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11786902 | Lungs are hypoinflated. Moderate cardiomegaly persists. There is severe elongation of the calcified descending aorta, as before. No new focal consolidation is identified. There is no pleural effusion or pulmonary edema. A pleural plaque is seen projecting over the right lower lung, unchanged compared to multiple prior studies. S-shaped scoliosis is again noted. | 59539140 | WET READ: ___ ___ ___ 6:34 AM Hypoinflated lungs without evidence of focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with vomiting // pna? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Hypoinflated lungs without evidence of focal consolidation. |
11907077 | Indistinct pulmonary vascular markings are seen. There are bibasilar left-greater-than-right and left perihilar patchy regions of consolidation. External respiratory device overlies the left upper lung. There is no large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 59629757 | INDICATION: ___F with chf // ? pna TECHNIQUE: Single portable view of the chest. COMPARISON: None. | Pulmonary vascular congestion. Bilateral left greater than right patchy regions of consolidation compatible pneumonia in the proper clinical setting. |
11177224 | Single frontal view of the chest. Heart size and mediastinal contours are stable. Left lower lobe atelectasis persists. Pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. In addition, multiple widely distributed small rounded opacities were not seen on ___ and, given the short time interval, likely represent vascular structures. | 54099371 | HISTORY: Crackles at bases and fever. COMPARISON: ___. | Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis. Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema. |
11177224 | Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema. Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia. There is a small left-sided pleural effusion. Cardiomediastinal and hilar contours are unchanged. No pneumothorax. | 57718675 | HISTORY: ___-year-old female with bibasilar crackles and new oxygen requirement. Evaluate for pulmonary edema. COMPARISON: Radiograph of the chest dated ___. | Interval increase in interstitial markings raises concern for pulmonary edema. Retrocardiac opacity is consistent with atelectasis or less likely pneumonia. |
11595068 | The lungs are clear of focal consolidation besides linear right basilar atelectasis. Skin folds overly the upper lungs bilaterally. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 51868288 | INDICATION: ___F with fall with left distal femur fx // pre-op requested by Ortho TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11107673 | PA and lateral chest radiographs. Basilar opacity overlies the lower spine on the lateral view. There is also some indistinctness in the right lung base on the frontal view. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 52917178 | INDICATION: ___ year old man with 6 weeks history of productive cough // Rule out pneumonia or other acute process COMPARISON: ___ and ___. | Probable right lower lobe pneumonia. |
11133283 | 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. | 51411320 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough, sweats // persistent wheezing TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
11133283 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta appearing similar. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Hypertrophic changes are present in the thoracic spine. | 50273480 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with productive cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11034713 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 51992088 | INDICATION: ___-year-old female with cough. Evaluate for evidence of pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph. | Normal chest radiographic examination. |
11034713 | PA and lateral views of the chest. The lungs are clear. There is no effusion or consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. No free air below the diaphragm. | 59202403 | HISTORY: ___-year-old female with nausea and vomiting. COMPARISON: ___. | No acute cardiopulmonary process. |
11034713 | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. Pulmonary vascularity is within normal limits. | 55957784 | INDICATION: ___-year-old female with shortness of breath. COMPARISON: Chest radiograph ___. TECHNIQUE: Portable AP view of the chest. | No acute cardiopulmonary process. |
11034713 | 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. | 57068476 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11898324 | The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. | 50999018 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None | No evidence of acute cardiopulmonary process. |
11408721 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. A tiny punctate granuloma is noted in the left upper lobe. No pleural effusion or pneumothorax is present. No subdiaphragmatic free air is present. There are no acute osseous abnormalities. | 50015117 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with 2 days severe epigastric pain, history of H pylori ulcers, borderline blood pressure TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. No subdiaphragmatic free air. |
11130197 | The lung volumes are seen particularly in the frontal view with secondary crowding of the bronchovascular markings. The lungs are clear of consolidation effusion, or pneumothorax. There are several left-sided rib fractures, specifically involving the left lateral fourth and fifth ribs. Osseous structures are otherwise unremarkable. | 51486791 | WET READ: ___ ___ ___ 4:51 PM Left lateral fourth and fifth rib fractures laterally, age indeterminate and clinical correlation is suggested. Otherwise no acute cardiopulmonary process. No pneumothorax. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with intermittent chest pain // evaluate for acute process TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Left lateral fourth and fifth rib fractures laterally, age indeterminate and clinical correlation is suggested. Otherwise no acute cardiopulmonary process. |
11130197 | The heart size is normal. The mediastinal and hilar contours are unremarkable. Minimal opacity is noted in the left lower lobe. Remainder of lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Remote right sixth rib fracture is again noted. | 57787877 | INDICATION: Possible pneumonia. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Minimal opacity in left lower lobe likely reflecting atelectasis though early infection cannot be completely excluded. |
