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13557753 | 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. | 50005118 | CHEST RADIOGRAPHS HISTORY: Transient left upper quadrant pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13704858 | Right chest wall port is seen unchanged in position. The lungs are clear without focal consolidation worrisome for pneumonia. Linear right basilar opacity is most likely atelectasis. Left lateral costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits. Stent projects over the right upper quadrant as on prior. No free intraperitoneal air. | 52172638 | INDICATION: ___M with abd pain, cough // Eval for free air, structural process TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. No free intraperitoneal air. |
13704858 | A Port-a-Cath terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacity effacing the right costophrenic angle suggests minor atelectasis. Otherwise the lungs appear clear. | 52445623 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Abdominal pain. TECHNIQUE: Chest, AP upright portable. COMPARISON: CT from ___. | No definite evidence of acute cardiopulmonary disease. |
13704858 | PA and lateral views of the chest. Linear left basilar opacity is similar compared to previous exam and may represent atelectasis. The lungs are hyperinflated but otherwise clear. Right chest wall port is seen with the catheter tip in lower SVC. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. | 50307057 | HISTORY: ___-year-old male with cancer and fever. Question pneumonia. COMPARISON: CT torso from ___. | Streaky left basilar opacity most suggestive of atelectasis. Otherwise no acute cardiopulmonary process. |
13704858 | The lung volumes are low. Vague right lower lung peripheral opacity is in a similar distribution as tree in ___ opacities on the prior exam. Also in the inferior lingula is a similar pattern. The cardiomediastinal silhouette is unremarkable. A right chest wall port catheter tip terminates at the cavoatrial junction. There is no pneumothorax or pleural effusion. The imaged upper abdomen demonstrates a somewhat distended stomach with food particles within. The bones are intact. | 53105286 | HISTORY: ___-year-old man with hypotension. Question pneumonia. TECHNIQUE: Portable AP chest radiograph was provided. COMPARISON: CT torso with contrast from ___. | Vague opacities in the right lower lobe and lingula corresponding to tree-in-___ opacities on the prior CT. Differential diagnosis includes inflammatory etiology, aspiration or atypical myocbacterial infection. |
13197030 | The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality. | 59577505 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with shortness of breath cough evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of pneumonia. |
13142440 | The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. There is no pleural effusion or pneumothorax. There is gaseous distention of loops of bowel and the stomach in the left upper quadrant. | 59557505 | INDICATION: ___M with chest pain, evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13864297 | Compared with ___, I doubt significant interval change. Again seen is moderate cardiomegaly, with a calcified aorta. There is upper zone redistribution, without other evidence of CHF. No focal infiltrate or effusion is detected. Possible minimal atelectasis at the right lung base laterally. | 52410742 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F PMHx for multiple vascular interventions admitted for hep gtt in preparation for her scheduled aorto bi femoral bypass graft. // pre-op COMPARISON: Chest x-ray from ___ | No acute pulmonary process identified. Doubt significant interval change compared with ___. |
13864297 | Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. | 51801183 | HISTORY: Cough and fever, assess for pneumonia. COMPARISON: Chest x-rays from ___ through ___. | Normal chest radiograph. Specifically, no evidence of pneumonia. Findings were called to Dr. ___ office by Dr. ___ on ___ at 15:10, ___ min after the were made. |
13864297 | The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change. | 50817142 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13063648 | Low lung volumes are present. The left PICC has been removed. There is mild enlargement of the cardiac silhouette which is relatively unchanged compared to the prior study. The mediastinal and hilar contours are stable. There is minimal pulmonary vascular congestion. Previously noted left pleural effusion appears to have resolved. There is minimal atelectasis at the left lung base. No pneumothorax is identified. Mild degenerative changes of the thoracic spine are present. | 50262486 | INDICATION: Fever. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Resolution of previously noted left pleural effusion, with mild left basilar atelectasis. Mild pulmonary vascular congestion. |
13063648 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Of note, in the lateral view there is a 2.5 x 2.7 cm round opacity projecting over the posterior aspect of two mid thoracic vertebrae which appears unchanged from prior exams. However, certain location cannot be determined as it might be related to vertebral bodies or to the soft tissue. | 59386796 | WET READ: ___ ___ 8:38 AM A round opacity projecting over the posterior aspect of two mid thoracic vertebrae appears unchanged since ___ but location cannot be accurately assessed. Recommend further evaluation with chest CT. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with chest pain and fever. Evaluate for evidence of pneumonia. COMPARISON: PA and lateral chest radiograph on ___ and ___. TECHNIQUE: PA and lateral chest radiograph. | No evidence of acute cardiopulmonary process. A round opacity projecting over the posterior aspect of two mid thoracic vertebrae appears unchanged since ___ but location cannot be accurately assessed. Recommend further evaluation with chest CT. |
13063648 | Interval removal of a right PICC is noted. There is no focal consolidation or pneumothorax. Chronic mild pulmonary vascular congestion is unchanged from prior, though no overt pulmonary edema is evident. There are no pleural effusions. Cardiomediastinal and hilar contours are within normal limits. No subdiaphragmatic free air is evident. | 51048530 | HISTORY: ___-year-old male with history of pancreatic pseudocyst status post recent drain removal, now presenting with elevated lipase and fevers. COMPARISON: Chest radiograph from ___. PA AND LATERAL CHEST | No acute cardiopulmonary process. |
13839636 | Frontal and lateral chest radiographs are obtained. Low lung volumes is unchanged compared to the prior radiographs. Cardiomediastinal silhouette is top normal. There is no focal area of consolidation or large pleural effusion. Rounded left perihilar density is virtually unchanged compared to the prior radiograph and correlates with a large left pulmonary artery seen on CT. | 50898741 | INDICATION: Dyspnea, diffuse expiratory wheeze, evaluate for pulmonary edema or pneumonia. COMPARISON: ___. | Minimally changed compared to the prior radiograph of ___ without evidence of pneumonia or pulmonary edema. |
