral technique are recommended when clinically appropriate to reassess.
11129224
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 degenerative changes are noted in the thoracic spine.
54157135
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness and near syncope and cervical spine tenderness to palpation after falling ___ TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No acute cardiopulmonary abnormality.
11129224
The lung volumes are normal. The lung shows normal structure and transparency. With the exception of a small atelectasis at the left lung bases the lung parenchyma is free of parenchymal opacities. No lung nodules or masses. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures on both the frontal and the lateral image.
50655149
EXAMINATION: Chest Radiograph p.a. - lateral INDICATION: ___ year old man with long history of smoking and now with myopathy // evaluate for mass TECHNIQUE: CHEST (PA AND LAT) COMPARISON: No comparison available at the time of dictation.
No evidence of lung nodules or masses.
11129224
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.
53564142
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man after fall to chest 2 weeks ago now with intermittent shortness of breath // ___ year old man after fall to chest 2 weeks ago now with intermittent shortness of breath eval for fracture TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
No evidence of rib fracture.
11642223
Frontal and lateral views of the chest were obtained. The cardiac silhouette is top normal. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
51735702
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Weight gain and lower extremity swelling. COMPARISON: ___.
No acute cardiopulmonary process.
11642223
There has been no significant interval change. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen.
56383835
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CP // Rule out PNA vs. pulmonary edema i/s/o CP TECHNIQUE: Single frontal view of the chest COMPARISON: ___
Top-normal to mildly enlarged cardiac silhouette. Otherwise, no acute cardiopulmonary process.
11642223
The lungs are normally expanded and grossly clear. Mild enlargement of the cardiac silhouette is chronic. The mediastinal and hilar contours are normal. There is no large pleural effusion or pneumothorax. There is no pulmonary edema.
52645667
INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISON: Chest radiographs ___, ___, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.
Mild chronic cardiomegaly but no evidence of pneumonia.
11166862
The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected. There are clips within the right upper quadrant compatible with prior cholecystectomy.
56194733
HISTORY: Right flank pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary abnormality.
11773006
The lungs are clear. Cardiac silhouette is top normal in size. No pleural effusion or pneumothorax. No evidence of pulmonary edema. Anterior osteophyte formation at multiple levels of the mid thoracic spine.
52129278
HISTORY: ___-year-old man with shakes and chills. Evaluate for pneumonia. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest.
No evidence of acute cardiopulmonary process.
11102841
Endotracheal tube tip terminates 4.5 cm from the carina. Heart size appears borderline enlarged. The aortic knob is calcified. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Attenuation of the pulmonary vascular markings towards the apices suggest underlying emphysema. Scarring within the lung apices is noted. Streaky right basilar opacity may reflect atelectasis though infection cannot be excluded. No large pleural effusion or pneumothorax is identified although the left costophrenic angle is not completely included in the field of view.
58353208
HISTORY: Unresponsive. TECHNIQUE: Portable AP view of the chest. COMPARISON: None.
Standard positioning of the endotracheal tube. Right basilar streaky opacity, possibly atelectasis though infection is not excluded. Emphysema.
11250729
PA and lateral chest radiographs demonstrate the known left medial clavicule fracture and multiple left lateral rib fractures as seen on prior CTs. Additionally seen is a displaced fracture of the left scapula, better delineated on CT of ___. Small left pleural effusion is improved compared to most recent CT. The lungs are clear and the cardiomediastinal silhouette is normal. There is no pneumothorax.
54962978
HISTORY: Prior trauma with known left medial clavicule fracture. Evaluation for acute cardiopulmonary process or interval change. COMPARISON: CT torso, ___. Multiple prior chest radiographs from ___ to ___.
Displaced left scapular fracture, best shown on CT-Torso of ___. Medial left clavicular and multiple left lateral rib fractures. No acute cardiopulmonary process. Small left pleural effusion, improved from prior CT. Findings were discussed by Dr. ___ with Dr. ___ by phone at 3:34 p.m. on ___.
11250729
Opacity at the left base with obscuration of left hemidiaphragm is likely atelectasis. There is a small left pleural effusion. The right lung is clear. The cardiac silhouette is unremarkable. Displaced fractures of the left fourth through eighth ribs are present.