11264564 | A single portable supine chest radiograph was obtained. Endotracheal tube terminates 3.4 cm above the carina. An orogastric tube extends inferiorly out of the field of view. Diffuse pulmonary opacities in the right lung are fine. Minimal residual left basilar atelectasis remains after correction of prior right mainstem intubation. Cardiomegaly is moderate. | 52587491 | HISTORY: ___-year-old woman intubated. COMPARISON: ___ | Asymmetric right worse than left pulmonary opacities may represent aspiration or infection. |
11786043 | The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen. | 54332569 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with cough // rule out infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated ___ and ___. | No evidence of pneumonia. |
11208088 | The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. The lungs are clear without focal consolidation. There is a 7 mm nodule projecting over the left lung laterally between the anterior fourth and fifth ribs not seen on prior. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. Chronic/ healed right clavicular fracture is again noted. Chronic left lateral rib fractures are also suspected. | 55452890 | WET READ: ___ ___ ___ 9:20 PM No acute cardiopulmonary process. A 7 mm left mid lung nodule for which nonurgent chest CT is suggested. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with tachycardia, evaluate for pneumonia. TECHNIQUE: Frontal and lateral radiographs of the chest. COMPARISON: Chest x-ray ___. | No acute cardiopulmonary process. A 7 mm left mid lung nodule for which nonurgent chest CT is suggested. |
11098850 | The endotracheal tube is in appropriate position. A nasogastric tube terminates below the diaphragm in the stomach. There is no focal consolidation. No pulmonary edema or pleural effusion is seen. The heart size is normal. | 52166017 | INDICATION: ___-year-old male with altered mental status status post intubation and nasogastric tube placement. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the supine position. COMPARISON: CT from ___. | Endotracheal tube and nasogastric tube in appropriate position. |
11336624 | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 51359692 | INDICATION: History of fever. Please evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral radiographs of the chest. | No focal consolidations concerning for pneumonia identified. |
11395249 | AP and lateral views of the chest. The lungs are essentially clear. There is no large effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits noting a tortuous aorta and atherosclerotic calcifications of the aortic arch. No definite acute osseous abnormality detected however there is mild height loss of a midthoracic vertebral body which is age indeterminate. | 50113525 | HISTORY: ___-year-old female with facial droop. COMPARISON: None. | No definite acute cardiopulmonary process. Mild height loss of a mid thoracic vertebral body which is age indeterminate. |
11395249 | Posterior left base opacity is seen which may be due to infection or aspiration, underlying contusion is not entirely excluded. There is minimal blunting of the posterior costophrenic angles which may be due to relative flattening of the diaphragms, although trace pleural effusions are not excluded. There are relatively low lung volumes. No pneumothorax is seen. Costochondral calcifications are noted. The cardiac silhouette remains top normal to mildly enlarged. The aorta is calcified and tortuous. No displaced fracture is seen. | 56929091 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Fall and dementia. COMPARISON: ___. | Posterior basilar opacity, best seen on the lateral view could be due to infection or aspiration, underlying contusion not excluded. Minimal blunting of the posterior costophrenic angles, trace pleural effusion not excluded. |
11803961 | There is stable elevation of the right hemidiaphragm. The lungs are grossly clear. Moderate cardiomegaly despite the projection is stable. There is no pneumothorax. Regional bones and soft tissues are unremarkable. | 50744085 | WET READ: ___ ___ 8:05 AM There is moderate cardiomegaly and central pulmonary vascular congestion with cephalization and interstitial prominence in keeping with mild to moderate pulmonary edema. No pleural effusion. WET READ VERSION #1 ___ ___ 8:45 PM There is moderate cardiomegaly and central pulmonary vascular congestion with cephalization and interstitial prominence in keeping with mild to moderate pulmonary edema. No pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with dyspnea and suspected CHF // Eval for pulmonary edema TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Grossly clear lungs with no evidence of CHF. Stable moderate cardiomegaly. |
11997194 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. | 52582880 | HISTORY: Cough x2 weeks. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None. | No radiographic evidence for acute cardiopulmonary process. |
11252719 | Left anterior chest wall dual lead pacer is unchanged. Heart size is top-normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 50265547 | EXAMINATION: Chest radiograph INDICATION: Weakness TECHNIQUE: Portable frontal chest radiograph COMPARISON: ___. | No acute cardiopulmonary abnormality. Note that pacer obscures part of the left upper lobe. |
11252719 | The lungs are clear without focal consolidation, effusion, or edema where not obscured by left chest wall dual lead pacing device. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 59946224 | INDICATION: ___M with headache and fever for the past 5 days with PMHX of recurrence of brain cyst and craniotomy last ___ // ? reoccurance of cyst TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11252719 | No change in the appearance of the dual-channel ICD device with leads in the right atrium and apex of the right ventricle. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. | 56169502 | INDICATION: ___ year old man with Pacemaker having MRI today. // Please evaluate patient's Pacemaker placement and leads. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No change in the appearance of the dual-channel ICD |
11979806 | There is a dual-lead pacemaker/ICD device with leads terminating in the right atrium and ventricle, respectively. The trachea is again relatively large. The cardiac, mediastinal and hilar contours appear stable. No pleural effusion or pneumothorax. The lungs appear clear. Moderate degenerative changes are similar along the thoracic spine. The thoracic spine curves mildly to the right. | 57635678 | CHEST RADIOGRAPHS HISTORY: Chest pain and shortness of breath. COMPARISONS: CT torso dated ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
