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13598803 | An ET tube ends 2 cm above the carina. An enteric tube ends within the stomach. Again seen is a background of severe emphysema with biapical bulla and bronchiectasis with worsened ground-glass reticular opacifications now diffuse bilaterally. Stable cardiomediastinal contours. | 59148884 | INDICATION: Respiratory failure status post intubation. Assess for new ET tube placement. COMPARISON: ___. | ET tube ends 2 cm above the carina. Worsening diffuse ground-glass reticular opacities bilaterally could reflect worsening infection, ARDS or edema. |
13598803 | Frontal and lateral radiographs of the chest show unchanged large biapical cicatricial cysts with associated upper lobe volume loss as indicated by bilateral tenting and elevation of the hemidiaphragms. These cysts are stable in appearance without fluid. Right hilar bronchiectasis is unchanged. No pleural effusion, pneumothorax or focal consolidation is present. The cardiomediastinal silhouette is unchanged. | 56312875 | INDICATION: ___-year-old female with history of aspergilloma, here to evaluate for interval changes. COMPARISON: Chest radiograph, last performed on ___. Non-contrast chest CT performed on ___. | Large biapical cicatricial cyst without evidence of local or disseminated progression. |
13598803 | PA and lateral views of the chest were obtained. As compared with a CT scan from five days earlier, the areas of scarring in the bilateral upper lobes with known cavitation are essentially unchanged. There is increased consolidation in the right lower lobe which is compatible with pneumonia. There is no pneumothorax. No large effusion. Cardiomediastinal silhouette is unchanged. Bony structures remain intact. | 51332346 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest CT from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: ___-year-old woman with invasive aspergillosis, decreased oxygen saturation post-bronchoscopy, patient with known large blebs. Assess for pneumothorax. | No pneumothorax. Stable scarring and cavitation in the upper lobes. Slight increase in right lower lobe opacity concerning for slight progression of pneumonia. |
13598803 | On a background of severe emphysema as well as biapical bulla and fibrotic changes including bronchiectasis, the latter suggestive of sarcoid, there is new left lower and mid lung ground-glass reticular opacification concerning for infection. Reticular pattern likely reflects underlying lung abnormality. There is associated left hemidiaphragm elevation, probably largely due to a significantly distended stomach, though may be in small part explained by an element of inherent collapse within the left lung opacification. The appearance of luncency projecting over the proximal esophagus is likely due to apical bullae in a rotated patient, though esophageal dilatation is another consideration. | 50368839 | INDICATION: Shortness of breath, assess for acute infectious process. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___ as well as CT chest performed ___. | Background severe changes of emphysema and biapical fibrosis, the latter suggesting history of sarcoid, with a new left lung opacification concerning for pneumonia. Distended stomach of unclear etiology (attempted intubation, gastroparesis, etc.) as well as possible proximal esophageal dilatation; however, the latter is likely due to apical bullae in rotated patient. ___ discussed updated findings with Dr ___ at 8:01AM on ___ via telephone 5 minutes after interpretation. |
13598803 | Increased opacification in the right upper lung is suspicious for an acute infectious process with both frontal and lateral view revealing an air-fluid level which may reflect fluid in the pre-existing cavity, though the acuity of this finding is uncertain as an air fluid level may have been present on the prior. The focal rounded opacity in the ___ study is not as well demonstrated on the current examination. There is no pleural effusion or pneumothorax. Heart and mediastinum are unchanged. | 55254839 | INDICATION: ___-year-old woman with bronchiectasis, now with right chest pleurisy and increased sputum, history of aspergillosis, assess for pneumonia. COMPARISONS: ___ chest radiograph. | Increased opacification of right upper lung in the setting of known bilateral apical cavities/mycetomas is suspicious for recurrence of known aspergilus infection, though other pulmonary infections including pneumonia cannot be fully excluded. Depending on clinical circumstance further assessment by CT can be obtained. This was discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone. |
13907635 | The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged, and except for minimal streaky left basilar atelectasis, the lungs are clear of focal consolidations. No pleural effusion or pneumothorax is seen. Hyperinflation of lungs is noted, with thoracic kyphosis and multilevel degenerative changes again seen in the thoracic spine. Cholecystectomy clips are re- demonstrated in the right upper quadrant of the abdomen. | 53380031 | HISTORY: Weakness for 3 days. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. | Minimal left basilar atelectasis. |
13907635 | The cardiac silhouette is normal. Low lung volumes accentuate the bronchovascular structures. Increased opacity at right lung base could reflect atelectasis or early developing pneumonia in the appropriate clinical setting. However, there is no definite pneumonia. There is mild atelectasis at the left lung base. There is a probable small right pleural effusion. No pneumothorax identified. No overt pulmonary edema. Bony structures appear grossly intact. | 52783409 | INDICATION: ___-year-old woman who is unresponsive. Please assess for infection. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph. | No definite pneumonia. Increased opacity at right lung base could reflect atelectasis or early developing pneumonia in the appropriate clinical setting. |
13907635 | The patient is rotated to the left. The cardiac silhouette is top-normal. The lungs are relatively hyperinflated. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Thoracic kyphosis and multilevel degenerative changes are again seen. | 59015065 | HISTORY: Multiple myeloma and low back pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | The patient is rotated to the left. Otherwise, no acute cardiopulmonary process. |
13484321 | The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. | 55777279 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with RUQ pain, syncope // evaluate for acute process TECHNIQUE: Chest PA and Lateral COMPARISON: None | No acute cardiopulmonary process. |
13981361 | Frontal and lateral radiographs of the chest were acquired. There are bibasilar streaky opacities probably compatible with atelectasis, including suspected volume associated with mild relative elevation of the left hemidiaphragm. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. No pneumothorax is seen. Elevation of the left hemidiaphragm is noted. Deformities of the lower right posterior ribs likely relate to remote trauma. | 55017975 | INDICATION: Syncope, evaluate for fluid overload. COMPARISON: None. | Probable atelectasis at the lung bases, greater on the left than right, although aspiration and/or infection are not completely excluded. Old right posterior rib fractures. |
