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13277770 | Frontal and lateral views of the chest. When compared to prior there has been no significant interval change. Prominent interstitial markings are again noted throughout the lungs bilaterally. There is no significant effusion or confluent consolidation. Cardiac silhouette is enlarged but stable. Triple lead pacing device seen with leads in unchanged position. No acute osseous abnormality detected. | 51241154 | HISTORY: ___-year-old female with history of CHF with worsening shortness of breath. COMPARISON: ___. | Findings suggestive of interstitial edema. No superimposed consolidation. |
13277770 | AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Marked cardiomegaly as before. Position of permanent pacer in left anterior axillary position connected to total of three electrodes terminating in right atrium, right ventricle and venous coronary sinus system in unchanged position. The pulmonary vasculature remains unchanged and shows moderate degree of perivascular haze, consistent with chronic congestion. Obliteration of left-sided diaphragmatic contour is suggestive of atelectasis in left lower lobe. The right-sided lateral pleural sinus is free from any fluid accumulation and there is no pneumothorax in the apical area. No evidence of new discrete pulmonary parenchymal infiltrates. | 56295623 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with ICD device, history of pocket hematoma, check ICD lead placement. | Unchanged position of previously described permanent pacer system including the ICD device and biventricular electrodes. PA and lateral chest views for evaluation of elecrtrode positions as of ___ has apparently not changed as can be identified on this single view examination. |
13277770 | AP and lateral chest radiographs demonstrate stable cardiomegaly. AICD again noted with leads in unchanged position. Lungs are well expanded with minimal pulmonary edema. No large pleural effusions and no pneumothorax. | 54785199 | INDICATION: Shortness of breath, missed a dose of Lasix, evaluate heart and lungs. COMPARISON: ___. | Stable cardiomegaly with minimal pulmonary edema. |
13277770 | A three-lead pacemaker/ICD device with leads terminating in the right atrium, right ventricle, and coronary sinus, appears unchanged. The pacer device projects over the left lateral chest, as before. The heart is moderately enlarged, not significantly changed. The mediastinal and hilar contours appear unchanged. There is new widespread mild-to-moderate interstitial abnormality suggesting pulmonary edema. Hyperinflation is suspected based on flattening of the hemidiaphragms. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. | 54410051 | CHEST RADIOGRAPHS HISTORY: Dyspnea. History of congestive heart failure. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | Findings consistent with mild-to-moderate pulmonary edema. |
13855272 | Lung volumes are low. No focal consolidation to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is top normal. There is tortuosity of the aorta and calcification of the aortic arch. The patient is status post median sternotomy. A previously seen left-sided PICC has been removed. | 58453807 | INDICATION: Fever. No history of cough or dyspnea. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___. | No acute cardiopulmonary process. |
13855888 | The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. | 55690037 | INDICATION: ___-year-old male with productive cough for one week, evaluate for pneumonia. COMPARISONS: None. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13269990 | 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. | 59805110 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough and dyspnea for 1 week // COMPARISON: Prior exam from ___. | No acute intrathoracic process. |
13269990 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs volumes are low, but lungs are grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55009522 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with several days of intermittent sharp chest pains // R/O abnormality TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13122044 | Multiple healed right rib fractures are present. No definite acute rib fractures are evident on this chest radiograph which was not specifically tailored to assess the ribs. There is no pneumothorax or pleural effusion. Cardiomediastinal contours are within normal limits, and lungs are grossly clear. Abandoned pacemaker lead remains in place, terminating in the right ventricle. | 51748352 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with bilsteral rib pain. ? occult fracture // ? fracture. bilateral rib pain and tenderness COMPARISON: ___. | Multiple healed right rib fractures. No definite acute rib fractures detected, but diffuse osseous demineralization and lack of dedicated rib radiographs limit sensitivity for detecting acute fractures. If symptoms are localized 3 specific region, coned-down rib radiograph could be obtained with a marker if warranted clinically. |
13122044 | The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. | 55001945 | INDICATION: ___ year old woman with history of malignant melanoma // please evaluate disease status TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Limited resolution of the plain radiograph reveals no evidence pulmonary metastasis. |
13356687 | PA and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. Hypertrophic changes seen in the spine. Right upper quadrant surgical clip is identified. Degenerative changes are seen at the right acromioclavicular joint. | 54560449 | CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with confusion. COMPARISON: None. | No acute cardiopulmonary process. |
13009683 | Mild cardiomegaly is unchanged. Thoracic aorta is mildly tortuous. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Postoperative changes in the right mid lung related to prior wedge resection procedure, accompanied by unchanged pleural and parenchymal scarring. No acute osseous abnormality identified. | 55193758 | INDICATION: ___-year-old woman with family is and fever, evaluate for pneumonia. COMPARISON: Comparison is made to chest CT from ___ and chest radiograph from ___. TECHNIQUE PA and lateral view of the chest. | No radiographic evidence of pneumonia. |
13009683 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 52707482 | INDICATION: Shortness of breath and dyspnea on exertion. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. |
13009683 | Since prior exam, new right-sided chest tube is present with the tip in the medial mid lung zone. Some subcutaneous air is noted in the right chest wall. The lung volumes are lower with patchy interstitial opacities, likely from mild edema. A more focal opacity in the left mid lung zone is present. There is no definite pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged and unchanged. | 59971437 | INDICATION: Status post VATS wedge resection. Evaluate postoperatively. COMPARISON: Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained. | New mild pulmonary edema. Focal right mid lung zone opacity, which is nonspecific, and may be focal atelectasis, though a small amount of hemorrhage or a developing infection is a consideration. Satisfactory position of the chest tubes. No pneumothorax. |
