subject_id
stringlengths 8
8
| findings
stringlengths 93
1.83k
| study_id
stringlengths 8
8
| background
stringlengths 10
2.5k
| impression
stringlengths 16
1.06k
|
|---|---|---|---|---|
13445505 | The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. | 58737700 | INDICATION: Syncope and cough. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. |
13445505 | PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There are faint nonspecific reticular opacities in the lower lobes, with peribronchial cuffing. There is no pneumothorax or pleural effusion, and the pulmonary vascularity is normal. | 56879941 | INDICATION: Wheezing and cough in a patient with a history of asthma. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. | Findings suggestive of acute viral or other atypical infection. |
13445505 | Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. In comparison to ___ there is new mild anterior wedging of ___ mid thoracic vertebral bodies, likely T7 and T8. Stable compression deformity of T5 is unchanged. | 51671666 | WET READ: ___ ___ ___ 5:38 AM 1. No pneumonia. 2. In comparison to ___ there are new mild anterior compression fractures of ___ mid thoracic vertebral bodies which are of indeterminate age. Clinical correlation is recommended to assess focal tenderness. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Asthma. Presents with shortness of breath. Assess for acute process. COMPARISON: Chest radiograph ___, ___, ___. | No pneumonia. There are mild anterior compression fractures of ___ mid thoracic vertebral bodies (these likely T7 and T8) which are of indeterminate age, but new since ___. Clinical correlation is recommended to assess focal tenderness. |
13325921 | Vascular sheath is noted in the left internal jugular vein. Endotracheal tube tip terminates approximately 7 cm from the carina. Enteric tube is looped within the distal esophagus with the tip terminating in the mid esophagus. Lung volumes are low. Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Mild atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | 58833266 | WET READ: ___ ___ ___ 5:36 PM Endotracheal tube tip in standard position. Malpositioned enteric tube, looped within the distal esophagus, and tip within the mid esophagus. Low lung volumes with mild atelectasis at the lung bases. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with massive GI bleed, intubated TECHNIQUE: Portable supine AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Endotracheal tube tip in standard position. Malpositioned enteric tube, looped within the distal esophagus, and tip within the mid esophagus. Low lung volumes with mild atelectasis at the lung bases. |
13703969 | Low lung volumes with bibasilar atelectasis. The lungs are otherwise clear. There is a small amount of subcutaneous air seen in the right supraclavicular region. The esophagus is distended with air and there is an NG tube seen coursing below the diaphragm, however the tip is not definitively seen. 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. | 51764721 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p laparoscopic paraesophageal hernia repair // r/o pneumothorax TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___. | Air-filled esophagus with NG tube below the diaphragm, however the tip is not visualized. Low lung volumes with bibasilar atelectasis. |
13703969 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The thoracic aorta is mildly tortuous and contains calcifications. A moderate hiatal hernia is noted. The cardiomediastinal silhouette is otherwise within normal limits. | 58913363 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with chest pain // r/o chf, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of acute cardiopulmonary process. The hiatus hernia is occasionally a cause of chest pain. |
13254000 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52886484 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest palpitations. // ? cardiopulmonary changes TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13891491 | Lung volumes are slightly low, resulting in bronchovascular crowding. The cardiac silhouette is unchanged. Hilar contours are mildly indistinct. No pneumothorax, pleural effusion, or consolidation. | 57966712 | WET READ: ___ ___ ___ 5:11 AM Pulmonary vascular congestion without frank edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chf, edema // eval for pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___. | Pulmonary vascular congestion without frank edema. |
13891491 | AP upright portable chest radiograph is obtained. Lung volumes are low, though there is no focal consolidation, large effusion, or pneumothorax. The heart is mildly enlarged. No signs of CHF or edema. Bony structures are intact. | 56604824 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Hypotension, assess for acute intrathoracic process. | Mild cardiomegaly, otherwise unremarkable. |
13891491 | Supine portable AP view of the chest provided. The heart remains mildly enlarged. There is limited evaluation due to low lung volumes. Subtle left lower lung opacity is seen projecting behind the heart, which could represent early pneumonia. A lateral view would be helpful to confirm. Otherwise, the lungs appear clear without evidence of effusion or pneumothorax. The mediastinal contour is stable. Bony structures are intact. | 53894356 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Hypotension, assess for pneumonia. | Limited exam due to low lung volumes. Mild cardiomegaly is stable. Possible left lower lobe opacity which could represent pneumonia and correlation with lateral view would be helpful to confirm. |
13508603 | A large right pleural effusion has increased. A small layering left pleural effusion with associated left basilar atelectasis has also increased. Mild pulmonary edema is unchanged. There is no pneumothorax. Aortic arch calcifications are incidentally noted. The heart and mediastinum cannot be accurately assessed due to projection and obscuring pleural fluid. | 56870021 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p LLE angio // pulm edema, effusion TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | Stable mild pulmonary edema. Increased large right pleural effusion. Increased small layering left pleural effusion with associated left basilar atelectasis. |
