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13206514 | The patient is status post median sternotomy and CABG. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen. The patient is status post ORIF with plate and screw fixation, of the left clavicle. | 56374333 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest pain // r/o pna TECHNIQUE: AP upright frontal view of the chest COMPARISON: None | Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG. No focal consolidation to suggest pneumonia. |
13548739 | PA and lateral radiographs of the chest demonstrate elevation of the left hemidiaphragm, more pronounced compared to the prior study. The lungs are clear without focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. The cardiac silhouette top normal size, unchanged. The mediastinal and hilar contours are within normal limits allowing for slight patient rotation. | 59984487 | INDICATION: Chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. | No radiologic evidence of acute thoracic abnormality. |
13370026 | The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Cholecystectomy clips are noted within the upper abdomen. | 52451234 | HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No acute cardiopulmonary process. |
13928077 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips are noted overlying the lower right hemithorax. | 56527954 | INDICATION: Dizziness. Evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. |
13339830 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50988638 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with seizure // eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13571108 | Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis. Remainder of the lung fields are clear. There is no pneumothorax. A Dobbhoff tube remains in place in the very proximal stomach and should be further advanced. | 53069779 | HISTORY: Cirrhosis now with right pleural effusion. TECHNIQUE: PA and lateral chest radiograph. 2 views. COMPARISON: ___. | Small right greater than left bilateral pleural effusions. Dobbhoff tube ends in the very proximal stomach and should be further advanced. |
13571108 | PA and lateral views of chest demonstrate an extensive left -sided pleural effusion with compressive atelectasis; an underlying pneumonia cannot be excluded. A tiny right pleural effusion may also be present. The cardiac silhouette also appears enlarged, but it is difficult to completely assess the left border given the large pleural effusion. The right lung is clear of focal opacities worrisome for pneumonia. There is no pneumothorax. | 54975015 | HISTORY: Hypoxia COMPARISON: ___ | Large left-sided pleural effusion with underlying atelectasis, underlying consolidation is not excluded. Difficult to assess, but possibly enlarging cardiac silhouette; query underlying pericardial effusion |
13571108 | The lungs are well expanded. An ill-defined nodular opacity projecting over the periphery of the lingula is noted, not seen clearly on the lateral view. Right lung is clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusions or pneumothorax is present. | 50920453 | WET READ: ___ ___ ___ 3:54 PM Ill-defined opacity projecting over the periphery of the lingula is concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT HISTORY: Shortness of breath. Evaluate for pneumonia. COMPARISON: Multiple chest radiographs, the latest from ___. | Ill-defined opacity projecting over the periphery of the lingula is concerning for pneumonia. |
13571108 | The lung volumes are low. The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen although the left costophrenic angle is excluded from the field of view. There are no acute osseous abnormalities. | 58074550 | HISTORY: Weakness and hypotension. TECHNIQUE: Portable AP view of the chest. COMPARISON: CT chest of ___. Chest radiograph ___. | No acute cardiopulmonary process. |
13425635 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Permanent pacer capsule in unchanged position in anterior left axillary region. Unchanged appearance of connecting intracavitary electrodes. The ICD device terminates in unchanged fashion in the right ventricular apical area and the left ventricular stimulating electrode passes again from the right atrium in the venous coronary sinus to terminate in the mid portion of obtuse marginal coronary vein. The positions of the wires remain completely unchanged in comparison with the previous study of ___. As before, the patient was unable to elevate left arm for the lateral view but image qualities are very acceptable. | 56835743 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with coronary artery disease, biventricular pacer with ICD device implanted on ___. Left ventricular threshold increased? Left ventricular lead dislodged. | Unchanged position of previously identified ICD device, in particular unchanged position of left ventricular electrode terminating in obtuse marginal coronary vein position. |
13425635 | PA and lateral images of the chest demonstrate a pacemaker in the left anterior axillary position. Despite the patient's inability to elevate his arm, there was clear visualization of important structures. There was no pneumothorax or other complications of the procedure. Mild aortic enlargement was visualized. There was no congestive pattern in the pulmonary vessels. There was no pleural effusion. Pacer leads follow the expected course to the left and right ventricles. Visualized osseous structures are unremarkable. | 54021643 | INDICATION: ___-year-old male status post ICD implantation, now requiring assessment of lead positioning. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Appropriate lead placement status post ICD placement with no pneumothorax or other complications seen. |
13652986 | There has been interval removal of a right-sided chest tube. A small right apical pneumothorax with medial component is new since ___. Mediastinal structures and cardiac borders are midline, unchanged. Right upper lobe opacity is likely postoperative. A right upper lobe nodule corresponds to finding on previous CT examination. No significant pleural effusion. | 52310711 | INDICATION: ___ year old man s/p R VATS RUL wedge // R/O PTX post CT removal TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. CT of the chest from ___. | Small right apical pneumothorax new since ___. |
13950795 | Focal opacity at the left cardiophrenic angle is compatible with a fat pad. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Extensive hypertrophic changes are noted in the thoracic spine. Surgical clips noted in the upper abdomen. | 51413921 | INDICATION: ___F with cough // pna? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. Correlation made to CT abdomen pelvis from ___. | No acute cardiopulmonary process. |
