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13206237 | Patient has been extubated and the enteric tube has been removed. A right internal jugular central venous catheter is unchanged in position with the Swan-___ catheter again seen extending beyond the desired margins of the mediastinum. There is decreased right apical capping, but persistent layering of a moderate right pleural effusion from ___. There is no definitive evidence of pneumothorax. Right basilar atelectasis is increased from ___. Retrocardiac opacification compatible with left lower lobe atelectasis is unchanged. The cardiac silhouette is normal in size. The mediastinal contours are within normal limits. | 56796203 | INDICATION: Post-op day #1 status post liver transplant, here to evaluate for interval change in pleural effusion. COMPARISON: ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest. | Swan-Ganz catheter still extends beyond the mediastinum. Layering moderate right pleural effusion and increased right basilar atelectasis. Persistent left lower lobe atelectasis. |
13206237 | The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Elevation of the right hemidiaphragm is unchanged. There is a small right pleural effusion, similar in size compared to the previous exam. Previously noted small left pleural effusion appears resolved. Minimal linear and streaky opacities in the lung bases likely reflect atelectasis. No focal consolidation or pneumothorax is demonstrated. There is no pulmonary edema. No acute osseous abnormalities are demonstrated. | 54416332 | HISTORY: Confusion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | Chronic elevation of the right hemidiaphragm and small right pleural effusion, unchanged compared to the previous exam. Previously noted small left pleural effusion has resolved. Mild bibasilar atelectasis. |
13771749 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is mild unfolding of the thoracic aorta. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Left hemidiaphragmatic elevation is stable. | 53128682 | INDICATION: ___-year-old male with chest pain and shortness of breath following fem-fem bypass one month ago. Question infection. COMPARISON: ___. | No acute cardiopulmonary process such as pneumonia. |
13771749 | 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. A metallic aortic stent is partially seen in the upper abdomen. Calcified nodular structures projecting over the left hemidiaphragm on the frontal projection likely correspond with calcified granulomas. | 50456510 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with AMS // r/o PNA COMPARISON: ___. | No acute intrathoracic process. |
13814246 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 58378079 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CT from ___. CLINICAL HISTORY: Cough and fever, assess pneumonia. | No acute findings in the chest. |
13380859 | There are low lung volumes, which crowd the bronchovascular markings. There is mild pulmonary edema. A left lower lobe opacity may represent pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. | 51660294 | WET READ: ___ ___ 7:59 AM Mild pulmonary edema. Left lower lobe opacity may represent pneumonia, repeat radiographs can be done after resolution of edema for further evaluation. WET READ VERSION #1 ___ ___ 7:14 AM Low lung volumes which crowding of bronchovascular markings. The left lower lobe opacity may represent pneumonia, however may also represent atelectasis given the low lung volumes. Repeat study with better inspiration can be done for further evaluation. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with AMS // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph on ___. | Mild pulmonary edema. Left lower lobe opacity may represent pneumonia, repeat radiographs can be done after resolution of edema for further evaluation. |
13087951 | Right internal jugular central venous catheter tip terminates in the low SVC. Heart size is moderately enlarged. The aorta is diffusely calcified and tortuous. Mild to moderate pulmonary edema is present. No large pleural effusion is present. There is minimal atelectasis in the lung bases. No pneumothorax is present. No acute osseous abnormalities demonstrated. | 50973118 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath, central internal jugular line in place TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: None. | Mild to moderate pulmonary edema and bibasilar atelectasis. Right internal jugular central venous catheter tip in the low SVC without pneumothorax. |
13971597 | Peripherally calcified lymph node is identified in the left anterior mediastinum. There is no consolidation, pneumothorax, or pleural effusion. Cardiac silhouette is mildly enlarged.Mediastinal and pulmonary vasculature are normal. | 51353972 | INDICATION: ___ year old man with COPD, cough // assess for mass TECHNIQUE: Chest PA and lateral COMPARISON: None | No radiographic evidence of a mass or other pleuropulmonary abnormality. Mild cardiomegaly with no ancillary findings of cardiac decompensation. |
13543584 | Evaluation is limited secondary to motion. The lungs are clear without focal consolidation, pleural effusion or pulmonary edema. The heart size is normal. An endotracheal tube terminates 7 cm above the carina. An enteric tube terminates in appropriate position. | 57719125 | INDICATION: ___-year-old female with endotracheal tube placement. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___, ___ and ___. | Endotracheal tube terminates 7 cm above the carina, should be advanced 2 cm. No acute cardiopulmonary process. |
13543584 | The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. No acute osseous abnormalities are seen. | 53184364 | HISTORY: Likely asthma exacerbation, unclear precipitating factor. Cough but no fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13543584 | The heart is size is top-normal. The hilar and mediastinal contours are within normal limits, unchanged since ___. There is no pneumothorax, focal consolidation, or pleural effusion. | 54379823 | INDICATION: Central chest pain. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal chest radiograph. | No acute intrathoracic process. |
13543584 | The lungs are relatively well expanded. The heart is top-normal in size. Mild indistinctness of the hilar vasculature suggests mild pulmonary congestion, without overt pulmonary edema. No consolidation worrisome for pneumonia is identified. There is no pneumothorax or pleural effusion. | 55313097 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with dyspnea // evaluation for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs: ___, ___, ___. | Mild pulmonary vascular congestion without overt edema. No evidence of pneumonia. |
13755101 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53917833 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // r/o PTX, infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13352405 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas. | 53273158 | TYPE OF EXAMINATION: CHEST PA AND LATERAL. INDICATION: ___-year-old male patient with empyema, status post right VATS, then thoracotomy decortication on ___. Right-sided empyema, tubes pulled back to ___ and 16 cm. Evaluate interval change. | Satisfactory findings on followup examinations. Minor change in chest tube positions as expected. |
13352405 | The left lung is well expanded and clear. The right lung shows a persistent right lower lobe opacity with an associated effusion, mildly progressed from the preceding radiograph. The cardiomediastinal silhouette, and hilar contours are normal. No pneumothorax is present. Old bilateral rib fractures are noted. | 55176260 | INDICATION: ___-year-old male with history of pleural effusion, evaluate for pleural effusion. COMPARISON: Chest radiograph from ___ and CT of the chest from ___. ONE VIEW OF THE | Right lower lobe opacity, possibly atelectasis, with associated moderate sized effusion. |
