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13311918 | AP portable upright radiograph demonstrates clear lungs. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. Imaged upper abdomen demonstrates no free air under the right hemidiaphragm. | 54574744 | INDICATION: History: ___F with dyspnea // ptx TECHNIQUE: Portable upright radiograph COMPARISON: None available. | No acute intrathoracic abnormality. |
13620437 | The cardiomediastinal and hilar contours are normal. The heart is normal in size. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. No rib fractures are identified. | 55991943 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with left sided rib pain on lateral aspect. // ?cause for pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | Hyperexpanded, clear lungs. No rib fractures identified. Of note, plain radiographs are not sensitive for the detection of rib fractures. |
13620437 | Heart size is borderline enlarged. Mediastinal and hilar contours are within normal limits. Lungs remain hyperinflated but are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | 57072795 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with weakness and hypertension TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13659078 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Bilateral breast implants are incidentally noted. | 56676351 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chest pain. TECHNIQUE: Upright AP view of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
13069190 | The lungs are clear. The cardiac silhouette is normal. No pleural effusion, pneumothorax or focal consolidation is seen. No evidence of free air beneath the diaphragms. | 59933078 | HISTORY: Abdominal cramping, rule out free air. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute cardiopulmonary process. No evidence of free air beneath the diaphragms. |
13069190 | The heart is normal in size. The hilar and mediastinal contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air. Visualized osseous structures are grossly intact. | 57788040 | INDICATION: ___ year old woman with abdominal distention, no formed bowel movement, watery diarrhea after taking laxatives. Rule out free air. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13465132 | Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lung volumes are low with patchy opacities in the lung bases likely reflective of atelectasis. A small left pleural effusion is present. No pneumothorax is seen. There are no acute osseous abnormalities demonstrated. Clips are noted in the right upper quadrant of the abdomen. | 53645591 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left shoulder pain, chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Small left pleural effusion with probable bibasilar atelectasis. |
13523567 | PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormality. Unremarkable appearance of thoracic aorta and mediastinal structures. 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 evidence of pneumothorax in the apical area on the frontal view. Skeletal structures of the thorax grossly within normal limits. There exists no prior chest examination or records available for comparison. | 53187821 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with persistent cough, resistant to antibiotic therapy, bringing up brownish sputum, has fever on and off. Evaluate for possible pneumonia. | Chest findings within normal limits. No evidence of acute pulmonary infiltrates in patient with persistent cough. |
13596957 | No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 59581784 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, fever // infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No convincing findings of pneumonia. |
13998001 | Mild cardiomegaly is unchanged. Mediastinal silhouette and hilar contours are normal. A subtle opacity in the right lower lung is better appreciated on lateral view with increased retrocardiac densities worrisome for a right lower lobe pneumonia. The right lung apex and the left lung are clear. There is no pleural effusion or pneumothorax. | 52416949 | INDICATION: Cough, fever and shortness of breath. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph. | Right lower lobe opacities worrisome for pneumonia. Results were discussed over the telephone with Dr. ___ by ___ at 11:45 on ___ at time of initial review. |
13307649 | Portable single frontal chest radiograph was obtained with the patient in upright position. The patient is status post extubation and removal of the Swan-Ganz line. There has been interval removal of a left chest tube with no pneumothorax. There is volume loss in the left lower lobe with elevation of the left hemidiaphragm. Slight blunting of the right costophrenic angle could represent a small pleural effusion. The cardiomediastinal silhouette is stable in the postop period. | 55856891 | HISTORY: Status post chest tube removal, eval for pneumothorax or effusion. COMPARISON: ___. | Left lower lung volume loss with elevation of the left hemidiaphragm. Small right pleural effusion. |
13307649 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Aortic knob is calcified but does not appear dilated. | 54563436 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Coronary artery disease and diabetic, presenting with chest pain. COMPARISON: None. | No acute cardiopulmonary process. |
13088713 | Lung volumes are low. Interstitial pulmonary edema is mild. No pleural effusion or pneumothorax is seen. No focal consolidation is detected. The aorta is calcified and tortuous. Mild cardiomegaly is seen. Hiatal hernia is again noted. | 55248637 | INDICATION: ___-year-old female with shortness of breath and concern for pulmonary edema. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Mild interstitial pulmonary edema. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 3:17 a.m. on ___ at the time of discovery of these findings. |
13088713 | The heart size is moderately enlarged similar to prior study with the cephalization of the pulmonary vasculature and minimal increased reticulation suggestive of minimal interstitial edema. The lungs are otherwise clear without focal consolidation. There is no pleural effusion or pneumothorax. The osseous structures are locally demineralized with prominent kyphotic angulation of the thoracic spine. | 52779841 | HISTORY: Dyspnea. TECHNIQUE: PA and lateral chest radiograph 2 views. COMPARISON: ___. | Moderate cardiomegaly with mild fluid overload and minimal interstitial edema improved from prior study. |
13088713 | Frontal and lateral chest radiographs demonstrate low lung volumes. There is an enlarged heart with cephalization and large upper lobe vessels, unchanged since prior examination and consistent with patient's history of diastolic heart failure. No focal consolidation, pleural effusion, or pneumothorax. A tortuous aorta is noted. Redemonstration of kyphotic thoracic spine and stable vertebral body collapse. | 56653997 | HISTORY: ___-year-old female with history of diastolic heart failure and new basilar crackles on examination. COMPARISON: Chest radiograph dated ___. | Moderately enlarged heart with cephalization of pulmonary vasculature consistent with patient's history of diastolic heart failure stable since prior examination in ___. No focal opacity. |
