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13480812 | PA and lateral views of the chest were reviewed. The cardiomediastinal 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. No nondisplaced rib fractures are seen. | 54808444 | HISTORY: Status post assault with wheezing. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13480812 | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pneumothorax, pneumomediastinum, or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign body. | 50935553 | INDICATION: ___-year-old male with HIV, presenting with dysphagia for solids and liquids. Evaluate for pneumomediastinum or other acute chest pathology. COMPARISONS: Multiple prior chest radiographs, most recently ___ ___. | No evidence of acute cardiopulmonary process. No pneumomediastinum. |
13480812 | Hyperinflated lungs are consistent with obstructive disease. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. | 56678610 | Either EXAMINATION: The Ed used the INDICATION: ___ year old man with h/o HIV and asthma with diffuse wheezing and hypoxemia // r/o infiltrate TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. | No evidence of pneumonia. Hyperinflated lungs are in keeping with history of asthma. |
13797412 | Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild scarring is noted in the lung apices. No displaced fractures are evident. | 55282537 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with shortness of breath, splenic laceration// eval for pneumothorax TECHNIQUE: Upright AP view of the chest COMPARISON: CT torso ___ at 18:59 | No acute cardiopulmonary abnormality. |
13043140 | Lung volumes are markedly low which limits evaluation. The cardiomediastinal and hilar contours are within normal limits. There are streaky opacities throughout the right lung which likely represent atelectasis or infection in the appropriate setting. Scattered left basal opacities also likely reflect atelectasis or infection. There is no evidence of pneumothorax. Of note, a tubular, radiopaque density projects over the left hemi thorax which may be related to the patient's left scapula. | 51737976 | EXAMINATION: Chest radiograph INDICATION: History: ___M with transfer, chest injuries // eval for pulm contusion, rib fxs TECHNIQUE: AP view of the chest COMPARISON: None | Markedly low lung volumes with multifocal streaky opacities that likely reflect atelectasis however infection/ aspiration should be considered in the appropriate setting. Recommend repeat radiograph with proper positioning and increased inspiration for further evaluation. At that time, the need for CT can be more adequately assessed. |
13791511 | The lung volumes are low which causes bibasilar atelectasis. There is no focal opacity concerning for pneumonia. No pleural effusion or pneumothorax. Low lung volumes cause apparent mild enlargement of the cardiac silhouette. The mediastinal contours are stable. | 51047539 | INDICATION: ___-year-old man with fever status post Whipple procedure. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No opacity concerning for pneumonia. |
13791511 | Right chest wall port is seen with catheter tip at the RA SVC junction. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen the spine as well as anterior cervical fixation hardware which is partially visualized surgical clips are noted in the upper abdomen. | 57810549 | INDICATION: ___M with fever on chemo / eval for infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13901886 | PA and lateral chest radiographs were provided. A left PICC terminates in the mid-SVC. There is prominence of the interstitial markings consistent with pulmonary edema. Streaky opacities near the bases are likely atelectasis. There is a small to moderate left pleural effusion. The cardiomediastinal silhouette is mildly enlarged. Clips are noted in the upper abdomen. | 58377098 | INDICATION: History of shortness of breath and lower extremity edema. Question pulmonary edema. COMPARISONS: Chest radiograph from ___. | Mild pulmonary vascular congestion, bibasilar atelectasis and small to moderate left pleural effusion. Left PICC in the mid-SVC. |
13612582 | The bronchial walls the right lower lobe appear mildly thickened. Otherwise, the lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. | 53521030 | INDICATION: ___ year old woman with cough, ? Right sided pneumonia // assess for interval resolution TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___ and ___ | Mild thickening of right lower lobe bronchial walls which may represent bronchiectasis. If there is clinical concern, CT imaging would offer better evaluation. |
13573483 | Bibasilar atelectasis are increased compared to ___. Cardiac silhouette is obscured by low lung volumes. No evidence of pulmonary edema. There is no large pleural effusion. | 59846925 | INDICATION: ___ year old woman with new oxygen requirement of 3 l // r/o acute cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Bibasilar atelectasis are increased. |
13784236 | Left-sided chest tube has been repositioned and now terminates in the left hemithorax with better purchase. A very small pneumothorax is hard to exclude along the left costophrenic sulcus but there is otherwise no significant change in the appearance of the chest. | 52765177 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Status post repositioning of left-sided chest tube. TECHNIQUE: Chest, AP portable semi-upright. COMPARISON: Earlier on the same afternoon. | Status post repositioning of the left-sided chest tube. |
13845626 | The lungs are clear. Cardiomediastinal and hilar contours are unremarkable. There is no evidence of pleural effusion or pneumothorax. | 54242671 | INDICATION: ___-year-old male with recent diagnosis of DVT. Evaluate for presence of pneumonia or pneumothorax. COMPARISONS: None available. TECHNIQUE: PA and lateral chest radiograph. | No evidence of acute chest pathology. |
13627001 | Lungs are clear and well expanded bilaterally with no focal consolidations, lesions, or masses. There is no pleural effusion or evidence of pneumothorax. The aorta is slightly tortuous; otherwise, the cardiomediastinal silhouette is within normal limits. Pleural surfaces are unremarkable. There are moderate degenerative changes seen along the thoracic spine. | 58297143 | INDICATION: ___-year-old female with increased shortness of breath and dyspnea on exertion, history of smoking and cocaine use. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No evidence of infection or malignancy. |
13559052 | Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. No pleural effusion, focal consolidation or pneumothorax is seen. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Linear density projecting over midline neck is noted, likely reflecting a safety pin which is external to the patient. Partially imaged upper abdomen is unremarkable. | 57541282 | INDICATION: External chest pain. Assess for pneumonia. COMPARISONS: ___. | No acute cardiopulmonary process. |