13460841 | 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. | 53236544 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13643569 | In comparison with chest radiographs from ___, there is increase in apparent opacity at the left lung base, which could reflect worsening infarct, infection or atelectasis. Lung volumes remain low. No large pleural effusion. No pneumothorax. No central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal. | 50172206 | WET READ: ___ ___ ___ 3:56 PM Slight interval increase in opacity at the left lung base, which could represent worsening infarct, infection or atelectasis. Recommend correlation with physical exam findings. WET READ VERSION #1 ___ ___ ___ 9:46 AM Unchanged appearance of lingular and bilateral lower lobe opacities, corresponding with known pulmonary infarcts better characterized on prior chest CTA. No new focal consolidations identified. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with hx of PE dx on ___ , with CP and SOB // pna? new evidence of worsening pe? TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___. CTA chest dated ___. | Slight interval increase in opacity at the left lung base, which could represent worsening infarct, infection or atelectasis. |
13215053 | AP upright and lateral chest radiographs were obtained. The lungs are well expanded with increased right greater than left basal opacities concerning for aspiration or pneumonia. Trace bilateral effusions may be present. The heart is normal in size with normal cardiomediastinal contours. No pneumothorax is seen. | 56360117 | HISTORY: Weakness, assess for pneumonia. COMPARISON: ___. | Right greater than left basal opacities concerning for aspiration or infection with trace effusions. |
13191942 | Pneumoperitoneum is relatively unchanged compared to the previous exam. The cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Laparoscopic gastric band is seen in unchanged position. No acute osseous abnormalities are seen present. | 54379817 | HISTORY: Likely perforated ulcer. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Reference chest radiograph ___ at 13:00. | Pneumoperitoneum, not significantly changed from the previous exam. No acute cardiopulmonary abnormality. |
13179422 | There is no significant change compared to prior examination. Cardiomediastinal silhouette and hilar contours are unchanged with redemonstration of vague paramediastinal linear opacities suggestive of radiation fibrosis. The inferior lung fields are increased in density from overlapping breast prostheses. The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax. | 57075705 | HISTORY: Chest pain status post transbronchial biopsy. TECHNIQUE: AP chest radiograph single-view. COMPARISON: ___. | No significant change compared to prior exam. No pneumothorax. |
13179422 | The cardiac silhouette size is normal. Paramediastinal linear opacities compatible with prior radiation therapy are again demonstrated. The hilar contours are within normal limits. Pulmonary vasculature is normal. Small bilateral pleural effusions are new compared to the previous exam. No focal consolidation or pneumothorax is seen. Bilateral breast prosthesis are present. There are no acute osseous abnormalities. Remote right rib fracture is present. | 51356025 | HISTORY: History of pleural effusions with abnormal breath sounds. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Small bilateral pleural effusions. |
13160565 | Single portable view of the chest. Endotracheal tube is seen with tip 3.4 cm from the carina, in appropriate position. An NG tube passes below the inferior field of view. The side port is likely at the region of the GE junction and may be advanced slightly for optimal positioning. Right-sided central line seen with the tip in the mid SVC. Streaky bibasilar opacities, left greater than right may be due to low lung atelectasis given the low lung volumes and on the left and appears improved since prior. Superiorly the lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality. | 54352270 | WET READ: ___ ___ 11:23 PM Endotracheal tube in appropriate position. NG tube with side port potentially at the GE junction and can be advanced for optimal positioning. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with intubation, check placement. COMPARISON: Outside chest x-ray performed earlier the same day. | Endotracheal tube in appropriate position. NG tube with side port potentially at the GE junction and can be advanced for optimal positioning. |
13160565 | Right jugular catheter ends in lower SVC; ET tube ends 4 cm from carina. NG tube ends in proximal gastric cavity and can be advanced 5 cm. Lung volumes are still low with increased opacification due to vascular congestion but not overt pulmonary edema. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. | 56706622 | HISTORY: ___ years old man intubated with high minute ventilation and increasing sedation requirement; tachypnea, unclear etiology; please evaluate for interval changes. COMPARISON: Exam is compared to chest x-ray of ___. | ET tube position is correct. NG tube can be advanced 5 cm. Mild vascular congestion with central vein distention. |
13577675 | The patient is status post median sternotomy and CABG. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen. | 56105044 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CAD, epigastric pain // evaluate for acute changes TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Top-normal to mildly enlarged cardiac silhouette. Otherwise, no acute cardiopulmonary process. |
13479804 | AP upright and lateral views of the chest are obtained. A dialysis catheter is seen projecting over the right chest wall with catheter tip in the expected location of the superior vena cava. Cardiomegaly is mild. No signs of CHF. Tiny left pleural effusion is likely present. No pneumothorax. Mediastinal contour is unremarkable. Bony structures appear intact. No free air below the right hemidiaphragm. | 57778917 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Left flank pain, hydronephrosis seen on outside hospital CT within the left native kidney. Patient on dialysis. | Mild cardiomegaly. Dialysis catheter in appropriate position. Tiny left effusion. |
13479804 | Right central venous catheter tip projects over the expected region of the SVC-RA junction, unchanged. Lung volumes have markedly improved. Bilateral pleural effusions persist but have decreased in the interim, now small. Elevation of the left hemidiaphragm is overall unchanged with associated atelectasis and underlying gaseous distension of the bowel in the left upper quadrant. No focal consolidation, edema, or pneumothorax. The heart size is normal. The descending thoracic aorta is slightly tortuous or ectatic, unchanged. | 52167937 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with giant paraesophageal hernia s/p lap repair evaluate for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Interval improved lung aeration and decrease in size of bilateral pleural effusions. |