13572100 | The heart size is normal. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax. The small right pleural effusion. Left lower lobe atelectasis. | 57157242 | INDICATION: History of possible sepsis. Please evaluate for pneumonia. TECHNIQUE: AP and lateral radiographs of the chest. COMPARISON: Radiographs dated back to ___. | No focal consolidations concerning for pneumonia identified. |
13572100 | AP and lateral views of the chest. Blunting of the left lateral costophrenic angle may be due to a combination of atelectasis and small effusion. Low lung volumes seen on the lateral view. The lungs elsewhere are grossly clear. Chronic changes seen in the glenohumeral joints bilaterally and posterior spinal fixation hardware in the thoracolumbar region. | 53987414 | HISTORY: ___-year-old female with syncope versus seizure. COMPARISON: ___. | Blunting of the left costophrenic angle may be due to a combination of atelectasis and effusion. No focal consolidation worrisome for infection. |
13072178 | The heart size is mildly enlarged. Aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Remote right-sided rib fractures are demonstrated. Partially imaged is fusion hardware within the cervical spine. | 55263600 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough // ?pna TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13072178 | There has been no interval change since the study obtained approximately 2 hr earlier. Mild enlargement of cardiac silhouette is re- demonstrated. The aorta remains unfolded. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Old right-sided rib fractures are again seen. Partially imaged is fusion hardware within the cervical spine. | 51686188 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with geriatric admit // Pre-admission TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 14:27 | No acute cardiopulmonary abnormality. |
13077774 | The heart size remains mildly enlarged, unchanged. The patient is status post aortic graft repair of the a descending thoracic aortic dissection, without change in the mediastinal contour. Superior mediastinal widening with rightward tracheal deviation is compatible with known multinodular thyroid goiter. Hilar contours are unremarkable. The pulmonary vasculature is normal. Subsegmental atelectasis in the left lung base is demonstrated. Remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58181230 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CTA ___ and chest radiograph ___. | Status post aortic stent graft repair of a descending thoracic aortic dissection. No acute cardiopulmonary abnormality otherwise demonstrated. |
13077774 | The cardiac, mediastinal and hilar contours appear unchanged, including borderline cardiomegaly and striking unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. A mild mid thoracic vertebral compression deformity appears unchanged. Several levels superiorly, there is new apparent superior endplate sclerosis without substantial loss in height, suggesting interval compression fracture, which is age-indeterminate. A more inferior thoracic compression deformity, mild-to-moderate, appears unchanged. | 58219155 | CHEST RADIOGRAPH HISTORY: Status post fall with altered mental status and gait imbalance. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Sclerosis along its superior thoracic vertebral body, suggesting interval slight compression fracture, although otherwise age-indeterminate. No evidence of acute cardiopulmonary disease. |
13077774 | PA and lateral views of the chest provided. Postsurgical changes at the aorta with stent in place as on prior. Cardiomediastinal silhouette appears grossly unchanged. Lungs appear clear though volumes are low. No large effusion or pneumothorax. | 59501744 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob // eval pneumonia COMPARISON: ___ | No evidence of pneumonia. |
13077774 | The patient is status post thoracic EVAR stent placement. This is unchanged in appearance when compared the prior study. Lung volumes are unchanged. The patient is somewhat rotated which limits assessment of the cardiomediastinal contour however this is grossly unchanged compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. Calcifications at the left shoulder may reflect intra-articular loose bodies. | 56634817 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall. Intox on Benzos. Cough for approx 4 days. // CXR: pneumonia?CT: fracture or ICH? TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process seen. |
13863572 | Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mild bronchial wall thickening suggests bronchitis. Mediastinal and hilar contours are normal. Heart size is normal. No rib fractures are identified on this non-dedicated rib study. | 55804508 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cbhest pain // ?pneumothorax ?rib fractures TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: None. | No acute intra thoracic process. No evidence of pneumothorax. No definite rib fractures identified on this non dedicated study. There is persisting clinical concern for rib fracture, consider dedicated rib views. |
13791185 | 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. | 55328944 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain for the past six hours, mid-sternal radiation to both scapula COMPARISON: None | No acute intrathoracic process. |
13777833 | A large gas-filled hiatal hernia is similar in appearance to chest radiograph from ___. Severe cardiomegaly is stable ___. A right PICC terminates in the region of the cavoatrial junction, unchanged from ___. No pneumothorax. Opacities in the bilateral lower lungs likely represent combination of layering pleural and atelectasis. | 52375829 | INDICATION: ___F with emesis // please evaluate for acute abnormality TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph from ___, ___, ___. . | Stable severe cardiomegaly from ___. Stable large hiatal hernia from ___. Bilateral layering pleural effusions and atelectasis. Difficult to exclude infection in the right clinical setting. |
13777833 | In comparison to the prior radiographs, again noted is moderate cardiomegaly. The mediastinal contour is unchanged since prior examinations. Again seen is a large hiatal hernia. No definite consolidation is noted. There is no pneumothorax or pleural effusion. | 59034765 | WET READ: ___ ___ ___ 8:01 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with COPD p/w dyspnea // ?acute cardiopulmonary process? TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral views of the chest dated ___ and portable AP view of the chest dated ___ and ___ | No acute intrathoracic process. |
13777833 | An endotracheal tube and right upper central venous line are in unchanged position. An extremely large hiatal hernia continues to cause rightward shift of the mediastinum. Tip of the nasoenteric catheter is above the left hemidiaphragm within the hernia sac. Apparent widening of the mediastinum is similar to prior and likely due to a combination of mediastinal shift and patient rotation. Opacity within the right medial lung base has slightly progressed and is likely due to progressive middle lobe atelectasis. Increasing right pleural effusion is likely, now moderate. A small left pleural effusion persists. Left lower lobe atelectasis is also likely. Upper lungs remain clear. | 54703118 | INDICATION: ___-year-old female with small-bowel obstruction, now intubated. Assess for pneumonia or pulmonary edema. COMPARISON: Chest radiographs dating back to ___, most recent from ___. PORTABLE FRONTAL CHEST | Increasing basilar atelectasis and effusions, now moderate. No overt interstitial edema. Mediastinal widening, likely due to rotation and shift, unchanged. Unchanged large hiatal hernia |
