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13051530 | Increased reticular markings are seen, probably in the right lung base, which may be projectional due to difference in patient rotation. Fiducial marker in left lower lobe masslike opacity is again seen. Enlarged right hilum is unchanged compatible with enlarged right pulmonary artery. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged, similar to prior exams. Right chest wall clips again noted. | 57345458 | INDICATION: ___F with ESRD s/p NG tube now concerning Aspiration PNA // r/o asp PNA TECHNIQUE: Single portable upright AP image of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___ and CT chest from ___. | Increased reticular markings in the right lung base, which may be projectional due to difference in patient rotation. |
13051530 | Frontal and lateral views of the chest were performed. Moderate cardiomegaly is unchanged from ___. Prominence of the right hilar vessels is unchanged from ___. Calcifications are again seen within the aortic arch. Again, there is mild pulmonary edema which is similar to ___. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. Surgical clips are seen within the right breast. | 53081272 | HISTORY: Cough, shortness of breath and possible COPD. Evaluate for pneumonia are volume overload. COMPARISON: Chest radiograph ___. | Unchanged moderate cardiomegaly and mild pulmonary edema. |
13051530 | Frontal and lateral views of the chest were obtained. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. Surgical clips project over the right lower hemithorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. | 51488921 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Status post fall with memory loss, fatigue. COMPARISON: ___. | No acute cardiopulmonary process. |
13051530 | PA and lateral views of the chest were provided. The heart remains moderately enlarged with an LV configuration. The aorta is unfolded. There is widening of the superior mediastinum which likely reflects vascular ectasia and has been previously assessed on prior CT chest from ___. Tiny clips project over the right mid shaft. There is mild interstitial edema without focal consolidation, effusion or pneumothorax. Underlying emphysema is again noted. There is atherosclerotic calcification of the aortic knob. Bony structures appear intact. | 54312384 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: ___-year-old female with anemia and history of lung cancer status post VATS, question pneumonia. | Cardiomegaly with mild pulmonary edema. No definite signs of superimposed pneumonia or effusion. |
13051530 | The mediastinal and aortic contours are similar in appearance to prior chest examination from ___. Aortic dissection, however, cannot be excluded in this examination. The right upper mediastinum appears unchanged. There is no pneumothorax or large pleural effusion. Surgical clips are seen projecting over the right breast. | 58078623 | INDICATION: Rule out aortic catastrophe. History of end-stage renal disease, back pain and hypotension. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: AP portable chest radiograph. | Stable mediastinal and aortic contours. However, dissection cannot be excluded on this examination and further evaluation is recommended with a chest CT. |
13051530 | Again, the cardiac mediastinal silhouette are unchanged with enlargement of the cardiac silhouette. ___ fiducial markers are seen projecting over the left lower lobe. No appreciable pneumothorax. Vascular calcifications of the aortic arch are noted. There are surgical clips in the right likely projecting within the right breast. There is increased opacity projecting over the lower lobes on the lateral view, which may be related to an increase in atelectasis, or perhaps hemorrhage related to fiducial marker placement. Degenerative changes at the left shoulder are again noted. | 59970292 | INDICATION: Status post fiducial marker placement x2. TECHNIQUE: Single frontal chest a frontal PA and lateral views of the chest were obtained with. COMPARISON: Examination performed at 0:50 on the same day. | No appreciable pneumothorax status post left-sided fiducial marker placement. |
13051530 | There are bilateral hazy opacities with pulmonary congestion. Heart size is enlarged but unchanged from prior. There is no focal consolidation to suggest pneumonia. Small bilateral pleural effusions are present. Clips are seen within the right breast. Prominence of the superior left mediastinum likely relates to vascular ectasia. | 56451987 | INDICATION: Seizures today at dialysis, evaluate for infectious process. COMPARISONS: Chest radiographs, ___ and ___. PA AND LATERAL VIEWS OF THE | Increased interstitial markings, cardiomegaly, and a small bilateral pleural effusions compatible with mild pulmonary edema. |
13051530 | A single frontal upright view of the chest was obtained portably. Right basilar opacity is new from 7 days prior. Additionally, pulmonary vasculature is engorged with increased interstitial markings, right more than left, with exacerbaton of chronic right hilar vascular dilatation. There is no pleural effusion or pneumothorax. Moderate to severe cardiomegaly persists. The upper mediastinal silhouette is normal. Surgical clips in the right breast are again seen. | 52445633 | HISTORY: Cough and dyspnea. COMPARISON: CXR ___ and ___. | Findings suggest asymmetric pulmonary edema. Concurrent right lower lung pneumonia may be present. Recommend repeat radiograph after treatment. |
13051530 | The cardiac, mediastinal and hilar contours appear stable. The heart is again mild to moderately enlarged. A fiducial marker projecting over the superior segment of the left lower lobe appears unchanged. A group of clips projecting over the left breast right breast is also noted. There no pleural effusions or pneumothorax. The lungs appear clear. The bones appear demineralized. There is similar moderate S-shaped thoracolumbar spinal curvature. | 50142077 | EXAMINATION: Chest radiographs. INDICATION: Status post fall with left chest wall pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13051530 | New numerous monitoring leads are seen projecting over the patient. There appears to be some IV tubing over the right lung apex. Notable is vascular calcifications of the aortic arch. The cardiac silhouette remains enlarged, probably accentuated by the portable technique. Several surgical clips are seen projecting over the right chest wall and lung base likely breast clips. There has been interval placement of at least 1 and possibly ___ fiducial markers seen projecting over the left side of the heart, an adjacent 2 numerous suture chains. There is no evidence of left-sided pneumothorax. There is some right-sided convex scoliosis of the thoracic spine, although likely accentuated by patient positioning. Increased sclerosis seen at the left humeral head is consistent with degenerative change. | 54266156 | INDICATION: Status post fiducial placement. Evaluate for pneumothorax. TECHNIQUE: Single portable upright view of the chest. COMPARISON: ___. | Interval left-sided fiducial marker placement. No evidence of pneumothorax. |
