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13124419 | Dual lead left-sided pacemaker is seen with lead extending the expected positions of the right atrium and right ventricle. The cardiac silhouette remains mildly enlarged. The aorta is tortuous. Mild prominence of the hila may be due to central pulmonary vascular engorgement. There is mild pulmonary vascular congestion. No focal consolidation is seen. There is no pleural effusion or pneumothorax. | 51041418 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest and back pain // Cardiac workup TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Mild cardiomegaly and mild pulmonary vascular congestion. |
13124419 | There is again a dual lead pacemaker/ ICD device in place with leads terminating in the right atrium and ventricle, respectively. Small subpulmonic effusions are present bilaterally. Patchy retrocardiac opacity in the left lower lobe has increased but probably this can be attributed to atelectasis. The heart is enlarged. The cardiac, mediastinal and hilar contours appear stable. | 54661574 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Status post pacemaker placement. TECHNIQUE: Chest, AP and lateral. COMPARISON: ___. | Status post placement of two-lead pacemaker/ICD device. Patchy left base opacity, probably minor atelectasis. |
13124419 | A new dual lead pacemaker/ ICD device has been placed. Its leads terminate in the right atrium and ventricle, respectively. There is no pneumothorax. As before, there is similar mild relative elevation of the right hemidiaphragm. There is noted definite pleural effusion. There is again mild to moderate pulmonary edema. The cardiac, mediastinal and hilar contours appear stable. | 55527428 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Status post pacemaker placement via left axillary vein. TECHNIQUE: Chest, semi AP portable views. COMPARISON: Earlier on the same day. | Status post pacemaker placement; no pneumothorax. |
13184997 | There is increased density in the right hilar region and streaky opacification at the right lung base. Blunting of the right costophrenic angle suggests a small pleural effusion. Eventration of the right hemidiaphragm is unchanged. No pneumothorax is detected. The left lung is relatively clear with minimal atelectasis. The heart is normal in size. The mediastinal and left hilar contours are within normal limits. | 54403438 | INDICATION: Cough, shortness of breath, and fever, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Upright AP radiograph of the chest. | Increased right hilar opacity, potentially enlarged pulmonary artery, adenopathay or technical. Subtle right basilar opacity may represent a atelectasis or developing pneumonia. PA and lateral suggested when patient is amenable. |
13184997 | The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is a small-to-moderate right anterior eventration of the right hemidiaphragm. Streaky opacities at the lung bases suggest minor atelectasis. There is no definite pleural effusion or pneumothorax. Mild degenerative changes affect the mid thoracic spine. | 58169179 | CHEST RADIOGRAPHS HISTORY: Cough and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13184997 | The cardiomediastinal and hilar contours are normal. There is stable eventration of the right hemidiaphragm. Bilateral small effusions show little change since the prior study. Mild bronchial wall thickening, more pronounced in the lower lobes is unchanged. No consolidation, pulmonary edema or pneumothorax is seen. | 52387279 | INDICATION: ___-year-old woman with pneumonia and known effusions, to assess interval change. COMPARISON: Chest radiograph ___. | No significant interval change since the prior study. Mild bronchial wall thickening and bilateral small pleural effusions are unchanged. |
13717902 | Single portable view of the chest. There has been interval placement of an endotracheal tube whose tip is 4 cm from the carina. Enteric tube is seen at the region of the distal esophagus and potentially off the inferior field of view although not well seen secondary to technique. Appearance of the lungs has not significantly changed. Obscuration of the hemidiaphragms is thought to be due to positioning and technique. There is no large confluent consolidation. | 52525702 | HISTORY: ___-year-old female with seizure, intubated en root. COMPARISON: Chest x-ray performed in___ earlier the same day. | Interval placement of lines and tubes as above. No other change. |
13717902 | Moderate cardiomegaly is seen and is grossly unchanged from previous studies. Interval placement of an ET tube is seen with the tip projecting approximately 1.25 cm superior to the carina. Placement of a feeding tube is also seen with the tip projecting into the superior aspect of the stomach. Low lung volumes are seen with retrocardiac atelectasis. Pulmonary vascular congestion is seen without evidence of pulmonary edema. | 59526590 | EXAMINATION: Portable upright chest x-ray INDICATION: ___ year old woman with recent NG tube placement. // eval for NG tube placement. TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to chest x-rays dated from ___ through ___. | Interval placement of ET tube projecting approximately 1.25 cm superior to the carina. Placement of a feeding tube project in the superior aspect of the stomach. Retrocardiac atelectasis and pulmonary vascular congestion without pulmonary edema. |
13717902 | AP upright and lateral views of the chest provided. Please note evaluation is markedly limited due to motion artifact and suboptimal penetration on the lateral film and low lung volumes. Allowing for this, there is volume loss at the left lung base with linear density most likely indicative of atelectasis. There is blunting of the left CP angle on the lateral view suggesting at least a small joint effusion. The right lung appears grossly clear. The heart size appears relatively unchanged. Mediastinal contour is normal. Bony structures appear grossly intact. No free air below the right hemidiaphragm is seen. | 50375502 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with hx PNA. COMPARISON: Portable chest radiograph ___ PA and lateral chest radiograph ___ | Limited exam with left basal opacity most likely atelectasis with small left pleural effusion. Please note evaluation is markedly limited due to portable technique and if needed, a dedicated PA and lateral view may be helpful to further assess. |
13717902 | The endotracheal tube is in unchanged position terminating 4 cm cranial to the carina in standard position. Upper enteric tube terminates at the gastroesophageal junction and should be advanced by at least 15 cm. A left subclavian central venous catheter remains in place terminating at the confluence of the left brachiocephalic vein and SVC. Lung volumes remain low with moderate layering bilateral effusions mildly improved on the left with associated improved aeration of the left lung base. Cardiac silhouette remains enlarged with central pulmonary vascular engorgement and mild pulmonary edema. | 58438860 | HISTORY: Diabetes and chronic kidney disease presenting with altered mental status. Intubated. TECHNIQUE: Portable frontal chest radiograph single-view. COMPARISON: ___. | Upper enteric tube terminates at the gastroesophageal junction and should be advanced at least 15 cm. Otherwise little change from the prior study. Results were discussed of the telephone with ___ by ___ at 9:27 on ___ at time of initial review. |