13777833 | Assessment is limited by patient rotation, as well as the patient's neck and chin obscuring assessment of the lung apices. Lung volumes remain low. Moderate cardiomegaly is unchanged, with similar rightward shift of mediastinal structures. A large hiatal hernia occupies the base of the left hemithorax with associated left basilar atelectasis. Pulmonary vasculature is not engorged. There is no focal consolidation, large pneumothorax or pleural effusion. Degenerative changes are again noted within the right shoulder. | 59630231 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with COPD, shortness of breath TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ chest radiograph | Limited examination. Large hiatal hernia with left basilar atelectasis. |
13777833 | Lung volumes are low. Cardiomegaly persists, and there is no overt pulmonary edema. There is a left retrocardiac opacity, which corresponds with a large hiatal hernia. No pleural effusions or pneumothorax is seen. | 57067412 | INDICATION: ___-year-old female with diastolic congestive heart failure with diffuse volume overload on exam. Evaluate for effusions, edema or cardiomegaly. TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___, ___, ___ and ___. | Left retrocardiac opacity reflects a large hiatal hernia. |
13777833 | Patient is slightly rotated to the right. The heart is moderately enlarged. The mediastinal contours unchanged since prior exams. A large hiatal hernia is redemonstrated. Lung volumes remain low. There is moderate compressive atelectasis. No definite consolidation is noted. No pulmonary edema or pneumothorax. | 59835092 | WET READ: ___ ___ 11:14 AM No acute cardiopulmonary process. Large hiatal hernia is again seen. WET READ VERSION #1 ___ ___ ___ 10:40 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with multiple surgeries, frequent obstructions; c/o abd pain // CXR: eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___, ___ | No acute cardiopulmonary process. Large hiatal hernia is again seen. |
13777833 | Patient is somewhat rotated.Enlarged cardiomediastinal silhouette is stable. Large hiatal hernia is re- demonstrated. There may be minimal pulmonary vascular congestion. No definite focal consolidation is seen. No large pleural effusion is seen. There is no pneumothorax. | 58294448 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Stable enlargement of the cardiomediastinal silhouette. Again seen large hiatal hernia. Possible minimal pulmonary vascular congestion. |
13777833 | When compared to prior, there has been improved aeration particularly at the left lung base. The lungs are grossly clear with some residual retrocardiac opacity, potentially atelectasis. There is no large effusion or pulmonary edema. Chin does obscure visualization of the lung apices. Moderate cardiomegaly is again noted. No acute osseous abnormalities. Right PICC is no longer visualized. | 58314417 | INDICATION: ___F with hx CHF with AMS. // pneumonia? TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Cardiomegaly. Improved but some persistent retrocardiac opacity which could be atelectasis. If clinical concern for infection, consider PA and lateral if patient is amenable. No pulmonary edema. |
13777833 | The tip of the endotracheal tube projects over the midthoracic trachea. The tip of the nasogastric tube projects over the distal esophagus and should be advanced by at least 10 cm in order to place the side port beyond the GE junction. Unchanged elevation of the left hemidiaphragm. A large hiatal hernia is noted. A small left pleural effusion is unchanged. No pneumothorax identified. No focal consolidation or pleural effusion of the right lung. | 58128666 | INDICATION: ___ year old woman with NGT tube placement // NGT placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | The tip of the nasogastric tube projects over the GE junction and advancement by at least 10 cm is recommended to place the side port beyond the GE junction. Large hiatal hernia. Small left pleural effusion. |
13777833 | Frontal views of the chest. Lung volumes are low, exaggerating heart size which remains moderately enlarged. Large hiatal hernia is air-filled and slightly displaces the heart to the right. Prominence of the mediastinum is attributed to patient rotation and stable widening of the vascular pedicle. No focal consolidation, pleural effusion, or pneumothorax is appreciated. | 53828235 | HISTORY: Shortness-of-breath and hypoxia. COMPARISON: Multiple prior chest radiographs, most recently of ___. | No acute cardiopulmonary process. |
13777833 | Lung volumes are low. The cardiac silhouette is stably enlarged. The mediastinal and hilar contours are similar to the prior examinations. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax. A hiatal hernia is noted. | 51220824 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/shortness of breath, please eval for occult pna // ___F w/shortness of breath, please eval for occult pna TECHNIQUE: Chest PA and lateral COMPARISON: ___, ___, ___, ___ | No acute intrathoracic abnormality. Cardiomegaly. |
13777833 | Lung volumes are extremely low with moderate to severe cardiomegaly, unchanged from prior. Again seen is a large hiatal hernia. No definite focal consolidation. There is no pneumothorax or pleural effusion. | 58633604 | EXAMINATION: Chest radiograph. INDICATION: ___F with dyspnea TECHNIQUE: Portable chest radiograph. COMPARISON: Comparison is made to chest radiograph ___ and ___. | Low lung volumes without focal consolidation. Large hiatal hernia. |
13272752 | Left chest tube projects over the left lung base. Small left pneumothorax is stable. Previously seen Small left pleural effusion has resolved. Apical component of the pneumothorax is stable and the pleural space previously occupied by pleural effusion is now replaced with basilar pneumothorax. Bilateral lungs are clear. Cardiomediastinal silhouette is normal size. Right coronary artery stent is in unchanged position. | 57148606 | INDICATION: ___ year old woman with pleurex catheter. // ? PTX EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal view COMPARISON: Chest radiograph ___ 08:20 | Small left pneumothorax is stable. Previously seen small left pleural effusion is resolved. |
13272752 | Right Port-A-Cath terminates in the proximal to mid SVC. Interval increase in well left hemi thorax opacity worrisome for progression of known metastatic disease and increase in left hydrothorax, with more fluid at the left apex, and with small pneumothorax remaining. There are innumerable nodular opacities bilaterally consistent with extensive metastatic disease and lymphangitic carcinomatosis. Spiculated opacity in the left juxta hilar region likely corresponds to patient's mass, concern for increase size since the prior study. | 51813603 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness, known lung CA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ and chest CT from ___ | Extensive pulmonary metastatic disease, progressed. Interval increase in pleural fluid at the left lung apex with small pneumothorax remaining. |