13352405 | PA and lateral chest views were obtained with patient in upright position. Comparison is performed with the next preceding similar study of ___. Heart size and mediastinal structures unchanged. On the right base, the previously described two pleural chest tubes remain in unaltered position. The degree of pleural densities blunting the lateral and posterior pleural sinus has regressed mildly. No new pulmonary abnormalities are present. No pneumothorax has developed. Left-sided hemithorax is unremarkable as before. | 55629622 | TYPE OF EXAMINATION: CHEST PA AND LATERAL. INDICATION: ___-year-old male patient with right-sided empyema, now status post three weeks of antibiotic treatment. Antibiotics now discontinued. Chest drain still in place. Evaluate for interval change. | Mild regression of pleural densities right base in a patient with known empyema, still with chest two draining and tubes. No pneumothorax. |
13352405 | There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion. A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis. The cardiac silhouette is normal in size. The mediastinal contours are normal. The known prominent subcarinal node is not well appreciated. | 54232840 | HISTORY: ___-year-old male status post pigtail placement, question pneumothorax. COMPARISON: CT performed ___, at 13:20 hours. | Interval right pleural pigtail catheter placement, which projects of the lower right chest, and protrudes not more than 2.5 cm into the chest. There has been interval decrease in size of a right pleural effusion, persistent right basilar atelectasis is seen. |
13352405 | Chronic left-sided rib fractures are again noted. The cardiomediastinal and hilar contours are unchanged from ___. Pleural thickening and blunting at the right costophrenic angle is again demonstrated, and is stable from the prior exam in ___ and likely represents pleural scarring and a small pleural effusion. No focal consolidation or pneumothorax is identified. | 53780576 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pain in chest few days ago // chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___ | Multiple chronic appearing left-sided rib fractures. No pneumothorax. Blunting of the costophrenic angle on the right likely represents pleural scarring and a small effusion, not significantly changed from ___. |
13352405 | The three chest tubes remain stable in position compared to the prior study. The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. Unchanged normal appearance of the cardiac silhouette and the left lung. No current evidence of pneumothorax. | 56801982 | CHEST X-RAY INDICATION: ___-year-old man status post right thoracotomy, decortication, now with chest tube x 3 to water seal. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Frontal and lateral radiographs. | Findings remain stable compared to the previous study with the exception of increased air with the soft tissues of the right lateral chest wall. |
13352405 | PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable AP single chest view of ___. Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. The second lower right chest tube remains in unchanged position. Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. No new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. The left-sided hemithorax remains unchanged with no new infiltrates. As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT. | 59589248 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient status post right VATS decortication, assess for interval change. | Stable appearance of right-sided postoperative small apical pneumothorax and pleural effusion. |
13352405 | Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. There is a small right pleural effusion with chronic elevation of the right hemidiaphragm, unchanged compared to the previous exam. Right basilar atelectasis is again demonstrated. No left-sided pleural effusion or pneumothorax is present. There are multiple old left-sided rib fractures. Multilevel degenerative changes are visualized in the thoracic spine. Chronic left AC joint dislocation is re- demonstrated. | 58706366 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Relatively unchanged exam with continued small right pleural effusion, chronic elevation of the right hemidiaphragm and right basilar atelectasis. |
13352405 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Moderate elevation of right-sided hemidiaphragm as before. Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema. The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place. The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study. There is no evidence of any new cavitation, loculated pneumothorax or other new parenchymal abnormalities. The left-sided hemithorax remains completely unchanged and within normal limits. | 51233388 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with right-sided empyema, now on antibiotic treatment for three weeks. Recently off antibiotics. Evaluate chest tubes and their position. | Mild regression of pleural thickenings, no new abnormalities, no pneumothorax. |
13260847 | PA and lateral views of the chest were provided. Lung volumes are low which limits the evaluation. There is mild elevation of the right hemidiaphragm. There is bibasilar atelectasis without definite signs of effusion, pneumothorax or edema. The heart size is difficult to assess. Mediastinal contour is normal. Bony structures appear intact. Thoracic spine appears to align normally. | 51061819 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Left back pain status post fall. | Bibasilar atelectasis. Otherwise, unremarkable. |
13526309 | There is an increasing pleural effusion on the right, now at least moderate size, and probably a trace one on the left side. Associated opacity can probably be explained by atelectasis in the right lower and middle lobes. Projecting over the right mid lung is a rounded mass-like opacity measuring about 4 cm in diameter, possibly an increasing metastatic nodule. Patchy opacity at the left lung base is probably due to minor atelectasis. Compression deformities along the lower thoracic and upper lumbar spines are probably unchanged allowing for differences in technique. Known metastases into the bones are not well demonstrated on this study. | 50888034 | CHEST RADIOGRAPHS HISTORY: Shortness of breath and decreased breath sounds at the left base. Question metastatic renal cell carcinoma. COMPARISONS: Recent chest CT and FDG PET imaging studies from ___ and ___, respectively. TECHNIQUE: Chest, PA and lateral. | Increasing right-sided pleural effusion. Right lung mass, probably increased substantially, although comparison of different modalities is not entirely reliable. CT may be helpful to evaluate further if needed clinically. |
13526309 | Portable upright chest radiograph demonstrates unchanged position of right Pleurx catheter with slight interval improvement in right pleural effusion. There is continued bibasilar atelectasis, worse at the right lung base. The lungs are otherwise clear, the heart size is stable, and the mediastinal contours are normal. | 56340236 | INDICATION: ___-year-old male with pleural effusion and Pleurx catheter. COMPARISON: ___. | Stable position of Pleurx catheter with minimal change in right pleural effusion. |
13526309 | Significant right middle lobe and right lower lobe collapse has slightly increased since the previous exam. There is probable small left pleural effusion. Left lower lobe mild atelectasis has slightly increased. There is no pulmonary edema. Prior sternotomy was done for CABG. There is no pneumothorax. Moderate mediastinal enlargement is stable. | 58072362 | PORTABLE AP CHEST X-RAY INDICATION: Patient with RLE pain, worsening pulmonary status, saturation ___%. COMPARISON: ___. | Significant right middle and right lower lobe collapse has slightly increased since previous exam. |