13405404 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52780793 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, fever. // pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13559977 | The heart size is normal. Mediastinal and hilar contours are unchanged, with known left hilar and mediastinal lymphadenopathy better demonstrated on the prior CT. Linear opacity within the left upper lobe is unchanged. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. | 52098093 | HISTORY: Cough, shortness of breath, fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and CT torso ___. | Unchanged linear opacity in the left upper lobe corresponding to known lesion seen on prior CT. No new parenchymal opacities to suggest pneumonia. |
13030232 | PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Lungs are clear. 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. | 51323109 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with ?seizure. R/O infection COMPARISON: ___ | No acute intrathoracic process. |
13030232 | The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. The left chest pacer device lead tips are unchanged in appearance. Median sternotomy wires are noted. | 51674766 | EXAMINATION: Radiograph. INDICATION: ___M with hypoglycemia. Assess for infection or pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___. | No acute cardiopulmonary process. Specifically, no pneumonia. |
13030232 | There is a new dual lead pacemaker. On the frontal film slowed leads project over the expected locations of the heart. However, on the lateral film 1 of the leads projects posteriorly which is unexpected. The heart is upper limits normal in size. Sternal wires and mediastinal clips are again seen. There is no focal infiltrate or effusion. There is no pneumothorax. | 50837543 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with new dual chamber PPM // assess lead position TECHNIQUE: Chest PA and lateral COMPARISON: ___. | 1 of the pacemaker wires projects posteriorly on the lateral film. This is likely the atrial lead. |
13999801 | The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55523172 | HISTORY: Back pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13009272 | Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine | 54363230 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with head and neck cancer, at risk for aspiration, now with fevers // evaluate for any evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Resolved pneumonia. There are no new lung abnormality |
13009272 | Frontal and lateral radiographs of the chest demonstrate an area of consolidation in the lower lung region which is seen best on the lateral view, and likely corresponds to a right lower lobe pneumonia. Cardiomediastinal and hilar contours are unchanged. No pneumothorax. | 59318724 | INDICATION: ___ year old man with COPD and cough // r/o infiltrate, mass TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___.. | Lower lung consolidation, likely in the right, is concerning for pneumonia. |
13009272 | The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable. A gastrostomy tube is partially imaged. There is no free air. | 52619364 | INDICATION: ___ year old with tonsillar cancer s/p GJ tube placement presenting with N/V and watery diarrhea. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13496926 | AP upright and lateral views the chest were provided. There is dense consolidation within the right upper lobe concerning for pneumonia. There is a small right pleural effusion. Heart size appears normal. Aortic contour is stable with calcification. Bony structures are intact. Anchors in the right humeral head noted. | 50245583 | HISTORY: ___-year-old female with cough and shortness of breath, evaluate for pneumonia. COMPARISON: Prior exam from ___. | Extensive right upper lobe consolidation concerning for pneumonia. Followup to resolution is advised to exclude underlying abnormality. |
13570759 | The patient has had endobronchial lung reduction for COPD with positioning of multiple bilateral coils, which have stable appearance. Lung volume is reduced with interval increase of bibasilar opacity suspicious for developing pneumonia, probably for aspiration. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Enlarged central pulmonary arteries are suggestive of pulmonary arterial hypertension. | 51995188 | REASON FOR EXAM: ___ years old woman status post left EBLR presents with shortness of breath and worsening of wheezing, assess for pneumonia. COMPARISON: Exam is compared to chest x-ray of ___. | Interval worsening of heterogeneous bibasilar opacities is suspicious for developing pneumonia, likely secondary to aspiration. |
13570759 | Heart size is normal. The cardiomediastinal and hilar contours are normal. There is increase in size of pulmonary arteries which may represent pulmonary hypertension. No focal consolidations. Multiple endobronchial coils are again seen. Possible vague opacity in the left lower lobe. | 56205748 | INDICATION: Severe COPD status post endobronchial lung reduction with coils. COPD exacerbation. COMPARISON: ___. | Possible vague opacity in the left lower lobe may represent atelectasis or early pneumonia, difficult to completely evaluate because no prior post-operative lateral films. |
13570759 | Hyperinflated lungs with flattened diaphragms and widened AP diameter are consistent with known COPD. Lungs clear bilaterally, without pleural effusion or pneumothorax. Heart size is mildly enlarged with mild left ventricular and right ventricular enlargement with prominent hila. Two anterior compression fractures with moderate loss of height in the thoracic spine without additional bony abnormality. | 55676728 | HISTORY: Female with COPD. COMPARISON: None. TECHNIQUE: Frontal and lateral chest radiographs. | Mild pulmonary hypertension. Two anterior compression fractures with moderate loss of height in the thoracic spine. Results were conveyed to Dr. ___ by Dr. ___ on ___ at 4:30 p.m. via telephone within 15 minutes of observation of findings. |
13570759 | A portable frontal chest radiograph again demonstrates multiple endobronchial devices, unchanged in position. Vascular congestion and pulmonary edema and may be minimally increased compared to the most recent chest radiograph. There is no large pleural effusion, and no pneumothorax. | 56499782 | HISTORY: COPD, status post endobronchial lung reduction, with ongoing BiPAP requirement. Evaluate for pulmonary edema. COMPARISON: Chest radiographs from ___, ___, and ___. | Minimal increase in vascular congestion and pulmonary edema. |
