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13279939 | The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are identified. No focal lytic or sclerotic osseous abnormalities are clearly noted. | 51536461 | HISTORY: Atraumatic pain along the shoulders, clavicle, cervical spine and mid clavicular region. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. No acute osseous abnormality. |
13870501 | There is possible background hyperinflation. The right hemidiaphragm is elevated. The heart is not enlarged. Aorta is minimally unfolded. There is patchy atelectasis/scarring in the right cardiophrenic region associated with the elevated right hemidiaphragm. There may be minimal subsegmental atelectasis at the left base. No CHF, frank consolidation or gross effusion is identified. The pulmonary nodules identified on the ___ chest CT are not well depicted radiographically. Osteopenia, mild right convex curvature and degenerative changes of the thoracic spine are noted, not fully evaluated. No free air detected beneath the diaphragms. | 53282138 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with lung nodules from metastatic leiomyosarcoma, new SOB overnight since doxil (chemo), with no significant findings on exam except for increased WOB // edema? infection? COMPARISON: No previous chest x-rays on PACs record for comparison. Targeted review of chest CT from ___. | Doubt acute pulmonary process. Bibasilar atelectasis, right-greater-than- left, with apparent chronic elevation of the right hemidiaphragm. |
13870501 | The right hemidiaphragm is elevated as seen on prior studies. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The pulmonary artery is mildly enlarged consistent with pulmonary arterial hypertension. Heart size of normal. | 55437464 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with metastatic sarcoma, now with new exertional dyspnea and pericardial friction rub // rule out CHF; also rule out cardiomegaly/pericardial effusion -please ___ ___ p___with prelim wet read TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Portable chest x-ray ___ CT chest ___ | Heart size is normal. No evidence pericardial effusion. Mildly enlarged pulmonary artery consistent with pulmonary arterial hypertension. No acute cardiopulmonary process. |
13870501 | As compared to prior examination, lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. As seen on prior chest radiograph, the pulmonary artery is mildly enlarged, consistent with pulmonary arterial hypertension. There is persistent elevation of the right hemidiaphragm. There is no new focal consolidation, pleural effusion or pneumothorax. | 53654382 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with abd solid tumor, 2d N/V and abd distention, warm to touch // eval ? free air, compressive atelectesis, edema TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph from ___. | Mildly enlarged pulmonary artery consistent with pulmonary arterial hypertension, seen on prior chest radiograph. Low lung volumes. No new focal consolidation. |
13513572 | AP upright and lateral views of the chest provided. Lung volumes are low limiting assessment though allowing for this, there is no focal consolidation, large effusion or pneumothorax. The heart appears within normal limits of size. The aorta appears unfolded. No acute bony abnormalities. | 53637489 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with fall and leg pain COMPARISON: None | No acute intrathoracic process. |
13765191 | The lung volumes are low. There is an increased opacity over the right lower lobe silhouetting at the right hemidiaphragm suggestive of a moderate right pleural effusion with adjacent atelectasis. Otherwise, the left lung is clear. Cardiomediastinal silhouette is normal. Fluid is noted in the right minor fissure. | 53513745 | INDICATION: Evaluation of patient with cough, fever and abdominal pain. COMPARISON: None available. | There is an increased opacity over the right lower lobe silhouetting at the right hemidiaphragm suggestive of a moderate right pleural effusion with adjacent atelectasis. |
13229117 | There are small-to-moderate left and small right bilateral pleural effusions. There is mild pulmonary vascular congestion. Overlying left base atelectasis is likely present. No evidence of pneumothorax is seen. The aorta is tortuous. The cardiac silhouette remains top normal and mildly enlarged. Right hilar calcified nodes are again noted. | 56218192 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Altered mental status. COMPARISON: ___. | Left greater than right bilateral pleural effusions. Mild pulmonary vascular congestion. |
13565877 | The heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are unchanged. Calcified bilateral pleural plaques are re- demonstrated. The lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. There are no acute osseous abnormalities. | 58461129 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CTA ___. Chest radiograph ___. | Bilateral calcified pleural plaques compatible with prior asbestos exposure. No acute cardiopulmonary abnormality. |
13565877 | Vague opacities projecting over the mid upper lungs laterally are compatible with calcified pleural plaques seen on prior CT. No obvious underlying consolidation. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 55639373 | INDICATION: ___M with s/p fall // Please eval for injuries TECHNIQUE: AP and lateral views the chest. COMPARISON: Chest CT from ___ and chest x-ray from ___. | No acute cardiopulmonary process. |
13565877 | Lung volumes are lower compared to the prior study. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is slightly tortuous. There is crowding of the bronchovascular structures, with mild possible mild pulmonary vascular engorgement likely present. Diffuse calcified pleural plaques limits assessment of the pulmonary parenchyma. There are likely patchy opacities in the lung bases reflective of atelectasis. Minimal blunting of the right costophrenic angle appears new compared to the prior study and may be due to a small pleural effusion. No pneumothorax is identified. No acute osseous abnormalities seen. | 56299234 | INDICATION: History: ___M with dyspnea and epigastric pain // evaluate heart and lungs TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | Bilateral calcified pleural plaques compatible with prior asbestos exposure. Low lung volumes with probable bibasilar atelectasis and possible mild pulmonary vascular congestion. Blunting of the right costophrenic angle suggests a trace pleural effusion. |
13565877 | Multiple calcified pleural plaques are similar to prior studies suggesting prior asbestos exposure. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 50756406 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with history of CAD presenting with RUQ pain, evaluate for pneumonia, CHF. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___, ___, ___. | No acute intrathoracic process. Unchanged bilateral calcified pleural plaques consistent with prior asbestos exposure. |
13565877 | Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragm, suggesting chronic obstructive pulmonary disease. Evidence of bilateral pleural and diaphragmatic plaques are again seen consistent with prior asbestos exposure. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. | 50132992 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain, now resolved. COMPARISON: ___ and ___. | Bilateral calcified pleural plaques again seen, consistent with the prior asbestos exposure. No acute cardiopulmonary process. |