13717902 | The cardiomediastinal silhouette is unchanged from previous study. Interval adjustment of the ETT is seen now with tip projecting 2 cm superior to the carina. Interval adjustment of the feeding tube is also seen with the tip projecting past the lower margin of the image and in the stomach. Low lung volumes are again seen as well as significant pulmonary vascular congestion without evidence of pulmonary edema. Retrocardiac atelectasis remains unchanged | 55184507 | EXAMINATION: Portable semi-upright chest x-ray INDICATION: ___ year old woman with AMS // ETT placement, pulled back 2cm TECHNIQUE: Portable semi-upright COMPARISON: Comparison is made chest x-rays dating from ___ 0 ___. | Interval adjustment of ETT now projecting approximately 2 cm superior to the carina. Interval adjustment of feeding tube with the tip projecting beyond the lower margin of the imaged and well-positioned with stomach. Stable pulmonary vascular congestion without pulmonary edema and stable retrocardiac atelectasis. |
13717902 | Continued enlargement of the cardiac silhouette with pulmonary vascular congestion is seen. Bibasilar opacifications consistent with bilateral effusions and compressive atelectasis is seen. No consolidation is seen but may be obscured by the bibasilar effusions. Left subclavian central venous line is at the junction of the SVC with the tip still pointing towards the lateral wall. ET tube and gastric tube are unchanged and in appropriate position. | 54694806 | HISTORY: ___-year-old woman with diabetes, hypertension and chronic kidney disease presenting with septic shock and seizure. Please evaluate for pneumonia. TECHNIQUE: Portable AP chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Continued cardiomegaly with bibasilar effusions and atelectasis. Supervening pneumonia at the lung bases cannot be excluded. |
13717902 | AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Drooping head and chin are obscuring apical portion of the lungs and makes it impossible to accurately inspect the superior trachea. It is assumed that the ETT present on the previous examination has been removed. No pneumothorax can be identified. The pulmonary vasculature is unaltered and there is no evidence of any new acute parenchymal infiltrate. Similar as on the preceding examination, the high positioned diaphragms result in crowded appearance of the basal pulmonary vasculature with some linear densities on the left base most likely representing plate atelectasis. The diaphragmatic contours can be identified and thus there is no evidence of significant pleural effusion on either side. Smaller amounts of pleural effusion would require a lateral view to be seen in the posterior dependent pleural sinuses. Cardiac enlargement of moderate degree is again seen and within the heart shadow, one can identify a band of calcium representing mitral annulus calcifications. | 58570342 | TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old female patient admitted for seizures, treated for possible pneumonia, with elevated white blood count and shortness of breath. Evaluate. | No evidence of acute pneumonia on this portable chest examination. |
13798789 | PA and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no acute osseous abnormality detected. | 59865150 | HISTORY: ___-year-old female with new low back pain and cough. Right chest tightness. COMPARISON: ___. | No acute cardiopulmonary process. |
13779535 | Single frontal view of the chest demonstrates the patient to be rotated to the right. Allowing for such, the cardiomediastinal silhouette is within normal limits. The thoracic aorta is unfolded, with extensive atherosclerotic calcifications. There is no pneumothorax, consolidation, or large effusion. There is suggestion of Kerley B lines in the lower lungs, raising question of volume overload. There may be trace dependent atelectasis in the right base. | 57236227 | INDICATION: ___-year-old female with altered mental status after receiving Ativan at outside hospital. Question aspiration pneumonia. COMPARISON: None available. | Probable mild pulmonary edema. No confluent consolidation in the lung. If basilar interstitial prominence persists following treatment for edema, consider chronic interstitial disease. |
13601744 | The lungs are clear without any focal opacity, pleural effusion, pulmonary edema or pneumothorax. The heart and mediastinal contours are normal. | 52951985 | HISTORY: Right-sided chest lesion. Evaluate for acute process. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | No acute cardiopulmonary process. |
13323674 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58847055 | INDICATION: ___ year old man with SOB and hypoxemia to high 80s. // please evaluate for volume overload vs. consolidation. thnx. TECHNIQUE: PA and lateral COMPARISON: ___. | No acute cardiopulmonary process. |
13323674 | PA and lateral views of chest: Lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. Heart size is normal. The mediastinal contours are unremarkable. | 59586863 | HISTORY: Generalized weakness with change in speech, evaluate for cardiopulmonary process. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13323674 | PA and lateral views of the chest were viewed. Top normal heart size is chronic. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits. | 57985813 | HISTORY: Shortness of breath, chest pain. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13323674 | Compared with the prior radiograph, the cardiomediastinal silhouette is normal in size and unchanged. Lungs are clear without focal consolidation, effusion, or pneumothorax. | 53716869 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with chest pain. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___, ___, and ___. CT chest of ___ and ___. | No focal consolidation concerning for pneumonia. |
13323674 | PA and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 55273064 | HISTORY: Chest pain and dyspnea. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
13323674 | Lung volumes are low, which agrees to bronchovascular crowding. No focal consolidation is identified. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. | 58408732 | INDICATION: Status post fall, and tachypneic, evaluate for acute process. TECHNIQUE: Portable supine chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | No evidence of acute cardiopulmonary process. |
13323674 | 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. | 52754462 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain // r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs from ___ through ___. | No acute cardiopulmonary abnormality. |
13323674 | The lungs are clear. There is no effusion, consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 53402759 | INDICATION: ___M with SOB since ___ with chills body aches // consolidation or other process TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13323674 | PA and lateral views of the chest provided. Right hemidiaphragm remains mildly elevated. 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. | 56172049 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fatigue // eval for pna COMPARISON: ___ | No acute intrathoracic process. |