13526309 | The patient's condition required examination in sitting position using AP frontal and left lateral views. There is status post sternotomy and evidence of bypass surgery with multiple metallic surgical clips in the anterior left-sided mediastinum and ring-shaped graft markers at the anterior wall of the ascending aorta. Heart size cannot be assessed because of right-sided basal pulmonary densities concealing the cardiac contours. Marked cardiomegaly is unlikely. The pulmonary vasculature is not congested. There is mild blunting of the left lateral and posterior pleural sinus, indicating small amount of pleural effusions on that side. Lungs are clear in the left hemithorax. On the right lung base, a diffuse density is observed obscuring completely the contour of the right-sided hemidiaphragm. This finding is identified as lobe collapse and appears to be unchanged. Comparison with a frontal chest examination of ___, demonstrates the findings prior to the collapse and showed normal diaphragmatic contours and well ventilated right lower lobe and middle lobe structures with absence of any pleural effusion. Status post bypass surgery existed already at that time. | 55945134 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient status post exploratory laparotomy and right-sided colectomy. Several recent portable chest examinations demonstrated evidence of right lower lobe and middle lobe collapse. | Persistent right lung base findings consistent with right middle lobe and lower lobe collapse. Additional thickening of lateral pleural space on right side, indicative of additional pleural effusion. Cause of the collapse is not clear on the plain chest examinations. Unless airway exploration is performed to exclude central airway obstruction airway, a chest CT is recommended to diagnose the cause of the major lung collapse. |
13526309 | Right middle lobe and right lower lobe collapse has significantly improved since ___. However, right layering moderate pleural effusion has worsened since ___. The left lower lung is still collapsed. Pulmonary edema is mild. The patient had prior sternotomy. Moderate-to-severe cardiac enlargement is stable. There is no pneumothorax. | 57122233 | PORTABLE AP CHEST INDICATION: Patient with right middle lobe and right lower lobe collapse, improving O2 requirement, chest physiotherapy. COMPARISON: ___ at 4:40 a.m. | Right middle lobe and lower lobe collapse has significantly improved since ___. Worsening of moderate layering right pleural effusion. Unchanged mild pulmonary edema. |
13526309 | AP and lateral upright views of the chest were reviewed and compared to the prior studies. The patient is markedly rotated to the right which distorts the mediastinal and cardiac silhouettes that are likely unchanged. Accounting for patient rotation, the large right pleural effusion is relatively unchanged and the small left pleural effusion is slightly increased. A left PICC ends in the upper superior vena cava. Right middle lobe, right lower lobe collapse and left basilar atelectasis are relatively unchanged there is no vascular engorgement, pulmonary edema, or pneumothorax. Median sternotomy wire are intact and aligned. | 51117854 | HISTORY: Evaluation of pleural effusions in a patient status post below the knee amputation. COMPARISON: Multiple chest radiographs the most recent of ___, 9 hours prior. | Accounting for patient rotation, the large right pleural effusion is relatively unchanged in the small left pleural effusion has slightly increased. |
13526309 | There is a moderate right pleural effusion that is increased in size. There is associated right lower lobe volume loss. An underlying infectious infiltrate can't be excluded. There is small left pleural effusion with associated left lower lobe volume loss. There is pulmonary vascular redistribution and moderate cardiomegaly. Sternal wires are again visualized. | 56406916 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pleurx // effusion f/u TECHNIQUE: Portable chest COMPARISON: 517 | Increased fluid overload with increased right effusion. |
13526309 | No focal consolidation is seen on this limited portable AP view of the chest. No pleural effusion or pneumothorax is present. There is stable appearance of mild cardiomegaly. There is no evidence of pulmonary vascular congestion. Median sternotomy wires are unchanged from prior. | 50849697 | HISTORY: Rising white blood cell count, rule out pneumonia. COMPARISON: ___. | No evidence of pneumonia on this limited portable AP view; however, if clinical concern persists could consider a standard PA and lateral view if the patient is able to tolerate, as a retrocardiac opacity might not be appreciated on this view. |
13526309 | In comparison to the recent prior study, there is no significant interval change in the complete collapse of the right middle and lower lobes with hyperinflation of the right upper lobe. The left lung is unremarkable except for a small left basilar atelectasis. Small-to-moderate right and small left pleural effusion are unchanged. There is no evidence of pulmonary edema or consolidation. The cardiomediastinal silhouette is unchanged. | 52934588 | INDICATION: ___-year-old man status post exploratory and right colectomy, with recent chest x-ray demonstrating right middle lobe and lower lobe collapse, is here for followup evaluation. COMPARISON: Chest radiograph ___. | Persistent right middle and lower lobe collapse with a small-to-moderate right pleural effusion. Developing left pleural effusion. |
13723320 | There right upper lobe paramediastinal mass is again noted with subsequent volume loss in the right hemi thorax and superior elevation of right hilum. Thickening of the right paratracheal stripe is compatible with known adenopathy. There is no new consolidation nor effusion. Cardiac silhouette is within normal limits. No acute osseous abnormalities. | 54897014 | INDICATION: ___F with cough, eval pna // cough, eval pna TECHNIQUE: Single AP view of the chest. COMPARISON: Chest CT from ___. Chest x-ray from prior raise ___. | Known right upper lobe mass and mediastinal adenopathy without superimposed acute cardiopulmonary process. |
13723320 | PA and lateral views of the chest provided. Right upper lobe and right perihilar opacity is compatible with known malignancy. No evidence of pneumonia or CHF. No large effusion or pneumothorax. The heart size is within normal limits. Bony structures appear intact. | 59610243 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with SOB, lung cancer. COMPARISON: PET-CT from ___. Chest CT from ___. | Opacity in the right upper lobe and suprahilar region is consistent with known malignancy. No convincing sign of superimposed pneumonia. |
13723320 | Again seen is a right upper lobe mass, unchanged, and consistent with known lung carcinoma. A patchy opacity is seen on the lateral view, posteriorly, which is unchanged since recent examination, and in the appropriate clinical context, may represent pneumonia. No definite corresponding abnormalities are seen on the frontal radiograph. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite pleural effusion is identified. | 59438855 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cp // eval for chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Largely unchanged examination of the chest since ___ aside from resolution of pleural effusion. |
13723320 | PA and lateral chest radiograph demonstrates overall unchanged appearance of a right upper lobe paramediastinal mass with associated volume loss in the right lung consistent with known lung carcinoma. No developing opacity is identified worrisome for an infectious process. New relative to prior examination is a small right-sided pleural effusion. Cardiomediastinal contours are stable. There is no evidence of pulmonary edema. No pneumothorax. | 59168950 | INDICATION: History: ___F with stage IV NSCLC s/p chemo with N/V/decreased PO // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | New right small pleural effusion. Overall unchanged appearance of known right upper lobe paramediastinal mass with volume loss in the right hemi thorax. |