13608861 | The endotracheal tube is appropriately positioned. Two enteric catheters course below the level of the diaphragm and out of the field of view inferiorly. There is mild to moderate bilateral mid to lower lung atelectasis and small pleural effusions, not significantly changed. A nodular opacity projecting over the right mid lung has a bandlike appearance on the preceding CT, likely worsening atelectasis. There is no pneumothorax. The heart size remains mildly enlarged. | 54996747 | INDICATION: Septic shock, intubated, with cough and desaturation. Evaluate for evidence of aspiration or mucous plugging. COMPARISON: Chest radiograph from ___ at 10:07. Chest CT from ___ at 16:44. | Unchanged mild to moderate bilateral lower lung atelectasis, less likely aspiration or infection. Worsening right mid-lung atelectasis. Unchanged small bilateral pleural effusions. |
13608861 | AP upright and lateral. There are low lung volumes, but the lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. | 52491799 | HISTORY: Cough productive of brown sputum for 5 days. COMPARISON: Comparison is made with chest radiographs from ___. | No acute cardiopulmonary process. |
13608861 | Portable frontal radiograph of the chest demonstrates the ET tube is 3 cm above the carina. Otherwise there is little overall change in the appearance of the chest other than lower lung volumes and bibasilar atelectasis. Pulmonary vascular congestion persists. The cardiac and mediastinal silhouettes are grossly stable. | 55186631 | HISTORY: Sepsis with new ET tube. COMPARISON: ___ at 19:40. | ET tube in appropriate position. |
13608861 | There has been interval removal of a right-sided PICC. The mid to lower lung fields are under penetrated likely due to patient body habitus. Given this, no definite focal consolidation is seen although would be difficult cyst exclude on the right lung base. No pleural effusion. The cardiac and mediastinal silhouettes are unremarkable. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 52749903 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, chest pain and fever // eval for pneumoonia, other acute process TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No definite acute cardiopulmonary process although of the study is slightly limited due to underpenetration of the mid to lower lung fields, particularly on the right, due to patient overlying soft tissue. Would be difficult to entirely exclude right basilar consolidation although there is not evidence of such on the lateral view. |
13608861 | Lungs are clear without focal consolidation. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. | 58980420 | INDICATION: ___F with +smoking history, cough and occasional dyspnea. Evaluate for pneumonia TECHNIQUE: AP and lateral views. COMPARISON: Chest x-ray from ___ | No acute cardiopulmonary process. |
13608861 | Portable supine frontal radiograph of the chest demonstrates the ET tube tip ending 3.3 cm above the carina. A right internal jugular central venous catheter ends with its tip in the region of the upper right atrium. An enteric tube is seen with the tip projecting over the left upper quadrant. Lung volumes are lower with persistent bibasilar atelectasis. There is stable pulmonary edema. Stable appearance of the heart and stable widening of the mediastinum. | 52273723 | HISTORY: Right IJ placed and OG placed. COMPARISON: ___ at 22:19. | Right IJ with tip in the upper right atrium. Enteric tube with tip in left upper quadrant. Otherwise stable chest. |
13608861 | Prior right PICC is no longer visualized. The lungs are grossly clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. | 55580742 | INDICATION: ___F with R-flank pain // r/o pneumonia TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13608861 | Cardiac silhouette size is mildly enlarged but unchanged. Mediastinal contour is on similar. Low lung volumes resulting in crowding of bronchovascular structures, but there is no overt pulmonary edema. Patchy atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. | 50387188 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with shortness of breath, asthma, cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Low lung volumes with mild patchy opacities in lung bases likely reflective of atelectasis. |
13608861 | There is a right-sided PIC line which terminates in the low SVC. Moderate cardiomegaly is persistent compared to multiple prior exams dated back to ___. Mild bibasilar atelectasis is persistent. There may be mild perihilar vascular congestion. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 52986443 | INDICATION: History of resolved septic shock with dyspnea. Please evaluate for pulmonary edema. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Single AP portable radiograph of the chest. | Mild pulmonary vascular congestion. Persistent mild bibasilar atelectasis. |
13344322 | A left chest wall pacemaker is seen with single lead in the right ventricle. There is no pneumothorax. There is no focal consolidation or pleural effusion. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities. | 55731340 | INDICATION: ___-year-old woman with asystolic episode and syncope status post pacemaker, evaluate lead placement. COMPARISON: PA and lateral chest radiographs from ___. | New pacemaker with single lead in right ventricle in appropriate positioning. |
13344322 | Left-sided pacemaker device is noted with single lead terminating in right ventricle. The heart size is normal. Mediastinal and hilar contours are unremarkable. Focal consolidative opacities within the right upper lobe as well as within the right middle lobe are concerning for areas of pneumonia. Left lung is clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected. | 56251643 | HISTORY: Dementia, increasing confusion. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Right upper and middle lobes opacities concerning for multifocal pneumonia. Followup radiographs after treatment are recommended to ensure resolution of these findings. |