13323674 | Lung volumes are low. Heart size is exaggerated by low lung volumes, although there is likely mild cardiomegaly. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. | 53928525 | INDICATION: Chest pain. Evaluate for infiltrate. COMPARISON: Chest radiographs ___, ___, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest. | Low lung volumes and mild cardiomeagly. No evidence of acute intrathoracic abnormality. |
13323674 | The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. | 59163385 | INDICATION: Chest pain. Evaluate for widened mediastinum. COMPARISON: Chest radiographs ___ through ___. TECHNIQUE: Upright PA and lateral radiographs of the chest. | No acute cardiopulmonary abnormality. |
13323674 | The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 59540845 | INDICATION: History: ___M with chest pain // ? pna or effusion TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiograph ___ through ___ | No acute cardiopulmonary abnormality. |
13244814 | PA and lateral views of the chest were provided. There is a retrocardiac opacity which contains small amounts of gas likely representing a small hiatal hernia. No focal consolidation in the lungs. No effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact. | 54963990 | AP AND LATERAL VIEW OF THE CHEST PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever, abdominal pain, assess for pneumonia. | Small hiatal hernia. Otherwise, normal. |
13936405 | Low lung volumes are noted with crowding of the bronchovascular markings. The lungs are clear without consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Calcification noted the region of the coracoclavicular ligament likely from prior injury. Chronic posterior right sixth and seventh rib fractures are noted. | 51590620 | INDICATION: ___M with low grade fever, intoxicated // ? PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13643860 | Since the prior exam, there is a new left lower lobe opacity, most consistent with pneumonia. There is likely a small associated pleural effusion. In the right mid lung zone, there is scarring, which is stable from the prior exam. Additionally, there is a faint opacity, which is also unchanged. This was better characterize on the prior CT has multiple punctate calcifications. There is no right pleural effusion. No pneumothorax is identified. The cardiomediastinal silhouette is normal. Multiple compression deformities in the thoracic spine are unchanged. There are moderate multilevel degenerative changes. | 57588623 | WET READ: ___ ___ 7:37 AM New small to moderate left pleural effusion with a left basilar opacity. The opacity is nonspecific and could be pneumonia or atelectasis. Unchanged right mid lung zone opacity and scarring. WET READ VERSION #1 ___ ___ 2:48 AM New small to moderate left pleural effusion with a left basilar opacity. The opacity is nonspecific and could be pneumonia or atelectasis. Unchanged right mid lung zone opacity and scarring. ______________________________________________________________________________ FINAL REPORT INDICATION: Chronic cough with fever and chills. Evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest radiograph from ___. CT of the chest from ___. | New left lower lobe opacity, concern for pneumonia, and probable small associated pleural effusion. Unchanged right mid lung zone opacity and scarring. |
13300530 | PA and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiomediastinal silhouette is normal. | 55899758 | INDICATION: Fever and new diagnosis of babesia. COMPARISON: None. | No acute cardiopulmonary process. |
13563768 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lung volumes are slightly decreased. There is no pneumothorax, vascular congestion, or pleural effusion. | 55554651 | INDICATION: ___-year-old male with recurrent hematemesis. Question widened mediastinum or pneumonia. COMPARISON: ___. | No evidence of pneumonia or mediastinal widening. |
13528443 | The endotracheal tube is in appropriate position terminating 4 cm above the Carina. The tip of the OG tube is within the gastric body. Lung volumes are low. There is bibasilar atelectasis. The cardiomediastinal silhouette is severely enlarged. There is moderate pulmonary vascular congestion. There is no pleural effusion or pneumothorax. | 55159806 | INDICATION: Patient with ET tube as well as OG tube, evaluate for position. TECHNIQUE: Single portable AP view of the chest COMPARISON: None available | Satisfactory position of the ET tube as well as the OG tube. Severe cardiomegaly and moderate pulmonary vascular congestion. |
13528443 | The heart size is moderately enlarged. There is low lung volumes with volume loss at the bases. The left hemidiaphragm is ill-defined and is unclear if this is due to volume loss/ infiltrate/effusion. There is mild pulmonary vascular redistribution. The superior mediastinum is prominent but this may be secondary to projection. It would be helpful to the compared old films if available. | 55516804 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w/ hx of STEMI ___, HTN, and DM s/p systemic TPA for left MCA stroke due to a left ICA origin occlusion. // please evaluate for aspiration TECHNIQUE: Portable chest COMPARISON: None. | Retrocardiac opacity due to volume loss/ infiltrate/effusion. Prominent superior mediastinum . |
13528443 | Compared with the immediate prior study of ___, the enteric tube has been removed. Lung volumes remain low, causing bronchovascular crowding and bibasilar atelectasis. Mild pulmonary vascular congestion and pulmonary edema is unchanged. Enlargement of the cardiomediastinal silhouette is unchanged. There is probably a small to moderate left pleural effusion. There is no pneumothorax. | 55491781 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w/ hx of STEMI ___, HTN, and DM s/p systemic TPA for left MCA stroke due to a left ICA origin occlusion. // please evaluate for interval change TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to ___. | Persistent mild volume overload. Persistent enlargement of the cardiomediastinal silhouette. |
13125051 | The heart is marked enlarged, as before. Mediastinal and hilar contours appear stable. Left posterior opacifications suggests atelectasis and possibly pleural effusion although otherwise the lungs appear clear. There is only a small pleural effusion on the right. | 55446445 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Worsening chest pain and dyspnea. TECHNIQUE: Chest, PA and lateral. COMPARISON: CT from ___. | Unchanged marked cardiomegaly. New retrocardiac opacification suggesting atelectasis, possibly with pleural effusion, although infectious causes not excluded by this study. |
13383008 | AP and lateral views of the chest. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified noting degenerative changes in the spine and at the acromioclavicular joints. | 58995214 | HISTORY: ___-year-old male with syncope x2. COMPARISON: None. | No acute cardiopulmonary process. |
13896515 | There is borderline cardiomegaly. There is no pneumothorax or focal consolidation. No large pleural effusion is seen. Indistinct pulmonary vasculature is consistent with interstitial pulmonary edema, which is slightly increased since ___. | 56840019 | INDICATION: ___-year-old man with dyspnea, vomiting and evaluate for infiltrate. COMPARISON: PA and lateral chest radiograph ___. PORTABLE AP CHEST | Interstitial pulmonary edema, which has increased slightly since ___. |