54206664
INDICATION: History of fall, clavicle fracture, question pneumothorax or other acute process. COMPARISON: CT torso from ___, portable radiograph from ___ and multiple priors. TECHNIQUE: PA and lateral chest radiographs are provided.
Left basilar opacity is likely atelectasis. Small left pleural effusion. Displaced fractures of the left fourth through eighth ribs.
11250729
Interval placement of a right-sided chest tube with tip terminating in the left costophrenic angle. Lung appears to have re-expanded with no pneumothorax identified. Leftsided subcutaneous gas identis stable. Faint opacifications in the left lung correspond with areas of atelectasis and contusion, better assessed on the concurrent CT. Endotracheal tube terminates at the level of the clavicles. Nasogastric tube passes below the left hemidiaphragm and out of view. Cardiomediastinal and hilar contours are unremarkable. Right lung is clear.
53745885
INDICATION: Chest tube placement. COMPARISON: Comparison is made to CT torso performed the same day.
Interval placement of left chest tube terminating in the left lung base, with reexpansion of lung. No pneumothorax currently evident.
11250729
Frontal and lateral views of the chest demonstrate low lung volumes. There is left lung base consolidation, unchanged. Small left pleural effusion is present. There is no right pleural effusion. There is no pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There are displaced fractures of the left fourth through eighth ribs.
58495644
INDICATION: Patient with traumatic subarachnoid hemorrhage. COMPARISONS: ___ and ___.
Persistent left lung base consolidation, likely atelectasis, and associated small left pleural effusion. Left-sided rib fractures.
11601848
Hyperinflation compatible with COPD. There is mild right lower lobe bronchiectasis with very mild bronchial thickening. There is no consolidation. No pneumothorax or pleural effusion. Consolidated rib fracture of the anterior portion of the left second rib. Left apical 4-mm granuloma is benign. Mediastinal and cardiac contour are within normal limits.
57691664
PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough since ten days, weight loss, rule out consolidation or other abnormalities. COMPARISON: None.
Hyperinflation, compatible with COPD. There is also right lower lobe bronchiectasis with mild bronchial thickening.
11601848
The lungs remain hyperinflated, compatible with COPD. Again noted is mild right lower lobe bronchiectasis. Increased opacification of the left lung base likely represents a small left pleural effusion. No pneumothorax or right pleural effusion is seen. No focal consolidation concerning for pneumonia is seen. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from the prior study with tortuosity of the thoracic aorta.
54759579
INDICATION: Lightheadedness and hypertension, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Upright AP and lateral radiographs of the chest.
Small left pleural effusion. Otherwise, unchanged appearance of the chest from ___.
11007330
The lungs are normally expanded. Ill-defined opacity at the left base on the frontal projection is not confirmed on the lateral and may reflect a pericardial fat pad. The heart is not enlarged. The mediastinal hilar contours are normal. Mild blunting of the posterior costophrenic sulcus may reflect a small pleural effusion of unclear laterality. There is no pneumothorax. A curvilinear opacity just under the medial right hemidiaphragm is likely contained within bowel.
54640282
INDICATION: History: ___M with afib, hypotension // eval for PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: None available
Faint opacity at the left base likely reflects pericardial fat pad, less likely pneumonia. Curvilinear opacity at the medial right hemidiaphragm is likely contained within bowel. Intraperitoneal free air is difficult to exclude completely, however a left lateral decubitus radiograph of the abdomen should be able to answer the question.
11545225
Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacer device is again seen with leads unchanged in position. The cardiac and mediastinal silhouettes are stable. There is linear left basilar/lingular opacity, most likely due to atelectasis/scarring. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
55622942
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Syncope. COMPARISON: ___.
Left basilar atelectasis without definite focal consolidation. No pulmonary edema.
11924512
Heart size is normal. Mediastinal and hilar contours are unchanged, with the aorta appearing mildly tortuous. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Degenerative changes of both acromioclavicular joints are noted.