13272752 | There is a left-sided hydropneumothorax, similar compared to prior. Rounded opacity projecting over the left mid lung is likely due to fluid tracking within the fissure. Left chest tube project over the region of the diaphragm. Right lung is grossly clear. The cardiomediastinal silhouette is unchanged noting extra density in the left suprahilar region compatible with patient's known adenopathy. Known pulmonary nodules are not clearly seen. | 53089105 | INDICATION: ___F with presyncopal episode at outpatient clinic // eval ? recurrent effusion, infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: PET-CT from ___ and chest x-ray from ___. | Persistent hydropneumothorax on the left and abnormal contour or of the left mediastinum is similar compared to exam from ___. |
13272752 | Small left apical pneumothorax is slightly increased compared to 1 day prior. There has been reaccumulation of small left pleural effusion. Left chest tube is noted projecting over the left basal pleural space. Cardiac silhouette is normal size. | 50758560 | INDICATION: ___ year old woman with ?pleural effusion // ?pleural effusion EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | Small left apical pneumothorax is slightly increased compared to 1 day prior. Small left pleural effusion is reaccumulated. |
13272752 | Small left apical pneumothorax is stable compared to 3 hr prior. Small left pleural effusion is stable. Left chest tube is in unchanged position. No new consolidation is identified cardiomediastinal silhouette is normal size. | 57706656 | INDICATION: ___ year old woman with ptx // ptx EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal view COMPARISON: Chest radiograph ___ 10:03 | No notable interval change since 3 hr prior. Small left apical pneumothorax and pleural effusion are unchanged. |
13272752 | Left pleural drainage catheter is inferior to the left lung base. Left hydropneumothorax is moderate size. Small amount of pleural fluid remains, and the moderate size left basilar and posterior pneumothorax is new. There has been re-expansion of the left lung with mild opacity likely representing re-expansion edema. Cardiomediastinal silhouette is stable. | 56254454 | INDICATION: ___ year old woman with new pleural effusion s/p chest tube // Eval for interval improvement EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___ | Left hydropneumothorax is moderate size. Left lung is largely re-expanded but diffusely opacified, probably with re-expansion edema. |
13272752 | Moderate left pneumothorax is minimally increased compared to 5 hr prior. Left basal pleural drain is shifted in position and possibly slightly pulled out by 1 cm or less compared to before. No new consolidation is identified. There is no large pleural effusion. Cardiomediastinal silhouette is normal size. | 58596574 | WET READ: ___ ___ ___ 12:22 AM Moderate left pneumothorax is slightly increased compared to 5 hr prior. The findings were discussed by Dr. ___ with Interventional ___ fellow x___on the telephone on ___ at 1:43 PM. WET READ VERSION #1 ___ ___ ___ 1:46 PM Moderate left pneumothorax is slightly increased compared to 5 hr prior. The findings were discussed by Dr. ___ with Interventional ___ fellow x___on the telephone on ___ at 1:43 PM. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ y/o female with hx of MI s/p RCA stent, HTN, present with chief complaint of dyspnea on exertion as well as loss of appetite. Large L pleural effusion s/p chest tube placement. On water seal as of 9AM. // please repeat CXR at ___ to evaluate for interval change, PTX. Thank you EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | Moderate left pneumothorax is minimally increased compared to 5 hr prior. Left basal pleural drain is shifted in position and possibly slightly pulled out by 1 cm or less compared to before. |
13272752 | PA and lateral views of the chest provided. There is near complete opacification of the left hemi thorax, with minimal residual aeration in the left apex. Shift of midline structures to the right is noted. The right lung is clear. Heart size and mediastinal contours difficult to characterize given left hemi thorax opacification. Bony structures are intact. | 53806363 | WET READ: ___ ___ ___ 6:35 PM Near complete opacification of the left hemi thorax, likely reflecting left effusion and consolidation, with associated shift of midline structures to the right. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea on exertion COMPARISON: None | Near complete opacification of the left hemi thorax, likely reflecting left effusion and consolidation, with associated shift of midline structures to the right. |
13487512 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56350597 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cp // eval for pain TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13536330 | AP upright and lateral views of the chest provided. A left chest wall pacer device is again noted with single lead extending to the region of the right ventricle. The heart remains mildly enlarged. There is minimal central pulmonary hilar engorgement without frank pulmonary edema. No effusion or pneumothorax is seen. Mediastinal contour is stable with atherosclerotic calcifications at the aortic knob. Degenerative changes at both shoulders are unchanged. Clips in the upper abdomen are again noted. | 55047601 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Low-grade fever, somnolence, question pneumonia. | Cardiomegaly with hilar congestion. |
13536330 | Left PICC tip terminates in the mid SVC. An electronic device is seen projecting over the cardiac silhouette. Lung volumes are somewhat low. Mediastinal and hilar contours are unchanged with calcification of aortic knob noted. Heart size is normal. There is no focal consolidation, pleural effusion or pneumothorax. Mild retrocardiac atelectasis is again seen. Clips are noted in the region of the gastroesophageal junction. Marked degenerative changes are noted in both glenohumeral joints. No acute osseous abnormalities detected. | 51436589 | HISTORY: Bradycardia, MS. ___: Portable AP view of the chest. COMPARISON: ___ and ___. | No significant interval change from prior. Mild retrocardiac atelectasis. |
13536330 | A cardiac monitoring device overlies the left chest wall. The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Surgical clips near the GE junction are unchanged in position. Again seen is severe osteoarthropathy of the right glenohumeral joint with bone-on-bone impaction. | 56542332 | INDICATION: Worsening weakness. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
13536330 | A portable frontal chest radiograph demonstrates a left chest wall pacer device with a single lead overlying the right ventricle, a right PICC terminating in the low SVC, and clips projecting over the midline upper abdomen. There is mild to moderate cardiomegaly, unchanged. Increased opacity over the medial right lower lung and left lower hemi thorax, with retrocardiac opacity, may be related to layering pleural effusions. A superimposed infection cannot be excluded in the right clinical setting. New left mediastinal shift is concerning for left lower lobe atelectasis. There is no pneumothorax. The visualized upper abdomen is unremarkable. | 59870950 | INDICATION: Evaluate for pneumonia in a patient with oxygen desaturation. COMPARISON: Chest radiographs from ___, ___, ___, ___. | Hazy opacity in the medial right lower lung and left lower lung, with retrocardiac opacity, possibly due to bilateral pleural effusions. However, a superimposed infection cannot be excluded in the right clinical setting. New left lower lobe atelectasis. |