13723320 | The cardiomediastinal and hilar contours are normal. Small bilateral pleural effusions are apparent on the lateral view. There is no pneumothorax. The lungs are well-expanded. There is a new partly ill-defined density in the right upper lobe, concerning for pneumonia. This area appears confluent with the previously noted right upper lobe partly solid lesion, best assessed on the prior chest CT. A more subtle opacity along the right upper mediastinum is again noted, consistent with the patient's known malignancy. The upper abdomen is unremarkable. | 55965770 | INDICATION: History: ___F with fever cough // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. Chest CT ___. | New right upper lobe density concerning for pneumonia. Enlarging mass is in the differential diagnosis. Known right upper lobe masses consistent with malignancy are better assessed on the recent chest CT. |
13723320 | Compared with the prior chest radiograph, no new focal consolidation concerning for pneumonia is identified. An opacity in the right upper lung correlates with the known mass, as identified on the prior chest CT. No pneumothorax or pleural effusions identified. | 50079247 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and subjective fevers. History of lung adenoCA. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: CT chest of ___ and chest radiograph from ___. | No evidence of new focal consolidation, pleural effusion, or pneumothorax. Right upper lung opacity likely reflects the known right upper lobe paramediastinal mass, as described on the recent chest CT of ___. |
13723320 | AP upright and lateral views of the chest provided. There is the ill-defined opacity in the right upper lobe which is somewhat different appearance compared with prior chest radiograph suggesting resolution of previously noted right upper lobe pneumonia. There is apparent collapse of the posterior segment of the right upper lobe on the lateral projection. The left lung is clear. No effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact. | 55949263 | EXAMINATION: CHEST (AP upright AND LAT) INDICATION: History: ___F with stage IV lung adeno p/w cough, fatigue, fevers and SOB. // please assess for post-obstructive pna COMPARISON: Prior exam is dated ___. CT chest from ___. | Right upper lobe opacity, slightly different in appearance from prior radiograph of the chest with collapse of the posterior segment of the right upper lobe. Given patient's history of malignancy, a CT may be performed to further assess if needed. |
13220594 | Right-sided PICC has been removed. Lungs are clear. No pleural effusion or pneumothorax. Mild to moderate cardiomegaly. | 53096885 | INDICATION: ___ year old man with nhl // pre bmt eval TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13178765 | Support and monitoring equipment are unchanged in appearance when compared to the prior study. There are persistent bilateral extensive airspace opacities, likely reflecting pulmonary edema. This is similar in appearance when compared to the prior studies. Small left pleural effusion. Probable right-sided pleural effusion also. No pneumothorax seen. | 58557838 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w/flash pulm edema now intubated // interval changes, signs of consolidations/PNA TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Bilateral extensive airspace opacities likely reflect pulmonary edema, superimposed infection cannot be excluded. |
13178765 | The endotracheal tube terminates 1.4 cm above the level of the carina, approaching the orifice of the right mainstem bronchus, and the enteric tube terminates in the stomach. There is slight elevation of the left hemidiaphragm. Diffuse alveolar airspace opacities are noted, most pronounced in a perihilar pattern, right greater the left, concerning for severe pulmonary edema. There is a small left pleural effusion. The heart is mildly enlarged in size given the AP technique. Mediastinal contour is unremarkable. No pneumothorax is detected. Right costophrenic angle is excluded from the field of view. | 59491625 | INDICATION: ___-year-old male with respiratory distress and hypoxia. Evaluate for acute process. TECHNIQUE: Portable upright chest radiograph was obtained. COMPARISON: None available. | Severe pulmonary edema and small left pleural effusion. Low positioning of the endotracheal tube, terminating 1.4 cm above of the level of the carina and approaching the orifice of the right mainstem bronchus. Recommend pull back. The enteric tube terminates in the stomach. |
13178765 | Lung volumes remain low. Cardiac silhouette size remains mild to moderately enlarged. Aorta is unfolded. The mediastinal contours are similar. There is crowding of the bronchovascular markings with mild pulmonary vascular engorgement. Patchy atelectasis is seen in the lung bases without focal consolidation. There is likely a small left pleural effusion. No pneumothorax is present. There are mild degenerative changes demonstrated in the thoracic spine. | 50278661 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea, asymmetric lung sounds TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild pulmonary vascular congestion, probable trace left pleural effusion and bibasilar atelectasis. |
13178765 | There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, there appears to be minimal pulmonary vascular congestion. No focal consolidation is seen. Minimal blunting of the costophrenic angles is likely due to overlying soft tissue. No large pleural effusion is seen. The cardiac silhouette is top-normal to mildly enlarged. The mediastinal contours are unremarkable. | 50244182 | HISTORY: Unexplained leukocytosis with recent upper respiratory infection. TECHNIQUE: AP portable view of the chest. COMPARISON: ___. | Relatively low lung volumes with possible minimal pulmonary vascular congestion. |
13178765 | Given for differences in technique, Moderate pulmonary edema has not substantially changed. Small left pleural effusion is stable. Heart size top-normal. Right jugular line ends in the upper SVC. | 56744155 | INDICATION: ___M w/HF, pulm edema // Interval changes, possible effusions, pulm edema TECHNIQUE: Chest PA and lateral | No substantial interval change, moderate pulmonary edema and small left effusion |
13178765 | Single frontal radiograph of the chest demonstrates a moderately enlarged cardiac silhouette. Diffuse bilateral airspace opacities are noted most consistent with pulmonary edema. Likely small left pleural effusion. | 50656335 | HISTORY: Respiratory distress, question pneumonia. COMPARISON: ___. | Evidence of fluid overload with enlargement of the cardiac silhouette and moderate pulmonary edema. |
13309508 | New right IJ terminates at about the mid SVC. There is no evidence of pneumothorax. Loculated right pleural effusion along the mediastinum and right base are not significantly changed since the next most recent study. Diffuse infiltrating abnormality in the right lung is severe and unchanged. Pulmonary edema in the left lung is improved. There may be a small left pleural effusion. The heart is partially obscured on the right, but not grossly enlarged. | 56935877 | INDICATION: Right IJ placed. Evaluate new line placement. COMPARISON: CT chest ___. Chest radiograph ___ through ___. TECHNIQUE: Portable supine AP radiograph of the chest. | Right IJ terminates in the mid SVC. Grossly unchanged loculated right pleural effusion. Severe diffuse infiltrating abnormality in the right lung is unchanged. Pulmonary edema in the left lung is improved. |