13479817 | Patient is status post median sternotomy and CABG. Heart size is normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Lungs are clear. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs remain hyperinflated. No acute osseous abnormalities demonstrated. | 58413465 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with headache, weakness, fatigue // eval for acute intracranial process, CXR for infection TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13479817 | PA and lateral radiographs of the chest demonstrate clear lungs. The nodular opacity in the right apex seen on the prior study is no longer apparent, and was not definitively seen on multiple prior radiographs. As noted previously, the patient does have apical pleural scarring at this location as demonstrated on the CT from ___. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. The patient is status post sternotomy and the cerclage wires are all intact. The pulmonary vascularity is normal. | 55796712 | INDICATION: Cough. Also, please follow up right apical nodule seen on prior chest radiograph for which the patient declined CT for further evaluation. COMPARISON: A series of chest radiographs from ___ dating back to ___. CT chest from ___. | No evidence of pneumonia. Right apical nodule, not well seen on this study. CT is preferred for further characterization if the patient is amenable. |
13479817 | The patient is status post sternotomy. The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. Patchy left lateral basilar opacities suggest minor atelectasis that is unchanged. There is a newly apparent round nodular opacity projecting over the right lung apex measuring about 7 mm in diameter. Although the area is difficult to evaluate due to overlapping bony structures, and it is known that scarring is present in the area from a prior CT of the cervical spine, the possibility of superimposed pulmonary nodule cannot be excluded by this study. There is no pleural effusion or pneumothorax. Small osteophytes are similar along the thoracic spine. | 53852275 | WET READ: ___ ___ ___ 6:30 PM No evidence of acute process. Newly apparent rounded nodular density projecting over the right lung apex; although maybe bony in origin or due to scarring, when clinically appropriate, evaluation in follow-up with chest CT is suggested. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Lightheadedness. COMPARISONS: Radiographs from ___ and cervical spine CT dated ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. However, there is a newly apparent nodular focus projecting over the right lung apex, potentially a true pulmonary nodule, although a bone island or scarring depicted in a somewhat different fashion could potentially explain the finding. When clinically appropriate, chest CT is suggested to evaluate further in followup. An email regarding the findings and recommendations was sent to the ED QA nursing group on ___. |
13497880 | Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. | 54386570 | INDICATION: ___F with chest pain // chest pain, acute process TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___. | No acute cardiopulmonary process. |
13497880 | 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. | 58398152 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // chest pain COMPARISON: ___ | No acute intrathoracic process. |
13497880 | The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 59590732 | INDICATION: ___-year-old woman with persistent cough and atypical chest pain, evaluate for pneumonia. TECHNIQUE: PA and lateral chest x-ray. COMPARISON: Chest x-ray ___. | No acute cardiopulmonary process. |
13497880 | Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58658509 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough/wheeze for one day. COMPARISON: ___. | No acute cardiopulmonary process. |
13691424 | 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. | 59953564 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, fever. COMPARISON: None. | No acute cardiopulmonary process. |
13621035 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Projecting over the right upper lung is a questionable nodular opacity, a possible lung nodule. Elsewhere, the lungs appear clear. No pleural effusion or pneumothorax. Moderate degenerative changes are present along the mid thoracic levels. | 57542200 | CHEST RADIOGRAPHS. HISTORY: Left arm swelling and chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. Equivocal finding in the right upper lobe, namely a possible nodule. Chest CT is suggested to investigate further when clinically appropriate unless prior radiographs are available to show long-term stability of this appearance. |
13621035 | Left basilar opacity is likely due to atelectasis in setting of low lung volumes. Elsewhere, the lungs are clear. There is no consolidation worrisome for pneumonia, effusion, or edema. The cardiomediastinal silhouette is within normal limits. On the lateral view, catheter is partially seen projecting over the retroperitoneal region. | 54199204 | INDICATION: ___ year old man with metastatic prostate cancer and slurred speech // eval for acute cardiopulmonary process TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | Low lung volumes without definite acute cardiopulmonary process. |
13621035 | The heart size is within normal limits. Mediastinal contour is grossly unchanged, with known lymphadenopathy better demonstrated on the previous CT. The hilar contours are unchanged. Pulmonary vasculature is normal. Lung volumes are low with mild bibasilar atelectasis. Previously demonstrated pulmonary nodules on CT are not visualized on the current radiograph. No focal consolidation, pleural effusion or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine. | 52473943 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with prostate cancer presents with fatigue and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ | Low lung volumes with mild bibasilar atelectasis. Previously demonstrated mediastinal lymphadenopathy and pulmonary nodules on CT are not well assessed on the current radiograph. |
13027179 | The lungs are well expanded and clear. The aorta is noted to be tortuous. The heart size is at the upper limits of normal. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. | 52108369 | HISTORY: ___-year-old female with fever. COMPARISON: None. | No acute cardiopulmonary process. |
13474052 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac postop or. The mediastinum is not widened. No pulmonary edema is seen. No displaced fracture seen. | 58892713 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // eval for acute process TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13089602 | Lungs are clear. Cardiac silhouette is normal in size. Mediastinal and hilar contours are unremarkable. There is no pleural effusion, pneumothorax or pneumonia or pulmonary edema. | 52504647 | HISTORY: Chest pain and tachycardia. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute cardiopulmonary process. |