13570759 | Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with increased AP diameter and flattening of the diaphragms, consistent with the patient's history of COPD. Compared to the prior study, there has been new coil placement in the right upper lobe. No pneumothorax is seen. Bibasilar opacities are likely a combination of atelectasis and overlying soft tissue. The heart size is mildly enlarged with prominent hila, again consistent with mild pulmonary hypertension. The compression fractures in the mid thoracic spine, previously noted in ___, are unchanged. No pneumonia or pleural effusion is seen. | 59698933 | HISTORY: COPD, status post endoscopic coil placement. Evaluate for pneumothorax. COMPARISON: ___. | Status post endobronchial coil placement with no evidence of pneumothorax. |
13570759 | Endobronchial lung reduction with coils are again seen. Increased interstitial markings are seen throughout the lungs which appear chronic, unchanged. There is no new consolidation. There is no effusion. The cardiomediastinal silhouette is within normal limits. Multiple thoracic compression deformities are better seen on prior CT. | 53277035 | INDICATION: ___F with COPD p/w gen weakness, nausea, reduced oral intake recently started on metolazone and furosemide // Pneumonia or COPD exacerbation or CHF TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ chest CT. | No acute cardiopulmonary process. |
13459286 | Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Apparent suture anchors are noted in the region of the right glenohumeral joint. | 55018441 | WET READ: ___ ___ 8:17 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs. INDICATION: History: ___M with fever // ?pna TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made with chest radiographs from ___. | No acute cardiopulmonary process. |
13504185 | Supportive lines and tubes are unchanged in appearance when compared to the prior study. There is persistent pleural fluid along the lateral chest wall. This is unchanged in extent compared to the prior study. Left lower lobe atelectasis persists. Continued airspace opacity at the left lung base likely due to a atelectasis. | 58135739 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with asthma, prior R lung empyema s/p VATS now L sided pleural effusion s/p VATS on ___ // interval change in pleural effusion (Please perform at 7 AM) TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
13504185 | The cardiomediastinal silhouette and pulmonary vasculature are stable since prior examinations and unremarkable. The lungs are largely clear. Post thoracentesis, there is a moderate persistent left sided pleural effusion, larger in size than in ___. No pneumothorax is present. | 57702707 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with left pleural effusion s/p thoracentesis ___ // assess for interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___; CT chest ___ | Persistent, moderate left sided pleural effusion. |
13504185 | There are streaky bibasilar opacities, left greater than right. Previously noted left pleural effusion has resolved. Superiorly, the lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 56524698 | WET READ: ___ ___ ___ 11:17 PM No pleural effusion. Bibasilar opacities which may be due to atelectasis however infection is entirely possible. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with cough // r/o pleural effusion TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No pleural effusion. Bibasilar opacities which may be due to atelectasis however infection is entirely possible. |
13504185 | PA and lateral views of the chest provided. There is a left lower lobe opacity which appears new since ___ and concerning for pneumonia. There also bibasilar linear opacities which appear unchanged from comparison study and likely represents scarring. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. | 58447502 | WET READ: ___ ___ ___ 7:54 AM Left lower lobe opacity is new since chest radiograph ___ and compatible with pneumonia given the clinical history. WET READ VERSION #___ ___ ___ ___ 5:07 AM Left retrocardiac opacity is new since chest radiograph ___ and compatible with pneumonia given the clinical history. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M s/p VATS who p/w persistent productive cough // PNA, abscess COMPARISON: Chest radiograph ___. | Left lower lobe opacity is new since chest radiograph ___ and compatible with pneumonia given the clinical history. |
13504185 | Again seen is near complete opacification of the left hemithorax due to large pleural effusion and collapse. There has been interval placement of a left-sided pleural drainage catheter. No pneumothorax is identified. | 53428995 | WET READ: ___ ___ ___ 2:30 PM 1. No significant interval change in near complete opacification of the left hemithorax due to pleural effusion and collapse. 2. Interval placement of left-sided pleural drainage catheter. No pneumothorax identified. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with new Rt sided pleural effusion // r/o PTX TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiographs dated ___ through ___. | No significant interval change in near complete opacification of the left hemithorax due to pleural effusion and collapse. Interval placement of left-sided pleural drainage catheter. No pneumothorax identified. |
13504185 | The bilateral lower lobe multifocal pneumonia has worsened. No lung abscess is appreciated. The diffuse interstitial opacification has been chronic which is concerning for heart failure versus pneumocystis. Currently TB is less likely, but if patient does not have significant improvement after treatment or high-risk, primary TB is on differential. The hila are normal. There is no pleural effusion or pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures. | 58980641 | INDICATION: ___ year old man with pneumonia // please assess PA and lateral for better quality study to determine whether CT is warranted to r/o abscess TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Worsening bilateral lower lobe multifocal pneumonia. No lung abscess. Chronic interstitial opacities concerning for heart failure versus pneumocystis versus primary TB in the right clinical setting. |
13504185 | There is new nodular opacification at the right lung base, concerning pneumonia. Lung volumes are low. Similar, more hazy opacities are noted at the left lung base. Heart size and mediastinal contours are normal. No pleural effusion. No pneumothorax. | 59966958 | WET READ: ___ ___ ___ 10:47 PM Bibasilar airspace consolidation, worst on the right, concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with hypoxia // Eval for PNA TECHNIQUE: Portable upright chest radiograph COMPARISON: ___. | Bibasilar airspace consolidation, worst on the right, concerning for pneumonia. |