13839636 | Mild cardiomegaly is stable. Mediastinal and hilar contours are unchanged with a prominent left hilar density corresponding with minimally enlarged left pulmonary artery (with preservation of normal diameter centrally), better evident on CTA performed ___. Lungs are clear. Moderate peribronchial cuffing identified consistent with reported history of asthma and upper respiratory infection. No focal pulmonary opacification identified. Multilevel degenerative change detected. | 57897232 | INDICATION: Significant asthma with influenza and pneumonia per imaging at outside hospital. Please assess for resolution. The patient is wheezing currently, but no fever or productive cough. COMPARISON: Comparison is made to chest radiograph performed ___ and CTA chest performed ___. | No evidence of pneumonia. Peribronchial thickening may represent asthma or bronchitis. |
13839636 | Lung volumes are low; however, the lungs appear clear. Cardiomediastinal silhouette is top normal. No pleural effusion or pneumothorax. Rounded opacity in the left hemithorax correlates to the large left pulmonary artery on the CT of ___. | 54944016 | CLINICAL HISTORY: ___-year-old woman with cough and wheeze. Rule out pneumonia. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No evidence of acute cardiopulmonary process. |
13559396 | Elevation of left hemidiaphragm is again seen. The lungs remain clear without consolidation or large effusion noting that the right costophrenic angle is excluded from the lateral view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 50025568 | INDICATION: ___F with hypotension // infiltrate? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13559396 | There is persistent elevation of the left hemidiaphragm. The heart and mediastinum is shifted slightly to the right. No focal consolidations are seen. There is no evidence of pneumothorax or pleural effusions. The thoracic aorta is slightly ectatic. Osseous structures are grossly unchanged. | 52541620 | PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old female with altered mental status, evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: Chest radiography dated ___ and CT chest dated ___. | No acute intrathoracic process. Stable elevation of the left hemidiaphragm. |
13672186 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58878269 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with palpitation // role out pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13971019 | Frontal and lateral chest radiographs were obtained. There is a nodule in the superior portion of the left lower lobe that is new compared to study from ___. No other focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. The mediastinal and hilar contours are normal. No bony abnormality is detected. | 51557799 | HISTORY: Patient with questionable lymphadenopathy or lung lesion. COMPARISON: ___ | New left lower lobe lung nodule, recommend followup CT scan for better characterization. Critical result was entered into the system by Dr. ___ at 1:35 p.m. on ___. |
13678647 | Lung volume is moderate. There are no consolidations or nodules. Minimal reticular subpleural opacities at the right lung base, are better characterized in CT of ___ as mild fibrotic changes. Similar subpleural changes are also distributed in the right upper lung. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Metallic sternal wires are intact and related to previous cardiac surgery. Left pectoral pacemaker has two leads following their expected course and ending in the right atrium and right ventricle. | 51475636 | HISTORY: ___ years old man with history of abnormal sound on right base. Assess for pneumonia. COMPARISON: None | Mild right lung fibrotic changes. No sign of acute cardiopulmonary process. |
13515075 | Frontal and lateral radiographs of the chest demonstrate a midline trachea with resolution of the bibasilar opacities. Lung volumes remain low, accentuating the cardiac contour. Small bilateral pleural effusions are seen. No pneumothorax is seen. | 50737691 | HISTORY: Pneumonia. Assess pneumonia. COMPARISON: Chest radiographs from ___ through ___. | Resolution of bibasilar opacities. Small bilateral pleural effusions. |
13515075 | Single portable radiograph of the chest. Compared to prior radiograph, there has been interval extubation which could explain the bibasilar consolidations, which are also concerning for developing bilateral pneumonia. Cardiac silhouette is unchanged. The trachea is mildly leftward deviated, which in a patient with recent neck surgeries, raises the concern for possible neck hematoma. | 51128909 | HISTORY: Pneumonia. Evaluate pneumonia. COMPARISON: ___ through ___. | Worsening bibasilar opacities which may represent post-extubation changes, or developing basilar pneumonia. Leftward tracheal deviation which raises the possibility of neck hematoma in a patient with recent cervical spine surgery. These findings were relayed to ___, at 340PM on the day of the examination. |
13515075 | Single AP portable radiograph of the chest. There has been interval spinal fusion in the cervical spine. No rib fractures are identified. No consolidation, pleural effusion, or pneumothorax is seen. Unchanged position of the endotracheal tube and enteric tube. | 52840286 | HISTORY: Status post motor vehicle collision, intubated. Evaluate for progress. COMPARISON: ___. | Interval cervical spinal fusion with otherwise unchanged appearance of the chest. |
13515075 | There is a new area of irregular, branching opacification in the right lower lobe, which may represent atelectasis or aspiration. The enteric tube and endotracheal tube are unchanged compared to the prior radiograph. Low lung volumes along with the patient supine positioning likely account for apparent pulmonary vascular crowding. No pleural abnormalities detected. The heart and mediastinum are normal appearing. | 59882723 | HISTORY: Status post motor vehicle accident now intubated. Evaluate for pneumonia. COMPARISON: ___. | New irregular opacification in the right lower lobe which may represent atelectasis, but for which follow up radiographs are recommended to evaluate for resolution or evolution. |
13850007 | AP upright and lateral views of the chest provided. Lungs are hyperinflated. There is no focal consolidation, large effusion or pneumothorax seen. Cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No acute osseous abnormality. | 56684205 | EXAMINATION: CHEST (upright AP AND LAT) INDICATION: ___F with vomiting episode during syncope COMPARISON: None | No acute intrathoracic process. |
13488104 | Frontal and lateral chest radiographs demonstrate a heart which is top normal in size. The lungs are fairly well-aerated and without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 55980025 | INDICATION: Evaluate for acute process in a patient with intermittent nonspecific symptoms and abnormal MRI. COMPARISON: None available. | No acute cardiopulmonary process. |