13009683 | The cardiomediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is seen. Mild prominence of interstitial markings in both lungs, predominantly in the left lower lung, likely relates to the known interstitial lung disease. | 56243798 | INDICATION: ___-year-old woman with cough and shortness of breath. COMPARISON: CT chest without contrast ___ and chest radiograph ___. PA AND LATERAL CHEST | No acute abnormality. Mild interstitial abnormality, better assessed on prior CT. |
13712747 | The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. Subtle opacity at the right cardiophrenic angle is most compatible with crowding of bronchovascular structures and/or mild atelectasis in the setting of a suboptimal inspiratory effort. Otherwise, the lungs are clear. There is no pneumothorax or pleural effusion. | 53271796 | WET READ: ___ ___ ___ 3:19 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: ___-year-old woman with altered mental status, rales at the lung bases, evaluate for pneumonia or edema. TECHNIQUE: PA and lateral upright chest radiographs. COMPARISON: Chest x-ray ___. | No acute cardiopulmonary process. |
13688683 | AP single view of the chest has been obtained with patient in semi-erect position. Comparison is made with the next preceding similar study obtained on the morning of the preceding day ___. On the present portable examination, the patient is more rotated to the right as on the preceding examination. Again noted is significant cardiac enlargement and presence of surgical clips in the left-sided mediastinal structures compatible with previous bypass surgery. Absence of the usual sternal wires is noted. The grid-shaped structures of a CoreValve device are again identified and occupy the area of the left ventricular outflow tract and the root of the aorta. These structures are in unchanged position in comparison with the previous study. Comparison of pulmonary vasculature suggests that vascular distention and perivascular haze is less marked than it was on the preceding study. Again noted are relatively high positioned diaphragms indicative of poor inspirational mechanics. No pneumothorax can be seen. | 56223484 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient status post CoreValve placement, evaluate for pulmonary edema. | Comparison of portable chest examination suggests some improvement of pulmonary vascular congestion. |
13688683 | PA and lateral views of the chest were obtained. Indistinct pulmonary vascular markings consistent with pulmonary congestion. There are no confluent consolidation or nodules. The cardiac silhouette is slighlty enlarged possibly due to low lung volumes. Surgical clips are located along the left side of the cardiomediastinal silhouette as well as additional clips located in the region of the anterior mediastinum. No acute osseous abnormality. The left hemidiaphragm is slighly elevated. There is no free air below the right hemidiaphragm. | 57989061 | INDICATION: Worsening shortness of breath. COMPARISON: None. | Mild pulmonary vascular congestion. |
13688683 | Portable AP semi-upright view of the chest is reviewed and compared to the prior study. An aortic core valve projects over the heart and a transvenous right internal jugular pacer follows the expected course and is unchanged in position. Interstitial abnormality is unchanged since ___, but increased since ___, probably due to edema, exaggerated by low post operatived lung volumes. There is no significant pleural effusion or pneumothorax. The cardiomediastinal silhouette, reflecting mild cardiomegaly, are unchanged. Elevation of the left hemidiaphragm is chronic. | 51620787 | INDICATION: Evaluation for interval change in a patient status post core valve. COMPARISON: ___ through ___. | Mild interstitial edema stable since ___, increased since ___. |
13877204 | The heart size is top normal. There is moderate tortuosity of the aorta. Lung volumes are well expanded and clear. There are no focal consolidations concerning for pneumonia. There are no pleural effusions or pneumothorax. There is no pulmonary edema. Left-sided pacemaker leads terminate in the right atrium and right ventricle, expected locations. | 53026615 | INDICATION: ___-year-old male patient with history of AML, neutropenic and cough. Study requested to rule out pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No radiographic evidence of an acute cardiopulmonary process. |
13877204 | Persistent low lung volumes with mild interval improvement in multiple ill-defined bilateral heterogeneous opacities. No cavitation noted. There is a crowded appearance of pulmonary vasculature at the bases and mild cardiac enlargement from low lung volumes. Mediastinal and hilar contours are normal. Stable mild bibasilar atelectasis, left greater than right. No pneumothorax or large pleural effusion. | 57719820 | HISTORY: ___-year-old male with history of AML, presents with pneumonia, acute kidney injury and increasing oxygen requirement. Assess for pulmonary edema. COMPARISON: CT chest ___. Chest radiograph ___; ___; ___. TECHNIQUE: Single portable frontal chest radiograph. | Mild interval improvement in multifocal opacities suggestive of infectious process. No pulmonary edema. |
13877204 | The lungs are clear. Right subclavian line ends in mid SVC. Mediastinal and cardiac contour is normal. Mild elevation of left hemidiaphragm is chronic. | 54268112 | PORTABLE AP CHEST X-RAY INDICATION: Patient with AML and shortness of breath, previous chest x-ray and CT negative, concerning for PE?, pneumonia? COMPARISON: ___ and CT scan of ___. | There is no evidence of pneumonia. There are no acute cardiopulmonary findings. |
13877204 | PA and lateral views of the chest are obtained. There is some mild atelectasis at the left lung base, unchanged since the prior radiographs. There is no focal consolidation, pulmonary edema or pleural effusion. Mild degenerative changes of the thoracic spine with multilevel bridging osteophytes are again seen. Pacemaker leads are unchanged in position, terminating in the right atrial appendage and right ventricle. | 55371853 | INDICATION: ___-year-old male with history of leukemia, now in treatment with shortness of breath. Evaluate for pathology. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___. | No acute cardiopulmonary disease. |
13877204 | Frontal and lateral views of the chest were obtained. Lung volumes are relatively low and there is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are unremarkable. | 54790976 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of fatigue, leukocytosis. COMPARISON: ___. | No acute cardiopulmonary process. |
13988808 | There are mild interstitial peripheral opacities and new small bilateral pleural effusions, findings suggestive of new mild pulmonary edema. No confluent consolidation is identified. No pneumothorax is evident. Mediastinal and hilar contours are within normal limits. Moderately severe cardiomegaly appears stable. A compression deformity of an upper thoracic vertebral body appears stable. | 50669243 | HISTORY: ___-year-old female with weakness and chills. COMPARISON: Chest radiograph from ___ and ___. PA AND LATERAL CHEST | Mild pulmonary edema with new small bilateral pleural effusions. |