13896515 | Single AP view of the chest. Low lung volumes again seen. Interstitial opacities appear more conspicuous on the current exam which could be due to component of lower lung volumes and technique however superimposed component of interstitial edema is suspected. There is no confluent consolidation. The cardiac silhouette appears slightly enlarged compared to prior but some of this is may be due to lordotic positioning. Median sternotomy wires and mediastinal clips are again noted. | 53091413 | HISTORY: ___-year-old male with symptomatic bradycardia. COMPARISON: ___. | Suspected component of interstitial edema superimposed on chronic interstitial process. Cardiomegaly which has progressed since prior although some of this may be positional. |
13896515 | The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion. | 53943549 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with developing edema vs. pna. Interval change. TECHNIQUE: Single AP portable view of the chest. COMPARISON: Chest radiographs from ___, ___, and ___. | No significant change since the radiograph from the prior day. |
13896515 | Patient is status post median sternotomy. Left-sided pacer device is grossly stable in position. There is a moderate left pleural effusion with overlying atelectasis, left base consolidation is not excluded. Similar pulmonary edema persists, possibly asymmetric on the left. No right pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable. | 59828891 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with persistent n/v, intermittent headaches, dec. BM frequency; difficulty to control nausea will not tolerate PO contrast // eval for vascular injury, mass, obstruction TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Moderate left pleural effusion with overlying atelectasis, underlying consolidation not excluded. Similar pulmonary edema. |
13896515 | The cardiac silhouette is top normal. There is no pneumothorax or focal consolidation. Trace fluid within the right fissure is noted. There is indistinct pulmonary vasculature consistent with mild pulmonary edema. | 52852042 | INDICATION: ___-year-old man with occasional desaturation to the low 80s, evaluate for infection. COMPARISON: ___. PA AND LATERAL CHEST | Mild pulmonary edema. No pneumothorax or focal consolidation. |
13896515 | Appearance of the median sternotomy wires are unchanged. Again noted is the biventricular ICD implant; one lead is seen in the right atrium, a second lead within the right ventricle but the tip of the third lead is not well visualized. There is slight improvement of underlying pulmonary edema compared to ___. Again noted is a small left pleural effusion. The heart is enlarged. No evidence of pneumothorax. | 50498379 | EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man with new BiVICD implant // evaluate for lead placement and pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest x-ray most recently performed ___ | Interval biventricular ICD placement. No evidence of pneumothorax. Slight improvement in pulmonary edema. |
13896515 | As compared to the prior radiograph performed yesterday morning, there has been slight interval improvement in extent of interstitial pulmonary edema. There are no large pleural effusions. There is no pneumothorax. Persistent moderate cardiomegaly. Median sternotomy wires are intact. Left pectoral pacemaker is unchanged in visualized. | 58373469 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with CHF, sepsis, bacteremia, tachypnea // ?Interval change TECHNIQUE: Portable chest radiograph COMPARISON: Several chest radiographs between ___ and ___. | Slight interval improvement in interstitial pulmonary edema. |
13896515 | The left chest wall pacemaker generator obscures portions of the left hemi thorax. No left chest tube is definitively visualized. Lung volumes are lower with persistent retrocardiac opacity likely reflecting combination of effusion and atelectasis/consolidation. Mild pulmonary edema appears stable. | 58088717 | INDICATION: ___ year old man with left pleural effusion s/p chest tube // tube position TECHNIQUE: Frontal portable radiograph of the chest COMPARISON: ___ | No chest tube visualized in the left hemithorax, possibly obscured by the pacemaker generator. |
13896515 | Following removal of a right-sided chest tube, there is no visible pneumothorax. Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly. Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema. Bibasilar patchy atelectasis is also noted. | 56199247 | PORTABLE CHEST ___ COMPARISON: ___ chest radiograph. | No pneumothorax following tube removal. Worsening pulmonary edema. |
13896515 | The study is somewhat limited due to motion artifact. The lungs are well expanded. Indistinct vasculature and cardiomegaly suggests mild pulmonary edema, although some of the haziness could be due to technique. Hazy opacities are seen in the left upper lung and right lung base, which could reflect atelectasis or focal edema, although cannot exclude pneumonia or aspiration in the right clinical setting. There is no pleural effusion or pneumothorax. | 58127477 | WET READ: ___ ___ 5:38 AM 1. Mild pulmonary edema. 2. Opacities in the left upper lobe and right lung base, which could reflect atelectasis or focal edema, although cannot exclude pneumonia or aspiration in the right clinical setting. 3. Cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with CHF, sob // Eval for volume status TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Mild pulmonary edema. Opacities in the left upper lobe and right lung base, which could reflect atelectasis or focal edema, although cannot exclude pneumonia or aspiration in the right clinical setting. Re-assessment after diuresis is recommended Cardiomegaly. |
13896515 | The heart size is at the upper limits of normal os slightly enlarged, increase in size compared to prior exam. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, similar to prior exam. Perihilar opacities are present as well as an engorged appearance of the pulmonary vasculature and interstitial edema. No definite large pleural effusion is present, and there is no pneumothorax. | 50246988 | HISTORY: ___-year-old male with shortness of breath after recent stent placement. STUDY: AP upright portable chest radiograph. COMPARISON: ___. | Cardiomegaly and pulmonary edema, concerning for heart failure. |
13896515 | Compared with the recent radiographs, there has been interval improvement in the degree of pulmonary edema. The heart remains enlarged. No focal consolidation or pleural effusion. Left-sided pacemaker remains in place. | 54879730 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new O2 requirment and agitation. Eval for pulmonary edema, pna. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest x-ray from ___, ___, and ___. | Continued improvement/resolution of pulmonary edema. No focal consolidation concerning for pneumonia. |
