subject_id
stringlengths 8
8
| findings
stringlengths 93
1.83k
| study_id
stringlengths 8
8
| background
stringlengths 10
2.5k
| impression
stringlengths 16
1.06k
|
---|---|---|---|---|
13824820 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are remarkable only for mild-to-moderate degenerative osteophyte formation along the anterior margin of the lower thoracic spine. | 54250542 | CHEST RADIOGRAPHS HISTORY: Not feeling well. Question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13228331 | PA and lateral chest radiograph demonstrates a vague opacity projecting over the right upper lung not clearly identified on the lateral. Otherwise, lungs are clear without opacity. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema. No air under the right hemidiaphragm is identified. | 56058937 | WET READ: ___ ___ ___ 8:13 PM Vague right upper lung opacity, potentially technical. Repeat PA suggested to ensure clearance. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None available | Vague right upper lung opacity, potentially technical. Repeat PA suggested to ensure clearance. |
13069271 | There are low lung volumes and bibasilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58718198 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, chills syncope // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Low lung volumes. No definite focal consolidation. |
13577805 | Frontal and lateral views of the chest were obtained. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. Right paratracheal opacity is stable and may relate to vascular structures without mass effect seen on the trachea. The previously seen left-sided PICC is no longer seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. | 58678292 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Seizures. COMPARISON: ___. | Mild enlargement of the cardiac silhouette. No focal consolidation seen. |
13577805 | AP and lateral chest radiograph demonstrates a normal heart size. The aortic knob is calcified. Cardiac and mediastinal silhouettes are stable, as are the hilar contours. There is no pleural effusion or pneumothorax. No focal consolidation is seen. | 50432467 | INDICATION: History: ___F with dizziness, significant WBC // Eval for pna TECHNIQUE: AP and lateral COMPARISON: Chest radiograph dated ___. | No acute cardiopulmonary process. |
13577805 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Right paratracheal opacity likely represents vascular structures and is unchanged since at least ___. Cardiac and mediastinal silhouettes are stable. The aortic knob remains calcified. No overt pulmonary edema is seen. | 57212152 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Fever, headache, confusion. COMPARISON: ___. | No significant interval change. |
13624868 | The lungs are clear. The cardiomediastinal silhouette is unremarkable. Hilar contours are unremarkable. Pleural surfaces are smooth with no evidence of effusions or pneumothoraces. Bones are intact. | 55538096 | CLINICAL HISTORY: ___-year-old woman with anterior left chest pain, coughing and wheezing. Please evaluate for pneumonia. COMPARISON: None. PA AND LATERAL RADIOGRAPHS OF THE | No acute intrathoracic process. |
13049897 | Heart size and cardiomediastinal contours are normal, allowing for patient rotation. Lung volumes are low with minimal bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. | 54157365 | INDICATION: ___ year old woman with chest pain, palpitations. // assess for intrapulmonary process TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13527596 | The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is seen. | 59403472 | INDICATION: ___-year-old male with fatigue, right posterior chest pain and shortness of breath. COMPARISON: None. PA AND LATERAL CHEST | No acute cardiopulmonary pathology. |
13184296 | The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is slightly enlarged, new since remote prior. Degenerative changes are noted at the acromioclavicular joints bilaterally. | 57437773 | INDICATION: ___F with shortness of breath // eval for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Mild cardiomegaly without superimposed acute cardiopulmonary process. |
13288782 | No consolidation, pleural effusion, or pneumothorax is identified. Cardiac silhouette is borderline enlarged. Vertebral body height loss at the thoracolumbar junction is new since prior. | 58870210 | INDICATION: ___F with anaphalaxis after chemo no with new dyspnea // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT trachea ___ | No radiographic evidence of pneumonia. Lower thoracic/upper lumbar vertebral body height loss new since remote prior. |
13218627 | PA and lateral views of the chest were obtained. No focal consolidation, effusion, or pneumothorax is seen. No signs of congestive heart failure or pulmonary edema. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. There is no free air below the right hemidiaphragm. | 56458750 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Edema, elevated white count, assess for pneumonia. | No acute intrathoracic process. |
13880219 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm. | 51345399 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Chest pain, question pneumonia or CHF. | No acute findings in the chest. |
13212663 | The right hemidiaphragm is mildly elevated Right Port-A-Cath is seen terminating in the low SVC/cavoatrial junction. No focal consolidation is seen. 2 but opacities and peribronchiolar opacities seen on recent prior CT from ___ are better appreciated on CT. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 57556805 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea, metastatic breast ca // assess for effusion, pna, edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Mildly elevated right hemidiaphragm. No focal consolidation. |
13212663 | Accessed right-sided Port-A-Cath is identified. The Port-A-Cath is stable in position terminating in the mid SVC. There is no evidence of kinking or break in the Port-A-Cath. Cardiomediastinal and hilar contours are clear. The kidneys are unremarkable. Lungs are clear. No pleural effusion or pneumothorax present. No osseous abnormality identified. Left mastectomy noted. | 55945368 | INDICATION: Breast cancer and port unable to flush today, check port placement. COMPARISON: Comparison is made to chest radiograph performed ___. | Normal chest radiograph. Stable Port-A-Cath terminates in the mid SVC. |