13504185 | There is near complete opacification of the left hemithorax, with rightward shift of the mediastinal structures, consistent with large pleural effusion and collapse. A small portion of the left upper lung appears minimally aerated. Mild blunting of the right costophrenic angle appears chronic, but may reflect a small amount of pleural effusion. Assessment of the cardiac silhouette is limited. No pneumothorax. | 55115416 | WET READ: ___ ___ 5:03 PM Near complete opacification of left hemithorax due to large pleural effusion and collapse. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with dyspnea // r/o infiltrate TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Radiographs of the chest dated ___ through ___, and CT of the chest dated ___. | Near complete opacification of left hemithorax due to large pleural effusion and collapse. |
13504185 | A right-sided PICC is unchanged compared to the prior study, likely terminating in the right brachiocephalic vein. A left-sided chest tube is unchanged in appearance. There is persistent left pleural fluid with slight improvement in the hazy in the left mid lung opacity. There is a small loculated air within the pleural fluid at the left costophrenic angle. Left basilar atelectasis persists. No pneumothorax seen. | 50287905 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with recurrent L pleural effusion s/p VATS and posterior CT // interval change in pleural effusion TECHNIQUE: Portable AP chest. COMPARISON: Chest radiograph ___ | Slight interval improvement in the left mid lung airspace opacities. Persistent left hydro pneumothorax. A right-sided PICC terminates likely in the distal right brachiocephalic vein. |
13504185 | Again seen is near complete opacification of the left hemi thorax with slight increase in aeration of the left upper lung. The majority of the left hemi thorax remains opacified. A pigtail catheter is seen projecting over the lateral left lower hemi thorax. The right lung is grossly clear. | 58009641 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest tube, decreasing O2 sats // Eval for reexpantion pulmonary edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 14:05 | Near complete opacification of the left hemi thorax with slight improvement and slight increase in aeration at the left upper lung. |
13504185 | A right-sided PICC terminates at the mid to distal SVC. Left anterior hydropneumothorax is unchanged. Pleural thickening along the left lateral chest wall is unchanged. A loculated fluid collection contiguous with the major fissure in the posterior left superior hemithorax appears unchanged compared to chest x-ray from ___. Bibasilar atelectasis and left pleural effusion are stable. No evidence of pneumothorax. | 55887813 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with persistent bilateral pleural effusions; please evaluate for PTX post- L-sided chest tube pull. // evaluate for pneumothorax TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Portable chest x-ray ___ Chest PA and lateral ___ | Persistent left hydropneumothorax. Stable left pleural effusion and left lateral wall pleural thickening. Unchanged loculated fluid collection in the posterior left hemithorax. |
13504185 | When compared to prior, there has been near complete resolution of the bibasilar opacities with some persistent irregular interstitial markings, particularly in the retrocardiac region. Superiorly, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 55284864 | INDICATION: ___M with cough, hemoptysis, recurrent PNA s/p L sided VATS ___ abscess, recent d/c // eval ? PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | Near complete resolution of previously seen bibasilar opacities with some residual retrocardiac consolidation and increased right basilar interstitial markings. Findings could be from resolving infection and/or scarring. Superimposed acute infection is not entirely excluded. |
13504185 | The right-sided PICC remains in the right atrium, this could be withdrawn 5 cm for better seating in the SVC. 2 left-sided chest tubes are unchanged in appearance. A small left hydro pneumothorax is also unchanged. Persistent right basilar atelectasis. Unchanged left lung airspace opacity. | 52175952 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with empyema with CT // interval change in effusion TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. The right-sided PICC remains with the tip in the right atrium. This could be withdrawn 5 cm for better seating in the SVC. |
13504185 | The right-sided PICC has been withdrawn somewhat but is still within the right atrium. This could be withdrawn a further 5-6 cm for better seating within the SVC. The left-sided chest drains are unchanged in position. Persistent left pleural fluid and left basilar atelectasis. No pneumothorax seen. | 58099546 | EXAMINATION: DX CHEST PORTABLE PICC LINE PLACEMENT INDICATION: ___ year old man with new line // please check PICC tip 60 cm ___ Contact name: ___, ___: ___ TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph obtained earlier on the same date. | The right-sided PICC terminates in the right atrium. |
13274578 | Lung volumes are low. Elevation of the right hemidiaphragm is chronic. Severe rotary kyphoscoliosis of the thoracolumbar spine, convex to the left, is again demonstrated. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. No focal consolidation, pleural effusion or pneumothorax is seen. | 52042197 | HISTORY: Fevers. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13274578 | There is marked elevation of the right hemidiaphragm with loops of air-distended bowel beneath, similar in appearance on prior studies dating back to ___. Markedly decreased volume of the right lung persists. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. | 52178061 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Possible hemoptysis. COMPARISON: ___ and ___. | No acute cardiopulmonary process. |
13696039 | PA and lateral views of the chest provided. Retrocardiac airspace consolidation containing air bronchograms is concerning for left lower lobe pneumonia. The right lung is clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No acute osseous abnormalities. No free air below the right hemidiaphragm is seen. | 58505594 | WET READ: ___ ___ 9:49 AM Left lower lobe pneumonia. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever cough // eval for pna COMPARISON: None | Left lower lobe pneumonia. |
13696039 | Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy left lower lobe opacity has minimally improved from the previous study but persists. Remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified. | 52233893 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pneumonia, worsening symptoms TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Persistent left lower lobe opacity, minimally improved from the previous study, compatible with pneumonia. No new areas of focal consolidation otherwise demonstrated. |