13535833 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. There is marked improvement of lung ventilation with now much improved aeration of the basal segments of the lung. The heart size can now be seen to be well within normal limits and no configurational abnormality is identified. The degree of mild elongation and widening of the thoracic aorta in this elderly male patient is not excessive and no local abnormal aortic bulges can be identified. The pulmonary vasculature is not congested. The left lung base is free with well-delineated diaphragmatic contours and absence of any acute infiltrates. On the right base, there is still a pleural density obscuring partially the diaphragmatic contour and blunting the lateral and posterior pleural sinus. A linear atelectasis is present on the right base, but again the findings are much improved. The previously existing pigtail and pleural drainage tube has been removed, a biliary drainage tube remains unchanged. On the frontal view, there is no evidence of any pneumothorax in the apical area. | 57037536 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: An ___-year-old male patient with history of hypertension and prostate carcinoma who presented with cholangitis and right-sided empyema - biliothorax. Status post chest tube drainage and percutaneous biliary drain, reevaluation after recent right empyema. Evaluate for improvement. | Marked improvement of previously described pleural and chest wall densities. No cardiac enlargement or pulmonary congestion. No pneumothorax. |
13535833 | The right costophrenic angle is excluded from the field of view. The heart size appears to be mildly enlarged with a left ventricular predominance, though assessment is somewhat limited due to the presence of bilateral pleural effusions, moderate on the right and small to moderate on the left. The aortic knob is calcified. The mediastinal contours are unremarkable. Bibasilar airspace opacities may reflect atelectasis though infection cannot be completely excluded. Partially imaged is a percutaneous transhepatic biliary catheter. | 56011586 | INDICATION: Recent cholangitis status post biliary stent, now with right-sided chest and abdominal pain, dyspnea. COMPARISON: None. PORTABLE UPRIGHT AP VIEW OF THE | Bilateral pleural effusions, moderate on the right and small to moderate on left, with bibasilar airspace opacities, likely atelectasis though infection cannot be completely excluded. No free air under the diaphragms. |
13956213 | Lung volumes are low. There is moderate interstitial pulmonary edema. There is bibasilar atelectasis. Minimal to no pleural effusion. The heart is moderately enlarged. | 56469442 | INDICATION: ___F with dyspnea and weight gain, rule out acute process. TECHNIQUE: Chest PA and lateral COMPARISON: ___ available | Low lung volumes with moderate interstitial edema. Moderate cardiomegaly. |
13548753 | PA and lateral views of the chest provided. Overlying EKG leads are present. The lungs are clear and hyperinflated. There is a subtle nodular opacity projecting over the right mid lung peripherally which could represent a bone island versus a calcified granuloma. 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. | 56163158 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain COMPARISON: None | No acute intrathoracic process. |
13819183 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59807759 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with myopericarditis, increased chest pain and cough TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph | No acute cardiopulmonary abnormality. |
13819183 | Mildly decreased lung volumes. There is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiac silhouette is top-normal in size. Mediastinal contours are within normal limits. No evidence for free subdiaphragmatic air. | 50475151 | EXAMINATION: Chest radiographs. INDICATION: ___M with chest pain // ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Low lung volumes without evidence for acute cardiopulmonary process. |
13060513 | The tip of the right internal jugular central venous catheter extends to the mid SVC. Retrocardiac opacity likely reflects a combination of pleural fluid and atelectasis/ consolidation. A small layering right pleural effusion is also noted. No pneumothorax. The size the cardiomediastinal silhouette is unchanged. No evidence of pulmonary edema. | 55533707 | INDICATION: ___ year old woman with 3V CAD, now with rising leukocytosis // evidence of pneumonia TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Bilateral layering pleural effusions. Left basal atelectasis and/or consolidation. |
13060513 | The tip of the right internal jugular central venous catheter extends to the upper SVC. New skin ___ project over the left lung apex. Numerous wires project over the right lower hemithorax, limiting its evaluation. Unchanged retrocardiac opacity likely reflecting atelectasis. There is new mild pulmonary vascular congestion. No pneumothorax identified. The size of the cardiomediastinal silhouette is at the upper limits of normal. | 54977917 | INDICATION: ___ year old woman with SOB following cath // pulm edema TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | New skin ___ project over the left upper hemithorax. No pneumothorax identified. Mild pulmonary vascular congestion. |
13060513 | Enteric tube courses below the level the diaphragm, out of the field of view. There is free air beneath the right hemidiaphragm. Bibasilar atelectasis is seen. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. | 56731099 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with ? free air pls eval // free air TECHNIQUE: Single frontal view of the chest COMPARISON: None | Lucency under the right hemidiaphragm is consistent with free air. Bibasilar atelectasis. |
13060513 | The cardiac silhouette is normal in size. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 50097457 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with AMS // Pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13957649 | The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Streaky opacity in the left lower lobe is compatible with atelectasis. Minimal blunting of the costophrenic angle on the right suggests a trace pleural effusion. No pneumothorax is visualized. The pulmonary vascularity is normal. A non-displaced fracture of the left second lateral rib is present as well as a minimally displaced fracture of the right lateral tenth rib. | 52276576 | INDICATION: Trauma to the chest wall. COMPARISON: None. PA AND LATERAL VIEWS OF THE | Non-displaced fracture of the left second rib laterally and minimally displaced fracture of the right lateral tenth rib. Trace right pleural effusion. Left basilar atelectasis. |
13047066 | Lung volumes are low but the lungs are grossly clear. Mediastinal widening and bilateral hilar prominence due to known lymphadenopathy is unchanged. The cardiac silhouette is stable. There is no pneumothorax. | 51765588 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p mediastinoscopy with LN biopsy // eval for ptx or hemothorax TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | No pneumothorax. Clear lungs. Stable mediastinal and bilateral hilar lymphadenopathy. |