13051530 | The cardiac, mediastinal and hilar contours appear stable. There has been no radiographic change in left lower lobe findings which were better assessed with CT. No definite change in right upper lobe nodule. There is no pleural effusion or pneumothorax. | 53680280 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Seizure on hemodialysis. COMPARISON: Radiographs from ___ and more recent PET-CT imaging dated only four days earlier. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13051530 | The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no large pleural effusion or pneumothorax. The lungs are well expanded. Again seen is a mass in the left lower lobe with a fiducial marker in place. Metallic markers are also seen projecting in the soft tissues projecting over the right mid lung field. There is no new focal consolidation concerning for pneumonia. | 52752069 | INDICATION: ___F with painful and difficulty swallowing, on radiation for lung cancer. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. This study is not well suited for detailed evaluation of the known left lower lobe pulmonary mass. |
13051530 | Moderate cardiomegaly appears stable since ___. Prominent right hilar vessels and central pulmonary vessels are unchanged. Multiple surgical clips overlie the right breast. Mild bilateral pulmonary edema appears unchanged since ___. An increased right lower opacity is suspicious for pneumonia. There is no pneumothorax or pleural effusion. | 51777698 | INDICATION: End-stage renal disease, on dialysis with shortness of breath. COMPARISON: Radiographs available from ___ through ___. FRONTAL CHEST | Possible new right lower lobe pneumonia. Unchanged background mild pulmonary edema. The findings were discussed by Dr. ___ with Dr. ___ ___ telephone at the time of interpretion 11:55 AM ___. |
13051530 | The visualized heart remains enlarged without overt signs of edema. No overt signs of focal consolidation are seen, and no pleural effusions or pneumothorax are seen. Surgical ___ are again noted overlying the right lower lobe as well as projecting over the left lower posterior lobe. The mediastinal silhouette is unremarkable. | 59424550 | CHEST RADIOGRAPH FROM ___ HISTORY: Seizure disorder with lethargy, evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Radiograph from ___, ___ and ___. CT from ___ and ___. | Cardiomegaly without overt signs of edema or pneumonia. |
13051530 | PA and lateral views of the chest demonstrate the mediastinal and aortic contours are similar in appearance to prior studies with an enlarged pulmonary artery and a tortuous aorta. The heart is moderately enlarged. The previously described left lower lobe mass is not well seen on this study, and is better characterized on recent prior CTA of the chest. There is no evidence of pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. Surgical clips are again seen projecting over the right breast. | 59389602 | HISTORY: ___-year-old female with cough and shortness of breath. Evaluation for pneumonia. COMPARISON: Comparison is made to prior radiographs from ___ and ___. This study is read in conjunction with CTA of the torso from ___. | No evidence of pneumonia. Stable moderate cardiomegaly. |
13051530 | PA and lateral views of the chest were viewed. The cardiac silhouette remains moderately enlarged. Mediastinal and hilar contours are unchanged with severe enlargement of the main pulmonary artery. There is no pneumothorax. A fluid collection in the left lung base projects posteriorly on the lateral view and is new since the prior study. Consolidation in the superior segment of the left lower lobe is also new. Surgical clips projecting over the right mid lung zone may relate to overlying breast tissue. | 55554575 | HISTORY: Pain after recent thoracoscopy for left lower lobe malignancy with pain at the surgical site. COMPARISON: Chest radiograph ___, ___, ___. CTA torso ___. | Fluid collection in the left lower chest post procedure, which may reflect an infectious process. Consolidation in the superior segment of the left lower lobe may represent pneumonia. |
13051530 | Since the prior CXR on ___, there is new focal consolidation over the right lung base, most likely due to pneumonia. Slight improvement in the severity of pulmonary edema, now mild. Pulmonary arteries are still engorged. Small left pleural effusion. No pneumothorax. Persistent area of consolidation in the left lung base after LLL wedge resection. Stable mild to moderate cardiomegaly. | 50202300 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with ESRD/Epilepsy, h/o LLL wedge resection for lung cancer with new agitation/delirium // ?PNA, worsening pulmonary edema TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___ | New right lung base consolidation, most likely due to pneumonia. Mild pulmonary edema, improved since ___. |
13391979 | The lungs are clear of focal consolidation, large effusion, or confluent consolidation. Cardiac silhouette is within normal limits for technique. Dense mitral annular calcifications are again noted. No acute osseous abnormalities identified. | 55969806 | INDICATION: ___F with mechanical fall this morning, reports left hip pain. // Rule out intracranial injury, C-spine fracture, hip/ pelvic fracture. TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13391979 | AP upright and lateral views of the chest provided. Hazy right lower lobe opacity may represent pneumonia or atelectasis. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Aortic calcifications and dense mitral annular calcifications are similar to prior. | 56026720 | INDICATION: History: ___F with altered mental status // eval for pneumonia COMPARISON: ___ | Hazy right lower lobe opacity may represent pneumonia or atelectasis. |
13868052 | PA and lateral chest radiographs were obtained. The lungs are well expanded. A 4 mm nodule in the left lower lobe is unchanged since ___. There is no focal consolidation, effusion or pneumothorax. A left-sided Port-A-Cath terminates at the cavoatrial junction. There are no new abnormal cardiac and mediastinal contours. | 52758679 | HISTORY: Shortness of breath. TECHNIQUE: COMPARISON: ___. | No acute cardiopulmonary process. |
13868052 | PA and lateral chest radiographs were obtained. There is likely mild bibasilar atelectasis secondary to low lung volumes. No focal opacity is identified. The cardiomediastinal silhouette, hila contours are stable given differences in inspiration. The previously noted lung nodules are not clearly seen and better assessed on CTA chest from ___. A left-sided Port-A-Cath terminates at the caval atrial junction. There is no pleural effusion or pneumothorax. | 54145359 | HISTORY: Dyspnea, altered mental status, evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph and CTA chest from ___. | No evidence of acute cardiopulmonary process. Previously noted lung nodules better assessed on prior CT chest from ___ and follow-up recommendations per CT remain. |
13845380 | The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no evidence of unexpected radiopaque foreign body. | 51284690 | INDICATION: ___F with sudden onset foreign body sensation while eating this morning with continued symptoms, evaluate for foreign body ingestion. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None available. | No evidence of retained foreign body. No acute cardiopulmonary process. |