13376440 | PA and lateral chest radiographs was provided. The previously seen ill-defined opacity in the right lower lobe appears to have resolved. There are no new focal consolidations seen. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is unremarkable. Osseous structures are unremarkable. There is no free air underneath the hemidiaphragm. | 50589744 | INDICATION: ___-year-old woman with cough and recent pneumonia, question pneumonia. COMPARISONS: PA and lateral chest radiographs from ___. CTA chest from ___. | Interval resolution of right lower lobe pneumonia. No evidence of new consolidation. |
13639034 | Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine as well as within the right acromioclavicular joint. | 50658595 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with atrial fibrillation with rapid ventricular rate TECHNIQUE: Portable AP view of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
13173768 | The cardiomediastinal and hilar contours are within normal limits. There is mild pulmonary vascular congestion with no overt pulmonary edema. Blunting of the bilateral costophrenic angles, seen best in the lateral view, could be secondary to a small amount of pleural fluid. There is no focal consolidation or pneumothorax. | 54001324 | EXAMINATION: Chest radiographs. INDICATION: History: ___F with anasarca, sob // Pulm edema? TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Mild pulmonary vascular congestion with no overt pulmonary edema. No focal consolidation. |
13351571 | Frontal and lateral views of the chest were compared to previous exam from ___. The lungs are clear of focal consolidation. There is no effusion. Cardiac silhouette is enlarged but stable with density projecting behind the heart, suggestive of a hiatal hernia. Osseous and soft tissue structures are unremarkable. | 55021962 | CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with chest pain. | No acute cardiopulmonary process. Hiatal hernia. |
13129491 | The lungs are well-expanded. Left lower lobe atelectasis and adjacent pleural effusion have decreased. Right pleural effusion has resolved. No pneumothorax. Bilateral upper lobe opacities are unchanged. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable. Dense aortic calcifications are noted. | 51617427 | EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with pulmonary nodules s/p VATS L wedge bx ___ // Evaluate for interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___ PA and lateral chest radiographs ___ CTA chest | Improved left lower lobe atelectasis, improved left pleural effusion, and resolved right pleural effusion. Unchanged bilateral upper lobe opacities. |
13129491 | There has been interval removal of the left chest tube without substantial pneumothorax. Lung volumes are low with unchanged appearance of biapical opacities and small bilateral pleural effusions. Opacification overlying the spine obscures the left hemidiaphragm. Mediastinal contours and mild cardiomegaly are stable. | 56060038 | INDICATION: ___ year old man s/p L VATS wedge now s/p CT d/c // Evaluate for pneumothorax. Please perform at 11:00am. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___. CT of the chest from ___. | No substantial pneumothorax. Opacification overlying the spine likely represents a combination of atelectasis, pleural effusion, and postoperative changes although the pneumonia cannot be excluded if there is clinical concern. |
13129491 | There is a tiny left apical pneumothorax, unchanged from prior. Bilateral upper lobe opacities appear similar to prior. There is increased opacity in the left mid and lower lungs. Stable cardiomediastinal contours. | 55283682 | INDICATION: History: ___M with s/p VATS todayL wedge biopsy // eval ? pneumothorax, postop changes TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 12:21 | Increasing left mid and lower lung opacity could reflect hemorrhage, aspiration infection, or asymmetrical edema. Unchanged small left apical pneumothorax. |
13600385 | Lung volumes are relatively low. Linear left basilar opacity is likely atelectasis. Elsewhere lungs are clear. The cardiomediastinal silhouette is within normal limits. No displaced fractures. | 52398599 | INDICATION: ___M with ams // pna? TECHNIQUE: Single portable view of the chest. COMPARISON: None. | Left basilar atelectasis. No definite acute cardiopulmonary process. |
13600385 | No focal consolidation is seen. There is mild left base atelectasis. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. | 50299694 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fall // Eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Mild left base atelectasis. Otherwise, no acute cardiopulmonary process. |
13131638 | Heart size remains within normal limits. The aorta is diffusely calcified. Mediastinal and hilar contours are unchanged. Coarse interstitial opacities and lung hyperinflation appear relatively unchanged compatible with COPD. Known left upper lobe nodule is re- demonstrated. Mild pulmonary vascular engorgement is seen without frank pulmonary edema. No pleural effusion, new focal consolidation or pneumothorax is present. No acute osseous abnormalities visualized. | 56434913 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with acute shortness of breath TECHNIQUE: Semi-upright AP view of the chest COMPARISON: Chest radiograph ___ at 11:11, CT chest ___ | Mild pulmonary vascular congestion without frank pulmonary edema. Similar appearance of chronic interstitial lung disease. |
13131638 | The lungs are hyperinflated with coarse interstitial markings bilaterally, consistent with COPD. The previously biopsied right upper lobe nodule is less conspicuous on today's examination. Biapical pleuroparenchymal scarring is stable. No new focal infiltrates. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51535994 | WET READ: ___ ___ 12:06 PM No evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with altered mental status // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No evidence of pneumonia. The previously biopsied right upper lobe nodule is less conspicuous on today's examination. |
13131638 | No pneumothorax or pleural effusion. Stable 2 cm nodule in the left upper lobe. Mild biapical pleural thickening. Hyperinflated lungs with flattening of the diaphragm. Unchanged bilateral coarse interstitial markings again suggest chronic pulmonary disease. Heart size is normal. No pneumothorax or pleural effusion. | 55427716 | INDICATION: ___ year old woman s/p LUL lung biopsy with PTX. // evaluate for interval change. Please do at 2pm. Patient in the RCU TECHNIQUE: Chest PA and lateral | No visualized pneumothorax post biopsy. |