13365054 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There are multiple wedging deformities of the midthoracic vertebral bodies with greater than ___% loss of vertebral body height at multiple levels. | 52977640 | WET READ: ___ ___ ___ 11:04 AM 1. No acute cardiopulmonary process. 2. Multiple wedging deformities of the midthoracic vertebra with greater than ___% vertebral body height loss of unknown chronicity. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob with recent dvt // sob TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. Multiple wedging deformities of the midthoracic vertebra with greater than ___% vertebral body height loss of unknown chronicity. |
13449663 | PA and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded without focal consolidation concerning for pneumonia. Mild interstitial abnormality is likely chronic and most commonly seen in cigarette smokers or asthmatics. There is no pneumoperitoneum. | 51466911 | INDICATION: Abdominal pain post-colonoscopy, query pneumoperitoneum. COMPARISON: None. | No pneumoperitoneum or other acute process. |
13176864 | The heart size is top normal. The aorta is mildly unfolded with atherosclerotic calcifications noted at the aortic arch. Diffuse ground-glass airspace opacities are noted in both lungs with mild perihilar haziness. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51150345 | HISTORY: Substernal chest pressure. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | Mild to moderate pulmonary edema. An underlying atypical infectious process is not excluded in the correct clinical setting and follow up radiographs after diuresis are recommended. |
13176864 | Portable upright frontal chest radiograph demonstrates interval removal of a left chest tube. Airspace opacity is similar in distribution bilaterally likely reflecting edema accentuated by low lung volumes. A right pleural effusion is increased. The postoperative cardiac silhouette and mediastinal contours are unchanged. Median sternotomy wires are unchanged. There has been interval removal of an endotracheal tube, NG tube, epicardial pacing wires, right IJ sheath, and Swan-Ganz catheter. There may be a trace left pneumothorax without evidence of tension. The stomach is distended with air. | 50389902 | HISTORY: ___-year-old female with removal of chest tube, evaluate for pneumothorax. COMPARISON: ___. | Increasing right pleural effusion and pulmonary edema, exaggerated by low lung volumes status post extubation. |
13176864 | The heart size is within normal limits. The mediastinal and hilar contours are normal. Again are seen diffuse areas of ground-glass opacities are similar to slightly improved in extent from prior exam. There is no large pleural effusion or pneumothorax. No pulmonary consolidation is present. | 51343698 | HISTORY: ___-year-old female with severe aortic stenosis and coronary artery disease, now with concern for pulmonary fibrosis versus volume overload; recent diuresis performed. STUDY: AP portable upright chest radiograph. COMPARISON: Chest radiograph and chest CTA from ___. | Diffuse ground-glass opacities with minimal improvement after diuresis most compatible with either an atypical infection or inflammatory process. |
13176864 | The current film is considerably better penetrated than the prior film of ___. The degree of failure is probably the same. Some areas show more opacification, others less. The right effusion, however, is probably less. | 51323657 | CLINICAL HISTORY: Pulmonary edema, on therapy, evaluate for improvement. | Little change in the degree of failure. |
13675141 | Postoperative appearance of the right lung is unchanged. The lungs are clear with no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal contours are normal. Median sternal wires are intact with the exception of the known fracture of the inferior most portion of the inferior wire. No concerning osseous lesion is seen. | 58885610 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with electrolyte abnormality, prior osteosarcoma. Evaluate for bony lesion or pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13697758 | The cardiomediastinal and hilar contours are within normal limits. The aorta is unfolded. Lung volumes are low which accentuates bronchovascular markings. There are bibasilar opacities as well as a patchy opacity an the right upper lobe. There is no pleural effusion or pneumothorax identified. | 58642811 | INDICATION: History: ___F with Right flank pain failed microbid with culture senstibity // eval for pna eval for kidney stone TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___ | Focal right upper lobe opacity, which could potentially represent infectious pneumonia, aspiration, or atelectasis. Bibasilar opacities are suggestive of atelectasis based on appearance on concurrent CT abdomen/pelvis. |
13662179 | Pulmonary nodules are re- demonstrated although better assessed on prior CT. Confluent lateral right mid lung opacity and bibasilar opacities are worrisome for multifocal pneumonia. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. | 51044242 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with SOB and LLL rales // infiltrate? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Evidence of pulmonary nodules, better assessed on CT. New lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia. |
13662179 | AP and lateral chest radiograph demonstrates bilateral opacities better appreciated on recent dedicated chest CT dated ___ consistent with lung nodules. The largest opacity within the left lower lobe is best demonstrated on the lateral radiograph which measures approximately 2 cm in diameter. Low lung volumes accentuate the cardiac silhouette and result in crowding of bronchovascular structures, particularly at the bases. Attenuation of upper lobe vessels corresponds to emphysema on recent CT. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. | 53836307 | INDICATION: History: ___M with DOE // Pulmonary edema or pneumonia? TECHNIQUE: AP and lateral COMPARISON: CT chest dated ___. | Emphysematous changes with bilateral nodules, better evaluated on CT dated ___. No convincing evidence of pulmonary edema or consolidation worrisome for infectious process. |
13267346 | Persistent basilar predominant interstitial lung disease as evaluated on recent chest CT. No focal consolidation, effusion, edema, or pneumothorax. The heart remains mildly enlarged. Enlarged mediastinal lymph nodes on the recent chest CT are not as well appreciated on this radiograph. A hiatal hernia is small. No acute osseous abnormality. Multilevel degenerative changes in the thoracic spine are mild. | 52640019 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with lupus, interstitial lung disease, and esophageal dysmotility presenting with ___ chest pain radiating to the back as well as shortness of breath. Evaluate for cardiopulmonary process causing the patient's chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. CT chest dated ___. | Bibasilar interstitial lung disease has been more fully characterized by a recent CT. No definite superimposed secondary process such as pneumonia, although subtle new abnormalities may be difficult to detect in the setting of chronic lung disease. |