13309508 | The patient is status post pleural biopsy and talc pleurodesis. There is increased pleural fluid on the right, which appears to layer along the chest wall. The right paramediastinal and parahilar soft tissue densities appear similar. The left lung is similar appearance to the prior exam. Lung volumes have decreased. | 55153209 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recurrent pleural effusion s/p VATS presenting with epistaxis and ? hemoptysis // evaluate for recurrent effusion TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent on ___ | Increased moderate right pleural effusion. Right paramediastinal and parahilar soft tissue densities appear similar |
13372542 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 52729424 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13749608 | PA and lateral views of the chest provided. Cardiomegaly is mild and unchanged. Tracheobronchial tree calcifications are noted. There are scattered airspace opacities left greater than right which is most concerning for atypical pneumonia. No large effusion is seen. No pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm. | 58545237 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with PMH afib, CHF presenting with SOB on exertion after recent hospitalization COMPARISON: Prior study from ___ | Bilateral opacities most concerning for atypical pneumonia. |
13057541 | Heart size is normal. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild to moderate degenerative changes noted in the thoracic spine. | 56730690 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13852678 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is not enlarged. The mediastinum is not widened. Subtle lucency in the mediastinum to the right of the trachea may be artifactual or could relate to gaseous distention of the upper thoracic esophagus. | 56954318 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Shortness of breath and sputum. COMPARISON: None. | No focal consolidation to suggest pneumonia. |
13035158 | Heart size and mediastinal contours are normal. Slight elevation of both pulmonary hila appear unchanged. Lungs are clear, and there is no pleural effusion or acute skeletal findings. | 51782464 | PA AND LATERAL CHEST ___: COMPARISON: Chest radiograph of ___. | Stable radiographic appearance of the chest, with no radiographic evidence of pneumonia. |
13260565 | Semi-upright portable radiograph of the chest demonstrates the relatively low lung volumes. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema, pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. Cervical fusion hardware is partially visualized. | 52952951 | HISTORY: ___-year-old male with tachycardia and tachypnea. Evaluation for pneumonia. COMPARISON: None available. | No acute cardiopulmonary process. |
13415429 | AP upright and lateral chest radiograph demonstrates low lung volumes. No focal opacity convincing for pneumonia is present. Relative to prior examination, the cardiomediastinal silhouette is stable. Heart is top normal in size. No overt pulmonary edema, pneumothorax, or large pleural effusion is present. A posterior fifth right rib deformity is noted, likely chronic fracture. No acute osseous abnormality is detected. | 54810773 | INDICATION: ___-year-old female with cough and weakness. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No evidence of acute cardiopulmonary abnormalities. |
13364281 | The new right IJ central venous catheter tip projects in the region of the cavoatrial junction. Mild cardiomegaly is unchanged. Interstitial pulmonary edema has worsened since ___. New left basilar opacification is likely a combination of atelectasis and effusion. No pneumothorax detected. | 57868490 | WET READ: ___ ___ ___ 11:26 AM 1. Right IJ central venous catheter tip projects at the cavoatrial junction. 2. Interval worsening of interstitial pulmonary edema and new left basilar opacification, likely a combination of atelectasis and effusion. 3. No evidence of pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old woman with sepsis and recent central venous line placement. Evaluate line positioning. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs of ___, ___, and ___. CTA chest of ___. | Right IJ central venous catheter tip projects at the cavoatrial junction. Interval worsening of interstitial pulmonary edema and new left basilar opacification, likely a combination of atelectasis and effusion. No evidence of pneumothorax. |
13364281 | Left basilar opacity has mildly improved. There is tiny left pleural effusion, stable. Right lung is clear. Pulmonary vascularity has improved. Heart size is at the upper limits of normal. No pneumothorax. Prominent main pulmonary artery, suggest pulmonary artery hypertension. | 50938551 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with O2 requirement (___% sat on 1L NC), no emphysema on prior CT chest // ?acute process that could account for o2 requirement TECHNIQUE: Chest single view COMPARISON: ___ 09:18 | Improved left basilar opacity. Decreased pulmonary vascularity. |
13364281 | Low bilateral lung volumes. There are persisting left basilar opacities, concerning for pneumonia. The size the cardiomediastinal silhouette is at the upper limits of normal, perhaps exaggerated by the portable technique. | 55853315 | INDICATION: ___ year old woman POD2 wheezing + cough // source cough/wheezing TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | Persisting left basilar opacities, concerning for pneumonia. |
13945272 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. | 52916335 | HISTORY: Right rib pain with cough. COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. | No acute cardiopulmonary process. |
13681318 | Median sternal wires are intact. Heart size is moderately enlarged. Linear opacities lung bases likely reflect atelectasis. There is no pleural effusion or pneumothorax. No definite displaced rib fractures appreciated. | 53321476 | WET READ: ___ ___ ___ 4:55 PM 1. Mild bibasilar atelectasis, but no focal consolidation. 2. Moderate cardiomegaly. 3. No obvious displaced rib fracture. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with unwitnessed fall // rib fracture TECHNIQUE: AP upright and lateral chest radiographs COMPARISON: None | Mild bibasilar atelectasis, but no focal consolidation. Moderate cardiomegaly. No obvious displaced rib fracture. |
13717529 | The lungs are clear without focal consolidation. Lung volumes are high and diaphragms are flat consistent with COPD. The heart size is normal. The mediastinal silhouette is unremarkable. | 51774568 | INDICATION: COPD, evaluate for acute process. COMPARISONS: None. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13416326 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 51761680 | INDICATION: ___F with history of MS and depression who presents with acute onset vertigo concerning for MS flare. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13474502 | There is biapical pleural scarring, right greater than left, with mild focal bulging of the right apical pleura. Interstitial markings are prominent bilaterally. The heart and mediastinum are within normal limits. There is no pneumothorax. The regional bones and soft tissues are unremarkable. | 51539868 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with bleeding from mouth; evaluate for intrapulmonary source of bleeding. TECHNIQUE: PA and lateral radiograph of the chest from ___. COMPARISON: None available. | Focal bulging of the right apical pleura raises concern for the presence of an apical mass or pleural abnormality. A dedicated chest CT is recommended for further evaluation. |