13978845 | 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. Mild degenerative changes are similar along the lower thoracic spine. There has been overall no significant change. | 51210686 | CHEST RADIOGRAPHS HISTORY: Cough and fever. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | No evidence of acute disease. |
13656989 | There is no interstitial disease to suggest amiodarone toxicity. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged. Left pectoral pacemaker leads terminate in the right atrium and right ventricle. | 59243271 | INDICATION: ___ year old man with h/o VT/VF on amiodarone. Please assess for e/o toxicity (annual exam). // ?amiodarone toxicity EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___ | No interval change. No evidence of amiodarone toxicity. |
13346506 | Overlying trauma board limits assessment. Lung volumes are low. Heart size is borderline enlarged, but accentuated due to the low lung volumes. Mediastinal contour is normal. There is crowding of the bronchovascular structures. Hilar contours are otherwise unremarkable. No large pleural effusion or pneumothorax is identified though subtle increased lucency at the right lung base and along the right heart border could suggest a small pneumothorax. Deformity of the left seventh lateral rib appears to be chronic. No acutely displaced fracture is visualized. | 53324788 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall, chest pain// r/o ptx TECHNIQUE: Supine AP view of the chest. COMPARISON: None. | Slightly increased lucency within the right lung base along the right heart border suggests a small pneumothorax. Please see subsequent CT of the torso for further details. |
13346506 | AP portable upright view of the chest. A small right pneumothorax is unchanged since the ___ examination. Multiple right rib fractures are again seen. The heart size remains normal. The hilar and mediastinal contours are within normal limits. Mild elevation of the right hemidiaphragm is stable. There are no new effusions or consolidations. | 54663498 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with traumatic injury after falling down ladder. New onset afib // ?structural cause of afib COMPARISON: Chest radiograph from ___. | Unchanged small right pneumothorax. Multiple right rib fractures. Normal cardiac contour. |
13346506 | Moderate enlargement of the cardiac silhouette appears increased compared to the prior study. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities present. | 54465413 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new onset of aflutter TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | Moderate enlargement of the cardiac silhouette, increased compared to ___. Correlation with echocardiogram is suggested. |
13346506 | A small right pneumothorax is again seen, which, allowing for differences in image in technique, is not appreciably changed since the ___ CT. The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no left pneumothorax. There is no pleural effusion. | 55947014 | EXAMINATION: Chest radiograph. INDICATION: ___ year old man s/p fall with traumatic R pneumothorax // interval changes TECHNIQUE: Chest PA and lateral COMPARISON: CT from ___. | Small right pneumothorax is unchanged since ___. No pleural effusion or left pneumothorax. |
13346506 | AP portable upright view of the chest. A small right pneumothorax is slightly improved since ___. Multiple right rib fractures are again noted. The heart size remains normal. The hilar and mediastinal contours are within normal limits. There is mild elevation of the right hemidiaphragm. No effusions are present. | 56754385 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p traumatic R ___ rib fractures with pulm contusion and R pneumo with new onset Afib with RVR // acute intrathoracic process COMPARISON: Chest radiograph from ___ at 15:00, and chest CT from ___. | Slight decrease in size of a small right pneumothorax. |
13834308 | Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. There is no acute osseous abnormality. | 57944600 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with COPD, now with increasing dyspnea, cough, tachycardia, evaluate for pneumonia TECHNIQUE: Portable view of the chest. COMPARISON: Chest radiograph ___ | No evidence of pneumonia. |
13834308 | Cardiac size is normal. There are ill-defined opacities in the right upper lobe,. The lungs are mildly hyperinflated suggests COPD. There is no pneumothorax. If any there is a small left effusion. | 51117930 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman p/w COPD exacerbation, severely hypoxic // ?pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Faint ill-defined opacities in the right apex could represent pneumonia in the appropriate clinical setting There is no pulmonary edema |
13511794 | The cardiac, mediastinal and hilar contours are unchanged. The heart size is normal. Aorta is mildly unfolded. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55544122 | HISTORY: Right upper quadrant pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13588600 | The lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52182872 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP/SOB // please eval for acute cardiopulm process (PTX, pna, enlarged heart etc) TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13892846 | Endotracheal tube tip terminates approximately 4.2 cm from the carina. An enteric tube tip and side-port are within the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Linear opacities in the left lung base likely reflect areas of atelectasis. The lung apices are excluded from the field of view and therefore assessment for a pneumothorax is limited. No pleural effusion is identified. No acute osseous abnormality is visualized. | 50153171 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubated, transfer from outside institution TECHNIQUE: Portable semi upright AP view of the chest COMPARISON: None. | Endotracheal tube and enteric tubes in standard positions. Exclusion of the lung apices from this exam. Linear opacities in the left lung base likely reflective of atelectasis. |
13892846 | There is again seen in ET tube which terminates 5.3 cm above the carina. An enteric tube is seen with distal tip in the stomach. There is rightward rotation on the current radiograph. Allowing for changes due to this, the cardiomediastinal silhouette is unchanged. There is increased interstitial prominence, and increased prominence of pulmonary vasculature with more indistinct margins, likely representing worsening pulmonary vascular congestion. There is no overt pulmonary edema. There is new bibasilar linear atelectasis. In the left upper lung, there are what appears to be pleural-based calcifications; it is recommended to correlate with previous studies if available. If not, it is recommended to obtain non-emergent chest CT for further evaluation. There are no pneumothoraces or effusions. | 57287197 | EXAMINATION: Portable AP chest x-ray. INDICATION: ___ year old man with acute on chronic chronic SDH // assess Lungs TECHNIQUE: AP projection. COMPARISON: Portable AP chest x-ray obtained ___. | Increasing pulmonary vascular congestion without pulmonary edema. Bibasilar linear atelectasis. Stable position of ET tube and enteric tube. Possible left upper lung pleural-based calcifications. Correlate with prior radiographs. If prior radiographs are not available, we recommend non-emergent chest CT for further evaluation. |