13896515 | Portable upright chest radiograph demonstrates interval decrease in lung volumes, and interval development of moderate alveolar and interstitial pulmonary edema. There are no definite effusions. There is no pneumothorax. The cardiac silhouette remains mildly enlarged. Calcification of the aortic knob is unchanged. | 59108077 | HISTORY: ___-year-old male with history of CHF who presents with chest pain. COMPARISON: ___. | Interval development of moderate pulmonary edema, compatible with cardiac decompensation. |
13896515 | There is mild to moderate cardiomegaly. There is a moderate left pleural effusion with no right pleural effusion. There is no pneumothorax. Moderate pulmonary edema is seen, worse compared to the most recent prior study but similar compared to the study from ___. There has been interval removal of the right PICC. Left axillary pacemaker is again noted. | 55034480 | EXAMINATION: Chest radiograph. INDICATION: ___M with CHF, dyspnea on exertion. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___. | Moderate left pleural effusion with moderate pulmonary edema, worsened compared to the most recent prior study. Mild to moderate cardiomegaly. |
13896515 | One portable AP view of the chest. Compared to prior study on ___, there is increased pulmonary edema. There is borderline cardiomegaly. No pneumothorax or focal consolidation. No pleural effusion. | 50183767 | INDICATION: CAD, lightheadedness, nausea, and vomiting, worsening shortness of breath. COMPARISON: Chest radiographs on ___ and ___. | Increased pulmonary edema compared to ___. These findings were discussed with Dr. ___ at 2:15 p.m. on ___ by telephone. |
13386440 | Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Pleural calcification is again noted on the lateral view suggestive of prior asbestos exposure. Minimal patchy opacity is seen within the left lung base, as seen previously on the chest radiograph from ___ and the thoracic spine radiograph from ___, which likely reflects this pleural calcification en face. There is no new focal consolidation or pneumothorax. Blunting of the left costophrenic sulcus suggests the presence of a trace left pleural effusion. Scarring is noted within the lung apices. | 59427414 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with recent left middle lobe pneumonia on cipro here with generalized weakness and bilateral crackles. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, thoracic spine radiograph ___. | Pleural calcifications, as noted on the prior thoracic spine radiograph from ___, suggestive of prior asbestos exposure. The patchy left basilar opacity also appears similar from the previous examinations and likely reflects the pleural calcification seen en face. No new focal consolidation present. |
13386440 | Cardiac size is normal. peribronchial opacities in the left perihilar region have minimally increased. There is no pneumothorax or pleural effusion. | 59631327 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with leukocytosis and AMS // ?PNA TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Irregular left perihilar opacities are likely pneumonia given the clinical symptoms, CT is recommended for further evaluation |
13977166 | The heart size is seen normal. Mediastinal and hilar contours are unchanged with the aorta appearing mildly tortuous. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. A nodular opacity measuring 8 mm projects over the left fifth posterior rib, not changed from the previous exam. No acute osseous abnormality is detected. | 57045902 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with influenza like illness, cough, fever, hx HIV+ TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No radiographic evidence for pneumonia. |
13977166 | The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Left fifth posterior rib bone island is again noted. No acute osseous abnormalities. | 54818812 | INDICATION: ___M with arm and chest pain, most likely MSK // Bony abnormalities? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13023241 | Slight prominence of the interstitial markings at the lung bases likely correspond to patient's known chronic interstitial lung disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiomediastinal silhouette is stable. | 54830525 | HISTORY: ___-year-old male with syncope. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Slight increase in interstitial markings at the lung bases likely corresponds to patient's known chronic interstitial lung disease. No definite acute cardiopulmonary process. |
13023241 | Cardiac silhouette size is unchanged, and within normal limits. The mediastinal and hilar contours are stable, with rightward shift of mediastinal structures which is chronic. Volume loss in the right lung is unchanged, with increased interstitial opacities in lung bases, slightly progressed from the prior study. The pulmonary vascularity is not engorged. Small right pleural effusion is likely present. No new definite focal consolidation or pneumothorax is seen. | 50827122 | INDICATION: History of congestive heart failure with dyspnea and hypoxia. COMPARISON: ___ and ___. PA AND LATERAL VIEWS OF THE | Increased interstitial opacities in the lung bases, slightly worse when compared to the prior study, which may represent superimposed bibasilar atelectasis on a background of chronic interstitial lung disease. No pulmonary edema is noted. |
13468746 | Lung volumes are low. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 54252329 | EXAMINATION: Chest radiograph INDICATION: History: ___M with intermittent CP w/ radiation to left arm, no respiratory sxs // eval ? edema, cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: None. | Low lung volumes without acute cardiopulmonary process. |
13952744 | 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. | 58213075 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain and shortness of breath for 1 week. COMPARISON: None | No acute intrathoracic process. |
13679758 | The lungs are well-expanded and clear. No pleural effusion or pneumothorax. The heart is borderline enlarged. Mediastinal contour and hila are unremarkable. Limited assessment upper abdomen is within normal limits. Visualized osseous structures are unremarkable. | 51194512 | WET READ: ___ ___ ___ 10:07 AM 1. Mild cardiomegaly. 2. Otherwise normal chest radiograph. No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with chest pain. WBC>16K. Assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Borderline cardiomegaly. Otherwise normal chest radiograph. No pneumonia. |
13936303 | The patient is rotated to the left on the frontal view. There is some external artifact projecting over the patient on the lateral view. Mild increase in interstitial markings bilaterally may be due to mild interstitial edema. It is difficult to exclude a very trace left pleural effusion. The cardiac silhouette is mildly enlarged. | 54994857 | HISTORY: Fever. TECHNIQUE: AP upright and lateral views of the chest. COMPARISON: ___. | Suboptimal study as the patient is rotated to the left. Slight diffuse increase in interstitial markings bilaterally could be due to mild interstitial edema. If patient able, dedicated PA and lateral views with better patient positioning would be helpful for further evaluation. |
13436649 | 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. | 58912008 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Back pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