13637689 | PA and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The right apical infarct seen on prior CT is not well seen on this study. | 56507453 | INDICATION: Saddle PEs. COMPARISON: CT chest on ___. | The lungs are clear without evidence of pneumonia. |
13763648 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No displaced fractures are visualized. | 54913250 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, right rib pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. No displaced fractures are visualized. |
13763648 | The lungs are reasonably well expanded, with only trace atelectasis in the left lung base. There is no pleural effusion, pulmonary edema, pneumothorax, or consolidation concerning for pneumonia. The cardiomediastinal silhouette is unremarkable. There is mild bronchial wall thickening, which appears to wax and wane on prior studies. | 56713265 | EXAMINATION: Chest radiographs. INDICATION: History: ___M with chest pain // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs: ___, ___. | No evidence of pneumonia. Mild bronchial wall thickening could reflect bronchitis. |
13763648 | 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. | 50857065 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with cough and productive sputum TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13763648 | 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. | 52391359 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain // eval for acute process COMPARISON: ___ | No acute intrathoracic process. |
13763648 | 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. | 53989929 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, sputum TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13397616 | There has been interval extubation. An enteric catheter has been removed. There is mild-to-moderate interstitial pulmonary edema, increased compared to the prior study from ___. Small bilateral pleural effusions are not significantly changed. Mild bibasilar atelectasis is increased. Mild enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal. There is no pneumothorax. | 58352843 | INDICATION: Status post open cecopexy and appendectomy for bowel obstruction, attributed to cecal volvulus. Assess for interval change. COMPARISON: Chest radiograph from ___. | mildto-moderate interstitial pulmonary edema. Unchanged mild-to-moderate enlargement of the cardiac silhouette. Unchanged small bilateral pleural effusions and minimal bibasilar atelectasis. |
13397616 | Portable frontal chest radiograph demonstrates interval intubation with an endotracheal tube positioned with its tip located at least 4 cm from the level of the carina. An NG tube remains in place with its tip not seen off the inferior margin of the film. There is interval increase in bibasilar atelectasis. Mild interstitial pulmonary edema and vascular engorgement is unchanged. | 57763117 | HISTORY: ___-year-old female status post intubation for respiratory failure. COMPARISON: ___ at ___ hours and at ___ hours. | Standard positioning of support devices. Increasing bibasilar atelectasis with superimposed mild pulmonary edema. |
13219222 | Endotracheal tube terminates approximately 4.6 cm from the carina. An orogastric tube is within the stomach as is the side port. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema demonstrated. Streaky opacities in the lung bases likely reflect atelectasis. No focal consolidation, large pleural effusion or pneumothorax is detected. No acute osseous abnormality is seen. | 53924825 | HISTORY: Intubated. TECHNIQUE: Upright AP view of the chest. COMPARISON: None. The patient is listed as EU critical at the time of study interpretation. | Standard positioning of the endotracheal tube and orogastric tube. Streaky bibasilar airspace opacities may reflect atelectasis. |
13599579 | Frontal and lateral radiographs of the chest show clear lungs without focal consolidation, 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. | 50550494 | INDICATION: ___-year-old female with history of asthma, now with one-month history of persistent cough and sinus congestion, here to evaluate for pneumonia. COMPARISON: No prior studies available. | No acute cardiopulmonary process. |
13443536 | Diffuse predominanlty peripheral interstitial reticular opacities are seen throughout the lung parenchyma in these wlung with relatively low lung volumes. The cardiac borders not clearly evaluated. No definite focal consolidation is identified, however an underlying process acute infectious process cannot be entirely excluded. There is no large pleural effusion or pneumothorax. Surgical clips are seen in the right upper quadrant. | 55677552 | HISTORY: ___ year old with shortness of breath. Evaluate for acute process. COMPARISON: Prior chest CT from ___ and ___. TECHNIQUE: PA and lateral chest radiographs. | Diffuse interstitial parenchymal opacity consistent with known fibrotic process. No definite focal consolidation is identified, however is difficult to exclude an underlying acute infectious process. |
13443536 | There are prominent interstitial markings compatible with known pulmonary fibrosis. Widening of the mediastinum is due to mediastinal fat, as demonstrated on subsequent chest CT. Mild cardiomegaly is noted. No focal consolidation or pulmonary edema is present. There is no pleural effusion or pneumothorax. | 54416932 | INDICATION: History: ___M with pulmonary fibrosis p/w pain in his back and below his rib cage, evaluate for right lower lung pathology TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Prominent interstitial markings compatible with known fibrosis. No focal consolidation. Widening of the mediastinum due to mediastinal fat, as demonstrated on subsequent CT chest, with findings reported separately. Mild cardiomegaly. |
13863916 | The cardiac, mediastinal and hilar contours are normal. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax. | 54170949 | INDICATION: ___-year-old female with chest pain. COMPARISON: PA and lateral chest radiograph ___. PA AND LATERAL CHEST | No acute cardiopulmonary process. |
13108072 | Nearly completely re-expanded left lower lobe, with mild residual basilar opacity, likely atelectasis. Re-expansion of the left hemothorax with normal position of midline structures. Mild right infrahilar opacity, more apparent, atelectasis versus infiltrate. Gastric distention. Normal heart size, pulmonary vascularity. | 50753562 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M s/p extubation, s/p unremarkable bronch for ?LLL atelectasis, please eval for interval change // ___M s/p extubation, s/p unremarkable bronch for ?LLL atelectasis, please eval for interval change TECHNIQUE: Chest single view COMPARISON: ___ 05:45 | Near completely re-expanded left lower lobe. . Mild right infrahilar atelectasis or infiltrate. |