13129329 | Tracheostomy in standard position. The lung volumes have improved. No acute focal consolidation. Very mild interstitial edema, is unchanged. No pneumothorax or pleural effusions. Mild cardiomegaly is unchanged. | 52075251 | INDICATION: ___ year old man with increasing tachypnea and tachycardia // any acute cardiopulmonary process | Improved aeration of the lungs. Minimal interstitial pulmonary edema. |
13129329 | An endotracheal tube is in-situ, the tip terminates 3 cm above the carina. A nasogastric tube terminates in the stomach. A right internal jugular catheter terminates in the mid SVC. The heart size remains mildly enlarged. There is prominence of the bilateral hila with hazy pulmonary vasculature consistent with pulmonary vascular congestion. Airspace opacities are consistent with pulmonary edema. There is likely a linear atelectasis of the right lung base. No definite pleural effusion seen. No pneumothorax. | 53205342 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with acute chest syndrome s/p exchange transfusion. On vent. Being treated for HCAP. // Interval progression TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
13129329 | Lungs are clear of focal opacities. Cardiac silhouette is normal in size. No pleural effusion or pneumothorax. Platelike atelectasis again noted in the right lower lobe. Calcified right hilar and mediastinal nodes are again noted. | 57281772 | HISTORY: ___-year-old man with sickle cell and chest pain. COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
13129329 | Lungs are clear without focal consolidation, effusion, or edema. Increased density projecting over the right side of the mediastinum and hilum are compatible with known calcified nodes. No acute osseous abnormalities. | 52675075 | INDICATION: ___M with chest pain // eval for PNA, CHF TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___. | No acute cardiopulmonary process. |
13129329 | The support apparatus is stable and in standard position. The overall appearance of the lungs are unchanged with lobe lung volume. Mild interstitial pulmonary edema and pulmonary vascular congestion are stable. The cardiopericardial silhouette is also stable. No pneumothorax. | 54241829 | INDICATION: ___ year old man with acute chest syndrome s/p exchange transfusion. On vent. Being treated for HCAP. // Interval change TECHNIQUE: Chest portable COMPARISON: ___ | Mild interstitial pulmonary edema and pulmonary vascular congestion are stable. |
13129329 | Since prior radiograph the interstitial lines representing pulmonary edema have improved. However, opacities at the bilateral lung bases are worsened and could represent pneumonia or aspiration. The cardiomediastinal silhouette is unchanged. No pneumothorax is identified. | 55794588 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hemoglobin SC disease, G6PD, question pulmonary infiltrates. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Bilateral lower lung opacities have worsened, and could represent pneumonia or aspiration. Interval improvement in severity of pulmonary edema. |
13129329 | There is a tracheostomy, which terminates 3 cm above the carina. There is a right PICC line, which terminates in the distal SVC. Low lung volumes with bilateral vascular crowding. There is mild elevation of the right hemidiaphragm with bibasilar atelectasis. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59539065 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with sickle cell disease s/p trach with bloody secretions and periods of apnea // Evaluate for aspiration TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___. | Tracheostomy and right PICC line in appropriate positioning. Low lung volumes with bibasilar atelectasis. |
13129329 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. The cardiac silhouette is within normal limits. Large calcified mediastinal lymphadenopathy in the right lower paratracheal region appears unchanged. | 59305928 | HISTORY: ___-year-old male with hyperglycemia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | No radiographic evidence for pneumonia. |
13129329 | Frontal and lateral views of the chest were obtained. Findings are similar as compared to the prior study. Large calcified mediastinal node is again seen. The cardiac and mediastinal silhouettes are stable. The hilar contours are relatively stable. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. | 54069990 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___. | No significant interval change. |
13129329 | Tracheostomy in standard position. Right-sided PICC has been removed. The lung volumes have decreased with subsegmental basal atelectasis. Low lung volumes cause crowding of the bronchovascular markings. No interstitial edema. No pneumothorax. | 53407921 | INDICATION: ___ year old man with anoxic brain injury triggered for tachypnea // ARDS vs. pna vs. pulm ___/effusion COMPARISON: ___ | Low lung volumes with subsegmental atelectasis. |
13129329 | Lung volumes are markedly low. This results in exaggeration of the cardiac silhouette size which is borderline enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy and linear opacities in the lung bases most likely are reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized. | 51520493 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with back pain, chest pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | Markedly low lung volumes. Patchy and linear bibasilar opacities most likely reflect atelectasis. |
13129329 | Frontal and lateral chest radiograph demonstrates well inflated lungs with mild right middle lobe atelectasis. No new focal opacity. No pleural effusion or pneumothorax. Again seen is a calcified mediastinal lymph node. No cavitary lesion. Heart size, mediastinal contour, and hila are otherwise unremarkable. Limited assessment of the upper abdomen is unremarkable and osseous structures are within normal limits. | 51831252 | WET READ: ___ ___ 3:26 PM 1. Stable chest. No evidence of pneumonia. 2. Stable calcified mediastinal lymph nodes. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with SOB with exertion, will need VQ scan for PE. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___, ___. | Stable chest. No evidence of pneumonia. Stable calcified mediastinal lymph node. |
13129329 | There is unchanged position of the tracheostomy, which terminates approximately 3.3 cm above the carina. The right PICC line terminates in the distal SVC, unchanged. Mild elevation of the right hemidiaphragm and bibasilar atelectasis are unchanged. A new left retrocardiac consolidation is concerning for pneumonia. Mild pulmonary edema is grossly unchanged. Right lower lobe atelectasis is also identified. No evidence of pneumothorax. | 50636099 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man sickle cell crisis, brain injury, PEG, trach now with pna. Acute chest syndrome vs. ARDS vs. pneumonia. TECHNIQUE: Portable view of the chest COMPARISON: Chest radiograph of ___, ___, ___, and ___. | New left retrocardiac consolidation concerning for pneumonia, as stated in the clinical history. Mild pulmonary edema and right basilar atelectasis. |
