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13230656
Dual lead left-sided pacer device is stable in position. Right perihilar opacity, seen to project over the superior segment of the right lower lobe on the lateral view, most consistent with pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
55624115
WET READ: ___ ___ ___ 4:02 PM Pneumonia in the superior segment of the right lower lobe. Recommend followup to resolution. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and cough // eval pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Pneumonia in the superior segment of the right lower lobe. Recommend followup to resolution.
13230656
Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. A right-sided PICC line ends in the mid SVC. A dual lead pacemaker is present with leads in unchanged position.
53136610
INDICATION: History: ___M with fever // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___..
No acute cardiopulmonary process. Right-sided PICC line ends in the mid SVC.
13230656
A Swan-Ganz catheter is seen with its tip ending in the right ventricle, out of position. Heart size and mediastinum are unchanged. Bibasilar opacities and bilateral pleural effusions are very minimally improved from prior study. There is no evidence of pneumothorax.
50146634
HISTORY: Evaluate Swan-Ganz catheter position. TECHNIQUE: Frontal view of the chest. COMPARISON: Multiple chest radiographs most recent on ___ at 11:04
Swan-Ganz catheter is seen with its tip ending in the right ventricle, of position. Otherwise no significant change from the prior study.
13230656
Compared to most recent prior exam, there has been no detected interval change. Bibasilar opacities, left greater than right, are seen. There is likely a small left pleural effusion. No pneumothorax is detected. Heart size is difficult to evaluate in the setting of bibasilar opacities, but appears top normal to mildly enlarged. There is no mediastinal widening. No pulmonary vascular congestion or interstitial edema is detected.
52264943
HISTORY: ___-year-old male with hypoxia. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. COMPARISON: ___.
Bibasilar opacities, left greater than right, for which differential diagnosis includes infection, aspiration, and atelectasis. Small left pleural effusion. Discussed with ___ by ___ by phone at 2:31 a.m. on ___.
13230656
A PICC line appears to have been retracted somewhat and now makes a single loop projecting over the medial lung apex before terminating in the right brachiocephalic vein, probably shortly below the confluence of the right internal jugular and subclavian veins. A dual-lead pacemaker/ICD device appears unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. The cardiac, mediastinal and hilar contours appear stable. Bony structures are unremarkable.
56837702
CHEST RADIOGRAPHS HISTORY: Chills and rigors. PICC line in place. COMPARISONS: ___ and scout view for more recent chest CT performed on ___. TECHNIQUE: Chest, AP and lateral.
Mild retraction of PICC line, which now makes a loop and terminates in the right brachiocephalic vein. No evidence of acute cardiopulmonary process.
13532699
AP upright and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart is normal in size. The mediastinal contour and hilar configuration is normal. Bony structures are intact. No free air below the right hemidiaphragm.
50254715
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: ___-year-old female with crackles on the right side of chest, assess for pneumonia.
No acute intrathoracic process, specifically no signs of pneumonia.
13994610
Lung volumes are decreased. There are diffuse bilateral interstitial opacities which appear more conspicuous than in the previous exam, possibly due to interstitial pulmonary edema. Regions of patchy opacities of both mid lungs are also more pronounced owing to the increased interstitial conspicuity. No new focal opacities are identified. There may be a small left-sided pleural effusion. Perihilar indistinctness is also more pronounced than in the previous exam. Cardiac size is not significantly changed. Bilateral optic of calcified plaques are redemonstrated. There is no pneumothorax. There is a large hiatal hernia. Dense material in the lower thoracic spine is again seen, sequela of prior vertebroplasty.
58195750
WET READ: ___ ___ ___ 3:28 PM 1. On the background of chronic pulmonary interstitial disease there is interstitial pulmonary edema and hilar indistinctness compatible with mild heart failure. There is no focal pulmonary opacity concerning for pneumonia. 2. Large hiatal hernia. 3. Sequela of prior or vertebroplasty is reidentified. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: . TECHNIQUE: PA and lateral chest radigraphs COMPARISON: Chest radiograph from ___.
On the background of chronic pulmonary interstitial disease there are increased imterstitial opacites possibly due to mild heart failure. There is no focal pulmonary opacity concerning for pneumonia. Large hiatal hernia. Sequela of prior or vertebroplasty is reidentified.
13994610
Frontal and lateral views of the chest. Again seen are multifocal regions of scarring which are most notable in the mid upper lungs and retrocardiac region. There is no definite new consolidation or effusion. Mild cardiomegaly is again noted. Multifocal vertebroplasties again noted.
55761307
HISTORY: ___-year-old female with dyspnea. COMPARISON: ___.
Chronic fibrotic changes in the lungs without definite superimposed acute process noting that assessment for a subtle change is limited.
13781328
Frontal and lateral views of the chest were obtained. The lungs are slightly hyperexpanded. There is no focal consolidation or pneumothorax. Blunting of the left costophrenic sulcus may represent a tiny effusion. There is no right effusion. Heart size is upper limits of normal. Mediastinal silhouette is normal. Healed right posterior seventh and eighth rib fractures are seen. A fracture of the lateral third rib is noted without callus formation, of unknown chronicity.
56259057
INDICATION: ___-year-old woman with recent syncope with injury from fall and crackles on exam. Evaluate for pneumonia, CHF or rib fracture. COMPARISON: CT T-spine ___.
No pneumonia or edema. Minimally displaced fracture of the right third rib of unknown chronicity. Correlate with physical exam. Findings discussed with Dr. ___ by phone at 4:20pm ___.
13556235
The cardiomediastinal silhouette is within normal limits. The hila are unremarkable. Increased opacity at the right lung base likely reflects superimposed/overlying soft tissue. There is no focal lung consolidation. There is likely minimal bibasilar atelectasis. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture.