13131638 | Since ___, a focal opacity in the left mid lung may represent pneumonia. However, a mass lesion cannot be excluded. Hyperinflated lungs with flattening of the diaphragm. Unchanged bilateral coarse interstitial markings again suggest chronic pulmonary disease. Heart size is normal. No pneumothorax or pleural effusion. | 51859009 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with cough and wheezing // cough for 3 months, wheezing on exam r/o infiltrate . TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___, ___. CT chest without contrast from ___ | Focal opacity in the left mid lung may represent pneumonia. However, mass lesion cannot be excluded. |
13989850 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 53049402 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of fevers, 102, possible pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13405853 | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body. | 57869013 | INDICATION: ___-year-old male with near syncope. Rule out cardiomegaly. COMPARISONS: None. | Normal chest radiographs. No cardiomegaly. |
13473000 | Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | 55376935 | INDICATION: ___F with cp and dyspnea // r/o pna, effusions, ptx COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. | No acute cardiopulmonary process. |
13103137 | PA and lateral images of the chest. A nodular opacity is seen overlying the right mid lung. A well-marginated elongated opacity is seen overlying the left mid lung laterally. These findings are seen only on the frontal view. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 52657638 | HISTORY: Pneumonia COMPARISON: None. | Opacities in the lungs as described above, potentially representing calcified pleural plaques. However, given lack of prior imaging to ensure stability, and given the relatively nodular appearance of the right lung opacity, CT is recommended on a nonemergent basis to further assess. |
13576210 | PA and lateral images of the chest demonstrate substantial worsening in pulmonary vascular congestion since previous imaging. There are small pleural effusions bilaterally and bibasilar atelectatic changes. Lateral view demonstrates a spine sign indicating a retrocardiac opacity which, in the appropriate clinical setting, could represent pneumonia. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax. Visualized osseous structures are unremarkable. | 58572583 | INDICATION: ___-year-old female with fungal pneumonia and volume overload. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Interval worsening of pulmonary vascular congestion. Retrocardiac opacity suspicious for pneumonia. |
13576210 | Bilateral lower lungs ground glass and alveolar opacities compatible with infection have significantly improved. There is no new opacity. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are within normal limits. Left-sided subclavian line ends in upper SVC. | 55092038 | INDICATION: Patient with sudden respiratory distress after gagging, evaluation for aspiration. COMPARISON: ___. | Bilateral lower lungs pneumonia has significantly improved. |
13576210 | Single frontal image of the chest demonstrates an increase in right perihilar vascular opacity, likely reflecting an increase in vascular congestion or possibly a perihilar consolidation. There is no pneumothorax or pleural effusion. There appears to be some interval obscuring of the left hemidiaphragm, which could be consistent with a retrocardiac atelectasis versus consolidation. This would be better visualized on a lateral image. The cardiomediastinal silhouette appears grossly unchanged, although portions of the heart border are less clearly visualized on this exam due to adjacent opacities. There has been interval placement of an NG tube, which is seen with the tip at least in the proximal stomach, though whether it continues to pass beyond this point is not clearly seen on this image. A followup abdominal x-ray to verify the location and the tip of the NG tube is recommended. | 53053636 | INDICATION: ___-year-old female with AML receiving induction chemotherapy, now with severe cough and question of volume overload. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Interval worsening of right perihilar opacity that could be consistent with worsening vascular congestion or consolidation. Possible development of a left lung base retrocardiac opacity, which could represent atelectasis or possibly consolidation. |
13868179 | Heart size is borderline enlarged, unchanged. Aortic knob calcifications are again noted. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine. | 52423026 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with general weakness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and chest CT___ | No acute cardiopulmonary abnormality. |
13868179 | The lungs are well expanded. Left base atelectasis/scarring is seen. No focal consolidation is seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 57006740 | INDICATION: ___-year-old male with shortness of breath. Evaluate for evidence of pneumonia. COMPARISON: Chest radiograph from ___ and ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13868179 | AP and lateral images of the chest. Mildly prominent pulmonary vasculature. Retrocardiac opacity, which may reflect atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. Possible small left pleural effusion. There is no right pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is borderline enlarged. | 54416504 | HISTORY: Chest pain. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Prominent pulmonary vasculature. Retrocardiac opacity, which may reflect atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. |
13160692 | Right Port-A-Cath tip projects over the expected region of the SVC chest right junction, unchanged. Left subclavian approach catheterization tip projects over the expected region of the upper-mid SVC, unchanged. Lung volumes are improved in the interim. The edema is mild. Hazy opacification of the lower lungs suggest basilar atelectasis. However, subtle increased opacity in the right lower lung could reflect a concurrent pneumonia or aspiration, but this has been unchanged since ___. Elevation of the right hemidiaphragm is unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. | 58178721 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman immunosuppressed from chemo and new hypoxia. Evaluate for hypoxia. TECHNIQUE: Portable, semi upright AP radiograph view of the chest. COMPARISON: Chest radiographs dated ___ and ___. | Subtle asymmetric increased opacity in the right lower lobe could reflect concurrent pneumonia or aspiration in the appropriate clinical situation, however, this has been present and stable since ___ |
13160692 | Patient is rotated to the right. The right hemidiaphragm is elevated and there is overlying atelectasis and possible small right pleural effusion. Difficult to exclude small left pleural effusion. No pneumothorax. The cardiac silhouette is not well assessed but appears enlarged. The aorta is unfolded. | 50529412 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Bibasilar opacities, in part due to overlying soft tissue and elevated right hemidiaphragm. Right base atelectasis. Trace pleural effusion or subtle consolidation difficult to exclude. No pulmonary edema. |