13129329 | The cardiac silhouette size is normal. Large right mediastinal calcified lymph node is re- demonstrated, compatible with prior granulomatous disease. The hilar contours are normal. Subsegmental atelectasis is noted within the lingula and right middle lobe. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is seen. There is no acute osseous abnormalities. | 57822325 | HISTORY: Cough, fever and chills. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ and chest CT ___. | No acute cardiopulmonary abnormality. |
13129329 | PA and lateral views of the chest provided. Linear density in the right mid lung is most compatible with scarring or atelectasis. Mild left basal atelectasis also noted. 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. | 55667853 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with DKA, SOB. COMPARISON: ___ | No acute intrathoracic process. |
13404233 | There is mild interstitial pulmonary edema. Otherwise no focal consolidation. Trace bilateral pleural effusions. No pneumothorax. Mild cardiomegaly is stable. | 56810079 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea // eval edema vs. pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Mild interstitial pulmonary edema. Trace bilateral pleural effusions. |
13404233 | Patient status post median sternotomy and mechanical AVR. There has been interval removal of a right jugular central venous catheter. Normal postoperative cardiomediastinal silhouette is stable to improved when compared to ___ study. Bilateral small pleural effusions with adjacent atelectasis best seen on lateral radiograph. No focal opacities or pneumothorax. The hila are normal. | 51254960 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with mech AVR // predischarge eval TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___. | Bilateral small pleural effusions with adjacent atelectasis. |
13404233 | Central pulmonary vascular congestion without overt pulmonary edema. No definite focal consolidation is seen. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. | 51226675 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with shortness of breath*** WARNING *** Multiple patients with same last name! // ? infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Central pulmonary vascular congestion without overt pulmonary edema. |
13404233 | Lungs are well expanded. Mediastinal contours, hila, and moderate cardiomegaly are unchanged from ___. Subtle opacity silhouetting the right hemidiaphragm seen better on lateral view is more apparent than on ___. No pulmonary edema, pleural effusion, or pneumothorax. | 51191437 | INDICATION: ___ year old man with leukoctyosis // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Subtle right lower lobe opacity could represent pneumonia. |
13062256 | Compared with the prior radiograph, there is a persistent, but smaller, loculated right apical pneumothorax. Initially, a nodular opacity projecting over the left first rib was not seen on the chest CT of ___. Chain sutures denote prior right middle lobectomy. Previous small right pleural effusion has resolved. No new focal consolidation. Cardiomediastinal silhouette is normal. Mediastinal surgical clips are unchanged. | 56226514 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with NSCLC s/p RMLobectomy and mediastinal LN dissection, check interval change. Check for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___. Chest CT of ___ | Small loculated right pneumothorax. New nodular density projecting over the left first rib does not have a correlate on the recent chest CT of ___. |
13062256 | Patient is status post RML lobectomy and RUL wedge resection. Postoperative changes are noted in the right upper lung with lines of ___ seen. There is increased opacity in the superior segment of the right lower lobe which may reflect a possible pneumonitis and may be further evaluated with routine oblique views bilaterally or with a CT chest.There is right apical pleural thickening. The right and left hila appear elevated. There is also elevation of the right hemidiaphragm. Lungs otherwise are clear. Cardiac contours are unremarkable. No pleural effusion or pneumothorax is seen. | 51434620 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with lung cancer on pembro with worsening shortness of breath // ? Pneumonitis TECHNIQUE: Chest: Upright PA and Lateral COMPARISON: Chest radiographs ___ | Cannot exclude pneumonitis of the superior segment of the right lower lobe. This may be further evaluated with oblique views or with a CT chest. Unchanged right apical pleural thickening and bilateral hilar elevation. |
13062256 | The lungs are well expanded without new focal consolidation. Stable postoperative right lung distortion and scarring and right apical rind are unchanged. No pleural effusion or pneumothorax. | 52821606 | INDICATION: ___ year old woman s/p neoadjuvant chemorads then s/p RML lobectomy and wedge upper lobe ___. Persistent dry cough. // eval for interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. CT of the chest from ___. | No significant interval change. CT of the chest can be obtained to evaluate right lung distortion if concern it may be cause of symptoms. |
13022668 | Frontal and lateral views of the chest were performed. The lung volumes are slightly lower, resulting in crowding of the bronchovascular structures. Additionally, this provides explanation for the apparent enlargement of the heart size and tracheal deviation. There is no evidence for pulmonary edema. There is no pleural effusion, pneumothorax or focal airspace consolidation. A linear area of scarring is again seen in the lateral left lung. | 52863554 | HISTORY: Chronic kidney disease on peritoneal dialysis and presenting with hypoxia. Evaluate pneumonia fluid overload. COMPARISON: Chest radiograph ___ and ___. | Low lung volumes without an acute cardiopulmonary process. |
13040755 | There is a left hydro-pneumothorax with partial collapse of the left lung. Further collapse or re-expansion of the left lung is prevented by chronic lung disease. Notably, in the mid-upper right lung, there is a dense, wedge-shaped opacity extending to the pleura, concerning for a pulmonary infarct. No right pneumothorax is present. The thoracic aorta is calcified and tortuous. Multiple calcifications of the costal cartilage, particularly on the left, is present. | 52995557 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old woman with recent pneumonia. Have infiltrates resolved? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___, and ___. | Significant left hydro-pneumothorax with partial collapse of the left lung, without mediastinal shift. Chronic lung disease is likely preventing re-expansion of the lung. Left-sided chest tube placement is recommended. Wedge-shaped opacity extending to the pleura in the right upper/mid lung, concerning for pulmonary infarction. |
13040755 | Chest tube coiled the medial left lower hemi thorax without increasing pneumothorax. The appearance of the lung fields is without significant change. There may be slight increase in blunting of the left costophrenic angle, may be due to atelectasis or small pleural effusion. Otherwise, no significant interval change. | 58289244 | EXAMINATION: The narrowing night you that Chest: Frontal and lateral views INDICATION: History: ___F with chest tube on L // Please eval for any interval change TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ at 06:24 | Possible slight the increase in blunting of the left costophrenic angle which may be due to a small pleural effusion or atelectasis. No other significant change. |