11952902 | Low bilateral lung volumes. There are small bilateral pleural effusions with overlying atelectasis as well as pulmonary vascular congestion. No pneumothorax identified. The size of the cardiac silhouette is enlarged. | 59853680 | INDICATION: ___ year old man with acute liver failure due to subacute Tylenol overdose and ETOH overuse. // Please evaluate for consolidations/infiltrate TECHNIQUE: AP portable chest radiograph COMPARISON: None available | Low bilateral lung volumes. Pulmonary vascular congestion and pleural effusions consistent with pulmonary edema. |
11523412 | PA and lateral views of the chest. Mild volume loss of the right hemithorax with elevation of the right hemidiaphragm is unchanged. No focal consolidation, pleural effusion or pneumothorax. | 50021379 | INDICATION: On amiodarone, evaluate for toxicity. COMPARISON: ___. | No acute cardiopulmonary process. No radiographic evidence of amiodarone toxicity. |
11523412 | Mild volume loss of the right hemithorax with elevation of the right hemidiaphragm and reticular opacities in the right lower lobe are unchanged. No focal consolidation, pleural effusion or pneumothorax. | 56617952 | INDICATION: ___ year old man with screening // ___ amiodarone TECHNIQUE: Chest PA and lateral | No substantial change, when compared to ___ |
11620743 | Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis. Patchy left base retrocardiac opacity could be due to atelectasis than early pneumonia. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. | 51749002 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of wheezing. COMPARISON: ___. | Bibasilar atelectasis. Left retrocardiac opacity more likely to be atelectasis versus less likely pneumonia. |
11022245 | The endotracheal tube tip sits 5 cm above the carina. A left-sided IJ central venous catheter tip sits in the left brachiocephalic vein. The right-sided IJ central venous catheter tip sits in the upper SVC. The heart size is large but stable. The mediastinal contours are within normal limits. There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung. These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations. Retrocardiac opacity is also compatible with a left lower lobe consolidation. The costophrenic angles are excluded from the study limiting assessment for subtle pleural effusion. There is no large pneumothorax. | 50146341 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 11:38 AM 1. Lines and tubes in place. 2. Increased pulmonary edema with right upper lobe and bibasilar consolidations. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with endocarditis and intubated. STUDY: Portable AP semi-upright chest radiograph. COMPARISON: ___. | Lines and tubes in place. Increased pulmonary edema with right upper lobe and bibasilar consolidations. |
11022245 | Rounded right midlung opacity compatible with previously described septic embolus is decreased in size from the prior study. Left midlung rounded consolidation is more conspicuous than previously seen. Potential etiologies include developing pneumonia, additional septic embolus or collection of fissural fluid, though the lateral argues against the latter. Small left pleural effusion is noted along with left greater than right bibasilar atelectasis. Marked enlargement of the cardiac silhouette is similar to the study from ___ though notably larger than the immediate post-procedure study from ___. Left PICC is in satisfactory position in the superior cavoatrial junction. Median sternotomy wires and aortic valve replacement are also noted. | 53978610 | INDICATION: Status post AVR, assess for effusion. TECHNIQUE: PA and Lateral radiographs COMPARISONS: Multiple priors most recently ___ | More conspicuous left midlung opacity concerning for developing pneumonia or septic embolus. Improved small left pleural effusion and left greater than right bibasilar atelectasis. Findings were discussed by telephone with ___, NP, by Dr. ___ on ___ at ___. |
11022245 | Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Patient is status post median sternotomy and aortic valve replacement. Lung volumes are low with mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. There is mild pulmonary edema, slightly improved in the interval. Patchy opacities in the lung bases may reflect areas of atelectasis, but infection particularly in the left lung base cannot be completely excluded. No pleural effusion or pneumothorax is demonstrated. Elevation of the left hemidiaphragm is again noted. No acute osseous abnormality is visualized. | 50126222 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia, recent cough TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ at 14:51, CT chest ___ | Slight improvement in mild pulmonary edema. Patchy opacities in the lung bases may reflect atelectasis, but infection particularly in the left lung base cannot be completely excluded. |
11022245 | No significant change within the airspace opacity at the left mid lung zone. Again seen medial right base airspace opacity, unchanged Right IJ Port-A-Cath is unchanged in position. Sternotomy wires. Cardiac valve replacement is noted. Heart is enlarged, unchanged. Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. This preliminary report was reviewed with Dr. ___, ___ radiologist. | 52391187 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with hypotension of unknown origin // rule out pna or pneumonitis TECHNIQUE: Portable AP view of the chest COMPARISON: AP view of the chest from ___ at 10:53 AM | No change in the left midlung airspace opacity or in the airspace opacity at the right medial lung base |
11022245 | Rounded bilateral mid lung opacities are again seen, grossly unchanged and likely reflect consolidative infectious process given history of septic emboli. There is unchanged bibasilar opacification, which is likely atelectasis with left greater than right effusions. Cardiac silhouette is markedly enlarged, similar to the most recent prior. Left PICC terminates in the cavoatrial junction. Median sternotomy wires are intact. | 58274962 | INDICATION: Status post AVR, assess left lung opacity. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Chest radiograph from ___. | Unchanged bilateral mid lung opacities likely reflect infectious process given history of septic emboli. Unchanged or slightly increased left greater than right pleural effusion and associated atelectasis. |