13892846 | The tip of the endotracheal tube is at the level of the clavicles, which is roughly 6 cm above the carinal. An endotracheal tube enters the stomach, but the tip is not visualized. The lungs are clear. There is no pneumothorax or pleural effusion. | 51586407 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old male with acute on chronic bilateral subdural hematomas status post craniotomy; evaluate for possible aspiration. TECHNIQUE: Single AP view radiograph of the chest from ___. COMPARISON: ___. | Clear lungs without evidence of aspiration. Slightly high-riding endotracheal tube may be advanced by 2-3 cm for more effective ventilation. |
13847394 | PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There is no pneumopericardium. Air is noted in the esophagus. | 58396801 | HISTORY: Shortness of breath and cough after EGD COMPARISON: None | No acute cardiopulmonary process. Air is noted in the esophagus. |
13616286 | The lungs are clear. There is no effusion nor pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. | 57046463 | INDICATION: ___M with no significant PMH p/w left-sided CP // ? acute cardiopulm process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13616286 | The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. | 51990735 | CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with left chest pain. | No acute cardiopulmonary process. |
13616286 | Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. | 50835608 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13616286 | Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture. | 53022096 | INDICATION: ___M with chest pain // ? ptx COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest. | No acute cardiopulmonary process. |
13948622 | The lungs demonstrate mild interstitial abnormality, best seen on the lateral view. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are unremarkable. The pulmonary vasculature appears normal. | 57079543 | CLINICAL INFORMATION: ___-year-old male with dyspnea. COMPARISON: None. | Mild interstitial abnormality, which in a young patient may be seen in asthma or history of heavy smoking. |
13063876 | Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality is identified. | 52503157 | INDICATION: Cough, fever. Please evaluate for pneumonia. COMPARISON: No prior studies available for comparison. | No acute intrathoracic process. |
13914440 | Heart size is borderline or slightly enlarged. Of note, there is a hazy somewhat triangular opacity centered in the anterior segment of the right upper lobe, abutting the minor fissure which appears very slightly retracted. Otherwise, no focal opacity and no frank consolidation identified. This opacity partially obscures the right hilum, but otherwise, the hilar contours are grossly unremarkable. There is upper zone redistribution, without overt CHF. No effusion. No pneumothorax detected. Mild right convex curvature of the thoracic spine and background degenerative changes noted. | 55939414 | WET READ: ___ ___ ___ 9:23 AM Right upper lobe opacity worrisome for atelectasis and less likely pneumonia. Followup chest radiograph in 6 weeks is recommended for resolution. WET READ VERSION #1 ___ ___ ___ 6:42 AM Normal chest radiograph. No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph frontal lateral views. INDICATION: Cough tachycardia. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___. | Right upper lobe opacity suggestive of atelectasis. Early pneumonia is a less likely consideration but cannot be entirely excluded. Resultant partial obscuration of the right hilum noted. If clinically indicated, followup imaging to assess for evolution is recommended. In addition, followup chest radiograph in 6 weeks is recommended for resolution. |
13842877 | 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. | 54569002 | WET READ: ___ ___ ___ 6:31 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with recurrent pleuritic chest pain and SOB. // Any evidence of consolidation or cardiac process? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13727871 | Position of the patient's arms obscures the lungs on the lateral radiograph. Left chest wall pacemaker has 2 leads terminating in the right atrium and right ventricle unchanged since the study earlier this morning. There has been interval redistribution of layering right pleural effusion. There is no evidence of pneumothorax. Mild cardiomegaly is unchanged. The aortic knob is calcified. | 56366100 | INDICATION: ___ year old man s/p pacemaker // confirm lead placement TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___ through ___. | Redistribution of small right pleural effusion. Left chest wall pacemaker leads are in stable position in the right atrium and right ventricle. |
13727871 | Mild cardiomegaly is slightly increased compared to the prior exam from ___. The hilar and mediastinal contours are normal. There may be a small right pleural effusion, with mild bibasilar atelectasis. No definite focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax. | 57375594 | INDICATION: History of amyloidosis, chest pain. Please evaluate. COMPARISONS: Chest radiograph from ___. | New small right pleural effusion. Mild cardiomegaly, slightly increased compared to the prior exam from ___. |
13727871 | Single AP view of the chest was obtained. There lung volumes are low. Allowing for this, no focal consolidation, pleural effusion or pneumothorax is detected Linear opacities in the right base are likely atelectasis. The heart appears mildly enlarged and the aorta is unfolded and calcified. Note is made of slight elevation of the left hemidiaphragm, but the imaged upper abdomen is otherwise unremarkable. | 59211705 | INDICATION: ___-year-old male with chest pain. Evaluate for infiltrate. COMPARISONS: None. | Low lung volumes and basilar atelectasis. Probable mild cardiomegaly. |
13487173 | 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. Several remote appearing left-sided rib deformities suggest prior fractures. | 58167286 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13895517 | As compared to chest radiograph from same day, substantial improved aeration of the left lung post bronchoscopy. Persistent retrocardiac opacity likely reflects ongoing left lower lobe atelectasis. No pulmonary edema. Likely small left effusion. No pneumothorax. | 59177094 | INDICATION: ___ year old woman with hypoxia, left hemithorax opacification now s/p bronch // Post-bronchoscopy TECHNIQUE: Portable | Substantial improved aeration of the left lung with persistent left lower lobe atelectasis. |