13040755 | There has been interval placement of a left basilar chest tube. Small residual pneumothorax seen surrounding the left lung apex. There has been interval re-expansion of the left lower lobe with some parenchymal opacity, potentially residual atelectasis although given older prior, improving infection is also possible. Wedge-shaped right upper lung opacity laterally is unchanged and as previously detailed potentially representing an infarct. Small right pleural effusion is visualized. Chronic underlying changes of the lungs appears similar compatible with patient's underlying emphysema. | 55530710 | INDICATION: ___F with L pneumo, s/p CT placement // Please eval chest tube placement TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest CT from earlier the same day and chest x-ray from ___ PA | Interval placement of a left basilar chest tube with decrease in size of the left-sided pneumothorax which persists surrounding the left lung apex. Other changes as above notable for re-expansion of left lower lobe with some persistent opacity for which followup to resolution is necessary. Wedge shaped right upper lung opacity for which CTA is again recommended. |
13040755 | Left pleural pigtail catheter is in unchanged position. The left hydropneumothorax at the lung base has improved while the small apical pneumothorax as well as a tiny medial pneumothorax remain. Extensive opacities in both lung fields, left greater than right, are unchanged. A small right pleural effusion is unchanged. Severe background emphysema is unchanged. Visualized upper abdomen is unremarkable. | 56066087 | INDICATION: ___ year old woman with left PTX, rule out pneumothorax with chest tube clamped for 4 hours. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs for direct comparison made to a study from ___ | Interval decrease in the left hydro pneumothorax at the left lung base with persistent small left apical pneumothorax and tiny medial pneumothorax. Unchanged small right pleural effusion. |
13040755 | The PICC has been removed. Patient is known to have severe emphysema. There is persistent consolidation in the left mid and lower lung which is concerning for pneumonia. There is also a small left pleural effusion, similar in extent to recent prior CXR. There is linear opacity in the right mid to upper lung, question atelectasis, new from prior exam. Biapical pleural parenchymal scarring is noted. The cardiac and mediastinal contours are not significantly changed. There is no free air beneath the right hemidiaphragm. | 50891634 | EXAMINATION: CXR INDICATION: ___F with pneumonia // evidence of infection TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior chest radiographs the most recent of ___. CT chest dated ___. | Interval removal of the PICC line. Non resolving pneumonia in the left mid to lower lung. Stable left pleural effusion. Followup to resolution is needed in this patient with underlying severe emphysema. |
13098425 | Two views of the chest demonstrate clear lungs without pleural effusion, focal consolidation, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. | 50775640 | CLINICAL INFORMATION: ___-year-old male with right scapular pain, question pneumothorax. COMPARISON: None. | Normal views of the chest. |
13225250 | 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. | 52271176 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with positive Quantiferon gold. Born in ___, ___. NO sx/sign of active tb. // any sign of latent or active tb? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No evidence of active or latent pulmonary tuberculosis infection. |
13485250 | There are opacities in the right lower and left upper lobes worrisome for multifocal pneumonia. There is no pleural effusion and no pneumothorax. The cardiomediastinal silhouette and hila are normal. Pulmonary vascularity is normal. | 57853369 | WET READ: ___ ___ ___ 6:05 PM Multifocal PNA, since RLL and LUL PNA. WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 4:51 PM RLL pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with cough. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: There are no comparison studies available. | Right lower and left upper lobe opacities concerning for multifocal pneumonia. Follow-up radiographs are recommended after resolution of symptoms to assure clearance and to rule out underlying neoplasm. |
13485250 | PA and lateral views of the chest. Previous heterogeneous opacity in the left lung has resolved, and substantially cleared from the right lower lung. However, there is a small round opacity at the lateral right lung base. Compared to prior study, patient is slightly rotated to the left and this opacity may conform to a similar finding on the previous film. It is unclear whether this is a nodule or residual opacity from prior pneumonia. The cardiac, mediastinal, and hilar contours are normal. There are no pleural effusions. | 58736545 | FINAL ADDENDUM ADDENDUM: These results were posted to the critical results dashboard by Dr. ___ at 10:45 a.m. on ___. ______________________________________________________________________________ FINAL REPORT INDICATION: Recent multifocal pneumonia, assess for clearance. COMPARISON: Chest radiograph of ___. | Previous pneumonia has almost entirely resolved. Repeat chest radiographs in four weeks indicated for to distinguish possible right lower lobe nodule from residual pneumonia. Radiologist should review images before patient leaves the department to see if oblique views are needed. |
13485250 | There has been complete resolution of previously seen pneumonia. There is no remaining or new infiltrates. The lungs are well inflated and clear bilaterally with no focal consolidation, pleural effusions, or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable. There is mild degenerative changes noted at multiple levels of the thoracic spine. | 52416029 | INDICATION: A ___-year-old woman with history of recent pneumonia. COMPARISON: Comparison is made to two previous chest radiographs dated ___ and ___. TECHNIQUE: PA and lateral chest radiographs. | Resolution of previously documented pneumonia. |
13082477 | 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. | 56626686 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sob // acute process COMPARISON: ___. | No acute intrathoracic process. |
13186646 | Valvular prosthesis and median sternotomy wires are noted with otherwise well expanded and clear lungs. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. | 51899543 | INDICATION: ___-year-old male with basal ganglia, hemorrhage, end-stage renal disease and elevated white count, assess for pneumonia and assess for acute process. COMPARISONS: None. TECHNIQUE: Portable AP upright radiograph of the chest was obtained. | No acute intrathoracic process. |
13794820 | Previously reported basilar opacities have rapidly improved, with minimal residual predominantly linear opacities remaining. Remainder of lungs are clear. Apparent small bilateral pleural effusions are noted on the lateral view. Cardiomediastinal contours are stable in appearance allowing for patient rotation. | 58553413 | PA AND LATERAL CHEST OF ___. COMPARISON: Chest x-ray of earlier the same date. | Rapidly improving bibasilar opacities favor either aspiration or atelectasis. |