56422963
INDICATION: ___-year-old man with COPD s/p recent fall with leg laceration going to the operating room, evaluate for pneumonia or pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No acute cardiopulmonary process. No displaced rib fracture. Note, chest radiography is not sensitive for the detection of subtle or nondisplaced rib fractures.
13591121
The lungs remain hyperinflated. There is increased opacity projecting over the right mid to lower lung which may be due to infection or aspiration. Subtle lateral left base opacity may be due to atelectasis or additional site of infection. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is mildly enlarged. Mediastinal contours unremarkable. There is central pulmonary vascular engorgement.
55568815
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath // ?pneumonia TECHNIQUE: AP upright portable view of the chest COMPARISON: ___
Central pulmonary vascular engorgement and mild cardiomegaly. Increased opacity projecting over the right mid to lower lung is concerning for pneumonia and/or aspiration
13645029
Lungs are well expanded and clear. There is a large hiatal hernia but cardiomediastinal and hilar contours are unremarkable otherwise. There is no pleural effusion or pneumothorax. Pacemaker in the left hemithorax with a single lead ending in the right ventricle.
53751140
INDICATION: ___-year-old female with a fatigue and chest pain. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___ to ___. TECHNIQUE: PA and lateral chest radiograph.
No evidence of acute cardiopulmonary process.
13046589
The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Incidentally noted is an azygos fissure. No acute osseous abnormalities.
59433278
INDICATION: ___F with inability to ambulate and right ankle TTP // eval for fracture/dislocation TECHNIQUE: Single AP view of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13046589
In comparison to prior radiograph and CT, there is no relevant change. The lungs are clear but hyperinflated. Cardiomediastinal silhouette and hilar contours are unremarkable. Multiple wedge-shaped compression deformities of the thoracic spine are unchanged.
53148496
HISTORY: ___-year-old woman with fever and increased sputum production, question pneumonia. COMPARISON: ___ CT. TECHNIQUE: PA and lateral views of the chest.
Hyperinflation without evidence of pneumonia.
13046589
The lungs are hyperinflated with reduced lung markings and flattening of the hemidiaphragms consistent with severe COPD. Focal pleural thickening at the periphery of the right upper lung was not seen on prior chest CT or chest radiograph and is concerning for infection versus malignancy. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
52474458
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with severe COPD, new cough for the past month // eval for infiltrate TECHNIQUE: PA and lateral chest radiograph COMPARISON: ___ ___
Focal pleural thickening at the periphery of the right upper lung may represent infection, including tuberculosis, or malignancy. Recommend chest CT for further evaluation.
13046589
The lungs are hyperinflated. The heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unchanged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. There are multiple wedge compression deformities of the thoracic spine, unchanged compared to the prior exam.
55163061
HISTORY: Wheezing, fall, altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality. COPD.
13046589
The lungs are well expanded and clear. An accessory azygos fissure is incidentally noted. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Compression deformities of multiple mid thoracic vertebrae is incidentally noted and stable from ___.
59049558
EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with dyspnea. TECHNIQUE: AP and lateral chest radiographs COMPARISON: ___
No evidence of acute cardiopulmonary process. Compression deformities of multiple mid thoracic vertebrae is incidentally noted and stable from ___.
13046589
Right apical lung nodule is partially obscured by adjacent treatment related perilesional hemorrhage, stable. No pneumothorax. More prominent opacity right mid lung, may represent treatment related change or some fluid layering along minor fissure. Decreased left basilar atelectasis. . Surgical clip right lung apex. .
54290597
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with RUL speculated mass who is now s/p RFA by IR today. Post-procedure CXR. // PTX? TECHNIQUE: Chest single view COMPARISON: ___ 13:59
Post treatment change right upper lung, similar. No pneumothorax. More prominent small opacity right mid lung.
13270755
Compared to prior, there has been interval improvement of the appearance of the lungs. Prior effusions and bibasilar opacities have resolved. The lungs are now essentially clear without consolidation or effusion. There is no edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
53112451
INDICATION: ___F with fatigue, fevers // evaluate for pneumonia TECHNIQUE: Single AP portable view of the chest COMPARISON: ___.
No acute cardiopulmonary process.
13270755
Since the chest radiograph obtained ___, there has been interval development of faint, hazy opacities within the left lower lobe. The right lung is fully expanded and clear. Cardiomediastinal hilar silhouettes are normal. Heart size is normal. Pleural surfaces are normal.
53427695
EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with crackles at right base // ? rll pna TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___
Hazy opacities in the left lower lobe are concerning for new left lower lobe pneumonia.
13270755
There has been interval resolution of a left lower lobe pneumonia. Previously seen opacity in the right lung is not seen on the current chest x-ray. Previously seen opacity at the right lung base is no longer seen on the current study. Previously seen opacity at the level of the left fifth anterior rib persists. Repeat chest x-ray is recommended in 2 months for evaluation. If the opacity still persists, then CT is recommended for further characterization. The lungs are borderline hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
51206900
EXAMINATION: Chest PA and lateral INDICATION: ___ year old woman f/u pna // f/u pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest PA and lateral ___
Interval resolution of the left lower lobe pneumonia. Previously seen opacity at the level of the right fifth anterior rib is no longer seen on the current study. Previously seen opacity at the level of the left fifth anterior rib persists. Repeat chest x-ray is recommended in 2 months for evaluation. If the opacity still persists, then CT is recommended for further characterization.
13270755
Subtle opacities in the left midlung are more obscure. Bilateral small pleural effusions are new and there are increased bibasilar opacities, which may represent aspiration or pneumonia. The cardiomediastinal silhouette is unremarkable.
54613420
EXAMINATION: Chest radiograph. INDICATION: ___ year old woman with o2 sat to ___ known pneumonia // please eval for pulm process TECHNIQUE: Single AP view. COMPARISON: Chest radiograph ___
New bibasilar opacities may represent aspiration or pneumonia. Small pleural effusions bilaterally are new.