55604577
HISTORY: Elevated blood sugar. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11924512
The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
57518466
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Near syncope and hypotension. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11957494
The lung volumes are low. Compared to the prior chest radiograph of ___ there are new right middle, lingular and bilateral lower lobe opacities. No pleural effusion or pneumothorax is identified. The cardiac and mediastinal contours are stable. There is no free air beneath the right hemidiaphragm.
55262883
CLINICAL INDICATION: Fever. Evaluate for acute process. COMPARISON: ___. FRONTAL AND LATERAL VIEWS OF THE
Bilateral basilar opacities concerning for atelectasis or pneumonia.
11547745
In comparison to the prior examination from the same date, the lung fields and cardiomediastinal silhouette are unchanged. An endotracheal tube again ends in the lower thoracic trachea. An enteric tube courses below the level of the diaphragm. There has been interval placement of a right central venous line which ends in the low SVC. There is no evident pneumothorax. Bilateral effusions larger on the right side are unchanged
53393675
WET READ: ___ ___ ___ 2:19 PM Interval placement of a right central venous line which ends in the low SVC. Stable appearance of the cardiomediastinal silhouette and lung fields. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with s/p cvl // s/p cvl TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___
Interval placement of a right central venous line which ends in the low SVC. Stable appearance of the cardiomediastinal silhouette and lung fields.
11547745
Mild elevation of the right hemidiaphragm is unchanged from ___. Bilateral hila are prominent, likely representing prominent pulmonary arteries. An endotracheal tube ends in the lower thoracic trachea. Enteric tube courses below the level of the diaphragm. No pneumothorax. Patchy opacities in the left lung base and throughout the right lung are new from ___ and are concerning for aspiration.
53637413
WET READ: ___ ___ ___ 10:20 AM An endotracheal tube ends the lower thoracic trachea. Enteric tube courses below the level of the diaphragm. Extensive airspace opacities are worse in the right lung and at the left lung base. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with Hypoxia // s/p inbuation and og TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___
An endotracheal tube ends in the lower thoracic trachea. Enteric tube courses below the level of the diaphragm. Extensive airspace opacities are worse in the right lung and at the left lung base, concerning for aspiration.
11866965
The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
52477202
WET READ: ___ ___ 11:26 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with tia // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: CTA chest ___
No acute cardiopulmonary abnormality.
11866965
Heart size is mildly enlarged. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Previously demonstrated multifocal bilateral parenchymal opacities have largely resolved with only minimal residual opacity seen in the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild degenerative changes noted in the thoracic spine.
56343178
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___
Previously noted multifocal bilateral parenchymal opacities have largely resolved. No concerning focal consolidation to suggest pneumonia, and no evidence of pulmonary edema.
11522751
2 views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
53566818
HISTORY: Syncope. COMPARISON: ___.
No acute intrathoracic process.
11926683
The cardiac silhouette is unremarkable. There is mild central pulmonary vascular congestion, likely exaggerated due to supine technique. Present interval placement of a right internal jugular central venous catheter, with the tip terminating at the cavoatrial junction. No focal consolidation is seen. There is no large pleural effusion or pneumothorax.
53777836
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with Central line placed, please confirm placement // Central line placed, please confirm placement TECHNIQUE: Portable chest x-ray. COMPARISON: Portable chest x-ray from 1 hour prior
Right internal jugular central venous catheter terminating at the cavoatrial junction.
11926683
Lung volumes are low. In comparison to the prior examination, there is mild central pulmonary vascular congestion, which may be exaggerated due to relative low lung volumes. No definite focal consolidation is identified. No subdiaphragmatic free air is identified.
54078346
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with h/o perf ulcer, with abd pain and new hypotension // assess for pneumoperitoneum TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiograph from 4 hours prior
No acute intrathoracic abnormality. No evidence of subdiaphragmatic free air.
11097339
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
51196665
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, cough. COMPARISON: ___.
No acute cardiopulmonary process.
11291219
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.
58865028
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with hypoxia s/p heroin overdose. COMPARISON: None
No acute intrathoracic process.
11822564
AP views of the chest taken at different times. The first image demonstrates the Dobbhoff tube in the upper esophagus, and the second image demonstrates the Dobbhoff tube in the stomach. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
51818532
INDICATION: Liver failure, Dobbhoff placement. COMPARISON: ___ at 5:10 a.m.
