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13848029 | PA and lateral chest radiographs were obtained. Low lung volumes accentuate the interstitial markings. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Cardiac and mediastinal contours are normal. | 52291632 | HISTORY: Bike accident. COMPARISON: None. | Mild cardiomegaly. No acute cardiopulmonary process. |
13783064 | There has been an increase in the left pleural effusion, limiting assessment of the cardiac size. There is interval decrease in the right pleural effusion, now small, with right basilar atelectasis. Interstitial markings have slightly increased, indicating mild interstitial edema. The right apical pneumothorax is decreased in size, now 6 mm. Prominence of the main pulmonary artery is stable. Right port is present with tip in unchanged position. | 57895028 | INDICATION: Moderate apical pneumothorax. COMPARISON: Chest radiographs dating back to ___, CTA chest ___. | Decrease in right apical pneumothorax and in right pleural effusion. Interval increase in left pleural effusion. Mild interstitial edema. |
13783064 | Right-sided Port-A-Cath tip terminates within the right atrium. Heart size is normal. Aortic knob is calcified. There is moderate pulmonary edema with moderate bilateral pleural effusions, right greater than left. Bibasilar airspace opacities likely reflect compressive atelectasis. No pneumothorax is identified. No acute osseous abnormalities are seen. | 59376289 | HISTORY: Transient hypoxia. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___ chest radiograph. Reference chest CT ___. | Moderate pulmonary edema with moderate bilateral pleural effusions, right greater than left, and bibasilar atelectasis. |
13783064 | There has been interval placement of a right pleural catheter which is extremely difficult to visualize but is likely present at the right lung base. There is a new right apical pneumothorax measuring 1.2 cm. There has been interval slight decrease in the now moderately sized right pleural effusion. Left pleural effusion is stable in size. Cardiac size cannot be assessed due to these pleural effusions. Increased interstitial markings bilaterally may represent worsening pulmonary edema. | 56484996 | INDICATION: Right PleurX catheter placement. COMPARISON: Chest radiograph ___, ___. | New pleural catheter placement with resultant right apical pneumothorax. No signs of tension. Dr. ___ ___ these results with Dr. ___ on ___ at 2:43 PM, at the time of discovery, via telephone. |
13783064 | Single supine frontal view of the chest was obtained. Bilateral pleural effusions are difficult to directly compare to the prior exam due to difference in patient position. Allowing for this limitation, right pleural effusion appears similar to prior, still large, and left pleural effusion appears decreased status post thoracentesis, now small. No pneumothorax. Heart size appears stable. Mediastinal contours are stable. Catheter of a right chest wall port terminates in the right atrium. | 58234209 | HISTORY: ___-year-old female with metastatic breast cancer with bilateral pleural effusions now status post left thoracentesis. COMPARISON: Multiple prior exams, most recently of ___. | Left pleural effusion has decreased after interval thoracentesis, now small. Right pleural effusion remains large. No pneumothorax. |
13783064 | The cardiomediastinal and hilar contours are stable. There has been continued decrease in the small right pleural effusion, and the right pleural tube is in unchanged position. The small right apical pneumothorax continues to decrease in size. The left pleural effusion is stable. There are no new focal consolidations concerning for pneumonia. | 59746985 | INDICATION: Pleural effusions with chest tube. COMPARISON: Chest CT ___, chest radiograph dating back to ___. | Continued decrease in size of right apical pneumothorax and right pleural effusion. |
13736546 | Multiple parenchymal based masses are better evaluated on the prior CT, but vaguely evident in the right lower and left lower lobes. Additional smaller masses are not well seen. There is no evidence of pneumonia. Cardiac size is normal. Aorta is mildly unfolded. No pleural effusion. No pneumothorax. | 50652546 | INDICATION: History: ___M with fever, tachycardia // evaluate for pneumonia //History: ___M with fever, tachycardia TECHNIQUE: AP VIEW OF THE CHEST COMPARISON: ___ X-RAY AND CHEST CT FROM AN OUTSIDE INSTITUTION | No evidence of acute pulmonary process. Known multiple parenchymal nodules not fully evaluated on this radiograph. |
13736546 | The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination and unremarkable. Bilateral, nodular opacities are again demonstrated, and are better characterized on prior CT. There is slightly more prominent opacity seen in the right infrahilar region. No definite new focal consolidation is seen elsewhere. There is no pneumothorax or pleural effusion. | 52567301 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever, weakness // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: AP view of the chest dated ___, CT chest dated ___ | Increase in prominence of opacity in the right infrahilar region, right middle lobe, which may represent developing pneumonia. |
13806476 | 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. | 53382538 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13016390 | The lungs are well expanded. Mildly increased interstitial markings diffusely may suggest mild interstitial edema, with more focal linear bibasilar opacities likely reflective of subsegmental atelectasis. Cardiac size is normal. There is a tortuous aorta. Mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Compression deformity of T12 is redemonstrated. | 51250153 | INDICATION: Patient with syncope and hypoxia, evaluate for pneumonia. COMPARISON: ___ CT thoracic spine and chest radiograph. TECHNIQUE: PA and lateral chest radiographs. | Bibasilar subsegmental atelectasis and mildly increased interstitial markings likely reflective of mild interstitial edema. |
13046240 | Prior sternotomy was done for AVR. Significant mediastinal and cardiac contour enlargement is unchanged and by reviewing the CT, it is mostly due to lipomatosis. Multiple calcified pleural plaques are from previous asbestos exposure. | 50624490 | PORTABLE AP CHEST X-RAY INDICATION: Past medical history of mechanical AVR, warfarin, MVA today, left subdural hematoma, interval change. COMPARISON: ___. Outside hospital chest CT of ___. | There is no significant change since the previous exam. Mediastinal and cardiac contour enlargement is mostly due to mediastinal lipomatosis. Previous asbestos exposure. |
13576316 | Compared to chest radiographs from ___, pulmonary edema has significantly improved, now mild. Opacities in the right lower lung have improved and may reflect atelectasis, though infection cannot be excluded. Moderate cardiomegaly is stable. No appreciable pleural effusions. No pneumothorax. Calcification of the pleural surfaces, predominantly the right lung base, reflect prior asbestos exposure. Mediastinal and hilar contours are stable. Left-sided AICD with dual leads following their expected courses to the right atrium and ventricle. | 50153686 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with w HFrEF w cough c/f URI vs PNA? // PNA? TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___. | Significantly improved pulmonary edema, now mild. Improved opacities in the right lower lung may reflect atelectasis, though infection cannot be excluded. Stable moderate cardiomegaly. |
13214820 | The lung volumes are low, with persistent elevation of the right hemidiaphragm, unchanged since ___. Bibasilar linear opacities may represent atelectasis or scarring. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable. No displaced rib fractures identified. | 56487414 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with fall // fall, rib fracture TECHNIQUE: Single upright portable view of the chest is obtained. COMPARISON: Comparison is made to radiographs the chest from ___. | Stable bibasilar atelectasis versus postinflammatory scarring, right greater than left. No radiographic evidence of displaced rib fracture. If clinical concern remains, a dedicated rib series may be helpful. |