13190947 | There is bibasilar atelectasis. The lungs are mildly hyperexpanded, but otherwise clear without focal consolidation. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are unchanged. There is no pulmonary edema, pneumothorax or pleural effusion. | 59790836 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M with fevers. Evaluate for pneumonia. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Stable mild cardiomegaly. No pneumonia. |
13190947 | Low lung volumes accentuate the bronchovascular markings. With this in mind, there may still be a mild amount of pulmonary edema, but no pneumonia, pneumothorax, pleural effusions. The aorta is tortuous. The heart size is top normal. | 54226881 | HISTORY: Chest pain, rule out pneumonia. COMPARISON: ___ and ___. TECHNIQUE: PA and lateral views of the chest. | Probable mild pulmonary edema without effusion. |
13164137 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59077791 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fatigue, chest heaviness // ?opacity, fluid TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13089073 | An endotracheal tube terminates approximately 2.7 cm above the carina. Overall lung volumes are low. Heart size is normal. HETEROGENEOUS OPACIFICATION AT THE LUNG BASES COULD BE ATELECTASIS OR ASPIRATION. No pleural effusion or pneumothorax. THERE IS NO PNEUMOMEDIASTINUM. SLIGHT WIDENING OF THE MEDIASTINUM ABOVE THE AORTIC ARCH COULD BE NORMAL IN THE SUPINE POSITION. FOLLOWUP RADIOGRAPHY AND CLINICAL ASSESSMENT ADVISED. | 55320674 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with esophageal foreign body, intubated // Eval for ETT placement, foreign body esophagus TECHNIQUE: Single frontal view of the chest COMPARISON: None. | Endotracheal tube terminates approximately 2.7 cm above the carina. CLINICAL AND RADIOGRAPHIC FOLLOW-UP ADVISED FOR MEDIASTINAL CONTOUR. MEDIASTINAL FLUID COLLECTION OR TRAUMA CAN BE EVALUATED WITH CHEST CT ENHANCED WITH INTRAVENOUS CONTRAST. |
13903328 | Portable AP chest radiograph demonstrates no focal consolidation, pleural effusion, pulmonary vascular engorgement, or pneumothorax. Multiple vascular stents are noted in the right upper extremity, superior mediastinum, and mid left upper extremity. The aorta is tortuous. The cardiomediastinal silhouette is otherwise normal. | 59021773 | HISTORY: Hypertension and history of endstage renal disease. COMPARISON: None available. | No acute cardiopulmonary process. |
13387654 | There is a prominence of interstitial markings, central pulmonary vasculature and small bilateral pleural effusions consistent with mild pulmonary edema. Heart size is mildly enlarged but unchanged. Left chest wall pacemaker lead is in the right ventricle. There is no focal consolidation or pneumothorax. Mo acute skeletal abnormalities. | 54711100 | INDICATION: ___-year-old woman with history of cardiomyopathy and CHF, now with shortness of breath on exertion. Rule out CHF. COMPARISONS: Portable chest radiograph from ___, PA and lateral from ___. | Mild pulmonary edema and small bilateral pleural effusions. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone at 3:30 p.m. |
13374720 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette and linear subsegmental atelectasis in the right lung base. The lungs are otherwise well aerated, without evidence of pneumothorax, confluent consolidation, pleural effusion, or pulmonary vascular congestion. Mild deformity along the lateral posterior aspect of the right ninth rib is compatible with a healed fracture. | 53192188 | INDICATION: ___-year-old male with hepatitis C cirrhosis, here for evaluation of liver transplant with question of pleural effusions. COMPARISON: CT dated ___. | No evidence of pleural effusions. Subsegmental atelectasis in the right lower lobe. |
13374720 | Single AP view of the chest demonstrates interval placement of a nasogastric tube which is seen coursing through the esophagus and below the left hemidiaphragm, with tip projecting over the fundus of the stomach. The lungs are well expanded, with no evidence of pneumothorax, focal consolidation, pleural effusion or pulmonary vascular congestion. There is persistent minimal subsegmental bibasilar atelectasis. The cardiomediastinal silhouette is unremarkable. | 53182680 | HISTORY: ___-year-old male with a new nasogastric tube. Evaluation for tube placement. COMPARISON: Comparison is made to radiographs of the chest from ___. | Nasogastric tube in place with tip projecting over the fundus of the stomach. Minimal subsegmental bibasilar atelectasis is again seen. |
13119719 | The cardiac silhouette is unremarkable. There is vascular engorgement. The right hilum is more prominent than prior. There is a right lower lobe nodule, at not seen on prior examination.There is no pleural effusion or pneumothorax. | 56128652 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left leg pain and SOB // ?acute cardio/pulmonary process? TECHNIQUE: Chest PA and lateral COMPARISON: AP and lateral views of the chest dated ___ | Suspected new right lower lobe nodule for which CT is recommended for further evaluation. |
13119719 | Frontal and lateral radiographs of the chest demonstrates clear lungs. The cardiac contour is normal. An unfolded aorta is again seen. In the lateral view, there is mild kyphosis of the thoracic spine. No pleural abnormalities detected. | 58301043 | HISTORY: Nonproductive cough. COMPARISON: ___. | No acute cardiopulmonary process. |
13119476 | The severe enlargement of cardiac silhouette due to cardiomegaly and/or pericardial effusion is worse from prior. There is increased pulmonary venous congestion diffusely. No consolidation appreciated. The neo esophagus is again noted. The left pleural effusion has increased and there is a new moderate right pleural effusion. No pneumothorax. No fractures. The transvenous biventricular pacer leads continuous from the left pectoral generator terminate at right ventricle and left ventricle. | 57467669 | INDICATION: ___ year old man with CHF exacerbation // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No pneumonia appreciated. Worsening pulmonary venous congestion with new right pleural effusion and persistent left pleural effusion. There is worse cardiomegaly and/ or pericardial effusion. |