13267346 | Lung volumes are low with reticular interstitial opacities and indistinct left diaphragm. No evidence of pneumonia, pleural effusion, or pneumothorax. The heart is top normal is size. | 55752776 | INDICATION: ___ year old woman with cough X 3 months // ?lung pathology TECHNIQUE: Chest PA and lateral COMPARISON: CT of the abdomen and pelvis from ___. | Possible interstitial lung disease and early fibrosis. No pneumonia. |
13831580 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. There is no pulmonary edema. | 55371824 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Fatigue. COMPARISON: ___. | No acute cardiopulmonary process. |
13197884 | Single AP upright portable view of the chest was obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. | 55120288 | FINAL ADDENDUM Patchy retrocardiac opacity most likely represents atelectasis. ______________________________________________________________________________ FINAL REPORT EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: ___-year-old male with history of AFib, RVR; question pneumonia, CHF. COMPARISON: None. | No acute cardiopulmonary process. |
13899061 | AP upright portable chest radiograph provided. A PICC line is again seen with right upper extremity access and the tip at the level of the mid SVC. An NG tube courses into the left upper quadrant. Clips are noted in the upper abdomen. The heart appears top normal in size, though this could be due to technical factors. Subtle perihilar opacities could represent bronchovascular crowding though the possibility of mild edema is not excluded. No large effusion is seen, though the right CP angle is partially excluded. No pneumothorax is present. Bony structures appear intact. | 54812756 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever, question pneumonia. | Possible mild pulmonary vascular congestion. Limited exam. PICC line and NG tubes appear appropriately positioned. |
13899061 | Single AP portable radiograph of the chest demonstrates the opaque portion of a Dobbhoff tube straddling the gastroesophageal junction. The tip of the tube is overlying the stomach. A right-sided PICC line is unchanged compared to the prior radiograph. No other relevant changes noted compared to the prior radiograph. | 56288450 | HISTORY: Assess for Dobbhoff placement in stomach. COMPARISON: ___. | Satisfactory position of Dobbhoff tube with tip past the gastroesophageal junction. |
13899061 | Portable semi-upright radiograph of the chest demonstrates persistent hazy opacities at the bilateral bases, consistent with layering of pleural effusion and adjacent atelectasis, right greater than left. Overall, this is stable from the prior study. Cardiomegaly is unchanged. Retrocardiac opacity is unchanged. There has been interval removal of the monitoring and support devices. No pneumothorax. | 50930544 | HISTORY: ___-year-old man with altered mental status and desaturation. Evaluate for volume overload versus aspiration. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | Stable appearance of bibasilar opacities, likely layering pleural effusions with adjacent atelectasis. |
13899061 | Portable semi-upright radiograph of the chest demonstrates a very dense left lower lobe consolidation, with some probable volume loss, progressed from ___. This likely represents atelectasis versus pneumonia. There is a moderate size right-sided pleural effusion. Mild pulmonary edema. Stable appearing left-sided perihilar opacity. The ET-tube is in good position. Nasogastric tube is in the stomach and off the image. No pneumothorax. | 55086378 | HISTORY: ___-year-old male with new ETT placement. COMPARISON: Prior radiograph of the chest dated ___ through ___. | ET tube in good position. Very dense left lower lobe consolidation, with some probable volume loss, progressed from ___. This likely represents atelectasis versus pneumonia. |
13641998 | PA and lateral chest views were obtained with patient in upright position. The heart is mildly enlarged. The configuration suggests a prominence of the left ventricular contour, but there is no significant enlargement of the left atrium. The thoracic aorta is moderately widened and elongated, but without local contour abnormalities or prominent wall calcifications. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present. There is a mild blunting of the right lateral pleural sinus extending into the posterior pleural sinus. The left lateral and posterior pleural sinuses are also free. No pneumothorax in the apical area on frontal view. Moderate degree of degenerative changes in the form of bridging osteophytes are seen in the mid portion of the thoracic spine, but there is no evidence of vertebral body compression. When comparison is made with the next preceding portable chest examination, the pulmonary vascular pattern was more prominent. It coincided also with significantly poorer inspiration with high diaphragms as compared to the present examination. This resulted in a crowded appearance of the pulmonary vasculature. The patient also may have been over hydrated at that time when examined in the emergency ward. This congestive pattern has completely normalized on today's examination. | 56321804 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with end-stage renal disease on hemodialysis. Now with fever and altered mental status, evaluate for infiltrate. | Mild cardiac enlargement and moderately widened and elongated thoracic aorta, consistent with systemic hypertension. No evidence of pulmonary congestion. Small right-sided pleural scar formation. Otherwise, findings within normal limits. |
13641998 | Single frontal AP view of the chest provided. There is mild pulmonary edema. Elevated right hemidiaphragm is noted. No large effusion or pneumothorax. The heart is mildly enlarged. No bony abnormalities. | 54706183 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Altered mental status, assess for pneumonia. | Mild pulmonary edema and mild cardiomegaly. |
13689520 | Lung fields are clear. The cardiomediastinal silhouette is within normal limits. No radiopaque foreign bodies seen within the chest. On the lateral view a 1.7 cm linear density projects over the transverse colon. This lesion is not confirmed on the abdomen from the same date, suggesting this lies outside the patient. No definite radiopaque foreign body seen. | 51566802 | WET READ: ___ ___ ___ 3:06 PM No definite intra-abdominal or thoracic radiopaque foreign body seen. Lung fields are clear. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M presenting after swallowing a small tile this AM with his pills. // asses location of tile TECHNIQUE: Chest PA and lateral COMPARISON: Abdomen radiograph ___ and multiple priors. | No definite intra-abdominal or thoracic radiopaque foreign body seen. Lung fields are clear. |
13269330 | New pleural tube has been placed in the left lung with tip ending at mid thoracic field. The moderate to severe bilateral pleural effusion is reduced, especially on the left. Cardiomediastinal silhouette is unchanged and normal. There is no pneumothorax | 53752266 | HISTORY: ___-year-old woman with metastatic lung cancer. COMPARISON: Exam is compared to chest x-ray of ___. | Left chest tube has been placed with reduction of the bilateral pleural effusion, especially on the left |