13895517 | An endotracheal tube terminates 1.9 cm from the carina with distension of the mid trachea suggesting mild hyperinflation of endotracheal tube balloon. An enteric tube courses below the diaphragm outside of the field of view. A coronary stent projects heart. Mild central pulmonary vascular congestion is associated with mild interstitial pulmonary edema. Left retrocardiac opacification likely represents a combination of effusion and compressive atelectasis. A faint nodular opacity in the left upper lung adjacent to a rounded structure external to the patient is likely due to overlapping densities of the ribs at this level. Attention on followup is recommended. There is no pneumothorax. The osseous structures and upper abdomen are unremarkable. Dense calcification of the aortic arch is noted. | 55833438 | WET READ: ___ ___ 12:10 AM 1. Retrocardiac opacification is likely a combination of pleural effusion and compressive atelectasis. Superimposed consolidation is possible in the proper clinical setting. 2. Endotracheal tube terminates 1.9 cm the carina with apparent mild overinflation of the endotracheal balloon. 3. Mild central pulmonary vascular congestion mild associated interstitial edema. 4. Apparent fullness of the left hilum may be related to volume loss due to effusion and atelectasis. WET READ VERSION #1 ___ ___ ___ 11:32 PM 1. Retrocardiac opacification is likely a combination of pleural effusion and compressive atelectasis. Superimposed consolidation is possible in the proper clinical setting. 2. Endotracheal tube terminates 1.9 cm the carina with apparent mild overinflation of the endotracheal balloon. 3. Mild central pulmonary vascular congestion mild associated interstitial edema. 4. Apparent fullness of the left hilum may be related to volume loss due to effusion and atelectasis. 5. A faint right upper lung opacity could be further evaluated by CT, if clinically indicated. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with bradycardia, hypotsnsion, evaluate for acute process. TECHNIQUE: Single portable supine view radiograph of the chest. COMPARISON: None. | Retrocardiac opacification is likely a combination of pleural effusion and compressive atelectasis. Superimposed consolidation is possible in the proper clinical setting. Endotracheal tube terminates 1.9 cm the carina with apparent mild overinflation of the endotracheal balloon. Mild central pulmonary vascular congestion mild associated interstitial edema. |
13815859 | The heart size is normal. The mediastinal and hilar contours are unchanged, with slight unfolding of the thoracic aorta. The pulmonary vascularity is normal and the lungs are clear. Blunting of the posterior costophrenic sulcus on the right may suggest the presence of a trace right pleural effusion. There is no pneumothorax. Multilevel degenerative changes are noted in the thoracic spine. | 55799247 | HISTORY: Fracture of the wrist, preoperative evaluation. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Blunted right posterior costophrenic angle likely indicative of a small pleural effusion. Otherwise no acute cardiopulmonary abnormality. |
13092089 | The heart is mildly enlarged. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. Fissures are thickened which suggests mild vascular congestion although there is no evidence for parenchymal edema of any substantial degree. There is no pleural effusion or pneumothorax. | 50655324 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | Findings suggests mild vascular congestion. |
13836824 | No previous studies for comparison. The heart size is within normal limits. There are no signs for focal consolidation or pleural effusions. There is some calcification in thoracic aorta. There are several healed rib fractures along the right side. Degenerative changes of the AC joint are seen. | 52507351 | STUDY: AP CHEST, ___. CLINICAL HISTORY: ___-year-old woman with epigastric pain and cough for one week. | No signs for acute cardiopulmonary process. Several old right-sided rib fractures. |
13836824 | Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Compression deformities in the lower thoracic spine similar to prior CT and old right rib fractures are noted. No acute osseous abnormality detected. | 52236567 | HISTORY: ___-year-old female with cough and right upper quadrant pain. COMPARISON: Chest x-ray from ___. CT abdomen pelvis from ___. | No acute cardiopulmonary process. |
13964931 | Portable supine AP view of the chest. Biapical scarring is again seen. There is no visualized pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced rib fractures identified. Known left rib fracture is not identified. | 58444690 | HISTORY: ___-year-old female with nausea, vomiting and diarrhea. New rib fracture on CT. Question other fracture. COMPARISON: Chest x-ray from ___. | No definite acute cardiopulmonary process. Known left rib fracture not clearly seen on this exam. |
13964931 | The inspiratory lung volumes are low. There is increased opacification at the lung bases, left greater than the right. The costophrenic angles are blunted, compatible with small pleural effusions, greater on the left. There is mild pulmonary edema. The cardiac silhouette is incompletely evaluated. The mediastinal contours appear prominent, which is related in part to technique. Within the right upper abdomen, a percutaneous nephrostomy tube is noted. | 51085156 | INDICATION: History of pyelonephritis and renal obstruction status post nephrostomy, now with leukocytosis and cough, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Portable upright AP radiograph of the chest. | New small bilateral pleural effusions and mild pulmonary edema is compatible with fluid overload. Bibasilar opacities, greater on the left , most likely reflect atelectasis. |
13964931 | The cardiomediastinal silhouette and hilar contour is stable and unremarkable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony abnormality is identified. | 55196227 | HISTORY: Right upper quadrant pain vomiting and fever. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Multiple chest radiographs dating back to ___, CT chest ___. | No acute intrathoracic process. |
13964931 | PA and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion or pneumothorax. Since the prior study, there has been resolution of previously noted pulmonary edema. A nephrostomy catheter projects over the right mid abdomen. Cardiomediastinal silhouette appears grossly within normal limits. No displaced rib fracture is seen. The thoracic spine appears to align normally. | 50751504 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with a prior study from ___. CLINICAL HISTORY: Status post fall, assess pneumonia. | No acute traumatic injury is seen. |
13964931 | Right apical scarring is unchanged since ___. Blunting of the left costophrenic angle is likely due to atelectasis versus scarring. The lungs are otherwise clear. Cardiac silhouette is mildly enlarged. No acute osseous abnormalities. | 52106175 | INDICATION: ___F with ams, cough // eval for pna TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. ___. | No acute cardiopulmonary process. |