13212663 | As shown on recent CT torso, right-sided Port-A-Cath is in adequate position and ends in mid SVC. The lungs are otherwise clear. Tiny lung nodules described on CT torso cannot be assessed on this standard chest x-ray. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are normal. | 58856294 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with metastatic breast cancer, port in place. Evaluation for position and kinking. COMPARISON: Chest x-rays from ___ to ___; recent CT torso of ___. | Right-sided Port-A-Cath is in adequate position ending in mid SVC. There is no kink. |
13212663 | Right-sided Port-A-Cath is unchanged since ___ and ends at the junction of jugular vein and upper SVC. The lungs are clear. Mediastinal and cardiac contours are within normal limits. There is no pleural effusion. The patient had a left mastectomy and axillary node dissection for breast cancer. | 58804699 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with breast cancer on chemotherapy had Port-A-Cath in place since ___ years, confirm the tip placement. COMPARISON: ___ and chest CT of ___. | Right-sided Port-A-Cath ends at the junction of jugular vein and upper SVC. This is stable. |
13784204 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm. | 52372962 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Productive cough, assess for pneumonia. | No signs of pneumonia or other acute intrathoracic process. |
13506501 | The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57626674 | HISTORY: Throbbing chest and back pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13506501 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | 50781996 | INDICATION: Patient with right-sided back and chest pain. Assess for pneumothorax, pneumonia or widened mediastinum. COMPARISONS: Chest radiograph of ___. | No evidence of acute cardiopulmonary process. |
13155644 | Left mid lung linear atelectasis/ scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is mildly enlarged. The aorta is slightly tortuous. There is central pulmonary vascular engorgement with possible minimal interstitial edema. | 55176134 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with pre op for ankle fracture // Pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Central pulmonary vascular engorgement with possible minimal interstitial edema. No focal consolidation seen. |
13698331 | Heart size and cardiomediastinal contours are normal. Equivocal bronchial wall thickening is suggestive of bronchitis or chronic airway disease. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. | 51933223 | INDICATION: History: ___M with cough and fever // r/o pna COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. | Equivocal bronchial wall thickening, suggestive of bronchitis or chronic airways disease. No focal consolidation. |
13138718 | Cardiomediastinal contours are stable. Lungs are hyperinflated and grossly clear. Minimal pleural thickening at left costophrenic angle is unchanged. Midline surgical clips overlie the lower thoracic spine. | 52849840 | WET READ: ___ ___ 8:35 AM Acute cardiopulmonary process. Unchanged hyperinflation. WET READ VERSION #1 ___ ___ ___ 9:54 PM Acute cardiopulmonary process. Unchanged hyperinflation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with abdominal IPG infection // Pre-op planning Surg: ___ (I D, wound washout) COMPARISON: ___ | Hyperinflated lungs suggests the possibility of COPD. No acute cardiopulmonary radiographic abnormality. |
13723456 | Frontal and lateral radiographs of the chest. The heart is mildly enlarged. The cardiomediastinal silhouette and hilar contours are stable. Retrocardiac opacity likely related to atelectasis; however, pneumonia is not excluded. No pneumothorax. There is a moderate left pleural effusion and small right pleural effusion unchanged from prior. There is pulmonary vascular congestion. No displaced rib fracture identified. | 52600289 | HISTORY: Cough, question pneumonia COMPARISON: ___ | Retrocardiac opacity likely represents atelectasis; however, pneumonia is not excluded. Moderate left pleural effusion and small right pleural effusion unchanged from prior. |
13723456 | Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. Bones are intact. 2 mm calcified granuloma is noted in the left upper lung. | 57241649 | INDICATION: ___-year-old man with new onset A-fib. COMPARISON: None. PA AND LATERAL VIEWS OF THE | No acute intrathoracic process. |
13592565 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59284088 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // ? acute cardiopulm process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13257771 | A left-sided Port-A-Cath is seen with tip projecting over the expected location of the mid SVC. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. | 51988101 | INDICATION: ___-year-old male with MS, white count, and fever. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute process. |
13963514 | The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. Sternotomy wires and CABG clips are noted. No subdiaphragmatic free air is noted. | 58048021 | HISTORY: Epigastric pain. COMPARISON: Comparison made with chest radiograph from ___ and ___. | No acute cardiopulmonary process. No free air seen under the diaphragms. |
13963514 | The lungs are well expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Sternal wires are intact. Clips from CABG are noted. | 52997392 | INDICATION: ___-year-old male with chest pain. Please evaluate for cardiopulmonary process. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
13478618 | The cardiomediastinal and hilar contours are stable. The lungs are well expanded and clear. ET tube is in good position terminating about 3.5 cm from the carina. There is also an upper alimentary tube terminating below the diaphragm. There is no pleural effusion or pneumothorax. | 53183505 | STUDY: Portable AP chest radiograph. COMPARISON: CT chest ___. Portable AP chest radiograph ___. INDICATION: ___-year-old with history of epilepsy. | Stable chest radiograph. Mediastinal and hilar lymphadenopathy seen on CT scan of the same day would not be visible on a conventional chest radiograph. |