13599966 | PA and lateral views of the chest are provided demonstrating midline sternotomy wires and mediastinal clips. The lungs are clear without focal consolidation, effusion, or pneumothorax. A focal eventration of the right hemidiaphragm is again noted. The heart and mediastinal contour appears normal. No signs of CHF. The bony structures are intact. | 50731594 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Fever and confusion. Evaluate for pneumonia. | No acute findings in the chest. |
13677179 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no evidence of focal consolidation, pleural effusion or pneumothorax. | 59542428 | INDICATION: Chest pain for five days. Evaluate for pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13998526 | Heart size is normal. Platelike atelectasis seen in the right mid lung. Mediastinal and hilar contours are unremarkable. Scoliosis again seen. There is a new right medial lung base opacity. No pleural effusion or pneumothorax. | 56806275 | INDICATION: History: ___F with fall on ___ // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph. | New right medial lung base opacity, this may represent pneumonia or possibly a mass. Recommend oblique views for further evaluation. |
13835462 | Single portable view of the chest. Oxygenation device projects over the right lung apex. There is mild interstitial edema. Retrocardiac opacity may be in part due to technique with possible underlying atelectasis or consolidation. Elsewhere the lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits for technique. Dense atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormality is detected. | 57897728 | HISTORY: ___-year-old female with respiratory distress. COMPARISON: None. | Mild pulmonary vascular congestion. Retrocardiac opacity potentially in part technical or due to atelectasis noting infection is not entirely excluded. |
13823173 | Heart size is normal. Calcified 3 cm oval shaped density in the left para trachea supraclavicular area may reflect a calcified left thyroid nodule in this patient with previous history of multi nodule goiter considering history of a dominant calcified left thyroid nodule in ___ thyroid ultrasound. Lungs and pleural surfaces are clear. | 58618648 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chronic cough, ? hx CHF // any worrisome lesions? COMPARISON: None avail | No lung parenchymal abnormalities to account for cough. 3 cm calcified density in the left peritracheal region, possibly corresponding to a large calcified thyroid nodule in this patient with history of multinodular goiter. |
13823173 | There is a granuloma projecting over the heart on the left. Otherwise the lungs are well expanded and clear. No pleural abnormality is seen. The mediastinum and hilar contours are normal. Heavily calcified thyroid nodule is again seen, unchanged from prior. Cardiomegaly appear stable. | 57288001 | INDICATION: ___ year old woman with positive PPD/TST and hx cough // any sign of active or latent TB? TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___. | No acute cardiopulmonary abnormality or acute TB infection. One calcified granuloma. Cardiomegaly, stable. |
13823173 | The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The borderline enlarged cardiac and normal mediastinal contours are stable. A calcification a left paratracheal region most likely corresponds a calcified thyroid nodule. | 57308306 | INDICATION: ___F with chest pain after coughing. Evaluate for acute process. TECHNIQUE: Frontal lateral views of the chest. COMPARISON: Chest radiograph ___ and ___. | Chronic borderline cardiac enlargement, exaggerated by low lung volumes. |
13194043 | Single frontal image of the chest demonstrates improved bilateral pulmonary opacities since prior imaging. The slightly less transparent lungs on this exam are likely secondary to the AP portable technique used on this exam when compared to the previous imaging PA views. The pulmonary vessels appear slightly improved since prior imaging. Cardiomediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion. | 50218129 | INDICATION: ___-year-old male with Gram-positive bacteremia, now with hypoxia. COMPARISON: Comparison is made with chest radiographs from ___. | Slightly improved bilateral pulmonary opacities. |
13194043 | Right subclavian central venous catheter tip terminates at the caval atrial junction. Low lung volumes are present. The heart size is mildly enlarged but accentuated due to low lung volumes. There is crowding of the bronchovascular structures with likely mild pulmonary vascular engorgement. Moderate size right pleural effusion has increased compared to the prior study. Additionally patchy opacities within the right lung base likely reflect compressive atelectasis though infection cannot be excluded. No pneumothorax is identified. There are no acute osseous abnormalities. | 58383543 | HISTORY: Fever, chills, central line placement. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Mild pulmonary vascular congestion with increased size of moderate right pleural effusion. Right basilar opacification may reflect compressive atelectasis but infection cannot be excluded. |
13194043 | Lung volumes are low. Small right effusion and atelectatic changes. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. | 55268099 | INDICATION: ___-year-old with chest pain. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: None. | No acute cardiothoracic process. |
13308939 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. | 52565881 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. Question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13269006 | The lungs are well expanded and clear without evidence of pulmonary edema, pneumonia, or pleural effusion. Elevation of the left hemidiaphragm is unchanged. Prominent pulmonary arteries may suggest pulmonary hypertension. | 52356843 | INDICATION: ___ year old man with cough // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. | No evidence of pneumonia. Possible pulmonary hypertension. |
13269006 | There has been interval placement of a right internal jugular approach central venous catheter with tip terminating in the upper to mid SVC. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. There is no pleural effusion. Mild left basilar atelectasis is increased since the prior study. | 52693962 | EXAMINATION: Chest radiograph. . INDICATION: ___M with new central line. TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiograph ___, ___. | New right internal jugular approach central venous catheter with tip terminating in the upper to mid SVC. No pneumothorax. New mild left base atelectasis. Otherwise no significant interval change since the recent prior study. |