13119476 | Compared to the prior study and allowing for differences in technique, I doubt significant interval change. On the lateral view, lead tips project anteriorly and posteriorly and could lie in relation to the right and left ventricles. Small amount of subcutaneous emphysema is noted about the battery pack, compatible with recent surgery. There is hyperinflation consistent with COPD. Changes along the right mediastinum are consistent with known neo esophagus. Rounded area of increased density in the lower middle mediastinum could also be related to the esophageal surgery. Prominence of the pulmonary hila could reflect pulmonary hypertension. There is deformity and pleural thickening along the right chest wall consistent with prior trauma and/or surgery. Multiple clips are seen posteriorly in the chest. There is blunting of both costophrenic angles posteriorly consistent with pleural fluid and/or thickening. No pneumothorax is detected. | 53959039 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p PPM upgrade to BIV (LV lead add to RV lead). Subclavian access. Eval for lead position and post procedure complications. // ___ year old man s/p PPM upgrade to BIV (LV lead add to RV lead). Subclavian access. Eval for lead position and post procedure complications. COMPARISON: Chest x-ray from ___ at 20:30 | Leads extend over the right and left ventricles, respectively. Small bilateral effusions. No pneumothorax detected. Small amount of subcutaneous emphysema is noted about the battery pack compatible with recent surgery. Cardiomediastinal silhouette is enlarged but unchanged. No overt CHF. No focal consolidation. |
13119476 | Dual lead left-sided pacer device is seen, stable in position. There is persistent moderate to severe enlargement of the cardiac silhouette. Mediastinal contours are stable. Neo esophagus is again seen, with large air-fluid level distally. There is slight blunting of the costophrenic angles could be due to pleural thickening or trace of pleural effusions. No evidence of pneumothorax is seen. No definite new focal consolidation is seen. Several old right-sided rib deformities are re- demonstrated. Gaseous distention of multiple loops of bowel is incompletely evaluated on this study. . | 50605320 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with malaise, DOE // Pneumonia vs. CHF exacerbation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Medial esophagus with large air-fluid level distally. Slight blunting of the costophrenic angles could be due to pleural thickening and/ or trace pleural effusions. Cardiomegaly. Gaseous distention of multiple loops of bowel, incompletely evaluated on this study. |
13091496 | Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. | 52311155 | INDICATION: Productive cough. Assess for pneumonia. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
13091496 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion or pneumothorax. Heterogeneous opacity in the left lung base projecting over spine on the lateral view is new since ___ exam. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | 53992072 | INDICATION: Patient with fever and cough. Assess for pneumonia. COMPARISONS: Chest radiograph of ___. | Heterogeneous opacity in the left lung base may reflect an atypical infection, which can be confirmed with oblique views or CT exam, as clinically indicated. Findings discussed with Dr. ___ at 7:50am ___ by phone. |
13452259 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with a portable chest examination ___ ___ and a PA and lateral chest examination of ___. The previously diagnosed enlargement of the heart silhouette has normalized completely and the heart size and configuration is now within normal limits. The thoracic aorta is mildly widened but does not show any local contour abnormalities or advanced walled calcifications. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly within normal limits. In comparison with the previous examination the earlier identified cardiac enlargement and presence of bilateral pleural effusions mostly on the left side have cleared up completely. Also at the examination of ___ identified pulmonary vascular upper zone re-distribution pattern has normalized. The chest examination does not demonstrate any new acute abnormality or any suspicious lesion that might be the cause of the patient's weight loss. As identified on previous examination there is evidence of previous abdominal surgery with multiple surgical metallic clips in the right upper quadrant, probably gallbladder surgery. | 53594389 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with past medical history of pericarditis and left pleural effusion as of chest examinations in ___. Now recent weight loss, assess for interval change. | Normalization of previously identified enlargement of the cardiac silhouette related to pericardial effusion. No pulmonary congestion. No evidence of manifest or suspicious new pulmonary abnormalities. |
13452259 | The lungs are clear; they are hyperinflated. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. | 58446724 | PA AND LATERAL CHEST X-RAY INDICATION: Asthma, presenting with cough, dyspnea, rule out infiltrate. COMPARISON: ___. | There is no evidence of pneumonia. |
13452259 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable demonstrating a tortuous aorta. Cardiac silhouette is not enlarged. No overt pulmonary edema is seen. | 52190048 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of cough, wheeze. COMPARISON: ___. | No acute cardiopulmonary process. |
13415825 | The lungs are well expanded and clear. The right hilum appears mildly prominent but is unchanged compared with ___. Otherwise, the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 57708476 | INDICATION: ___-year-old male with generalized weakness. Assess for infiltrates or acute cardiopulmonary findings. COMPARISON: Multiple chest radiographs, including a PA and lateral from ___ and a portable chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No evidence of acute cardiopulmonary process. |
13855491 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 53675734 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13855491 | Low lung volumes cause mild bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable. | 54299881 | WET READ: ___ ___ ___ 7:16 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with shortness of breath, evaluate for abnormality. TECHNIQUE: Single portable AP semi-upright frontal radiograph of the chest. COMPARISON: Prior chest radiographs dated ___. | No acute cardiopulmonary process. |
13855491 | PA and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. | 58011315 | INDICATION: Acute onset of chest and back pain. COMPARISON: None available. | No acute cardiopulmonary process. |
13232032 | Calcified mediastinal lymph nodes. Calcified granulomas in the left upper zones. Normal lung volumes. No consolidation. No pleural effusion. No pneumothorax. Cardiomediastinal borders and hilar structures are normal. | 51007685 | INDICATION: ___ year old woman with cough x 3 weeks, fatigue // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Calcified mediastinal lymph nodes with calcified granulomas in the left lung stable from ___. No evidence of pneumonia. |