13726684 | The endotracheal tube terminates 4.9 cm from the carina. An enteric tube courses below the diaphragm and outside of the field view. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Low lung volumes cause bilateral subsegmental atelectasis. The cardiomediastinal silhouette is normal. | 50332066 | WET READ: ___ ___ ___ 7:07 AM 1. Endotracheal tube terminates 4.9 cm from the carina. 2. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with trauma, intubated, evaluate endotracheal tube placement. TECHNIQUE: Single upright AP chest radiograph COMPARISON: Outside hospital chest radiographs dated ___ | Endotracheal tube terminates 4.9 cm from the carina. No acute cardiopulmonary process. |
13083956 | The lungs are clear without focal consolidation. No pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | 50057246 | HISTORY: Palpitations. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13031768 | There has been interval decrease in bibasilar opacities with possible minimal residual remaining. No new focal consolidation is seen. There is no pleural effusion. No definite pneumothorax. Present old with lucency of the upper lobes suggest pulmonary emphysema. The cardiac and mediastinal silhouettes are stable as compared to ___ AP chest radiographs. Multiple surgical clips are noted overlying the left axilla. | 52081881 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, respiratory distress // evidence of bleed TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Interval decrease in bibasilar opacities with possible minimal residua remaining. No new focal consolidation is seen. There is no pleural effusion. No definite pneumothorax. Relative lucency of the upper lung suggests pulmonary emphysema. The cardiac and mediastinal silhouettes are stable as compared to ___ AP chest radiographs. |
13921670 | AP upright and lateral views of the chest are provided. There are moderate bilateral pleural effusions with bilateral lower lobe opacities which could represent atelectasis versus pneumonia. Also noted is mild pulmonary edema with engorgement of the hilar vasculature. No pneumothorax is seen. The heart size cannot be assessed. Bony structures are intact. | 54249509 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Hypoxia and CHF, question pneumonia. | Moderate bilateral effusions with lower lobe consolidations, likely representing atelectasis/pneumonia. Mild pulmonary edema is likely also present. |
13921670 | As compared to prior chest radiograph from ___, there has been interval increase in pleural effusions bilaterally. There is loss of the right hemidiaphragmatic interface, likely related to increased pleural fluid. Multifocal nodular opacities on the right correspond to known lung nodules seen on prior CT of the chest from ___. There is persistent cardiomegaly and pulmonary vascular congestion. | 50441019 | INDICATION: ___-year-old man with CHF and pleural effusions. Study requested for evaluation of interval change in pleural effusions. COMPARISON: Prior chest radiographs from ___ through ___ and chest CT from ___. TECHNIQUE: Portable AP chest radiograph. | Persistent cardiomegaly and pulmonary vascular congestion with increased bilateral pleural effusions. |
13921670 | AP and lateral chest radiographs were obtained. Groundglass opacities are seen diffusely through the entire right lower lobe. The left lung is clear. Cardiomegaly is mild. There is no effusion or pneumothorax. | 54339561 | HISTORY: Shortness of breath. COMPARISON: ___ today at___. | Right lower lobe pneumonia. |
13921670 | Bilateral pleural effusions are again seen, slightly improved on the left with stable appearance on the right. There is also atelectasis within the right mid lung, likely due to atelctasis, however an underlying infection is also possible. There is no pneumothorax. The heart size is stable, allowing for relatively low lung volumes. | 53887644 | HISTORY: Crackles on physical exam. Evaluation for pleural effusion or pulmonary edema. COMPARISON: Comparison is made to multiple prior chest radiographs, including ___, dating back to ___. Comparison is also made to chest CT from ___. | Increased right mid-lung consolidation, likely due to atelectasis, however underlying infection cannot be excluded. Bilateral pleural effusions, slightly improved on the left and stable on the right. |
13404558 | The upright portable chest radiograph is obtained. Low lung volumes limit evaluation. Probable bronchovascular crowding accounts for opacity at the right medial lung base. No definite signs of pneumonia, aspiration, effusion, or pneumothorax. No signs of pulmonary vascular congestion. Cardiomediastinal silhouette is normal. Bony structures are intact. | 50897887 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Intracranial hemorrhage, question acute process in the chest. | Limited study given the low lung volumes, without acute intrathoracic process. |
13757265 | No focal opacity to suggest pneumonia is seen. No pneumothorax, pulmonary edema or significant pleural effusion is present. The heart size is top normal. There is tortuosity of the aorta. Note is made of surgical clips at the gastroesophageal junction. | 58177492 | INDICATION: Syncope TECHNIQUE: Two views of the chest. COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
13167585 | Cardiomediastinal contours are within normal limits and without change. There is no definitive evidence of pneumomediastinum or pneumothorax. Lung volumes remain slightly low, and lungs and pleural surfaces are clear. | 56688651 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recent hx choking on toothpick with negative EGD but with evidence possible pneumomediastinum on CXR (likely artifact). // Interval resolution of pneumomediastinum? COMPARISON: ___ | No definitive evidence of pneumomediastinum. |
13167585 | Lucency adjacent to the aortic knob may be artifactual, however pneumomediastinum is not entirely excluded. Cardiac silhouette is normal. No pneumothorax, pleural effusion, or consolidation. | 56217779 | WET READ: ___ ___ ___ 3:09 AM Lucency adjacent to the aortic knob may be artifactual, however pneumomediastinum is not entirely excluded. Recommend repeat frontal and lateral radiographs or CT chest for further evaluation. The findings and recommendations were discussed with ___, M.D. by ___, M.D. on the telephone on ___ at 3:05 AM, 2 minutes after discovery of the findings. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M choked on foreign body not supraglottic, persistent FB sensation // any FB visualized? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Lucency adjacent to the aortic knob may be artifactual, however pneumomediastinum is not entirely excluded. Recommend repeat frontal and lateral radiographs or CT chest for further evaluation. |
13899090 | The heart size is normal. The lungs are well expanded and clear. There is no evidence of pleural effusion or pneumothorax. The hilar and mediastinal contours are unremarkable. The visualized osseous structures are unremarkable. | 52105870 | INDICATION: ___-year-old male with a history of coronary artery disease and low oxygen saturation, who presents for evaluation. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process to explain patient's low oxygen saturation. |
13899090 | PA and lateral views of the chest are provided. Mild streaky bronchovascular lower lung opacities could represent crowding of bronchovasculature, though an atypical infection is difficult to exclude. No large effusion or pneumothorax. No frank signs of congestive heart failure. Cardiomediastinal silhouette is normal. Bony structures appear intact. Mild bilateral AC joint arthropathy is noted. | 56701971 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___: CLINICAL HISTORY: Shortness of breath and hypoxia, assess for fluid overload or pneumonia. | Bilateral streaky lower lobe opacities which could, in the right clinical setting, represent an atypical pneumonia. |