13349537 | PA and lateral views of the chest demonstrate the lungs are well-expanded, although nodular opacity is seen projecting over the anterior aspect of the left fourth rib. There is no pneumonia, pulmonary edema, pneumothorax or pleural effusion. The cardiomediastinal silhouette is unchanged. A right-sided Port-A-Cath is unchanged in position, terminating at the cavoatrial junction. | 53180222 | HISTORY: ___-year-old man on chemo with worsening abdominal pain and hypotension. Evaluation for infiltrate. COMPARISON: Comparison is made to radiographs of the chest from ___. | Nodular opacity in the left lung could represent metastatic disease given the clinical history of cancer, and a dedicated chest CT is recommended for further characterization. No pneumonia is seen. |
13443154 | Overall lung volumes are low.The lungs are clear without focal consolidation or evidence of apical mass. No pleural effusion or pneumothorax is seen. The aorta is tortuous. Heart size is normal. | 52742559 | INDICATION: ___M with ptosis, pls eval pancoasts tumor on cxr // TECHNIQUE: Chest: Frontal and Lateral COMPARISON: CTA head and neck performed earlier on same day on ___. | No radiographic evidence of apical mass. |
13415272 | The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiac and mediastinal silhouettes are within normal limits. The aorta appears tortuous. Osseous structures are grossly unremarkable. | 57031174 | INDICATION: Left ulnar artery occlusion, for preoperative evaluation. COMPARISON: None available. | No acute cardiopulmonary process. |
13673718 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. There is no free air below the right hemidiaphragm. The cardiomediastinal silhouette appears normal. The imaged bony structures are intact. | 55614036 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pressure, diaphoresis, nausea and burping since 3:00 p.m., assess for acute intrathoracic process. | No acute findings in the chest. |
13224615 | 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. | 55788562 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with newly diagnosed HIV, presenting with nausea, vomiting, headache. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13666330 | AP upright and lateral views the chest provided. Left chest wall pacer device is noted with leads extending to the region the right atrium and right ventricle. 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. | 52024613 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with syncope COMPARISON: None | No acute intrathoracic process. ___, MD ___=___ |
13512648 | Bilateral calcified breast implants are present. The heart is normal in size. Perihilar opacity on the right is somewhat striking although not particularly mass-like. This may represent an inflammatory process or atelectasis along the right hilum. More generally, at both lung bases, there are vague opacities which may represent atelectasis. Mid upper lung zones, however, are unremarkable. The stomach is mildly distended. | 54118906 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Recent sepsis, with C. difficile colitis, presenting with acute dyspnea and hypoxia. COMPARISON: None available. TECHNIQUE: Chest, portable AP upright. | Basilar opacities which may represent of atelectasis; pleural effusions are difficult to exclude. Right perihilar opacity is also suspected. When clinically feasible, reassessment with standard PA and lateral radiography is recommended in order to reassess. |
13512648 | Large bilateral pleural effusions with superimposed compressive atelectasis are essentially unchanged compared with the immediate prior study of ___. Mild pulmonary edema is stable. The right IJ central venous catheter ends at the cavoatrial junction, the enteric tube extends into the decompressed stomach and out of the field of view. There is no pneumothorax or focal consolidation. The heart is stably mildly enlarged. | 54707116 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cerebellarmass,EVD in place, recurrent pleural effusions // evaluate for effusions, pulmonary edema, consolidation TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___. | Unchanged large bilateral pleural effusions. Stable mild pulmonary edema. |
13713048 | The heart size is top normal, exaggerated by low lung volumes. There is no focal consolidation. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours are normal. | 50320784 | INDICATION: Shortness of breath and cough. COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary process. |
13713048 | The lung volumes are low. Hilar prominence is likely secondary to crowding. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits given the limitations of low lung volumes. A prominent epicardial fat pad is noted | 53484162 | INDICATION: ___-year-old male with left shoulder film showing possible pleural effusion. COMPARISON: Chest dated ___ and shoulder radiographs dated ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No pleural effusion. The epicardial fat pad accounts for the blunting noted on the accompanying shoulder radiographs. |
13194690 | 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. | 55048298 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13307296 | The lungs are well expanded and clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips in the right anterior chest is consistent with patient's history of prior conservation therapy. | 53285374 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with cp. Evaluate for acute process. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13370388 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Coronary artery calcifications and/or stent is noted. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities. | 52084665 | INDICATION: ___M with dyspnea, orthopnea, s/p cath/stents 5 days ago // ? pneumonia, CHF TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13658651 | PA and lateral views of the chest provided. Midline sternotomy wires again noted. The aorta is prominent in this patient with known dilation of the thoracic aorta better assessed on prior CT. Heart size is normal. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 52708092 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with MVC // eval for trauma COMPARISON: Prior CT of the torso from ___. | Prominent aorta consistent with known aneurysmal dilation seen on prior CT. No acute process. |
13209525 | The lungs are clear besides minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 57767857 | INDICATION: ___F with fever, cough // acute process TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13590625 | Left pectoral pacemaker has its 2 leads terminating in right atrium and right ventricle. There is no pneumothorax or pleural effusion. Mildly enlarged cardiomediastinal silhouette is unchanged. Mild pulmonary vessel congestion is similar to prior. | 59945190 | INDICATION: ___ year old woman with SSS s/p dual-chamber pacemaker via L cephalic vein // lead position, pneumothorax EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: The chest radiograph ___ | Left pectoral pacemaker has its 2 leads terminating in right atrium and right ventricle. No pneumothorax. |