13478618 | The endotracheal tube terminates 1.2 cm from the carina on the current study, though it has been repositioned on the followup examination and is in appropriate position. There is increasing density in the left lung base which may be due to developing pneumonia or an aspiration event. No pulmonary edema or large pleural effusion is identified. Cardiomediastinal and hilar contours are within normal limits on this supine radiograph. | 55599898 | HISTORY: ___-year-old female transferred from outside hospital, intubated. Assess ET tube position. COMPARISON: Followup chest radiograph completed on ___ at 1:25 a.m. SUPINE PORTABLE CHEST | Endotracheal tube just above the carina, though proximally repositioned on followup radiograph. Increasing opacification of the left lung base possibly due to developing infection or an aspiration event. |
13478618 | ET tube and NG tube remain in standard position. Right PICC line tip terminates in the cavoatrial junction. There is a new diffuse opacification at the left upper lobe. Left lower lobe atelectasis is stable compared to yesterday. Cardiomediastinal and hilar contours are normal. | 55012280 | STUDY: Portable AP chest x-ray. COMPARISON: Portable AP chest x-ray ___ through ___. INDICATION: ___-year-old presented with status epilepticus, assess interval change. | New right upper lobe opacity, which in the correct clinical setting is consistent with aspiration. Atelectasis in this area is less likely. |
13086759 | The cardiomediastinal and hilar contours are normal. There is no evidence of a large hiatal hernia on this radiograph. The lung volumes are low, but no focal consolidation, pleural effusion or pneumothorax is seen. Linear atelectasis is seen in the left lung base. | 59092505 | INDICATION: ___-year-old man with epigastric pain, to rule out hiatal hernia. COMPARISON: None available. PA AND LATERAL CHEST | Within the limitations of the study, no large hiatal hernia is detected. |
13935492 | Biapical scarring is again noted. Lungs are otherwise clear without focal consolidation, effusion or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 52888056 | INDICATION: ___M with hx of renal transplant p/w elevated creatinine and fatigue // renal indices, interval changes, ? PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13935492 | Right IJ catheter terminates in the mid SVC. Nasogastric tube terminates in the left upper quadrant. Heart size is stable. Diffuse parenchymal opacities bilaterally are slightly worse particularly in the right middle lower lung. No pleural effusion or pneumothorax. | 54995110 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p NGT placement // NG placement TECHNIQUE: Portable chest radiograph COMPARISON: ___ | NG tube is in the left upper quadrant. Increasing interstitial opacities particularly in the right mid and lower lung. |
13935492 | There has been interval removal of lines and tubes. Previously seen pulmonary opacities have essentially resolved in the interval with possible minimal residua remaining in the right lung. Biapical pleural thickening is seen. The cardiac silhouette is top-normal. Mediastinal contours remarkable. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. | 51493463 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with recent kidney transplant on immunosupp p/w nausea, vomiting and hypotens // eval for pneumonia, CHF TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Interval essential resolution of previously seen pulmonary opacities with possible minimal residua remaining over the right lung |
13452589 | PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of CHF. | 52296544 | INDICATION: ___-year-old man with chest pain, question pulmonary process. COMPARISON: PA and lateral chest radiograph from ___. | No acute cardiopulmonary process. |
13452589 | 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. | 58679621 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough x12 days // evidence of pneumonia COMPARISON: ___ chest x-ray | No acute intrathoracic process. |
13452589 | The lungs are well expanded. No chf, focal infiltrate, effusion or pnemothorax is detected.Cardiomediastinal and hilar contours are within normal limits. No rib fracture is detected on these lung-technique films. | 51645924 | INDICATION: Chest pain. Evaluate for acute process. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs. | Chest radiographic examination within normal limits. |
13211952 | Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. No definite displaced rib fractures identified. | 54356089 | INDICATION: Rib fracture status post fall. Please evaluate heart and lungs. COMPARISON: No prior study available for comparison. | No acute intrathoracic process. No displaced rib fractures identified. |
13812710 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 57372704 | INDICATION: Shortness of breath and back pain. COMPARISONS: Chest radiograph, ___. | Normal chest radiograph without evidence of pneumonia. |
13644746 | PA and lateral views of the chest were obtained. There is vague opacity in the right mid-to-lower lung which is concerning for pneumonia. There is relative sparing of the right upper lobe and no involvement of the left lung. No large pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. | 58229901 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough with intermittent fever, assess for pneumonia. | Vague opacity in the right mid-to-lower lung concerning for pneumonia. Followup to resolution. |
13231528 | Although not as clearly delineated on the frontal exam, on the lateral view there is markedly increased opacity over the lung bases particularly posteriorly. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Ventricular peritoneal shunt catheter traverses the anterior chest wall. | 53986732 | INDICATION: ___M with AMS // PNA? TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | Basilar opacity best seen on the lateral view suspicious for pneumonia or possibly aspiration. |
13764208 | Heart size is normal with mild unfolding of the thoracic aortic arch. Left hilar contour is normal. Right hilar contour is not well assessed due to presence of a moderate right pleural effusion which was partially visualized on the same day outside CT examination. This right pleural effusion appears partially loculated on CT from earlier today. Increased adjacent densities may be secondary to compressive atelectasis though infection is not excluded. There is mild linear left base atelectasis. There is no pneumothorax. | 51491665 | EXAMINATION: Chest radiograph INDICATION: Tachypnea and increased oxygen demand. Recent appendectomy. TECHNIQUE: Chest PA and lateral COMPARISON: ___ CT abdomen and pelvis ___, chest radiograph ___. | Partially loculated right pleural effusion. Adjacent compressive atelectasis, cannot exclude pneumonia. Small pneumoperitoneum better assessed on CT. |