13591480 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. | 57968061 | CHEST RADIOGRAPHS HISTORY: Dyspnea on exertion. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13591813 | The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. | 56703445 | INDICATION: ___ year old man with h/o positive ppd, now with cough x 3 weeks, wheezing on exam // evaluate for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: CT of the torso dated ___. | No acute cardiopulmonary process. |
13624762 | PA and lateral views of the chest. There is no free air. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. Nipple shadows are noted. No evidence of free air is seen beneath the diaphragms. | 57393525 | INDICATION: Abdominal pain, recent colectomy. COMPARISON: None available. | No acute cardiopulmonary process. |
13446564 | The heart size is slightly enlarged. Mediastinal and hilar contours are normal. The lungs demonstrate a consolidative airspace opacity affecting primarily the left lung base. There is no pleural effusion or pneumothorax. | 50431752 | HISTORY: ___-year-old female with fever and chest pain. STUDY: PA and lateral chest radiograph. COMPARISON: None. | Left lower lobe pneumonia. Mildly enlarged heart, possibly within normal limits, but a pericardial effusion cannot be excluded; correlate with ultrasound findings. |
13895555 | The NG tube is in the stomach with tip pointing upwards. The PICC line tip is at the cavoatrial junction. There is no significant change in appearance of the lungs | 59344614 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p NGT placement // ? tube position TECHNIQUE: Portable chest COMPARISON: ___. | NG tube in stomach. |
13895555 | There has been interval improvement of mild-to-moderate pulmonary edema. Dobbhoff tube extends below the diaphragm with the tip in the body of the stomach. Mild cardiomegaly is stable compared to the prior exam. The hilar and mediastinal contours are otherwise unremarkable. There is no evidence of a pneumothorax. The left costophrenic angle is not seen. There may be a small right pleural effusion. | 59337559 | INDICATION: History of Dobbhoff tube placement. Please evaluate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Single AP portable radiograph of the chest. | Dobbhoff tube extends below the diaphragm with the tip in the body of the stomach. |
13895555 | Portable frontal radiograph of the chest obtained at 3 point time points. The initial image demonstrates the Dobbhoff tube in the lower esophagus; the second image shows the Dobbhoff tube at the region of the GE junction and the third image demonstrates a Dobbhoff tube within the stomach. Otherwise there is no significant change from 1 hour prior. | 55129378 | INDICATION: New Dobbhoff placement. COMPARISON: Chest x-ray from one hour prior. | Final image showing the Dobbhoff tube within the stomach. |
13895555 | Portable frontal radiograph of the chest demonstrates a Dobbhoff tube in the mid esophagus. The left internal jugular central venous catheter is in unchanged position. Lung volumes are slightly improved with persistent bibasilar atelectasis. Pulmonary vascular congestion is noted. | 51131917 | INDICATION: New Dobbhoff placement. COMPARISON: ___ at 2:59. | Dobbhoff tube with the tip in the midesophagus. |
13895555 | Portable frontal radiograph of the chest demonstrates an NG tube ending at the level of the GE junction on the initial image, with a second image showing the NG tube within the stomach. A right PICC line is in unchanged position of the cavoatrial junction. Otherwise, there is stable appearance of the chest with stable cardiomediastinal silhouette, no focal consolidation, pleural effusion or pneumothorax. | 55481650 | INDICATION: New NG tube placement. COMPARISON: ___. | NG tube within the stomach on the final image. |
13084447 | Single portable view of the chest. Left-sided pleural effusion is seen both clearing inferiorly and projecting over the mid to upper thoracic cavity. The enlarged mediastinal contour is compatible with mediastinal, para-aortic hematoma identified on CT scan. The cardiac silhouette is within normal limits. No acute osseous abnormalities detected. | 59746420 | HISTORY: ___-year-old female with hypotension. COMPARISON: Reference CT scan performed at___ the same day. | Left-sided pleural effusion likely hemorrhagic as well as significant mediastinal hematoma, all better assessed on earlier CT scan and worrisome for aortic rupture. Vascular team had already been aware of patient's diagnosis at time of interpretation. |
13625172 | A left mid lung mass with a clip is reidentified with associated thoracotomy changes. In the background of diffuse bilateral interstitial thickening, there are areas of ill defined patchy opacities in the right lower lung. Obscuration of the margin of the left hemidiaphragm suggests left lower lobe consolidation. A spine sign as well as patchy opacities in the posterior costophrenic sulci are seen in the lateral view. Mild cardiomegaly is unchanged. There might be a small left sided effusion. | 54976773 | WET READ: ___ ___ 4:20 AM Ill defined patchy opacities in both lung bases are compatible with pneumonia on the background of interstitial pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: Patient with dyspnea. Evaluate for infection. COMPARISON: Multiple prior CT chest, most recently on ___ and ___ as well as PA and lateral chest radiographs from ___. TECHNIQUE: Upright frontal and lateral chest radiographs. | Ill defined patchy opacities in both lung bases are compatible with pneumonia on the background of interstitial pulmonary edema. Unchanged appearance of left mid lung mass with thoracotomy changes in the left lateral ribs. |
13625172 | The right lung is clear. The left lung mass appears unchanged. No new opacities suggestive of pneumonia are seen. Moderate to severe cardiomegaly and aortic calcifications are unchanged. There are no large pleural effusions. No pneumothorax is identified. There is no free air beneath the hemidiaphragms. There is no acute osseous abnormality. | 56528023 | HISTORY: ___ male with dyspnea and a history of CHF. Evaluation for pneumonia, pleural effusions and cardiomegaly. COMPARISON: Multiple prior chest radiographs, the most recent of ___. UPRIGHT FRONTAL AND LATERAL VIEWS OF THE | No large pleural effusions or new opacities suggestive of pneumonia. |
13625172 | The lungs are well expanded. Opacities associated with a prior treated lung mass appear unchanged in the left mid lung, consistent with known treated lung cancer. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette again demonstrates moderate enlargement. | 54047161 | INDICATION: History: ___M with fall // ?pna TECHNIQUE: AP and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___, ___, and ___. | No evidence of acute cardiopulmonary process or injury. Stable findings associated with treated malignancy in the left lung. |
13625172 | Irregular spiculated mass within the left mid lung is similar to prior examination and corresponds with known non-small cell lung carcinoma. Fiducial seeds are seen within the mass. No other mass lesion or suspicious pulmonary nodule is identified. There is no pleural effusion. Mediastinal and hilar contours are within normal limits. Moderate cardiomegaly is unchanged. There is no pneumothorax. | 53693901 | HISTORY: ___-year-old male with history of non-small cell lung carcinoma presenting with chest pain radiating to the back. COMPARISON: PET-CT from ___ and chest CT from ___. UPRIGHT AP AND LATERAL CHEST | Stable appearance of known left non-small cell lung carcinoma. No superimposed acute process. |