11022245 | AP portable semi upright view of the chest. Lung volumes are low limiting assessment. There is increased bibasilar atelectasis and bronchovascular crowding. Overall cardiomediastinal silhouette is unchanged. The right upper extremity access PICC line appears in unchanged position extending to the level of the cavoatrial junction. Mild congestion is difficult to exclude in the correct clinical setting. No overt signs of edema. | 58402174 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with largyneal cancer, inc WOB // PNA COMPARISON: Prior exam from earlier today. | Increasing bibasilar atelectasis. Possible mild pulmonary vascular congestion. |
11022245 | One portable AP view of the chest. The Swan-Ganz catheter through a right internal jugular approach ends in the region of the main pulmonary artery. The left internal jugular catheter ends in the left brachiocephalic vein just before the SVC. Endotracheal tube ends 6 cm from the carina. The previously seen moderate-to-severe pulmonary edema has slightly improved. The right upper lobe parenchymal opacity is unchanged. Mild cardiomegaly is stable. Mediastinal and hilar contours are normal. No pneumothorax. | 51656138 | WET READ: ___ ___ ___ 2:09 PM 1. Slightly decreased pulmonary edema compared to most recent study, however right upper and lower lobe parenchymal opacities are more prominent and may represent pneumonia. 2. Lines and tubes are in standard position. ______________________________________________________________________________ FINAL REPORT INDICATION: Status post AVR, question pneumothorax after chest tube removal. COMPARISON: Chest radiograph on ___. | Slightly decreased pulmonary edema compared to most recent study, however right upper and lower lobe parenchymal opacities are more prominent and may represent pneumonia. Lines and tubes are in standard position. |
11022245 | Portable frontal chest radiographs demonstrate intubated patient, the tip of the endotracheal tube is positioned 4.1 cm from the level of the carina. An orogastric tube is in place and is coiled within the fundus of the stomach. There is airspace opacification of the right lung with relative sparing of the apex, as well as basilar left lung opacity. Linear atelectasis is seen in the right mid lung. The left lung is relatively clear. A focal nodular opacity is seen in the left upper lung measuring 8 mm. There is linear atelectasis in the left lower lung. There is no definite effusion. There is no pneumothorax. The heart size is enlarged, the mediastinal contours appear grossly unremarkable on this portable film. | 50078440 | CLINICAL INFORMATION: ___-year-old male with CHF versus pneumonia, intubated. COMPARISON: None. | Bilateral airspace opacity consistent with lobar pneumonia. Nodular opacity in the left lung apex, recommend attention on followup. Moderate cardiomegaly. |
11616264 | PA and lateral views of the chest provided. Midline sternotomy wires are again noted. Lungs are clear. Cardiomediastinal silhouette is stable. No effusion or pneumothorax. No convincing signs of edema. Bony structures are intact. | 58875898 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, wheezing // cough COMPARISON: Prior exam from ___ | No acute intrathoracic process. |
11616264 | Patient is status post median sternotomy.No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 52069417 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with PMH LUE blood clots presenting with chest pressure and left upper extremity pain. // clot TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11616264 | Patient is status post median sternotomyThe lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal to mildly enlarged. No overt pulmonary edema is seen. | 53160432 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with asthma exacerbation, ? udnerlying process // ? cardiouplm abnormality TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11749991 | Frontal and lateral views of the chest were obtained. There is large left retrocardiac opacity with areas of lucency which could represent a very large hiatal hernia, possibly containing bowel, not well evaluated on this study. The cardiac silhouette is enlarged; however, this likely in part relates to the hernia. Right lung is clear. The aortic knob is calcified. No pneumothorax is seen. | 55801381 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with acute cholecystitis, CHF; question pneumonia, pulmonary edema. COMPARISON: None. | Large retrocardiac left mid-to-lower hemithorax opacity with areas of lucency with appearance of bowel and possibly stomach, likely related to large hernia possibly containing bowel, not well evaluated on this study, no priors for comparison. Minimal right base atelectasis. |
11129017 | Patient is status post median sternotomy and cardiac valve replacement.Mild basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There may be prominence of the main pulmonary artery which can be seen in the setting of pulmonary arterial hypertension. | 50811448 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with palpitations and right hand swelling/pain // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Prominent main pulmonary artery can be seen in the setting of pulmonary arterial hypertension. No focal consolidation. |
11595894 | The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. No definite consolidation is identified. | 51679277 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with confusion, infx w/u // PNA TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute intrathoracic findings. |
11916661 | Lung volumes are again low and absence of lateral limits assessment. Bilateral upper lung opacities are seen and more pronounced than on the previous examination. On the prior study, they were suggested to be pleural-based based on their appearance on the lateral, although this assessment is not possible today. Given that opacities have increased over time suspicion is high for possible malignancy. Additionally, subtle infectious process would be difficult to exclude in these areas. Calcified granuloma in the right lower lung is again demonstrated. The heart size remains top normal with calcified aortic knob. Degenerative changes are noted at the right AC and glenohumeral joints. | 53379764 | INDICATION: ___-year-old female with altered mental status. Assess for pneumonia or congestive heart failure. TECHNIQUE: Portable AP upright radiograph of the chest. COMPARISONS: Chest radiograph ___. | Increase in size of left greater than right upper lung, possibly pleural-based based on the prior examination, opacities for which further evaluation by CT is recommended. Malignancy is of concern. This was discussed with Dr. ___ by Dr. ___ at 12:50PM on ___. |