13611526 | Diffuse, bilateral increased interstitial prominence suggests edema. Asymmetric increased opacity with air bronchograms in the right lower lobe is concerning for concurrent infection and/or aspiration. No pleural effusion or pneumothorax. The heart size cannot be adequately assessed on this AP only view. | 55824289 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with hx HIV, cryptococcal lung infection, now seizing, febrile, and hypotensive. ? acute lung process TECHNIQUE: Supine portable AP radiograph view of the chest. COMPARISON: Chest radiograph dated ___. | Edema. Right lower lobe opacity concerning for infection. |
13611526 | Opacification of the right lung has now increased, now involving the entire right hemithorax with air bronchograms and several foci of increased opacity within the right lung as well as left lower lung, findings most concerning for multifocal pneumonia. Bilateral pleural effusions are small and new. Atelectasis has increased in both lung bases with more indistinctness of the descending aorta as well as the right medial hemidiaphragm. Cardiomediastinal silhouette is unchanged. Central pulmonary vascular congestion is also unchanged. No pneumothorax. | 53009883 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with higher O2 requirement, concern for pna; Volume status, infiltrates. TECHNIQUE: Portable, upright AP radiograph view of the chest. COMPARISON: Chest radiograph dated ___. | Interval development of opacification with air bronchograms of the right hemithorax, most concerning for progression/development of multifocal pneumonia. |
13030635 | Cardiac silhouette is mildly enlarged and unchanged from ___. Postoperative appearance of the mediastinal silhouette and hilar contour is stable. Small left greater than right pleural effusions with associated bibasilar atelectasis is unchanged. There is no pneumothorax. | 51874828 | HISTORY: Status post CABG. Evaluate for effusion. TECHNIQUE: AP and lateral chest radiograph, 3 views. COMPARISON: ___ through ___ | Persistent left greater than right small pleural effusions with bibasilar atelectasis. |
13157308 | 2 views were obtained of the chest. Lungs are low in volume but clear aside from minimal basal scarring/atelectasis. Blunting of the costophrenic sulci bilaterally could reflect trace pleural effusions or pleural thickening. The heart is top-normal in size with normal mediastinal and hilar contours aside from a tortuous aorta. | 52201920 | HISTORY: Shortness of breath. COMPARISON: ___. | Low lung volumes without acute intrathoracic process. |
13157308 | Frontal view of the chest was obtained. Left mid lung opacity is seen worrisome for consolidation which could be due to infection or infarct depending on the clinical scenario. There are low lung volumes. There is persistent slight blunting of the right costophrenic angle which could be due to pleural effusion or pleural thickening. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 55560369 | EXAM: Chest, single frontal view. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___. | Lateral right chest opacity could be due to infection. Differential diagnosis also includes pulmonary infarct depending on the clinical scenario. |
13157308 | Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Mild bibasilar atelectasis. Cardiac and mediastinal silhouettes are within normal limits allowing for low lung volumes. Dextroconvex scoliosis of the thoracic spine is unchanged. | 56047778 | HISTORY: Dyspnea on exertion. COMPARISON: Chest radiograph ___, ___. | No pneumonia, edema, or effusion. |
13157308 | The tip of the endotracheal tube is approximately 6 cm from the carina, at the upper margin of the clavicles. The enteric tube is in stomach. Lung volumes are low and there is no large pleural effusion or pneumothorax. Consolidation in the left lung appears worse. | 57212422 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p intubation // ETT placement TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | Endotracheal tube tip 6 cm from the carina. Progression of left lung consolidation. |
13206730 | PA and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is unremarkable. There is no evidence of CHF. | 58847647 | INDICATION: ___-year-old woman with chest pain. Question cardiopulmonary process. COMPARISONS: None. | No acute cardiopulmonary process. |
13752449 | The lungs are clear with no evidence of consolidations, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. | 58697754 | INDICATION: Evaluation of patient with status post assault with chest pain. COMPARISON: None available. | No acute cardiopulmonary process. |
13175130 | The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top-normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. | 59198377 | EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with chest pain // evaluate for cardiomegaly TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13948575 | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 50232459 | WET READ: ___ ___ 6:12 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with substernal chest pain UCG ordered // evaluate cardiomediastinal shadow TECHNIQUE: PA and lateral images of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13576465 | The lung volumes are low, accentuating heart size and vascular markings. There is blunting at the right costophrenic sulcus, with prominent interstitial markings. The aorta is tortuous, with calcifications noted in the aortic arch and descending thoracic aorta. There is no evidence of pneumothorax. Calcific density projects to the right of the trachea at the thoracic inlet, potentially calcified node or from the thyroid. | 53399404 | EXAMINATION: CHEST RADIOGRAPH (AP AND LAT) INDICATION: ___M with c/o urinary retention and elevated WBC to ___ // r/o infection TECHNIQUE: Chest AP and lateral COMPARISON: None. | Low lung volumes with possible mild interstitial edema. |
13644218 | 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. | 51958857 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with history of chest pain COMPARISON: None | No acute intrathoracic process. |
13933803 | No focal consolidation or pneumothorax is detected. There may be a tiny right pleural effusion. Heart size is normal. Anterior mediastinal mass likely corresponds to known primary mediastinal large B-cell lymphoma. | 58325301 | INDICATION: ___-year-old female with neutropenia and fever. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Anterior mediastinal mass, without radiographic evidence for pneumonia. Possible tiny right pleural effusion. |