Dobbhoff tube was originally in the upper esophagus and repositioned into the stomach. No acute cardiopulmonary process.
11822564
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.
50697152
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, ___ CT chest
No acute cardiopulmonary abnormality.
11822564
There is minimal bibasilar atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. Allowing for technique, the cardiomediastinal silhouette is normal.
56417333
INDICATION: DRESS symptoms. Evaluate for tuberculosis prior to a transplant workup. COMPARISONS: None. TECHNIQUE: A single semi-upright AP view of the chest was obtained.
No acute cardiopulmonary process; specifically, no evidence of active tuberculosis.
11495019
The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified
52260362
INDICATION: ___M with c/o CP and SOB. // r/o infection TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11589493
There is no evidence for fracture, dislocation or bone destruction. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. A calcified granuloma appears unchanged in the right lower lobe. Otherwise, the lungs appear clear.
50964840
EXAMINATION: Chest radiographs. INDICATION: Dysphasia, myalgias, and sternal pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11589493
PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
56057665
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain.
No acute intrathoracic process.
11983841
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. Bony structures are unremarkable.
56941736
EXAMINATION: Chest radiographs. INDICATION: Chest pain after motor vehicle collision. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.
No evidence of injury.
11037551
The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
55817951
WET READ: ___ ___ ___ 11:43 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with HIV, p/w cough, general malaise // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process.
11118016
PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
52975006
INDICATION: History: ___M with chest pain // Eval for pneumo COMPARISON: ___.
No acute cardiopulmonary process.
11972669
Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. There is no pneumothorax, pleural effusion, or pneumoperitoneum. Osseous structures are unremarkable. No radiopaque foreign bodies.
56590734
INDICATION: ___-year-old man with no significant past medical history presenting with epigastric pain. Evaluate for acute process. COMPARISONS: None.
No acute cardiopulmonary process.
11423592
Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine including intervertebral disc space narrowing at at least one level in the mid thoracic spine. No displaced fracture is seen.
54915820
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Left-sided rib pain status post MVA. COMPARISON: None.
No acute cardiopulmonary process.
11786902
Calcifications are again noted along the posterior inferior right pleura. Previously noted calcific nodule in the right upper lobe and soft tissue nodule in the left lower lobe are not clearly delineated on this study. Otherwise, the lungs are without any new focal consolidation, effusion, or pneumothorax. Atherosclerotic calcifications are noted in a tortuous aorta. The heart appears at the upper limits of normal. Calcified mediastinal lymph nodes are again identified but better delineated on the dedicated chest CT. Known minimally displaced fractures of the right anterolateral fourth through sixth rib are not clearly delineated on this study. Subacute old fracture of the right posterior eleventh rib is also not clearly delineated on this study. Known T8 compression deformity is not definitely delineated on this study.
57903631
INDICATION: Evaluation of patient with rib fractures. COMPARISON: Chest radiograph from ___ and CT chest from ___.
Right basilar calcified pleural plaques are again identified. Known anterolateral right ___ through ___ fractures and posterior right 11th rib fractures are not clearly delineated on this study.
11786902
Assessment is limited by low lung volumes and kyphotic positioning. Heart size remains mildly enlarged. The aorta is diffusely calcified and tortuous. Mediastinal and hilar contours appear similar with calcified mediastinal and right hilar lymph nodes compatible with prior granulomatous disease. There is no overt pulmonary edema. Patchy opacities are noted in the lung bases, likely reflective of atelectasis. Calcified pleural plaque is again noted within the right lung base. Punctate calcified granuloma is seen in the right lung base. There is no focal consolidation, pleural effusion or pneumothorax identified. Mild to moderate degenerative changes and compression deformity of a mid/ low thoracic vertebral body are again seen in the thoracic spine. Remote right-sided rib fractures are re- demonstrated.
50319602
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with lethargy, please eval for occult pneumonia TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___, CT chest ___
Low lung volumes with mild bibasilar atelectasis. No focal consolidation to suggest pneumonia.