13764208 | When compared to recent chest x-ray, the opacification in the lungs bilaterally has improved. There is however persistent hazy opacity projecting over the right mid lung on the frontal localizing posteriorly on the lateral. Additional component is seen anteriorly as well. In combination with findings on prior CT, these are likely due to loculated effusion, empyema would be possible. Component of layering pleural effusions are also noted bilaterally although smaller when compared to prior. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 57107341 | WET READ: ___ ___ ___ 7:32 PM Opacity in the right hemithorax with a configuration suggesting loculated effusions, empyemas are possible. Overall, bilateral parenchymal opacities have improved since recent chest x-ray from ___. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with SOB, pleuritic CP. // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray and chest CT. | Opacity in the right hemithorax with a configuration suggesting loculated effusions, empyemas are possible. Overall, bilateral parenchymal opacities have improved since recent chest x-ray from ___. |
13764208 | Cardiomediastinal contours are unchanged. Small left effusion with adjacent atelectasis is unchanged. Right chest tube is new. The amount of large right pleural effusion has minimally decreased. There is minimal amount of air in the right pleural space. | 52236870 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with new left chest tube // please assess for placement, complication TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild decrease in still large right pleural effusion |
13764208 | Heart size is top normal. The mediastinal contours are normal. Moderate right loculated effusion has partially decreased in size. Small left effusion and adjacent retrocardiac opacity are not significantly changed. Worsening bilateral perihilar opacities are suggestive of pulmonary edema. No pneumothorax. Right IJ venous line and right chest tubes are not significantly changed in position. | 57321470 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ct to water seal now with decreasing o2 sats // ?pneumo COMPARISON: Chest radiographs since ___ | Worsening bilateral pulmonary edema. Decreased right pleural effusion. No pneumothorax. |
13764208 | The right chest tube has been removed. Small bilateral effusions, right greater than left, have increased slightly compared with the immediate prior exam of ___. There is no focal consolidation, pulmonary edema, or pneumothorax.The cardiomediastinal silhouette is within normal limits. | 58410026 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p R VATS decort, s/p chest tube removal on ___; on anticoagulation // please evaluate for pneumothorax and hemothorax TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___. | Slight interval increase in bilateral pleural effusions, right greater than left after removal of right-sided chest tube. No pneumothorax. |
13718764 | The patient arm/soft tissue overlies the upper half of the chest on the lateral view, partially obscuring the view. Given this, the cardiac and mediastinal silhouettes are stable. Prominence and indistinctness of the hila suggest mild to moderate vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. | 52583201 | HISTORY: Dizziness. TECHNIQUE: AP upright and lateral views of the chest. COMPARISON: ___. | Vascular congestion, similar to prior. Persistent enlargement of the cardiac silhouette. |
13718764 | The cardiac silhouette remains moderately enlarged, but unchanged. The mediastinal and hilar contours are within normal limits. There is mild pulmonary vascular congestion and edema. Blunting at the right costophrenic angle is new from the most recent prior study suggesting a small right pleural effusion. No pneumothorax is present. No focal consolidation concerning for pneumonia is identified. | 53370831 | INDICATION: Back pain and dyspnea on exertion, here to evaluate for pneumothorax or pulmonary edema. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Portable upright AP radiograph of the chest. | Pulmonary vascular congestion/edema and small right pleural effusion suggest acute moderate congestive heart failure. Stable moderate cardiomegaly. |
13718764 | The heart remains moderately enlarged but stable. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | 58600949 | HISTORY: New back pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13718764 | The lungs are well inflated and clear. Moderate cardiomegaly is unchanged. There is no pleural effusion or pneumothorax. | 56650654 | INDICATION: ___-year-old woman with CHF, recent shortness of breath. Evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest were obtained. COMPARISON: Chest x-ray from ___ | No acute cardiopulmonary process. Moderate cardiomegaly. |
13718764 | Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. There is mild pulmonary vascular congestion, improved since the prior study. No pleural effusion or pneumothorax is seen. Lingular scarring is best seen on the lateral view. | 55993150 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with hypertension. COMPARISON: ___. | Cardiomegaly with minimal pulmonary vascular congestion, slightly improved since the prior study. |
13718764 | AP upright and lateral views of the chest provided. Cardiomegaly is again seen. Mild hilar congestion is noted without frank edema. No definite signs of pneumonia, effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm. | 59169026 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with fever, cough // ? pneumonia COMPARISON: ___ | Cardiomegaly unchanged. Mild hilar congestion. No evidence of pneumonia. |