13107874 | The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pulmonary edema, pleural effusion or pneumothorax. | 51850431 | INDICATION: ___-year-old woman with multiple sclerosis,status post Tysabri infusion, presenting with fever, malaise and leukocytosis. COMPARISON: None. PA AND LATERAL CHEST | No acute cardiopulmonary pathology. |
13721591 | Endotracheal tip terminates 4.2 cm cephalad to the carina. Nasogastric tube tip terminates below the diaphragm. There is a right PICC with tip projecting over the low superior vena cava. There are low inspiratory volumes. Cardiac silhouette is prominent but unchanged compared to prior. There is improved aeration of the lungs. Left basilar opacity may represent pleural effusion with atelectasis, however component of consolidation cannot be excluded. There is no pneumothorax. | 56164121 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure of unknown etiology // eval for interval change eval for interval change TECHNIQUE: Upright portable AP radiograph of the chest was obtained. COMPARISON: Portable AP upright chest radiograph ___, ___ | Improved bibasilar aeration with areas of persistent bibasilar opacification. |
13721591 | Compared to the prior study, the lines and tubes have been removed. There are low inspiratory volumes. The cardiomediastinal silhouette is unchanged. Again seen is patchy opacity at the left base, with air bronchograms. This appears slightly more pronounced than on the prior study, with some interval obscuration of the left hemidiaphragm and new opacity along the left chest wall. The right infrahilar patchy opacity is similar to the prior film. Mild vascular plethora is more pronounced. | 57312876 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure of unknown etiology // eval for interval change COMPARISON: CHEST X-RAY FROM ___ AT 03:49 | Interval worsening of opacity at left lung base, consistent with collapse and/or consolidation. Probable slight increase in vascular plethora/CHF. |
13721591 | AP and lateral views of the chest provided. Diffuse, bilateral opacities are mildly worsened from ___. There is a nodular appearance to multiple opacities concerning for septic pulmonary emboli. No pneumothorax. No definite pleural effusion is seen. Hilar contours are normal. Mild cardiomegaly is unchanged. | 53438190 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hypoxia, mild fevers and chronic cough // ?pulmonary edema vs pneumonia? COMPARISON: Chest radiograph ___ | Diffuse, bilateral opacities consistent with pneumonia are mildly worsened from ___. A nodular, swirled appearance to numerous opacities may represent septic pulmonary emboli. A CT is recommended for further evaluation. |
13721591 | An endotracheal tube is in place 6 cm from the carina. A right PICC ends in the low SVC. An enteric tube courses below the diaphragm with the tip out of the field of view. Bibasilar opacities have continued to decrease in size and density. There is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and unchanged. | 51456576 | INDICATION: Respiratory failure. Evaluate for change. TECHNIQUE: Single semi-upright AP view of the chest. COMPARISON: Multiple chest radiographs, including the most recent from ___. CT of the chest from ___. | Improvement in both edema and residual infection |
13036599 | Frontal and lateral views of the chest were obtained. There is an opacity projecting along the right heart border which may be due to a right middle lobe and infection however, there appears to be mild pectus deformity at this location on the lateral view, it is unclear whether it relate to this. Comparison with prior chest radiographs would be helpful for further evaluation. The cardiac silhouette is top normal. Mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. | 52745308 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough diagnosed with pneumonia at outside hospital. COMPARISON: None. | Relative opacity projecting along the right heart border could be due to a right middle lobe consolidation, however, there appears to be pectus deformity at this location on the lateral view and findings may be artifactual. Comparison with prior studies would be helpful for further clarification. |
13073377 | Left-sided Port-A-Cath is seen, terminating in the upper to mid SVC without evidence of pneumothorax. No pleural effusion or pneumothorax is seen. There is pulmonary vascular congestion. . The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. | 51306999 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with tachycardia // ?pna TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Mild cardiomegaly with vascular congestion. |
13073377 | The lungs are low in volume but clear with the exception of linear right basilar atelectasis. No pleural effusion or pneumothorax is seen. Left-sided Port-A-Cath terminates in the distal SVC. The heart is top normal in size with normal cardiomediastinal contours. Mildly increased central pulmonary vascular congestion is noted. | 59195728 | INDICATION: ___-year-old female with chest pain, assess for pneumonia or other acute process. COMPARISONS: ___. TECHNIQUE: AP upright and lateral radiographs of the chest. | No acute intrathoracic process with mild pulmonary vascular congestion. |
13073377 | Left Port-A-Cath terminates in the low SVC. The lungs are normally expanded and clear. Moderate cardiomegaly is unchanged since ___. There is mild pulmonary vascular congestion without frank pulmonary edema. There is no pleural effusion or pneumothorax. | 54139082 | INDICATION: History: ___F with tachycardia // eval for PNA TECHNIQUE: Upright AP and lateral chest COMPARISON: Chest radiographs ___ through ___ | Unchanged moderate cardiomegaly. No evidence of pneumonia. No pulmonary edema. |
13073377 | A left Port-A-Cath is in place with the tip terminating in the low SVC. The inspiratory lung volumes are low, which accentuates the cardiomediastinal silhouette and bronchovascular structures. Within this limitation, the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. | 56717352 | INDICATION: Seizure, with concern for aspiration. COMPARISON: No prior studies available. TECHNIQUE: Portable frontal radiograph of the chest. | No acute cardiopulmonary process. Low inspiratory lung volumes. |
13073377 | AP upright and lateral views of the chest provided. Port-A-Cath resides over the left chest wall with catheter extending into the region of the SVC. There is severe pulmonary edema increased from prior exam. Small layering pleural effusions are present. There is no pneumothorax. Difficult to exclude a superimposed pneumonia. Bony structures appear intact. | 58920073 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with hypoxia // eval chf vs pna COMPARISON: ___. | Severe pulmonary edema. Small bilateral pleural effusions. |
13073377 | The patient is intubated. The endotracheal tube terminates approximately 4 cm above the carina. An orogastric tube passes into the stomach, its tip not imaged. A left-sided Port-A-Cath terminates at the cavoatrial junction. Allowing for technique, the heart is probably normal in size. Each hilum is enlarged and indistinct suggesting pulmonary vascular congestion. In addition, there is a focal right upper lobe opacity. There is no pleural effusion or pneumothorax. | 52789932 | CHEST RADIOGRAPH HISTORY: Status post intubation. COMPARISONS: None. TECHNIQUE: Chest, supine AP portable. | Findings suggesting pulmonary vascular congestion. Focal right upper lobe opacity; differential considerations include sequela of pneumonia, aspiration or focal edema, perhaps resolving or impending atelectasis. Short-term followup radiographs are suggested to reassess. |