13972277 | A ventriculoperitoneal shunt courses through the soft tissues and into the abdomen. The lung volumes are low which causes crowding of the bronchovascular structures. There is mild vascular congestion and moderate cardiomegaly. There is no pulmonary edema, effusion or pneumothorax. The aortic knob is calcified. | 56195981 | CLINICAL INDICATION: Exposed intracranial hardware. Evaluate for acute process. COMPARISON: Chest radiograph performed ___. FRONTAL AND LATERAL VIEWS OF THE | Moderate cardiomegaly and mild vascular congestion. |
13958040 | The cardiac, mediastinal and hilar contours are unremarkable. There is lung volumes are low. There is no pleural effusion or pneumothorax. Opacities at the lung bases are faint but greater on the right than left. Elsewhere, lungs appear clear. | 56732780 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough. Right upper quadrant pain and tenderness. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | Basilar opacities, probably compatible with atelectasis, although developing pneumonia is not excluded. |
13912990 | A single frontal radiograph of the chest was acquired. There is persistent hyperinflation of both lungs, consistent with emphysema. Minimal bilateral lower lobe atelectasis is noted. The lungs are otherwise clear. A small left pleural effusion is increased compared to the prior study from ___. There is no definite right pleural effusion. No pneumothorax is seen. Previously identified nodular opacities in the right upper lung on the prior study from ___ are not appreciated on today's radiograph. The heart size is normal. Marked aortic calcifications are seen. | 58570716 | INDICATION: Shortness of breath for the past week with a history of aortic stenosis. Evaluate for pneumonia or pulmonary edema. COMPARISON: Chest radiograph from ___. | New small left pleural effusion, without evidence of pulmonary edema. No focal consolidation. |
13856945 | Right-sided Port-A-Cath terminates in the low SVC/ cavoatrial junction. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56067556 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever, on chemotherapy // Please eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13891700 | Endotracheal tube tip is 3 cm above the carina, right subclavian line ends in low SVC/cavoatrial junction, the tip of the feeding tube is in the proximal duodenum, single lead from the left pectoral ICD device is positioned in right atrium and right internal jugular catheter sheath tip is in mid SVC. Another linear radiopaque structure with its tip ending in the lower esophagus, is probably a core temperature monitoring device. Mild pulmonary edema is new since ___. However, given the low lung volumes, the severity of this could be exaggerated. Mediastinum is little wider than it was yesterday and bilateral pulmonary hila are prominent due to engorged pulmonary vasculature. Top normal heart size is unchanged. Minimal right lung base opacity is either atelectasis or a combination of atelectasis and pulmonary edema. | 51304134 | CHEST RADIOGRAPH INDICATION: ___-year-old man with respiratory failure secondary to pancreatitis, to evaluate for consolidation, effusion and collapse. TECHNIQUE: Supine portable chest view was read in comparison with prior chest radiograph from ___, over 24 hours. | Mild pulmonary edema, newly appeared over last 24 hours. |
13891700 | The lung volumes are extremely low. There is resultant mild widening of the cardiomediastinal silhouette. No consolidation, pulmonary edema, pleural effusion, or pneumothorax is detected. A left chest wall AICD device is seen with a lead in the expected position of the right ventricle. Previously noted pulmonary arterial enlargement, is less well seen in the current study. There is no intra-abdominal free air. | 52553459 | INDICATION: ___-year-old male with epigastric pain. COMPARISON: Chest radiograph ___. PORTABLE AP CHEST | No pneumoperitoneum or acute cardiopulmonary pathology. |
13891700 | Right lower lung volume loss secondary to right lower lobe collapse is overall unchanged. Any contribution from collapsed right middle lobe is indeterminate. Mild left lower lung opacity is probably atelectasis and constant. Mild pulmonary vascular congestion, widened mediastinum and moderate cardiomegaly is similar. Endotracheal tube ends 6.5 cm above the carina, right subclavian line tip is in the right upper atrium, right internal jugular sheath tip is at mid SVC, single lead from left pectoral ICD ends into the right ventricle, while feeding tube and orogastric tube terminate into the stomach appropriately. Pleural effusion, if any, are small bilaterally and unchanged. | 50737042 | CHEST RADIOGRAPH INDICATION: Pancreatitis and open abdomen, to evaluate for consolidation, effusion, collapse. TECHNIQUE: Semi-erect portable chest view was reviewed in comparison with prior chest radiographs, with the most recent from ___, approximately 24 hours apart. | Over last 24 hours, right lower lobe collapse is unchanged. Any contribution from middle lobe collapse is indeterminate. Mild pulmonary vascular and mediastinal congestion, moderately enlarged heart and presumed small bilateral pleural effusions are unchanged. |
13891700 | Tracheostomy tube terminates in the mid trachea, 2.6 cm above the carina. Right ventricular pacemaker/defibrillator courses in expected position. Nasogastric tube terminates in the stomach, and Dobbhoff tube tip is in the proximal duodenum. There is no significant pneumothorax. Lung volumes remain low, with increased left lower lobe atelectasis. Moderate cardiomegaly, central venous congestion, and interstitial/airspace edema persist. Aorta is tortuous and calcified. | 55772701 | INDICATION: ___-year-old male with pancreatitis, post-tracheostomy placement. COMPARISON: ___. CHEST, | Increased left lower lobe atelectasis. Moderate pulmonary edema. |
13891700 | A tracheostomy tube terminates 2.7 cm from the carina. Right ventricular pacemaker/defibrillator lead courses in standard position. Right internal jugular catheter terminates in the mid SVC. Right subclavian catheter ends at the cavoatrial junction. Dobhoff tube tip is at the proximal duodenum. There is no significant pneumothorax. Small bilateral pleural effusions are present. Lung volumes remain low, with improved bibasilar and persistent middle lobe atelectasis. Mild cardiomegaly, central venous congestion, and interstitial edema have slightly progressed. Thoracic aorta is tortuous and calcified. | 50213861 | INDICATION: ___-year-old male with tracheostomy placement. COMPARISON: ___. CHEST, | Low lung volumes, with decreased bibasilar atelectasis. Slight increase in pulmonary edema. |
13891700 | Cardiomegaly appears similar compared to prior. Pulmonary vascular congestion has decreased. The pulmonary arteries are enlarged, suggestive of pulmonary arterial hypertension. No pleural effusion or pneumothorax is seen. Cardiac pacing hardware appears similarly positioned. | 53452598 | INDICATION: ___-year-old male with epigastric pain; history of cardiomyopathy and congestive heart failure. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Decreased pulmonary vascular congestion with stable cardiomegaly. Enlarged pulmonary arteries, suggestive of pulmonary arterial hypertension. |
13891700 | A single portable semi-erect chest radiograph is limitted by portable techniqe and patient rotation. Lung volumes are low, accentuating the pulmonary vasculature. Mild to moderate pulmonary edema is stable. Small pleural effusions are similar. No consolidation or pneumothorax is present. Subclavian line ends at the cavoatrial junction. Endotracheal tube is in the mid clavicular line. Two enteric catheters project inferiorly below the field of view. A single defibrillator lead is seen connected to a generator in the left chest. | 53289033 | INDICATION: ___-year-old man intubated, pancreatitis complicated by abdominal compartment syndrome. COMPARISONS: ___, ___. | Grossly similar appearance of low lung volumes and mild-to-moderate vascular congestion. |