11916661 | AP upright and lateral views of the chest were obtained. Low lung volumes limit the evaluation. There are poorly defined opacities projecting over the bilateral upper lobes which on the lateral view appear to be pleural-based masses which are new from prior exam. Findings are atypical for pneumonia and are concerning for malignancy. A calcified granuloma is again noted in the right lower lung. No definite signs of overt CHF though mild pulmonary vascular congestion and interstitial edema is present. Heart size is difficult to assess though appears top normal to mildly enlarged. Aortic calcifications are noted. Bony structures appear grossly intact. | 55729233 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: AFib with RVR, new, assess for CHF. | Pleural-based opacities projecting over the upper lungs are atypical for pneumonia and concerning for malignancy. Please correlate clinically and recommend chest CT to further assess. ___ d/w Dr. ___. Mild interstitial edema. |
11918176 | Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax seen. Cardiac and mediastinal silhouettes are unremarkable. | 54104318 | EXAM: Chest frontal lateral views. CLINICAL INFORMATION: ___-year-old female with severe chest pain. COMPARISON: ___. | No acute cardiopulmonary process. |
11918176 | The heart is normal in size. The aorta is mild to moderately tortuous. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 58668467 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: TIA. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11918176 | 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. | 54315265 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___ year old female with history of chest pain. COMPARISON: None. | No acute cardiopulmonary process. |
11898908 | 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. | 54176932 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11827785 | Frontal and lateral views of the chest. On the frontal exam, there are bibasilar opacities noting relatively low inspiratory effort. No definite consolidation identified on the lateral. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen in the right upper quadrant. | 53583184 | HISTORY: ___-year-old female with fever and cough. COMPARISON: ___. | No definite acute cardiopulmonary process. |
11261162 | Lung volumes are slightly low. Heart size is top-normal. Mediastinal contours are within limits. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous is detected. | 50824432 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain and shortness breath TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11261162 | The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality on this nondedicated exam. | 58956496 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with chest pain s/p MVC. Evaluate for pneumothorax or other injury. TECHNIQUE: PA and lateral chest radiograph COMPARISON: Chest radiograph dated ___. | No radiographic evidence for acute traumatic injury. No pneumothorax. |
11755437 | PA and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. | 59981044 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: New onset AFib, question acute intrathoracic process. | No acute findings in the chest. |
11808646 | Left-sided Port-A-Cath tip again remains within the azygos vein, as seen on the prior chest radiograph. Of note, on the intervening chest CTA, the Port-A-Cath tip was in the SVC. The cardiac, mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal bibasilar atelectasis with trace bilateral pleural effusions. No focal consolidation or pneumothorax is present. Several clips are demonstrated within the right upper quadrant of the abdomen as well as an additional clip within the left hemiabdomen. | 55730957 | HISTORY: Left Port-A-Cath tip in the azygos vein. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ at 10:54 and chest CTA ___ at 13:05. | Port-A-Cath tip again terminates within the azygos vein. Of note, on the intervening chest CTA, the Port-A-Cath tip was in the SVC. Small bilateral pleural effusions with bibasilar atelectasis. |
11808646 | Left-sided Port-A-Cath tip is in the azygos as seen on the prior radiograph. Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal streaky opacity in the left lower lobe is similar compared to the prior study and reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Clips from prior cholecystectomy are demonstrated in the right upper quadrant, and an additional surgical clip is seen in the left upper quadrant. | 57265919 | HISTORY: Lymphoma with indwelling port presenting with weakness and chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Port-A-Cath tip remains within the azygos vein. Left lower lobe atelectasis. |
11808646 | PA frontal and lateral chest radiographs demonstrate an well-expanded lungs. There is no focal consolidation. There is a small left-sided pleural effusion with atelectasis of the left base. The hilar and mediastinal is better appreciated on CT dated ___. There is no pneumothorax. No pneumoperitoneum is identified on this upright radiograph. | 57770926 | HISTORY: ___-year-old female with lymphoma and possible bowel wall involvement with recurrent severe abdominal pain. Rule out free air in the abdomen. COMPARISON: Chest CT dated ___. | Left basilar atelectasis. No intrathoracic findings to account for recurrent abdominal pain. |
11808646 | The left Port-A-Cath is seen terminating in approximately the lower SVC, unchanged in position. The lungs are clear bilaterally. No evidence of focal consolidations, pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities. | 58701781 | EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old woman with NHL. pre-auto eval. // r/o cardiac/pulmonary dysfunction TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs since ___, most recently ___. | No evidence of pneumonia, pulmonary edema or pneumothorax. |