13700216 | Lung volumes are low. Retrocardiac opacity with elevation of the left hemidiaphragm reflects probably a combination of gaseous distension of the stomach as well as atelectasis. The heart is probably mild-to-moderately enlarged. The patient is status post median sternotomy and wires appear intact. Mediastinal clips are present. No definite focal consolidation, edema, pneumothorax, or pleural effusion. No acute osseous abnormality. Prominent multilevel degenerative changes of the thoracic spine with anterior osteophytes is noted. Dextroconvex scoliosis of the thoracic spine is mild-to-moderate. | 58980719 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with altered mental status. Evaluate for an acute process. TECHNIQUE: Chest PA and lateral COMPARISON: No prior imaging is available on PACS at the time of this dictation. | Low lung volumes and left lower lobe atelectasis. |
13085886 | The lungs are clear besides minimal streaky bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 54654184 | INDICATION: ___M with htn ulcerative colitis on aza and infliximab w/recurrent fever, chills night sweats x2 weeks // pna? medistinal mass TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13085886 | A right subclavian central venous catheter tip projects over the cavoatrial junction. An ovoid airspace opacity projects over the right mid lung zone and may reflect a focus of pneumonia. There is no pleural effusions or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits. | 56635058 | INDICATION: ___ febrile neutropenia // r/o PNA TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | New airspace opacity in the right mid lung zone may reflect pneumonia in the proper clinical context. |
13085886 | Previously seen-stated pleural thickening is no longer present, wall is most likely superimposition of overlying structures external to the patient. No new abnormality. Otherwise stable. | 51115981 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yo AML s/p MEC salvage tx, pending HSCT, prior CXR showed "irregular thickening right lateral costal pleura". No h/o trauma, reproducible chest pain, cough, desaturation // please have patient disrobe to waist for study; prior artifact vs right pleural thickening? need for f/up CT? TECHNIQUE: Chest two views COMPARISON: ___ 14:16 | No pleural abnormality or effusion. |
13085886 | The lungs are well inflated and clear. No pleural effusions. Cardiomediastinal silhouette is normal. Left-sided central venous catheter terminates in the distal SVC. | 52679650 | INDICATION: ___ year old man with neutropenia and dry cough // PNA TECHNIQUE: SINGLE PORTABLE AP RADIOGRAPH OF THE CHEST COMPARISON: ___ | No acute cardiopulmonary process. |
13593695 | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable. | 59403660 | WET READ: ___ ___ ___ 11:06 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with exertional chest pain, nonspecific ischemic changes on EKG, evaluate for pulmonary edema or infiltrate. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute intrathoracic process. |
13318865 | PA and lateral views of the chest. No prior. The lungs are clear of focal consolidation. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Note is made of a filter projecting over the mid abdomen on the right. | 51326647 | CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with HIV, fever. Question infiltrate. | No acute cardiopulmonary process. |
13969167 | Lung volumes are low. There are small bilateral pleural effusions, increased since ___. Prominent interstitial markings may reflect mild pulmonary edema. The cardiomediastinal silhouette is unchanged. | 52493125 | INDICATION: History: ___M with hyponatremia, ___ edema // Eval for volume overload TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ and ___. | Increase in small bilateral pleural effusions. Probable mild pulmonary edema. |
13969167 | Heart size is normal. The aorta is slightly unfolded. Pulmonary vascularity is not engorged. Streaky bibasilar airspace opacities likely reflect atelectasis. Blunting of the costophrenic angles posteriorly on the lateral view is compatible with small bilateral pleural effusions. Calcified lymph nodes are again seen within the hila and mediastinum compatible with prior granulomatous disease. There is no pulmonary vascular engorgement or pneumothorax. No acute osseous abnormalities are detected. | 55356780 | HISTORY: Fracture, preoperative evaluation. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Small bilateral pleural effusions and bibasilar patchy opacities likely reflecting atelectasis. |
13969167 | Lungs are clear except for a patchy left retrocardiac opacity. The left costophrenic angle is unchanged and could be due to pleural thickening are pleural effusion. The cardiomediastinal silhouette is unchanged as compared to prior. | 51214296 | WET READ: ___ ___ ___ 11:15 AM No large pleural effusion. Stable cardiomediastinal silhouette. No focal consolidation to suggest pneumonia. No evidence of pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with crackles, dullness to percussion and egophony // Pleural effusion? Consolidation? TECHNIQUE: PA and lateral chest views COMPARISON: ___ | Patchy left retrocardiac opacity, which may represent focal atelectasis, aspiration, or focal pneumonia. Short term radiographic followup is recommended to ensure resolution appear. |
13687936 | The right-sided PICC line terminates in the distal cavoatrial junction/proximal right atrium. The mild pulmonary edema and left lower lobe atelectasis that were seen on the last chest radiograph have resolved. There are no focal consolidations, pleural effusions or pneumothorax bilaterally. The heart is slightly enlarged. No acute osseous abnormalities. | 58420806 | EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old woman with lymphoma // confirm PICC placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Right PICC line terminates in the distal cavoatrial junction/proximal right atrium. There is no pneumothorax. |
13687936 | Lung volumes are relatively low. Linear right basilar opacity is most likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 52273181 | INDICATION: ___F with weakness // acute cardiopulm disease TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13262421 | Single frontal view of the chest. New left internal jugular large bore catheter terminates in the right atrium. Moderate cardiomegaly and mediastinal contours are stable. Prominence of the pulmonary vascular markings is consistent with vascular congestion. No pleural effusion or pneumothorax. | 50856289 | HISTORY: Left internal jugular dialysis line placement. COMPARISON: Multiple prior exams, most recently of ___. | Left IJ catheter terminates in the right atrium. No pneumothorax. Mild pulmonary vascular congestion. |