13108072 | The lung volumes are low. The lungs however are clear. No pleural effusion. The newly placed endotracheal tube tip terminates 7.7 cm above the carina, located just below the thoracic inlet and could be advanced by approximately 3 cm. EKG leads overlie the chest wall. Visualized bones appear unremarkable. | 55081006 | WET READ: ___ ___ ___ 10:21 AM Newly placed ET tube terminates just below the thoracic inlet and could be advanced by approximately 3 cm. Low lung volumes, with clear lungs. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man intubated // please assess position of ETT TECHNIQUE: Single portable radiograph of the chest COMPARISON: ___ at 02:03 | Newly placed ET tube terminates just below the thoracic inlet and could be advanced by approximately 3 cm. Low lung volumes, with clear lungs. |
13108072 | Left lower lobe is completely collapsed. Remainder of the lungs are clear. Cardiomediastinal contours are within normal limits allowing for shift related to lobar collapse. Endotracheal tube is in place, terminating 6 cm above the carina. No pneumothorax or definite pleural effusion. | 52618660 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with gun shot to abdmomen, temp spike 101, intubated // ?pneumonia COMPARISON: None available | Complete left lower lobe collapse is potentially due to mucous plugging, but fixed endobronchial lesion is also possible such as carcinoid or foreign body. Heart is not she she is at |
13814237 | Compared with ___, there has been progression of diffuse bilateral opacities. There is more pronounced confluence in the left upper lung and slight oblique greater areas of confluence of the right lung. As before, the right hemidiaphragm is elevated. The cardiac silhouette is obscured by the opacities more so than on the prior study. No gross left effusion. Doubt gross right effusion. Clips again seen in the right upper abdomen. Clips also noted adjacent to the left shoulder. Left-sided line overlies the mid SVC, similar prior. | 58950758 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypersensitivity pneumonitis and hypoxic respiratory failure. Also chf // rule out worsening pulmnonary edema versus HP versus aspiration pna COMPARISON: Chest x-ray from ___ | Worsening of diffuse interstitial and alveolar opacities, compared with ___. The appearance is non-specific and could include inflammatory or infectious changes as well as pulmonary edema. Nonvisualization of gross pleural effusions makes pulmonary edema somewhat less likely. Cardiomediastinal contours are obscured by the infiltrates. |
13814237 | Lung volumes are low. The cardiac silhouette is borderline enlarged, similar to the prior examination. Again noted is indistinct pulmonary vasculature with patchy bilateral opacity, improved since the most recent examinations. No focal consolidation is definitively identified, though cannot entirely be excluded. There is no pleural effusion or pneumothorax. Left PICC tip projects over the mid SVC. Multiple surgical clips noted in the right upper quadrant. | 56488769 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and left chest crackles // pna? TECHNIQUE: Chest PA and lateral COMPARISON: ___, ___ | Overall improved appearance the lungs with improved aeration bilaterally but with persistent interstitial abnormalities. This could represent edema although infection or interstitial process are possible. |
13814237 | The tip of the left PICC line is again noted to project over the mid SVC. Surgical clips are again noted in the right upper quadrant. In the diffuse bilateral interstitial markings. No focal consolidation, pleural effusion or pneumothorax is identified. The size and appearance of the cardiomediastinal silhouette is unchanged. | 51462646 | INDICATION: ___ year old woman with PICC line // PICC line placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | The tip of the left PICC line is unchanged, projecting over the mid SVC. Interval decrease in extent of the diffuse bilateral interstitial opacities. |
13814237 | The patient is rotated. The tip of the left PICC line extends to the mid to distal SVC. There are diffuse patchy and confluent air space opacities as well as air bronchograms visualized in the medial left lower lung zone. No pleural effusion or pneumothorax identified. The size the cardiac silhouette is enlarged. | 53744686 | INDICATION: ___ year old woman transferred from OSH with protracted hypoxemia of unclear etiology, bibasilar crackles // pna, pulm edema, and PICC placement TECHNIQUE: AP portable chest radiograph COMPARISON: None available | Pulmonary edema with a probable superimposed left lower lung zone pneumonia. |
13858856 | The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes remain low. There are persistent patchy opacities in the lower lungs, but somewhat better aerated and expanded, suggesting partial resolution of what is probably, at least predominantly, atelectasis. Background prominence of pulmonary vascularity with indistinct vessels suggests fluid overload. A curvilinear shadow continues to project over the right upper lung. Lung markings are clearly seen beyond it, but it is difficult to entirely exclude the possibility of a pneumothorax involving partial retraction of the right upper lobe, although doubted. There is no free air. | 56985351 | CHEST RADIOGRAPH HISTORY: Follow-up of abnormal radiograph. Patient with abdominal pain. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, portable AP upright. | Partial improvement in right basilar opacities. Persistent findings suggesting fluid overload. Persistent shadow projecting over the right upper thorax, which raises concern for the possibility of an unusual imaging appearance of pneumothorax; although doubted, chest CT are short-term followup radiograph should be considered to exclude the diagnosis, in addition to correlation with whether there has been any recent prior history of instrumentation. |
13858856 | The lung volumes are low. There are patchy new opacities in the lower lungs. Most often these could be attributed to atelectasis in the setting of low lung volumes, but not entirely specific. In addition, the pulmonary vasculature appears indistinct and prominent suggesting fluid overload. A curvilinear line projecting over the right upper hemithorax mimics pneumothorax, although the clear presence of lung markings beyond the edge of the shadow and the lack of medial delineation of the shadow make an artifact more likely than a real pneumothorax. There is no definite pleural effusion. The gastric bubble projects over the left upper quadrant, but there is no definite free air. | 52348433 | CHEST RADIOGRAPH HISTORY: Abdominal pain and hypotension. Question free air. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable. | Curvilinear interface projecting over the right upper lung, which mimics a pneumothorax, although it is probably an artifact. Repeat chest radiography is suggested to confirm. Findings suggesting mild-to-moderate pulmonary vascular congestion. Patchy lower lobe opacities, most suggestive of atelectasis in the setting of quite low lung volumes, although other etiologies such as pneumonia or aspiration are not excluded by this study. No evidence for free intraperitoneal air. |