13269046 | The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms. There is no acute osseous abnormality. | 51610494 | CLINICAL INDICATION: ___-year-old male with overdose. Evaluation for aspiration. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13269046 | A frontal chest radiograph again demonstrates a right central catheter with the tip in the upper SVC and the endotracheal tube and nasogastric tubes in proper position. The cardiomediastinal silhouette is unchanged. Bilateral layering pleural effusions are noted. Given the change in patient position, it is difficult to tell if these effusions are new or increased. The area of pneumonia is substantially covered by the layering fluid and difficult to evaluate. There is no pneumothorax. | 59799436 | HISTORY: Pneumonia, evaluate for interval change. COMPARISON: Multiple chest radiographs dating back to ___, the most recent on ___. | Bilateral layering pleural effusions; it is difficult to tell if these are new or increased, versus unchanged and more prominent due to change in position. The area of pneumonia is substantially covered by layering fluid, making it difficult to evaluate for interval change. Upright and/or lateral views, if possible, would be helpful with evaluation. |
13802667 | Since ___, no significant changes are appreciated. Substantial right lung volume loss with rightward mediastinal shift and right hemidiaphragm elevation is unchanged. The right mediastinal mass with adjacent radiation fibrosis is unchanged. Postsurgical right apical scarring is similarly unchanged. The left lung is fully expanded and clear. No pleural effusion or pneumothorax. Heart size is normal. No pulmonary vascular congestion or pulmonary edema. | 52942373 | EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with cough // Eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph dated ___ | Stable postsurgical and post radiation changes in the right hemithorax. No radiographic evidence of pneumonia or other acute cardiopulmonary abnormalities. |
13686283 | Cardiac silhouette size is normal. The aorta is tortuous but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes of the lower thoracic spine. Upper abdominal surgical clips are again demonstrated. | 50687572 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with confusion, elbow pain, pelvic pain status post fall TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13686283 | Heart size is at the upper limits of normal or slightly increased. Aorta is mildly tortuous, with slight calcification. No CHF, focal infiltrate, or effusion is detected. No pneumothorax identified. Incidental note is made of eventration of the right hemidiaphragm. Minimal degenerative changes of the thoracic spine are noted. Clips noted in the upper abdomen. | 56277978 | INDICATION: ___F with altered mental status, presenting with left hand numbness // Please eval for PNA/infection, cardiomegaly TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | No acute cardiopulmonary process detected. |
13686283 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There is minimal atelectasis in the lung bases. No acute osseous abnormalities detected. Cholecystectomy clips are seen in the right upper quadrant of the abdomen. | 51310273 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with weakness TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13267974 | Heart size, mediastinal and hilar contours are normal. Lungs are well-expanded and clear. Skeletal structures are remarkable for mild scoliosis. | 54173994 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, pain on left side. r/o pna // cough, pain on left side. r/o pna. COMPARISON: ___. | No radiographic evidence of pneumonia. |
13288987 | The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 56923796 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13820190 | Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Mediastinal and hilar contours are unremarkable. Heart is normal size. | 58601018 | INDICATION: Shortness of breath, cough and arthralgias. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13835070 | The heart is mildly enlarged. The mediastinal and hilar contours appear unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures are unremarkable. | 55024843 | CHEST RADIOGRAPHS HISTORY: Right-sided rib pain after trauma. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of injury. |
13690694 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A healed posterior left 6 rib fractures noted. Multilevel degenerate changes are noted within the thoracic vertebral bodies. | 57933036 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with hx of seizures, had breakthrough seizure today // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
13987300 | 2 views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. | 51414291 | HISTORY: Cough and shortness of breath. COMPARISON: ___. | No acute intrathoracic process. |
13355484 | The heart is at the upper limits of normal size. There is mild unfolding and calcification along the aorta. The mediastinal and hilar contours are otherwise unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. | 56387039 | CHEST RADIOGRAPHS HISTORY: Left ankle and leg pain with productive cough after a fall. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence for acute disease or injury. |
13770664 | Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Calcified lymph nodes are present in the right hilar region as well as a calcified granuloma in the right upper lobe. Patchy opacity in left retrocardiac region is new, and may reflects patchy atelectasis in the setting of low lung volumes. Acute aspiration is an additional consideration in the appropriate clinical setting. Note is also made of apparent rightward deviation of the trachea, at the level of the thoracic inlet. This is difficult to evaluate on a portable radiograph, particularly as the patient's neck appears to be turned towards the right on this exam. | 53622016 | PORTABLE CHEST, ___ COMPARISON: ___ radiograph. | Apparent rightward deviation of trachea. Repeat radiograph with the neck in neutral position may be helpful to differentiate the effects of rotation from tracheal displacement from a fixed abnormality such as an adjacent thyroid mass. |
13490849 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Previously noted pulmonary nodules on CT are not clearly visualized on the current radiograph. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is seen. No subdiaphragmatic free air is noted. | 55551128 | HISTORY: Epigastric pain radiating to the ribs. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | No acute cardiopulmonary process. |