13262421 | Frontal views of the chest. Moderate cardiomegaly is similar to prior. There is mild interstitial pulmonary edema and improved small retrocardiac opacification. No substantial pleural effusion or pneumothorax. | 57876119 | HISTORY: ___-year-old man with fever and hypoxia. COMPARISON: Multiple prior exams, most recently of ___. | Mild pulmonary edema. Retrocardiac opacification has improved, but could represent atelectasis or infection in the appropriate clinical setting. |
13262421 | PA and lateral views of the chest again demonstrate cardiomegaly, unchanged from prior. Obscuration of the right lung base could be infectious in the appropriate clinical setting. There are tiny bilateral pleural effusions. There is no pneumothorax. Tubing from a gastric band is noted within the abdomen. | 54884246 | INDICATION: Crackles at the lung bases with fatigue, evaluate for atelectasis or pneumonia. COMPARISONS: ___. | Opacity at of right lung base would be consistent with pneumonia in the appropriate clinical setting. |
13262421 | The cardiac silhouette is enlarged. The mediastinum appears enlarged with an increased lucency which may be reflective of a fat pad. Today's examination is however, more lordotic. Findings are similar in appearance to prior chest radiograph from ___ but different from ___. A new opacity along the right mid lung is identified and could represent early pneumonia. There are bibasilar opacities which are likely reflective of atelectasis. | 53563354 | INDICATION: ___-year-old male patient with shortness of breath. Study requested for evaluation of an acute process. COMPARISON: Prior chest radiograph from ___ and ___. TECHNIQUE: Portable upright AP chest radiograph. | New right mid lung opacity, concerning for early pneumonia. Enlarged mediastinum with an increased lucency which may represent a fat pad. Given differences in positional technique, however, further evaluation is recommended with a true PA and lateral chest radiograph. If findings persist, further examination with chest CT should be considered. |
13262421 | AP portable upright view of the chest. There is diffuse opacity involving both lungs which is most concerning for severe pulmonary edema. A component of pneumonia difficult to exclude. A partially loculated right pleural effusion is noted. Heart size cannot be assessed. No large pneumothorax. Bony structures appear grossly intact. | 54341471 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with sob, pls eval for edema vs pna COMPARISON: Prior exam from ___ and ___. | Severe pulmonary edema, loculated right pleural effusion. Followup to resolution advised. |
13262421 | The lung volumes are low. Since the prior exam, mild pulmonary edema has increased. A small right pleural effusion is not significantly changed. There is persistent retrocardiac opacification, which given the chronicity is likely atelectasis, and less likely pneumonia. No new opacities are identified. There is no pneumothorax. The cardiomediastinal silhouette is moderately enlarged, and unchanged. A right-sided hemodialysis catheter in stable position with the tip in the right atrium. | 59658843 | INDICATION: Fever and dyspnea. Evaluate for pneumonia. COMPARISONS: Chest radiographs from ___. TECHNIQUE: AP and lateral views of the chest were obtained. | Increase in mild pulmonary edema. Stable small right pleural effusion. Unchanged retrocardiac opacity, which given the chronicity is likely atelectasis and less likely pneumonia. No new opacities are identified. |
13093304 | PA and lateral views of the chest are obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm. | 58125031 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Dyspnea, question CHF or pneumonia. | No acute intrathoracic process. |
13528930 | The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The aortic arch shows patchy calcification. The lungs appear clear. There is no definite pleural effusion or pneumothorax. There are similar mild to moderate degenerative changes along the thoracic spine. Spondylosis is incompletely characterized along the mid cervical spine. | 52586055 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. Incompletely characterized moderate mid cervical spondylosis. |
13528930 | PA and lateral views of the chest provided. There is no focal consolidation. There is no pulmonary edema or pleural effusion. Mild cardiomegaly is stable. Mediastinal, hilar, and cardiac contours are normal. | 55508899 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with atrial fibrillation on amiodarone COMPARISON: Chest radiograph from ___. | Mild cardiomegaly, otherwise normal chest radiograph. |
13528930 | There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is mildly enlarged. The aorta is tortuous. There is no evidence for pulmonary edema. | 50299059 | INDICATION: ___-year-old female with atrial fibrillation. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. | Mild cardiomegaly, which may be exaggerated by AP technique. |
13528930 | PA and lateral chest radiographs. Lung volumes are low on the AP projection, but appear clear on the lateral view. There is no focal consolidation, pleural effusion, or pneumothorax. The heart remains mildly enlarged. | 52036062 | INDICATION: Chest pain after eating. COMPARISON: ___. | No acute cardiopulmonary process. |
13818104 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 56938999 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Epigastric pain with shortness of breath, question pneumothorax or diaphragmatic hernia. | No acute findings in the chest. |
13526596 | PA and lateral views of the chest provided. Left chest wall dual lead pacer is again noted with leads extending the region the right atrium and right ventricle. The heart is mildly enlarged. No convincing signs of edema or pneumonia. Mild hilar congestion is suspected. Mediastinal contour is normal. Bony structures are intact. | 54097152 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with fever/chills, ?PNA // eval for structural process, PNA COMPARISON: ___ | Mild cardiomegaly and hilar congestion. No overt signs of pneumonia. |
13017503 | Lung volumes are slightly low. A mild diffuse interstitial abnormality likely reflects mild interstitial pulmonary edema, not significantly changed. There is minimal left retrocardiac atelectasis, increased. There is no focal consolidation. Moderate-to-severe enlargement of the cardiac silhouette is again noted with evidence of left atrial enlargement. There are no pleural effusions. No pneumothorax is seen. | 56210970 | INDICATION: Gram-positive cocci bacteremia with altered mental status. Assess for pneumonia versus pulmonary edema. COMPARISON: Chest radiograph from ___. | Mild interstitial pulmonary edema, not significantly changed. No focal consolidation. Unchanged moderate-to-severe enlargement of the cardiac silhouette with evidence of left atrial enlargement. |