13110959 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. No apical scarring is identified. Mild thickening of the fissues is of uncertain significance. The cardiomediastinal silhouette is normal. | 52831153 | INDICATION: Cough and night sweats. Evaluate for tuberculosis. COMPARISONS: None. | No acute cardiopulmonary process; specifically, no evidence of active or latent tuberculosis. |
13030331 | Frontal and lateral chest radiographs demonstrate clear well-expanded lungs without pleural effusion or pneumothorax. There is mild cardiomegaly, the mediastinal contour is notable for tortuosity and dilatation of the aorta, unchanged. The right paratracheal stripe is widened by an osteophyte. Minimal right infrahilar peribronchial thickening may reflect chronic aspiration. There is multilevel degenerative change of the thoracic spine. There is no vertebral compression deformity. | 55460986 | HISTORY: ___-year-old female with chest pain and shortness of breath. COMPARISON: ___. | No acute chest abnormality. Tortuous aorta, with dilation of the ascending aorta. |
13030331 | Frontal and lateral views of the chest were obtained. The findings are without significant interval change since the prior study. The aorta is tortuous and dilated(ascending aorta), unchanged. Right paratracheal opacity is stable, representing combination of osteophytes and vascular structures, as seen on chest CT from ___. The cardiac silhouette is top normal to mildly enlarged, stable. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Hilar contours are stable. | 59260263 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Epigastric pain, evaluate for free air or consolidation. COMPARISON: ___. | No significant interval change. |
13948872 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 59066492 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with fleeting cp // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
13406208 | The cardiomediastinal and hilar contours are normal. The lungs show an area of linear density in the left upper lung which correlates to an area of consolidation on ___ CT. The nodular density projecting over the left hemidiaphragm likely represents a nipple shadow and was seen on prior exam; the nodular density over the right hemidiaphragm correlates to a nodule seen on ___ CT and has increased in size. There is no pleural effusion or pneumothorax. | 55841371 | WET READ: ___ ___ 12:05 PM 1. Left upper lung linear opacity may represent lingering/residual pneumonia or an area of bronchiectatic inflammation - reimaging after treatment may be considered. 2. Increase in right lower lung nodule size; reimaging with nipple markers may be considered. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with chest tightness. STUDY: Portable AP upright chest radiograph. COMPARISON: ___. | Left upper lung linear opacity may represent lingering/residual pneumonia or an area of bronchiectatic inflammation - reimaging after treatment may be considered. Increase in right lower lung nodule size; reimaging with nipple markers may be considered. Findings were posted to the Critical Results Dashboard at 15:11 on ___ by ___ |
13406208 | The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Right lower lobe ill-defined opacity is concerning for pneumonia. No pneumothorax or pleural effusion is seen. Emphysematous changes are re- demonstrated as well as hyperinflation of the lungs, and scarring within the left upper lobe is similar compared to the prior exam. Oral contrast material is seen within colonic loops of bowel in the left upper quadrant of the abdomen. No acute osseous abnormalities are detected. | 53078634 | WET READ: ___ ___ ___ 7:35 PM Findings concerning for right lower lobe pneumonia. Followup radiographs to resolution are recommended after treatment. ______________________________________________________________________________ FINAL REPORT HISTORY: Weakness. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___ chest radiograph. Chest CT ___. | Findings concerning for right lower lobe pneumonia. Followup radiographs to resolution are recommended after treatment. |
13406208 | Frontal and lateral views of the chest were obtained. Lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. Projecting over the right lower lung, is a 1.1 cm ovoid opacity which may represent a nipple shadow, which can be confirmed with repeat with nipple markers. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Prominence of the trachea right above the level of the clavicles is stable. | 54335062 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Inability to swallow, weight loss. COMPARISON: ___. | Hyperinflated lungs may relate to COPD. 1.1 cm ovoid opacity projecting over the right lower lung field may relate to a nipple shadow, but which should be confirmed with repeat with nipple markers. |
13559144 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 58497216 | EXAMINATION: Chest radiograph INDICATION: Chest pain and dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13588142 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is minimal subsegmental atelectasis at the bases. There is no focal consolidation, pleural effusion or pneumothorax. | 58950981 | EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with severe cough for days // ? infiltrate ? infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior chest radiograph from ___. | No acute cardiopulmonary process. |
13107879 | Frontal and lateral chest radiographs demonstrate similar lung volumes, without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are unchanged. Pulmonary vasculature appears normal. Note is made of pectus excavatum and S-shaped scoliosis of the thoracic spine. Wedge deformity of T11 is unchanged. | 59014530 | HISTORY: ___-year-old male with lower extremity edema. Evaluate for cardiomegaly, effusions. COMPARISON: ___. | No acute chest abnormality. |
13209863 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Elevation of the right hemidiaphragm is chronic. No acute osseous abnormality is detected. | 56186599 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cirrhosis TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13596222 | The heart size, mediastinum, and hilar contours are normal. Bibasilar streaky opacity likely due to atelectasis. The lungs are otherwise clear without focal consolidation, pneumothorax, or pleural effusion. | 55109431 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with acute L sided chest pain, abn EKG. Eval ? PTX, mediastinal abnormalities TECHNIQUE: Portable AP upright views of the chest. COMPARISON: None available. | No acute cardiopulmonary process. |
13536659 | 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. No free air below the right hemidiaphragm. | 52539735 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with RUQ pain // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13545573 | The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. | 57891131 | INDICATION: Cough and fever. COMPARISON: None available. | No acute cardiopulmonary process. |