13590625 | The cardiac and mediastinal silhouettes are stable. There is mild central vascular engorgement without overt pulmonary edema. No focal consolidation or pleural effusion is seen. There is no evidence of pneumothorax. Degenerative changes are again seen along the spine. | 55488726 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dizziness // please eval for CVA/hemorrhage TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13590625 | PA and lateral views of the chest provided. Dual pacemaker leads are seen, one terminating in the right atrium and another in the right ventricle. The right ventricular lead has an upward turn, and does not make the expected inferior courses toward the right ventricular apex. There is a small left effusion, and possible trace right effusion. There is mild pulmonary vascular congestion. Heart is mildly enlarged. | 53251495 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p RV lead revision COMPARISON: Chest radiograph from ___. | Pacemaker leads in the right atrium and right ventricle, as described. |
13590625 | Mild bibasilar atelectasis is seen. Otherwise, The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 58353869 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dizziness // eval cardiomegaly, infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13007787 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Minimal right middle lobe atelectasis is seen. | 53995910 | HISTORY: Cough, low-grade fever. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ at an outside institution. | No acute cardiopulmonary process. |
13587732 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected. | 58734664 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13694484 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinum and hilar contours are unremarkable. No overt pulmonary edema is seen. No displaced fracture is seen. | 58254082 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, question cardiomegaly. COMPARISON: None. | No acute cardiopulmonary process. |
13841468 | There is slight increase in elevation of the left hemidiaphragm, consistent with atelectasis. A left pleural effusion is tiny if present. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. A single lead pacemaker/ defibrillator device is present, with the lead ending in the region of the right ventricle. There is no pneumothorax, pleural effusion, or consolidation. | 50836086 | WET READ: ___ ___ ___ 4:44 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with hemoptysis // ?pna TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs dated ___ through ___. | No acute cardiopulmonary process. |
13841468 | A left pectoral pacemaker is in place. The chin and overlying soft tissues partially obscures lung apices. There is no obvious pneumothorax. Aside from minimal left basilar subsegmental atelectasis, the lungs are clear. A rounded left infrahilar contour is new, and may be due to left hilar adenopathy, an enlarged left atrium, or a new descending aortic aneurysm. A small left pleural effusion and left basilar subsegmental atelectasis have decreased. | 50693333 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with orophyaryngeal bleeding s/p hemostassis with new hypotension and leukocytosis // interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Rounded left infrahilar contour may be due to new adenopathy, an enlarged left atrium, or a descending thoracic aortic aneurysm. A contrast-enhanced chest CT is recommended for further evaluation. Decreased small left pleural effusion and left basilar subsegmental atelectasis. |
13841468 | Since prior exam, a new femoral pacing wire has been placed, and is in its expected location overlying the right ventricle. An opacity at the left base suggests atelectasis and a possible pleural effusion, similar to the prior exam. There is also likely a small right pleural effusion. Mild pulmonary edema is similar. There is no focal opacity. No pneumothorax is identified. The cardiomediastinal silhouette is unchanged with moderate cardiomegaly. A right PICC is unchanged with the tip in the low SVC. | 57910590 | INDICATION: Encephalopathy in complete heart block, status post new femoral pacing wire. Check pacing wire placement. TECHNIQUE: Single supine AP view of the chest. COMPARISON: Intraoperative fluoroscopy from ___. Chest radiographs from ___ and ___. | New femoral pacing wire in satisfactory position. Unchanged mild pulmonary edema and probable small bilateral pleural effusions. |
13353849 | Low lung volumes cause bronchovascular crowding and bibasilar platelike atelectasis. There is no focal consolidation, large pleural effusion, or pneumothorax. The posterolateral left 6 rib fracture appears more moderately displaced when compared with the prior study, possibly made more prominent by differences in rotation. Additional left-sided rib fractures are unchanged. | 50401992 | INDICATION: ___ year old man with L sided rib fxs, L pulm contusion, evaluate for interval change in pulmonary contusion. TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Chest radiographs dated ___ and CT torso dated ___. | More moderately displaced left sixth rib fracture may be accentuated by differences in rotation. Low lung volumes without new consolidation, pneumothorax, or enlarging effusion. |
13047942 | A dual lead left pectoral pacemaker is in place. Aside from bibasilar areas of linear atelectasis, the lungs are clear. There is no pneumothorax. Mild cardiomegaly is stable. Aortic arch calcifications are again incidentally noted. | 58098164 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PMHx of PVD, SLE, CAD, DM, HTN who presents with nonhealig R lower extremity TMA dehiscence. Rule out acutecardiopulmonary process TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___. | Bibasilar linear atelectasis with otherwise clear lungs. Stable mild cardiomegaly. |
13047942 | There is stable moderate cardiomegaly. There is a right-sided IJ which terminates in the mid SVC. There is a left-sided pacemaker. Again opacification of the right base medially persists with some obscuration of the right hemidiaphragm. This could reflect merely crowding of vessels; however, pneumonia should be considered in the appropriate clinical setting. This, however, appears overall stable compared to the prior exam. Again seen is bibasilar atelectasis as well as a small right pleural effusion. There is mild right pulmonary edema. The hilar and mediastinal contours appear stable. There is no pneumothorax. The visualized osseous structures are unremarkable. | 51858260 | INDICATION: History of end-stage renal disease, AFib, here with hypotension. Please rule out pneumonia. COMPARISONS: Chest radiograph from ___ most recently, dating back to ___ and CT abdomen and pelvis from ___. TECHNIQUE: Single AP portable upright exam of the chest. | Opacification at the medial right lung base overall stable compared to the prior exam. This may reflect crowding of vessels however an infectious process should be considered in the appropriate clinical setting. Mild right pulmonary edema. |
13047942 | Upright portable view of the chest demonstrates right internal jugular central venous catheter tip projecting over mid SVC. Dual-chamber pacemaker leads are in unchanged position. Lung volumes are low, which accentuate bronchovascular markings. Mild pulmonary vascular congestion persists. Left costophrenic angle is blunted, suggestive of possible small pleural effusion. There is no right pleural effusion. No pneumothorax. Heart is mildly enlarged. Left atrium is prominent. Heavy aortic arch calcifications are noted. Bibasilar opacities are likely atelectasis. | 57758493 | INDICATION: Assess for line placement. COMPARISONS: ___. | Right internal jugular central venous catheter tip projects over mid SVC. Low lung volumes. Pulmonary vascular congestion and likely small left pleural effusion. |