13536330 | There has been interval removal of a left-sided PICC. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. A battery pack is seen overlying the medial left hemithorax. Cardiac and mediastinal silhouettes are stable. Surgical clips are seen in the upper abdomen. | 52063416 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: ___-year-old male with history of syncope and bradycardia. COMPARISON: ___. | No acute cardiopulmonary process. |
13536330 | Implanted device again projects over the left anterior chest wall. The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 51184337 | CHEST RADIOGRAPHS HISTORY: New cough. History of multiple sclerosis. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | No evidence of acute disease. |
13536330 | There has been interval placement of the right internal jugular catheter with the tip terminating in the mid SVC. There is stable appearance of mild cardiomegaly. There is mild pulmonary vascular congestion. The lungs are without focal consolidation, pleural effusion or pneumothorax. Mild calcification of the aortic knob is noted and there is mild tortuosity of the thoracic aorta. Surgical clips are visualized in the left upper abdomen. | 59326738 | HISTORY: Status post right IJ line placement. TECHNIQUE: Supine portable AP view of the chest was obtained. The right costophrenic angle is not included. COMPARISON: Chest radiograph from ___. | Interval placement of right internal jugular catheter with tip in the mid SVC. Mild pulmonary vascular congestion. |
13536330 | The lungs are better aerated compared to the prior radiograph. Clear lungs with no pleural effusion or pneumothorax. Stable cardio megaly. Unchanged position of a left-sided pacemaker with intact pacer wires. Bony thorax is unchanged. Surgical clips project over the upper abdomen. Unchanged severe glenohumeral arthropathy on the right side. | 57515695 | INDICATION: ___ year old man with prior hypoxia, cough // eval for interval chg, ?consolidation TECHNIQUE: APsingle view COMPARISON: ___ | Overall improved aeration of the lungs with otherwise stable exam. |
13536330 | The inspiratory lung volumes are slightly decreased. The lungs are symmetrically well aerated without focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged and there is no frank pulmonary edema. The cardiac silhouette is normal in size allowing for low inspiratory lung volumes. Mild calcification at the aortic knob is noted and there is mild tortuosity of the thoracic aorta. The mediastinum is within normal limits otherwise. The visualized upper abdomen shows multiple surgical clips in the left upper abdomen, unchanged from the prior study. Degenerative changes of the right glenohumeral joint are again noted. | 59064229 | INDICATION: Hypertension and bradycardia, here to evaluate for pneumonia. COMPARISON: PA and lateral chest radiographs, last performed on ___. TECHNIQUE: Portable upright frontal radiograph of the chest. | No focal consolidation concerning for pneumonia. Overall, unchanged chest radiograph from ___. |
13536330 | There has been interval removal of a right internal jugular central venous catheter. The cardiac and mediastinal silhouettes are stable with a calcified, tortuous aorta and mild enlargement of the cardiac silhouette. Battery pack/implanted device is again seen projecting over the left mediastinum/chest. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. There is no overt pulmonary edema. Surgical clips are seen in the upper abdomen. There is gaseous distention of bowel, not well evaluated. | 55482548 | HISTORY: MS, chronically colonized suprapubic catheter now with weakness, cough, and hallucinations. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13536330 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study ___ ___. The heart size remains within normal limits. No typical configurational abnormalities identified. The thoracic aorta is generally widened to a moderate degree and shows some calcium deposits in the wall at the level of the arch, but there is no evidence of any local contour abnormality. The pulmonary vasculature is not congested. Similar as on the previous examination, the central pulmonary vessels are rather prominent and widened, a finding which may be related to chronic pulmonary hypertension. There is no evidence of any acute pulmonary infiltrate. Similar as on the preceding examination, a permanent pacer (___) is identified in left anterior axillary position, seen to connect to a single intracavitary electrode, the tip of which reaches into the area of the apical portion of the right ventricle. Skeletal structures demonstrate mild-to-moderate degenerative changes mostly in the mid portion of the thoracic spine, but no other gross skeletal abnormalities are identified. | 56243600 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with pacemaker, clearance for MRI. | Single electrode permanent pacer in unchanged appropriate position in comparison with the next preceding similar study ___ ___. Stable chest findings. |
13600005 | An airway stent is noted within a right lower lobe bronchus, best visualized on the lateral view. An air-fluid level within the right lower lobe corresponds to a cavitary lesion as noted on the previous CT. Small right pleural effusion is again noted along with a large right perihilar mass with resultant right lower lobe atelectasis. Mediastinal lymphadenopathy with widening of the right paratracheal stripe is re- demonstrated. Heart size is difficult to assess but appears mildly enlarged, similar compared to the prior exam. A moderate size hiatal hernia is again noted. Left lung is clear. No pneumothorax is identified. No displaced fractures are seen. No free air is seen under the diaphragms. | 58744686 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left-sided rib pain, history of small cell lung cancer, radiation therapy yesterday now with constipation and abdominal distention. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___ | Air-fluid level in the right lower lobe corresponds to known cavitary lesion as seen on the prior chest CT. Small right pleural effusion, right perihilar mass, and right lower lobe atelectasis are all similar compared to the prior radiograph. Unchanged mediastinal lymphadenopathy. |
13600005 | Compared to the prior study, the position of the right pleural catheter is unchanged. The degree of right pleural effusion is minimally decreased. The amount of aerated right lung is slightly decreased, possibly due to atelectasis and lower lung volume. The left lung is clear aside from poor inspiratory volume. | 55737687 | INDICATION: Right pleural effusion status post chest tube with increasing pain and shortness of breath after instillation of TPA. Evaluate for pneumothorax and worsening pleural effusion. COMPARISON: ___ at 8:30 a.m. | Interval decrease in lung volumes with apparent improvement in right pleural effusion and unchanged position of right pleural catheter. Slightly more atelectasis is seen at the right lung. |
13600005 | Compared to the prior study from 1 day prior. The right pleural catheter is unchanged, as is the right pleural effusion and volume loss in the right lower lobe. Cardiac and mediastinal contours are unchanged. | 55588235 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pleural effusion now s/p pigtail. Assess interval change. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | No interval change from 1 day prior. |