13869069 | Frontal and lateral views of the chest were obtained. The lateral views are suboptimal due to the patient's overlying arm. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical hardware is partially visualized in the cervical spine as well as overlying ___. | 57846862 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Cough and elevated WNC COMPARISON: No prior chest radiograph available for comparison. | Suboptimal lateral view due to the patient's overlying arms. Given this, no acute cardiopulmonary process. |
13420279 | Frontal and lateral chest radiographs again demonstrate median sternotomy wires and surgical clips along the left heart border compatible prior CABG. The cardiomediastinal silhouette is within normal limits. Lungs are well aerated without focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is normal. The visualized upper abdomen is unremarkable. | 56351452 | INDICATION: History: ___M with extensive cardiac history status post CABG now with three days of chest pressure similar to prior anginal symptoms //evaluate for cause of chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13420279 | PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 55274725 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with new onset afib, generalized fatigue COMPARISON: None | No signs of congestion or edema. |
13852390 | PA and lateral views of the chest provided. Lungs are clear bilaterally. No focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Visualized bones and soft tissue are normal. No free air below the right hemidiaphragm. | 50587175 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest tightness w hx of asthma COMPARISON: None | No acute intrathoracic process. |
13983841 | New moderate interstitial pulmonary edema. Moderate cardiomegaly has also increased in size. The pulmonary vessels are more prominent. There is no pleural effusion or pneumothorax. | 57368940 | PORTABLE AP CHEST X-RAY INDICATION: Patient with shortness of breath and cough since a month, rule out infiltrate or congestive heart failure. COMPARISON: ___. | New moderate interstitial edema with increased moderate cardiomegaly. Dr. ___ has been verbally contacted for the results at 3:15 p.m. Time of the exam 2:49 p.m. |
13983841 | The heart is moderately enlarged, and is larger than on the prior study. Prosthetic valves and sternal wires are visualized. There is pulmonary vascular redistribution and increased interstitial markings . There are focal alveolar infiltrates in both lower lungs. While these could be due to pulmonary edema ,superimposed infection can't be exclude | 52250234 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pancreatic CA, h/o gemcitabine induced pneumonitis, p/w fever, now with recurrent fevers // r/o pneumonia TECHNIQUE: Portable chest COMPARISON: ___ | Pulmonary edema. A superimposed infection can't be excluded |
13983841 | There are bilateral hazy opacities throughout the lungs, right greater than left, likely progressed since recent CT scan based on scout view. Trace right pleural effusion is noted. The cardiac silhouette is enlarged but unchanged. The mitral and tricuspid valve replacements are identified. Median sternotomy wires are seen. IVC filter is identified as well surgical clips in the upper abdomen. | 50837814 | INDICATION: ___M with DOE // r/o acute process TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ chest CT. | Bilateral parenchymal opacities, right greater than left have progressed since recent CT. This could represent edema or infection including possibility of atypical infection. |
13983841 | The cardiomediastinal and hilar contours are within normal limits. There is evidence of a mitral and tricuspid valve replacement. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. | 54091610 | EXAMINATION: CHEST RADIOGRAPHS. INDICATION: History of recent PE on A/C but not theraputic presenting with same Sx of weakness as when diagnosed with PE originally. // PNA? Cardiopulmonary process? TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Prior chest radiograph and torso CTA from ___. | No acute cardiopulmonary process. |
13281017 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No displaced fractures are visualized. | 54390624 | HISTORY: Fall from ___ feet. TECHNIQUE: Supine AP view of the chest. COMPARISON: None. | No acute traumatic injury identified. |
13296400 | There is somewhat widened appearance of the mediastinum, which may be due to tortuous thoracic aorta and enlargement of the right hilum. The lung volumes are low, carotid in the pulmonary vasculature. Otherwise, the lungs are clear there is no evidence of pleural effusion or pneumothorax. Gaseous distension of the multiple bowel are seen in the abdomen. | 53690220 | WET READ: ___ ___ ___ 10:50 AM Mild widened appearance of the mediastinum, which may be secondary to low lung volumes, increased pulmonary pressure. However, in the absence of priors and given history of recent trauma, acute aortic injury may be suggested. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with MVC*** WARNING *** Multiple patients with same last name! // r/o trauma TECHNIQUE: Chest PA and lateral COMPARISON: None. | Mild widened appearance of the mediastinum, which may be secondary to low lung volumes, increased pulmonary pressure. However, in the absence of priors and given history of recent trauma, acute aortic injury may be suggested. |
13011740 | There has been interval improvement since the prior exam. Prior pleural effusions have resolved. The lungs are clear without consolidation or edema. Mild cardiomegaly is noted as well as tortuosity of the descending thoracic aorta. Median sternotomy wires are intact. No acute osseous abnormalities. Surgical clips are noted at the thoracic inlet. | 55343460 | INDICATION: ___F with dyspnea // ?PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Mild cardiomegaly without superimposed acute cardiopulmonary process. |
13011740 | The right-sided PICC line tip overlies the mid/distal SVC, similar to prior. The cardiomediastinal silhouette is unchanged, with sternotomy wires noted. There is persistent retrocardiac opacity, with obscuration of left hemidiaphragm and bibasilar atelectasis. There are small bilateral effusions, best seen on lateral view. Clips noted about the trachea at the level of the thoracic inlet, unchanged. No pneumothorax or new focal infiltrate is identified. No significant CHF. | 59145911 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p CABG // f/u effusions, atx COMPARISON: Chest x-ray from ___ at 17:33 | Essentially unchanged compared with ___. Small bilateral effusions, left lower lobe collapse and /or consolidation, and bibasilar atelectasis again noted. No pneumothorax detected. |