11808646 | Left-sided gas is seen with distal aspect of the catheter seen to likely be within the azygos vein, not within the SVC. On the lateral view, the catheter takes a posterior course and the tip of the catheter appears to en face on the frontal view. There is mild left basilar atelectasis. No definite focal consolidation is seen. Trace blunting of the bilateral costophrenic angles is likely due to trace pleural effusions. A 3-mm right middle lobe pulmonary nodule noted on prior CT is not well appreciated on this less sensitive study. Surgical clips are noted in the upper abdomen. | 52737273 | WET READ: ___ ___ 12:27 PM tip of portacath appears to be in the azygous vein, not in appropriate position, migrated since ___. WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 12:21 PM tip of portacath appears to be in the azygous vein, not in appropriate position. ______________________________________________________________________________ FINAL REPORT EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___. TECHNIQUE: Frontal and lateral views of the chest were obtained. | The left Port-A-Cath has migrated with the tip now terminating in the azygos vein, in appropriate position. This finding was relayed to the Emergency Department by urgent wet reading. Mild left basilar atelectasis and possible trace bilateral pleural effusions. |
11315282 | PA and lateral views of the chest provided. Heart is mildly enlarged. The aorta is unfolded. There is minimal central pulmonary vascular congestion without frank edema. No effusion is seen. No pneumothorax. No convincing evidence for pneumonia. Degenerative disease at the right shoulder noted. No free air below the right hemidiaphragm. | 51082051 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with months of intermittent dyspnea and chest pain, elevated JVD and peripheral edema on exam COMPARISON: ___ | Mild cardiomegaly with mild central pulmonary vascular congestion. |
11922236 | Single portable upright frontal image of the chest. The lungs are well expanded and clear. No large pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is enlarged. | 54529333 | HISTORY: Shortness of breath. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
11922236 | Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Hypertrophic changes seen in the spine without acute osseous abnormality. | 56284617 | HISTORY: ___-year-old male with shortness of breath, fever. COMPARISON: ___. | No acute cardiopulmonary process. |
11922236 | The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is been no significant change. | 51232763 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and pedal edema. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
11922236 | The inspiratory lung volumes are low with resultant bronchovascular crowding. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. No pulmonary vascular congestion or edema is seen. The cardiac silhouette is enlarged, but stable. The mediastinal contours are prominent, with tortuosity of the thoracic aorta, which is unchanged. | 54516756 | INDICATION: Chronic diastolic congestive heart failure, weight gain, edema and wheezing. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | Low lung volumes. No evidence of heart failure or volume overload. |
11922236 | Patchy opacities of the bilateral lung bases are likely due to atelectasis although infection cannot be excluded. No other areas concerning for consolidation are seen. No pneumothorax or pleural effusion. The cardiomediastinal contour is unchanged compared to the prior study with mild prominence bilateral hila. No frank pulmonary edema. | 52312811 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with COPD presenting with dyspnea, concern for COPD exacerbation, on BIPAP when admitted // eval lung fields TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Bibasilar atelectasis, this has progressed slightly when compared to the prior study. |
11922236 | Since the prior study, there has been interval development and right middle lobe opacity which may be due to consolidation from a right middle lobe pneumonia, underlying pulmonary lesion not excluded. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac size remains top-normal to mildly enlarged. Mediastinal contours are stable. | 50711615 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with SOB // Eval for volume status TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Right middle lobe opacity may be due to consolidation due to pneumonia, underlying pulmonary lesion not excluded. |
11922236 | Frontal and lateral views of the chest were obtained. The cardiac and mediastinal silhouettes are grossly stable given differences in patient position and technique. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. Evidence of DISH is seen along the thoracic spine. Minimal anterior wedging of a lower thoracic vertebral body is stable. | 51601096 | EXAM: Chest, AP and lateral views. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
11922236 | AP portable upright view of the chest. Patient's chin obscures the upper lungs. Remainder of the lungs appear clear. Previously noted consolidation in the right middle lobe has resolved in the interval. No large effusion. Heart size is unchanged. Bony structures are grossly intact | 51077514 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with shortness of breath COMPARISON: ___ | Resolved pneumonia. Limited evaluation of the lung apices. No convincing evidence for pneumonia or edema. |
11922236 | AP upright and lateral views of the chest provided. Evaluation is somewhat limited due to AP technique. The heart remains mildly enlarged. The lungs appear clear though the left lung base is somewhat limited in overall assessment. No large effusion or pneumothorax. Mediastinal contour is stable. Bony structures are intact. | 57289100 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with cough // acute process? COMPARISON: ___ | Stable cardiomegaly. Otherwise unremarkable. |
11922236 | PA and lateral views of the chest were provided. The heart is mildly enlarged. There is mild pulmonary edema. Right lower lung, likely atelectasis, though an early pneumonia cannot be excluded. No pneumothorax is seen. Small pleural effusions difficult to exclude. Bony structures intact. | 53271690 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Shortness of breath, question acute abnormality. | Mild pulmonary edema with right lower lung atelectasis, less likely pneumonia. Likely small effusions also present. |
11264700 | Low lung volumes are present. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. Aorta is tortuous. There is crowding of the bronchovascular structures, and mild pulmonary vascular congestion is likely present, but no overt pulmonary edema is seen. There may be a trace left pleural effusion. Patchy opacities in the lung bases, more so on the right, likely reflect atelectasis though aspiration cannot be completely excluded. No pneumothorax is identified. There is no acute osseous abnormality. | 56855631 | HISTORY: Stroke and vomiting. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: None. | Low lung volumes. Patchy opacities at the lung bases likely reflect atelectasis. Probable small left pleural effusion and mild pulmonary vascular engorgement. |