13047942 | The lung volumes are low. There is no focal consolidation. There is prominence of the pulmonary vasculature with cardiomegaly. No pleural effusion or pneumothorax is seen. Calcifications are seen within the aortic arch. A left-sided pacemaker is present with wires terminating in the right atrium and right ventricle. | 51524688 | HISTORY: History of renal failure, now complaining of shortness of breath and chest pain. COMPARISONS: Chest radiograph of ___. PA AND LATERAL VIEWS OF THE | Mild pulmonary vascular congestion. |
13047942 | Frontal lateral views of the chest. The lung volumes are low, which accentuates the bronchovascular structures. Additionally, fine details obscured by overlying soft tissue. Within these limitations, there is no pleural effusion, pneumothorax or focal airspace consolidation. Linear atelectasis is seen anteriorly on the lateral view. The cardiac silhouette remains moderately enlarged. The hilar structures and mediastinum are unremarkable. Calcifications are noted within the aortic arch. A left-sided pacemaker is unchanged in orientation. | 52245212 | HISTORY: Fall while on Coumadin. Evaluate for bleeding. COMPARISON: Chest radiograph ___ at ___. | Low lung volumes without an acute cardiopulmonary process. |
13475333 | AP and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. Descending thoracic aorta is tortuous. No acute osseous abnormality is identified. Chronic deformity of the proximal left humerus is identified. | 56636284 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with new atrial fibrillation and weakness. COMPARISON: ___. | No acute cardiopulmonary process. |
13475333 | The lungs are clear. The hilar and mediastinal contours are normal. Tortuosity of the aorta is chronic. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. S-shaped scoliosis of the thoracolumbar spine is once again appreciated. Also noted is severe degenerative and erosive changes of the left glenohumeral joint, which has considerably progressed since ___. Atherosclerotic calcifications can be seen in the right carotid artery. | 55828169 | INDICATION: Evaluate for pneumonia in a patient with delirium. COMPARISONS: Chest radiograph from ___. | No evidence of pneumonia. Severe progressive and erosive osteoarthritis of the left glenohumeral joint. Right carotid artery calcification. |
13159402 | The cardiomediastinal and hilar contours are stable. Note is made of a left chest wall dual-lead pacemaker defibrillator with tips terminating in the right atrium and right ventricle as expected. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Three rounded densities in the right mid lung field are very similar to that seen on prior chest radiograph from ___ and likely represent sequela of prior granulomatous infection. | 55486537 | INDICATION: Chest pain, shortness of breath. COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. |
13383301 | Frontal lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The imaged upper abdomen is unremarkable. There are no osseous abnormalities appreciated. | 58270468 | HISTORY: Cough, evaluate for infiltrate. COMPARISON: None. | No acute cardiopulmonary process. |
13830415 | No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. The aorta is tortuous. No overt pulmonary edema is seen. | 55004266 | HISTORY: Productive and nonproductive cough for a week, shortness of breath. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Mild bibasilar atelectasis without focal consolidation to suggest pneumonia. |
13960237 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53874923 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with pleuritic chest pain // evaluate for infiltrate, pneumothorax, etc TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13336111 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. | 59604737 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13178849 | Right subclavian catheter ends in the mid SVC. Endotracheal tube ends 1.8 cm above the carina, and although the chin is down, the tube could be withdrawn by 2 cm in order to achieve standard placement. NG tube extends into the stomach. Interval decrease in right lung volume. Increased, borderline cardiomegaly. Persistent left basal consolidation, could be atelectasis or pneumonia. New, mild pulmonary edema with small pleural effusion if any. Normal mediastinal and hilar contours. | 54953254 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with an intracranial bleed status post intubation. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___. | Endotracheal tube ends 1.8 cm above the carina and could be withdrawn by 2 cm in order to achieve standard placement. New, mild pulmonary edema. Persistent left lower lobe atelectasis or pneumonia. |
13178849 | An endotracheal tube terminates approximately 2.6 cm above the level of the carina. A nasoenteric tube courses below the diaphragm, and terminates in the distal stomach. There is no pneumothorax or pleural effusion. Lung volumes are somewhat low, with no focal consolidation or evidence of pulmonary edema. | 52896737 | WET READ: ___ ___ ___ 4:34 PM Endotracheal tube terminates approximately 2.6 cm above the carina, and could be retracted approximately 1.5 cm for ideal positioning. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___F with intubated transfer // Eval ETT TECHNIQUE: Single portable radiograph of the chest is obtained. COMPARISON: Comparison is made to outside CT of the chest from earlier today. | No acute cardiopulmonary process. Monitoring and support devices in appropriate position, as described above. |
13178849 | The cardiomediastinal and hilar contours are stable. There is no pneumothorax or large pleural effusion. There lung volumes are slightly low with mild bibasilar atelectasis, but there is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Left subclavian and NG tubes are in standard positions. ETT appears slightly low, but the chin is down. | 51788833 | INDICATION: ___ year old woman s/p intracranial bleed, intubated // interval change TECHNIQUE: Portable upright view of the chest. COMPARISON: Multiple chest radiographs, the most recent prior from ___. | No significant change in heart and lungs or support devices since the most recent prior study. |
13178849 | The neck is in flexion in this examination, the tip of the ET tube is 1.5 cm from the carina. The remaining support devices are unchanged and in good position. No pneumothorax. The lung volumes remain low, with worsening bibasal subsegmental atelectasis. No acute focal consolidation or pulmonary edema. The cardiac silhouette is stable. | 58644059 | INDICATION: ___ year old woman with intubated // new lung pathology TECHNIQUE: Chest PA and lateral COMPARISON: ___ | The ETT is projecting 1.5 cm from the carina. Worsening subsegmental basal atelectasis with low lung volumes. |
13178849 | The tip of the endotracheal tube appears approximately 2.5 cm from the carina. The monitoring and support devices are unchanged. No pneumothorax, or pleural effusions. The lung volume is low with subsegmental atelectasis. | 58251034 | INDICATION: ___ year old woman with intubated // new pathology TECHNIQUE: Chest PA and lateral COMPARISON: ___ | The lung are low with subsegmental atelectasis. |