13858856 | Low lung volumes accentuate the central pulmonary vasculature. There is no focal consolidation, effusion, or pneumothorax. Previously seen right lower lobe opacity has cleared. Cardiac and mediastinal contours are normal. | 58331681 | HISTORY: Bibasilar crackles. COMPARISON: ___. | Low lung volumes. No acute cardiopulmonary process. |
13858856 | Frontal and lateral views of the chest were obtained. There is a moderate right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. The left lung is clear. The cardiac and mediastinal silhouettes are unremarkable, although the right aspect of the cardiac silhouette is not well assessed due to the adjacent pleural effusion. No overt pulmonary edema is seen. | 56804157 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Abdominal pain and shortness of breath. COMPARISON: ___. | Moderate right pleural effusion with overlying atelectasis, underlying consolidation not excluded. |
13279128 | The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. There is mild biapical pleural parenchymal scarring noted. No pneumothorax, pulmonary edema, or pleural effusion. No focal consolidations are noted. | 52155502 | WET READ: ___ ___ ___ 3:28 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with weakness // infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute intrathoracic process. |
13199993 | PA and lateral views of the chest were provided. The lungs are clear without consolidation, effusion or pneumothorax. No overt signs of edema. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 56246108 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. INDICATION: ___-year-old man with prior interstitial edema on chest x-ray, now status post fluid resuscitation, question worsening of pulmonary edema. | No acute intrathoracic process. |
13102433 | The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Mild height loss of a lower thoracic vertebral body is noted. | 50526466 | INDICATION: ___F with cough // eval for pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. Mild height loss of a lower thoracic vertebral body, potentially old but age indeterminate. |
13007046 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, degenerative changes noted at the shoulders. | 52632588 | INDICATION: ___F with fevers/cough // pna TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13007046 | Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The heart is top normal in size. There is no pleural effusion, consolidation or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. | 59516988 | HISTORY: Cough and dyspnea. Evaluate for pneumonia. COMPARISON: Prior grafts chest dated ___ and ___. | No acute cardiopulmonary process. |
13383704 | The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen. | 57297365 | INDICATION: Cough, subjective fever. COMPARISON: None. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13058213 | Right lower lobe opacity is likely pneumonia. The lungs are otherwise clear. No pleural effusions or pneumothorax. The pulmonary vasculature and hila are normal. The cardiomediastinal silhouette is unchanged. Mild scoliosis is unchanged. The cervical hardware is again seen and intact. | 55740371 | INDICATION: ___ year old man with severe GERD c/o aspiration early this am now sob, wheezing, cough // aspiration TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Right lower lobe pneumonia. |
13058213 | Interval improvement in the opacification involving the right mid and lower lung zones. No new areas of airspace consolidation. No pleural effusions. Evidence of previous cervicothoracic spine stabilization. | 59579999 | INDICATION: ___ year old man with cough, sob, wheezing after GERD // f/u aspiration pneumonitis TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Interval improvement in the opacification of the right mid to lower lungs. |
13058213 | Right lower lobe opacity is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Thoracic scoliosis is again noted. Partially imaged cervical spine hardware is also noted. | 55676902 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and SOB // ? Pna TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Right mid to lower lung opacity, worrisome for pneumonia. |
13058213 | Overall, there has been no significant interval change. Again noted is thoracic scoliosis with relative asymmetry of the rib cage and pseudo hyperlucency of the left hand hemi thorax as compared to the right. Right hilar and infrahilar regions appear stable. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No focal consolidation, pleural effusion or pneumothorax is seen. Cervical spine surgical hardware is partially imaged and not well assessed on this study. | 58071338 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with LUQ Pain, worse with inspiration, pain on rib palpation // ? rib fx vs lung infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No significant interval change aside from partially imaged cervical spine hardware which is not well assessed on this study. |
13041517 | Evaluation is limited by overlying trauma board and electronic device over the left lung base. Heart size is top normal. The cardiomediastinal silhouette is otherwise unremarkable. Lungs are grossly clear. There is no large pleural effusion or pneumothorax. The thoracic cage is grossly intact. The right hip joint space is well preserved. There is a displaced transverse fracture through the mid right femur with medial displacement of the distal fragment. | 53043767 | HISTORY: Motor vehicle collision. COMPARISON: None available. TECHNIQUE: Frontal chest, right hip and right femur for a total of three views. | Transverse fracture through the right mid femur with medial displacement of the distal fragment. No acute cardiopulmonary abnormality. |
13577794 | Frontal and lateral views of the chest demonstrate clear lungs. The cardiomediastinal and hilar contours are normal. The previously seen adenopathy most pronounced in the right paratracheal region has improved. There is no pneumothorax or pleural effusion. Pleural surfaces are normal. | 55842002 | HISTORY: history of lymphoma with cough and fever, assess for pneumonia. COMPARISON: Chest radiographs from ___ and ___. | No evidence of pneumonia. Improved hilar adenopathy. |
13577794 | PA and lateral views of the chest were provided. A rounded nodular opacity projects over the left upper lung on the first of four images, which measures ___ x 15 mm. There is poorly defined increased peribronchovascular opacity in the lower lungs bilaterally which could represent an early bronchopneumonia. No large pleural effusions are seen. There is convex bulge along the right mediastinal border concerning for lymphadenopathy. Mild hilar prominence is also noted which could be due to bronchovascular crowding. Bony structures appear intact. No free air below the right hemidiaphragm. | 51416525 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Leukocytosis and cough, assess for pneumonia. | Mediastinal prominence, concerning for lymphadenopathy. Left upper lobe pulmonary nodule measuring 16 mm. Findings are concerning for possible malignancy and therefore CT is recommended to further assess. Subtle bronchovascular opacities in the lower lungs could represent pneumonia in the correct clinical setting. This can also be further assessed at the time of CT. Findings were discussed with Dr. ___ and Dr. ___ at the time of this dictation. |