13270755
Frontal and lateral chest radiographs demonstrate hyperinflated clear lungs. There are no focal consolidations, pleural effusions, or pneumothoraces identified. The cardiomediastinal and hilar contours are unremarkable.
55923017
HISTORY: ___-year-old female with question of pneumonia. COMPARISON: Chest radiograph dated ___.
No evidence of pneumonia.
13270755
PA and lateral chest radiographs again demonstrate hyperinflated lungs. However, there is no focal consolidation, pleural effusion, or pneumothorax. Minimal peribronchial cuffing is not significantly changed from priors. The cardiomediastinal silhouette is normal.
58193804
INDICATION: History of a Mycobacterium abscessus, on bronchoscopy many years ago. Patient has also been on Enbrel for rheumatoid arthritis. Evaluation for evidence of interstitial lung disease or bronchiectasis. COMPARISON: ___, ___, ___. CT chest, ___.
No evidence of interstitial fibrosis.
13270755
Since ___, the previously seen opacity at the level of the left fifth anterior rib persists. Furthermore, a second opacity is seen at the level of the left fourth anterior rib. Multiple peripheral ill defined possible nodules are noted in the right lung, of unclear etiology. The lungs are again borderline hyperinflated. The heart size is normal. No pleural effusion, pneumothorax, or pulmonary edema.
54011483
EXAMINATION: chest radiograph INDICATION: ___ year old woman with pna f/u // ? pna resolution TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___
Persistence of previously seen opacity at the level of the ___ anterior rib. New opacity seen at the level of the left ___ anterior rib Multiple peripheral ill-defined possible nodules in the right lung.
13270755
Since ___, a left lower lobe opacity has partially cleared. Poorly defined subcentimeter nodular opacities are also demonstrated at approximately the level of the fifth anterior rib bilaterally, possibly due to nipple shadows but not definitively localized. Exam is otherwise remarkable for a focal area of peripheral scarring at the right base and relatively symmetrical mild biapical pleural and parenchymal scarring. Heart size is normal, and there is no evidence of mediastinal or hilar lymphadenopathy. There is no pleural effusion.
58831056
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman f/u pna // ? pna resolution COMPARISON: ___ and ___
Partial clearing of left lower lobe opacities likely due to resolving pneumonia. Poorly defined nodular opacities potentially represent nipple shadows.
13438225
Cardiomediastinal and hilar contours are unremarkable. There is no chf, pleural effusion or pneumothorax. Minimal atelectasis at both bases is again noted. No focal conslidation is identified.
59119109
INDICATION: Altered mental status. Evaluate for infectious process. COMPARISON: Chest radiograph on ___ and ___. TECHNIQUE: PA and lateral chest radiograph.
Minimal bibasilar atelectasis. No acute pulmonayr process identified.
13438225
Frontal and lateral views of the chest were obtained. Minimal basilar atelectasis is again noted. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
53582479
EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Hyperglycemic, cough. COMPARISON: ___.
No acute cardiopulmonary process.
13438225
Lung volumes are low with bibasilar atelectasis, right greater than left. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
54760411
HISTORY: ___-year-old female with concern for pneumonia. COMPARISON: None available TECHNIQUE: Frontal and lateral chest radiographs were obtained.
Low lung volumes without radiographic evidence for acute cardiopulmonary process.
13438225
Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
52489914
EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with altered mental status, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.
No evidence of pneumonia.
13128114
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.
52293780
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with seizure // infiltrate COMPARISON: None
No acute intrathoracic process.
13210276
Heart size is top normal. Mediastinal contours are stable. Lungs are clear without focal consolidation, pleural, or pneumothorax.
57782650
INDICATION: History: ___F with imtermittent chest pressure x 1.5 month // any acute pulm process/signs of PE COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest.
No acute cardiopulmonary process.
13452052
Lung volumes are low. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is mildly indistinct in comparison to the most recent exam, which may be suggestive of developing edema. Bibasilar opacities are noted, most consistent with atelectasis. No definite large pneumothorax or pleural effusion is present.
51952816
EXAMINATION: Chest (AP portable) INDICATION: ___ year old man with decompensated cirrhosis, encephalopathy, ___ // Please eval for PNA TECHNIQUE: Single portable AP view of the chest was obtained. COMPARISON: ___, ___
No definite consolidation identified. Findings suggestive of mild edema.
13452052
The left costophrenic angle is excluded from the study. Interval development of a large right pleural effusion with adjacent atelectasis. Left-sided pleural effusion is small, also with adjacent atelectasis. Pulmonary vascular congestion is accompanied by asymmetrical right perihilar haziness. Heart is top-normal in size. No pneumothorax.
57275561
WET READ: ___ ___ ___ 5:28 AM 1. Large right and small left pleural effusions with adjacent atelectasis. 2. Right perihilar opacity may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with AMS, known cirrhosis. // pneumonia? TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiographs dated ___ through ___.
Large right and small left pleural effusions with adjacent atelectasis. Right perihilar opacity may represent asymmetrical edema, although aspiration and developing infectious pneumonia are additional considerations. Standard PA and lateral chest radiographs would be helpful for complete assessment of this finding when the patient's condition allows.
13452052
Lung volumes remain low. Normal heart size, mediastinal and hilar contours. Linear opacity in the left lower lung likely reflects atelectasis. No large pleural effusion or pneumothorax. The TIPS stent is in unchanged position in the right upper quadrant
54058627
INDICATION: History: ___M with ascites, sepsis // eval ? lung infx, effusions, atelectesis TECHNIQUE: Portable frontal radiograph of the chest COMPARISON: ___.
Low lung volumes with linear left lower lobe atelectasis.