13490849 | 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. | 57692679 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ___ rapid onset piercing epigastric pain w/ known hx stomach ulcers, epigastric pain. COMPARISON: ___ and ___ CT. | No acute intrathoracic process. No evidence of free air below the right hemidiaphragm. Please refer to CT performed earlier today for further details. |
13514137 | Normal heart, pleura and mediastinal surfaces. A 5 mm nodule adjacent to the descending aorta projecting over the heart on the frontal view and over a vertebral body on the lateral view is high in density. | 52766035 | INDICATION: History: ___M with cough // ?pna TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | A 5 mm nodule most likely represents a calcification. Comparison to prior old films is recommended if available. If prior films are not available, CT chest is recommended. |
13514137 | Low lung volumes are noted. The lungs are grossly clear. Calcified granuloma seen in the left lower lobe medially is unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 57942455 | INDICATION: ___M with AMS, ? seroquel and klonopin OD, apparent SI // eval for consolidation TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13265883 | The cardiomediastinal and hilar contours are normal. The lung volumes are low, but no focal consolidation, pleural effusion or pneumothorax is seen. | 57238981 | INDICATION: ___-year-old male with occipital stroke, to rule out pneumonia. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST | No acute cardiopulmonary pathology. |
13265883 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. | 52668542 | CHEST RADIOGRAPHS HISTORY: Dizziness and recent stroke. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13784711 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Patchy but fairly extensive opacity in the right lower lobe is compatible with pneumonia. There are also patchy right middle lobe opacities, fairly streaky, but an additional potential focus of pneumonia. There is no pleural effusion or pneumothorax. Elsewhere the lungs appear clear. The bony structures are unremarkable. | 51872217 | CHEST RADIOGRAPH HISTORY: High fever and productive cough. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Opacities in the right middle and lower lobes, most prominent at the latter site, suggesting pneumonia. |
13484400 | Frontal and lateral views of the chest. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified based on this non-dedicated exam. | 51658922 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old male with rib pain after kicked in the chest. COMPARISON: None. | No acute cardiopulmonary process. No visualized fracture based on a non-dedicated examination. |
13739615 | Evaluation of the heart and mediastinum is limited due to extreme rotation of the patient. The lungs are hyperinflated and clear. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart size is top normal. Benign calcifications in the ribs. | 53658185 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old woman with witnessed aspiration, new O2 requirement; evaluate for pneumonia. COMPARISON: Chest radiograph dated ___ from outside hospital. | Hyperinflated lungs. No focal consolidation to suggest pneumonia. |
13183607 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 54677560 | EXAM: Chest, AP upright and lateral views. CLINICAL INFORMATION: ___-year-old male with history of nausea, vomiting, and elevated glucose. COMPARISON: None. | No acute cardiopulmonary process. |
13548796 | Right-sided PICC terminates in the upper SVC. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. No pulmonary vascular congestion is seen. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58768886 | HISTORY: Recent bacteremia on penicillin with fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13494098 | The lungs are well expanded. There is an opacity occupying the right upper lung region and delineated by the minor fissure, with associated right hilar engorgement. The left lung is clear. Moderate cardiomegaly is present. There is no pleural effusion or pneumothorax. | 55625342 | INDICATION: Patient with one week of cough. Evaluate for infiltrate. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiograph. | Right upper lobe consolidation compatible with pneumonia in the proper clinical setting. Recommend followup after treatment to document resolution. Moderate cardiomegaly. |
13518038 | The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 54831693 | EXAMINATION: Chest radiographs. INDICATION: Cough and chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
13326152 | Portable upright AP radiograph was obtained. This demonstrates small lung volumes and resulting bronchovascular crowding. The heart is enlarged though evaluation of heart size with AP technique is suboptimal. Patient is additionally rotated. There is observation of the left hemidiaphragm as well as retrocardiac opacities for which infection cannot be excluded. Obscuration of the costophrenic angles bilaterally may reflect bilateral pleural effusions. | 51382658 | INDICATION: ___-year-old female with shortness of breath. COMPARISON: Radiograph dated ___. | Retrocardiac left lower lobe opacity concerning for infection or alternatively atelectasis. Bronchovascular crowding secondary to low lung volumes. Enlarged heart. |
13076685 | Lung volumes are somewhat lower than before. There is increased streaky density at the lung bases likely representing subsegmental atelectasis. A very small right apical pneumothorax is probably stable in size. A right chest tube remains in place. The patient is status post median sternotomy and MVR is demonstrated earlier. The patient has been extubated and a nasogastric tube has been withdrawn. Mediastinal drains and the right jugular sheath remain in place. | 54979465 | EXAMINATION: CHEST (PORTABLE AP) CLINICAL HISTORY ___ year old woman s/p TVrepair, MV repair, PVI, ___ ligation // eval for pneumothorax progression with clamped chest tube eval for pneumothorax progression with clamped chest tube COMPARISON: ___ | Persistent small right pneumothorax. Increased streaky density at the lung bases likely representing subsegmental atelectasis. |