13011740 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 55891679 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with HLD, HTN, DM presenting with chest pain // evaluate for intracardiac abnormality TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13900415 | The hila are prominent, with some peribronchial cuffing. There is no focal opacity to suggest pneumonia. There is no pulmonary edema, pleural effusion, pneumothorax. The cardiomediastinal silhouette is normal. | 59986806 | INDICATION: History of asthma and coughing. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No evidence of pneumonia. Peribronchial cuffing could represent an underlying viral illness. |
13900415 | Subtle opacity in the right mid lung is new since ___. Lungs are otherwise clear without effusion or pneumothorax. Cardiomediastinal silhouette is normal. | 59904298 | WET READ: ___ ___ ___ 11:39 AM Faint opacity in the right mid lung is new since ___, and could represent a developing pneumonia, given the clinical history. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, fever. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and ___. | Faint opacity in the right mid lung is new since ___, and likely represents a developing pneumonia, given the clinical history. |
13900415 | No focal consolidation is seen. There may be subtle perihilar peribronchial thickening which is less conspicuous as compared to the prior study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59696250 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with wheezing and cough. // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No focal consolidation. Possible subtle mild perihilar peribronchial thickening, left severe as compared the prior study, could be due to viral or small airways disease. |
13578420 | Cardiac silhouette size is normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable, and the pulmonary vasculature is not engorged. Lungs are hyperinflated with attenuation of the pulmonary vascular markings towards the apices, compatible with emphysema. No No focal consolidation, pleural effusion or pneumothorax is present. Streaky linear opacities within the lung bases likely reflect atelectasis. There is no pleural effusion or pneumothorax. Scarring within the lung apices is re- demonstrated. There are mild degenerative changes in the thoracic spine. | 58441480 | HISTORY: Congested cough for several days, weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No radiographic evidence for pneumonia. Emphysema. |
13146404 | The lungs are hyperinflated but clear without consolidation. There is biapical pleural based scarring as on prior, as well as likely scarring at the right upper lung laterally. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 53546353 | INDICATION: ___F s.p fall // any cpd or fxs TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Hyperinflation without focal consolidation. |
13146404 | PA and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unchanged compared to the prior examination. The lungs are symmetrically expanded and hyperinflated with biapical scarring as before. There is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vascularity is within normal limits. There is however a new round 1 cm nodule projecting over the cardiac silhouette on the lateral view, potentially localizing to the right perihilar region on the frontal view. | 56228986 | WET READ: ___ ___ ___ 4:52 PM No evidence of acute intrathoracic abnormality. New nodule in the chest, potentially on the right as above, for which dedicated CT is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old female with shortness of breath. COMPARISON: ___. | No evidence of acute intrathoracic abnormality. New nodule in the chest, potentially on the right as discussed above, for which dedicated CT is suggested. This recommendation was discussed by Dr. ___ with Dr. ___. |
13146404 | The lungs are hyperinflated but clear. There is no focal consolidation. Mild calcified biapical pleural thickening is noted. Heart size is normal. Osseous structures are intact. No pleural effusion or pneumothorax. | 54026637 | WET READ: ___ ___ ___ 3:14 PM Chronic changes, but no acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with shortness of breath // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Chronic changes, but no acute intrathoracic process. |
13146404 | The lungs are hyperinflated. There is no focal consolidation. There is biapical calcified pleural thickening. The heart is normal in size. The aorta is mildly tortuous and calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. There are degenerative changes in the spine. | 55389472 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY History: ___F with SOB, mild cough // please evaluate for an infiltrate please evaluate for an infiltrate COMPARISON: ___ | COPD. No acute change. |
13876470 | A left ICD device has leads taking an expected course and terminating in the right atrium, right ventricle, and coronary sinus. Bibasilar linear atelectasis is somewhat worse than yesterday. Mild to moderate cardiomegaly is unchanged. The mediastinal silhouette and hilar contours are stable. Small bilateral pleural effusions are noted. There is no pneumothorax. | 57530925 | HISTORY: Man with BNIVICD implant. Evaluate lead position. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Multiple prior radiographs the chest most recent ___. | Left ICD device has leads terminating in the right atrium, right ventricle, and coronary sinus. |
13968458 | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 53574385 | INDICATION: History of chest pain. Please evaluate for pneumothorax. COMPARISONS: None. TECHNIQUE: PA and lateral radiographs of the chest. | No acute intrathoracic abnormalities identified. |
13286078 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The size of the cardiac silhouette is mildly enlarged and unchanged from the prior exam. The mediastinal and hilar contours are normal. Again noted are flowing anterior osteophytes in the thoracic spine, consistent with diffuse idiopathic skeletal hypertrophy. | 55245527 | INDICATION: Bradycardia and dizziness. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. Stable mild cardiomegaly. |
13286078 | Minor left basilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is stable, mildly enlarged. Mediastinal and hilar contours are stable. Aortic arch calcification is seen. There is no overt pulmonary edema. Some degenerative changes are seen at the shoulder and acromioclavicular joints, as well as along the spine. | 54162634 | HISTORY: AFib. TECHNIQUE: AP upright and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13541762 | There is elevation the right hemidiaphragm with adjacent right basilar atelectasis. Elsewhere, lungs are clear. Incidentally noted is an azygos fissure. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the arch. No acute osseous abnormalities. | 55691433 | INDICATION: ___M with shortness of breath // eval for pna TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13764983 | 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. | 57551936 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13420208 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 52630070 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Shortness of breath and pancytopenia. COMPARISON: None. TECHNIQUE: Chest, portable AP upright. | No evidence of acute cardiopulmonary disease. |