13625172 | The heart is enlarged. A left mid-upper lung mass is again seen with a clip and associated thoracotomy changes. There is mild pulmonary edema. There are small bilateral pleural effusions. No definite focal consolidation or pneumothorax identified. | 52239355 | HISTORY: Shortness of breath. Recent antibiotics for possible pneumonia, evaluate for infiltrate. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. | Cardiomegaly and mild pulmonary edema. Unchanged appearance of left lung mass. |
13445140 | The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. Minimal perihilar bronchial cuffing. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 52494724 | WET READ: ___ ___ ___ 1:28 PM Minimal perihilar bronchial cuffing. Otherwise, no acute cardiopulmonary process. No pneumothorax WET READ VERSION #1 ___ ___ ___ 11:47 AM No acute cardiopulmonary process. No pneumothorax. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with chest pain, evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Minimal perihilar bronchial cuffing. Otherwise, no acute cardiopulmonary process. No pneumothorax. |
13766608 | There are relatively low lung volumes. Pulmonary nodules measuring up to 4 mm seen on the prior CT were better appreciated on CT, which is more sensitive. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 57231096 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob, cough, fevers // infiltrate? TECHNIQUE: Chest Frontal and Lateral COMPARISON: NO PRIOR CHEST RADIOGRAPHS AVAILABLE FOR COMPARISON. REFERENCE MADE TO CHEST CT FROM ___ | Low lung volumes without acute cardiopulmonary process. Small pulmonary nodules seen on prior CT better assessed on CT, which is more sensitive. |
13766608 | The lungs are clear. There is no focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 55460712 | INDICATION: ___F with HIV, Hep C, and asthma p/w AMS. // Evaluation of PNA TECHNIQUE: Single AP portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13766608 | There are relatively low lung volumes. Medial right lobe base opacity may be due to overlap of vascular structures and low lung volumes it appears improved since the prior study. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. | 56774680 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with recent pna now c/o worsening cough and SOB // interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Low lung volumes. Medial right lung base opacity appears improved. No new focal consolidation seen. |
13457022 | The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 50130427 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
13299672 | From the chest radiograph performed 10 minutes earlier, the tip of the endotracheal tube is 5 cm from the carina. PICC and nasogastric tube in good position. Persistent left lower lobe atelectasis is unchanged. Right lung is clear. No pneumothorax or pleural effusions. The heart is not enlarged. | 51308730 | INDICATION: ___ year old woman intubated following PEA arrest with new desat // ETT positioning | Persistent left lower lobe atelectasis is unchanged. Endotracheal tube is 5 cm from the carina. |
13299672 | Compared with ___ at 05:16, I doubt significant interval change. An ET tube tip lies approximately 5.8 cm above the carina. An NG tube is present, tip and side-port beneath diaphragm. Left subclavian PICC line tip lies at the SVC/RA junction. Cardiomediastinal silhouette is unchanged. There is upper zone redistribution and minimal bibasilar atelectasis, similar to the prior film. No pneumothorax detected. Biapical pleural thickening again noted. Lumbar spine fixation hardware is again noted . | 51348692 | WET READ: ___ ___ 8:29 AM No notable changes noted compared to 13 hr prior. No new consolidation or pulmonary edema. WET READ VERSION #1 ___ ___ ___ 11:18 PM No notable changes noted compared to 13 hr prior. No new consolidation or pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman intubated following PEA arrest with heroin overdose. // interval change, new hypoxia | Doubt significant change. Upper zone redistribution and minimal atelectasis, but no overt CHF, focal consolidation, or gross effusion. |
13299672 | I doubt significant interval change. Lines and tubes are similar. There is upper zone redistribution without overt CHF and bibasilar atelectasis. No frank consolidation or effusion identified. No pneumothorax detected. Possible mild cardiomegaly. Cardiomediastinal silhouette is probably similar allowing for differences in positioning. Lumbar spine fixation hardware again noted. | 55886114 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p PEA arrest, intubated // Please evaluate for interval change COMPARISON: ___ at 13 36 | Doubt significant interval change. |
13299672 | AP portable supine view of the chest. An endotracheal tube is seen low in the trachea approximately 8 mm above the carina. Retraction by 2 cm is advised. Lungs are clear. The cardiomediastinal silhouette is normal. Hardware is noted in the upper lumbar spine. | 55595131 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F intubated // ett placement? PNA? COMPARISON: None | Low-lying ET tube. Please retract by 2 cm. |
13299672 | Endotracheal tube is 5 cm the carina. Left-sided PICC the cavoatrial junction. The nasogastric tube remains in good position. Persistent left lower lobe atelectasis. No pneumonia, pulmonary edema or effusions. No pneumothorax. | 52211985 | INDICATION: ___ year old woman with new desaturation and decreased breath sounds on L. // ETT placement COMPARISON: ___ | Persistent left lower lobe atelectasis. Endotracheal tube is 5 cm the carina. |
13284232 | The heart is enlarged and severe central vascular congestion and interstitial pulmonary edema is noted. Bilateral moderate pleural effusions are noted right greater than left. The upper lung fields are grossly clear. There is no pneumothorax identified. Diffuse bilateral lung nodules are better evaluated on the patient's recent CT examination. | 57185454 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with sob // eval for pneumonia TECHNIQUE: Portable upright AP view of the chest. COMPARISON: CTA chest dated ___. | Severe pulmonary edema and bilateral pleural effusions, compatible with congestive heart failure. |
13764964 | Lung fields are well inflated, without nodules or consolidation. Heart and vessel silhouettes are normal. There is no pleural effusion or pneumothorax. | 54597989 | HISTORY: ___ year old man with L sided pleuritic chest pain TECHNIQUE: CXR in PA and lateral view COMPARISON: Exam is compared with ___. | No findings to account for left chest pain. |
13229978 | Single frontal view of the chest shows minimal changes since prior chest radiograph. Spinal hardware and right jugular Port-A-Cath are unchanged. Lung volume still low, but without consolidation suspicious for pneumonia. Prominence of the lung vasculature is likely related to low lung volume. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. | 59359621 | PATIENT HISTORY: ___-year-old man status post left ORIF with new fever, tachycardia in the setting of GNR UTI, concern for sepsis. Please assess for pulmonary source of infection. COMPARISON: Exam is compared to chest x-ray of ___. | No evidence of acute pneumonia. Spinal stabilization devices and right jugular Port-A-Cath are unchanged. |