13011235 | ET tube terminates 3.2 cm above the carina. NG tube extends into the stomach. Right Port-A-Cath terminates in the lower SVC. Normal mediastinal contours. No cardiomegaly. Large, layering right pleural effusion previously visualized on CTA chest from ___ at 06:51 is likely secondary to known metastatic disease. | 58956477 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with a history of pancreatic cancer with pulmonary metastases, now with hemorrhagic stroke and status post right Port-A-Cath placement. TECHNIQUE: Portable AP chest radiograph COMPARISON: No true prior chest radiographs. Provided reference study from ___ is from a different patient. | Large, layering right pleural effusion likely secondary to known metastatic disease. Right Port-A-Cath terminates in the lower SVC. |
13528605 | There are large rounded opacities in the right lung abutting the upper right chest wall and in the perihilar region. There is additional opacity at the right lung base and the right hemidiaphragm is obscured. Inspiratory volumes are slightly low. Some perihilar increased perihilar markings and atelectasis at the right lung base is noted. Doubt CHF. No gross left effusion. | 54142069 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with lung cancer w/ obstructive pneumonia with continued labored breathing // concern for pleural effusions, pneumonia progression COMPARISON: Targeted review of chest CT from ___ | Complex opacification of the right lung, more completely characterized on CT obtained 1 day earlier. Probable minimal atelectasis and/or scarring in the left lung. Attention to these areas on followup radiographs is requested. |
13059205 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air. Old deformity is seen in the left mid shaft clavicle. | 56134404 | HISTORY: Right upper quadrant abdominal pain, question free air, pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13951763 | Normal heart size and hilar contours. Slight leftward deviation of the upper trachea. No focal consolidation, pleural effusion or pneumothorax. | 54712517 | INDICATION: ___ year old woman with new onset DOE. // Please evaluate for any lung abnormality. TECHNIQUE: Chest PA and lateral COMPARISON: None available | Slight leftward deviation of the head upper trachea could be related to thyroid enlargement, correlate with exam. Normal lungs |
13880267 | The inspiratory lung volumes are appropriate. There is no significant pleural effusion or pneumothorax. Faint opacification and blunting of the right costophrenic angle on the AP view may represent an early developing pneumonia. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits allowing for slight unfolding and tortuosity of the thoracic aorta. There is calcification of the aortic knob. Diffuse osseous demineralization is noted. There are multilevel degenerative changes in the thoracic spine. | 59468647 | HISTORY: Cough for the past week and dyspnea, here to evaluate for pneumonia. COMPARISON: No prior studies available for comparison. Technique: PA and lateral radiographs of the chest. | Airspace opacity in the right lung base may represent an early developing pneumonia. |
13880267 | Heart size is top normal. Aortic knob calcifications are present. Otherwise the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The right hemidiaphragm is slightly elevated compared to the left. The lungs are well-expanded without focal consolidation. There is mild prominence of the interstitial markings. The upper abdomen is unremarkable. | 59284934 | INDICATION: ___F with syncope, head strike, L ankle pain and swelling. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. Mild prominence of the interstitial markings |
13786130 | The heart is again enlarged. Mitral annular calcifications are present. The mediastinal and hilar contours appear unchanged. The pulmonary vascularity is indistinct, which is a new finding, suggesting mild vascular congestion. Patchy additional basilar opacities suggest atelectasis. The right glenohumeral joint is moderately narrowed with upward subluxation of the humeral head. The left humeral head is attenuated and flattened with a deformity of the glenoid and narrowing of the glenohumeral joint. Soft tissue calcifications also project immediately inferior to the joint. The bones are probably demineralized. | 56636411 | CHEST RADIOGRAPH HISTORY: Cough. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | Findings suggesting mild vascular congestion and minor bibasilar atelectasis. |
13786130 | Frontal and lateral radiographs of the chest demonstrate moderate enlargement of the cardiac silhouette, unchanged from prior. Aortic tortuosity is also unchanged. Bibasilar atelectasis is present. No pulmonary edema. No focal consolidation or pneumothorax. Small bilateral pleural effusions are noted. Multilevel degenerative changes of the thoracic spine have progressed compared to the prior study. | 56483041 | INDICATION: Cough and shortness of breath. COMPARISON: ___. | No evidence of pneumonia. Stable cardiomegaly with small bilateral pleural effusions. |
13786130 | Mild to moderate cardiomegaly persists. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Small left pleural effusion with left basilar opacity likely reflective of atelectasis is demonstrated, but infection is not excluded in the correct clinical setting. No right-sided pleural effusion is seen. There is no pneumothorax. No acute osseous abnormalities are present. | 51430379 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Lethargy, anorexia, dry cough. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Small left pleural effusion with left basilar opacity likely reflective of atelectasis. Infection cannot be completely excluded. |
13786130 | AP upright and lateral views of the chest were obtained. In comparison to the prior study, there is increased moderate-to-large left pleural effusion and adjacent compressive atelectasis. There is also increased mild pulmonary interstitial edema. The left heart border is obscured by the large effusion; however, the heart appears enlarged. Mediastinal contour is otherwise unremarkable. No pneumothorax. Degenerative changes are present in the spine. | 55947731 | INDICATION: ___-year-old woman with CHF and increasing lethargy, evaluate for pneumonia or CHF exacerbation. COMPARISON: ___. | Cardiomegaly, mild interstitial pulmonary edema, and moderate-to-large left pleural effusion have increased compared to the prior study. |
13921768 | Single AP view of the chest provided. A right atrioventricular pacemaker appears unchanged. The right lung is hypoinflated in relation to the left lung. There is mild vascular congestion consistent with fluid overload. No pneumothorax. Small, bilateral pleural effusions are seen with associated bibasilar atelectasis. Hilar contours are normal. The aorta is tortuous. Severe S-shaped is unchanged. | 50966773 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SOB/CHF // r/o pulm edema, pna COMPARISON: Chest radiograph ___ | There is mild vascular congestion consistent with mild fluid overload. Opacification of the right upper lung could be due to asymmetric pulmonary edema, scapula projecting over the lung or in the appropriate clinical setting pneumonia. Small, bilateral pleural effusions and associated bibasilar atelectasis. |
13921768 | Postoperative mediastinum with median sternotomy wires in place and multiple surgical clips. Heart size is normal. Diffuse right greater than left opacities have progressed compared to prior study in the background of emphysema. No large pleural effusion or pneumothorax. | 53297811 | EXAMINATION: Chest radiograph INDICATION: Dyspnea. TECHNIQUE: Frontal chest radiograph COMPARISON: ___ through ___. | Diffuse right greater than left pulmonary opacities likely representing pulmonary edema in the background of severe emphysema. |
13902639 | PA and lateral views of the chest provided. Lungs are hyperinflated with upper lobe lucency suggesting emphysema. 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. | 58180952 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/ persistent cough x___ y acutely exacerbated in the past few days pls r/o pneumonia COMPARISON: Prior CT of the chest from ___ | No acute intrathoracic process. |
13967997 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The hilar contours are stable. | 51356108 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dyspnea, chest pain. COMPARISON: ___. | No acute cardiopulmonary process. No displaced fracture. |