13657153 | Right internal jugular central venous catheter tip terminates in the mid SVC, similar from prior. Lung volumes remain low. Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Crowding of the bronchovascular structures is re- demonstrated, and mild pulmonary vascular congestion may be present. Patchy opacities in the lung bases are compatible with areas of atelectasis. No large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 59454446 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypotension TECHNIQUE: Portable AP view of the chest COMPARISON: ___ at 05:18 | Low lung volumes with possible mild pulmonary vascular congestion and bibasilar atelectasis. |
13136121 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 59118009 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain. Eval for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___ and ___. | No evidence of pneumothorax or other acute cardiopulmonary process. |
13506556 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. | 58394125 | WET READ: ___ ___ ___ 6:57 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cp // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13506556 | No focal consolidation is seen. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are unremarkable. | 59917519 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with history of Hodgkin's lymphoma s/p tx in ___ presenting with cough, fevers, chills // ? infection TECHNIQUE: Single frontal view of the chest COMPARISON: None | No acute cardiopulmonary process. |
13242628 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. There is no pulmonary edema. | 56933279 | INDICATION: Chronic amiodarone therapy. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. No radiographic evidence for interstitial lung disease. |
13731663 | The lung volumes are low, resulting in crowding of bronchovascular structures. Bibasilar opacities are likely atelectasis, however, pneumonia could be considered in the correct clinical setting. There is no pleural effusion or pneumothorax. Bilateral hilar lymphadenopathy is unchanged. Heart is mildly enlarged but unchanged. There is mild pulmonary edema. | 59358157 | INDICATION: Chest pain. Evaluate for pneumonia. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiograph ___ and chest CT ___. | Bibasilar opacities are likely atelectasis with low lung volumes, however, pneumonia could be considered in the correct clinical setting. Mild pulmonary edema. |
13753521 | Cardiac silhouette size is top normal. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectasis is seen in the lung bases, and the lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. Deformity of the seventh right lateral rib appears chronic. Clips are noted within the upper abdomen. | 54080920 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13990624 | Endotracheal tube tip projects 6.9 cm cephalad to the carina. Left PICC tip projects over the low superior vena cava. Nasogastric tip projects below the diaphragm, however the side hole projects at the level of the gastroesophageal junction. Layering left pleural effusion is unchanged. Left mid and upper lung opacities have increased. Diffuse interstitial markings throughout the remaining lungs are unchanged. Heart size is not enlarged. Mediastinal silhouette is not widened. | 59983950 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hypoxemia s/p bronch broad antibiotics persistent fevers. // fevers? fevers? TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Frontal chest radiograph ___. | Increased opacification of the left upper and left mid lung may be secondary to pulmonary edema or developing pneumonia. |
13990624 | There is significant leftward rotation of the patient on current radiograph. Allowing for changes due to this, the cardiomediastinal silhouette is unchanged from same-day outside hospital chest radiograph. Extensive left lung opacification limits full evaluation of the cardiac silhouette, which appears normal. There is no evidence of pulmonary vascular congestion or pulmonary edema. Extensive consolidation with air bronchograms involving the majority of the left lung is concerning for pneumonia. More ill-defined reticular opacities within the right lower lung may reflect sequela of aspiration or pneumonia. Underlying emphysema is suspected. There is no right pleural effusion. There is likely at least a moderate left pleural effusion. There is no pneumothorax. | 53679096 | EXAMINATION: AP chest x-ray. INDICATION: A ___-year-old man with a cough, hypoxic, outside hospital transfer with report of white out, evaluate for pneumonia or pleural effusion. TECHNIQUE: AP chest radiographs. COMPARISON: Outside hospital chest radiograph ___ at 04:20. | Extensive left lung opacification concerning for pneumonia. Right lower lung reticular opacities may reflect aspiration or pneumonia. Probable moderate left pleural effusion. Recommend followup to resolution. |
13990624 | There is an endotracheal tube with tip terminating approximately 5.7 cm cephalad to the carinal. There is nasogastric tube with tip terminating below the diaphragm. There is a left PICC with tip terminating in the lower superior vena cava. There is improved aeration of the left hemi thorax with decrease in size of left layering pleural effusion. There is marked increase aeration of the left upper lung. There is irregularity and enlargement of the left hilum the right hilum and right lung are unremarkable. There is no evidence of pneumothorax. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. | 58301050 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: interval changes TECHNIQUE: Semi upright portable AP radiograph of the chest was obtained. COMPARISON: Frontal chest radiograph ___. | Improved aeration of the left lung with decrease in size of the layering left pleural effusion. Enlargement and irregularity of the left hilum. CT scan is recommended for further evaluation. |
13990624 | The patient has been extubated, but a tracheostomy tube has been placed. A nasogastric tube terminates in the stomach, however the side port sits at the level of the GE junction. A right-sided PICC line terminates in the upper SVC. A left basilar airspace opacity containing air bronchograms is not appreciably changed. Scattered reticular nodular opacities, including a rounded opacity at the right base, are in keeping with the known diagnosis of multifocal pneumonia. | 52176613 | WET READ: ___ ___ 12:26 PM Tracheostomy tube in appropriate position. Nasogastric tube terminates within the stomach however the side hole is located at the GE junction. Recommend advancement of the tube for better positioning. No significant change in appearance of the lungs since the prior study. The findings were discussed by Dr. ___ with Dr. ___ on ___ at 9:03 PM, 15 minutes after discovery of the findings. WET READ VERSION #1 ___ ___ ___ 8:39 PM Tracheostomy tube in appropriate position. Nasogastric tube terminates within the stomach however the side hole is located at the GE junction. Recommend advancement of the tube for better positioning. No significant change in appearance of the lungs since the prior study. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new trach and OG tube // placement of OG tube and new trach TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Persistent multifocal pneumonia with large left lower lobe consolidation and atelectasis. Newly placed NG tube terminates in stomach, but its side-port sits at the GE junction. Advancement by at least 3-4 cm is advised. |