13402588 | Patient's condition required examination in sitting semi-upright position using AP frontal and left lateral views. On the frontal view, the heart appears to be borderline in size without typical configurational abnormality. Unremarkable appearance of thoracic aorta with some calcium deposits in the wall at the level of the arch. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax is identified in apical area. In the right shoulder area, exists evidence of previous surgical intervention with several metallic plugs. No other gross skeletal abnormalities within the thoracic area. Our records do not include a previous chest examination available for comparison. | 50871118 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with increased white blood count, nausea and vomiting, evaluate for pneumonia. | No evidence of acute pneumonia. |
13944352 | PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted as well as partially imaged lumbar spinal hardware. The heart remains moderately enlarged. The lungs appear clear though there is mild cephalization which may reflect increased pulmonary venous pressures. No large effusion or pneumothorax is seen. Cardiomegaly is stable. Tortuous thoracic aorta is noted with scoliotic lower T-spine. | 53720361 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with movement d/o p/w worsening of underlying neuro status. COMPARISON: ___. | Cardiomegaly with mild pulmonary venous congestion. |
13944352 | A new right lower lobe consolidation is seen compared with the immediate prior study of ___. There is no pulmonary edema, pleural effusion, or pneumothorax. There is stable moderate cardiomegaly. There is severe levoscoliosis of the thoracic spine. The aorta is tortuous. | 57544692 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough // ** requires assitance with standing TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___. | Right lower lobe pneumonia. |
13944352 | Severe levoconvex scoliosis with associated distortion of the thoracic cage. The lungs are well-expanded. Small amount of residual focal increased opacity in the right lower lung compared to the prior exam, reflecting significant interval improvement in the left lower lung pneumonia from 4 weeks ago. Left lower lobe subsegmental atelectasis. No pleural effusion, pulmonary edema, or pneumothorax. Stable mild cardiomegaly. Mediastinal contours and hila are unremarkable. Median sternotomy wires the appear intact and unchanged in position. Lower thoracic and lumbar spine surgical fixation devices are unchanged. | 52641592 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with cough, shortness of breath, ? aspiration, h/o edema, h/o pneumonia (one mo ago). Evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. | Resolving right lower lung pneumonia, but not completely resolved after 4 weeks. No new focal consolidation concerning for pneumonia. No pleural effusion or pulmonary edema. |
13944352 | Lung volumes are low with small bilateral pleural effusions and associated atelectasis. Median sternotomy wires are intact. Opacity overlying the right clavicular head is not seen on priors. There is no pneumothorax. | 58609464 | INDICATION: ___F with right-sided rhonchi, fever // Eval for PNA COMPARISON: ___ and ___. | Right apical opacity. Apical lordotic views are suggested for further evaluation. Right pleural effusion. |
13022116 | The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Bilateral apical thickening is symmetric and unchanged. Heart is normal size. The mediastinal and hilar contours are unremarkable. | 59794043 | INDICATION: Chest pain. Evaluate for an infiltrate. TECHNIQUE: Frontal and lateral views the chest. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13343002 | Patchy right base opacity is seen which could be due to infection, aspiration, or atelectasis. There is blunting of the posterior left costophrenic angle which may be due to pleural thickening, less likely trace pleural effusion. No pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There is slight prominence of the main pulmonary artery which may be seen in the setting of pulmonary arterial hypertension. Slight prominence of the AP window may be due to prominent pulmonary artery however, underlying lymphadenopathy not excluded. No overt pulmonary edema. | 50936477 | WET READ: ___ ___ ___ 5:57 PM Right base opacity may be due to consolidation from infection or aspiration. Slight blunting of the posterior left costophrenic angle most likely due to pleural thickening rather than trace pleural effusion. Prominence of the main pulmonary arteries suggests component of pulmonary arterial hypertension. Slightly prominent AP window could be due to prominent pulmonary artery, however, underlying lymphadenopathy is not excluded. Consider follow-up nonurgent chest CT for further assessment. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with AMS // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Right base opacity may be due to consolidation from infection or aspiration. Slight blunting of the posterior left costophrenic angle most likely due to pleural thickening rather than trace pleural effusion. Prominence of the main pulmonary arteries suggests component of pulmonary arterial hypertension. Slightly prominent AP window could be due to prominent pulmonary artery, however, underlying lymphadenopathy is not excluded. Consider follow-up nonurgent chest CT for further assessment. |
13343002 | There is mild elevation of the left hemidiaphragm with associated minor atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 50715740 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hx of ESLD And pulm HTN, pls eval cxr for pna and ruq us for portal vein thrombosis // History: ___M with hx of ESLD And pulm HTN, pls eval cxr for pna and ruq us for portal vein thrombosis TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Mild elevation/ eventration of the left hemidiaphragm with overlying atelectasis. |
13343002 | Cardiomediastinal shadow is normal. Prominent hila. No airspace consolidation. Mild elevation of the left hemidiaphragm. Opacification in the left lung base most likely represents atelectasis and a small pleural effusion. No pneumothorax. Spondylotic changes of the thoracic spine. | 53868464 | INDICATION: ___ year old man with hepatic cirrhosis and pulmonary HTN presents with pharyngitis and increased SOB. // ?PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No pneumonia. Minimal atelectasis with a small effusion seen in the left lung base. Prominent hila suggest pulmonary arterial enlargement and pulmonary arterial hypertension should be excluded. |