13964931 | Single frontal view of the chest was obtained. Heart size and cardiomediastinal contours are normal. Abnormalities at the apices have been evaluated with recent CT exam. Indistinct bilateral cardiopulmonary angles are compatible with small effusions. No focal consolidation or pneumothorax. | 52205519 | INDICATION: ___-year-old female with shortness of breath and new onset renal failure. Evaluate for infiltrate. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | Small bilateral pleural effusions. |
13964931 | Frontal and lateral views of the chest were obtained. Subtle nodular opacities at the right lung apex, projecting under the clavicle are grossly stable since ___. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. | 54544913 | EXAM: Chest AP and lateral views. CLINICAL INFORMATION: ___-year-old female with history of presyncope. COMPARISON: ___. | No significant interval change. |
13306576 | No focal consolidation to suggest pneumonia is seen. No pleural effusion, pneumothorax, or pulmonary edema is present. There is likely some atelectasis at the left base. The cardiomediastinal silhouette is within normal limits. | 53701617 | INDICATION: Fever. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: Multiple prior examinations, most recent dated ___. | No evidence of acute cardiopulmonary process. |
13306576 | Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Subtle opacity projecting over the anterior left rib likely relates to prominence of that rib and is stable since the prior, no underlying consolidation was seen on CT from ___. Degenerative changes are seen along the spine including anterior osteophytosis. | 57308767 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Manic episode, needs medical clearance. COMPARISON: ___. | No acute cardiopulmonary process. |
13306576 | Lung volumes are low and there is again mild relative elevation of the left hemidiaphragm, somewhat increased. The right costophrenic angle is difficult to assess and a small pleural effusion is difficult to exclude. Increased opacity is present at the left lung base although probably compatible with atelectasis. | 52468186 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Altered mental status. COMPARISON: ___. TECHNIQUE: Chest, portable AP semi supine. | Increased left basilar opacity, probably attributed to that volume loss and atelectasis. Pneumonia is not entirely excluded, however. If potential infection remains a clinical concern, short-term follow-up radiographs may be helpful. |
13306576 | Since the prior radiograph on ___, the right central line has been removed. Otherwise no other significant interval changes. There is mild interstitial pulmonary edema. No evidence of pneumonia, substantial pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. Degenerative changes are noted in the thoracic spine. | 56504678 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with somnolence, hypoxia // eval for infiltrates, pulm edema TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___ | Stable appearance of mild interstitial pulmonary edema. No evidence of pneumonia. |
13306576 | 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. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the thoracic spine. | 51592768 | CHEST RADIOGRAPHS HISTORY: Fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13306576 | Compared to the examination from approximately 6 hr prior, there has been interval placement of a right internal jugular approach central venous catheter terminating at the approximate level of the cavoatrial junction. No associated pneumothorax. Otherwise no relevant change. | 52303408 | EXAMINATION: Chest radiograph INDICATION: Hypotension. Status post right internal jugular central venous catheter placement. TECHNIQUE: Single portable frontal view of the chest. COMPARISON: ___ 20:48 | Interval placement of RIJ line in satisfacotry position. No pneumothorax. Scattered opacities suggestive of atelectasis in setting of low volumes. |
13472341 | Portable chest radiograph demonstrates well expanded lungs with previously identified linear retrocardiac opacity unchanged and likely atelectasis. No new focal consolidation. No pneumothorax or pleural effusion identified. Redemonstration of mildly dilated or torturous ascending aorta with unchanged mildly enlarged heart. | 50578748 | WET READ: ___ ___ ___ 8:31 PM No pulmonary edema. Stable retrocardiac opacity. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with shortness of breath status post contrast administration during MRCP suggestive of anaphylaxis. COMPARISON: Chest radiograph dated ___, approximately 2 hours prior to current radiograph. | Unchanged linear retrocardiac opacity likely minimal atelectasis. No new focal consolidation. Stable mild cardiomegaly. |
13472341 | Frontal and lateral chest radiographs demonstrate well expanded lungs. Previously identified linear retrocardiac opacity unchanged, likely minimal atelectasis. Mildly dilated or tortuous descending aorta. Pulmonary vasculature otherwise unremarkable. Minimal right pleural effusion best seen on lateral view. Mildly enlarged heart stable since prior examinations. No pneumothorax. | 59383786 | WET READ: ___ ___ ___ 8:15 PM Retrocardiac opacity is unchanged and could represent infection or atelectasis. Mild cardiomegaly. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with productive cough. COMPARISON: Chest radiograph dated ___. | Unchanged linear retrocardiac opacity, likely minimal atelectasis. Stable mild cardiomegaly. |
13472341 | Single AP portable chest radiograph demonstrates an enlarged heart. Low lung volumes result in bronchovascular crowding. No large pleural effusion or pneumothorax is seen. There is no overt pulmonary edema. No acute osseous abnormality is seen. | 53356704 | INDICATION: ___F with pulseless leg COMPARISON: Radiograph dated ___. | No acute abnormality. Stable cardiomegaly without overt pulmonary edema. |
13472341 | There is mild cardiomegaly. There is mild tortuosity of the aorta, otherwise the hilar and mediastinal contours are normal. Linear retrocardiac opacity may be atelectasis. Lungs are otherwise clear. Blunting of the lateral left costophrenic angle may be due to fat pad. Posterior costophrenic angles are relatively sharp, perhaps minimal blunting on the right. There is no evidence of a pneumothorax. Note is made of left breast implant. The visualized osseous structures are unremarkable. | 56840808 | HISTORY: History of mild hemoptysis, recent admission for CHF. Please evaluate for infiltrate. COMPARISON: None. TECHNIQUE: Frontal and lateral radiographs of the chest. | Mild cardiomegaly. Linear retrocardiac opacity, potentially atelectasis although infection is not entirely excluded. |
13894174 | There has been interval resolution of the right middle lobe pneumonia. No new focal consolidations are identified. There is no pleural effusion or pneumothorax. The heart size is normal. The hilar and mediastinal contours are normal. The visualized osseous structures are unremarkable. | 50706563 | INDICATION: ___-year-old female with a history of right middle lobe pneumonia, presents for evaluation. COMPARISON: Chest radiographs from ___, ___. TECHNIQUE: PA and lateral radiographs of the chest. | Interval resolution of the right middle lobe pneumonia. |