13577794 | PA and lateral views of the chest provided. Since the prior exam, there is decrease conspicuity of the left pulmonary hilum suggesting decreased hilar lymphadenopathy. 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. | 54338708 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with malaise, hx of lymphoma // r/o infiltrate COMPARISON: ___. PET-CT from ___. | No acute intrathoracic process. |
13501962 | The right internal jugular central venous catheter is new with tip terminating in the SVC. No pneumothorax is identified. Low lung volumes are present. The cardiac, mediastinal and hilar contours are unchanged. Streaky opacities in the lung bases likely reflect atelectasis. There is no pleural effusion. Air-filled distended loop of colon is again noted interposed between the liver and diaphragm. | 51610584 | HISTORY: Central line placement. TECHNIQUE: Semi-upright AP view of the chest. COMPARISON: ___ at 10: ___. | Right internal jugular central venous catheter tip terminates in the SVC. No pneumothorax. |
13501962 | Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. The right hemidiaphragm is elevated, and there is minimal atelectasis within the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. There is marked distention of colonic loops of bowel particularly within the right upper quadrant where there is interposition of the colon between the diaphragm and the liver, as previously noted. | 59418648 | HISTORY: Abdominal distention, prior small bowel obstruction. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. Marked gaseous dilatation of the colon particularly within the right upper quadrant where there is interposition of the hepatic flexure between the liver and diaphragm. |
13501962 | AP and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. There is no free air under the diaphragm. Gastric distention is better appreciated on the abdomenal radiograph. | 59120038 | INDICATION: Hypoxia and wheezing. COMPARISONS: None. | No acute cardiopulmonary process. |
13501962 | A portable frontal chest radiograph demonstrates an incompletely imaged thorax with low lung volumes and bibasilar atelectasis. A linear radiopacity overlying the hypopharynx represents the partially visualized coiled nasogastric tube. Dilated loops of bowel are visualized in the upper abdomen. | 53962745 | HISTORY: Abdominal distention and COPD, status post nasogastric tube placement. COMPARISON: Chest radiograph from ___. | The incompletel imaged nasogastric tube is coiled in the hypopharynx. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___. |
13114575 | The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 56363271 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Tachypnea and shortness of breath. COMPARISON: ___. TECHNIQUE: Chest, AP upright portable. | No evidence of acute disease. |
13114575 | Right internal jugular central venous catheter tip terminates at the SVC/right atrial junction. Low lung volumes are present. The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Minimal streaky bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. | 58667793 | HISTORY: Rectal bleeding. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___. | Low lung volumes with mild bibasilar atelectasis. |
13114575 | Lung volumes are low leading to crowding of the bronchovascular structures. Bibasilar and, in particular, right middle lobe airspace opacities are again noted. Upper lungs are clear bilaterally. There is no evidence pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is unchanged. | 58097941 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with cough // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently ___. | Right middle lobe airspace opacity which appears similar to several prior examinations, and may represent recurrent atelectasis versus pneumonia/aspiration. |
13114575 | There is a new right internal jugular catheter with tip in the mid SVC. There is no pneumothorax. Streaky bibasilar opacities are again noted, right greater than left, and likely representative of atelectasis. The lungs are without any new focal consolidation or effusion. No acute fractures are identified. | 52592104 | HISTORY: New right IJ placement. COMPARISON: Multiple prior chest radiographs most recent from ___. | New right IJ with no evidence of pneumothorax. Bibasilar streaky opacities are again noted and likely representative of atelectasis. |
13114575 | The cardiomediastinal contours appear to be exaggerated due to low lung volumes. Subtle opacities at the left lung base are likely secondary to atelectasis. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 56775354 | INDICATION: History of shortness of breath. Please evaluate for infiltrate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Single portable radiograph of the chest. | Subtle opacity at the left lateral lung base may be secondary to atelectasis; however, an acute infectious process cannot be excluded. |
13114575 | There has been interval placement of a right subclavian central venous catheter with tip in the upper/mid SVC. No pneumothorax is identified. Remainder of the chest is unchanged with continued bibasilar opacities, potentially atelectasis though aspiration or infection are not excluded. | 59509663 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with R-CVL placement TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ at 4: ___ | Right subclavian central venous catheter tip in the upper/mid SVC. No pneumothorax. |
13114575 | Frontal and lateral radiographs of the chest demonstrate consolidation in the right middle lobe, which may represent atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. The cardiomediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion. | 51121678 | WET READ: ___ ___ ___ 9:17 AM Consolidation in the right middle lobe may represent atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. WET READ VERSION #1 ___ ___ ___ 4:37 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain, dyspnea // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___. | Consolidation in the right middle lobe may represent atelectasis, or pneumonia. |
13114575 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 54527641 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with dyspena // evidence of effusion TECHNIQUE: AP portable upright view of the chest. COMPARISON: Chest radiographs dated ___. | No evidence of acute cardiopulmonary process. |
13114575 | Linear opacity in the bibasilar, left greater than right, lower lobe appear relatively stable over multiple prior studies and most likely represents atelectasis. No overt pulmonary edema, pleural effusion or pneumothorax identified. The cardiac and mediastinal contours are stable. | 55513561 | INDICATION: History: ___M with dyspnea // eval infiltrate TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___ | Bibasilar, left greater than right, lower lobe opacities appear stable over multiple prior studies and most likely represent atelectasis, however superimposed infection cannot be excluded. |