13452052
AP portable semi upright view of the chest. Lung volumes are low with overlying EKG leads present somewhat limiting underlying assessment. There is left lower lung streaky opacity as on prior which is most compatible with atelectasis. No large effusion or pneumothorax is seen. No convincing signs of edema. Cardiomediastinal silhouette is stable. Bony structures are intact. A TIPS stent projects over the right upper quadrant.
54867923
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with ams // eval for pna COMPARISON: Prior chest radiograph performed earlier today at an outside hospital as well as a prior from ___.
Left basal atelectasis. No convincing evidence for pneumonia.
13452052
No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
59121790
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with tachycardia hypoxia cirrohosis decrease breath sounds tips procedure // eval for pnaeval for portal venous thrombosis RUQ ultrasound TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
13452052
Lung volumes are slightly low. There is no focal airspace opacity to suggest pneumonia. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body unchanged from prior.
53600808
WET READ: ___ ___ 1:03 PM No acute cardiopulmonary abnormality. Slightly low lung volumes. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ through ___.
No acute cardiopulmonary abnormality. Slightly low lung volumes.
13452052
Lung volumes are low as they had been on prior, however there is a new left basilar opacity. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
57856224
WET READ: ___ ___ 10:14 PM While atelectasis may explain left basilar opacity in the setting of low lung volumes, similarly decreased lung volumes were present on prior. Therefore, this new opacity may represent superimposed infection. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with weakness and backpain // r/o infectious process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.
While atelectasis may explain left basilar opacity in the setting of low lung volumes, similarly decreased lung volumes were present on prior. Therefore, this new opacity may represent superimposed infection.
13452052
The lung volumes are low. The mediastinal and hilar contours appear unchanged, allowing for differences in technique. There is no pleural effusion or pneumothorax. The lungs appear clear aside from streaky basilar atelectasis. On limited views, noting that this is not a complete rib series, and that lung volumes are low with soft tissue structures obscuring lower ribs, there is no definite evidence for rib fracture.
52011939
CHEST RADIOGRAPHS HISTORY: Rib pain after fall; history of cirrhosis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence for injury or acute disease.
13078949
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.
59557892
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with productive cough and subjective fever for the past 4 days. COMPARISON: ___
No acute intrathoracic process.
13078949
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.
56063007
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with URI/productive cough and subjective fever x 14 days. // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
13962952
PA and lateral views of the chest demonstrate relatively low lung volumes with minimal bibasilar atelectasis. There is no pleural effusion, pulmonary edema, pneumothorax or focal opacification within the lungs. The cardiac size is mildly enlarged. Aortic knob calcifications are present as well as multilevel degenerative changes in the mid thoracic spine.
58363006
HISTORY: Exertional chest pain. COMPARISON: None available.
No acute cardiopulmonary process.
13797527
Patient is status post mitral valve repair. There is moderate cardiomegaly which stable. The right lung bases of located secondary to moderate right pleural effusion with right lower lobe atelectasis. There is a small left pleural effusion. There is no pneumothorax, pulmonary edema, or focal consolidation.
50788424
EXAMINATION: Chest x-ray AP and lateral INDICATION: ___ year old woman POD3 MVR // effusion/atelectasis TECHNIQUE: Chest AP and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ with most recent of ___
Moderate right pleural effusion and severe right basilar atelectasis, increased since ___. Mild left pleural effusion unchanged. Minimal left pleural effusion and right moderate pleural effusion with right lower lobe atelectasis Stable large postoperative cardiomediastinal silhouette. No pulmonary edema. No pneumothorax.
13797527
AP portable upright view of the chest. Cardiomegaly is mild with mild to moderate pulmonary edema evidenced by interstitial and pulmonary hilar congestion. No large effusion or pneumothorax is present. No convincing signs of pneumonia. Mediastinal contour appears grossly unremarkable. Bony structures are intact.
50725904
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chest pain // ?PNA, ptx COMPARISON: None
Mild cardiomegaly with mild-to-moderate pulmonary edema.
13797527
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Gaseous distention of the stomach is incidentally noted.
59931129
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // eval for pneumothorax TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process. No evidence of pneumothorax.
13797527
AP portable upright view of the chest. There is interval development of mild pulmonary interstitial edema. The heart remains moderately enlarged. No large effusion or pneumothorax.
55032188
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with AFIb RVR, acute onset dyspnea, crackles and wheezes // assess for interval change COMPARISON: Prior exam from earlier today
Interval development of pulmonary interstitial edema.
13047911
The lungs are clear where not obscured by overlying cardiac leads. The right costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are again noted in the spine. Deformity of the left scapula suggests prior fracture.
50729708
INDICATION: ___M with shorts of breath // Acute cardiopulmonary disease TECHNIQUE: Single portable view of the chest. COMPARISON: Chest x-ray from ___.
No acute cardiopulmonary process.
13977965
The lungs are low in volume, complicating evaluation. Within these limitations, there is mild linear atelectasis in both lungs. The cardiomediastinal silhouette and hilar contours are normal. No definite pleural effusion or pneumothorax is present. Bilateral humeral prostheses are noted.
58480219
INDICATION: ___-year-old female with hypoxia. Rule out infiltrate. COMPARISON: Multiple chest radiographs, the latest from ___. ONE VIEW OF THE
Low lung volumes with mild linear atelectasis bilaterally.
13166187
Single portable view of the chest demonstrates a nasogastric tube coursing through the esophagus, below the diaphragm, with tip terminating in the fundus of the stomach. The cardiomediastinal silhouette demonstrates a tortuous aorta, but is otherwise unremarkable. The lung volumes are relatively low, but demonstrate no focal opacity, pleural effusion, or pulmonary edema. No pneumothorax is present. Cholecystectomy clips are seen projecting over the right upper quadrant.
52460600
HISTORY: ___-year-old male with severe abdominal pain, history of colon cancer. Evaluation for nasogastric tube placement. COMPARISON: The study is read in conjunction with CT of the abdomen and pelvis, obtained two hours after this radiograph.