13017503 | The film was quite rotated, due to patient's non-cooperation. A Dobbhoff tube has been placed in the interim, the weighted tip appears to pass below the level of the diaphragm, into the proximal stomach. Advancement is recommended for more secure seating. Grossly, there is no change in low lung volumes and cardiomegaly, though evaluation is limited by patient's positioning. | 56243799 | HISTORY: ___-year-old female with dementia and NG tube placement. COMPARISON: ___. | Dobbhoff tube tip below the level of the diaphragm, likely within the proximal stomach, although advancement is recommended for more secure seating. |
13737860 | PA and lateral views of the chest provided. Multifocal consolidation appears nearly resolved when compared with the prior exam. Minimal persistent peribronchovascular opacities persist in the right mid to lower lung however. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | 53716373 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with malaise, recent pna COMPARISON: ___ | Near complete resolution of previously noted multifocal pneumonia. |
13737860 | Lung volumes are low. The heart size is accentuated as a result of low lung volumes, and is borderline enlarged. Mediastinal and hilar contours are unremarkable, and there is no evidence of pulmonary edema. Linear opacity in the left lung base is compatible subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55141448 | HISTORY: Hepatitis C and fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13737860 | 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. Subcentimeter opacity near the left lung base is favored to represent nipple shadow. There is no pneumothorax or pleural effusion. | 50807281 | INDICATION: ___-year-old man with syncope, evaluate for evidence of pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest x-ray. | No acute cardiopulmonary process. |
13737860 | Normal cardiomediastinal and hilar contours. Normal pleural surfaces. A subcentimeter opacity at the left base is again seen and likely represents a nipple shadow. Increased, ill-defined opacity at the right base could represent superimposition of normal bronchovascular structures, but early pneumonia cannot be excluded. | 50159143 | EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with fever. Evaluate for evidence of pneumonia. TECHNIQUE: Chest PA and lateral. COMPARISON: Chest radiograph from ___. | Increased, ill-defined opacity at the right base could represent superimposition of normal bronchovascular structures, but early pneumonia cannot be excluded. |
13737860 | New in comparison to the prior exams is AP multifocal airspace opacity involving the right middle and likely right upper lobes, concerning for pneumonia. Otherwise, lungs are mildly hypoinflated. Allowing for changes due to this, the cardiomediastinal silhouette is unchanged. The left lung is grossly clear. There is no overt pulmonary edema. There is no pneumothorax or pleural effusion. | 54066597 | WET READ: ___ ___ ___ 2:35 PM Right-sided pneumonia likely involving the right middle and right upper lobes. Recommend follow-up chest radiographs approximately ___ weeks after completion of therapy to exclude underlying abnormality. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ ___ 2:14 PM Right-sided pneumonia likely involving the right middle and right upper lobes. Recommend follow-up chest radiographs approximately ___ weeks after completion of therapy to exclude underlying abnormality. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with weakness, rule out infiltrate. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ and ___. | Right-sided pneumonia likely involving the right middle and right upper lobes. Recommend follow-up chest radiographs approximately ___ weeks after completion of therapy to exclude underlying abnormality. |
13737860 | Increased opacity in the left lower lobe with air bronchograms and silhouetting of the descending aorta is consistent with infection. No effusion, edema, or pneumothorax. There is mild left lower lobe atelectasis. The cardiomediastinal silhouette is unchanged. No acute ossoues abnormality. | 54169507 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with renal failure, cough, fevers x 1 week. Evaluate for infiltrates in the lungs. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Left lower lobe pneumonia. |
13411279 | Study is limited due to patient positioning. Imaged upper lungs are clear of consolidation. There is likely bibasilar atelectasis. Small bilateral pleural effusions. No evidence of pneumothorax. Stable cardiomegaly, with rightward positioning of the heart. | 56272912 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with cough, tachycardia // pneumonia? TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ | Small bilateral pleural effusions with adjacent atelectasis. No definite pneumonia in the aerated portions of the lungs. |
13479418 | Right upper lobe malignancy was treated with chemo and radiation therapy with stable paramediastinal scarring. Left lung opacification from ___ proven to be COP has completely resolved. Area of consolidation in right lower lung has increased in size from chest CT of ___ to PET-CT of ___. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are unremarkable. | 51348500 | PA AND LATERAL CHEST X-RAY INDICATION: The patient with right-sided opacity to see if it can be seen on chest x-ray. COMPARISON: Multiple prior chest CT, the last one ___. PET-CT of ___. Last chest x-ray ___. | The patient was treated for right upper lobe malignancy with chemo and radiation therapy. COP was proven on previous left lung opacification. New right lower lung opacity that appeared on chest CT of ___ has worsen as shown on recent PET-CT. |
13479418 | Fibrosis from radiation treatment are seen in the left lower lung, increased since prior chest radiograph from ___. The known left pulmonary nodules are not well seen on this exam, and better assessed on recent CT Chest. The right lung is clear. The heart size is normal. No pneumothorax or pulmonary edema. | 56882508 | EXAMINATION: Chest radiograph INDICATION: ___ year old man status post LLL RF ablation, please obtain upright chest xray at 1pm // UPRIGHT CHEST X-RAY PLEASE TECHNIQUE: Chest PA and lateral COMPARISON: CT chest without contrast from ___, ___ Chest radiographs from ___, ___ | Fibrosis in the left lower lung, compatible with history of radiation treatment. The known left pulmonary nodules are not well seen on this exam, and are better assessed on recent CT chest. |
13479418 | Large areas of confluent airspace opacities in the left lung are minimally improved since ___. Minimal opacity at right lung base, likely atelectasis is unchanged since ___. Right mid and upper lung is clear. There is no pneumothorax or pleural effusion. Heart size is normal. Minimal widening along the right upper paramediastinum and irregularity is from known radiation-induced scarring and unchanged since at least ___. | 52731531 | INDICATION: Evaluate for acute worsening process. History of lung cancer, recent chest tube d/c yesterday. TECHNIQUE: Single Portable upright chest view was reviewed in conjunction with prior radiograph | Multifocal airspace opacities in the left lung, minimally improved since ___. Minimal opacity at the right lung base, likely atelectasis is unchanged. No pneumothorax. Stable right upper paramediastinal fibrosis. |