13142963 | Assessment is somewhat limited due to patient rotation. Endotracheal tube tip terminates 4.5 cm from the carina. Right internal jugular central venous catheter tip terminates in the proximal right atrium. A orogastric tube tip courses below the diaphragm, into the stomach, and off the inferior borders of the film. Lung volumes are low. There is moderate to severe cardiomegaly. Widening of the superior mediastinum may be due to low lung volumes and supine positioning. There is mild pulmonary vascular engorgement. Consolidative opacities in the lung bases are concerning for areas of infection. Patchy opacities in the left lung as well as in the right upper lung field may reflect areas of infection or aspiration. No large pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. | 51563144 | HISTORY: Central line placement. TECHNIQUE: Supine AP view of the chest. COMPARISON: None (patient is listed as EU critical). | Standard position of the endotracheal and orogastric tubes. Right internal jugular central venous catheter tip in the proximal right atrium. Moderate to severe cardiomegaly with mild pulmonary vascular engorgement. Bibasilar consolidative opacities concerning for infection. Additional ill-defined opacities within the left lung and right upper lung field may reflect additional areas of infection or aspiration. Widening of the superior mediastinum may be due to supine positioning and low lung volumes. If there is concern for an acute aortic process, further assessment with CT is recommended. |
13142963 | Moderate interstitial pulmonary edema is new. Cardiac contour is mildly enlarged. Pleural effusions are small if any. There is no pneumothorax. | 53292322 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with shortness of breath, infiltrate that could not be seen well on portable. COMPARISON: ___. | New moderate pulmonary edema. |
13515000 | 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. | 55954575 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with chest pain status post motor vehicle collision TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
13899524 | Focal consolidation is noted in the medial segment of the RML, partially silhouetting the right heart border, consistent with pneumonia. The left lung appears clear. No pleural effusion or pneumothorax. The mediastinal silhouette appears within normal limits. No bony abnormalities. | 53234342 | INDICATION: ___ y/o with cough. COMPARISON: None. PA AND LAT CHEST | Right middle lobe pneumonia. |
13360182 | The lungs are normally expanded and clear. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The included osseous structures are unremarkable. | 50969180 | WET READ: ___ ___ 3:51 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available | No acute cardiopulmonary abnormality. |
13153136 | Since the prior study, there is marked interval change with obscuration of the right lung base. There appears to be a large effusion on the lateral film and there is atelectasis in the right lung base. There is added density in the region of the right hila which could represent atelectasis, adenopathy or mass. There is a gas density in the right lower chest which could represent lung or possibly subdiaphragmatic air or bowel. I would recommend a right-side-up decubitus film to evaluate for pneumoperitoneum or pneumothorax. There is blunting of the left CP suggesting small effusion. There is no CHF. Degenerative changes are present in the spine. | 52247188 | INDICATION: History: ___F s/p unwitnessed fall // unwitnessed fall; poor historian; left eye ecchymosis and edema COMPARISON: The comparison is made with prior studies including ___. | There is obscuration of the right lung base and there appears to be a large effusion present and adjacent atelectasis. There is added density in the region of the right hila which could represent atelectasis, adenopathy or mass. A right-side-up lateral decubitus exam is recommended to evaluate for the possibility of subdiaphragmatic gas or pneumothorax. These findings were discussed with Dr. ___ in the emergency room. |
13693197 | The right chest tube has been removed. Possible axillary residual pneumothorax versus spared aerated subpleural lung is unchanged. Subcutaneous air is also stable. Bilateral chronic lung consolidation is stable. | 58708457 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with a wedge biopsy right lower lobe. Rule out pneumothorax. COMPARISON: ___. | Chest tube has been removed. Possible minimal pneumothorax is unchanged. This could also represent spared lung in the subpleural region. |
13693197 | Frontal and lateral views of the chest were obtained. Again, a right-sided Port-A-Cath is seen with catheter terminating at the distal SVC/cavoatrial junction. Patient is status post partial right lung resection with right-sided volume loss. Overall, the exam is without significant interval change. The cardiac, mediastinal, and hilar contours are stable. No overt pulmonary edema is seen. No large pleural effusion or pneumothorax is seen. | 51391484 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Weakness and cough. COMPARISON: ___. | No significant interval change. |
13693197 | A chest tube projects in apical hemithorax. Very tiny line less than 4 mm is seen on the axillary portion of right lung that could represent a very small stable pneumothorax or sparing of subpleural lung. Bilateral opacities, most predominant in the right lung are unchanged. The mediastinal and cardiac contours are stable. There is no significant pleural effusion. Right subcutaneous air is unchanged. | 56709183 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with right wedge biopsy, rule out pneumothorax. Chest tube clamped for four hours. COMPARISON: ___. | Patient with recent biopsy for bilateral lung opacities. Minimal stable right pneumothorax versus spared lung. |
13693197 | Frontal and lateral views of the chest show a right MediPort which terminates within the right atrium. Again, there is significant volume loss of the right hemithorax in part due to prior lung resection, as evidenced by chain sutures, and scarring and bronchiectasis. Consolidative focus of tumor is again seen within the left low lung, best appreciated on the frontal view, and unchanged from the prior CT. There are no new lesions seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There is elevation of the right hilus from volume loss. | 59839545 | INDICATION: Fever and neutropenia. Evaluate for pneumonia. COMPARISON: Chest radiograph ___ and ___. CT torso ___. | No significant interval change. Given the complexity of changes, if concern persists for an acute process, a CT should be considered. |
13693197 | Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium, unchanged. Heart size is normal. Mediastinal and hilar contours are unchanged with rightward deviation of the mediastinal structures again demonstrated is a result of the right sided volume loss. Patient is status post partial right lung resection which chain sutures noted. Consolidative opacities with bronchiectasis are noted within the right upper perihilar region as well as within the right lung base, relatively unchanged compared to the prior exam. Ill-defined nodular opacities within the left lung base are also relatively unchanged. No pneumothorax or pleural effusion is identified. There are no acute osseous abnormalities. | 51489103 | HISTORY: Fever and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and CT torso ___. | Right lung consolidative opacities and ill-defined nodular opacities in the left lung base are similar compared to the prior exam without new focal opacity to suggest a superimposed pneumonia. |
13693197 | Two frontal images of the chest demonstrate worsening right pleural effusion. There is also atelectasis and volume loss seen on the right with an associated mediastinal shift 3 cm to the right. Chest tube is again seen on the right. Other support and maintenance devices are as the same as previously seen. There are low lung volumes likely related to low inspiratory effort. The left lung base opacity is unchanged from previous imaging. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. | 52985880 | INDICATION: ___-year-old female status post right VATS and right lower lobe wedge biopsy, now requiring assessment for interval change. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Persistent diffuse right lung opacities which are slightly worsened in the interval. Persistent right lung atelectasis and volume loss with mediastinal shift to the right. Unchanged left basilar opacities. |