13990624 | Endotracheal tube tip terminates 4.6 cm cephalad to the carinal. Nasogastric tube extends below the diaphragm, however the side port projects at the level of the gastroesophageal junction. Right PICC tip terminates in the low superior vena cava. Medial left lower lobe consolidation with air bronchograms is unchanged likely representing atelectasis. Patchy right basilar airspace opacities are unchanged. Mild pulmonary vasculature encroachment is unchanged. | 58213935 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ETT new fever // PNA progression PNA progression TECHNIQUE: Portable semi erect frontal chest radiograph. COMPARISON: Frontal chest radiograph ___, ___, ___. Chest CT ___. | Persistent left lower lobe atelectasis. Orogastric tube with side hole projecting at the gastroesophageal junction. Recommend advancement 5 cm. Unchanged mild pulmonary edema. |
13990624 | Right PICC terminates at and mid SVC. Tracheostomy tube is in appropriate position. Transesophageal tube courses below the diaphragm and out of view. There are wires and screws projecting over the cervical spine. Reticulonodular interstitial pattern and left lower lobe consolidation is consistent with multifocal pneumonia. There is no increased pulmonary edema. | 57054546 | INDICATION: ___ year old man with sudden SOB // ? mucous plug/flash edema EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | No significant interval change. Persistent reticulonodular interstitial pattern and left lower lobe consolidation consistent with multifocal pneumonia. |
13965562 | Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. | 50458039 | WET READ: ___ ___ ___ 6:25 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest radiographs INDICATION: ___F with chest pain // eval for CHF/pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13068843 | AP upright single radiograph of the chest demonstrate heart size which appears top normal in size. Heart size however is inadequately assessed on AP views. Mediastinal and hilar contours are within normal limits. No evidence of pulmonary edema. No large pleural effusion is seen. No pneumothorax is identified. Visualized osseous structures demonstrates no acute abnormality. | 56302962 | INDICATION: ___M with stab wound to L chest COMPARISON: CT Torso performed same date. | No acute intra thoracic abnormality. |
13467645 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear, without pneumothorax, vascular congestion, or pleural effusion. Note is made of mild insterstitial prominence, most commonly seen in asthma. | 53168220 | INDICATION: ___-year-old female with right upper quadrant pain and chest pain. Question acute process. COMPARISON: None available. | No acute cardiopulmonary process. |
13885606 | PA and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. | 53537821 | INDICATION: History of positive PPD, evaluate for active disease. COMPARISON: ___ | No acute cardiopulmonary process. |
13712250 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. Surgical clips seen in the upper abdomen. No acute osseous abnormalities identified. | 53940176 | INDICATION: ___F with fall and podsterior back and lumbar // fx TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13854372 | There are coarse bilateral diffuse opacities, unchanged from the prior examination, consistent with the patient's history of interstitial lung disease. Cardiomediastinal silhouette and hilar contours are obscured by the diffuse interstitial markings, but unchanged from prior examinations. Pulmonary edema is present. No pleural effusions or pneumothoraces are appreciated. | 54644694 | CLINICAL HISTORY: ___-year-old woman with history of PE and hypoxia, with shortness of breath. Question pulmonary edema versus pneumonia. COMPARISON: ___. SINGLE AP VIEW OF THE | Stable diffuse radiopacities consistent with known interstitial lung disease as well as increased pulmonary edema from the prior examination. |
13854372 | Portable AP upright chest radiograph was provided. There is diffuse ground-glass opacity which is concerning for pulmonary edema superimposed on the background of pulmonary fibrosis. Hilar congestion is also noted. No pneumothorax. Evaluation for effusion or subtle pneumonia is limited. Bony structures appear grossly intact. | 55330065 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Pulmonary fibrosis with worsening hypoxia, assess for failure or pneumonia. | Findings compatible with pulmonary edema superimposed on known background of interstitial fibrosis. Please refer to subsequent CT chest for further details. |
13854372 | Supine portable view of the chest demonstrates low lung volumes. No pneumothorax is seen. Extensive bilateral interstitial abnormality, largel pulmonary fibrosis, has worsened over six months, which can be due either to worsening of the fibrosis or concurrent pulmonary edema. The hila and mediastinal vasculature and the moderate cardiomegaly are more pronounced, which can be explained either by biventricular or progressive right heart failure. No pleural effusion. | 56765599 | INDICATION: Patient with hypoxia and fall. Assess for pneumothorax. COMPARISONS: Chest radiograph dated ___ and CTA chest of ___. | No pneumothorax or detectable hemothorax. Severe pulmonary fibrosis, possible concurrent pulmonary edema. Worsening right heart and/or biventricular decompensation. |
13182948 | Heart size, mediastinal and hilar contours are normal. Several small calcified lymph nodes are present in the left supraclavicular and mediastinal regions. Lungs are otherwise clear, and there are no pleural effusions or concerning skeletal findings. Drainage catheter and surgical clips are noted in the imaged upper abdomen. | 50336940 | TWO-VIEW CHEST ___ No prior studies for comparison. | No evidence of pneumonia. Calcified left supraclavicular and mediastinal lymph nodes versus sequelae of previous lymphangiogram procedure. |
13182948 | There is no focal airspace consolidation to suggest pneumonia. Heart size is normal. There is no pleural effusion or pneumothorax. An abdominal catheter is seen overlying the right upper quadrant. | 52193589 | INDICATION: Chest pain radiating to back, evaluate for pneumonia. COMPARISON: Chest radiograph ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13934995 | 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. Osseous structures are intact. | 54857682 | HISTORY: Chest pain, evaluate for cardiomegaly or effusion. COMPARISON: Chest x-ray from ___. | No evidence of acute cardiopulmonary process. |
13421580 | AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained four hours earlier during the same day. During the interval, the patient has been extubated. Previously described right-sided internal jugular approach central venous line remains. Again noted is a feeding tube traversing the entire esophagus terminating in the abdomen. The present image covers the line only about 5 inches below the hiatal area. The more distal portion of the line could be followed further on the previous chest examination, still the tip of the Dobbhoff line was never included in the image. Precise location of the line is essential for patient's management. It is recommended to perform the study under fluoroscopic control. Comparison of the chest examinations does not reveal any new acute infiltrate. However, the pulmonary vascular pattern appears to be crowded, probably related to the high positioned diaphragms. | 53672228 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with possible dislodged feeding tube. Evaluate location. | Termination point of Dobbhoff line not identified on this film. |