13437324 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Bibasilar opacities likely represent atelectasis. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | 56836302 | INDICATION: Syncope and hyperglycemia. COMPARISONS: ___. | No acute cardiopulmonary process. |
13730972 | Compared to exam from earlier the same day, there has been no significant interval change. Dense left basilar opacity is noted compatible with moderate pleural effusion with possible underlying consolidation. Minimal blunting of the right posterior costophrenic angle may be a small effusion. Given silhouetting of the left cardiac silhouette, cardiac size is difficult to assess but is likely enlarged. No acute osseous abnormalities | 58555980 | INDICATION: ___F with pericard and pleural effusion ,pls eval for inc pleur effus TECHNIQUE: PA and lateral views of the chest COMPARISON: Film from earlier the same day, ___, and chest CT from ___. | Left basilar opacity likely in part due to moderate pleural effusion with underlying atelectasis, infection is possible. Possible trace right pleural effusion. |
13860103 | The lungs are well expanded. Bibasilar opacities may be due to technique and overlying soft tissues. Superiorly the lungs are clear. The cardiomediastinal silhouette is normal. Previously seen right-sided central venous catheter is no longer visualized. There is no free intraperitoneal air. | 55438633 | INDICATION: ___F with sob, distended abd, pls eval for fluid vs hiatal hernia vs pna // History: ___F with sob, distended abd, pls eval for fluid vs hiatal hernia vs pna TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Bibasilar opacities may be due to atelectasis and overlying soft tissues. Consider PA and lateral further assess if patient is amenable. Otherwise no acute cardiopulmonary process, no free intraperitoneal air. |
13254547 | The ET tube is in adequate position. Lung volumes are somewhat low, with bronchovascular crowding. There is mild pulmonary vascular engorgement with minimal perihilar opacities. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. | 56752089 | WET READ: ___ ___ ___ 6:08 AM Mild pulmonary vascular engorgement with minimal perihilar opacities. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with intubation // evaluate intubation TECHNIQUE: Single portable semi upright AP image of the chest. COMPARISON: None. | Mild pulmonary vascular engorgement with minimal perihilar opacities. |
13113857 | The cardiac contour is unremarkable. Chronic obstructive pulmonary disease is noted. Chain sutures and surgical clips are seen in the upper lobes with associated volume loss and architectural distortion. Surgical clips are also noted in the mid right hemithorax. Old right upper rib deformities are identified. Both hila are enlarged and upwardly retracted. However, the right hilum is more dense and larger compared to the left. No focal consolidation, or pneumothorax is noted. Bilateral costophrenic angle blunting is present and linear scarring atelectasis is noted in the right lung base. | 57995993 | INDICATION: ___-year-old female with shortness of breath. COMPARISON: None. PORTABLE AP CHEST | Prominant right hilum. Recommend initial further evaluation with PA and lateral CXR to differentiate pulmonary artery enlargement from a hilar mass. Contrast-enhanced CT may also be considered, especially if the patient's prior surgeries were for lung malignancy. Findings were discussed with Dr. ___ at 7:30 am on ___ via telephone. Critical finding was discovered at 7:20am on ___. Small pleural effusions or pleural thickening. |
13113857 | The patient is status post bilateral upper lobe wedge resection procedures, and fiducial seeds are also demonstated. A confluent opacity is present in the right suprahilar region projecting posteriorly in close proximity to surgical chain sutures. Lungs are overinflated with evidence of bullous emphysema in the retrosternal region. Lungs are otherwise remarkable for scattered areas of linear parenchymal scarring. Heart size is normal. Bilateral hilar enlargement is present, with persistent asymmetry, right greater than left. Although possibly related to pulmonary hypertension, the presence of lymphadenopathy should be considered. Focal eventration of the left hemidiaphragm is present posteriorly. No definite pleural effusions. Diffuse osseous demineralization is noted as well as a wedge compression deformity in the mid thoracic spine which is of indeterminate age. Healed rib fractures are present bilaterally. | 51585861 | PA AND LATERAL CHEST ___, ___ COMPARISON: Chest ___, portable technique, earlier the same date. | Confluent mass-like opacity adjacent to surgical chain sutures in the right suprahilar region. Although possibly due to a focal pneumonia in the setting of COPD exacerbation, a neoplastic mass is also an important consideration in this patient with history of lung malignancy. In the absence of prior baseline CXR for comparison, CT of the chest ___ be helpful both to better characterize the focal lung abnormality, and to evaluate for possible right hilar lymphadenopathy. Findings communicated by telephone to Dr. ___ at 4:05 p.m. at the time of discovery on ___. |
13117076 | Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. A peripheral wedge-shaped opacity is seen within the lingula. The right lung is clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 56837456 | WET READ: ___ ___ ___ 8:51 PM Peripheral wedge-shaped opacity with the lingula is concerning for an area of infarction. Chest CTA is recommended for further assessment. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // evaluate for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None. | Peripheral wedge-shaped opacity with the lingula is concerning for an area of infarction. Chest CTA is recommended for further assessment. |
13991139 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. The patient is post cholecystectomy. | 56461160 | HISTORY: Chest pain and cough. COMPARISON: Radiographs available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
13296814 | AP portable upright view of the chest. A tracheostomy tube projects over the superior mediastinum. Since the prior exam, there is mild increase in pulmonary vascular congestion and development of mild pulmonary edema. No large effusion or pneumothorax. Mild cardiomegaly is stable. Mediastinal contour is unchanged. No pneumothorax or effusion. Bony structures are intact. | 57351010 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old gentleman with acute chest pain COMPARISON: Prior study from ___ at 16:00. | Interval development of mild pulmonary edema. |
13296814 | The lungs are somewhat hyperinflated, but clear. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. A catheter with balloon, presumably a gastrostomy to, is partially seen projecting over the left upper quadrant. | 50309144 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SOB // Pneumo TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. Mild cardiomegaly. |
13296814 | Marked cardiomegaly is accompanied by pulmonary vascular congestion and diffuse interstitial edema. More confluent areas of opacification overlie the lower spine on the lateral view and or also present to a lesser extent in the right upper lobe. Small pleural effusions are present, left greater than right. Hyper expansion of the lungs is in keeping with history of COPD. | 54502946 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with CHF, COPD, lung and laryngeal masses presenting with shortness of breath and cough. // Please evaluate for aspiration pneumonia and pulmonary edema COMPARISON: No prior chest radiograph | Observed findings likely representing combination of congestive heart failure and aspiration pneumonia. Followup radiographs after diuresis may be helpful in distinguishing the contribution of each process to the observed abnormalities. |
13912960 | Right chest wall Port-A-Cath is seen with catheter tip in the right atrium. The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is suggestion of a small hiatal hernia. Surgical clips project over the upper abdomen. No acute osseous abnormalities | 54451354 | INDICATION: ___F with weakness // eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: CTA chest from ___. | No acute cardiopulmonary process. |