13693197 | There is no pneumothorax post-biopsy. The right PICC line has been removed since prior exam and there is a right Port-A-Cath ending in the lower SVC. Right lower lung opacity has increased: this most likely representa hemorrhage secondary to lung biopsy. The other lung opacities mostly in right lung but also in the left lower lung are stable. Mediastinal widening compatible with lymph node enlargement is stable. There is no significant pleural effusion. | 52662823 | PORTABLE AP CHEST X-RAY INDICATION: Patient with lung infiltrates and mediastinal adenopathy, transbronchial biopsy. Rule out pneumothorax. COMPARISON: ___ and CT torso of ___. | There is no pneumothorax post-biopsy. Right lower lung increased opacity is most likely compatible with hemorrhage post-biopsy. |
13693197 | A right Port-A-Cath ends in the low SVC, as before. Heterogeneous opacities in the right mid to lower lung are not significantly changed compared to the prior radiograph from ___. Additional nodular opacities in the left lower lobe are also unchanged. There is no new focal consolidation. The heart size is normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen. | 53459523 | INDICATION: Lymphoma with increasing cough. Assess for abnormality. COMPARISON: Chest radiograph from ___. | No significant interval change in right mid to lower lung heterogeneous opacities and left lower lobe nodular opacities compared to the prior study from ___. No new intrathoracic process. |
13693197 | Single frontal image of the chest demonstrates expected post-operative changes. There is a right chest tube in place. There is no pneumothorax or other complication seen. Subcutaneous gas is seen on the right side of the body at the level of the diaphragm. There is left basilar opacity that has worsened since previous imaging that is concerning for aspiration versus pneumonia. The right-sided pulmonary opacities are generally unchanged from previous imaging. There are no pleural effusions. Cardiomediastinal silhouette is unchanged. | 50936057 | INDICATION: ___-year-old female with lymphoma and lung disease status post right VATS and right lower lobe wedge resection. COMPARISON: Comparison is made with chest radiographs from ___. | Expected post-operative changes with new left-sided basilar opacity concerning for aspiration or pneumonia. Chest tube in place with no pneumothorax. |
13693197 | Lungs are well expanded. Multiple right lung opacities are again seen, consistent with patient's known disease. There has been interval resolution of the right-sided chest wall air inclusion. Chest radiograph is otherwise essentially unchanged from prior exam. The mediastinum is again seen shifted to the right. Cardiomediastinal silhouette is unchanged. There is no pneumothorax. There is no left pleural effusion. | 52338254 | INDICATION: ___-year-old female status post right VATS with lung biopsy, now requiring assessment for interval change. COMPARISON: Comparison is made with chest radiograph from ___, ___. | Resolution of right chest wall air inclusions. Otherwise, essentially unchanged chest radiograph. |
13693197 | The cardiomediastinal silhouette and hilar contours are unchanged in appearance with stable rightward mediastinal shift. Again appreciated is a right dual-lumen port with the tip terminating at the cavoatrial junction. There has been slight interval improvement in the widespread parenchymal opacities particularly in the right mid and lower lung and now appears back to baseline in appearance similar to that of ___ study. Multiple nodular opacities are again seen in the left lower lung, better appreciated on recent CT torso examination. There is no new focal consolidation worrisome for infectious process. There is no pleural effusion or pneumothorax. | 58487234 | HISTORY: Lymphoma with fevers, chills and cough. COMPARISON: ___ and ___. TECHNIQUE: PA and lateral chest radiograph, two views. | Mild improvement of right mid-to-lower lung opacities, back to baseline appearance. No new finding worrisome for pneumonia. Multiple nodular opacities are better appreciated on recent CT torso examination. Results were discussed over the telephone with ___ by Dr. ___ at 11:02 a.m. on ___ at time of initial review. |
13992905 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54702178 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Shortness of breath for four days, assess for pneumonia. | No acute findings in the chest. |
13316682 | The patient is status post median sternotomy and aortic valve replacement. The inferior-most mediastinal wire is broken, unchanged. Heart size remains mildly enlarged. Aorta is tortuous. Atherosclerotic calcifications are again demonstrated at the aortic knob. Lung volumes are lower compared to the previous exam. Mild pulmonary vascular congestion is noted. Patchy right basilar opacity likely reflects an area of atelectasis. No pleural effusion is identified. Assessment of the lung apices is limited by the patient's neck and chin projecting over in these areas, but no large pneumothorax is identified. There are mild degenerative changes noted in the thoracic spine. | 53329190 | INDICATION: History: ___M with clot in the right upper extremity. Erythema to area. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | Mild pulmonary vascular congestion and patchy right basilar opacity, likely atelectasis. Pneumonia is not completely excluded and clinical setting. |
13316682 | The left lung is clear. In the right lower lung, there is a new area of peribronchial opacification, not reaching the level of consolidation. There are no pleural effusions. The heart size is unchanged. There is no vascular congestion. There is no pneumothorax. Pleural surfaces are normal. The inferior-most sternal wire is newly fracture. | 54446777 | HISTORY: Status post CABG and aortic valve repair with new onset shortness of breath. COMPARISON: All available chest x-ray is from ___ through ___. | Uncertain mild infection in the peribronchial region of the right lower lung, with heart failure a less likely possibility. |
13316682 | Evaluation of lung apices is limited as patient is unable to lift chin. Patchy bilateral airspace opacities are present throughout the lungs with somewhat nodular appearing peripheral opacities. Mild blunting of the right costophrenic angle is present. Pulmonary vasculature is indistinct. There is no pneumothorax There is unchanged mild elongation of thoracic aorta as well as atherosclerotic calcification of the aortic arch. Visualized osseous structures are unremarkable. There midline sternotomy wires including an unchanged broken inferior wire. There is an aortic valve prosthesis. | 57526003 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough, ___ edema // ? chf ? chf TECHNIQUE: Upright PA and lateral chest radiographs were obtained. COMPARISON: Two view chest radiograph ___, ___. | Patchy bilateral airspace opacities some of which have a nodular appearance. Finding could be secondary to atypical pulmonary edema, however correlate for infection including possibility of septic emboli. |
13436096 | Since ___, the small right apical pneumothorax has completely resolved. A new small right pleural effusion has developed in the interim. No focal consolidation or pulmonary edema. The cardiomediastinal silhouette and hila are unchanged. The right Port-A-Cath appears intact and unchanged in position. | 55217476 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman status post thoracoscopy. Evaluate for residual pneumothorax. COMPARISON: Chest radiograph dated ___. | No pneumothorax. New small right pleural effusion. |