13911468 | No displaced rib fracture is seen, however this study is not tailored to evaluate for subtle rib fractures. The lungs are clear. There is mild cardiomegaly. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. | 59681291 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with MVC several days ago presenting with right chest pain. Evaluate for pulmonary contusion or fracture. COMPARISON: None. | Mild cardiomegaly. No acute fracture seen. |
13912634 | PA and lateral views of the chest provided. Lungs are hyperinflated and lucent compatible with known emphysema. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. | 50678469 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with syncope and weakness PNA? effusion? COMPARISON: CT Chest dated ___. | Emphysema without superimposed acute process. |
13410644 | There is a stable appearance of a tortuous thoracic aorta. There is mild enlargement of the cardiac silhouette, as on prior exams. The hila are unremarkable. Lung volumes are low, with crowding of normal bronchovascular structures. New since prior is an airspace opacity projecting lateral to the left heart border, within the left lower lung. There is no pulmonary vascular congestion or pulmonary edema. There is no focal consolidation. There is no pneumothorax or pleural effusion. | 53258758 | WET READ: ___ ___ ___ 3:38 PM *** ED ATTENTION *** New left lower lung opacity is concerning for pneumonia in the correct clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with nausea vomiting, dizziness, several day history of cough, concerning for pneumonia. TECHNIQUE: AP and lateral chest radiograph. COMPARISON: Chest x-ray ___. | New left lower lung opacity is concerning for pneumonia in the correct clinical setting. |
13410644 | Heart size is normal. The aorta remains markedly tortuous. Mediastinal and hilar contours are otherwise similar. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. Previously noted focal opacity within the left lower lung has resolved. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized. | 50756099 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever, recent pneumonia, also right shoulder pain, limited range of motion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. Resolution of previously noted left lower lung focal opacity which was concerning for pneumonia. |
13410644 | A single portable supine chest radiograph was obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Marked tortuosity of the aortic arch is unchanged. There are no new abnormal cardiac and mediastinal contours. | 53595440 | HISTORY: Weakness, hypertension. COMPARISON: ___. | No acute cardiopulmonary process. |
13464005 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left-sided PICC is again seen terminating in the low SVC. | 55109901 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fatigue, PICC for abx // Eval for PICC placement, PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13419866 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. There is a chronic fracture deformity of the posterolateral left third rib. | 58206326 | INDICATION: History: ___F with chest and abdominal pain. // pneumonia ? CHF? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13417550 | There are thin metallic leads projecting over the patient's chest. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 55396967 | INDICATION: Chills and cough. Comparison studies are unavailable. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
13872936 | A single upright portable radiograph of the chest was acquired. A moderate left pleural effusion is increased in size compared to prior radiographs from ___ with comparison to the most recent study from earlier today not possible given the upright technique on the current study versus the decubitus technique previously. There is no pneumothorax. The right lung is clear. The heart size is difficult to accurately assess. Mediastinal contours are normal. | 51130194 | INDICATION: Left effusion, status post thoracentesis with 1.35 L removed. Assess for pneumothorax. COMPARISON: Chest radiograph from ___. | Moderate left pleural effusion, status post thoracentesis. No pneumothorax. |
13872936 | There are low lung volumes. New small to moderate bilateral pleural effusions are present with likely adjacent atelectasis. The cardiomediastinal silhouette is unchanged. There is no pneumothorax. Subcutaneous emphysema in the left chest wall is unchanged from prior exam. Dilated bowel loops with air-fluid levels are seen in the upper abdomen. | 53699229 | HISTORY: Supplemental oxygen requirement. Rule out acute process. COMPARISON: ___. | New small to moderate bilateral pleural effusions with likely adjacent atelectasis. Dilated bowel loops with air-fluid levels in the upper abdomen, correlate with symptoms for need for additional abdominal imaging. |
13872936 | PA and lateral views of the chest demonstrate a persistent but decreased left-sided pleural effusion. There is no evidence of acute pneumonia or vascular congestion. Cardiac size is normal. Right lung is essentially clear. | 55577057 | HISTORY: ___-year-old man with pleural effusion. Question change. COMPARISON: ___. | Decreasing left-sided pleural effusion. |
13796582 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 55311517 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: ___-year-old female with history of chest pain, shortness of breath. COMPARISON: None. | No acute cardiopulmonary process. |
13840798 | A focal nodular density is visualized within the left lung base. This may represent a pulmonary parenchymal nodule or a lesion in the overlapping rib. No confluent opacity is identified to suggest pneumonia. There is no pulmonary edema or pleural effusions. No pneumothorax is evident. Cardiomediastinal and hilar contours are within normal limits. | 59187820 | HISTORY: ___-year-old female with chest pressure. COMPARISON: None available FRONTAL AND LATERAL CHEST | Nodular opacity in the left lung base requiring further evaluation. Recommend follow-up radiographs including routine oblique views bilateral and a shallow ___ view for further evaluation. Dr. ___ discussed the updated findings with Dr. ___ at 9:46 am on ___ by telephone. |
13196683 | Portable AP upright chest radiograph obtained. There is right basal linear density which is most compatible with atelectasis or scarring. There is mild retrocardiac opacity which may also represent atelectasis, though the possibility of an early pneumonia is impossible to exclude. Cardiomediastinal silhouette is stable. The mid-to-upper lungs appear relatively well aerated allowing for technique. | 54335344 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Altered mental status for three days, question pneumonia. | Probable basilar atelectasis. No definite signs of pneumonia. |