13556596 | AP and lateral chest radiograph demonstrates clear lungs bilaterally. There is no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. | 55140193 | INDICATION: ___-year-old female with history of rectal cancer presenting with chest pain. TECHNIQUE: AP and lateral. COMPARISON: CT chest dated ___. | No acute cardiopulmonary process. |
13238889 | The large hiatal hernia seen on previous exam is not clearly delineated on the current exam. There is dense left basilar opacity silhouetting the hemidiaphragm, likely in part due to pleural effusion with underlying consolidation and/or atelectasis suspected. Small right pleural effusion is also noted. Superiorly, the lungs are clear. Cardiac silhouette is grossly unchanged. Prosthetic aortic valve is again noted. | 52448642 | INDICATION: ___F with recent surgery, ? delirium, hypoxia, cough // Eval for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: Abdominal CT from ___. Chest x-ray from ___. | Small right effusion. Left basilar opacity likely due to combination of effusion atelectasis and possible consolidation. |
13238889 | AP upright view of the chest provided. Large hiatal hernia with an intrathoracic stomach is again noted as seen on the previous CT. Side port of the nasogastric tube is in the portion of the stomach herniated up into the right hemithorax. Gas bubble in the antral portion of the stomach in the left hemithorax is similar to prior CT. Aortic valve replacement is again seen. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Scoliosis is again seen. No free air below the right hemidiaphragm is seen. | 51907369 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with nasogastric tube placement COMPARISON: Outside CT abdomen ___ | Side port of the nasogastric tube is in the portion of the stomach herniated up into the right hemithorax. |
13203790 | The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 59664612 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13492618 | PA and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is top normal in size and cardiomediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. | 50930035 | INDICATION: ___-year-old woman, ___ weeks pregnant presenting with cough for three weeks. COMPARISON: ___. | No evidence of pneumonia. |
13492618 | The cardiac size is top normal, probably slightly increased than the prior study. Lungs are clear. Hilar contours are unremarkable. No pleural effusion or pneumothorax. | 59524369 | HISTORY: Epigastric pain and vomiting, question free air. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | Top normal heart size, otherwise no acute cardiopulmonary process. |
13321760 | AP portable upright view of the chest. Midline sternotomy closure device again noted. The heart is stably enlarged and the mediastinal contour is markedly unfolded and widened in this patient with known history of aortic dissection. There is no focal consolidation, large effusion or pneumothorax. No evidence of pulmonary edema. Bony structures are intact. | 57075774 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with weakness, history of aortic dissection status post repair. COMPARISON: ___ and ___. | Cardiomegaly with stable prominence of the mediastinum in this patient with known aortic dissection status post repair. No superimposed edema or pneumonia. |
13321760 | The lungs are clear. There is no focal consolidation. Tortuous thoracic aorta with an enlarged aortic arch is stable from ___ as is degree of cardiomegaly. Limited portions of the upper abdomen demonstrate air in the stomach as well as small bowel loops in the right lower quadrant. There is no evidence of subdiaphragmatic free air. Surgical clips project over the right axilla. | 57967219 | WET READ: ___ ___ ___ 10:32 PM 1. No acute cardiopulmonary process. 2. No subdiaphragmatic free air. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with hematemesis, on a/c // please eval for FA TECHNIQUE: Portable upright abdominal radiograph COMPARISON: ___ | No acute cardiopulmonary process. No subdiaphragmatic free air. |
13321760 | The cardiac and mediastinal silhouettes are stable with the aorta tortuous and significantly dilated. Dextroscoliosis of the thoracic spine is again seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. | 50823538 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with AMS. hx of dissection // eval for pna, eval for dissection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Stable enlargement of the cardiomediastinal silhouette. Grossly stable enlargement of the tortuous aorta. No focal consolidation to suggest pneumonia. |
13321760 | The cardiomediastinal contour is markedly abnormal with moderate cardiomegaly but marked prominence of the aortic arch, this consistent with the patient's known dissection and aortic root graft. No consolidation or pneumothorax seen. No pleural effusion seen. | 58562352 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with chest pain // acute process TECHNIQUE: Portable AP chest radiograph. COMPARISON: CTA chest ___ | No significant interval change when compared the prior study. Markedly abnormal appearance of the thoracic aorta is similar when compared to the prior study. |
13321760 | When compared to prior, there has been no significant interval change. Significant enlargement of the thoracic aorta which is tortuous is again noted, compatible with prior dissection. The lungs are clear. The cardiomediastinal silhouette is stable. Mid thoracic dextroscoliosis is noted. Median sternotomy wires are again seen. | 53678527 | INDICATION: ___F with hx of dissection p/w dizziness // Widening of mediastinum (hx of type A dissection) TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___ chest x-ray and CTA chest. Chest x-ray from ___. | No significant interval change, no acute cardiopulmonary process. |
13321760 | Frontal and lateral views of the chest demonstrate no focal consolidations to suggest pneumonia. The aortic contours are unchanged with dilation of the aortic arch compatible with known dissection. There are stable bibasilar opacities. The trachea remains slightly deviated to the right. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. A severe dextroscoliosis is noted. | 55547133 | HISTORY: ___-year-old woman with possible stroke and dysarthria, rule out pneumonia. COMPARISON: Chest radiographs from ___. CTA torso ___. | No evidence of pneumonia. No interval change from priors. |
13321760 | Sternotomy wires and sternal closure device are intact. The right-sided central line tip sits in the superior SVC. There has been interval removal of the chest tube at the left thoracic base. Sequential images demonstrate advancement of a Dobbhoff tube that initially started coiled within the oropharynx and then coiled upon itself in the esophagus and then finally coils within the stomach. The heart size is at the upper limits of normal, but stable. The mediastinal contours are within normal limits. The lung volumes are low with bibasilar atelectasis and small bilateral pleural effusions. There is no pneumothorax. | 52332968 | HISTORY: ___-year-old female status post chest tube removal and Dobbhoff placement. STUDY: Portable AP upright chest radiograph. COMPARISON: Chest CTA from ___ and chest radiographs from ___ through ___. | Interval removal of chest tube without pneumothorax. Feeding tube coiled within the stomach. |
13321760 | Interval removal of a nasogastric tube. Median sternotomy wires are intact. Stable, severe cardiomegaly. Stable, moderate bilateral pleural effusions. Improving bibasilar opacification. Stable enlargement of the thoracic aorta. Multiple right healed rib fractures are again seen. No pneumothorax. | 55695372 | EXAMINATION: Portable AP chest radiograph. INDICATION: ___-year-old woman with a small bowel obstruction, undergoing preoperative evaluation prior to exploratory laparotomy. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Multiple prior chest radiographs, most recent from ___. | Unchanged, moderate bilateral pleural effusions with stable bibasilar opacification. |