13343002 | Linear opacity at the left lung base is most compatible with atelectasis and is unchanged. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. Hilar enlargement again suggest pulmonary hypertension. No acute displaced fractures. | 51630640 | INDICATION: ___M with cirrhosis and pulm HTN, p/w fever, abd pain and cough. // cough, fever, assess for infiltrate TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13343002 | Lung volumes are low limiting assessment. Lower lung atelectasis is noted left greater than right. No convincing signs of edema. No pneumothorax or large effusion. Bony structures are intact. | 53933892 | EXAMINATION: Chest radiograph INDICATION: ___-year-old male with dyspnea. Evaluate for acute process. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___, ___ and ___ and chest CT from ___. | Bibasilar atelectasis, left greater than right. Please refer to subsequent CTA chest for further details. |
13343002 | Linear left basilar opacities most suggestive of atelectasis. Lungs are otherwise clear. Hilar enlargement is again noted, similar to prior. Cardiac silhouette is within normal limits. No acute osseous abnormalities. | 57750172 | INDICATION: ___M with cirrhosis, pHTN presenting with low grade fever, dyspnea, mild pleuritic chest pain // Please eval for infiltrate or consolidation TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___ chest x-ray and chest CT from ___. | Left base atelectasis. No focal consolidation worrisome for infection. Hilar enlargement suggests pulmonary hypertension. |
13343002 | Minimal basilar atelectasis is seen. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac and mediastinal silhouettes are stable with the main pulmonary artery dilated, better assessed on prior CT from ___. | 51010899 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dyspnea, cough, mild confusion, h/o pulm HTN // ? acute cardipulm process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13343002 | There has not been significant interval change from ___. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size. | 50577940 | INDICATION: ___-year-old male with altered mental status, cirrhosis, and concern for hepatic encephalopathy. Evaluate for possible edema. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest CTA from ___ and chest radiograph from ___. | No acute cardiopulmonary process. |
13343002 | PA and lateral views of the chest provided. Left basal opacity is most suggestive of atelectasis. Otherwise the lungs are clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. | 53867973 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with SOB and cough // r/o acute process COMPARISON: ___ | Mild left basal atelectasis. |
13280680 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette appears mildly enlarged. No pulmonary edema is seen. | 52710176 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with L tib/fib fracture // pre-op CXR, eval pnuemonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Mild enlarged of the cardiac silhouette. No focal consolidation or pulmonary edema. |
13680931 | Since ___, the left apical pneumothorax is mildly improved. Again seen is the right breast partially calcified prothesis and calcifications of the right apex with scarring. The left sixth and seventh posterior rib fractures are again seen. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal borders and hilar structures are normal. Cardiac size is normal. | 52521054 | INDICATION: ___ year old woman with fall down stairs, small pneumothorax on admit film // pneumothorax progression? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Mildly improved left apical pneumothorax since ___. |
13879385 | Heart size is mildly enlarged with a left ventricular predominance, unchanged. Mediastinal and hilar contours are unremarkable. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 52912801 | HISTORY: Cough, congestion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13732944 | The cardiac, mediastinal and hilar contours appear stable. The aortic is again moderately tortuous. There is no pleural effusion or pneumothorax. Calcified granuloma in the left mid lung appears unchanged. The lungs appear otherwise clear. | 51476601 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and fever. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
13789895 | The lung volumes are chronically low. The heart is mildly enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lateral radiograph is degraded by motion artifact but an opacity projects over the lower spine. | 55947769 | INDICATION: Developmental delay and altered mental status and vomiting. Evaluate for pneumonia. COMPARISON: Chest radiographs ___, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest. | Mild stable cardiomegaly and chronically low lung volumes but not acute change. |
13661686 | 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. | 57799036 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with acute onset this morning of facial weakness/numbness, slurred speech, occipital HA COMPARISON: Prior chest CT from ___. | No acute intrathoracic process. |
13758954 | There is a right lower lobe opacity. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52771968 | WET READ: ___ ___ ___ 4:40 PM Right lower lobe pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough and fever // cough and fever for two days TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Right lower lobe pneumonia. |
13441457 | There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air. | 57868609 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with abdominal pain and palpitations // abdominal pain and palpitations TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process identified. |
13570524 | Again noted are emphysematous changes in both lungs. A large hiatal hernia is present. Small left pleural effusion with adjacent atelectasis. The right lung is clear. No pneumothorax identified. The size appearance of the cardiomediastinal silhouette is unchanged. | 53927177 | INDICATION: ___ year old woman with previous hypoxia and concern for pneumonia now with AMS // New infiltrate? TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Small left pleural effusion. No new focal consolidation is identified. Large hiatal hernia. |