13421580 | ET tube is 4 cm below the level of the carina, and is in appropriate position. NG tube enters in to proximal stomach and is out of field of view. Left PICC tip is in mid SVC and right IJ tip is in low SVC. Mild interval decrease in size of multiple bilateral rounded opacities suggestive of septic emboli. Lung volumes remain low. No new focal opacity, pneumothorax, pleural effusion, or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality. | 50001612 | HISTORY: Cirrhosis and intubation. Assess for interval change. COMPARISON: Chest radiograph ___, ___, ___, ___. TECHNIQUE: Single Portable frontal chest radiograph. | Mild interval decrease in size of bilateral rounded opacities suggestive of septic emboli. |
13421580 | All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax. | 57044212 | PATIENT HISTORY: ___-year-old woman with respiratory failure and loculated pleural effusion, evaluation for interval changes. COMPARISON: Exam is compared to chest x-ray of ___. | Bilateral multifocal nodules with left lower lobe consolidation and small left base pleural effusion. These bilateral nodules are consistent with septic emboli or new opportunistic infection, while the left lower lobe consolidation might be penumonia. Findings were discussed with Dr ___ at 6:12 pm by Dr ___ |
13421580 | ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax. | 59694374 | PATIENT HISTORY: ___-year-old woman with pulmonary edema and/cirrhosis/ascites doubt. INDICATION: Improvement of pulmonary edema? TECHNIQUE: Portable AP single view chest x-ray in supine position. COMPARISON: Exam is compared to chest x-ray of ___. | All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis. |
13817147 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. The bony structures are unremarkable. | 56091909 | CHEST RADIOGRAPHS HISTORY: Chest wall pain status post motor vehicle collision. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of injury. |
13269695 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 55408123 | INDICATION: Fevers and cough. No comparison studies available. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
13621809 | There is mild blunting of the left costophrenic angle seen on the frontal view which may be due to pleural thickening versus a trace pleural effusion. The right lung is clear. The lungs are hyperinflated suggesting underlying COPD. No focal consolidation is seen. There is no pneumothorax. The cardiac silhouette is top-normal. The aortic knob is calcified. | 50972500 | HISTORY: Altered mental status and cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Mild blunting of the left costophrenic angle on the frontal view may be due to pleural thickening, but a trace pleural effusion is not excluded. |
13621809 | Compared with the immediate prior study, mild pulmonary edema has improved. Pleural effusions are small, if present at all. There is mild cardiomegaly, the aorta is tortuous. There is no focal consolidation or pneumothorax. | 59926966 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CHF // ?worsening edema TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs from ___ to ___. | Slight interval improvement in mild pulmonary edema. |
13621809 | The lungs are hyperexpanded but clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 50088667 | INDICATION: ___-year-old female with fall, question pneumonia. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
13225980 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Multilevel degenerative changes are noted in the mid to lower thoracic spine. The visualized upper abdomen is unremarkable. | 58918207 | INDICATION: Evaluate for pneumonia in a patient with confusion. COMPARISON: None available. | No acute cardiopulmonary process. |
13333479 | There is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits. | 58196742 | INDICATION: History of renal transplant with cough for one week. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: ___. | No acute cardiopulmonary process. |
13139151 | Left hemidiaphragm remains elevated with overlying atelectasis. There is associated slight mediastinal shift to the right which is stable.No definite focal consolidation is seen. There is no pleural effusion or pneumothorax better The cardiac and mediastinal silhouettes are stable. | 52471380 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with ataxia x3 days // CXR: eval for consolidationCTA: eval for vascular injury, ICH TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Persistent elevation of the left hemidiaphragm with overlying atelectasis. No definite focal consolidation. |
13454573 | Frontal and lateral radiographs of the chest demonstrate persistent low lung volumes with top normal heart size. No focal consolidation, pleural effusion or pneumothorax is present. | 55110831 | INDICATION: Shortness of breath. COMPARISON: ___. | Stable appearance of the chest with no acute process. |
13110574 | Top-normal size of the heart is unchanged. The mediastinal and hilar contours are similar. Previous pattern of interstitial pulmonary edema has slightly improved from the previous study. Aeration within the right lung base has also improved, potentially reflective of improving atelectasis. Small bilateral pleural effusions are re- demonstrated, decreased in size on the right and similar in size on the left. There is no pneumothorax. Compression deformities of several upper lumbar vertebral bodies are unchanged from CT from ___. | 59225394 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___. CT abdomen pelvis ___. | Mild interstitial pulmonary edema has improved as well as aeration within the right lower lobe likely reflective of atelectasis. Decreased size of small right pleural effusion and relatively unchanged small left pleural effusion. |
13110574 | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. There is pulmonary edema with increased interstitial markings bilaterally. Blunting of the costophrenic angels is compatible with small bilateral pleural effusions. Atelectasis is seen at the right lung base, where there is asymmetric elevation of the right hemidiaphragm. No pneumothorax is seen. No radiopaque foreign body. Wedge deformity of a lower thoracic vertebral body is similar to prior. | 50832927 | INDICATION: ___-year-old female with shortness of breath and history of CHF. Rule out acute process. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | Pulmonary edema with small bilateral pleural effusions. |
13110574 | Increased interstitial opacities are seen with indistinct pulmonary vasculature, consistent mild pulmonary edema. Confluent right base opacity may represent pneumonia or asymmetric edema. There are moderate right and small left pleural effusions. The cardiomediastinal silhouette is unremarkable. | 55517699 | WET READ: ___ ___ ___ 3:28 PM 1. Mild pulmonary edema. 2. Bilateral pleural effusion. 3. Confluent right base opacity may represent pneumonia or asymmetric edema. Recommend follow-up radiographs after diuresis to evaluate for resolution of any edema and to assess for any underlying etiology. WET READ VERSION #___ ___ ___ 12:36 PM Mild pulmonary edema. Left pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___F with cp and sob, HD opt. pls eval pna vs edema // History: ___F with cp and sob, HD opt. pls eval pna vs edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made with chest radiographs from ___ and ___ and CT chest from ___. | Bilateral interstitial opacities may reflect recurrent interstitial edema. A more confluent right basilar opacity may represent pneumonia or asymmetric edema. Recommend follow-up radiographs after diuresis to evaluate for resolution. |
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