13164695 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unchanged. Median sternotomy wires are intact. Left mastectomy noted. | 52752254 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough X 2 weeks - history of heart transplant 2.___ years ago // r/o pneumonia, CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No evidence of pneumonia or signs of congestive heart failure. |
13164695 | A right anterior chest wall single-lead ICD is again visualized and is unchanged in position. Severe cardiomegaly is unchanged from prior study. There is central pulmonary vascular congestion with mild interstitial edema. There is no focal consolidation worrisome for pneumonia. There is no large effusion or pneumothorax. | 58654761 | HISTORY: Severe CHF, presenting with worsening shortness of breath. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph, single view. | Central pulmonary vascular congestion. |
13164695 | Previous Swan-Ganz catheter has been removed. Right ICD has appropriate single lead placement. New left LVAD device has been placed without pneumothorax. Severe cardiomegaly continues without overt pulmonary edema. The lateral view shows a loculated posterior left mild pleural effusion and adjacent atelectasis. The lungs are otherwise clear. The mediastinal and hilar contours are normal. | 57881426 | HISTORY: ___-year-old woman status post LVAD implant with ongoing shortness of breath and cough. Please evaluate for pleural effusions and size. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___. | LVAD placement with unchanged severe cardiomegaly. Small loculated left posterion pleural effusion and adjacent atelectasis, chronicity with respect to LVAD implantation unknown. Findings were relayed to Dr. ___ 5 minutes following review by Dr. ___ on ___ at 9:00 by telephone. |
13652475 | Frontal and lateral radiographs of the chest demonstrate clear lungs with no focal opacity. The cardiac contour is top normal. No mediastinal or hilar fullness is noted. No pleural abnormality is detected. | 53375902 | HISTORY: AML status post allogenic stem cell transplant, on immunosuppression, now with productive cough. Evaluate for pneumonia. COMPARISON: ___. | No evidence of pneumonia. |
13652475 | New small area of consolidation in right lower lobe mainly seen on the lateral view at the costo-diaphragmatic angle is highly concerning for pneumonia. The left lung is unremarkable. Mediastinal and cardiac contours are normal. Right subclavian line ends in lower SVC. There is no pleural effusion or pneumothorax. | 52762127 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with new AML, fever to 101, neutropenic right lower lung field rhonchi. COMPARISON: ___ to ___. | New consolidation seen on the lateral view at the costo-diaphragmatic angle probably on the right side is worrisome for pneumonia. This was discussed with Dr. ___. |
13652475 | The lungs are clear with no focal consolidation, pleural effusion or pneumothorax. Cardiac, mediastinal and hilar contours are top-normal. Right central line projects in the expected region of the distal SVC. | 55826180 | HISTORY: Patient with new AML and dyspnea on exertion evaluate for pulmonary edema. COMPARISON: ___. | No focal consolidation. Right central line tip projects within the expected region of the distal SVC. |
13652475 | Cardiomediastinal silhouette and hilar contours are normal. The previously noted subtle retrocardiac density has no clear lateral correlate and is likely vascular shadowing. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. A right central venous catheter is unchanged in position with the tip terminating in the low SVC. | 51001184 | WET READ: ___ ___ ___ 7:43 PM persistent retrocardiac opacity. new right lung base opacity, may represent aspiration, atelectasis or infection in the appropriate clinical setting. ___ ___ WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: New diagnosis of AML with increased sputum production and cough. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views. | Previously appreciated retrocardiac density has no clear lateral correlate. No clear evidence of pneumonia. A wet read was entered into the system by Dr. ___. Please note the changes in the final impression from preliminary results. |
13652475 | Cardiomediastinal silhouette and hilar contours are normal and stable. A right central venous catheter is unchanged in position with the tip projecting over the low SVC. There is a vague retrocardiac density in the left lower lung. Right lung is clear. There is no pleural effusion or pneumothorax. | 50264697 | INDICATION: New diagnosis of AML with acute onset of coughing and diffuse rhonchi on exam. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph. | Vague retrocardiac opacity which may represent focal atelectasis, but PA and lateral chest radiographs would be helpful for further characterization if there is clinical suspicion for pneumonia. |
13652475 | The lungs are well expanded. There is minimal retrocardiac subsegmental atelectasis, confirmed in the lateral view, but no focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 56570236 | HISTORY: Patient with blast cells on blood count. Evaluate for mediastinal mass TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None available. | Unremarkable chest radiographic examination. |
13951102 | PA and lateral radiographs of the chest demonstrate a sharply demarcated homogeneously opaque structure causing mass effect on the lateral aspect of the right hemidiaphragm. When compared to the CT, this corresponds to the fluid collection between the dome of the liver and the right hemidiaphragm. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 52713024 | INDICATION: ___-year-old woman with fever. Evaluate for pneumonia. COMPARISON: CT of the abdomen and pelvis performed the same date ___ at 9:44 a.m. | Fluid collection, better evaluated on the CT, superiorly displacing the lateral aspect of the right hemidiaphragm. No evidence of pneumonia or other acute cardiopulmonary process. |
13692543 | The patient is intubated with an endotracheal tube terminating at the thoracic inlet. An orogastric tube terminates in the stomach where it makes a single coil. There is mild gaseous distention of the stomach. The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. The extreme right costophrenic angle is partly excluded but there is no evidence for pleural effusion or pneumothorax. | 55719074 | CHEST RADIOGRAPH HISTORY: Trauma. COMPARISONS: None. TECHNIQUE: Chest, portable AP view. | Status post endotracheal intubation. Orogastric tube terminating in the stomach. No definite evidence for injury. |
13983282 | There is slight improvement in degree of parenchymal opacities bilaterally which may reflect pulmonary edema. Left retrocardiac opacity is slightly more conspicuous. There is a small right-sided pleural effusion. | 55132861 | WET READ: ___ ___ ___ 9:01 AM 1. Low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. 2. Unchanged moderate pulmonary edema and similar retrocardiac opacity. WET READ VERSION #1 ___ ___ 11:56 PM 1. Low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. 2. Unchanged moderate pulmonary edema and similar retrocardiac opacity. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with cough lung sound junky // rule out aspiration TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Slightly improved bilateral parenchymal opacities. |