11494099 | The lungs are hyperinflated. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. Small calcified granulomas are noted in the right apex. Focal linear scar or atelectasis persists in the periphery of the right lung base. Tortuous thoracic aorta with extensive atherosclerotic calcification is unchanged. Right upper quadrant cholecystectomy clips are noted. | 58125155 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with fall // please evaluate for acute cp process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs: ___. | No acute cardiopulmonary process. |
11494099 | There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The descending thoracic aorta is tortuous, similar to prior. Aortic arch calcifications are seen. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 56663632 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall // Infection?Trauma? COMPARISON: Chest radiograph ___ | No acute intrathoracic process. |
11494099 | Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is minimal bilateral lower lobe atelectasis. The lungs are otherwise clear. The heart remains moderately enlarged. The vascular pedicle is markedly widened, increased compared to the most recent radiograph from ___. There are no pleural effusions. No pneumothorax is seen. Loss of height of vertebral bodies along the thoracolumbar spine do not appear substantially changed compared to the prior study from ___. | 51051369 | INDICATION: Status post fall. Assess for acute intrathoracic process. COMPARISON: Multiple prior chest radiographs dating back through ___, including the most recent study from ___. | Increased widening of the vascular pedicle compared to the most recent study from ___. A dedicated PA upright radiograph is recommended for further assessment, as a recently dilated ascending aorta cannot be excluded on the provided AP projection. Minimal bilateral lower lobe atelectasis. Unchanged cardiomegaly. Findings and recommendations were discussed with Dr. ___ by Dr. ___ at 9:40 a.m. via telephone on the day of the study. |
11494099 | Moderate to severe enlargement of the cardiac silhouette is re- demonstrated. The aorta is markedly tortuous with diffuse atherosclerotic calcifications re-demonstrated. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Punctate granulomas are seen within the upper lobes bilaterally. Multiple clips noted within the right upper quadrant. | 55110182 | HISTORY: Altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11494099 | AP and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable. Tortuous descending thoracic aorta with atherosclerotic calcifications is seen. No acute osseous abnormality is detected. | 53941548 | HISTORY: ___-year-old female with altered mental status on Plavix. COMPARISON: ___. | Cardiomegaly without acute cardiopulmonary process. |
11494099 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch are again noted. No acute osseous abnormalities identified. | 53065103 | INDICATION: ___F with productive cough // r/o infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11399163 | The lungs are clear bilaterally. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. There is no pneumothorax or pleural effusion. Visualized osseous structures demonstrate no acute abnormality. | 54208627 | HISTORY: ___-year-old male with chest pain. COMPARISON: None available. | No acute intrathoracic abnormality. |
11584115 | The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. There has been no significant change. | 57504087 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. Hyperinflation. |
11584115 | The cardiomediastinal silhouette is normal. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. The lungs are clear. The views of the upper abdomen are unremarkable. Visualized osseous structures are normal. | 52919016 | INDICATION: ___F with chest pain . COMPARISON: Comparison is made to chest radiographs dating back to ___. TECHNIQUE Frontal and lateral view of the chest. | No radiographic explanation for chest pain. |
11892782 | PA and lateral views of the chest provided. Minimal left basal atelectasis is noted. Otherwise, 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. | 59984656 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough // eval for acute process COMPARISON: None | No acute intrathoracic process. Minimal left basal atelectasis. |
11041248 | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A right pectoral chest wall port projects in expected location with the catheter tip terminating the cavoatrial junction. Excretion of contrast from the CTA of the same day is noted, with evidence of moderate hydronephrosis on the right and mild hydronephrosis on the left. | 51446315 | WET READ: ___ ___ 4:27 PM 1. No acute cardiopulmonary process. 2. Bilateral hydronephrosis, right worse than left. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with aphasia, evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___ and chest CT dated ___. | No acute cardiopulmonary process. Bilateral hydronephrosis, right worse than left. |
11041248 | A Port-A-Cath terminates at the cavoatrial junction. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. | 55346313 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea on exertion. TECHNIQUE: Chest, PA and lateral. COMPARISON: Scout view from PET-CT dated ___. | No evidence of acute cardiopulmonary disease. |
11587903 | Left-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Severe cardiomegaly is present. The aorta is tortuous. Mild pulmonary edema is demonstrated. Small bilateral pleural effusions are noted. No focal consolidation or pneumothorax is identified. A focal hazy opacity is seen within the right apex not clearly visualized on the previous CTA of the head and neck, potentially an area of infection but is nonspecific. No acute osseous abnormality is visualized. Clips are seen in the right axilla. Degenerative changes of the right glenohumeral joint are noted. | 54036793 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: CTA head and neck ___ | Severe cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. Nonspecific area of focal opacification in the right apex. This could reflect an area of infection, though infarction cannot be completely excluded. If there is high concern for pulmonary embolism, chest CTA is recommended. |