13479418 | There is increasing volume loss in the right hemithorax, with progressive elevation of the right hemidiaphragm. Right paramediastinal upper lobe opacities are more consolidative, and also decreased in a geographic stent, suggesting progression of radiation fibrosis. Remainder of the lungs including the left hemithorax remain well aerated. There is no pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are unchanged. | 55405577 | INDICATION: ___-year-old male with lung cancer status post chemotherapy and radiation therapy, with recent pneumonia versus radiation pneumonitis. The patient is now increasingly short of breath. COMPARISON: Multiple prior studies including ___ and ___. PA AND LATERAL | Decreased geographic extent and increased density of right upper lobe paramediastinal opacities with associated increased volume loss on the right, suggesting progression of radiation fibrosis. |
13479418 | A left chest tube has been removed. There is no identifiable pneumothorax. Since the prior radiograph, there is no significant interval change. Widespread opacification of the left lung is stable. The right lung again demonstrates basilar opacification. There is no pleural effusion. The cardiomediastinal silhouette is stable with prominence of the superior mediastinum, particularly on the right. | 58083318 | INDICATION: ___-year-old man with oligometastatic lung cancer with recurrent radiation pneumonitis treated with steroids now with worsening dyspnea on exertion, status post lung biopsy yesterday. Chest tube removal today. Please evaluate for pneumothorax or possible fluid collection. COMPARISON: Prior radiographs, most recently from ___. CT chest with contrast from ___ | No significant interval change. No pneumothorax status post chest tube removal on the left. |
13479418 | PA and lateral views of the chest are provided. There is an extensive reticular confluent opacity within the entire left lung similar to that seen on CT on ___. While there is obvious difference in technique, there does not appear to be any substantial change. In the right lower lobe, there also appears to be an ill-defined opacity which can be correlated to the CT as well. | 53279175 | CLINICAL HISTORY: ___-year-old man with history of lung cancer and radiation pneumonitis. COMPARISON: CTA from ___. | No significant resolution of the lung parenchymal process since the ___ CT. |
13479418 | The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no new focal consolidation concerning for pneumonia. There are stable emphysematous changes of right upper lobe with chronic fibrosis of the right upper lobe medially, presumably due to prior radiation treatment. The left lower lobe opacity has apparently resolved, which would be better assessed by chest CT. | 57813782 | INDICATION: Cryptogenic organizing pneumonia with stable symptoms and tapering steroid dose. COMPARISON: Chest radiographs dating back to ___. Chest CT ___. | No new consolidation concerning for pneumonia. |
13479418 | Since same day chest radiograph, acutely increased opacities in the region of RFA in the left lower lung may represent hemorrhage. Again, the known left pulmonary nodules are not well seen on this exam, and better assessed on recent CT Chest. The right lung is clear. The heart size is normal. No pneumothorax or pulmonary edema. | 56146397 | INDICATION: ___ year old man status post LLL RF ablation, please obtain upright chest xray at 3pm // Evaluate for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: CT chest without contrast from ___, ___ Chest radiographs from ___, ___, ___ | Increased opacities in the region of RFA in the left lower lung since earlier same day chest radiograph may represent pulmonary hemorrhage. |
13648900 | Left chest wall dual lead pacing device is again seen. The lungs are clear of focal consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormality seen, right humeral head orthopedic hardware noted. | 50425979 | INDICATION: ___F with cough and fever // r/o pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13500073 | The lungs are clear of consolidation, effusion, or edema. The cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified, sclerosis of the mid thoracic vertebral body is unchanged. | 50996660 | INDICATION: ___F with cp // r/o pna TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ | No acute cardiopulmonary process. |
13916912 | Heart size is top normal and unchanged. Mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. | 51610141 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13246370 | Mild low lung volumes are noted bilaterally with crowding of bronchovascular markings, but no focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette appears unremarkable. | 50331756 | INDICATION: ___-year-old female with asthma exacerbation. COMPARISON: None. PA AND LATERAL CHEST | No acute cardiopulmonary process. |
13184946 | Compared with the immediate prior study of ___, mild pulmonary vascular congestion and subsegmental atelectasis has resolved. Postoperative appearance of the mediastinum continues to improve. There is stable moderate cardiomegaly. There may be a small left pleural effusion. The right IJ CVC catheter tip ends in the right atrium.There is no focal consolidation pneumothorax, or pulmonary edema. | 58744344 | WET READ: ___ ___ 11:20 AM The endotracheal tube, nasogastric tube and drains have been removed. There are tiny bilateral pleural effusions; otherwise, the lungs are clear. Cardiomegaly is moderate. ___ ___. WET READ VERSION #1 ___ ___ ___ 11:42 PM The endotracheal tube, nasogastric tube and drains have been removed. There are tiny bilateral pleural effusions; otherwise, the lungs are clear. Cardiomegaly is moderate. ___ ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p CABG // predischarge eval TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___. | Interval resolution of mild pulmonary vascular congestion and subsegmental atelectasis. Possible small left pleural effusion. |
13184946 | The RIJ tip is positioned at the right atrium, unchanged. Sternotomy wires are intact and appropriately aligned. The lungs are clear. There is no pneumothorax, pulmonary edema, or pleural effusion. Normal postoperative appearance of the cardiopulmonary silhouette. There is a left minor fissure. | 58536205 | EXAMINATION: CHEST (PA AND LAT)CHEST (PA AND LAT) INDICATION: ___ year old woman s/p CABG; evaluate for pleural effusions. COMPARISON: Chest radiograph dated ___. | Normal post-operative cardiopulmonary appearance. No pleural effusion. |
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