13339476 | Patchy opacities are noted in the left mid lung. There is also a 2-mm hyperdense ndules in the right mid lung, likely calcified granuloma. The heart size is normal. Aorta is tortuous and unfolded. Mild degenerative changes in the thoracic spine. | 58500776 | INDICATION: ___-year-old man with syncope, dyspnea. No prior examinations for comparison. CHEST, PA AND | Left lung opacities could represent early pneumonia. |
13257606 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. | 56350572 | HISTORY: Hyperglycemia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13721506 | RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER IS SEEN TERMINATING IN THE REGION OF THE MID SVC WITHOUT EVIDENCE OF PNEUMOTHORAX. THE PATIENT IS ROTATED SOMEWHAT TO THE RIGHT. THE CARDIAC SILHOUETTE IS TOP-NORMAL. THERE IS MILD CENTRAL PULMONARY VASCULAR ENGORGEMENT WITHOUT OVERT PULMONARY EDEMA. NO FOCAL CONSOLIDATION IS SEEN. NO LARGE PLEURAL EFFUSION. | 55428857 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F s/p RIJ placement. // confirm placement TECHNIQUE: Single frontal view of the chest COMPARISON: None | RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER TERMINATING IN THE MID SVC WITHOUT EVIDENCE OF PNEUMOTHORAX. |
13478814 | Prior median sternotomy and CABG. The sternal wires are intact and remains in similar position. The lungs are clear. No interstitial pulmonary edema. Mild cardiomegaly. No pleural effusions or pneumothorax. | 51914377 | INDICATION: Preop TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13478814 | The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities. | 56402165 | INDICATION: ___F with PMH pancreas and kidney transplant p/w weakness // ?pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13478814 | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is within normal limits with unchanged median sternotomy wires and mediastinal surgical clips noted. | 51364164 | WET READ: ___ ___ 6:22 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with back pain, fever evaluate for acute cardiopulmonary disease. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___ peer | No evidence of acute cardiopulmonary process. |
13478814 | The lungs are slightly low. There is no focal airspace opacity on this single projection to suggest pneumonia. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are unchanged. Previous pattern of mild pulmonary vascular congestion appears slightly improved. Multiple surgical clips project over the mediastinum. Multiple median sternotomy wires are in place. Left PICC terminates in the mid SVC. | 56866134 | INDICATION: History: ___F with seizure today, altered mental status here, looking for potential focus. TECHNIQUE: Portable supine AP chest COMPARISON: Radiographs of the chest ___ through ___ | Mild cardiomegaly with mild pulmonary vascular congestion, slightly improved. No evidence of pneumonia. |
13566753 | Portable AP upright chest radiograph provided. The endotracheal tube is positioned with its tip 2.8 cm above the carina. The NG tube tip is seen in the region of the distal stomach. A drain is present in the left upper quadrant. There is left basilar opacity, not significantly changed from prior exam. Aside from this, no convincing abnormality. The previously noted right upper lobe lung nodule is not clearly visualized. Cardiomediastinal silhouette is stable. No free air seen below the right hemidiaphragm. | 57128880 | HISTORY: ___-year-old woman status post splenectomy, assess endotracheal tube position. COMPARISON: Prior exam from 2 hr earlier. | Appropriately positioned endotracheal tube. Persistent left basilar opacity which could represent infection/atelectasis versus aspiration. |
13566753 | Single supine AP portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately 2.8 cm above the level of the carina. The enteric tube courses below the level of the diaphragm, inferior aspect not seen, does not course into the left upper quadrant; however, may still be within the GI tract. There is left lung base patchy opacity which raises concern for infection and/or pneumonia. No focal consolidation is seen in the right lung. There is possibly a small right upper lobe pulmonary nodule measuring approximately 4 mm which should be further assessed on dedicated chest CT or comparison with prior studies. No evidence of pneumothorax is seen. Given the patient is supine, there is not optimal evaluation for free air. | 55013271 | EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Likely perforation. COMPARISON: None. | Left lower lobe consolidation, worrisome for pneumonia, which may be infection and/or aspiration. Endotracheal tube terminates 2.8 cm above the level of the carina. Enteric tube courses below the level of the diaphragm, courses midline, and rather than in the left upper quadrant, although may still be within the GI tract if the stomach is distended. |
13171295 | Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. | 50719822 | INDICATION: Patient with bipolar disorder and anxiety, who now presents with cough. Assess for pneumonia. COMPARISONS: Chest radiographs of ___. | No evidence of acute cardiopulmonary process. |
13171295 | The cardiomediastinal silhouette and hila are normal. The lungs are clear. There is no pleural effusion and no pneumothorax. | 51829109 | INDICATION: ___-year-old with lightheadedness. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___. | No acute cardiothoracic process. |
13847892 | The lung volumes are low, resulting in crowding of bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged. There is no evidence of pulmonary edema. The mediastinal and hilar contours are unremarkable. | 51151521 | INDICATION: Shortness of breath and chest pain. Evaluate for an acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13642777 | The lungs are well-expanded. Mild haziness overlying the lower thoracic spine on the lateral view is difficult to localize on the frontal radiograph. There is a small right pleural effusion. There is left no pleural effusion. There is no pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 52246144 | WET READ: ___ ___ ___ 3:10 PM Hazy opacity overlying the lower thoracic spine on the lateral view is difficult to localize on the frontal radiograph, but may represent infection in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with ILI, possible pna, pls evaluate // ___F influenza like illness for 10 days, crackles on exam, copious mucus, r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Hazy opacity overlying the lower thoracic spine on the lateral view is difficult to localize on the frontal radiograph, but may represent infection in the appropriate clinical setting. |