11959746 | Mild cardiomegaly is unchanged with unfolding of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There are trace bilateral pleural effusions. There is no pulmonary edema. There is no pneumothorax. | 58701660 | EXAMINATION: Chest radiograph INDICATION: Chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Trace bilateral pleural effusions. No evidence of pneumonia or pulmonary edema. |
11959746 | Prominent interstitial markings are identified compatible with pulmonary edema with fluid within the fissures. The cardiac silhouette is mildly enlarged. Biapical scarring is again noted. Known pulmonary nodules seen on the prior CT is not clearly identified on this study. Trace pleural effusions are noted. There is no pneumothorax. | 52209033 | WET READ: ___ ___ ___ 12:55 PM Mild interstitial edema, trace bilateral pleural effusions, and mild cardiomegaly all consistent with volume overload. WET READ VERSION #1 ___ ___ ___ 9:38 AM 1. Prominent interstitial markings which could reflect underlying chronic interstitial lung disease versus pulmonary edema. Prior CT from ___ suggested continue follow-up of known pulmonary nodules. This is recommended if not previously obtained. 2. No pneumothorax. Mild cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with shortness of breath, evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: CT chest from ___ | Mild interstitial edema, trace bilateral pleural effusions, and mild cardiomegaly . No pneumothorax. |
11053263 | 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. No displaced fracture is seen. | 54752665 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain for 24 hours. COMPARISON: None. | No acute cardiopulmonary process. |
11762715 | Single portable AP chest radiograph demonstrates an enlarged heart. No overt pulmonary edema is present. Lung volumes are low. There is no large pleural effusion or pneumothorax. A torturous or dilated aorta is noted. No acute osseous abnormality is detected. | 59173482 | INDICATION: ___-year-old female with altered mental status. COMPARISON: None available. | Enlarged heart without overt pulmonary edema. |
11327704 | PA and lateral views the chest were reviewed. Cardiomediastinal and hilar contours are normal. Specifically, there is no pneumomediastinum. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature within normal limits. | 52444134 | HISTORY: Right axillary pain, prior pneumomediastinum. COMPARISON: Chest radiograph and CT ___. | No pneumomediastinum or other acute process. |
11327704 | Frontal and lateral views of the chest were obtained. Thin curvilinear opacities projecting on either side of the cardiac silhouette are compatible with pneumomediastinum. On the lateral view, air is seen along the anterior aspect of the upper abdomen. The heart size is normal. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No emphysema is noted. No pleural effusion or pneumothorax. No radiopaque foreign bodies. Osseous structures are unremarkable. | 56408794 | INDICATION: ___-year-old female with chest pain radiating to neck. ___ films read as pneumomediastinum. COMPARISONS: None. | Pneumomediastinum. Findings were discussed with Dr. ___ by ___ via phone call on ___ at 12:55 p.m., at the time of discovery of findings. |
11226261 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There is no free air noted in the upper abdomen. | 53960360 | EXAMINATION: Chest radiograph INDICATION: ___-year-old female with back pain and shortness of breath. Evaluate for chest pain and back pain. TECHNIQUE: Chest PA and lateral radiographs were obtained COMPARISON: None. | No acute cardiopulmonary process. |
11226261 | 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. Clips are noted in the left upper quadrant of the abdomen. There is no subdiaphragmatic free air. | 50064656 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and abdominal distention TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11148124 | The lungs are clear. There is no focal consolidation or effusion. The cardiomediastinal silhouette is normal, there is no pneumomediastinum. No acute osseous abnormalities identified. There is no free intraperitoneal air. | 59975942 | INDICATION: ___F with chest pain, vomiting // ? pneumomediastinum TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11668016 | Subtle left base streaky opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild degenerative changes are seen along the spine. No displaced fracture is seen. | 53288720 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of fall. COMPARISON: ___. | Subtle left base streaky opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. |
11777244 | PA and lateral views of the chest. There is evidence of a neoesophagus which contains radiopaque material. Cardiomediastinal and hilar contours are stable. There is no focal consolidation, pleural effusion or pneumothorax. The previously seen pleural thickening and post-operative change is unchanged. No pneumothorax. No pleural effusion. Partial right fifth rib resection. | 52700775 | INDICATION: Chest pain. COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary process. |
11663336 | Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected. | 55258236 | HISTORY: Persistent cough. COMPARISON: ___. | No acute cardiopulmonary process. |
11663336 | Lung volumes are low exaggerating the cardiac silhouette and pulmonary vasculature. Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There is consolidation of the right lung base with loss of the hemidiaphragmatic contour reflecting probably pleural effusion with either associated atelectasis or possible pneumonia. The upper lung fields are clear. There is no pneumothorax. | 56573237 | WET READ: ___ ___ ___ 1:42 AM Low lung volumes. The right lung base consolidation with loss of the hemidiaphragm contour could represent infection or atelectasis. ______________________________________________________________________________ FINAL REPORT HISTORY: Right-sided chest pain, evaluate for pneumonia. COMPARISON: CTA chest ___, chest radiograph ___. TECHNIQUE: PA and lateral chest radiograph, two views. | Right base consolidation with loss of the hemidiaphragmatic contour which likely represents pleural effusion with either associated atelectasis or pneumonia. Investigation of the right upper quadrant with ultrasound could be a useful confirmatory tool to confirm effusion as well as for evaluation of subdiaphragmatic pathology. |
Subsets and Splits