13894174 | Frontal and lateral views of the chest were obtained. Increased opacity in the right middle lobe is a pneumonia. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. | 50703031 | HISTORY: Cough, fever, and leukocytosis. COMPARISON: ___. | Right middle lobe pneumonia. |
13255997 | The lungs are clear without focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Right lateral rib fractures appear old. | 57458670 | INDICATION: ___M with AMS and cough // eval for pneumonia TECHNIQUE: AP and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13105851 | No focal consolidation is present. The cardiac silhouette is slightly enlarged which may be due to AP technique. There are tiny bilateral pleural effusions versus pleural thickening. No pneumothorax. No consolidation seen. | 51412081 | INDICATION: ___-year-old man with shortness of breath. Evaluate for CHF. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | No acute cardiopulmonary process seen. Tiny bilateral pleural effusions versus pleural thickening. |
13983067 | Redemonstrated is a right-sided PICC line with the tip terminating at the cavoatrial junction. Multiple bilateral parenchymal opacities are noted, some of which demonstrate areas of central lucency and are compatible with the patient's known multifocal septic pulmonary emboli. More confluent consolidation in the right lung base has partially improved, and a right pleural effusion has decreased in size. The cardiomediastinal silhouette is unchanged. | 55391045 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with new fever // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently dated ___. CT chest dated ___. | Persistent septic emboli. Associated improving pneumonia and pleural effusion in right lower lung |
13983067 | In comparison to the most recent prior radiograph, there appears to have been interval improvement in the multifocal opacities scattered throughout the lungs. The most prominent one remains in the left upper lobe. A PICC line is in appropriate positioning. No large pleural effusions. The endotracheal tube has been removed. | 59813951 | EXAMINATION: Technique: Portable view of the chest INDICATION: ___ year old woman with MRSA/GNR PNA. // ? change in infiltrate //___ year old woman with MRSA/GNR PNA. TECHNIQUE: AP VIEW OF THE CHEST COMPARISON: Multiple CTs and chest radiographs dating back to ___ | Interval improvement in multi focal consolidations. |
13983067 | An ET tube terminates in the lower trachea. A nasogastric tube terminates in the stomach. A small layering right pleural effusion is unchanged. Bilateral rounded airspace opacities corresponding to septic emboli are unchanged. Bilateral hilar lymphadenopathy is also unchanged. The heart and mediastinum are within normal limits despite the projection. | 58434441 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with MRSA bacteremia/PNA // Progression of PNA? TECHNIQUE: Portable AP radiograph of the chest COMPARISON: ___. | No significant interval change in evolving septic emboli and bilateral hilar lymphadenopathy. |
13983067 | AP view of of the chest provided. Compared to prior study from 1 day ago, there is new left upper lobe opacity. There are also new vague rounded opacities bilaterally. Fullness of the hilar structures is again seen. Cardiac silhouette is normal. There are no pleural effusions. | 52794119 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with bacteremia, now fever and SOB, evaluate for pneumonia COMPARISON: Chest radiograph from ___. | Enlarged hilum and progression of multifocal opacities, chest CT is recommended for further evaluation. |
13119914 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. | 53336345 | INDICATION: ___-year-old female with substernal chest pain and numbness. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. |
13764116 | The newly placed Dobbhoff tube ends in the upper stomach. There has been interval removal of an enteric catheter. A left pacemaker is redemonstrated, with right atrial and right ventricular leads, unchanged. The lungs remain clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 56563211 | INDICATION: Eating disorder, now with new Dobbhoff tube. COMPARISON: Chest radiograph from ___. | Dobbhoff tube ends in the upper stomach. No acute cardiac or pulmonary process. |
13764116 | PA and lateral views of the chest were obtained demonstrating clear lungs. Lung volumes are somewhat low. No pneumothorax or pleural effusion seen. Cardiomediastinal silhouette is normal. No definite displaced rib fractures are seen. | 53873054 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a chest CTA from ___. CLINICAL HISTORY: Status post assault with right shoulder pain. | No acute traumatic injury seen. |
13295809 | Lung volumes are low, resulting in bronchovascular crowding. Cardiomediastinal and hilar contours are unchanged. There is blunting of the left costophrenic angle. No pneumothorax. | 52550946 | WET READ: ___ ___ ___ 4:23 PM Blunting of the left costophrenic angle is worrisome for developing pulmonary infarct and pleural effusion given extensive pulmonary emboli. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ ___ 1:46 PM Blunting of the left costophrenic angle as worrisome for developing pulmonary infarct and pleural effusion given extensive pulmonary emboli. WET READ VERSION #2 ___ ___ 2:37 PM Blunting of the left costophrenic angle as worrisome for developing pulmonary infarct and pleural effusion given extensive pulmonary emboli. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with active cancer on CTX, new PE, worsening chest pain/dyspnea // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ and ___, and reference CTA of the chest dated ___. | Blunting of the left costophrenic angle is worrisome for developing pulmonary infarct and pleural effusion given extensive pulmonary emboli. |
13123020 | As compared to ___, pulmonary edema has improved which is now mild. Bibasilar opacities, right greater than left have marginally worsened. Moderate bilateral pleural effusion are again demonstrated. Moderate cardiomegaly. | 59991901 | INDICATION: ___ year old man with prostate cancer and sudden drop in oxygen // ?pneumonia ?mucus plugging | Improved pulmonary edema. Worsening bibasilar opacities, likely a combination of atelectasis and effusions. |
13112490 | Single portable view of the chest demonstrates increased vascular shadowing and with thickened septal lines. The cardiac silhouette is enlarged. Comparisons to prior is difficult given differences in technique, however, it is enlarged. The size is greater compared to ___. No pleural effusion or pneumothorax is seen. | 50110050 | INDICATION: Shortness of breath, evaluate for infiltrate. COMPARISON: ___. | Mild pulmonary edema. Enlarged cardiac silhouette. |
13026431 | The lungs are well inflated. No chf or infiltrate detected. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 53575238 | INDICATION: Chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph. | Chest radiographic examination within normal limits. |
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