13321760 | AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained seven and a half hours earlier during the same day. Status post sternotomy, tracheal intubation and right-sided internal jugular approach central venous line unchanged. Cardiac enlargement unaltered. The on previous examination existing basal haze on the right side has decreased and a local basal air-fluid level is now identified indicating successful thoracocentesis diminishing right-sided pleural effusion which was partially layered in posterior pleural compartments in this patient in almost supine position. Left hemithorax remains unaltered. There is no evidence of any pneumothorax in the apical area. Position of NG tube unchanged. | 51453601 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient status post type A thoracic aorta dissection repair, evaluate for pneumothorax status post thoracocentesis. | Successful right-sided thoracocentesis, no pneumothorax. |
13321760 | Median sternotomy wires are intact. Endotracheal tube terminates 3 cm above the carina. Nasogastric tube extends below the diaphragm. Right internal jugular venous catheter is in unchanged position, terminating at the cavoatrial junction. There is stable, severe cardiomegaly. Stable enlargement of the thoracic aorta. Apparent interval increase in size of bilateral, large pleural effusions is likely secondary to semi-erect positioning. No pneumothorax. Stable severe, right convex thoracic scoliosis. | 56929832 | EXAMINATION: Portable AP chest radiograph. INDICATION: ___-year-old woman status post exploratory laparotomy for small bowel obstruction, now with a postoperative re-intubation. Evaluate for interval change. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Multiple prior chest radiographs, most recent from ___. | Unchanged, bilateral, large pleural effusions. |
13860914 | A left pectoral pacemaker is unchanged with two leads terminating in the right atrium and right ventricle. The cardiac silhouette remains mildly enlarged, but stable. The mediastinal and hilar contours are within normal limits, with calcification of the aortic knob again noted. The pulmonary vasculature is not engorged. Mild streaky bibasilar opacities are most compatible with atelectasis. No focal consolidation concerning for pneumonia is detected. There is no pleural effusion or pneumothorax. Multilevel degenerative changes of the thoracic spine are noted. | 55035951 | INDICATION: Dyspnea, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
13860914 | Mildly enlarged cardiac silhouette is unchanged. Calcifications are again noted within the aortic arch, otherwise, the mediastinal and hilar contours are unremarkable. Pulmonary vasculature is persistently engorged but there is no pulmonary edema. Segmental atelectasis at the left lung base is new or worsse. Transvenous leads from a left-sided pacemaker end in the right atrium and right ventricle. | 54900363 | FINAL ADDENDUM ADDENDUM: The above impression and recommendation was e-mailed to the ED ___ nurses by Dr. ___ at 9:20 a.m. on ___. ______________________________________________________________________________ FINAL REPORT HISTORY: Congestive heart failure presenting with shortness of breath. Evaluate for pneumonia or pulmonary edema. COMPARISON: Chest radiograph ___. | Unchanged mild cardiomegaly and vascular congestion. Increased left basilar atelectasis. Suggest repeat CXR in 4 wks. If this does not clear Chest CT would be indicated to evaluate bronchial patency. |
13860914 | Single portable view of the chest. Left chest wall dual pacing device is again seen. Lungs are hyperinflated but clear of confluent consolidation or effusion. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormalities detected. | 51023066 | HISTORY: ___-year-old female with worsening shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
13495115 | Complete evaluation is limited due to significant patient rotation. Evaluation of the lung apices is also limited due to overlying patient's chin. There are bibasilar consolidations which have increased since the prior chest radiograph since ___ and are better characterized on concurrent chest CT. There is no pneumothorax. Cardiomediastinal and hilar contours are difficult to evaluate due to bibasilar opacities and patient rotation. Deformity of the thoracic cage due to old healed rib fractures is noted. | 52312086 | HISTORY: ___-year-old female with hypoxia COMPARISON: Chest radiograph from ___, chest CT from ___ and concurrent chest CT from the same day. PORTABLE AP CHEST | Increasing bibasilar opacities better characterized on concurrent CT and likely due to progression of interstitial lung disease. Please see concurrent chest CT report for details. |
13403526 | The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal in size. The mediastinal contours are normal. | 57610612 | INDICATION: History: ___M with calcaneal fracture. Pre-op // ?pna TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | No acute cardiopulmonary process. |
13982131 | Single frontal view of the chest. The patient is rotated with respect to the film. Endotracheal tube terminates 5.4 cm above the carina. NG tube side hole is at the level of the GE junction. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | 56435580 | HISTORY: ___ year old male with seizure, leukocytosis, and fevers. COMPARISON: None. | NG tube sidehole is at the level of the GE junction and NGT should be advanced for position of sidehole in the stomach. Endotracheal tube terminates 5.4 cm above the carina. Clear lungs. |
13982131 | Consistent with the given history, an endotracheal tube is present approximately 5.6 cm from the carina. A presumed nasogastric tube has also been placed with its usual course through the mediastinum, coiling in the gastric fundus with the distal tip not visualized. Post-pyloric placement cannot be excluded. The lungs are clear without consolidation or edema. Lung volumes are slightly diminished with elevation of the hemidiaphragms. No consolidation or edema is noted. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted on the supine radiograph. No displaced fractures are evident. | 58455313 | AP PORTABLE CHEST ___ AT ___ HOURS. HISTORY: Intubation. COMPARISON: None. | Endotracheal tube in satisfactory position. Please note details of presumed nasogastric tube placement. No acute pulmonary process. |
13356198 | Heart size is mildly enlarged. The aorta is slightly tortuous with atherosclerotic calcifications noted at the knob. The pulmonary vasculature is not engorged. The hilar contours are normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. 7 mm calcified granuloma is seen in the left upper lobe. There are no acute osseous abnormalities. Remote right distal clavicular fracture is noted. | 53296917 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with syncope TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13436119 | Single AP view of the chest was reviewed. An enteric tube is malpositioned in the right mainstem bronchus. ET tube is present in standard position. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. | 59246414 | INDICATION: New ET tube. COMPARISON: None. | Malpositioned enteric tube in the right mainstem bronchus. Standard position of ET tube. Dr. ___ ___ these results with Dr. ___ ___ telephone at 3:18 PM on ___. |
13436119 | Single AP view of the chest was reviewed. There has been interval repositioning of the OG tube with tip now terminating in the stomach and side holes past the GE junction. The ET tube remains in standard position. No new abnormalities of the mediastinum or lungs are appreciated. | 52398380 | INDICATION: OG tube placement. COMPARISON: Chest radiograph, ___. | Enteric tube now in standard position with no other changes. |
13588348 | Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. | 54239897 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of fatigue. COMPARISON: ___. | Low lung volumes. Otherwise, no acute cardiopulmonary process. |
13440412 | Lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Heart size is normal. | 55510878 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Chest pain. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: None provided. | No acute intrathoracic process. |