13229978 | Frontal radiograph of the chest demonstrates low lung volumes, with accentuation of the pulmonary vasculature. The cardiac contour is within normal limits. The apparent upper zone redistribution may be a function of low lung volumes. Left basilar atelectasis. No pleural effusions are identified. No pneumothorax is seen. Right chest wall catheter tip terminates in the proximal cavoatrial junction. Again noted are multilevel spinal stabilization. | 51612915 | HISTORY: History of congestive heart failure on Lasix. Postoperative tachycardia. Evaluate fluid status. COMPARISON: ___. | Limited evaluation of fluid status due to low lung volumes accentuating the pulmonary vasculature. No pleural effusions. |
13607432 | The patient is somewhat rotated, limiting diagnostic evaluation. PA AND LATERAL VIEWS OF THE CHEST PROVIDED. Lung volumes are normal. There are nodular opacities in the bilateral lower lobes. There is nodular central perihilar opacities and cardiomegaly. There is increased reticular markings diffusely compatible with pulmonary interstitial edema. There is no large pleural effusion. There is no pneumothorax. Relative hyperlucency of the left lung apex is likely related to patient position and rotation. | 51172572 | WET READ: ___ ___ ___ 1:57 AM 1. Central nodular opacities, diffuse interstitial lung markings, and cardiomegaly likely represent cardiogenic pulmonary edema. 2. Opacities in the bilateral lower lobes may represent pneumonia in the right clinical context. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with confusion for 4 days // CT head: ?ICHCXR: ?pneumonia COMPARISON: None | Central nodular opacities, diffuse interstitial lung markings, and cardiomegaly likely represent cardiogenic pulmonary edema. Opacities in the bilateral lower lobes may represent pneumonia in the right clinical context. |
13435396 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy atelectasis is seen in the lung bases on the lateral view without focal consolidation Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 56940457 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with no past medical history comes in for pleuritic chest and midback pain. // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13299168 | The lung volumes are low with mild peripheral reticulonodular opacities. No mass or focal consolidation. Calcified granulomas in the right upper lobe. Cardiomediastinal contours are unchanged. No pleural effusions or pneumothorax. | 50517459 | INDICATION: ___ year old man with unexplained myalgias. // ?mass TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes with mild interstitial abnormalities, may reflect chronic interstitial lung disease. If clinical concern a high-resolution CT thorax could be considered. |
13299168 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lungs which are low in volume but clear. There is no radiographic evidence of a pulmonary embolus. There is no pleural effusion or pneumothorax. | 57636596 | HISTORY: Desaturation, fever, high D-dimer. Evaluate for pulmonary embolus. COMPARISON: Chest radiographs from ___ and ___. | No radiographic evidence of a pulmonary embolus or pneumonia. |
13299168 | There is no pleural effusionor pneumothorax. Patchy opacities at the lung bases may reflect atelectasis. Heart is normal in size. The mediastinal and hilar structures are unremarkable. Nonspecific air-fluid levels in the abdomen are incompletely evaluated, however, there is no evidence for obstruction. No free air beneath the diaphragms. | 50106655 | HISTORY: Fevers, evaluate for pneumonia. COMPARISON: Chest radiographs ___ and me ___. FINDINGS: FRONTAL AND LATERAL VIEWS OF THE | Patchy bibasilar opacities, likely atelectasis although infection is not completely excluded. |
13723236 | Bibasilar opacities likely represent atelectasis or aspiration in the appropriate clinical setting. Otherwise no focal consolidation, pleural effusion or pneumothorax. Heart size is top-normal. No acute osseous abnormalities identified. | 52149142 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female presenting for evaluation after a fall TECHNIQUE: Chest PA and lateral COMPARISON: None. | Bibasilar opacities may represent atelectasis or aspiration in the appropriate clinical setting. |
13723236 | Frontal and lateral radiographs of the chest. Again seen are bibasilar opacities, with interval development of small bilateral pleural effusions. Heart is top-normal in size. No pneumothorax. | 57752432 | WET READ: ___ ___ ___ 2:43 AM Bibasilar opacities appear similar to prior. Interval development of small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with fall, ? aspiration vs atelectasis on CXR at ___, episode of hypoxia in ED Obs // Eval for interval progression of ? aspiration TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray dated ___. | Bibasilar opacities appear similar to prior. Interval development of small bilateral pleural effusions. |
13202007 | An NG tube is seen coursing over the midline of the chest, with tip and side port below the level of the diaphragm, overlying the gastric fundus. Note is made of multiple dilated loops of small bowel in the left mid/upper abdomen, also demonstrated on a abdominal CT obtained earlier the same day. No free air seen beneath the diaphragm. The lungs are hypoinflated with crowding of vasculature and bilateral lower lobe atelectasis. There is mild vascular plethora, likely accentuated by low lung volumes. Mild cardiomegaly is likely accentuated due to low lung volumes and patient positioning. The aorta is tortuous. Biapical pleural thickening and parenchymal scarring is seen. No pleural effusion or pneumothorax. | 59399916 | WET READ: ___ ___ 2:11 PM 1. Bilateral lower lobe atelectasis.2. Enteric feeding tube tip in stomach. WET READ VERSION #1 ___ ___ ___ 9:19 AM 1. No acute cardiopulmonary process.2. Enteric feeding tube tip in stomach. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with NG tube placement. Assess placement of NG tube . TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: Chest radiograph ___, ___. | NG tube tip in stomach. Dilated small bowel loops noted. Low inspiratory volumes, likely contributing to accentuated cardiomediastinal silhouette, bibasilar atelectasis and upper zone right redistribution. Biapical pleural and parenchymal scarring noted. |
13202007 | Mild cardiomegaly is again noted. Biapical pleural thickening and parenchymal scarring is unchanged. There are increased bilateral interstitial markings, some of which may be due to paramediastinal fibrosis consistent with prior radiotherapy, as described on the prior CT chest. No focal consolidation or large pleural effusions. No evidence of pneumothorax. | 51983810 | WET READ: ___ ___ ___ 2:50 PM Increased interstitial markings new from prior which could be due to interstitial edema although atypical infection is also possible. No focal consolidation identified. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea on exertion. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___. CT chest from ___. | Increased interstitial markings new from prior which could be due to interstitial edema although atypical infection is also possible. No focal consolidation identified. |