NG tube in appropriate position, with tip terminating in the fundus of the stomach. No acute cardiopulmonary process. No evidence of subdiaphragmatic free air.
13038914
Small right pneumothorax is appreciated, on the lateral view in at the base of the right lung on the frontal view. Rib fracture seen on the CT of the torso is not well appreciated by radiography. No pleural effusion. Cardiomediastinal silhouette is normal.
55739596
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with right pneumothorax after traumatic rib fracture. TECHNIQUE: Chest PA and lateral COMPARISON: ___
Small right-sided pneumothorax, best appreciated on the lateral view and at the right lung base.
13352086
The lungs are relatively hyperinflated. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
58795278
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with syncope // eval pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No acute cardiopulmonary process.
13529237
Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
53176672
HISTORY: Acute onset chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13507926
Feeding tube is seen coiled in the stomach. Cardiomediastinal silhouette is unchanged and unremarkable. Biapical pleural thickening is seen unchanged since ___. No pleural effusion or pneumothorax is seen. The lungs are clear bilaterally.
51793468
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NG tube in, unable to verify placement by auscultation // verify NG tube placement verify NG tube placement TECHNIQUE: PA and lateral chest views COMPARISON: ___
Feeding tube is seen coiled in the stomach.
13507926
Two frontal images of the chest demonstrate a Dobbhoff tube with the tip in the stomach. The lungs are well expanded and are clear, although the apices are not included on this image. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
55665993
INDICATION: ___-year-old female with eating disorders, now requiring assessment of NG tube placement. COMPARISON: Comparison is made with chest radiographs from ___.
Dobbhoff tube in appropriate position within the stomach, otherwise unremarkable chest radiograph.
13507926
Frontal portable AP upright chest radiograph obtained. Tip of the Dobbhoff tube resides in the distal esophagus. Advancement is needed for more optimal positioning. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
52497555
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old woman with anorexia nervosa, with Dobbhoff tube placement.
Suboptimal position of Dobbhoff tube with tip in the distal esophagus. Advancement is recommended.
13507926
A weighted feeding tube consistent with a Dobbhoff tube is seen terminating in the left upper quadrant, in the expected location of the stomach. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
57494714
HISTORY: New Dobbhoff placement. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___.
Dobbhoff tube teriminates in the left upper quadrant, in the expected location of the stomach.
13507926
A Dobbhoff tube is seen with tip in the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen although the right costophrenic angle is excluded from the field of view. No free air is seen under the diaphragms.
52531952
HISTORY: Dobbhoff placement. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.
Dobbhoff tube terminates within the stomach.
13855022
The lungs are clear without focal consolidation, effusion, or edema. Elevated right hemidiaphragm is noted, unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, upper to mid thoracic vertebral body height loss was better seen on prior exam.
52584372
INDICATION: ___F with weakness, SOB RUQ pain // Infectious, PE or other acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13855022
Compared to the prior study, the right IJ central line is been removed. No pneumothorax is detected. Extrinsic materials overlie the right the soft tissues of the right upper chest. There is background hyperinflation. The cardiomediastinal silhouette is probably unchanged allowing for differences in positioning. The azygos vein appears less engorged. There has been considerable interval improvement in the left lower lobe collapse and/or consolidation, though residual opacity and a possible small left effusion remain present. The right pleural effusion is also probably improved, with some residual atelectasis at the right base. There is upper zone redistribution and minimal vascular plethora, without overt CHF. Incidental note made of calcified granuloma at the right base medially. Note is made of subtle slight difference in the degree of density of the hemithoraces, more lucent on the left, new, but of uncertain significance. This may be related to some subtle layering pleural fluid on the right, particularly if the patient's position was recently changed. Skin ___ seen in the upper abdomen. Tubing overlies the right upper quadrant.
55495273
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ? pleural effusion visible on CT AP done today // please evaluate for ? pleural effusion COMPARISON: Chest x-ray from ___ at 17:59
Right IJ catheter removed. No pneumothorax detected. Considerable interval improvement in left base opacity. Small bilateral effusions and some bibasilar atelectasis remain present. Mild vascular plethora, but no overt CHF. Relative hyperlucency of the left lung, of uncertain significance - -possibly related to a small amount of layering fluid on the right. Attention to this area on followup films is requested.
13855022
No focal consolidation is seen. Posterior right lower lobe calcified granuloma is re- demonstrated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right upper quadrant surgical clips are noted.
54656762
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
13855022
Cardiac size is normal. ET tube is in standard position. Right IJ catheter tip is in the mid SVC. There is no pneumothorax. NG tube tip is out of view below the diaphragm. There is no pulmonary edema. Opacities in the left base are a combination of atelectasis and small effusion. The upper lungs are clear. Right lower lobe atelectasis is minimally improved. Catheters and a skin ___ project in the upper abdomen
59094282
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman intubated // Please evaluate TECHNIQUE: Single frontal view of the chest COMPARISON: ___
ET tube is in standard position. Retrocardiac atelectasis
13855022
There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
57090289
EXAMINATION: CHEST (PA AND LAT) INDICATION: Shortness of breath and chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process.
13855022
A new right pectoral Port-A-Cath tip terminates in the right atrium. Scattered nodular densities seen throughout both lungs are more apparent compared with the prior chest radiograph of ___, characterized by CT of ___ as metastatic disease. Hyperinflation suggests underlying COPD. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
56809391
WET READ: ___ ___ 2:35 AM 1. No evidence of acute cardiopulmonary process. 2. Pulmonary metastases are more apparent compared with ___. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cancer on chemo, here with here, evaluate for consolidation. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___ and prior chest CT dated ___.
No evidence of acute cardiopulmonary process. Pulmonary metastases are more apparent compared with ___.
13975133
Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A right chest Port-A-Cath terminates at the mid SVC. Stents projecting over the liver are seen.