13117065 | Left-sided Port-A-Cath tip terminates in the lower SVC. The cardiac, mediastinal and hilar contours are stable. Patient is status post radiation treatment to the right upper lobe for small cell lung cancer, with relatively unchanged pleural thickening and atelectasis. A fiducial seed is also demonstrated within the inferior aspect of the treatment bed in the right upper lobe. Severe emphysematous changes are again noted with hyperinflation of the lungs. No new focal consolidation is present. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. No acute osseous abnormality is seen. | 51272515 | INDICATION: Hypoxia after blood transfusion. COMPARISON: CT torso ___. Chest radiograph ___. Chest CT ___. PA AND LATERAL VIEWS OF THE | No significant interval change compared to the prior exams with post-radiaton treatment changes in the right upper lobe for small cell lung cancer. Severe emphysema. No new areas of lung opacification are present, and there is no evidence of congestive heart failure. |
13117065 | In the right upper lobe, there are several sutures and radiopaque clips along with volume loss and opacities, all consistent with scarring from prior surgery and radiation therapy. The left lower lobe has a very thin line extending caudally which is difficult to discern from a skin fold. Given the patient's history of pain, repeat expiratory radiographs are recommended to rule out a pneomothorax. A Port-A-Cath terminates in the low SVC. There is no pleural effusion or pneumothorax, although again noted are severe emphysematous changes with hyperinflation of the lungs. No new focal consolidation is present. | 50286767 | HISTORY: ___-year-old woman with new left upper chest pain for three days and a history of small cell lung cancer. Please assess for spread of cancer. COMPARISON: Multiple prior studies, most recently a radiograph from ___ and CT torso from ___. PA AND LATERAL VIEWS OF THE | 1) Small possibility of pneumothorax of the left lung. Given the patient's clinically complaint, repeat expiratory and oblique views should be obtained to better evaluate this. 2) Post-radiation and surgical treatment changes in the right upper lobe. Discussed with ___ at 14:18 by ___ via telephone, 2 minutes after the initial discovery of the findings. |
13117065 | There is a small left pneumothorax which is stable in size compared to prior study. Architectural distortion with linear and pleural opacities at the right apex is stable and consistent with history of prior treatment. There is also a right lower lung nodule, better seen on the CT scan dated ___. Cardiomediastinal and hilar contours are stable. Left chest port remains with tip in the low SVC. | 57955630 | STUDY: PA and lateral chest x-ray. COMPARISON EXAM: PA and lateral chest x-ray ___, CTA chest ___. PA and lateral chest x-ray ___. INDICATION: ___-year-old with small cell lung cancer and left-sided pneumothorax. Evaluate interval change. | Small left pneumothorax is stable in size compared to prior study. |
13117065 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in comparison with the next preceding PA and lateral chest examination of ___ as well as special oblique chest views obtained of ___. Furthermore comparison was extended to a chest CT examination of ___. Position of previously described left-sided Port-A-Cath system is unchanged. Also unchanged appearance of the right-sided apical abnormalities apparently related to patient's known small cell lung cancer with several cystic lucencies and more linear densities surrounding the area. On chest CT examination of ___, a loculated left-sided pneumothorax was identified without causing any signs of tension or mediastinal shift. The small sized pneumothorax with maximal width of 2 cm occupied mostly the anterior pleural space as well as the mediastinal space of the pleura. Thus, the pneumothorax is difficult to identify on the standard PA and lateral chest views. The previously obtained oblique views raise the possibility of some pneumothorax extending into the left lateral basal pleural area. Throughout, left-sided lung remained well aerated without evidence of acute infiltrates. No evidence of pleural effusion. When comparison is made directly with the next preceding frontal view of the chest examination of ___, the area of suspicious extension into the left lateral basal area is less marked, suggesting that the pneumothorax is decreasing. | 52243740 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with left apical pneumothorax. Evaluate stability versus enlargement of left pneumothorax. | Loculated left-sided pneumothorax, mostly occupying mediastinal area of pleural space (shown on CT), difficult to identify on routine PA and chest examination. The present examination suggests regression, thus no evidence of new abnormalities. Further followup is recommended related to patient's symptomatology. Continuously well-aerated left lung does not call for placement of a chest tube at this time. Telephone contact with referring physician, ___. ___ was established at 3 p.m. and again at 4 p.m. |
13976720 | Left-sided subclavian central line tip terminates in the low SVC. There is no focal consolidation, effusion or pneumothorax. Opacification within the right middle lobe is consistent with atelectasis. Cardiomediastinal silhouette is stable. | 58811796 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with a history of HTN and HLD who presented with a leukocytosis, anemia, and thrombocytopenia and blasts on smear, then cytogenetics which showed AML; had pheresis line removed, central line placed, now s/p 7+3 but febrile ___ PM // Fever with neutropenia ___ PM, evaluate for pulmonary source TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. | No evidence of pneumonia. Mild right lower lobe atelectasis. |
13729061 | The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is mild rightward curvature of the thoracic spine. | 56348300 | INDICATION: Chest pain. Evaluate for cardiopulmonary disease, infiltrate. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiographs of the chest. | No acute cardiopulmonary abnormality. |
13651997 | AP portable upright view of the chest. There has been interval extubation and removal of an orogastric tube, mediastinal drain, and a left thoracostomy tube. A right IJ sheath remains. There is no pneumothorax. There is continued mild pulmonary vascular congestion but no overt edema. Multiple intact sternal wires are again seen. | 56505894 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p CT pull // eval for ptx COMPARISON: Chest radiograph from a ___. | Post extubation and removal of multiple support lines, including a left thoracostomy tube. No pneumothorax. |
13651997 | The patient is status post median sternotomy and CABG. Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities within the left lung base are compatible with areas of subsegmental atelectasis. No pleural effusion, focal consolidation or pneumothorax is present. An 8 mm nodular opacity is seen within the right upper lung field, new in the interval. Moderate multilevel degenerative changes are noted in the thoracic spine. | 52132760 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with dyspnea TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality. 8 mm nodular opacity within the right upper lung field, new in the interval. Further assessment with chest CT is recommended on a nonemergent basis. |
13651997 | An 8 mm right upper lung nodule is again identified. A rounded 3.8 cm opacity at the left hemidiaphragm could represent diaphragm eventration or pleural/parenchymal nodule. Right PICC line remains unchanged in the mid SVC. Lung parenchyma is unchanged from prior. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact. Left costophrenic angle blunting stable since ___, likely represents pleural thickening rather than pleural fluid. | 57232659 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with L knee septic arthritis, with wheezing and crackles on exam, evidence of volume overload on exam. TECHNIQUE: Chest portable COMPARISON: Chest radiograph dated ___. Chest radiograph dated ___. | 8 mm right upper lung nodule and nodular opacity at the left hemidiaphragm would be better assessed by dedicated chest CT. No evidence of pulmonary edema. |
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