13420208 | The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. There is a right PICC that terminates in the lower SVC. | 51865065 | INDICATION: ___ year old man with hairy cell leukemia now with febrile neutropenia. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___ and ___. | No acute cardiopulmonary process. |
13018952 | There is a left basal opacity, minimal but new, potentially representing atelectasis but pneumonia cannot be excluded. No other focal consolidation is seen, and the lungs are clear of pneumothorax or pleural effusions. The heart size is normal. The mediastinal contours are normal. | 53888330 | INDICATION: ___-year-old female with seizure, weakness TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___. | Left lower lobe opacity, potentially pneumonia, but atelectasis is a possibility. |
13018952 | The cardiomediastinal silhouette is unchanged. The thoracic aorta is tortuous. The lungs are hyperinflated without focal consolidation. There is no pleural effusion or pneumothorax. A 8 mm right lower lobe nodular opacity is unchanged from ___, and is likely a calcified granuloma. | 59220638 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with leukocytosis and fall. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No evidence of pneumonia. |
13573562 | AP and lateral chest radiographs were provided. There is a retrocardiac opacity at the left lung base which is nonspecific and may represent atelectasis versus infectious process. There are no other focal consolidations seen. There is a small left pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette has a left ventricular configuration. Median sternotomy wires are seen. There is no evidence of CHF. There are multiple old healed rib fractures on the right as well as old fracture of the right humeral head. | 53325461 | INDICATION: ___-year-old man with increasing altered mental status, evaluate for infiltrate and pneumonia. COMPARISONS: PA and lateral chest radiographs of ___. | Retrocardiac opacity at the left lung base which is nonspecific and may be atelectasis; however, cannot rule out infectious process. |
13891219 | PA and lateral views of the chest were obtained. Lung volumes are low, limiting evaluation. Left sixth and seventh posterior rib deformities are noted, the acuity of which is not clear. There is no pneumothorax. No focal consolidation or effusion is seen. Cardiomediastinal silhouette appears normal. Aside from aforementioned left rib deformities, no additional osseous abnormalities are detected. | 59128861 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: MVA yesterday with chest pain. | Left sixth and seventh posterior rib deformities, may represent fractures. Please correlate with site of pain. |
13718304 | PA and lateral chest views were obtained with patient in upright position. The heart is markedly enlarged. No typical configurational abnormalities are identified, however, on the lateral view, suspected aortic valve calcifications are seen. In addition, some calcium deposits are also seen in the wall of the aorta. The pulmonary vasculature is congested with perivascular haze and beginning central edema. Mild blunting of the lateral and posterior pleural sinuses is also noted. There is no evidence of additional discrete local parenchymal infiltrates, which would be suggestive of pneumonia. No pneumothorax is present in the apical area. Skeletal structures demonstrates rather marked demineralization of the vertebral bodies of the thoracic spine with accentuated kyphotic curvature, but no conclusive evidence of local vertebral body compression fracture. Our records do not include a previous chest examination available for comparison. | 55291304 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with shortness of breath, evaluate for CHF. | Marked cardiac enlargement indicative of left-sided CHF with pulmonary congestion close to central pulmonary edema. Calcium deposits in the aortic valve area suggest aortic stenosis as the course. Referring physician, ___. ___ was paged at 3:05 p.m. |
13718304 | Increased heart size. Pulmonary vascularity is mildly more prominent since prior. Mild interstitial prominence in the lower lungs, suggests edema. Left infrahilar opacity has mildly improved. Prominent left cardiophrenic angle fat pad versus stable small pleural effusion. No pneumothorax. | 52166733 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute hypoxemic respiratory failure requiring bipap. // R/O pneumonia R/O worsening Pulm edema TECHNIQUE: Chest single view COMPARISON: ___ 07:53 | Pulmonary vascularity has worsened since prior, with development of mild edema. |
13718304 | Lung volumes are lower compared to the previous study which accentuates the size of the cardiac silhouette which appears moderately enlarged. Superior mediastinal widening is re- demonstrated, potentially due to the presence of mediastinal fat and low lung volumes. Atherosclerotic calcifications of the aortic knob are present. There is crowding of bronchovascular structures without overt pulmonary edema. Small hiatal hernia persists. Apart from atelectasis at the lung bases, no focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with moderate degenerative changes seen in the thoracic spine. | 59405531 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with weakness TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Low lung volumes with bibasilar atelectasis. |
13718304 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement as before. Again calcifications are identified within the aortic valve area on the lateral view. Overall, heart size has not changed significantly; however, the pulmonary vascular congestive pattern has improved markedly. The degree of pleural effusions has regressed significantly with only some mild blunting of the lateral and posterior pleural sinuses remaining. No evidence of new acute parenchymal infiltrates are present, and there is no evidence of pneumothorax in the apical areas. Similar as identified on the previous examination, there is a rounded approximately 2 cm diameter density in the right supra-apical soft tissue area which possibly may represent an enlarged lymph node or external skin lesion. It is remote from the pleural space and lung tissue. | 58691004 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with recent significant drop in hematocrit, new acute onset CHF, unable to tolerate endoscopies. | Significant improvement of previously identified acute pulmonary CHF pattern. |