13436096 | The cardiomediastinal shadow is unchanged. Left-sided prepectoral Port-A-Cath in situ with the tip in the distal SVC. Right perihilar opacity is slightly more dense and shows a configuration change compared to prior imaging (it is not known of how much the decreased lung volumes contribute to this finding). Interval increase in the right basilar opacity which may reflect atelectasis or consolidation. Small associated pleural effusion. Left basal atelectasis with small effusion unchanged. No pneumothorax. | 53574040 | INDICATION: ___ year old woman with breast cancer POC in place // no blood return, check location of catheter tip TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Position of the Port-A-Cath is unchanged with its tip in the distal SVC. Interval increase in the right perihilar and basal opacity which is nonspecific and it is not known how much the low lung volumes contribute to this finding. |
13436096 | Left Port-A-Cath in place with tip in the mid SVC, similar. There is mild left pleural effusion, probably similar compared with chest CT ___, more prominent compared with ___. There is tiny right pleural effusion, significantly decreased since ___, new since ___. There is no pneumothorax. Surgical clips bilateral breast. Left basilar opacity, likely atelectasis. Right perihilar infiltrates, similar compared with CT exam. | 54992733 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p ___ // PTX TECHNIQUE: Chest single view COMPARISON: ___, CT chest ___ | No pneumothorax. Right pleural effusion has decreased since CT from earlier today. There is small left pleural effusion. Probably left basilar atelectasis. Right perihilar infiltrates, similar. |
13436096 | Interval removal of the right-sided chest tube with development of a new small right apical pneumothorax. No evidence of tension. Improved aeration bilaterally compared to the prior exam. No focal consolidation, overt pulmonary edema, or pleural effusion. The heart is top-normal in size, unchanged. The mediastinal contours and hila are within normal limits. The left sided Port-A-Cath appears intact and unchanged in position. | 56794277 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman status post right VATS lymph node biopsy; evaluate for pneumothorax after removal of a chest tube. COMPARISON: Chest radiograph dated ___. | Small right apical pneumothorax status-post chest tube removal. |
13091862 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Surgical clips project over the neck just above the level of the thoracic inlet consistent with thyroidectomy. There is no air under the right hemidiaphragm. | 52650473 | INDICATION: ___M with c/o CP // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | No acute intrathoracic abnormality. |
13938778 | PA and lateral views of the chest provided. The lungs appear clear without focal consolidation, effusion or pneumothorax. There is no overt edema. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 57199350 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of lymphoma p/w fatigue // assess for infiltrate, effusion COMPARISON: None | No acute intrathoracic process. |
13938778 | There is right greater than left central vascular congestion without overt pulmonary edema. In is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains top-normal to mildly enlarged. The aorta is tortuous. | 55660569 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough congestion // r/o PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Central vascular congestion without overt pulmonary edema. |
13109130 | Shallow inspiration accentuates heart size, pulmonary vascularity. . Prominent central pulmonary arteries, suggest pulmonary arterial hypertension. Old rib fractures. | 57620396 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with L knee infection to OR tomorrow // Pre-op CXR Surg: ___ (L knee I D) TECHNIQUE: Chest single view COMPARISON: ___ | Suggestion of pulmonary artery hypertension. Borderline heart size, pulmonary vascularity. |
13109130 | Left PICC line tip in the mid SVC. Increased heart size, stable. Increased pulmonary vascularity, similar. Suggestion of pulmonary artery hypertension, stable. Old rib fractures. No pleural effusion. | 50303101 | EXAMINATION: DX CHEST PORTABLE PICC LINE PLACEMENT INDICATION: ___ year old woman with l tibia infection. // eval for PICC line placement, pre-op for tomorrow Surg: ___ (L tibia washout) TECHNIQUE: Chest single view COMPARISON: ___ | PICC line tip mid SVC. Increased heart size, pulmonary vascularity, similar |
13321911 | PA and lateral views of the chest provided. There is no effusion or pneumothorax. Small retrocardiac patchy density overlies the spine. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 51902650 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever, cough // evaluate for pneumonia COMPARISON: ___ | Small patchy density in the left lower lobe could represent pneumonia. |
13700707 | PA and lateral views of the chest provided. Airspace consolidation in the right lower lobe is compatible with pneumonia. Left lung is clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | 50528937 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea // PNA? COMPARISON: Prior study from ___. | Right lower lobe pneumonia. |
13369352 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Appearance of heart size and mediastinal structures including thoracic aorta are unchanged and within normal limits. Pulmonary vasculature is not congested. No signs of acute or chronic pulmonary parenchymal infiltrates are present, and the lateral and posterior pleural sinuses remain free from any fluid accumulation. No pneumothorax in the apical area on frontal view. Skeletal structures of the thorax quite unremarkable. | 52351366 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with history of smoking, homelessness, positive PPD, requiring screening for housing to exclude tuberculosis. | Stable normal chest findings, no evidence of active or latent tuberculosis in this patient with history of positive PPD. |
13910051 | Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected. | 52406204 | HISTORY: Patient with chest pain yesterday, eval for pneumonia. COMPARISON: ___. | No radiographic evidence of an acute cardiopulmonary process. |
13074187 | The lungs are grossly clear. There is no large effusion or pneumothorax based on a supine film. Moderate cardiomegaly is noted. Mediastinum is within normal limits. Incompletely evaluated but chronic appearing distal left clavicular fracture is noted. | 53154387 | INDICATION: ___M with mvc // r/o injuries TECHNIQUE: Single portable view of the chest. COMPARISON: None. | Cardiomegaly without definite acute cardiopulmonary process. |
13811935 | PA and lateral views of the chest are obtained. Since the prior study, the size of the hernia sac has significantly decreased. The bilateral lungs are better expanded with some evidence of mild atelectasis of the left lung adjacent to the hernia sac. There is no focal consolidation, pulmonary edema, or pneumothorax. There is no significant pleural effusion. The heart size is normal. | 56452226 | INDICATION: ___-year-old man with recent repair of large hiatal hernia. Evaluation for interval change. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___. | Marked interval improvement in size of hernia sac as well as improvement in bilateral lung aeration with minimal atelectasis in the left lung. No acute cardiopulmonary disease. |
13297424 | PA and lateral views of the chest provided. Low lung volumes. 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. | 59934276 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // acute cardiopulm disease COMPARISON: ___ | No acute intrathoracic process. |
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