13865397 | Frontal and lateral chest radiographs demonstrate slightly low lung volumes. The cardiomediastinal silhouette is within normal limits. Increased opacity projecting over a lower thoracic vertebral body on lateral view likely corresponds to increased opacity in the region of the right heart border. Allowing for differences in inspiratory phase, this likely corresponds to a right upper lobe pneumonia seen on CT from ___. No pleural effusion or pneumothorax is visualized. Right hilar clips are again noted. | 50184650 | INDICATION: History: ___F with cough and shortness of breath // r/o infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ and ___, as well as CT chest from ___. | Right upper lobe pneumonia, similar to CT from ___. |
13865397 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is mildly increased opacity in the right lower lung, which could represent atelectasis, but an early pneumonia cannot be excluded. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. | 50617516 | INDICATION: Cough and low-grade fever, in a patient being treated for lymphoma. COMPARISON: Chest radiograph from ___. | Mildly increased opacity in the right lower lung, which could represent atelectasis, but an early pneumonia cannot be excluded. |
13865397 | There is volume loss of the right hemithorax, status post right lower lobectomy. There is mild scarring at the right lung base, with blunting of the costophrenic sulcus. Diaphragms also appear flattened on the lateral view, suggesting underlying chronic obstructive pulmonary disease. There is no parenchymal opacity to suggest pneumonia. There is no effusion or pneumothorax. The hilar and cardiomediastinal contours are essentially unremarkable. Small mediastinal lymph nodes and prominent pulmonary arteries are better evaluated on recent CT and not well seen radiographically. There is moderate thoracic spondylosis. No acute compression deformities. | 51839880 | INDICATION: ___-year-old female with lymph nodes on prior chest CT. COMPARISON: Chest radiograph, ___ and CT of the chest, ___. PA AND LATERAL | Postoperative change in the right hemithorax status post right lower lobectomy with underlying chronic obstruction pulmonary disease. Small mediastinal lymph nodes and prominent pulmonary arteries were better evaluated on recent CT. No radiographically apparent acute process. |
13865397 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size remains within normal limits. Unchanged presentation of thoracic aorta, which is mildly widened and elongated but without local contour abnormalities. The pulmonary vasculature is not congested. Irregular distribution of the pulmonary vessels in the periphery is consistent with COPD. Furthermore, one can identify the surgical clips in the lower portion of the right hilum as the patient is status post right lower lobectomy in the past. Mild degree of pleural adhesion on the right lung base, but no evidence of pleural effusion as the posterior pleural sinuses are free. Comparison with the next preceding examination does not disclose the presence of new acute infiltrates. | 58619795 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with COPD exacerbation. Questionable pneumonia. | Unchanged status compatible with COPD but no evidence of new acute discrete pulmonary infiltrates during this phase of suspicious exacerbation. |
13865397 | The patient is status post segmentectomy procedure in the right lower lobe for previous history of lung cancer. Surgical clips are present in the right infrahilar region with associated expected volume loss and scarring in this region. New since prior postoperative radiographs are poorly defined, relatively symmetrical nodular opacities in the periphery of the lower lobes just above the diaphragm level. Otherwise, the appearance of the lungs and pleura are similar to the prior postoperative chest radiographs. Cardiomediastinal contours are unchanged. No acute skeletal findings. | 51313114 | PA AND LATERAL CHEST OF ___ COMPARISON: ___ chest radiograph. | Bibasilar poorly defined nodular opacities, possibly due to an atypical radiographic appearance of nipple shadows. The differential diagnosis includes focal infectious pneumonia. Followup chest radiographs with nipple markers would be helpful in this regard. Information has been entered into the radiology communications dashboard on ___ with the above recommendation. |
13797827 | The lungs are moderately inflated. There is prominence of interstitial lung markings, possibly reflecting mild interstitial edema. No focal consolidation is identified. Left pectoral hardware is noted, presumably a cardiac device. There is no pneumothorax or pleural effusion. The heart is mildly enlarged. | 50000319 | WET READ: ___ ___ ___ 7:49 AM Prominence of interstitial markings, possibly reflecting mild interstitial edema, and mild cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with fall, intoxicated // s/p fall, intoxicated, ct head/neck - eval sdh/fxcxr - eval fx TECHNIQUE: AP and lateral view of the chest COMPARISON: None available | Prominence of interstitial markings, possibly reflecting mild interstitial edema, and mild cardiomegaly. |
13718835 | The lungs are well expanded. There is unchanged appearance of the left base. While some of this density may be accounted for by elevated hemidiaphragm, there is also increased retrocardiac opacity. Left effusion is suspoected given presence on prior with similar appearance on the frontal view. Mild cardiomegaly is also stable from prior. There is no pneumothorax. No mediastinal widening is identified. | 55842550 | INDICATION: ___-year-old male unable to ambulate or sit up for at least three days. Evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal AP semi-upright chest radiograph. | Stable mild cardiomegaly. Left base opacity as described above and similar to prior. Suspect underlying effusion and atelecatsis although infection is not excluded. Consider PA and lateral views to further charcterize when patient is amenable. |
13208190 | PA and lateral views of the chest were provided. The heart is top normal in size. Subtle opacity in the right lung base medially on the frontal projection could represent vascular crowding, less likely pneumonia. The left lung is clear. Mediastinal contour appears grossly stable. No pneumothorax or effusion. Bony structures are intact. | 50201535 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: CT chest from ___ and a chest radiograph from ___. CLINICAL HISTORY: Hypoglycemia, question pneumonia. | Top normal heart size with vague opacity at the right medial lung base which could represent bronchovascular crowding, less likely pneumonia. |
13208190 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Relative elevation left hemidiaphragm is noted. No acute osseous abnormalities. | 54286659 | INDICATION: ___M with sob, syncope // PNA TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13536715 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. | 53632793 | WET READ: ___ ___ ___ 1:00 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with right chest wall pain // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary abnormality. |