13718304 | Compared to chest radiographs from ___, right lower lobe opacities have not worsened and likely reflect aspiration. Lung volumes remain low and exaggerate heart size, which is likely moderately enlarged. Stable central vascular congestion without overt pulmonary edema. Probable small bilateral effusions, unchanged. No new focal consolidations. No pneumothorax. Right PIC line terminates in the mid SVC. | 58757760 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CHF, hypoxia // eval int change TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiographs dated ___. | Persistent right lower lobe opacities, reflecting aspiration. Stable moderate cardiomegaly. Persistent probable small bilateral pleural effusions. |
13718304 | Hazy bibasilar opacities are likely due to technique and overlying soft tissues. Superiorly, the lungs are clear. There is no overt pulmonary edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications seen at the aortic arch. | 56921278 | INDICATION: ___F with sob // infiltrate TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Limited exam without definite acute cardiopulmonary process. |
13718304 | Stable cardiomegaly and tortuosity of the thoracic aorta. No new areas of consolidation to suggest the presence of pneumonia, and no evidence of pleural effusion. | 57265904 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with leukocytosis // evidence for pneumonia COMPARISON: ___ | No radiographic evidence of pneumonia. |
13918841 | The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 53791643 | HISTORY: Nausea, vomiting, welding fumes exposure. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13780400 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50122951 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever cough // ?pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13179346 | Frontal and lateral radiographs of the chest were acquired. There is pleural thickening along the lateral aspect of the left lung with associated calcified plaque, better seen on prior CT from ___ and not significantly changed compared to chest radiographs from ___. ___ calcified pleural plaque is also noted at the left lung apex. Elevation of the lateral aspect of the left hemidiaphragm is not significantly changed. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax. Multilevel degenerative changes of the thoracolumbar spine are noted. | 58853218 | INDICATION: Cough and hyperglycemia. Assess for pneumonia. COMPARISON: Chest radiograph from ___. Chest CT from ___. | No acute intrathoracic process. Chronic changes in the left lung compatible with prior asbestos exposure, not significantly changed. |
13179346 | The cardiomediastinal silhouettes are stable, and within normal limits. The bilateral hila are unremarkable. Left lower lung pleural thickening and scarring has a similar appearance in comparison to prior radiographs. Left apical pleuro-parenchymal scarring is additionally noted, unchanged. There is no focal lung consolidation. The right lung is clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 56497906 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with shortness breath, evaluate for pneumonia or CHF. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest x-ray ___. | No focal lung consolidation. Stable appearance of left lower lung pleural thickening and scarring. No pulmonary vascular congestion or edema. |
13179346 | Volume loss and opacification of the left lung base appears compatible with round atelectasis, scarring, and pleural plaque formation, not significantly changed. Calcified pleural plaques are present more broadly along the left hemithorax. The right lung remains clear. There is no pneumothorax. The cardiac, mediastinal, and hilar contours also appear unchanged. Mild degenerative changes are similar along the thoracic spine. | 51182673 | CHEST RADIOGRAPHS HISTORY: Cough, wheezing, and diffuse mild expiratory wheezes. COMPARISONS: Radiographs from ___ and more recent chest CT from ___. TECHNIQUE: Chest, PA and lateral. | Persistent left basilar opacification compatible with chronic findings with no definite superimposed process. |
13179346 | There has been no significant change compared to prior study with pleural thickening along the lateral aspect of the left lung as well as the left lung base. No focal consolidation is seen. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. | 58262821 | INDICATION: ___-year-old man with shortness of breath for weeks worse this morning, evaluate acute cardiopulmonary process. TECHNIQUE: PA and lateral views. COMPARISON: Chest x-ray from ___. | Unchanged left lateral and basilar pleural thickening and calcifications. No focal consolidation. |
13704650 | PA and lateral views of the chest were provided. There is mild residual opacity within the left lower lobe which could represent atelectasis or residual pneumonia. No large effusion or pneumothorax. The heart and mediastinal contour appears normal. Bony structures are intact. | 55239846 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Left lower and right middle lobe pneumonia, failure to improve on outpatient regimen, assess for interval change. | Residual opacity in the left lower lobe could represent atelectasis or pneumonia. |
13704650 | The left lower pneumonia has resolved, and now there is no focal consolidation, pneumothorax or pulmonary edema noted. The cardiac and mediastinal silhouettes are within normal limits, and there are no bony abnormalities noted. | 58461225 | HISTORY: ___-year-old male with recent left lower lobe pneumonia, follow up left lower lobe pneumonia TECHNIQUE: PA and lateral radiographs are obtained with the patient in upright position. COMPARISON: Chest radiograph from ___. | The left lower lobe pneumonia has resolved, and no acute cardiopulmonary process is identified radiographically. |
13658672 | The ET is unchanged in standard position, ending at 3 cm from carina bifurcation. The NG tube ends below the diaphragm, probably in the distal gastric cavity, but the tip cannot be visualized. The side-hole of the NG tiube is in mid-gastric cavity. Lung is well inflated without consolidation. There is no vascular congestion. There is no pleural effusion or pneumothorax. Heart size and ___ vessels are normal. | 52014155 | PATIENT HISTORY: ___-year-old man with nasogastric tube placement, intubated. Please check for NGT tube. TECHNIQUE: Portable AP chest x-ray. COMPARISON: Exam is compared to chest x-ray of ___. | The ET tube ends in the distal gastric cavity, tip is not visualized. |
13658672 | PA and lateral views of the chest were provided. Lungs are clear. No signs of pneumonia or aspiration. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. No bony abnormalities. | 54095484 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Seizure activity and cough, assess pneumonia. | No acute findings in the chest. |
13658672 | Left-sided vagal nerve stimulator is noted. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 54677794 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with refractory epilepsy disorder p/w 5x recurrent seizures overnight, c/f precipitant such as infection // eval ? infiltrate TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. |
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