13983282 | Compared to prior exam, there is increased pulmonary edema, which is now moderate-to-severe. Subtle consolidation may be obscured by this edema. There is likely a left pleural effusion; retrocardiac opacity may be related to adjacent atelectasis but is incompletely evaluated on this single view. No pneumothorax is detected. Cardiomegaly persists. | 55776827 | INDICATION: ___-year-old female with shortness of breath. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained with the patient in an upright position. | Increased moderate-to-severe pulmonary edema. These findings were reported to Dr. ___ by Dr. ___ by telephone at 3:17 p.m. on ___. |
13983282 | Cardiomegaly and widened mediastinum are is stable. NG tube tip is in the stomach. Swan-Ganz catheter tip is in the main right pulmonary artery. Vascular congestion is stable. There is no pneumothorax. | 50355467 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman w hiatal hernia s/p NG tube plcaement // evaluate position TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Stable vascular congestion and cardiomegaly. |
13983282 | There is a persistent and perhaps somewhat increased pattern of hazy lung opacification and prominent reticular markings suggesting moderate pulmonary vascular congestion. Pleural effusions are not excluded and a right-sided pleural effusion may be suspected based on slight blunting of the right costophrenic angle. There is no pneumothorax. | 51838458 | CHEST RADIOGRAPH HISTORY: Weight gain. Question congestive heart failure. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | Findings suggesting similar to perhaps somewhat increased pulmonary vascular congestion. |
13983282 | The Swan-Ganz catheter has been removed. The nasogastric tube extends into the stomach, distal tip not visualized. A right-sided PICC line extends into the low right atrium. Retraction by 7-8 cm would position its tip in the low SVC. There is no pneumothorax. Retrocardiac airspace opacification has decreased, likely due to resolved atelectasis. The lungs are otherwise clear. Heart size is smaller, but magnified by the projection. A moderate hiatal hernia is unchanged. | 56563861 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ yr. old woman with PMH of HTN, CAD S/P MI ___, ischemic cardiomyopathy, systolic CHF (EF ___%), DMII (dx ___, C/B neuropathy, retinopathy, nephropathy, gastroparesis), CKD stage III s/p cardiogenic shock c/b by shock liver and likely ATN, now on the floor, undergoing diuresis. // Please assess for interval change, evidence of volume overload. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Right-sided PICC line terminates in the right atrium. Retraction by 7-8 cm would reposition the tip in the low SVC. Resolved left basilar subsegmental atelectasis. Moderate hiatal hernia. |
13983282 | Endotracheal tube, Swan-Ganz catheter and nasogastric tube are unchanged in position. TheSwan ___ catheter tip continues to be in the right main pulmonary artery and should be retracted. The appearance of the lung parenchyma is also unchanged with mild pulmonary edema. There is no new pneumothorax or pleural effusions. | 52645685 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cardiogenic shock, fever, and leukocytosis now intubated s/p impella removal // ?intervala changes TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs most recently from ___. | Stable mild pulmonary edema. No significant change since the prior study. Swan-Ganz catheter tip remains in the right main pulmonary artery and should be pulled back for more optimal positioning. |
13983282 | AP view of the chest provided. As compared to prior study, degree of pulmonary edema is not significantly changed. There is slight increase in retrocardiac atelectasis. No large pleural effusions are seen. Mild cardiomegaly remains stable. Swan-Ganz catheter has been retracted slight and terminates in right main pulmonary artery. Endotracheal tube is in appropriate position. Nasogastric tube courses towards the stomach and out of view. | 51561789 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with heart failure, respiratory failure // eval for interval changed, ETT and PA catheter placement COMPARISON: Chest radiograph from ___. | Endotracheal and Swan-Ganz catheter in appropriate positions. |
13983282 | There is moderate pulmonary edema. There is silhouetting of the left hemidiaphragm medially likely partially due to suspected hiatal hernia. Superimposed atelectasis and/or effusion are also possible. There is no large effusion. Cardiac silhouette is enlarged but similar compared to prior. No visualized free intraperitoneal air. | 57474987 | INDICATION: ___F with abdominal pain/distention // evaluate for free air TECHNIQUE: AP view of the chest. COMPARISON: ___ at 11:18. ___. | Moderate pulmonary edema. No free intraperitoneal air. |
13983282 | Prior right PICC and enteric tube are no longer visualized. Mild to moderate pulmonary edema is similar when compared to previous exam. There is no confluent consolidation nor effusion. Degree of cardiomegaly is similar given differences in projection. No acute osseous abnormalities. | 51238699 | INDICATION: ___F with DM, CHF, CAD presents with vomiting, fluid overload // eval for pulmonary congestion, pleural effusion TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Pulmonary edema without effusion or consolidation. |
13983282 | There is subtle increase in bibasilar opacities, suggestive of increased pleural effusions and mildly increased interstitial edema. No pneumothorax is detected. Heart and mediastinum appear stable with mild cardiomegaly. Right internal jugular catheter appears to be in similar position given differences in patient positioning. | 54737117 | INDICATION: ___-year-old female with shortness of breath and pulmonary edema. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. | Slightly increased pleural effusions, left greater than right, with persistent moderate interstitial pulmonary edema. |
13983282 | Moderate cardiomegaly is re- demonstrated. Mediastinal contours are unchanged with a moderate hiatal hernia again noted. Minimal atherosclerotic calcifications are seen at the aortic knob. Moderate pulmonary edema is present with perihilar haziness and vascular indistinctness. There are likely trace bilateral pleural effusions, with a small amount of fluid seen tracking in the minor fissure. Bibasilar opacities likely reflect areas of atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities. | 59884447 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with CAD/CHF, DM, CKD, PAD, presenting with acute N/V, weakness, with preceding URI symptoms, SOB. // Please assess for intrapulmonary process/vascular congestion, evidence of acute heart failure. TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ | Moderate pulmonary edema with probable trace bilateral pleural effusions and bibasilar atelectasis. |
13434974 | Heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities visualized. | 50876103 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with back pain; now chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___ at 14:12 | No acute cardiopulmonary abnormality. |