13274134 | There is a small focal area of increased density projected in the posterior chest, probably at the left base, best seen on the lateral view. The lungs appear otherwise clear. The heart is normal in size. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact | 52350697 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY History: ___F with fatigue, body aches and cough // r/o infiltrate r/o infiltrate COMPARISON: None | Small focal area of increased density in the posterior chest, probably on the left, only clearly demonstrated on the lateral view. The appearance is suspicious for focal consolidation and pneumonia and clinical correlation is recommended. |
13681991 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 53818991 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain. | No acute findings in the chest. |
13127341 | Cardiac silhouette size is normal. Extensive in aneurysmally dilated coronary artery calcifications are re- demonstrated, compatible with a history of Kawasaki disease. The aorta is tortuous, as seen previously. Mediastinal and hilar contours are similar and there is no pulmonary vascular engorgement. Lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities detected. | 53006035 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // cardiac workup TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | No acute cardiopulmonary abnormality. |
13127341 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is calcification of the coronary artery. | 59489544 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with SOB // r/o CHF TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest PA and lateral ___. | No cardiomegaly or pleural effusion. No acute cardiopulmonary process. |
13985594 | Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta is diffusely calcified and tortuous. Worsening diffuse ground-glass opacities with new vascular indistinctness is present. This is superimposed on a background of increased interstitial markings with ground-glass opacification previously thought to reflect NSIP. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified. | 57849440 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Portable upright AP view of the chest COMPARISON: CT chest ___. Chest radiograph ___ | Findings suggestive of mild pulmonary edema superimposed on a background of chronic interstitial lung disease, previously thought to reflect NSIP. However, acute worsening of chronic interstitial lung disease or atypical infection is not excluded. Followup radiographs after diuresis are recommended for further assessment. |
13985594 | Single AP portable chest radiograph demonstrates severe an diffuse interstitial lung markings which appear gross the molar to prior study dated ___. The aorta is diffusely calcified and tortuous. Model an of the cardiac silhouette is stable. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected. | 53827924 | INDICATION: ___-year-old female with interstitial lung disease flair now status post steroid administration. COMPARISON: Chest radiograph dated ___. | Diffuse ground-glass opacities essentially unchanged in appearance compared to prior study dated ___. |
13985594 | There is increased opacity at the left infrahilar region concerning for infection versus aspiration. The lungs are slightly hyperinflated. There is no evidence of pneumothorax or pleural effusions. The heart is normal in size. There is no evidence of pneumoperitoneum. The visualized osseous structures are grossly unchanged. | 51851322 | WET READ: ___ ___ ___ 5:04 PM Increased opacification at left lung base concerning for infection vs. aspiration ______________________________________________________________________________ FINAL REPORT PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old female with worsening cough. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___. | Increased opacity and haziness at the left infrahilar region concerning for acute infection versus aspiration. |
13105965 | Normal cardiomediastinal and hilar contours. Low lung volumes bilaterally with clear lungs. No pleural effusion or pneumothorax. | 51205019 | EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with left-sided chest pain. Evaluate for evidence of pneumothorax. TECHNIQUE: Chest PA and lateral. COMPARISON: None. | No evidence of pneumothorax. |
13462752 | Exam is somewhat limited due to multiple electronic external devices. There is left basilar opacity which is more conspicuous on the lateral view which could be compatible with pneumonia. Elsewhere the lungs are grossly clear without pulmonary edema. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the right acromioclavicular joint. | 59438455 | WET READ: ___ ___ ___ 10:49 AM Somewhat limited exam. Increased opacity in the left lower lobe which could represent pneumonia in the proper clinical setting. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with sob, recent MI // PNA? CHF? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Somewhat limited exam. Increased opacity in the left lower lobe which could represent pneumonia in the proper clinical setting. |
13462752 | There is a new left cardiac device with its lead terminating in the region of the right ventricle. The lungs are clear without focal consolidation, pleural effusions or overt pulmonary edema. Previous left lower lobe consolidation has resolved. There is a 12 mm well-circumscribed nodular density in the left midlung which may be a nipple shadow. The heart is top-normal in size. | 50368738 | INDICATION: ___ year old man s/p ICD placement. Evaluate leads and for pneumothorax. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___ and ___ | Left cardiac device with its lead terminating in the region of the right ventricle. No pneumothorax. 12 mm left midlung nodular density may reflect a nipple shadow. A repeat radiograph with nipple markers can be obtained to further assess. |
13462752 | There is asymmetric left basilar opacity. Superiorly, the lungs are clear where not obscured by the left chest wall single lead pacing device. The cardiac silhouette is moderately enlarged as on prior. Hypertrophic changes are noted in the spine. | 59389736 | INDICATION: ___M with CP // eval for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Left basilar opacity, potentially atelectasis noting infection is not excluded. |
13597991 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Osseous structures are unremarkable. | 56285883 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain. Evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13453653 | The 8 mm focal opacity projecting over the left first rib corresponds to a bone island seen on most recent chest CT from ___. Left basilar atelectasis is noted. Cardiac size is normal. There is no pneumothorax or pleural effusion. | 58524476 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ y/o M w/ significant for C5-7 stenosis along with increase cord signal at approximately C6-7 // pre-op cxr Surg: ___ (Spine Surgery) TECHNIQUE: Single frontal view of the chest COMPARISON: Chest CT ___ | 8 mm focal of opacity corresponds to a bone island within the left first rib. Left basilar atelectasis. |