50881284
INDICATION: ___F with weakness, vomiting, evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___
No evidence of acute cardiopulmonary process.
13819234
Single-view of the chest provided demonstrates a dual lead pacer in unchanged position with lead tips extending into the right atrium and right ventricle. There is left basilar opacity, new from prior exam likely representing a combination of consolidation and effusion. There is dense pleural calcification outlining the right mid and lower lung. Right apical pleural thickening is again noted. Heart size is difficult to assess.
56810861
HISTORY: the ___-year-old female with weakness and hypoxia, assess for pneumonia or fluid overload. TECHNIQUE: Portable AP upright chest radiograph obtained. COMPARISON: Torso CT ___. PROCEDURE:
New opacity at the left lung base which could represent a combination of effusion and consolidation.
13819234
Since the prior CT scan dated ___, there is increased consolidation at the left lung base associated with pleural effusion. Left basilar consolidation may reflect atelectasis and or pneumonia. Extensive pleural calcifications noted on the right which is unchanged as is the right apical scarring and pleural thickening. The heart remains mildly enlarged with pacer leads extending into the expected location of the right atrium and right ventricle. There is no pneumothorax.
51618848
HISTORY: ___-year-old female with hypoxia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior study from earlier today as well as a chest CT ___. PROCEDURE:
Increasing consolidation and effusion at the left lung base which may represent atelectasis and or pneumonia. Otherwise, no significant change.
13749827
The ___ CT showed a fracture of the posteromedial left sixth rib. On the current chest x-ray, this is very subtly visible as minimal cortical offset. No significant displacement is detected on the available views. There is increased retrocardiac opacity consistent with left lower lobe collapse and/or consolidation and a small left effusion. There is subsegmental atelectasis at the right lung base. No CHF. No obvious pneumothorax. Compared with ___ at 11:19, I doubt overt interval change. No new infiltrate identified.
55838783
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p moped accident, bilateral SAH, 6th rib fx, L orbital fx. // Evaluate L 6th rib fx, eval for PNA TECHNIQUE: Chest, two views including lateral. COMPARISON: Chest x-ray from ___ at 11:19. Targeted view of chest CT from ___.
Increased retrocardiac opacity, similar to ___. Differential diagnosis includes atelectasis and/or a pneumonic infiltrate. Small left pleural effusion is similar to the prior study. Probable atelectasis at the right base, not significantly changed. As seen on the current study, the posterior medial sixth rib fracture appears only very minimally displaced, in keeping with findings on the ___ CT scan.
13314213
Cardiac silhouette size is normal. The aortic knob is mildly calcified. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Minimal atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
53890718
INDICATION: Fevers, pneumonia. COMPARISON: None. PA AND LATERAL VIEWS OF THE
Mild left basilar atelectasis.
13846210
ET tube ends 2.5 cm above the carina. Right subclavian line is in mid SVC. Bibasilar opacities are new, consistent with aspiration. There is no pulmonary edema. Cardiac contour is top normal. There is no pleural effusion or pneumothorax.
52033099
PORTABLE AP CHEST X-RAY INDICATION: Patient with ANCA vasculitis, stroke, brain swelling, midline shift herniation ET tube positioning. COMPARISON: Chest x-ray of ___.
Tubes and lines are in adequate position. Bibasilar opacities are new consistent with aspiration. This was discussed with the medical team.
13846210
Limited information obtained from this portable exam demonstrates no change from prior radiograph. There is no change in cardiac enlargement with left ventricular prominence. No focal consolidation, effusion or pneumothorax is present.
52178080
HISTORY: Leukocytosis, evaluate for intrathoracic process. COMPARISON: ___.
No change from ___ with no evidence of pneumonia.
13846210
AP frontal and lateral radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomegally is mild. There are no abnormal cardiac and mediastinal contours. A pen external to the patient projects over the left axilla.
59352552
INDICATION: Dizziness and weakness. COMPARISON: ___.
No acute cardiopulmonary process.
13846210
Lung volumes are low, but the lungs are clear. Mediastinal and cardiac contours are top normal. There is no pneumothorax or pleural effusion.
58512735
PORTABLE AP CHEST X-RAY INDICATION: Vasculitis, stroke. Rule out pneumonia. COMPARISON: ___.
There is no evidence of pneumonia.
13194758
Lungs are clear. Cardiac silhouette is normal. Hilar contours are unremarkable. No pleural effusion, pneumothorax or pulmonary edema.
55096781
HISTORY: ___-year-old female with cough. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.
No evidence of acute cardiopulmonary process.
13614300
The lungs are grossly clear. There is no effusion, consolidation, or edema. Cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again seen. No acute osseous abnormalities. Sclerosis of the visualized osseous structures, for example involving the right scapula and proximal humerus are compatible with metastatic disease.
56044751
INDICATION: ___F with fall on Coumadin. Confused // ?fracture or bleed TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest CT from ___. Chest x-ray from ___.
No acute cardiopulmonary process.
13294014
The aorta is calcified and unfolded. Prominence of the ascending aorta is seen and underlying aortic aneurysm is not excluded. Findings could be further assessed chest CT. No priors available for comparison. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged.
54817918
WET READ: ___ ___ 6:05 PM No focal consolidation or evidence of large pleural effusion. Prominence of the ascending aorta, ascending aortic dilatation/ aneurysm not excluded and could be further evaluated for on chest CT. No priors available for comparison. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fatigue // pna? TECHNIQUE: Single frontal view of the chest COMPARISON: None
No focal consolidation or evidence of large pleural effusion. Prominence of the ascending aorta, ascending aortic dilatation/ aneurysm not excluded and could be further evaluated for on chest CT. No priors available for comparison.
13577485
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.