13536715 | 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. | 58318466 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, fever // eval for PNA COMPARISON: ___ | No acute intrathoracic process. |
13294218 | A small 3-mm round nodule is present in the right lower lobe. This is stable from the prior CT scan in ___. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 54603062 | INDICATION: New left bundle-branch block and dyspnea on exertion. COMPARISONS: Chest CT ___. | No acute cardiopulmonary process. Stable small right lower lobe pulmonary nodule. |
13294218 | The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Small anterior osteophytes are present along the lower thoracic spine. There has been no significant change. | 56971152 | CHEST RADIOGRAPHS HISTORY: Syncope. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13294218 | The right pacer lead tip is in the proximal right ventricle. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is top normal. | 51417076 | INDICATION: Status post ethanol ablation. Assess pacer lead placement. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Single portable chest radiograph. | Right pacer tip is in the right ventricle. |
13187270 | PA and lateral views of the chest provided. Minimal basilar atelectasis noted. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Heart size is top-normal and the thoracic aorta is unfolded. Bony structures are intact. | 50144583 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sudden onset sharp generalized anterior rib pain this afternoon after bending forward COMPARISON: None | No acute findings to account for pain. |
13242005 | The cardiomediastinal silhouette is unremarkable. Pulmonary edema is improved from prior. A small left pleural effusion is decreased in size. A retrocardiac opacity also seen lateral view does not appear significantly changed chest radiograph ___. | 52408619 | WET READ: ___ ___ ___ 3:19 PM 1. Left lower lobe consolidation does not appear significantly changed from radiograph ___ and likely represents compressive atelectasis from patient's left pleural effusion although underlying pneumonia would be difficult to exclude. 2. Small left pleural effusion is decreased. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with dyspnea, recent pna // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. CT chest ___ | Left lower lobe consolidation does not appear significantly changed from ___ and likely represents compressive atelectasis although underlying pneumonia would be difficult to exclude. Small left pleural effusion is decreased. |
13242005 | Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities are noted in both lung bases in the setting of low lung volumes without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55068854 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with question of altered mental status after fall from standing, hypoxic, elevated white count TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | Patchy bibasilar opacities in the setting of low lung volumes likely reflect atelectasis. Early infection is not completely excluded in the correct clinical setting. |
13242005 | Decreased prominence of bilateral opacities and mediastinal vascular engorgement suggest improved pulmonary edema. Heart size is unchanged. A moderate right pleural effusion is stable. | 52808151 | WET READ: ___ ___ ___ 8:44 PM In comparison to the examination from the previous day, the lung volumes are slightly increased. The lung fields and small bilateral pleural effusions are unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___ year old man with pleural effusions and pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___. | Improved pulmonary edema. Stable moderate right pleural effusion. |
13242005 | AP upright and lateral views of the chest provided.Lung volumes are low limiting assessment. Bronchovascular crowding and atelectasis is noted in the lower lungs as on prior. The previously noted cholecystostomy tube is been intervally removed. No large effusion or pneumothorax. No convincing signs of pneumonia. Cardiomediastinal silhouette is similar to prior. Bony structures are intact. No free air below the right hemidiaphragm. | 59805813 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with history of lymphoma, perforated GB s/p recent Ctube removal p/w AMS, fever COMPARISON: Prior exam from ___. | Lower lung atelectasis and bronchovascular crowding. No convincing signs of pneumonia. |
13242005 | There is a left lower lobe opacity on the frontal radiograph which silhouettes the heart border, possibly reflecting pneumonia. There is no pleural effusion, pulmonary edema or pneumothorax. The heart is top-normal in size. | 55604697 | INDICATION: ___-year-old male with fever. Evaluate for infectious process. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and chest CT from ___. | Left lower lobe patchy opacity. In the appropriate clinical setting, this could represent an early pneumonic infiltrate. |
13114891 | Previously seen right upper lobe opacity has essentially resolved in the interval. No definite new focal consolidation is seen. There is minor basilar atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. | 57770023 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with recurrence of dyspnea/weakness 2 wks s/p CAP treatment, R basilar rhonchi // Eval for acute process, attn. to PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Interval resolution of previously seen right upper lobe opacity. No definite new focal consolidation. Minor basilar atelectasis. |
13114891 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Ill-defined patchy opacity is seen within the right upper lobe which may reflect residual or ongoing pneumonia. Left lung is clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities present. | 56289050 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough/fever recent pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | Patchy right upper lobe opacity concerning for residual or ongoing pneumonia. |
13016169 | The lung volumes are low, accentuating the bronchovascular structures, though the lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 52749363 | INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: A single semi-upright AP view of the chest was obtained. | No acute cardiopulmonary process. |
13557753 | PA and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal consolidation worrisome for infection. Cardiomediastinal and hilar contours are not significantly changed relative to prior examination dated ___ allowing for differences in lung volumes. Hilar contours are within normal limits. No acute osseous abnormality is identified. Upper abdomen is unremarkable. No evidence of pulmonary edema, pleural effusion, or pneumothorax. | 51623101 | INDICATION: ___-year-old male with mild dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No acute cardiopulmonary process. Allowing for differences in lung volumes, heart size is not significantly change relative to prior examination dated ___. |
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