13480812 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding AP single view chest examination of ___. On the present examination, the heart size is unchanged and within normal limits. No configurational abnormality is present. The pulmonary vasculature is not congested. The on previous single view chest examination identified right lower lobe area hazy infiltrate has disappeared. No new abnormalities are seen in the right hemithorax. On the other hand, there is now a smaller hazy infiltrate on the left-sided lung base and the lateral view suggests it is located in the periphery of the left upper lobe lingula abutting the heart border. No development of pleural effusions and no pneumothorax in the apical area. | 58760938 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with HIV and pneumonia, evaluate for interval change. | Regression of previously identified right lower lobe infiltrate but development of a smaller left-sided lingula infiltrate during the same interval. Considering patient's history of HIV, PCP infection IS included in the diagnostic list. |
13480812 | Streaky linear opacification in the right base corresponds to some linear scarring or atelectasis as previously seen on the CT of the chest. There is a new hazy opacity at the left base. The upper lobes are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. | 58632012 | INDICATION: Cough and fever. COMPARISONS: CTA of the chest from ___. Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | Hazy opacity at the left base which likely represent pneumonia. Recommend follow-up with a repeat radiograph in 4 weeks to ensure resolution after treatment. Linear opacity at the right base appears stable, and is likely scarring or atelectasis. |
13480812 | The lungs remain hyperinflated, in keeping with history of asthma. Since the prior study, there are streaky opacities in the bilateral lung bases which may be due to bronchial wall thickening, small airways disease without discrete lobar consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 54532926 | FINAL ADDENDUM ADDENDUM Evolving pneumonia is not excluded, new since the prior study. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ and ___ | Re- demonstrated hyperinflated lungs. New streaky opacities at the lung bases may be due to small airways disease/bronchial wall thickening, without definite lobar consolidation. |
13480812 | There is a large, somewhat rounded, area of focal opacity in the lateral portion of the right upper lobe, abutting the minor fissure, with equivocal associated air bronchograms. Possible minimal atelectasis at the right base. Otherwise, no focal infiltrates or consolidations are identified. No CHF or effusion. No pneumothorax detected. There is mild cardiomegaly. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. The current radiograph suggests mild right convex curvature of the thoracic spine centered at T4/5 --___ thoracic spine curvature was probably subtly present on ___. | 59636599 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with Sepsis, RUQ abdominal pain // r/o PNA COMPARISON: Sever previous chest x-rays from ___ through ___. Targeted review of chest ct from ___. | Focal opacity in the right upper lobe, abutting the minor fissure, new compared with the chest x-ray dated ___. The appearance is most suggestive of a pneumonic consolidation. If clinically indicated, a lateral view could help to more completely delineate the size and area of involvement. Followup imaging to confirm complete resolution and to exclude underlying abnormality would be strongly recommended. Mild cardiomegaly. The cardiac silhouette is slightly more pronounced than on the ___ chest x-ray. |
13480812 | There has been interval radiographic resolution of a large right midlung zone opacity. There is a small amount of residual fluid at the posterior aspect of the horizontal fissure, with mild adjacent atelectasis. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 56097497 | EXAMINATION: CHEST (PA AND LAT) INDICATION: evaluate for occult pneumonia, signs of immune reconstitutio TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___, and prior chest CT dated ___. | Interval radiographic resolution of right upper lobe pneumonia. Small amount of residual fluid in the horizontal fissure with mild adjacent linear atelectasis. |
13480812 | The heart and mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. | 59898569 | HISTORY: ___-year-old male with hypoxia. STUDY: Portable AP upright chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
13480812 | PA and lateral chest radiographs were provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. | 58333071 | INDICATION: ___-year-old man with HIV, inhaled cocaine and meth with recent admission for question pneumonia versus chemical pneumonitis. Presents with one day of productive cough. Assess for new infiltrate. COMPARISONS: Multiple prior radiographs, the most recently from ___. | No acute cardiopulmonary process. |
13480812 | Compared with the prior film, a new right IJ central line is present, tip overlying distal SVC. There is a relative paucity of vascular markings at the both lung apices -- this likely represents normal variation in this individual. No line of demarcation to suggest a pneumothorax is detected. Again seen is the somewhat rounded focal opacity in the right upper lobe laterally, consistent with full consolidation, with minimal atelectasis at the right and left lung bases. No new focal infiltrate and no effusion is detected. No CHF. | 56843919 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with new line placement // ? ptx COMPARISON: Portable AP chest x-___ ___ ___ earlier the same day. | New right IJ line, with tip over distal SVC. No pneumothorax detected. Focal opacity in the right midzone again noted, similar to the film obtained earlier today. |
13480812 | There is hazy increased opacity of the right lung base, slightly increased from prior. It is impossible to tell whether this represents a recurrent process of failure to clear of the prior infection. Increase opacity at the left lung base is new. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Hilar structures are unremarkable. | 54011085 | HISTORY: Cough, evaluate for pneumonia. TECHNIQUE: Portable frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___. | Increased opacity of the right lung base is likely pneumonia, whether acute or persistent is unknown. New opacity at the left lung base is also worrisome for pneumonia. A lateral view could help in further evaluation. These findings were paged to Dr. ___ by Dr. ___ at 6:36 on ___. |
13480812 | AP upright portable chest radiograph is obtained. There is a poorly defined opacity at the left lung base, which could reflect crowding of bronchovasculature and underpenetrated technique, though the possibility of an early pneumonia cannot be excluded. Consider dedicated PA and lateral view to better assess. No large effusions or pneumothorax is seen. The heart size appears grossly stable. No mediastinal contour abnormalities are seen. Bony structures are intact. | 51771225 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph dated ___. CLINICAL HISTORY: ___-year-old man with HIV, hepatitis C, hep C, asthma and chest pain, assess for pneumonia. | Subtle opacity at the left lung base could represent crowding of bronchovasculature though in the correct clinical setting, a pneumonia cannot be excluded. If needed, a dedicated PA and lateral view may be obtained to further assess. |
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