56995421
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with 2 days left sided chest pain associated with shortness of breath, non-radiating TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
13837222
The heart is borderline in size. The aorta is mildly tortuous. There is no pneumomediastinum. There is no pleural effusion or pneumothorax. The chest is hyperinflated. A focal area of opacification is noted in the right upper lobe as well as streaky retrocardiac opacification and vague opacity effacing the right lateral costophrenic angle. Air beneath the right hemidiaphragm is consistent with intraluminal air in colon interposed immediately below the diaphragm.
56275891
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dysphasia. TECHNIQUE: Chest, PA and lateral. COMPARISON: None.
No evidence of pneumomediastinum. Right upper lobe opacity; differential considerations pneumonia in the appropriate setting or perhaps a more chronic opacity. Correlation with prior radiographs is recommended in follow-up, if available, or alternatively follow-up radiographs within three months to reassess.
13708965
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is subtle thickening of the pleural fat at the left lower lateral hemi thorax. The cardiac and mediastinal silhouettes are unremarkable.
54723364
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o cough and CP // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
13708965
There is mild left base atelectasis. No focal consolidation, pleural effusion, lowercase evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are also stable.
58741727
HISTORY: Left-sided flank pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13139976
Heart size mildly unchanged. The aorta appears mildly tortuous but unchanged. The hila bilaterally appear prominent which may reflect enlarged pulmonary arteries. Lungs are hyperinflated with suggestion of emphysematous changes in the apices. Mild pulmonary vascular congestion is present without overt pulmonary edema. Small bilateral pleural effusions are noted. More focal ill-defined opacity is seen within the left mid lung field. No acute osseous abnormalities detected.
58409137
WET READ: ___ ___ ___ 4:55 PM Ill-defined focal opacity in the left mid lung field. This may reflect an area of infection, however followup radiographs are needed to ensure resolution of this finding after treatment as neoplasm cannot be excluded. Small bilateral pleural effusions and mild pulmonary vascular congestion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Ill-defined focal opacity in the left mid lung field. This may reflect an area of infection, however followup radiographs are needed to ensure resolution of this finding after treatment as neoplasm cannot be excluded. Small bilateral pleural effusions and mild pulmonary vascular congestion.
13228528
PA and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
55260704
HISTORY: Pleuritic chest pain. COMPARISON: None.
No acute cardiopulmonary process.
13060714
PA and lateral views of the chest demonstrate clear lungs. Cardiac apex is unremarkable. No pleural effusion or pneumothorax. Surgical clips in the left axilla are present.
57370420
HISTORY: ___-year-old man with chest pain. COMPARISON: ___.
No evidence of acute cardiopulmonary process.
13151400
The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are grossly clear aside from a nodular opacity in the left midlung. This may represent a vessel, though nodular opacity is not excluded. There is no pleural effusion or pneumothorax. No subdiaphragmatic air is identified.
57906330
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with epigastric pain, n/v // Rule out free air TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Possible left mid lung nodule. Consider obliques views versus nonemergent chest CT to further assess. Otherwise no acute abnormality.
13177223
The lungs are mildly hyperinflated, with biapical hyperlucency, increase in anteroposterior diameter, and widening of the retrosternal clear space. Cardiomediastinal and hilar contours are normal. No focal consolidation is present. There are no pleural effusions, pneumothorax, or pneumomediastinum.
56478460
INDICATION: ___-year-old female with syncope and cough. COMPARISON: Chest radiograph from ___ and CTA chest from ___.
No acute cardiopulmonary process.
13660682
The heart is normal in size. There is evidence of tortuosity of the thoracic aorta. The mediastinal and hilar contours are unremarkable. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. There is evidence of osteophytes throughout the mid thoracic spine, likely secondary to degenerative changes. Otherwise, the visualized osseous structures are unremarkable.
52688331
INDICATION: ___-year-old male with a history of left hip fracture who presents for evaluation of leukocytosis. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph.
No evidence of acute cardiopulmonary abnormalities to explain the patient's leukocytosis.
13649937
Increasing left hemithorax opacity with linear areas of lucency which may represent air bronchograms. This finding is consistent with edema or developing consolidation. There are persistent low lung volumes. Aorta is diffusely tortuous and calcified. Pacer device with leads terminating within the right atrium, right ventricle of an enlarged heart is unchanged in position. Endotracheal tube is seen terminating 1.3 cm from the carina. NG tube is seen entering the stomach and out of view of the radiograph. Internal jugular catheter is seen in appropriate position within the low SVC.
58340193
INDICATION: ___-year-old female status post intubation. COMPARISON: Portable AP chest radiograph ___. TECHNIQUE: Portable semi-upright AP chest radiograph.
1) Increasing left-sided opacity which may represent increase in edema or developing consolidation. 2) Endotracheal tube is seen 1.3 cm from carina; it is recommended that tube be withdrawn so that it terminates between 3 and 7 cm from the carina. These findings were reported to Dr. ___ by ___ at 11:40 a.m.
13300779
PA and lateral chest radiographs. There is subsegmental atelectasis in the left lung base. Eventration of the right hemidiaphragm is noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
54512807
INDICATION: Chest pain, shortness of breath. COMPARISON: None.
No acute cardiopulmonary process.
13930488
PA and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Nodular opacity projecting over the anterior left 5th rib is thought to represent a nipple shadow. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
53027734
HISTORY: ___-year-old male with 3-week history of cough and colon hinged. History of pulmonary nodules and smoking history. COMPARISON: Chest x-ray ___. Chest CT from ___.
No acute cardiopulmonary process.
13446607
Multifocal lymphadenopathy is again demonstrated, most marked in the right peritracheal, left supraclavicular, and aorticopulmonary window nodal stations. Apparent slight improvement compared to ___. Heart size is normal. The lungs and pleural surfaces are clear.
53946178
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with CLL now with dyspnea on exertion // rule out pneumonia COMPARISON: Chest radiographs ___. Chest CT ___
No evidence of pneumonia. Multifocal lymphadenopathy, consistent with history of CLL, with apparent decrease in extent since recent radiograph.