13068192 | Cardiac silhouette size is normal. The aorta remains tortuous, with pronounced ascending aortic contour, as seen previously. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 50696018 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with headache TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. Unchanged prominence of the ascending aortic contour which may reflect dilatation or aneurysm. As recommended previously, a nonemergent chest CTA can be obtained for further assessment if there are no remote radiographs available for comparison. |
13442333 | Endotracheal tube tip projects approximately 5 cm above the carina. Cardiomediastinal silhouette is unremarkable. Calcifications are noted in the aortic arch and the tracheobronchial tree. Lungs are clear. There is no large pleural effusion. No pneumothorax. | 51242053 | INDICATION: ___F with intubation // eval tube position TECHNIQUE: Chest PA and lateral COMPARISON: None. | Satisfactory placement of an endotracheal tube. |
13997873 | Left-sided single-lead pacer is unchanged in position. Severe cardiomegaly appears progressed since ___. There is mild prominence of the central pulmonary vasculature, however, without interstitial pulmonary edema. Right upper lung nodule appears larger than on prior exam. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. Dextroscoliosis is redemonstrated. | 59919126 | WET READ: ___ ___ ___ 3:19 PM No acute cardiopulmonary abnormality. Cardiomegaly has progressed since ___. Right upper lung nodule appears larger than on prior exam and dedicated nonurgent CT suggested. ______________________________________________________________________________ FINAL REPORT HISTORY: CHF and shortness of breath. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs, three views. | No acute cardiopulmonary abnormality. Cardiomegaly has progressed since ___. Right upper lung nodule appears larger than on prior exam and dedicated nonurgent CT suggested. |
13997873 | ICD biventricular pacing device is unchanged in position. There remains no evidence of pneumothorax. Heart is moderately enlarged. Pulmonary vascularity is normal, and lungs appear unchanged with persistent mild right upper lobe volume loss and a cluster of reticular and nodular opacities adjacent to the elevated right minor fissure, which appears similar to ___ chest x-ray. There are no pleural effusions or acute skeletal findings. | 55213601 | PA AND LATERAL CHEST, ___. COMPARISON: ___ radiograph. | ICD biventricular pacing device placement with no pneumothorax. Right upper lobe volume loss with associated clustered reticular and nodular opacities adjacent to the minor fissure. As suggested on the ___ chest x-ray report, a CT of the chest may be helpful for further characterization of these findings. Dr. ___ was telephoned with these findings and recommendation on ___ at 9:45 a.m. at the time of discovery. |
13303049 | The lungs are clear without consolidation, effusion, or edema. Azygos fissure is again noted. Cardiac silhouette is mildly enlarged as on prior. Partially visualized proximal left humeral hardware is noted. | 55456190 | INDICATION: ___M with ESRD p/w weakness, tremor, poor appetite c/f uremia vs dehydration // Eval for pulm edema vs consolidation TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13303049 | There is re- demonstration of the known azygos fissure. Increased pulmonary vascular markings is compatible with pulmonary vascular congestion. There are new left lower lobar opacities, which may represent superimposed infection in the correct clinical setting. No pleural effusions or pneumothorax detected. The cardiomediastinal silhouette is otherwise unremarkable. | 52143616 | WET READ: ___ ___ ___ 1:16 PM 1. Mild pulmonary vascular congestion. 2. New left lower lobe opacities are concerning for superimposed infection, in the correct clinical setting. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M on dialysis with recent seizure-like activity, neuro w/u. Evaluate volume status. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest radiographs of ___ and ___. | Mild pulmonary vascular congestion. New left lower lobe opacities are concerning for superimposed infection, in the correct clinical setting. |
13947945 | The patient is somewhat rotated in position. Obscuration of the left hemidiaphragm and haziness of the left hemithorax are worrisome for a layering pleural effusion with overlying atelectasis. Underlying consolidation not excluded. Patchy right basilar opacity is seen, could be due to atelectasis, infection, aspiration, metastatic disease not excluded. There is prominence of the interstitial markings bilaterally, unclear whether related to fluid overload or chronic disease. The cardiac silhouette appears enlarged. The aorta likely tortuous. No pneumothorax is seen. The bones are diffusely osteopenic with suggestion of chronic deformities of several left-sided ribs, possibly due to prior trauma. | 51501298 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with history of uterine cancer now with AMS and hypotension // rule out infiltrate TECHNIQUE: Single frontal view of the chest. Portable semi-erect AP view. COMPARISON: None | Left pleural effusion, underlying consolidation not excluded. Patchy right basilar opacity could be due to pneumonia, aspiration, atelectasis, metastatic disease not excluded. Comparison with prior studies would be helpful for further evaluation. Enlargement of the cardiac silhouette. Several rib deformities may be due to prior trauma. Suggest comparison with prior imaging. Also, suggest repeat when/if patient able, with better patient positioning. |
13551688 | The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No displaced fracture is seen. | 56438180 | HISTORY: Upper respiratory infection, left midback pain. Evaluate for fracture, pneumonia, effusion. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13551688 | Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 52565084 | HISTORY: The patient with cough, wheezing and hemoptysis, rule out pneumonia. COMPARISON: None available. | No radiographic evidence for acute cardiopulmonary process. No pneumonia. Dr.___ ___ findings with Dr.___ at 1:24pm on ___. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.