13416445 | Portable AP upright chest radiograph was provided. There is mild pulmonary vascular congestion. No pneumonia. Heart size is normal. Mediastinal contour is unremarkable. No large effusion or pneumothorax. Bony structures are intact. | 56754574 | HISTORY: ___M with symptomatic heart block COMPARISON: None. | Mild pulmonary vascular congestion. |
13517128 | The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is top normal for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable. | 57906911 | PA AND LATERAL CHEST, ___, AT ___ HOURS. HISTORY: Chest, back, and left shoulder pain. COMPARISON: ___. | No acute pulmonary process. |
13089671 | PA and lateral views of the chest provided. Lung volumes are low limiting evaluation. There are no convincing signs of pneumonia or edema. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50560703 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain, cough, and lethargy since this morning COMPARISON: Prior CT of the chest from ___. | Limited due to low lung volumes without convincing signs of pneumonia or edema. |
13838436 | The lung volumes are low, resulting in vascular crowding. There is no pleural effusion, pneumothorax or focal consolidation. Heart size is top normal. Sternotomy wires and CABG clips are noted. There has been resolution of the left base consolidation/effusion. | 53167359 | INDICATION: Status post fall, evaluate for infection. COMPARISONS: ___. AP AND LATERAL VIEWS OF THE | No acute intrathoracic process. |
13165314 | There is redemonstration of an opacity in the lingula, which is better evaluated on prior chest CT examination and is suggestive of primary lung cancer. There has been interval increase of left lower lobe opacity, which could be due to increasing lingular mass or postobstructive pneumonia. Mild atelectasis is noted at the right lung base. The right lung is otherwise clear. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. A right-sided Port-A-Cath catheter terminates in the distal SVC. There is dextroscoliosis of the thoracic spine. | 57558457 | HISTORY: Productive cough. Rule out pneumonia. COMPARISON: Prior chest CT from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | Lingular pulmonary mass suggestive of primary lung cancer, better assessed on prior chest CT examination. Increased opacity at the left lung base could be due to increasing lingular mass or postobstructive pneumonia. Short interval follow up is recommended after treatment. Findings discussed with ___ by ___ via telephone on ___ at 9:44 AM. |
13165314 | There is severe dextroscoliosis of thoracic spine. Compared to prior studies, there is improved aeration of the left lung. There are persistent emphysematous changes. Soft tissue densities are seen in the left hemithorax, compatible with pleural and lung nodules seen on chest CT of ___. There is a right chest wall port that ends at the cavoatrial junction. There is no pneumothorax. There is no focal consolidation to suggest pneumonia. | 54081230 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with mets lung cancer with cough and fever // r/o pneumonia TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest CTs dating back to___, and prior chest radiograph of ___. | No pneumonia. Interval improvement in aeration of the left lung. |
13165314 | Lungs are hyperexpanded. There is increased right basilar opacity concerning for infection. There may be trace right pleural effusion. Known irregular left perihilar mass is similar to the prior study. Known pulmonary nodules are not well evaluated on the current exam. Cardiomediastinal silhouette is stable. Pulmonary vasculature is normal. There is marked dextroconvex scoliosis of the thoracic spine. | 51249809 | INDICATION: ___-year-old male with history of lung cancer and fever and cough. Rule out pneumonia. COMPARISON: CT chest of ___ and chest radiograph of ___. CHEST, PA AND LATERAL | Findings concerning for right lower lobe pneumonia. Findings discussed with Dr. ___ at 3:40 a.m. on ___. |
13165314 | Again noted is an opacity in the lingula, better evaluated on dedicated chest CT on ___ and suggestive of a primary lung cancer. However, there is new opacity overlying the left lower lobe which is likely a small pleural effusion. Additionally, there is a new right lower lobe opacity suggestive of pneumonia. Previously noted multiple other nodules involving the left upper lobe, left lower lobe, right middle lobe, and right lower lobe are better delineated on the dedicated chest CT. Severe emphysema is again noted. Cardiomediastinal silhouette appears stable. Dextroscoliosis of the thoracic spine appears stable. | 53660714 | INDICATION: Cough. COMPARISON: CT chest from ___ and chest radiograph from ___. | Again noted the lingular pulmonary mass suggestive of a primary lung cancer as well. Multiple other lung nodules are better delineated in dedicated chest CT from ___. New right lower lobe opacity suggestive of pneumonia and new left lower lobe opacity suggestive of a small pleural effusion. |
13785557 | There is a right sided Port-A-Cath with tip in the mid SVC. The lungs are clear without infiltrate or effusion. Cardiac and mediastinal silhouette are normal. | 53543899 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with port-a-cath. // Need to confirm placement of PAC prior to use. TECHNIQUE: Portable chest COMPARISON: ___. | Right-sided Port-A-Cath tip in good location |
13509433 | The lungs are clear without focal airspace opacity, significant pleural effusion, or pneumothorax on this supine view. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No displaced rib fractures are detected. There is no acute osseous abnormality identified. The visualized upper abdomen is unremarkable. | 59832094 | INDICATION: Status post MVC with partial roll over, here to evaluate for acute injury. COMPARISON: No prior studies available. TECHNIQUE: Supine frontal radiographs of the chest. | No acute cardiopulmonary process. |
13509433 | On the lateral view of the chest, there is a triangular-shaped artifact along the anterior chest wall, which is likely projectional and related to patient positioning, but it is difficult to exclude a sternal fracture in this region. No other osseous abnormality is detected. The lungs are clear without airspace opacification, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen shows no free air beneath the right hemidiaphragm on this upright view. | 58778308 | INDICATION: Status post MVC with chest wall pain, here to evaluate for sternal fracture. COMPARISON: Chest radiograph performed earlier during the same admission on ___ at 21:20. TECHNIQUE: PA and lateral radiographs of the chest. | Possible artifact projecting over the sternum seen only on the lateral view. A repeat lateral radiograph or CT could be considered for further evaluation if there is high clinical concern for sternal fracture. |
13581314 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. | 54500655 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain and syncope. Hypertension. TECHNIQUE: Chest, PA and lateral. COMPARISON: Earlier on the same day. | No evidence of acute cardiopulmonary disease. |
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