13446607
PA and lateral views of the chest provided. A lateral projection a small nodular opacity projects over a lower thoracic vertebral body, possibly a calcified granuloma or bone island. Otherwise the lungs appear clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm.
58809113
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever and chest pain // r/o infiltrate, effusion COMPARISON: None.
No pneumonia. Bone island versus calcified granuloma projecting over the lower lungs.
13695905
Frontal and lateral views of the chest were obtained. The Pleurx catheter projects over the right hemithorax, unchanged in position. A small right apical pneumothorax is noted. Small bilateral pleural effusions are slightly decreased on the right and similar on the left with adjacent atelectasis. No pneumothorax. The right upper lobe mass is again seen. Pulmonary vasculature is within normal limits. Cardiac and mediastinal silhouettes are stable.
56896053
HISTORY: Pleural effusion and small pneumothorax with Pleurx catheter in place. COMPARISON: Chest radiographs ___ through ___; PET-CT ___; CT chest ___ from ___.
Small right apical pneumothorax. Slight interval decrease in right pleural effusion. Unchanged small left pleural effusion with adjacent atelectasis.
13695905
The lungs are well expanded. The right upper lobe lesion is again seen, unchanged from prior exam. There is no new consolidation or mass. There is slight blunting of the right costophrenic angle and possibly an underlying trace pleural effusion. There is no pneumothorax. The chest tube is again seen in the ending in the medial mid lung, unchanged in position from prior exam. Cardiomediastinal silhouette is unremarkable.
57138304
HISTORY: Stage III non-small cell lung cancer with new drainage from thorax. COMPARISON: Comparison is made with chest radiographs from ___ and ___.
No acute cardiopulmonary process.
13695905
Right upper lobe lesion is seen again and unchanged. No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. Right chest tube ends in the medial mid lung, unchanged in position. No pneumothorax or pneumomediastinum is seen following procedure. Asymmetrical left lower basal opacity is seen.
58702031
WET READ: ___ ___ ___ 7:45 PM No significant pneumothorax or pneumomediastinum. Unchanged right upper lobe lesion. Stable right chest tube. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old woman status post mediastinoscopy, evaluate for postop change. TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___.
No pneumothorax or pneumomediastinum following procedure. Right chest tube ends at the medial mid right lung.
13695905
Frontal and lateral radiographs of the chest demonstrate well-expanded lungs. A chest tube projects over the right hemithorax. There is elevation of the right hemidiaphragm. There is minimal right-sided pleural effusion. The previously noted consolidation in the right upper lobe is slightly less dense as compared to the prior study. There is stable rightward mediastinal shift. The left lung is clear.
52440039
HISTORY: ___-year-old female with pleural effusion. COMPARISON: Multiple prior radiographs of the chest, most recently dated ___ as well as CT of the chest dated ___.
Minimal right-sided pleural effusion.
13695905
Heart size is normal. Prominence of the right hilus with a right juxta hilar mass appears similar to the prior exam. Small to moderate right-sided pleural effusion with loculation at the right apex appears unchanged. Left lung is grossly clear. No pneumothorax.
55020351
EXAMINATION: Chest radiograph INDICATION: History of lung cancer with fever and cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. CTA chest ___.
Similar appearance of the right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. Otherwise no evidence of pneumonia.
13695905
Single portable upright chest radiograph. There is a small right partially loculated pleural effusion with extension into the fissure. No pneumothorax identified. Unchanged small left pleural effusion identified. There is unchanged large right upper lobe opacification. Cardiomediastinal and hilar contours are unchanged.
59031078
INDICATION: Right upper lobe lung mass, now status post bronchoscopy with biopsy. Assess for pneumothorax. COMPARISON: Comparison is made to intraoperative fluoroscopic spot view obtained ___ as well as chest radiograph performed ___.
No pneumothorax. Small right partially loculated pleural effusion at the right apex. Small left pleural effusion.
13498162
___ device remains installed and is notable for under-inflation of the fundic balloon. There have been no significant changes in lung volumes bilaterally, though there has been a slight increase in right lower lobe atelectasis. Cardiomediastinal silhouette is unchanged and demonstrates cardiomegaly with no evidence of pneumomediastinum or pneumopericardium. Esophageal contour is expanded secondary to inflated ___ balloon but with no evidence of perforation. ET tube is seen terminating no less than 2 cm from the carina. A right IJ catheter sheath is seen terminating within the upper right atrium. No pneumothorax is observed.
54810651
INDICATION: ___-year-old male with variceal bleed. Previous study was concerning for free air or possible perforation. COMPARISON: Portable semi-upright AP chest radiograph, ___. TECHNIQUE: Portable semi-upright AP chest radiograph.
No evidence of pneumopericardium or pneumomediastinum. ___ device has under-inflated fundic balloon. These findings were reported to Dr. ___ at 11:29 a.m. via phone by ___.
13206237
The lungs are clear. There is no pneumonia. Mediastinal and cardiac contours are within normal limits. There is no pleural effusion or pneumothorax.
56641407
WET READ: ___ ___ ___ 7:47 PM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST X-RAY INDICATION: Patient with possible hepatic encephalopathy, rule out infection or pneumonia. COMPARISON: No prior chest x-ray. Abdominal CT of ___.
There is no pneumonia.
13206237
A portable view of the chest demonstrate a new Dobhoff ending in the mid stomach. The Swan-Ganz catheter has been removed. There is no significant change to a layering right pleural effusion. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
53106875
HISTORY: Placement of Dobhoff tube. COMPARISON: Chest radiographs from ___ through ___.
Dobhoff ends in the mid stomach. Otherwise, no significant interval change. Findings were discussed with Dr. ___ by Dr. ___ by telephone on ___ at 09:45AM, ___ min after findings were made.