13912710 | A nasogastric tube is been removed. A right internal jugular catheter is unchanged in position, terminating at the cavoatrial junction. Bilateral perihilar airspace opacities are similar to slightly worsened when compared to the prior study. Bilateral pleural effusions, larger on the right, and bibasilar atelectasis is stable when compared to the prior study. No pneumothorax seen. The visualized bony structures are unremarkable in appearance. | 52777268 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with desaturations and new cough // cardiopulmonary process TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Similar to slightly with worsened appearances of the bilateral perihilar airspace opacities most consistent with pulmonary edema. Unchanged bilateral pleural effusions and bilateral lower lobe atelectasis. |
13912710 | Endotracheal tube tip terminates 6 cm from the carina. Enteric tube tip is within the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is heavily evident on this supine exam. No displaced fractures are visualized. | 51925065 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M fulminant liver failure TECHNIQUE: Portable supine AP view of the chest COMPARISON: None. | Standard positioning of the endotracheal and enteric tubes. No acute cardiopulmonary abnormality. |
13912710 | There has been interval removal of the Swan-Ganz catheter. A right-sided internal jugular catheter is in-situ, the tip terminates in the distal SVC. A nasoenteric tube is in-situ, the side port is at approximately the level the gastroesophageal junction and this could be advanced further into the stomach. There are persistent bilateral airspace opacities in a predominately perihilar distribution consistent with pulmonary edema. There is silhouetting of the right hemidiaphragm, unchanged compared to the prior study. This may reflect atelectasis or consolidation. Similar appearance in the left lower lobe. Probable small bilateral pleural effusions. Stable cardiomegaly. | 54385774 | WET READ: ___ ___ 10:41 PM Newly placed nasoenteric tube tip enters the proximal stomach with the side port at the GE junction tube can be advanced at least 11 cm if desired position of the side port is within the stomach. There has been minimal improvement in diffuse lung opacities compared to the most recent prior radiograph. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with with liver failure // NGT placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Serial chest radiographs, most recent dated ___ | The side port for the nasogastric tube is positioned at approximately the gastroesophageal junction, this could be advanced further into the stomach. Findings consistent with pulmonary edema, pleural effusions and atelectasis. Superimposed infection cannot be excluded. |
13875166 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Patchy scarring at each lung apex, particularly the left, appears unchanged. The heart and mediastinal contours are stable with mild cardiomegaly and calcified tortuous aorta. | 56374374 | HISTORY: ___-year-old female with cough and fever. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___, ___, and ___. | No radiographic evidence for pneumonia. |
13266470 | Hyperinflation of the lungs may reflect chronic pulmonary disease. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. | 58462961 | INDICATION: ___-year-old female with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | No acute cardiopulmonary process. |
13780675 | 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. | 53389414 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with abdominal pain and distention, hx of cirrhosis COMPARISON: None | No acute intrathoracic process. |
13109623 | Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta remains markedly tortuous. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Streaky atelectasis is demonstrated in the right lung base. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. S shaped scoliosis of the thoracolumbar spine is unchanged. | 51923636 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with cough and dyspnea TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___. | No acute cardiopulmonary abnormality. |
13093747 | Lungs are well expanded. Cardiac silhouette appears to be mildly enlarged; however, this could be due to the AP technique. Cardiomediastinal contours are unremarkable. Lungs are clear. No pleural effusions and no pneumothorax. Bony structures are intact. | 50434669 | INDICATION: ___-year-old lady with seizures, right frontal brain mass, evaluate for cardiopulmonary process. COMPARISON: No prior studies available. TECHNIQUE: AP upright and lateral chest radiographs. | Normal radiographic study of the chest. |
13390826 | PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Bilateral breast implants project over the anterior chest on the lateral view. | 56480633 | INDICATION: Left-sided pleuritic chest pain. Evaluate for upper lobe pneumonia vs. pneumothorax vs. pruritus. COMPARISON: None available. | Normal radiograph of the chest. |
13390826 | The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax. | 52755108 | HISTORY: Positive PPD and negative Quantiferon gold with recent weight loss and lymphadenopathy. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No evidence of malignancy or infection. |
13462486 | The lungs are underinflated with streaky bibasilar atelectasis. There is no focal pneumonia, pleural effusion, or pneumothorax. No evidence of pneumoperitoneum on this limited portable upright chest radiograph. | 50459759 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with nausea, vomiting. Evaluate for pneumoperitoneum or acute cardiopulmonary process. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | Underinflated lungs with no evidence of acute cardiopulmonary process. |
13462486 | Tip of the nasogastric tube terminates in the left upper quadrant, the expected region of the stomach. Otherwise, no interval change in 4 hr. | 57706264 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F status post nasogastric tube placement TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ at 22:30 | Nasogastric tube terminating in the left upper quadrant, likely in the stomach. |
13977447 | PA and lateral views of the chest provided. Lung volumes somewhat low though allowing for this the lungs appear 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. | 58386972 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with productive cough and subjective fever for the past 5 days with worsening pain with coughing. COMPARISON: None | No acute intrathoracic process. |
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