13076685 | A right chest tube has been removed. A a small right apical pneumothorax appears to have increased slightly in size. There is persistent streaky density at the lung bases most consistent with subsegmental atelectasis. The patient is status post median sternotomy and MVR as before. A sheath is again demonstrated in the right internal jugular vein. | 50286003 | EXAMINATION: CHEST (PORTABLE AP) CLINICAL HISTORY ___ year old woman s/p MVring, TVring, PVI, ___ ligation // eval for progression of pneumothorax s/p chest tube removal eval for progression of pneumothorax s/p chest tube removal COMPARISON: ___ | Slight interval increase in right pneumothorax post chest tube withdrawal. |
13413453 | There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. There is mild prominence to the central pulmonary vasculature. The cardiomediastinal silhouette is within normal limits. | 51140698 | EXAMINATION: Chest radiographs. INDICATION: ___M with headache, visual changes. hx stroke. // recrudescence of stroke symptoms from infection? TECHNIQUE: Chest AP and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13413453 | Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. Right chest port tip in the proximal right atrium. | 54039849 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with metastatic SCC of Head/Neck and history of CNS Abscess admitted with AMS. Now with fever and hypotension // Eval etiology of hypotension TECHNIQUE: Single portable frontal view of the chest COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality Right chest port tip in proximal right atrium |
13413453 | Right-sided Port-A-Cath tip terminates in the proximal right atrium. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Previously demonstrated nodules on chest CT are not well assessed on the current radiograph. No acute osseous abnormality is seen. Several clips project over the epigastric region. | 50277261 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with altered mental status and cough // ?pneumonia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ and CT chest ___ | No acute cardiopulmonary abnormality. Pulmonary nodules seen on recent CT are not well assessed on the current radiograph. |
13413453 | A portable frontal chest radiograph again demonstrates and esophageal stent, similar in appearance. A right PICC has a repositioned, with the tip now terminating in the low SVC/ cavoatrial junction. The remainder of the exam is unchanged, without focal consolidation, pleural effusion, or pneumothorax. Esophageal stent, new on ___, is unchanged in position and contour. | 55031705 | INDICATION: Evaluate for interval change in a patient status post PICC repositioning. COMPARISON: Chest radiographs from ___, ___, ___, ___. | Status post repositioning of a right PICC, which now terminates in the low SVC/ cavoatrial junction. |
13798219 | The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. | 58516060 | EXAMINATION: Chest radiograph INDICATION: ___M with new onset afib with RVR. TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute intrathoracic process. |
13064117 | Multiple monitoring devices overlie the right hemi thorax limiting assessment. A dual lead pacemaker is unchanged in position compared to the prior study. Previous median sternotomy and coronary artery bypass graft clips noted. There is new left lower lobe atelectasis, moderate-sized hiatus hernia. The right perihilar opacity is essentially unchanged compared to the prior study. Probable small left pleural effusion. | 51865768 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cough, low BP // CHF? PNA? TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___, CTA chest ___ | Left lower lobe atelectasis, small left pleural effusion. |
13064117 | There is no significant change in moderate bilateral pleural effusion. Basilar consolidation or atelectasis is stable. Heart size is top normal, unchanged from prior. Widening of mediastinum silhouette likely reflects increased intra thoracic pressure or volume, though no significant pulmonary edema is seen. Again seen is right perihilar radiation fibrosis. Left dual-chamber ICD is again seen and unchanged in position. | 51744318 | INDICATION: ___M h/o metastatic melanoma with mets to lungs, liver, spleen transfer from OSH p/w spont splenic hemorrhage, hypotension s/p IR embolization proximal splenic artery. Evaluate for effusion or edema. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___ and ___. | Moderate bilateral pleural effusion, unchanged. No pulmonary edema. |
13281743 | There is mild enlargement of the heart. The hilar and mediastinal contours are normal. No acute focal consolidation concerning for infection is identified. There no pulmonary vascular congestion. There is apparent elevation of the right hemidiaphragm versus right subpulmonic effusion. No pneumothorax is identified. The visualized osseous structures are unremarkable. | 59939622 | WET READ: ___ ___ ___ 5:07 PM Apparent elevation of the right hemidiaphragm versus right subpulmonic effusion. Recommend lateral decubitus films for further evaluation. No priors are available for determination of the stability of the finding. ______________________________________________________________________________ FINAL REPORT HISTORY: History of increased BNP. Rule out pulmonary vascular congestion. COMPARISON: None. TECHNIQUE: PA and lateral radiographs of the chest. | Apparent elevation of the right hemidiaphragm versus right subpulmonic effusion. No priors are available for determination of the stability of the finding. Recommend lateral decubitus films for further evaluation. Mild cardiomegaly. No evidence of pulmonary vascular congestion. |
13281743 | Right-sided central venous catheter is again seen. There is been interval development of a large right pleural effusion with underlying atelectasis. There is also small left pleural effusion. Where aerated, the lungs are clear of confluent consolidation noting vascular congestion. The cardiomediastinal silhouette cannot be accurately assessed. | 50979432 | INDICATION: ___M with shortness of breath // Eval for volume overload TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Large right and small left pleural effusions increased since prior. |
13210274 | 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. The visualized upper abdomen is unremarkable. | 53443955 | INDICATION: Evaluate for pneumonia in a patient with cough. COMPARISON: None available. | No acute cardiopulmonary process. |
13524742 | The right posterior thoracic mass is again seen. The lungs are otherwise clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 51518526 | INDICATION: ___M with stroke // eval for CHF/pneumonia TECHNIQUE: AP and lateral views the chest. COMPARISON: ___ and ___. | No acute cardiopulmonary process. No change of the right posterior thoracic mass. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.