13202007 | ET tube terminates 4 cm above the carina. There is a NG tube with the tip and side hole in the stomach. There is bilateral diffuse opacification, consistent with multifocal pneumonia seen on the prior chest CT. The opacification appears to improved in the right upper and lower lobes. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55485353 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with right-sided PNA pulm edema, intubated for hypoxia // evaluate for volume overload TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___. CT chest with contrast dated ___. | Appropriate positioning of the ETT and NG tube. Multifocal pneumonia with mild improvement in the right upper and lower lobes. |
13202007 | The ET tube tip 6.1 cm above the carina. NG tube tip beneath diaphragm, overlying gastric fundus. Compared to the prior film, I doubt significant interval change. Again seen is the right base opacity with obscuration of the right hemidiaphragm, similar to the prior film. Possible minimal improvement in left base opacity. No gross left effusion. Cardiomediastinal silhouette is probably unchanged. Biapical pleural scarring is again noted. | 52632694 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure and pneumonia. // evaluate for pulmonary edema, PNA, effusions COMPARISON: Chest x-ray ___ at 04:02 a.m. | Doubt significant interval change. |
13202007 | The cardiac silhouette is mildly enlarged. The mediastinal contour is normal. Low lung volumes. No overt edema or pneumonia. There is no pleural effusion or pneumothorax. | 58735913 | INDICATION: ___M with weakness, evaluate for pneumonia.. COMPARISON: Comparison is made to multiple chest radiographs dating back to ___. TECHNIQUE AP and lateral view of the chest. | Low lung volumes. No overt edema or pneumonia. |
13202007 | The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. No pulmonary edema is present. Mild patchy bibasilar opacities likely reflect atelectasis. No focal consolidation or pneumothorax is seen. Scarring within the lung apices appears unchanged. Minimal blunting of the costophrenic angles posteriorly suggest trace bilateral pleural effusions. | 57052446 | HISTORY: Chest pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Probable trace bilateral pleural effusions and bibasilar atelectasis. |
13399923 | The patient is status post median sternotomy and CABG. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 50227347 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with bradycardia, syncope TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13841291 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. The lungs are hyperinflated with flattening of the diaphragm bilaterally. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures are without acute abnormality. | 58004199 | HISTORY: ___-year-old female with dizziness. COMPARISON: None available. | No acute cardiothoracic abnormality. |
13202894 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette, with the size likely exaggerated by mildly low lung volumes. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 50330527 | INDICATION: ___M with seizure, infx w/u and stroke r/o // PNA? Stroke? ICH TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13776968 | Though the lungs appear clear on the frontal radiograph, on the lateral view there is an ill-defined opacity in the posterior and lower lung overlying the lower spine and is concerning for an early focus of infection, most likely in the left lower lobe. Cardiomediastinal silhouette is normal. No pleural abnormality. | 52893994 | CHEST RADIOGRAPH INDICATION: Evaluate for presence of lung infection. Patient has fever and cough. TECHNIQUE: PA and lateral chest views were reviewed in comparison with prior radiograph from ___. | Ill-defined opacity appreciated only on the lateral view in the posterior and lower lung is concerning for an pneumonia, most likely in the left lower lobe. Followup radiograph is suggested in ___ weeks after appropriate treatment. |
13776968 | The cardiomediastinal silhouette and pulmonary vasculature are stable since the prior examination. Vague right infrahilar opacity is noted, which, in the appropriate clinical context, may represent aspiration. There is no pleural effusion or pneumothorax. Marked gastric distension is present in the upper abdomen. | 54500211 | EXAMINATION: AP chest INDICATION: History: ___M with cough, vomiting, diarrhea now abdominal pain and distention s/p loperamide // evaluate for acute process TECHNIQUE: Single view of the chest was obtained. COMPARISON: ___, ___ | Vague right infrahilar opacity, potentially due to acute aspiration in the setting of recent vomiting. Marked gastric distension. |
13899534 | Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. Minimal multilevel degenerative change evident with complete sclerosis and joint space narrowing in the mid thoracic spine. | 59199363 | INDICATION: ___ year old woman with arthralgias // ?hilar ___ or infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13899534 | Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. Minimal multilevel degenerative change evident with complete sclerosis and joint space narrowing in the mid thoracic spine. | 53490495 | INDICATION: History of psoriatic arthritis. Please establish baseline prior to methotrexate treatment. COMPARISON: No prior studies available for comparison. | No acute intrathoracic abnormality. |
13811522 | The lungs are somewhat hyperexpanded. Bronchovascular markings are prominent. There is no focal consolidation. Streaky density at the right base likely represents scarring. There is biapical pleural thickening, slightly more pronounced on the right. The heart is normal in size. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. | 58117581 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY ___ year old man with cough and O2 desaturation // eval for PNA or fluid overload eval for PNA or fluid overload COMPARISON: None | Evidence of COPD. No active disease. |
13788691 | The heart appears mildly enlarged. The mediastinal and hilar contours appear unremarkable aside from mild unfolding along the descending thoracic aorta. There is no pleural effusion or pneumothorax. Streaky medial left basilar atelectasis is most consistent with minor atelectasis. The lungs appear otherwise clear. The bones appear demineralized. Vertebroplasties have been performed along four lower thoracic spinal levels, not completely assessed. Immediately above these, there is a mild loss in height of a vertebral body, but not necessarily acute and difficult to assess. Prior fractures involve the right posterior lateral sixth and seventh ribs, and probably eighth rib, without displacement. On the left, no fracture is identified. | 52964357 | CHEST RADIOGRAPHS HISTORY: Hallucinations and advanced ___'s disease. COMPARISONS: None. TECHNIQUE: Chest, AP upright and lateral views. | No evidence of acute cardiopulmonary disease. |
13569595 | AP upright 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. No radiopaque foreign body is seen. | 55806425 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M w/syncope, chipped tooth, please eval for occult pneumonia // COMPARISON: ___ | No acute intrathoracic process. |
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